Yu Yuan walked briskly like a cowherd who had been away for a long time and finally returned home. She could not wait to see her cow, to see if it had lost weight due to hunger, to see if it ate grass well, to see if it slept well, and to see if it had accumulated a lot of cow dung.
"Has Doctor Zang performed any emergency cases before?" Yu Yuan asked as she walked.
"During my rotation, I stayed for about a month. Our hospital's Emergency Department isn't very big, and we don't have enough beds. It's just average. "Zang Tiangong followed Yu Yuan, not knowing what was going on. Truth be told, he was still writing a report in Taiwu Central Hospital this morning. Now that he was in Yun Hua Hospital and had become a junior doctor with a low status, it was really difficult for him to get used to it. However, the director had arranged work for him. What could he do? Forget about the fact that he yearned for the surgery to remove the tumor thrombus, even if he did not desire it, there were plenty of cases of women being forced into prostitution.
Then, he boarded Yun Hua Hospital's pirate ship, or should he call it a pirate's private plane? It was even harder for Zang Tiangong to get used to it. He could only say that Zuo Cidian was a little fierce, and the little thing in front of him … Legend had it that small and strange female characters were extremely dangerous, and Zang Tiangong did not dare to challenge them.
Surgeons all had this kind of contradictory personality. On one hand, they would be willing to take risks in order to obtain certain benefits. On the other hand, they would be especially careful when faced with things that ordinary people were used to doing. It was just like how there were surgeons who dared to hide in the office next to their wives' to have sex with their wives during their afternoon tea break. However, if their wives told them to not use condoms, they would immediately give up.
Zang Tiangong stared at Yu Yuan's back. He wanted to befriend her, so he said, "I often work in the Emergency Department when I'm in the General Surgery Department. The attending physicians in our hospital are on duty together with the resident doctors. It's really tiring, but being able to perform surgery …"
Under normal circumstances, it was more common for doctors to talk about their shifts and surgeries than to talk about the weather. This was especially so for doctors who had stayed in the hospital for a long time. They had enjoyed a constant temperature and humidity environment day after day, so they could not even remember what was going on with the weather.
Yu Yuan tilted her head back and asked faintly, "Shouldn't attending physicians be on duty?"
Zang Tiangong suddenly panicked. 'My little thing is not even an attending physician? My status is so low?
"You don't have any problems with common gastrointestinal surgeries, do you?" Yu Yuan asked again.
"Yes. No problem. "Zang Tiangong quickly responded. If this was in the hospital, he would be eager to say that he didn't know anything so that he wouldn't be pressured by others. However, people were cheap when they were away from home, and doctors were cheap when they were away from the hospital. There was nothing wrong with being diligent and being sweet.
"Then, it's all up to you later." Yu Yuan put her hands behind her back again and walked two steps faster.
Zang Tiangong slowed down a little to prevent the former's efforts from going to waste.
…
"What's the patient's number?" Yu Yuan went to the consultation desk. She squeezed some alcohol-based hand sanitizer on her palm and rubbed it on her palm before she asked the nurse.
"Number 8," the nurse replied. She then said, "There are interns coming today. Do you want to take a few?"
"I don't want a tall one. It's tiring to look at him," Yu Yuan answered. Although she was now an attending physician, the Ling Treatment Group's workload was large, and the number of interns they needed to accept would also increase. Moreover, Yu Yuan did not want the special treatment of attending physicians now.
The nurse smiled gently and said, "I've already prepared it for you. There are six of them, and the tallest one is 1.61 meters, and he reported it himself. You go and see the doctor first. I'll ask them to find you. "
"Alright."
"Doctor Ling is here," the nurse reminded him again.
"None of them went home. But his house is also full of patients. The patients here might be a little more interesting. " Yu Yuan joked for a while and gave Zang Tiangong a temporary staff card of Yun Hua Hospital before she entered the emergency room.
When she pushed the door open and entered, a smell like that of a market greeted them.
Injured patients, dispirited family members, and old men and old women holding thermos bottles flashed all over the place. It was the original appearance of the emergency room.
Yu Yuan pursed her lips and explained to Zang Tiangong, "Doctor Ling wants it to be neat and tidy. So, the resuscitation room and ICU inside are much better. The outside is the messiest, and the patients and their family members don't listen to you. "
"Everyone thinks that their own illness is the most important." Zang Tiangong sounded like he understood and said, "The patients in the Emergency Department are much more difficult to deal with than the scheduled ones. Sometimes, I don't like to go to the Emergency Department for surgery and treatment. The same patient in our ward and the Emergency Department's ward are treated differently."
"Believe me, we've seen a lot of people with yin and yang faces. Doctor Ling has his own yin and yang attributes, "Yu Yuan said and came to bed number 8.
When she arrived, she saw a thin middle-aged man leaning against the headboard with his eyes closed.
"Li Tanmo?" Yu Yuan confirmed the name.
"Yes." The thin middle-aged man opened his eyes and smiled like a stray dog who had lost its cuteness.
"Abdominal pain? Do you feel uncomfortable anywhere else? "Yu Yuan came to the bed and gave Zang Tiangong a look.
Zang Tiangong understood for a few seconds and tried to pull the curtain around the bed to form a relatively private space.
Yu Yuan nodded in satisfaction. Doctors who were attending physicians basically had the intelligence quotient of an attending physician.
