Doctor of Healing

Chapter 264 Appendicitis?That's not important (Leader Cui Guoguo's father × 1)

A middle-aged woman walked in, followed by a fifteen or sixteen-year-old girl, bent over, with a painful expression on her face.

"What's wrong?" Meng Qingfei asked.

"Stomach hurts, doctor, please take a look." The woman said.

Meng Qingfei asked the patient to lie on the bed for a simple physical examination.

For acute appendicitis, Ji Xiang had a judgment after the physical examination.

Very typical signs, tenderness at McBurney's point in the right lower abdomen, accompanied by rebound tenderness. I don't know if there is any muscle tension, but Jixiang thinks that there is probably no.

Meng Qingfei issued an examination order and asked the patient to undergo various examinations.

"Doctor, what is the disease?"

"Now I think it's acute appendicitis." Meng Qingfei said, "After the examination, other diseases should be ruled out. Let's go to the hospital for surgery."

"Surgery? No time." The woman said without hesitation.

"..." Meng Qingfei frowned.

"My child is going to the United States tomorrow, so we can't delay it." The woman said, "Doctor, can you prescribe some painkillers?"

"If acute appendicitis is not operated, there is a chance of perforation of the appendix, which is not recommended." Meng Qingfei said with certainty.

"That won't work. The Bronx Science High School in the United States that I contacted, you don't know how much trouble it is! It's hard to go, and there must be no delay."

"It takes a lot of trouble to get medical treatment first." Meng Qingfei was upset, and he gave the woman a sidelong glance.

"No, I must go to Bronx Science High School. After graduating from this high school, the worry is which Ivy League school to go to, not whether I can go to an Ivy League school." The woman was very firm and decisive.

"But what about acute appendicitis?" Meng Qingfei's tone was a bit unkind, without concealing it, "Once the perforation is perforated, do you need emergency surgery in the United States? What if you perforate on the plane and suffer from toxic shock when you get off the plane."

"Take the medicine first." The woman hesitated for a moment, but returned to her previous train of thought.

Being sick is definitely not as important as Bronx Science High School, she knew it clearly in her heart.

"Let's have an examination, you have to make a diagnosis first." Seeing that he couldn't persuade the woman, Meng Qingfei had no choice but to see if it was acute appendicitis.

There is no inspection, it is too early to say this.

The woman took the little girl for an examination, and Zhao Zhe asked suspiciously, "What is an Ivy League school?"

"Simply put, it's a good university in the United States." Meng Qingfei said, "It's awesome to be able to go to Bronx Science High School! No wonder you have to go so hard."

"Bronx Science High School..." Zhao Zhe was at a loss for words.

"Brother Zhao, let's put it this way." Ji Xiang knew that Zhao Zhe's life had nothing to do with these things, he explained, "In our consciousness, graduating from high school and taking the Qingbei exam is the best result, right?"

"Yes, Tsinghua University, Peking University, if my child can pass the entrance examination, the ancestral grave will be full of smoke."

"Some people don't think so." Ji Xiang said, "For example, if you go to the Bronx Science High School, you can go directly to the Ivy League school after graduation. The patient's mother is a bit exaggerated, but it's okay, and not all Ivy League schools accept her. Choose. It’s really not good, the grades are very poor, and you can still go to Qingbei when you come back.”

"!!!"

"There are some formalities to go through, but it's not difficult."

Hearing Ji Xiang's explanation, Zhao Zhe suddenly understood.

If what Ji Xiang said is true, the child's bottom line is Qingbei.

In an instant, Zhao Zhe understood the woman's persistence.

But in the face of acute appendicitis and what kind of science high school, how should I choose?Zhao Zhe was a little confused all of a sudden.

"Nonsense." Meng Qingfei curled his lips, "Bet on whether the inflammation of acute appendicitis will go away? Once the perforation occurs, I still have to go to the emergency room in New York. I don't know how much it will cost. Without insurance, the savings of ordinary people's life is probably not enough to treat the disease. "

"Yes!" Zhao Zhe thought of something, "I met a patient when I was in the emergency department in Yuanliao City. He was working in Dubai. He should be a construction worker working overseas.

When he was pushed in, he was almost dying, his heart rate was 150, and he had mild symptoms of infectious and toxic shock.I put my hands up, and I have never touched such a hard belly in my life, especially the typical plate-shaped belly. I guess real wooden boards may not be so hard. "

"Intestinal perforation or gastric perforation?" Meng Qingfei asked.

"Later, the diagnosis was gastric perforation, and I was sent directly to the General Surgery Department for an exploratory laparotomy." Zhao Zhe said, "The man's expression relaxed a lot when he saw me. The common people are still willing to trust doctors. After my physical examination, I followed He explained the situation. He said that it was too expensive to have an operation in Dubai and he couldn't afford it.

So he asked the doctor there to prescribe a lot of painkillers, and took the medicine all the way back to China for surgery.When he was admitted to the hospital, he threw the medicine box into the trash can, and I felt very uncomfortable at that time. "

"You..." Meng Qingfei smiled and wanted to say something unpleasant, but suddenly realized that he and Zhao Zhe were not familiar with each other, and these words were a bit exaggerated, so he stopped there.

"Mr. Meng, what should I do with this patient?" Ji Xiang asked.

"Xiaoji, what would you do?" Meng Qingfei asked back.

Ji Xiang thought for a while, then shook his head.

"We must respect the opinions of the patient's family and the patient. They are the guardian and the patient's mother, and we are just doctors." Meng Qingfei said, "The diagnosis is correct. If you want to leave, you can sign and leave. All we can do is pray. gone."

"What if you don't sign it?" Zhao Zhe asked, "I've met people who refused to sign even if they said they were dead, and beat people when they were in a hurry."

"The two of you are here." Meng Qingfei laughed, "If you don't sign, I will keep everything and write down the medical records clearly. If you are not here, I will drag the nurse in to listen and make a proof.

If it doesn't work, stop my job. Is the emergency doctor very popular? "

"It's not easy." Zhao Zhe was very clear about the deep meaning contained in Meng Qingfei's words.

"Doctor Xiaoji, when you encounter such things in the future, don't force yourself. What we think is right is different from what the patient thinks is right." Meng Qingfei warned.

Ji Xiang nodded, this may also be regarded as clinical experience.

After waiting for a long time, I helped Meng Qingfei deal with three traumas, but the woman and the patient did not come back.

Meng Qingfei found the laboratory report on the computer, ruled out kidney stones and ectopic pregnancy, and determined it was acute appendicitis.

Because the patient did not come back for a long time, Meng Qingfei finally wrote an extremely detailed medical record, printed it out, wrote the time, signed it, and carefully put it in the locker in the duty room.

Ji Xiang took a look and saw at least twenty similar medical records in Meng Qingfei's locker.

"Teacher Meng, so many?" Ji Xiang was a little surprised.

"Actually, I know it's okay, but as a doctor, you still have to be careful. If you encounter an unreasonable patient or patient's family, you can't argue with it."

(End of this chapter)