Chapter 264 Cheng Maifang

After reading the medical records, Dr. Shan went into the ward, found bed 52, looked at the other party, and then looked at the medical records, and said, "Li Lu, I am Shan Ming, the attending doctor of the Hepatobiliary Department of our Yunyi Hospital. Just call me Dr. Shan. Let me check you up."

Li Lu is a little girl with an oval face, about twenty-five or six years old, and she still doesn't feel much after hearing what Dr. Shan said. The mother next to her hospital bed is the first to worry: "What's wrong with Li Lu?"

"I can't make a diagnosis yet, let me do some tests." Doctor Shan's attitude is still very friendly.

In the hospital, doctors are relatively friendly to real patients, especially for patients whose indications meet their main surgical procedures, doctors are more patient.

For an attending doctor like Shan Ming, his monthly operation volume is about 20 to 30, with an average of two to three operation days per week, that is, two to three operations per operation day, equal to He said that before and after the operation day, what he needs to face is two to three patients, and the communication pressure will not be great.

After reading Li Lu's medical records, Shan Ming is 70% sure that the other party has acute cholecystitis. However, further examination is needed to determine whether or not to have surgery, and before getting the results, Shan Ming will not say that he is dead. of.

Li Lu's mother was a little anxious, but there was nothing she could do about it, she said in her mouth, "It's not good for the time, I just injured my hand and it hasn't healed yet, so why do I need a hepatobiliary doctor again."

Doctor Shan still smiled and said, "Come on, let me do the Murphy's sign for you."

Li Lu looked at Doctor Shan blankly.

"Lie on your back and bend your knees, and I will press your abdomen." Doctor Shan guided the posture and drew up the curtains around the bed.

The emergency department of Yunyi Hospital is mostly three-person and four-person wards.

The room was painted light blue, and rails were inlaid above each hospital bed. When the dark blue curtains were drawn, a small examination room was formed.

Doctor Shan did not let the family members leave, and waited for Li Lu's posture to be adjusted, then slowly pressed the lower part of Li Lu's right rib with his left palm, and found the gallbladder with his left thumb, and said, "Take a deep breath slowly. "

"Dr. Ling did this check on me just now. It seems." Li Lu frowned slightly.

"I'll check again." Dr. Shan nodded without saying anything.

It is common in hospitals to do the same examination multiple times. The main reason is that doctors do not trust their peers. Because every doctor knows that colleagues make mistakes.

Surgeons have the most outstanding education in this aspect. Even in medical schools, professors still teach students: they must do the test with their own hands, and they must not trust what is written in the medical record.

Surgeons often don't believe anyone.

It doesn't cost money to do Murphy Zheng's test, and Dr. Shan must do it himself. In the past, if Murphy was diagnosed with cholecystitis, it would mean that the surgical target had been met.

Of course, it's not that easy now.

When the inflamed gallbladder touched Doctor Shan's pressing finger, Li Lu suddenly twitched in pain, just like Ling Ran did during the test.

Now, Li Lu's mother and daughter knew that the situation was not good.

Doctor Shan nodded and said, "At first glance, it's acute cholecystitis, but it's not too serious. You can eliminate the inflammation first to see what's going on. I'll order you an abdominal CT. Go ahead and do it."

"Okay." Li Lu's mother agreed straight away, and then asked: "If it's urgent, it's not dangerous, is it?"

"Acute cholecystitis is a minor illness for us."

Li Lu's mother breathed a sigh of relief: "That's good, that's good. Hey, it's a bad year. I drink pigeon soup and old hen soup three times a day. I also made old duck soup and crucian carp soup, but I still got it." This new disease..."

"It's because you ate too much protein." Doctor Shan shook his head helplessly.

"Did you eat too much?"

"Well, if you eat too much and eat too much, you will easily get pancreatitis and cholecystitis."

Li Lu's mother was stunned,

Suddenly said angrily: "It's all my wife's fault. He didn't grow flowers when he was asked to grow them. He wanted to raise pigeons, chickens and ducks. The lotus pond is so beautiful. He raised crucian carp. If he didn't make too many things, Am I in a hurry to cook the soup?"

Doctor Shan was also stunned when he heard this, and he said enviously after a long while: "Life in the countryside is really good now, unlike us, where we look up at the sky and look down at the steel and concrete. I am in the hospital and go to work for 20 hours at a stretch. When I was home, the food market was closed.”

