There is no need to be too normal to be a doctor

Chapter 124 I’m letting you go home!

Zhang Heng, the director of the pet hospital, was shocked when he saw this scene!
It’s not like I haven’t seen a big scene before!

but……

This was the first time he had seen such a scene.

If someone has surgery and invites consultation experts, it’s impossible for so many experts to come, right?
Zhang Heng saw the crowd and hurriedly came over: "Sorry, who are..."

Liu Wenli, the team leader of the animal experiments in the anatomy laboratory, first said:
"Hello... I am Liu Wenli, anatomy specialist at the Anatomy Laboratory of Shanhe Medical University."

"Hello, Animal Experimental Team of Shanhe Medical University..."

……

After the introduction to a group of people, Zhang Heng couldn't hold himself any longer.

Good guy!
The group of people in front of me are actually from the Shanhe Medical University Laboratory?
Although pet doctors also have professional titles, they belong to the professional title evaluation of animal husbandry and veterinarians.

Zhang Heng himself is a veterinarian with an intermediate professional title.

but……

Zhang Heng knew very well that in the eyes of this group of laboratory specialists and senior laboratory technicians, he, a veterinarian, was really not of a high level!

Because Shanhe Medical University will also recruit some veterinarians and then obtain certificates in animal experiments.

But the difficulty itself is relatively high!

Although the domestic veterinary industry is very profitable, the degree of professionalization is not high.

Therefore, Zhang Heng looked at everyone for a while and felt a little awkward when speaking, so he quickly said:
“Experts, please come this way!”

Here comes the expert.

Although a well-trained guide dog is of great value, but... such a big battle is really a bit shocking.

Liu Wenli turned around, glanced at Chen Gong, smiled and said:
"Xiao Chen, don't worry, leave it to us!"

"Xiao He is best at dog anatomy experiments."

Chen Gong nodded quickly: "Thank you very much, teachers."

He walked in with everyone.

At this time, the blind man also understood what happened under the explanation of the nurse next to him.

He quickly turned to Chen Gong and expressed his gratitude.

Soon...

The patient's family members arrived.

Two middle-aged men in their 40s and [-]s hurried over. After seeing the old man, they said excitedly:
"Dad, are you okay!"

The old man shook his head: "Lele, Lele saved me!"

"I'm fine, but...he may be in some danger."

"By the way, where is the perpetrator? Have you found him?"

After hearing what the old man said, the younger middle-aged man said: "I have already called the traffic police, and my assistant is there to help collect evidence."

Traffic hit-and-run refers to the behavior of the perpetrator running away to avoid legal prosecution after a traffic accident.

The "traffic accident" in this article does not refer to humans or animals. It means that as long as there is an accident, the driver of the vehicle should stop immediately to protect the scene.

If the dog hit at this time belongs to the owner, running away is also evading legal responsibility, and it is also considered a hit and run.

"Lele...are you okay?"

The older middle-aged man sighed and couldn't help but ask the staff.

He knew very well what Lele meant when his father was strict.

To put it unequivocally, they spend less time with their father than Lele.

The lifespan of a guide dog is only ten to 15 years, and Lele has been in their home for eight or nine years.

Over the years, his father and Lele can be said to have been together day and night. The first thing Lele did when he got up in the morning was to wait for his father to open his eyes, put the rope into his hand, and take him to the toilet.

Although his father is already very familiar with the decoration and layout of his home, Lele has become his family.

It can be said that this blow is very big for the old man.

After hearing the man's words, the staff didn't know what to say at this time.

He could only say hesitantly: "The situation is quite serious, but... we are still undergoing surgery for rescue."

After that, everyone waited patiently.

At this time, the old man also told Chen Gong's story.

The old man's two sons are both lawyers. They run a local law firm and their careers are prosperous.

After listening to it, I was dumbfounded.

He really didn't expect...a dog attracted a group of experts!
good guy...

For a moment, the two of them couldn't find what to say.

To be honest, this dog costs not just tens of thousands of dollars, but 20 and [-]. Both of them still have to pay for it.

After all, in my father's eyes, this is not a dog's business at all.

This is a loved one.

The two could only express their gratitude to Chen Gong gratefully.

This long wait.

About two or three hours passed.

