Since 1981 Health School Chapter 593

  Chapter 593 The face of Xijing Hospital

  Wang Ning felt uncomfortable when he picked up the phone: "Hey, hey, you can call me Wang Ning, what is your name, Lao Wang? Really, it sounds like a curse."

  Dr. Yan and Wang Ning are old colleagues, and they are used to speaking casually:

   "Okay, okay, call you Xiao Wang next time, come here quickly, this patient is in a hurry."

   "Okay!"

  The surgeon is downstairs and will be here soon.

  Looked at it, touched his stomach, and said casually:

   "It's okay, it's not tight, there is no obvious acute peritonitis, but there is a slight tenderness in the lower right abdomen. It is recommended to have a CT scan of the abdomen to see it clearly. If it is acute appendicitis, just arrange hospitalization for surgery."

   Speaking of this, Dr. Wang whispered to Dr. Yan:

   "In addition, you have to rule out the possibility of ectopic pregnancy first. Don't find out that you are pregnant after doing a CT scan. That would be a disaster."

   "It's okay, I've done relevant tests to rule out the possibility of early pregnancy."

  Every doctor is most afraid of encountering an early pregnancy that no one knows about. Otherwise, after taking X-rays and taking certain medicines, the patient finally bites back, saying that I want to keep this child. Aren't you doing harm?

   Yes, get ready to lose money.

  The surgeon looked at the pair of boys and girls, and said a little worriedly:

   "Little girl, this may be appendicitis. You have to ask your parents to come over. The hospital operation is relatively serious, so you can only do it with your parents."

  The girl is scared and overwhelmed.

  Dr. Yan is a woman after all, so she felt sorry for the girl, so she comforted her softly:

   "Don't be afraid, you always know the phone number of your parents' work unit, I'll call for you, you go for an inspection first."

  The boys and girls were shocked: "Auntie, I, we didn't prepare that much money."

  Yan Ning saw that the girl was well dressed, with thin skin and tender flesh. Obviously, the family's economic conditions were not bad, so she wrote an "urgent" on the CT list:

   "It's okay, you go for CT first, and then pay for it together when your parents arrive."

   "Thank you auntie, thank you uncle."

  The two of them didn't know how many times they went out for an examination. Seeing the girl in pain, Dr. Yan and Dr. Wang both sighed. Parents can't see this kind of thing.

   After about an hour, the girl's parents rushed over and looked suspiciously at her daughter's male classmate.

  16 years old is the age of middle school, what parents are most afraid of is puppy love, especially if they do something shameful, the reputation of the whole family will be ruined.

  The girl's mother quietly pulled Dr. Yan over and asked, "Doctor, what's the situation with my daughter? Does it have anything to do with that boy?"

  Both women, Dr. Yan knew what parents were afraid of, so he comforted her:

   "Don't worry, it's not that kind of scandal, I've checked it, it's fine."

  The girl's mother patted herself on the chest, and a smile appeared on her face:

   "It's okay, it's okay, it's good if there's no such thing, but it's strange, she's been complaining of stomach pains for the past few years, and we've gone to the hospital for checkups a few times, but we couldn't find anything wrong."

   "At present, we initially suspect appendicitis, and we are still waiting for the CT report. If so, we will have to be hospitalized."

   "Appendicitis?"

  The girl's parents didn't care as soon as they heard it. This disease is not considered a serious disease in surgery. Although it will take a little bit of suffering, at least her life will be safe and her recovery will be faster.

  But after the CT was done, Dr. Wang took the film and looked at it, frowning a little:

   "It's not acute appendicitis, and there are no bile duct stones, cholecystitis, cholangitis, pancreatitis, intestinal obstruction, gastrointestinal perforation, etc., and there is no indication for surgery."

  The girl's parents were stunned, not understanding what it means to have no indication for surgery, is it good or bad?

   "Doctor, you said that there is no indication for surgery. Is the problem not serious, or is it a serious problem?"

  Dr. Wang was a little impatient, raised his voice and said:

   "There is no indication, that is to say, this abdominal pain does not require surgery. I suggest you go to the gastroenterology department for another look. After all, you have had abdominal pain for several years, and it may be a chronic disease. You need to spend some time looking it up."

  After saying this, Dr. Wang left in a hurry. There is still surgery waiting for him to start, so there is no time for idle talk.

  The temper of the surgeon is that he comes and goes in a hurry.

  Dr. Yan stared at all the inspection reports for a long time. Decades of clinical experience told her that the girl's pain must not be that simple. After all, ordinary intestinal spasms are not so painful.

  But after a round of investigation, all abdominal organs are normal, and the abdominal pain cannot be explained for a while.

  Besides, the girl herself said that the pain used to be relieved in about an hour, but this time the pain lasted longer and became more painful.