"My family is the same." Li Lu's mother sighed, and said: "My family lives in Daguanying, a few miles away from the hospital. I bought four villas and just surrounded a few acres of land. I thought I could finish things by myself. Raise some things, but it is incomparable with the real countryside, first of all, the air level is different..."

In Dr. Shan's mind, the price of Yunhua's house price and the price of the villa area in Daguanying popped up involuntarily, together with the compatibility of a few acres of land, his gallbladder trembled.

Dr. Shan suddenly had a new idea and said, "Well, let me measure your blood pressure and heartbeat..."

After 5 minutes, Dr. Shan left the ward silently, and only said to Lu Wenbin, "Just transfer the patient to our department."

Lu Wenbin naturally followed suit.

The emergency department will not carry out this operation just because of the word "urgent" for acute cholecystitis. At least so far, there is no doctor in the emergency department of Yunyi Medical who is interested in treating cholecystitis. Moreover, except for doctors like Ling Ran, ordinary emergency doctors are not willing to compete with professional departments for surgery.

Mastering a new surgical method often requires hundreds of operations, which is equivalent to three or four years for an ordinary doctor. It can be said to be a relatively major transformation.

Ling Ran watched Lu Wenbin sign the form for transfer to another department, and then he countersigned it, staring at the empty bed in a daze.

"You don't want to find out some diseases from other patients, and then transfer them to the department." Lu Wenbin said darkly.

Ling Ran chuckled: "Impossible, isn't it?"

"This is the conclusion you came to." Lu Wenbin's mouth twitched, and he said seriously: "Doctor Ling, the key to this question is that you shouldn't think like this."

"We help our patients check out hidden diseases, shouldn't we?" Ling Ran asked back.

Lu Wenbin's brain stopped for a few seconds: "I was almost convinced by you."

Ling Ran said, "Logic cannot go wrong."

"So, do we still need a part-time internal medicine diagnosis?" Lu Wenbin sighed heavily, took Ling Ran's arm, and walked out of the ward while saying, "Doctor Ling, I didn't say that apart from surgery, you can Don't you want to do something else?"

"For example?"

"Buy your own house?" When Lu Wenbin said this, the corners of his mouth could not help but curl up, and said: "You actually earned quite a lot from the surgery fee, and if you put together a little, it's enough for the down payment of a house. It’s not like I’m saying, girls nowadays, when they get married, they must have a car and a house. It’s even worse when they’re on a blind date. If you don’t have a car or a house, people don’t bother to introduce you. Anyway, it won’t work..."

Ling Ran heard an "oh", but didn't respond.

"Hey, Doctor Ling, don't take it seriously. The house is a big deal. Even if you have a house now, you won't be able to move in when you get married. Girls are picky now, and they all ask for a divorce. My mother-in-law lives together, since in the end we have to buy a house, why not buy it sooner. If you buy it earlier, the pressure will not be so great, and after a few years, the loan will be repaid a lot." Lu Wenbin looked at Ling Ran with a twinkle in his eyes. .

Ling Ran let out another "oh", but still had no reaction.

Lu Wenbin couldn't bear it any longer, walked for a while in silence, and said, "Doctor Ling, I'm going to pay a down payment to buy a second-hand house in front of our hospital. Would you like to look at it with me?"

Ling Ran finally came to his senses, and asked, "Do you want to buy a house?"

"Yes, I just saved enough down payment." Lu Wenbin cracked his mouth and laughed, and said: "The house is not only for living function, it is like getting married, and the children will go to school in the future..."

"Hello, Doctor Ling."

"Doctor Ling, we got a huge prawn today. When do you come to the cafeteria, we will ask the chef to cook it for you."

"The 40cm long tiger prawns are beautiful."

The little nurses who came towards him smiled coquettishly and waved, and stretched out Bai Shengsheng's arms, gesturing at the thick and long tiger prawns.

Lu Wenbin watched their gestures, and fell silent involuntarily.

At this time, I heard Ling Ran say, "I want to have an operation at noon, so just drink some milk and eat shrimp at night."

"No problem, then let the master thaw the shrimp slowly." The two nurses waved their hands and left happily.

"Help me deliver a box of pine nuts to the nurse's station." Ling Ran casually reminded Lu Wenbin.

Lu Wenbin lowered his head and muttered to himself: "I'm about to buy a house, why should I be an intermediary for a transaction like yours..."