When Liu Wenli and a group of people walked out with smiles, Chen Gong knew that everything should be fine!
Dean Zhang Heng behind him was extremely excited.

"Director Liu, Doctor He..."

"You guys are really amazing!"

"In this case, the liver can be saved as much as possible, and the spleen can be sutured!"

"Too good!"

"In all my years, I have never seen such a master!"

"Hey...that's awesome!"

……

This really cannot be blamed on Zhang Heng's lack of knowledge.

but……

This was his first time dealing with this group of people.

Animal experiments and modeling experiments often require artificial destruction of some organs, and they must be repaired intact.

On weekdays, what Dr. He is best at is canine experiments.

so!

Today, he completely missed Dean Zhang.

So much so that Zhang Heng really saw a master.

Otherwise, that sentence is very good!

It is never your peers who defeat you.

Cross-industry competition is the most deadly!

Zhang Heng felt that he had to think about it carefully, otherwise... he would really be bankrupted by these uncles.

"It should be fine."

"However, you have to observe carefully after the operation."

Liu Wenli said with a smile.

Chen Gong nodded: "Teacher Liu, thank you very much for causing trouble to everyone today!"

Before Chen Gong could finish speaking, the blind man hurriedly walked over with the support of his son.

"Experts!"

"Thank you very much."

"Thank you so much."

"Well...Boss and Second Brother, you treat everyone well today, and...you must pay not a penny less."

"People come all the way to do surgery, you can't treat them badly."

When Liu Wenli saw this, she immediately couldn't laugh or cry: "Forget it, forget it, no need!"

……

……

At this time, Chen Gong walked over, looked at Zhao Xi and Yang Li, and smiled:
"It's all right!"

Yang Li nodded, glanced at Chen Gong and Zhao Xi, and smiled: "It's okay, I'll go home."

Chen Gong said quickly: "Keep your car!"

"It's full of blood. I'll wash your car first."

Yang Li glanced at Chen Gong, who was covered in blood, and shook her head in laughter:
"You'd better take a bath and rest!"

Zhao Xi also nodded and smiled: "Yes!"

"Let's go first."

Yang Li said to Zhao Xi, "Shall I take you back to the hospital?"

Zhao Xi smiled slightly: "Okay!"

Chen Gong was stunned: "What about me?"

……

……

The follow-up recovery of the guide dog went smoothly. The main reason for this was the high professionalism of the teachers in the anatomy laboratory.

The blind old man is very grateful!

After the dog was out of danger, he took his family and found the school with 10 yuan in cash and presented him with a banner.

Qin Xuehai made the decision to give 10 yuan to each staff member involved in the operation, and the remaining amount was given to Dr. He and Director Liu Wenli, [-] yuan each.

The last 1 yuan will be used for future gatherings and other team building.

I have to say that this time Qin Xuehai was unique in giving sponsorship to everyone, which made everyone excited.

but……

Similarly, Qin Xuehai's behavior also made the school leaders dissatisfied.

After all, this money was not involved in the school, but was given directly to the department, which made some leaders very unhappy.

This is not a matter of 10 yuan. In the eyes of some people, the school is a big family. How can you spend the money with the consent of the parents?

Even at the meeting, some people criticized Sang and Huai several times.

But unfortunately, Qin Xuehai ignored it.

soon……

Just a few days before New Year's Day, staff from the province above came to the school and announced the transfer of Qin Xuehai's executive vice principal.

Although many people led by Lu Anshan were dissatisfied, but... it didn't help.

As the leader of the Science and Education Department, Li Jun was even more dissatisfied.

I originally thought that I was sure of victory this time, but... no one expected that after the transfer order was issued, Qin Xuehai took office smoothly.

After Qin Xuehai took office, the former deputy director Hao Xuguang became the head of the anatomy laboratory.

Liu Wenli took over the position vacated by Director Hao.

At this point, the Anatomy Laboratory of Shanhe Medical University has officially completed the personnel transfer.

In fact, Hao Xuguang and Chen Gong have always had a good relationship!
Even before, Chen Gong became the third person in Qin Xuehai's research team, replacing Director Hao.

This time, Hao Xuguang successfully served as director, which can be regarded as a complete success.

only……

After the results were announced in the laboratory, Chen Gong smiled and said to Director Hao: "Director Hao, from now on... I won't dare to eat rabbits openly!"

