Doctor of Healing

Chapter 338 The idiot
However, Meng Qingfei was only stunned for a moment, and did not make too many movements.

Ji Xiang saw it, but he didn't ask too much. After the patient left, he found a quiet time and asked, "Mr. Meng, I seemed a little bit reluctant when I saw you give the patient the hospital admission form just now."

Reluctant, this word is used wonderfully.

Meng Qingfei was indeed like a miser, stingy with the admission notice in his hand.But in the end, he couldn't find an excuse, so he reluctantly handed over the fulfillment notice to the patient.

"It's a strange feeling. I always feel that something is wrong with the patient. Xiaoji, help me figure out what's wrong." Meng Qingfei frowned and said to himself.

"No problem. The patient ruled out cholecystitis, gallbladder stones, urinary stones, and ectopic pregnancy. And the signs were obvious, with pain around the umbilicus, which shifted to the right lower abdomen. Although the blood test was not high, it was acute appendicitis." Ji Xiang said sternly.

"That's what I said, but I always feel that something is wrong."

Meng Qingfei didn't say anything more when he said this, and frowned and meditated alone.

Ji Xiang didn't bother him either, but just helped Meng Qingfei to be busy.After a period of training in the emergency department, Jixiang has basically become a very standard emergency doctor, handling things in an orderly manner and growing rapidly.

Taking advantage of the intermission, Ji Xiang came to the operating room of the system with breathless concentration.

"Teacher." Ji Xiang told the system NPC about what he encountered.

"That's right." The system NPC didn't find it strange, "Experienced clinicians will notice some very critical details. The key is actually more important than the details."

"Do you understand what I said?"

"I probably understand." Ji Xiang nodded with high comprehension, "Teacher, is it because the patient's too obvious signs are misleading, and the small, really important signs are ignored, which eventually led to a wrong diagnosis."

"Yes." The system NPC nodded.

"Then I'll think about it too." Ji Xiang frowned.

"Go talk to that Dr. Meng. Intuition is an extremely important part of clinical experience." The system NPC said seriously.

Intuition turned out to be a very important part of clinical treatment. Ji Xiang would have scoffed at it a few months ago.

But based on his understanding of the system NPC and Meng Qingfei, he knew that this was true.

When Ji Xiang came back, he saw that Meng Qingfei was still in deep thought. He asked, "Mr. Meng, do you think there is something important that you saw but missed?"

"Yes!" Meng Qingfei nodded, "I've thought about the patient just now many times, and it's impossible to misdiagnose it. But when I think of her, I vaguely feel that something is wrong."

If it was a urology doctor, he would laugh at Meng Qingfei for looking at other girls and drive a car.

But Ji Xiang was not that kind of person, he was very serious, and he didn't even think about that.

"If you can't find something when you usually look for it, you can wait a little longer. Maybe you will appear in front of your eyes in a few days." Meng Qingfei frowned, "But the patient has already been admitted to the hospital. If there is a delay of several hours, once the surgery is performed..."

As Meng Qingfei spoke, he cursed in a deep voice, "Damn it, what's wrong?"

Jixiang has experienced empathy many times, so he has an almost instinctive reaction.

Once the diagnosis is wrong and the operation is performed on the stage, the patient still suffers from pain after surgery...

Neither the doctor nor the patient, nor the family members of the patient can accept it.

After Meng Qingfei said a few words, he didn't say anything more, and fell silent.Ji Xiang didn't talk to Meng Qingfei to disturb him, but disassembled the process of Meng Qingfei's physical examination frame by frame in his mind.

It's all right, no problem at all.

Whether it is from the patient's chief complaint, physical examination, or clinical auxiliary examination, it is a very common and typical acute appendicitis.

After more than ten minutes, Meng Qingfei's train of thought was interrupted by a patient. After dealing with the emergency patients, he simply got up and explained to the internist, asking her to look after him for a few minutes, and trotted to Ward No. [-] of the Gastrointestinal Surgery Department.

Ji Xiang went with Meng Qingfei, and he wondered what Meng Qingfei was thinking.

When he came to Ward No. [-], Meng Qingfei was not polite. When he saw the nurse, he yelled, "Where's your boss?"

The nurse was taken aback, "Damn, why is it you, Brother Meng! What about the patient? A car accident? Or a knife stabbing?!"

The emergency surgery doctor hurriedly followed the patient, guessing that the patient's blood pressure had approached zero endlessly. After the nurse asked, she subconsciously hugged the sphygmomanometer and prepared to start rescue.

Meng Qingfei realized that there was something wrong with his attitude, so he calmed down a bit, "There are no emergency patients, and a female patient with acute appendicitis was admitted just now, so she should be hospitalized."

"Shut up, the boss said he was going to have an operation. Just after the skin preparation, there are a bunch of caesarean sections in the operating room, and they are still waiting."

Meng Qingfei calmed down a little, and said with a smile, "The fertility rate is so low now, I didn't expect that there are many caesarean sections."

"Damn, all the pregnant women in our provincial capital are rushing to the First Affiliated Hospital and the Second Affiliated Hospital. The obstetrics and gynecology hospital has long since run out of patients." The nurse said.

"Old Meng, why are you here?" The boss of Gastrointestinal heard someone talking, came out and saw Meng Qingfei, and greeted him, "Another patient? Why are you so popular in this class? When are you retiring?"

"No, I'm not that bad." Meng Qingfei said, "Where is the female patient who was admitted for diagnosis of acute appendicitis just now? I'll go and see."

The boss of Gastrointestinal laughed, "Lao Meng, you're going too far, it's not nice to say it."

"What are you thinking about?" Meng Qingfei scolded, "Have you had a medical examination?"

"Huh?" The boss of Gastrointestinal was startled.

"Acute appendicitis?"

"Yeah, your old Meng gave the diagnosis, can't you?" The boss of Gastrointestinal asked back.

But after a few seconds he came to his senses, "Lao Meng, do you have another question? You drew blood from the patient, and she has an infectious disease? I didn't wash my hands just after the body check."

"There is no infectious disease, where are you thinking?" Meng Qingfei said, "I just feel something is wrong, not like appendicitis."

"Ha, don't be kidding, how is it possible." The boss of Gastrointestinal said, "I also had a physical examination, and it must be appendicitis. You have done so many examinations, and you have checked all the diseases that should be screened. I slandered you in a low voice, saying that the current doctors would not see a doctor without a machine examination."

Meng Qingfei ignored this level of ridicule at all, he said it again, and the boss of Gastrointestinal took him to see the eye patient.

Under the strange eyes of the patient's family members, Meng Qingfei checked his body again.

McBurney's point is more obvious tenderness, and there is no doubt about the diagnosis of appendicitis.

After leaving the ward, the boss of Gastroenterology whispered with a smile, "Lao Meng, don't make a fuss, look at the eyes of the patient's family members, they probably think you are an idiot, and you will have to make a fuss."

(End of this chapter)