The patient was enclosed in an independent space, and his mood became a little more relaxed. He frowned and said, "I still have a slight fever … It's just that after I ate today, I suddenly felt a terrible stomach ache. It feels different from my usual stomach ache. "
"Do you usually have stomach ache?" Yu Yuan asked.
"Not really."
Yu Yuan raised her head. "Then why did you say that it's different from your usual stomach ache?"
The patient said, "It's different from my usual stomach ache. I said it's different, it's just a description …"
Yu Yuan rolled her eyes that no one could see and said, "I'm checking the patient's condition. Is the patient's family here? "
"They're on the way. I think there's a traffic jam. You can call them … "
"Why would I call the patient's family?" Yu Yuan could tell that this patient was not very intelligent. She instructed the patient to adjust his posture and then pressed her hand on the patient's lower right side. "If it hurts, shout …"
"Ouch, ouch, ouch …" the thin man immediately shouted.
"Don't shout too exaggeratedly. What about this side?" Yu Yuan put her hand on the left side again.
"It hurts."
"It's lighter than before, right?"
"You didn't listen carefully. Just now, three people hurt, and now one."
Yu Yuan was stunned. Then, she chuckled and removed her hand. "How many now?"
"Ouch, ouch, ouch, ouch …"
Yu Yuan nodded. She was basically sure that it was appendicitis. Although his brain seemed to be damaged, it was still very easy to make a judgment for a patient with obvious rebound pain. However, it was appendicitis that needed surgery. It was a little rash to make such a simple judgment.
"You have to be prepared for surgery. Where are your family members? Hurry them up. I'll give you a few more tests. Once the diagnosis is confirmed, we'll talk … "Yu Yuan instructed in a routine manner. Family members must be present during general anesthesia surgery. Unlike overseas, where a patient went to the hospital alone for major surgery, there were a few procedures in China.
"What's the diagnosis?" Li Tanmo asked.
"The preliminary suspicion is inflammation. Go and get checked first. We'll talk when you come back. "Yu Yuan paused and said," It shouldn't be a big problem. You don't have to worry too much. "
The patient said uneasily, "You didn't even listen to the pulse. The stethoscope is useless, and you didn't even measure the temperature. You don't even know how to use the things you used in the past. You all use instruments for diagnosis, and the fees are expensive …"
As he complained, someone outside the curtain said, "Doctor Yu, we're new interns …"
"Come in."
Yu Yuan replied. A few short and small interns opened the curtain and came in.
"Doctor Yu."
"Doctor Yu."
The few of them lowered their heads and greeted her. They then looked at each other, and strange thoughts rose in their minds.
"Just in time. I'll let you touch this patient." After Yu Yuan finished speaking, she said to the patient, "These are our hospital's interns. Let them give you a physical examination."
"I can't even use a stethoscope," the patient complained.
Yu Yuan was silent for two seconds. "How about this? Let them touch first. After they touch, I'll use a thermometer to measure your temperature, and we should be able to make a diagnosis."
"We don't need instruments?"
"We can do two fewer tests. It'll be easier to make a preoperative diagnosis." Yu Yuan finished bargaining and gestured for the interns to start one by one.
The interns who just came to the hospital felt anxious. They were a little confused, but they also understood what was going on. They touched the man on the bed all over the place.
Li Tanmo moved from a half-lying position to a full lying position, and then to a flat position. He gradually calmed down.
"Come, put a thermometer in your mouth." In a daze, Yu Yuan stuffed a thermometer into Li Tanmo's mouth.
"Oh." Li Tanmo subconsciously put the thermometer in his mouth.
"Lie down again and measure the temperature of your anus." Yu Yuan put on gloves and reconfirmed the thermometer. She said to herself, "I didn't put it wrong."
Li Tanmo sat up one word at a time. He wanted to say something, but because of the thermometer in his mouth, he could not say anything.
Yu Yuan slowly and firmly placed Li Tanmo in the correct position. She firmly and slowly inserted the thermometer into the correct position.
"Do you know why I'm measuring it this way?" Yu Yuan took off her gloves and threw them into the trash can. She then asked the interns.
"Because the patient requested it?" one of the interns said timidly.
"Because the measurement is accurate?" Another intern began to think deeply.
Zang Tiangong, who was next to him, frowned deeply. "Yes, why?"
The patient lay on the bed with a thermometer in his mouth and a thermometer in his mouth. His face was full of questions.
"Before there are all kinds of more advanced instruments, this method can be used to diagnose appendicitis safely and accurately." Yu Yuan patted the edge of the bed and said, "You guys check it later. If the temperature of the anus is obviously higher than the temperature of the oral cavity, you can make a diagnosis."
"Very bad? Is it very bad? "the thin man said in a muffled voice.
"It's not serious. We just need to remove it." Yu Yuan paused for a moment and hummed before she said, "Appendicitis doesn't require the removal of the cecum. You just need to remove the appendix."
"Isn't that appendicitis?"
"That's what people call it, but I have to say it in a more academic way to the interns." Yu Yuan's face was serious. She called Zang Tiangong over and asked him to pull the curtain and go out.
The six interns were left behind. They stared at the patient's two thermometers, and their thoughts gradually became clear.
"The temperature of the anus is obviously higher than the temperature of the oral cavity. How many degrees more is considered obvious?"
"Check?"
"Oh, right. Should we poke it deeper so that it doesn't fall out?"
"Just let the patient clamp it tightly."
Li Tanmo's patient's expression gradually stiffened.
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