"You are the director now, so you can lead by example!"

As soon as these words came out, everyone in the room couldn't help laughing.

Liu Wenli couldn't help but laugh!
Compared with the biochemistry laboratory, Chen Gong likes the atmosphere of the anatomy laboratory very much.

Everyone has a cheerful personality and there is not so much intrigue.

Li Bo and Liu Yueqing looked at Chen Gong and said with a smile: "We, Xiao Chen, are back for a long time!"

"How about...leader, let's spend money today?"

As soon as these words came out, many people in the department immediately agreed.

As Qin Xuehai's confidant, Hao Xuguang naturally knew Chen Gong's situation very well.

He would not treat Chen Gong as a child!

This is a talent that has attracted the attention of the province, and the future can be said to be unlimited.

Of course, aside from these, Hao Xuguang also liked Chen Gong's ability and character.

"no problem!"

"I'll make the arrangements tonight!"

Liu Wenli said with a smile: "You should be more careful, otherwise my sister-in-law will come back to trouble you!"

"Ha ha ha ha……"

Speaking of this, at this moment... Liu Wenli suddenly looked at Chen Gong and couldn't help but say;
"correct!"

"Director Xiao Chen!"

"You can't favor one over the other!"

"Speaking of which, our anatomy laboratory is your natal family."

"It's good now. The biochemistry laboratory has established a school-run enterprise, and you are still the major shareholder!"

"I heard that the enterprise model has not been established yet, but... we have already received orders worth nearly one million yuan. Is it true?"

Chen Gong smiled and nodded and said, "That's true."

"But...it's not that exaggerated."

"It's just three orders, but after calculation, it's indeed almost 100 million."

Hearing this, everyone in the laboratory couldn't help but take a breath.

"Slave!"

"I'm so envious!"

"Yes, with this school-run enterprise, I guess the biochemistry laboratory will become more arrogant in the future!"

"Director Chen, you can't favor one over the other. Our mother-in-law's family won't be happy."

……

Everyone was joking and couldn't help but tease Chen Gong.

Of course, everyone knows that school-run enterprises cannot be established casually.

Moreover, if you want to make a profit, you must have core competitiveness.

After all, our biochemical laboratory involves a relatively large scope, so it is easy to connect with social enterprises.

but……

The anatomy room was really awkward.

but……

At this time, Chen Gong suddenly thought of something and couldn't help but say:

"I think... we also have a chance."

As soon as he said this, Hao Xuguang quickly looked at Chen Gong: "Director Chen, please tell me?"

Chen Gong couldn't help but glance at the people around him, and asked with some confusion:

"We've already tried it!"

"And it works great!"

"Why not try harder?"

As soon as these words came out, several people around looked at each other, full of doubts.

Suddenly Liu Wenli's eyes widened: "You mean...animal hospital?!"

Chen Gong nodded: "Yes."

As soon as he finished speaking, everyone in the anatomy laboratory looked at each other in shock, their scalps numb.

There was some eagerness to try in everyone's eyes.

Who would hate more money?
Moreover, in the anatomy laboratory, Liu Wenli had been responsible for animal anatomy and model building.

People in anatomy laboratories are basically familiar with animal experiments.

Now think about it!
It seems that this is really not possible?
Hao Xuguang took a deep breath and patted Chen Gong's back several times, his eyes full of excitement.

Having just taken over as director, he can now be said to be ambitious and full of passion.

I have a lot of ideas to make great achievements!

Now after seeing the light in everyone's eyes, he immediately said:

"Don't worry about this!"

"I'll make a plan as soon as possible."

"Then everyone will have a good discussion at the meeting."

……

Chen Gong didn't expect that everyone would have a special thought after coming here just for a walk.

However, this doesn't seem to be a bad thing.

Everyone in the anatomy teaching and research department indeed has such abilities, and Liu Wenli in the anatomy laboratory was previously responsible for the training of animals.

Therefore, the team has a complete set of talents.

It can completely support a pet hospital.

All they need to do is to expand some knowledge and strengthen knowledge about special animals and pets.

However, for this group of academic masters, it seems... this is not a problem.

In addition, there is the assessment of the qualification certificate.

