After Doctor Dan finished reading the medical record, he entered the ward and found Bed 52. He looked at the patient and the medical record before he said, "Li Lu, I'm Dan Ming, an attending physician from the Department of Hepatobiliary and Pancreatic Surgery in Yun Hua Hospital. You can just call me Doctor Dan. I'll give you a checkup."
Li Lu was a young girl with an oval face. She was about twenty-five or twenty-six years old. She did not feel anything when she heard what Doctor Dan said, but her mother, who was by the bed, became anxious. "What's wrong with Li Lu?"
"I can't make a diagnosis now. I'll give you a few tests." Doctor Dan's attitude was still very friendly.
In the hospital, doctors were relatively friendly to real patients, especially when it came to patients whose indications matched their main surgical methods. Doctors were usually more patient.
For an attending physician like Dan Ming, the number of surgeries he performed in a month was about twenty to thirty. On average, he had two to three surgery days per week. That meant that he performed two to three surgeries every surgery day. This meant that he only needed to deal with two to three patients before and after the surgery. The pressure of communicating with them was not very great.
After reading Li Lu's medical record, Dan Ming was already seventy percent sure that the patient had acute cholecystitis. However, further tests were needed to determine whether the patient needed to be operated on. Before he got the results, Dan Ming would not say anything.
Li Lu's mother was a little anxious, but she could not do anything about it. She mumbled, "It's an unlucky year. My hand has just been injured, and it hasn't recovered yet. Why is the doctor from the Department of Hepatobiliary and Pancreatic Surgery here?"
Doctor Dan still smiled and said, "Come, I'll perform Murphy's sign on you."
Li Lu looked at Doctor Dan in a daze.
"Lie on your back and bend your knees. I'll press on your abdomen." Doctor Dan guided her posture and pulled up the curtains around the bed.
The Emergency Department of Yun Hua Hospital mostly had rooms for three or four people.
The room was painted light blue, and there were tracks above each bed. After the dark blue curtains were pulled up, a small examination room was formed.
Doctor Dan did not ask the patient's family to leave. He waited for Li Lu to adjust her posture before he slowly pressed the lower right part of Li Lu's ribs with his left palm. His left thumb found the position of the gallbladder and said, "Take a slow, deep breath."
"Doctor Ling just gave me this checkup. It seems. "Li Lu frowned slightly.
"I'll check again." Doctor Dan nodded and did not say anything else.
It was common for doctors to perform the same checkup multiple times in the hospital. The main reason was that doctors did not trust their peers. This was because every doctor knew that their peers would make mistakes.
Surgeons received the most outstanding education in this area. Even in medical schools, there were still professors who constantly told their students that they must do the tests with their own hands and that they must not trust what was written in the medical records.
Surgeons often did not trust anyone.
The Murphy's sign test did not cost anything, so Doctor Dan definitely had to do it personally. In the past, if cholecystitis was present in the Murphy's sign, the surgical target would have been met.
Of course, it wouldn't be so easy now.
When the inflamed gallbladder touched Doctor Dan's finger, which was pressing down, Li Lu immediately twitched because of the pain. It was exactly the same as when Ling Ran tested it.
This time, Li Lu and her mother knew that the situation was not good.
Doctor Dan nodded and said, "The preliminary results show that it's acute cholecystitis, but it's not too serious. You can first reduce the inflammation and see how it goes. I'll do an abdominal CT scan for you. You can go ahead and do it."
"Okay." Li Lu's mother agreed immediately and asked, "If it's acute, it won't be dangerous, right?"
"Acute cholecystitis is a minor illness for us."
Li Lu's mother breathed a sigh of relief. "That's good, that's good. Sigh, it's an unlucky year. I've been eating pigeon soup, hen soup, duck soup, and Crucian carp soup three times a day. In the end, I still got this new illness … "
"It's because you gave me too much protein." Doctor Dan shook his head in resignation.
"You ate too much?"
"Yes, if you eat too much and eat too well, it's easy for you to get pancreatitis and cholecystitis."
Li Lu's mother was stunned. She suddenly said angrily, "It's all my husband's fault. I asked him to plant flowers, but he insisted on raising pigeons, chickens, and ducks. The lotus pond was so beautiful, but he raised Crucian carps. If it weren't for the fact that he raised too many things, would I have to make soup for him in such a hurry?"