  Patients are most afraid of the doctor's silence, frowning, and cold face. If they sigh, they can eat whatever they want when they go back.

   That's basically a death sentence.

   So the girl's parents are nervous: "Doctor, what's the matter with my daughter?"

  Dr. Yan didn't know how to answer, so he could only shake his head:

   "I can't find any problems now, and the problems that can't be found are the most terrifying, because you don't know how to get rid of the root cause of the disease, so you should go to the hospital and have a good checkup first!"

  The girl's parents were dumbfounded when they heard it.

   But there is no way, the entire Northwest, Xijing Hospital is the best hospital, if even Xijing Hospital can't make a diagnosis, it's worth going to other hospitals.

   In this way, the girl was admitted to the gastroenterology department.

  After being admitted to the hospital, there was a lot of excitement. The upper and lower corners of the whole body were checked, and the medical expenses cost several thousand. The gastroenterology department of Xijing Hospital didn't find out the cause.

   Not to mention the dissatisfaction and anxiety of the parents, even the doctors are also anxious. After all, doctors have to face.

  Department Director Liang Pingding became angry, and he slapped the table for a general consultation.

  After get off work, the office of gastroenterology department was full of doctors, whether they were outpatient doctors or inpatient doctors, all of them were called, and no one was allowed to leave after get off work.

  As the attending doctor, Yan Changhong began to report the medical records.

  Every doctor listened carefully, wondering what the possible diagnosis was? What is the cause? Which part has not been checked in place? What other checks did you forget to do?

  Director Liang was smoking one cigarette after another, regardless of whether the female doctors next to him were waving cigarettes in disgust.

   "Everyone tell me, what's the matter with this patient? It has been more than 10 days of treatment, no matter whether it is antispasmodic drugs, painkillers, various antibiotics, or even hormones, there is no effect at all.

   Comrades, do you know what the parents just said to me? They said that they thought Xijing Hospital was omnipotent and the most powerful hospital in the country, but they couldn't even cure a stomachache. He was very, very disappointed with us.

  The child's parents are intellectuals, they didn't scold their mothers, if they scold everyone in the gastroenterology department, they should scold them too. Calling everyone together today is to brainstorm and work together, no one should hide, talk and fart. "

   Director Liang, who has always been a good guy, swears. Everyone knows that the director is really in a hurry.

  How many causes of abdominal pain? I'm afraid even the most professional doctors themselves can't tell clearly.

  So one by one began to talk about it.

  Doctor A:

"I think acute inflammation of abdominal organs cannot be ruled out, such as acute gastroenteritis, acute corrosive gastritis, acute cholecystitis, acute pancreatitis, acute appendicitis, acute cholangitis, etc. are all possible. Otherwise, how can B-ultrasound X-ray CT be explained? Can't find any substantive lesions?"

   Someone retorted: "The blood routine, erythrocyte sedimentation rate, D-dimer and other indicators are all normal, and the possibility of inflammation can be ruled out."

  Doctor B:

   "It is not ruled out that the patient's abdominal wall disease, such as abdominal wall contusion, abdominal wall abscess, and abdominal wall herpes zoster, etc., especially herpes zoster can cause abdominal pain and nerve pain."

   Another doctor retorted: "The problem is that there is no herpes found in the abdomen, and there is not a single herpes that came out. It has been so long, and it should come out and come out."

  Doctor C:

   "Chest diseases are also possible, such as acute myocardial infarction, acute pericarditis, angina pectoris, pneumonia, and pulmonary infarction, all of which can cause severe abdominal pain and are difficult to detect."

A doctor retorted: "The problem is that I have been hospitalized for 10 days now. If it is myocardial infarction and pericarditis, the patient cannot be alive and kicking. The patient's pain is intermittent, and the pain comes every few days. This obviously does not meet these critical and severe conditions. disease."

  Doctor Ding:

   "The rest may be rheumatic fever, uremia, acute lead poisoning, porphyria, abdominal allergic purpura, etc. These rare diseases cannot be ruled out, and we still need to continue a comprehensive examination."

  Director Liang was embarrassed when he heard it:

"I can't do any more investigations. I don't know how many inspections I have done in the past 10 days. I have done three times for CT alone. The current cost of trial medication and inspection fees has reached more than 3,000 yuan. My salary for a year It's gone, and the parents will really scold their mothers if they continue to check."

   At this time, a doctor suggested:

   "Director, why don't we ask Elder Tong to come for a consultation? We can't figure it out, so we can only ask our ancestors to help."

   "Teacher Tong, yes, let's ask Teacher Tong to come for a consultation."

   "That's a good idea. Once Mr. Tong makes a move, it will definitely be a success."