Chen Gong didn't think about this, but...it could be seen from Hao Xuguang's eyes that no one seemed to have such worries and doubts.

Because Liu Wenli’s team already has such certificates.

However, these have little to do with Chen Gong.

That night, Chen Gong and everyone in the laboratory went out to have a good time.

When I returned to the dormitory, I received a call from my mother.

"I won't go home during the National Day."

"You won't go home during the Mid-Autumn Festival?"

"and also!"

"It's New Year's Day now, do you still remember this home?"

"Classmate Chen Gong!"

A calm but frightening voice suddenly came from the phone.

Every time my mother gets angry, she always has this tone.

Chen Gong said quickly: "Sorry, Mom!"

"Been busy recently."

"Studying is quite stressful."

"So I didn't go back."

The other party sneered: "Really?"

"If you have time to go to the capital, you won't tell me?"

"If your dad hadn't come back and told me, I really wouldn't have known what competition you participated in!"

"Good job!"

"At the very least, my children should report good news and not bad news. You don't want to tell me the good news at all!"

"Director Chen, this is amazing!"

"If your uncle hadn't told me, I really wouldn't have known that you had quietly become a shareholder of the school?"

"Do you have money?"

Listening to her mother's scolding, Chen Gong could only apologize in embarrassment and laugh honestly.

After all...what else could I do?
"okay!"

"I have to go home during the New Year's Day holiday, you hear me?!"

Chen Gong coughed and said, "Mom, it's winter vacation soon, so there's no rush, right?"

"I have a lot of time during the winter vacation."

"Why don't I stay with you at home?"

The other party smiled: "No!"

After that, he hung up the phone directly.

Chen Gong suddenly couldn't laugh or cry.

It seems that many things about the school can no longer be hidden.

However, this is not a big deal, after all... it will happen sooner or later.

Here, Chen Gong was about to sleep, and Shou Weixiang beside him couldn't help but said:
"Ouch!"

"The graduate exam is coming soon!"

"I'm so nervous!"

Ji Chao heard the sound and smiled: "You're so nervous, you're only a fucking sophomore?"

"Wash and sleep!"

Shou Weixiang chuckled: "That's right, I'm only a sophomore."

"such a pity!"

"Mr. Wang in our laboratory likes me very much. Maybe I can get a graduate degree in my senior year."

"At that time, there will be no need to take the postgraduate examination."

"Oh, I'm so annoyed!"

Upon hearing this, a group of people immediately threw orange peels, toilet paper and other things at Shou Weixiang.

"I rely on!"

"Ji Chao, you are so fucking disgusting!"

"Throwing used toilet paper over here? Why the hell...why is it still a ball!"

Ji Chao: "It's worse than killing me, you idiot!"

Chen Gong shook his head: "It's okay, don't worry! You will be relevant when the time comes, so what are you afraid of?"

Ji Chao: "???"

"What does it matter to me?"

Chen Gong smiled: "When you take the postgraduate entrance examination, I might be the master's tutor. Then... I will introduce you to the teacher!"

Ji Chao: "Grass!"

"I shouldn't have fucking talked to you."

but……

No one doubted Chen Gong's words.

Because they know very well that this may not really be an impossible thing.

……

……

Saturday and Sunday are coming soon.

Many teaching buildings in the school have been blocked with fences.

In the morning, the campus is full of people coming to take postgraduate examinations.

Chen Gong has to go to the hospital to work today because Teacher Xiao Zhao is on duty today.

As Teacher Xiao Zhao's follower, Chen Gong naturally doesn't want to be in front of others.

In order to express his concern for Teacher Xiao Zhao, Chen Gong also specially brought breakfast.

When Zhao Xi saw the breakfast bought by Chen Gong, he blinked seriously and asked:
"Do you want me to make trouble for you again and play support?"

"impossible!"

“I didn’t even get to eat the hot pot that day!”

"You lied to me again!"

Chen Gong suddenly grinned: "Teacher Xiao Zhao!"

"You can't have such dangerous thoughts."

"My presence is a ladder on your way forward."

"Didn't you see that Director Lei Shen praised your rapid progress yesterday?"

Zhao Xi rolled his eyes at Chen Gong, took the soy milk and drank it.