Doctor Dan was stunned when he heard this. After a while, he said enviously, "Life in the countryside nowadays is really good. It's not like us, where we can only look up at the sky and see concrete when we look down. When I work in the hospital, I work for twenty hours in one go. When I go home, the market is closed."
"It's the same for my family." Li Lu's mother sighed and said, "I live in Daguanying, which is a few miles away from the hospital. Back then, I bought four villas, and they just happened to surround a few acres of land. I thought that I could have my own things and raise some things, but it can't compare to a real village. First of all, the air quality is different …"
Doctor Dan could not help but think of the housing prices in Yun Hua and the price of the villas in Daguanying. Coupled with the fact that it was a few acres of land, it made his gallbladder tremble.
Doctor Dan suddenly had a new idea. He said, "How about this, I'll take your blood pressure and heartbeat …"
Five minutes later, Doctor Dan quietly left the ward and said to Lu Wenbin, "Just transfer the patient to our department."
Lu Wenbin naturally did as he was told.
The Emergency Department would not carry out this surgical method just because acute cholecystitis had the word "urgent" in it. At least for now, no doctor in the Emergency Department of Yun Hua Hospital was interested in performing cholecystitis. Besides, other than doctors like Ling Ran, normal emergency doctors did not have the desire to snatch surgeries from specialized departments.
Mastering a new surgical method usually required hundreds of surgeries, which was equivalent to three or four years for a normal doctor. It could be said to be a relatively major transformation.
Ling Ran watched Lu Wenbin sign the transfer form and countersign it. He stared at the empty bed in a daze.
"You're not thinking of finding any diseases from other patients and transferring them to other departments, are you?" Lu Wenbin said gloomily.
Ling Ran chuckled. "That's impossible, right?"
"This is the conclusion you came to, right?" Lu Wenbin's lips twitched, and he said seriously, "Doctor Ling, the key to this problem is that you shouldn't think this way."
"We're helping our own patients to find hidden diseases. Isn't that what we should do?" Ling Ran asked.
Lu Wenbin's brain stopped working for a few seconds. "I was almost convinced by you."
Ling Ran said, "Logic won't go wrong."
"So, do we still have to do internal medicine diagnostics part-time?" Lu Wenbin sighed heavily. He held Ling Ran's arm and walked out of the ward area while he said, "Doctor Ling, I don't want to say this, but other than performing surgery, don't you want to do anything else?"
"For example?"
"Buy your own house?" When Lu Wenbin said this, he could not help but smile. He said, "You've actually earned quite a lot of money from your surgery fees. Just a little bit of it will be enough to pay for the down payment of a house. I don't want to say this, but girls nowadays need a car and a house when they get married. It's even worse when you go on blind dates. You don't have a car or a house, and people don't even bother to introduce you to them. Anyway, you won't get married … "
Ling Ran hummed in acknowledgment, but he did not have much of a reaction.
"Hey, Doctor Ling, don't take this lightly. Houses are important. Even if you have a house now, when you get married, it's impossible for you to move in. Girls nowadays are picky, and they all ask not to live with their mother-in-law. Since you're going to buy a house anyway, why don't you buy one earlier? If you buy one earlier, you won't feel so much pressure. After a few years, you'll have paid off a lot of the loan. "Lu Wenbin's eyes sparkled as he looked at Ling Ran.
Ling Ran hummed in acknowledgment again, but he still did not have much of a reaction.
Lu Wenbin could not stand it anymore. He walked quietly for a while and said, "Doctor Ling, I'm going to buy a second-hand house in front of our hospital. Do you want to look at it with me?"
Ling Ran finally came to a realization and asked, "You want to buy a house?"
"Yes, I just saved enough for the down payment." Lu Wenbin grinned and said, "Houses are not just for living. For example, when we get married, when our children go to school …"
"Hello, Doctor Ling."
"Doctor Ling, we got a big prawn today. When will you come to the canteen? We'll ask the chef to make it for you. "
"A tiger prawn that's six inches long. It's beautiful."
The young nurses who walked toward them smiled and waved. They even extended their fair arms to gesture the length of the tiger prawn.
Lu Wenbin looked at their gestures and could not help but fall silent.
At this time, he heard Ling Ran say, "I want to perform surgery at noon. I'll just drink some milk. I'll eat the prawn at night."
"No problem, then we'll let the chef defrost the prawn slowly." The two young nurses waved and left in excitement.
"Help me send a box of pine nuts to the nurses' station," Ling Ran said to Lu Wenbin.
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