"What's the patient's condition?" When Lin Yi and Fang Xiaoran pushed the patient into the emergency room, Lu Chenxi, who was patrolling the bed, immediately came over. While listening to the patient's heart, he asked about the patient's condition. [Prompt: The patient has adhesive intestinal obstruction. ] "The patient suddenly has acute appendicitis perforation and adhesive intestinal obstruction. Emergency surgery must be initiated." According to the additional system prompt. Lin Yi immediately told the patient's condition. "A patient transferred from the general surgery department? Aren't there enough operating rooms over there?" "The general surgery department won't come to follow the doctor!" Lu Chenxi's face immediately darkened.
"Who is the chief surgeon? If there is a problem, who will be held responsible!" This time, the central hospital was expanded and an operating room was specially set up in the emergency department. Generally, the surgical operations that can be performed in the emergency department are handled by the department itself. If the operating rooms of other departments are full and the patient needs emergency surgery urgently, in principle, the emergency department operating room can also be used for surgery. But the possibility of this happening is very small. No matter how small the operation is, there is a possibility of unpredictable risks. If problems occur when using the operating room of other departments, the division of responsibilities becomes a troublesome matter. Lin Yi introduced the patient's condition in such detail. Lu Chenxi took it for granted that the patient should be transferred from the general surgery department. "Teacher Lu, the patient was not transferred from the general surgery department." Facing Lu Chenxi's stern question, Lin Yi answered carefully. "She was in line outside the emergency department when an emergency suddenly occurred." "What!" Lu Chenxi's voice suddenly rose an octave. He stepped on the brakes on the flatbed and the vehicle stopped steadily at the door of the operating room. "You mean, the patient just had this situation." "Then what examinations have you done? How did you determine it?" "The patient's abdominal pain is due to acute appendicitis perforation, with complications of adhesive intestinal obstruction!" Lu Chenxi's scalp was about to explode.
Even if the patient had undergone some routine examinations, these two people could not make their own judgments. They gave the patient such a clear diagnosis and activated the emergency surgery mechanism. How could these two little residents have such confidence to act on their own? At least they should ask their teacher! "Yes!" "How did he make the diagnosis?" Fang Xiaoran, who followed the cart, also looked at Lin Yi with a blank face. There are many causes of abdominal pain. This patient kept his teeth tightly closed from beginning to end, and didn't even reveal any hints. "The patient's abdomen is swollen, and there is already a hardening phenomenon. The pulse is sluggish and blocked, and the breath is foul..." "All signs show that the patient has a serious appendicitis perforation and must undergo surgery immediately." Of course, there is no way to say the existence of the system prompt. Lin Yi can only combine the experience of studying medicine for two lifetimes, organize language, and explain his diagnostic method. "What a weird diagnostic method!" Lu Chenxi and Fang Xiaoran looked at Lin Yi like a fool. Stomach bloating, bad breath... It sounds a bit like the way Chinese medicine fools people. The key is! No matter how famous an old Chinese doctor is, he can't even diagnose perforation and adhesion, which are Western medicine judgment methods, right? Lin Yi's diagnosis method and treatment plan are more like a combination of Chinese and Western medicine. There is no convincing basis at all. "Doctor Fang, give the patient an abdominal B-ultrasound and electrocardiogram immediately... immediately determine the specific cause of the patient's abdominal pain." Lu Chenxi immediately issued the latest inspection instructions. She now understands why the director wants to grind Lin Yi. This Lin Yi not only has a very reliable surgical teacher, Professor Cao. But he also learned a very unreliable major, general medicine. On the first day of work, Lu Chenxi realized it. This so-called general practitioner, how unreliable is to treat patients!
No wonder the employment scope of this major is limited to community hospitals at the level of small clinics. Any disease can be treated as a headache and a cold. Isn't this nonsense! "Let go!" Lu Chenxi shouted. Looking at Lin Yi's hand, he was still pressing hard on the patient's lower right abdomen. She wanted to step forward and slap this guy twice. "I don't care what major you studied." "But you should know that for appendicitis you diagnosed, you can't press the affected area at all. This will only increase the patient's pain!" This should be a doctor, at least he knows the medical common sense. "I can't let go of Teacher Lu. If I let go, the patient is likely to faint from the pain." Lin Yi hurriedly explained to Lu Chenxi. It's not that he doesn't understand the reason why patients with appendicitis can't press hard. But the system gave such a counterintuitive prompt. Fortunately, after the system prompts, pressing at the right position did relieve the patient's pain. "You still know I'm a teacher!" "Let go immediately, or get out of my emergency room!" Lu Chenxi was so angry that he wanted to hit someone. He had never seen such a self-righteous doctor. In the case of unknown cause, pressing the patient's abdomen hard can easily cause secondary damage to the patient. "Okay!" Lin Yi reluctantly pulled his arm back. He didn't want to be sent back to his hometown on his first day at work. Although the patient's condition is urgent, it is not life-threatening. As long as the cause is quickly determined and surgery is performed immediately, the impact is within controllable range. "Ah... it hurts..." Just as Lin Yi pulled his hand back. The patient suddenly trembled all over, beads of sweat dripped down his chin, and he groaned in pain. "Teacher Lu, the patient's heart rate is extremely unstable and he may go into shock at any time!" Fang Xiaoran, who was doing an electrocardiogram for the patient, reported anxiously. "Huh?"
"What's going on!" Lu Chenxi hurriedly approached the patient, turned up his pupils, and scanned left and right with a penlight. How could the various indicators that were relatively stable just now be so abnormal? "Prepare for adrenaline injection." Lu Chenxi ordered decisively. If the patient's condition deteriorates again, or even goes into shock. Rescue measures must be used decisively. "I'll do it!" Lin Yi, under the surprised gaze of everyone. He stretched out his palm and pressed it on the position he had just pressed. "Hu..." Although the patient was already in a semi-comatose state, everyone could hear the deep gasp from the heart. The stiff and trembling body began to relax gradually. Even the expression on his face changed from extremely painful to relieved. "This..." The nurses and doctors around looked at Dr. Lu, and then at the patient on the bed. They didn't know what to say. "Why are you standing there? Hurry up and continue the examination!" Lu Chenxi's face was dark, and she was a little upset. It seemed that only the legendary acupuncture could achieve such a magical pain relief effect. Anyway, using the medical knowledge she had learned. There was no way to explain the situation in front of her...