Chen Gong smiled but didn't say anything.

The work on Saturdays and Sundays seems very busy. After all, as a doctor on duty, I have to deal with all the patients' problems.

But actually...it's not such an exaggeration.

Because everyone had already arranged all the medical orders that should be given before Saturday and Sunday.

Patients also know that the doctor is not available on Saturdays and Sundays, and unless there are special circumstances, they generally do not bother the doctor on duty.

Therefore, Zhao Xi's morning time, in addition to handling his own patients and changing dressings, was to fill in the cases.

Every doctor's case is like children's homework during winter and summer vacations.

I'm really too lazy to write unless I have to.

When it comes time to write, you can even copy what you can. Problems that can be solved by copying and pasting will never bother your hands.Unfortunately, Teacher Xiao Zhao is too serious.

Chen Gong must write seriously.

"Hey... I feel like if I stay in the hospital for a few years, I won't be able to learn anything else."

"Typing speed can definitely be improved!"

"When the time comes, I might be able to change my profession and become an online writer, and I can make some money by working hard."

Zhao Xi couldn't help but smile: "Then you can't stop updating!"

"Otherwise, I'm sorry for your case history in the past few years."

"Hahaha……"

Chen Gong rolled his eyes, speechless and choked.

……

At this moment, a little nurse hurried in.

"Dr. Zhao, the emergency department has ordered a consultation and asked you to come and have a look."

After Zhao Xi heard this, he stood up: "Oh, okay, I understand."

After saying that, he glanced at Chen Gong.

"Are you coming with me or staying here?"

Chen Gong moved a bit: "Let's go!"

"You can't just let me write the medical records."

"It's too boring."

"Let's go, I'll go to the consultation with you."

After saying that, the two got up and walked towards the emergency department.

Emergency Department.

Wang Fulei, the doctor on duty, was stunned for a moment when he saw Zhao Xi.

"Zhao Xi?!"

Zhao Xi nodded and smiled: "Brother Lei, are you on duty today?"

Wang Fulei smiled: "Who says it's not the case?"

"By the way, there is a patient who I need you to take a look at."

Wang Fulei and Zhao Xi entered the hospital together, and after rotation, stayed in the emergency department.

When Chen Gong saw this, he couldn't help but understand one thing.

Got it!

Today's consultation may really be like novices pecking each other.

It's not that he looks down on his teacher Xiao Zhao, but... after all, he doesn't have much experience.

It is undeniable that you cannot see much else in the medical system. At this time, qualifications and experience are the key to testing doctors.

Zhao Xi glanced at Chen Gong and couldn't help but kick him.

"What are you laughing laughing!"

Chen Gong quickly waved his hand: "Wrong, wrong!"

"Let's get a consultation quickly!"

While talking, Wang Fulei led the two of them to the next room.

"This is the patient."

"Let me tell you the basic situation."

"The patient is 66 years old. He began to experience abdominal discomfort a week ago, accompanied by varying degrees of fever. He visited the emergency department one after another. After infusion, his body temperature returned to normal."

"However, three days ago, a persistent low-grade fever began."

"In addition, we checked the blood items one after another."

"The results showed that the total number of white blood cells and neutrophils in the patient had increased in the past few days."

"So, I considered surgery for peritonitis, but..."

"The physical examination showed that the patient did not have signs of peritoneal irritation. In this case, it seems that it should be ruled out."

"I'm a little unsure now. Doctor Zhao, please take a look."

"correct!"

"The white blood cells have been increasing continuously in the past few days."

"But in the past two days, it has gradually become normal, and the body temperature has become low."

After Zhao Xi heard this, he also started to think.

After a while, she walked to the patient's side: "Hello, please lie down on the bed and I will do an abdominal examination for you. If there is anything uncomfortable, you can tell me, okay?"

The old man looks very kind, and his facial expressions are normal. Under normal circumstances, this situation should not be serious.

"it is good!"

"sorry to bother you."

While talking, the old man lay down on the bed, and Chen Gong helped the old man bend his legs.

At this time, Zhao Xi began his physical examination.

"Does it hurt here?"

Zhao Xi said and pressed.

The old man shook his head: "It doesn't hurt!"

Zhao Xi continued to ask: "Have you eaten anything bad these days?"

"Or diarrhea."