   "Hurry up, Mr. Zhou Yitong is in the outpatient clinic today. He has many patients and always delays work. He must still be in the hospital now."

   "Let's go, let's invite together."

  The teacher Tong that everyone is talking about here is actually Professor Tong Shanggao who participated in the WGO conference in Texas with Chen Qi.

  Different from other sour experts, Professor Tong has always had a friendly attitude towards Chen Qi. He has spoken a lot of good things for him in several meetings. He is a loyal old man.

  Professor Tong had just seen the last patient at this time, and looked at his watch, it was already 7 o'clock in the evening, so he quickly leaned on the back of the chair to take a rest, and several of his students looked at their teacher distressedly:

   "Ms. Tong, you are 75 years old, why don't you work so hard and see 60 patients in one afternoon."

  Professor Tong smiled:

   "Just because I am 75 years old, I have to work even harder. How many years do you think I can live? Now that I am still flexible, saving one more is a waste of my life."

  As soon as the door opened at this time, before Professor Tong and the others could react, a large group of doctors squeezed in.

  Professor Tong saw that almost all the doctors in the Department of Gastroenterology had come, and joked:

   "Yo, what day is today? Come so full? Is this an exercise for me to hold a memorial service?"

  Director Liang smiled wryly: "Teacher Tong, don't be kidding. We have encountered a problem. Come to Xitian to invite you, the Tathagata Buddha Lord."

   "Okay, okay, let me, the Buddha, check it out for you, so who, which kid will report the medical history to me."

  Dr. Yan Changhong is more than 40 years old, but in the eyes of Professor Tong, he is just a little girl. Anyway, the doctors of the gastrointestinal system in Xijing Hospital are either Professor Tong's students or the grandchildren of Professor Tong, depending on their generations.

  Dr. Yan is also a little embarrassed:

   "Teacher Tong, I'm embarrassing for you old man. So many of us can't even find out the cause of abdominal pain, and we can't treat it well."

  Professor Tong smiled and waved his hand:

"It's all right, failure is the mother of success. We have experienced one failure, and we will know how to avoid it next time. Medicine is a hospital of experience, which has come from countless failures. I see that all your doctors are here, and none of them returned. Home, it means that your hearts are very aligned, your attitude towards learning is very correct, and you are all good."

   There was a chuckle in the office.

  Professor Tong Shanggao and Prof. Wu Mengchao have different styles. If Prof. Wu were replaced, the surgeons would have already started cursing their mothers.

   As a result, after listening to the medical record report, Professor Tong couldn't laugh anymore.

   "Paroxysmal pain...can be relieved by itself...the pain will come back every few days...for several years...there is no positive expression in the auxiliary examination?..."

  Professor Tong brought all the medical records and examination reports, read them one by one, thought for a long time, recalled all the clinical experience in his career, and found that none of them were worthy of the title.

   "This stumps me."

  Everyone was stunned, even the gastrointestinal father of Xijing Hospital was stumped, let alone these little doctors? (Professors, associate professors and doctors...)

  Professor Tong is relatively experienced. Although he can't see the cause of the disease, he has also seen some ways:

   "The main problem now is that we have too few auxiliary inspection methods. What B-ultrasound, X-ray and CT are all body surface inspections. We have no way to see what is going on in the gastrointestinal tract with our own eyes."

  Director Liang said helplessly: "The problem is that we don't know what's going on in the intestines."

   "We don't know, but someone in our country can know, let the patient be transferred."

  Professor Tong's words were astonishing, and all the doctors in the office were startled all of a sudden.

  Only patients from all over the country were transferred to Xijing Hospital. When did Xijing Hospital transfer patients to other hospitals?

   Isn't this a slap in the face? The signboard of Xijing Hospital is there.

   Even Director Liang was embarrassed:

   "Teacher Tong, this, this... The patients in our Xijing Hospital who are not good enough, which hospital in the country has the strength to say that it will definitely be cured? Xiehe? Ruijin? 305?"

  Professor Tong laughed out loud:

"You guys, what does it mean that there are people beyond others, and there is a sky beyond the sky? Our Xijing Hospital is top-notch in China, but we are still far behind in the world. Confidence is a good thing, but blind self-confidence is a bad thing. Recognizing the shortcomings, we Only then can progress be made.

  I know you don't believe anyone can surpass us, otherwise, let's organize the two departments of gastroenterology and intestines, and go to Yuezhong People's Hospital to visit and study together, and see how Chen Qi and Lan Lijuan treat patients. "

  Vietnam People's Hospital?

  A local hospital?

Study tours? learn them? Are you kidding me?

  Professor Tong sighed deeply when he saw the look of disdain on the faces of his disciples and grandchildren. He hoped that after Etsuchu came back, they would not be so shocked that they lost confidence.

  (end of this chapter)

Chapter end