The old man shook his head: "That's not true. My life has been quite regular recently."

"No nausea or vomiting?"

Zhao Xi wanted to rule out acute gastroenteritis.

There is no gold standard for acute gastroenteritis.

The main thing is the three-step rule.

The first is the medical history, whether there is any kind of diet, such as unclean raw and cold food.

The second is symptoms, such as abdominal pain, diarrhea, nausea and vomiting... fever and chills.

Finally comes the inspection.

Routine examinations, such as abdominal tenderness, rebound tenderness, bowel sounds, etc., combined with blood routine tests, can basically diagnose it.

but……

After a series of diagnoses, Zhao Xi did not have acute gastroenteritis.

Moreover, mild gastroenteritis generally heals on its own.

Moreover, the patient's abdominal tenderness was not severe, there was no rebound tenderness, and the bowel sounds were not enhanced during auscultation.

This doesn't quite look like gastroenteritis.

As such...

Zhao Xi was also a little confused.

However, Zhao Xi soon thought of something and asked quickly: "Have you checked some serum amylase?"

Wang Fulei was stunned for a moment: "You mean... pancreatitis is possible?"

"I've thought about it before, but...it doesn't seem like it."

"However, I still drew blood, and the results... will probably come out soon."

"Wait a mininute!"

"I gonna go see."

At this time, Zhao Xi couldn't help but mutter to himself: "It doesn't look like acute peritonitis, does it?"

"If it is peritonitis, there must be signs of peritoneal irritation, such as muscle tension."

"But the patient didn't either..."

"What could it be?"

"There is no obvious mass in the abdomen."

……

In fact, diagnosis is often a strictly forbidden reasoning process.

Not long after, Wang Fulei walked in, holding a test sheet in his hand: "No!"

Zhao Xi thought of something and said, "Let's do a color Doppler ultrasound of the abdomen!"

"Rule out other diagnoses."

"Color Doppler Ultrasound of Liver, Gallbladder, Pancreas, Spleen and Kidney."

"Then do an X-ray of the abdomen."

"Look at the situation and get a clear diagnosis."

Zhao Xi's level has improved rapidly after accumulating these days.

Chen Gong stood behind him and looked at Zhao Xi, knowing that he now fully possesses the abilities that a surgeon should have.

actually!

The diagnostic ability of surgeons has never been as sharp as that of physicians.

After all, how can a group of guys who use knives compare to a group of people who read the laboratory test sheets every day and think about it?
Just kidding, but in fact, the surgeon basically performs the operation after the condition is determined.

If it really compares with the level of diagnosis, there is indeed a gap.

"Old man, does anyone come with you?"

Zhao Xi asked worriedly.

The old man smiled slightly: "I can walk and jump, so I don't need to trouble others."

"I'll just go check it out myself."

As he spoke, the old man stood up.

And Chen Gong smiled and said: "Old man, wait a moment."

"I'll take a look."

"Okay, haha!" Instead of refusing, the old man took the initiative to hold up the clothes on his belly and said, "Young man, when you encounter an opportunity, you must study hard!"

"Come on, it's okay, I'll cooperate!"

"You are the future!"

While speaking, Chen Gong placed his hand on the old man's abdomen.

Chen Gong nodded, put away the expression on his face, and checked carefully.

The old man is overweight. He is about 175cm tall and weighs about 160 kilograms.

Chen Gong picked up his fingers, placed one hand on his belly, and began to press them gently.

Seeing this scene, Zhao Xi remained silent.

Percussion of the abdomen reveals shifting dullness.

During Chen Gong's percussion this time, he suddenly found... that the moving dullness was positive.

This shows that there is fluid accumulation in the abdominal cavity.

and……

At this moment, Chen Gong lowered his head slightly, and suddenly the old man let out a muffled groan.

"hurts a little!"

Chen Gong said quickly: "Sorry, I'm too strong!"

The old man shook his head: "No, no!"

"During this period, it's just that this place is stuffy and uncomfortable, with a dull pain."

Chen Gong said after a moment: "Let's go for a check-up first."

After the old man left, Zhao Xi looked at Chen Gong and asked, "What's going on?"

Chen Gong said: "I suspect it is peritonitis."

"acute!"

"But let's do a checkup first."

Peritonitis can be mild or severe. It cannot be said how dangerous it is, but... it cannot be ignored.

Because many patients suffer from severe diseases caused by peritonitis.

And, most importantly...

Peritonitis is not a cause, it is a symptom!
Peritonitis is an inflammation of the parietal and visceral peritoneum of the abdominal cavity, which can be caused by bacteria, chemicals, physical damage, etc.

Acute purulent peritonitis involving the entire abdominal cavity is called acute diffuse peritonitis.

This means that the patient’s condition cannot be diagnosed so far!
There are many conditions that can cause acute peritonitis.

For example, inflammation of the intestines or organs, perforation of abdominal organs, the most common perforation of acute appendicitis, and of course, in addition, there are cancer perforations, ulcers, etc.

Trauma can also cause it.

but……

Seeing the old man like this, Chen Gong felt that it didn't look like him.

Of course, peritonitis is more common due to endogenous bacteria, the most common of which are Enterobacteriaceae, followed by Enterococcus, Streptococcus faecalis, Proteus, Pseudomonas aeruginosa, etc.

So, so far, it's been difficult to diagnose.

We can only do an examination first to determine the patient's condition, and then make a decision.

At this time, the old man was about to leave.

Chen Gong quickly stopped the other party: "Old man, please call your family first and ask them to come over."

"You might have to sign."

The other party was stunned for a moment and nodded: "Okay, right away."

After saying that, he took out his mobile phone and started calling while walking.

Chen Gong was a little worried and followed him.

After the old man hung up the phone, he smiled and said, "Doctor, you don't have to worry about me, just go and do your work!"

"I can do it by myself."

Chen Gong shook his head: "I'll go with you!"

"I'm just a student, nothing happens."

The old man smiled: "Then... I'll trouble you."

After talking, the two went to the color Doppler ultrasound room first.

Because he was an emergency patient, the examination was quick.

After both checks are completed...

The old man's family members came. It was an old lady. She looked at the old man and said reproachfully:

"Don't tell me if you feel uncomfortable!"

"This is making a fuss!"

"I'm still bothering my doctor."

"I'll just stay with you."

The old man smiled: "It's okay, it's okay!"

"I'm afraid you'll call my son again!"

The old lady rolled her eyes at the old man. Although she was blaming him, she silently supported the old man while walking.

……

It's just... Chen Gong took the checklist and returned to the emergency department, thinking about the old man's condition all the time.

The color ultrasound results showed that the liver, gallbladder, pancreas, spleen and kidneys were basically normal. Although there were some cysts in the liver, they... would not affect the occurrence of the disease.

However... Abdominal X-ray examination showed signs of intestinal paralysis such as widespread distension in the intestinal cavity and multiple small air and liquid levels.

At this time, Chen Gong handed the film to Zhao Xi, feeling something was wrong in his mind.

Where exactly it is, I can’t tell.

At this moment……

Chen Gong said: "Teacher Wang, please show me the test report."

Wang Fulei nodded and handed it to Chen Gong, not ignoring him just because he was just a student.

Chen Gong took the test sheet and saw that the white blood cell count in the blood routine was not only not high, but even normal.

This is so rare.

Often when things behave abnormally, it is likely that a critical point has occurred.

This was the feedback Chen Gong gave him by reading a lot of medical records.

Hesitate for a moment!

Chen Gong went directly to Zhao Xi and Wang Fulei and whispered: "Get an abdominal puncture!"

"Check the puncture fluid."

"I'm worried the situation is a little serious!"

Abdominal puncture is a minor examination and is not a big deal.

only……

Wang Fulei asked curiously: "Is it serious?"

Zhao Xi also frowned slightly at this time.

Chen Gong said seriously: "The patient has peritonitis, and the results of the X-ray are not very good."

"But... there is diffuse peritonitis, but the white blood cells are normal."

"Moreover, the signs of peritoneal irritation are not obvious or even disappear."

"This is too abnormal!"

"If the diagnosis cannot be confirmed by puncture, the only option is...exploratory laparotomy!"

Hearing Chen Gong's words, Zhao Xi suddenly widened his eyes, nodded and said:

"Are you worried that... your condition will get worse?"

Chen Gong nodded: "That's right!"

"In this case, if the diagnosis cannot be made and it is in a critical state."

"Moreover, in the case of the elderly, it is likely that the body's response is decreasing."

"If the diagnosis cannot be confirmed, the situation will be dangerous!"

"Laparotomy is both an examination and a treatment."

"I think we need to speed up the time."

"Can't delay!"

After Wang Fulei heard this, he immediately took action.

Abdominal puncture requires the signature of family members.

The old lady was obviously frightened when she heard that she was about to be pierced.

After Zhao Xi continued to comfort and explain, the old lady breathed a sigh of relief.

The old man smiled: "Okay!"

"Stop worrying!"

"Isn't it just a shot?"

"Look how scared you are!"

While talking, everyone made preparations and immediately started abdominal puncture.

After puncture, the fluid is sent for testing.

But just at this time...

The patient's temperature began to rise.

The old lady was also panicking at this time.

Seeing the old man sweating profusely, the old lady felt very distressed.

He took out a handkerchief and kept wiping the sweat.

The old man was lying on the bed and said with a smile: "Oh!"

"In bursts!"

"At this time every day, around noon, I start to feel uncomfortable!"

"It'll be fine in a while!"

When Chen Gong saw this, he became nervous.

In fact, he did not dare to let the patient undergo surgery as soon as possible at this time.

Because before the results come out, you can't draw any conclusions.

Even if it is peritonitis, if it is acute edematous pancreatitis without complications; primary peritonitis; female pelvic organ infection; retroperitoneal infection, none of these can be treated with surgery.

so!

Before the diagnosis was made, Chen Gong did not dare to take action.

Fortunately, the results came out quickly.

Although several manifestations of surgical contraindications are excluded.

but……

But there is a bad sign.

Abdominal puncture proves that the patient has exudate, and the condition worsens rapidly after the onset of the disease.

This is a sign of rapid progression of the disease.

Think of it...

Chen Gong immediately said: "Get ready for surgery!"

"hurry up!"

"The situation may be worse than we think!"

Zhao Xi nodded quickly at this time, Wang Fulei was also frightened, and quickly asked the old lady to sign.

However, at this time, the old man's condition became more and more uncomfortable, and the old lady was so frightened that her hands were shaking.

Wait until after signing!

The old man quickly arranged emergency surgery for exploration.

And this time...

Before entering, the old man said quickly: "Don't disturb my son, he is busy with work!"

The old lady wiped away her tears, shook her head and waved her hands.

at this time……

The old lady picked up her cell phone and dialed her son's number.

"Your dad is in surgery!"

At this time, Luo Zhewen was in a meeting. When he heard the call, his expression suddenly changed.

Get up quickly!

Suddenly he asked quickly: "Which hospital is it in?"

"Mom, what's going on?"

The old lady then explained the situation.

After listening, Luo Zhewen looked at everyone present with a serious expression: "Sorry, I have something to do, and today's meeting ends here."

"Sorry!"

As he spoke, he stood up and walked out.

Not long after, he suddenly thought of something and found Guan Leshan:

"Dean Guan, please excuse me, my father is undergoing surgery in your hospital!"

"The meeting is temporarily dismissed."

"I have to go to the hospital first."

Hearing this, Guan Leshan was dumbfounded.

Today's meeting is a meeting of deans, and Luo Zhewen invited many deans to attend.

Guan Leshan nodded quickly: "Director Luo, take my car!"

"Let's go over first and see what's going on."

Luo Zhewen nodded, and at this moment... the dean of the people of the next province suddenly said:
"Director Luo, I am a specialist in gastrointestinal surgery. Today is a day off, so I guess I will be the doctor on duty."

"I'll go with you!"

Luo Zhewen nodded quickly: "Okay!"

"Thank you!"

"you are welcome!"

……

ps: Thanks to "Wenhuang" for the 5000 reward, thank you.

Thanks to "Pipitu" for the 1000 reward, thank you.

Please recommend yourself.

Well, this book is just the beginning and is too short. If you are interested in medical literature and it is your first time to read it to a veteran.

You can read the old book "When the Doctor Prescribes a Plug-in", or the traditional Chinese medicine book "Doctor Chen, Don't Be Cowardly".

After all, the book isn't long enough.

(End of this chapter)