My medical skills are a billion points

Xiao Chu thought in his heart.

In fact, it is human nature for Xiao Chu to have such thoughts.

After all, he doesn't live in a TV series, it's common for Bai Fumei to fall in love with a poor boy.

And this is a real life, how can there be so many bloody plots!

Xiao Chu was sighing inwardly, when would he be able to end this single dog situation.

A man with a crew cut in his thirties, bent over, clutching his stomach, came in humming.

There were beads of sweat on the man's forehead, and the muscles on his face were twitching involuntarily.

He even gritted his teeth, clutching his upper abdomen tightly, and barely stepped into the consulting room.

Obviously, it was all caused by his abdominal pain.

Judging from his performance, his abdominal pain was much more painful than the chest pain of the broken rib just now.

The man sat down on the stool, breathed out, and said intermittently: "Doctor, my stomach hurts like hell, please give me a painkiller."

"no!"

Xiao Chu categorically refused.

Chapter 213 Wang Ying's mother asks for help

Judging from the man's performance, it was obviously severe abdominal pain caused by acute abdomen.

It is impossible to prescribe painkillers when you come up.

All patients with acute abdomen are not allowed to prescribe painkillers for pain relief without a clear and specific diagnosis.

Even if the patient is dying of pain, the doctor cannot prescribe painkillers.

If there is no clear diagnosis, it is a violation of the principle to use painkillers to relieve the pain of the patient.

Because after the patient takes strong painkillers, the abdominal pain will be significantly relieved or painless

Then it will cover up the real cause of abdominal pain, thus delaying treatment.

Serious ones will cause incalculable consequences.

So Xiao Chu refused the man's request without thinking about it.

Looking at the man's incomprehensible expression, Xiao Chu explained: "In your situation, you must not take painkillers as soon as you come up, or else after the painkillers take effect, it will cover up your illness.

This will affect the judgment of your disease, so we must first figure out what kind of disease you are before we can treat you according to the cause. "

Now that he came to the hospital, the man still chose to trust the doctor.

So he endured the severe pain in his abdomen, and said slowly: "I had a barbecue with some friends last night and drank a lot of beer. After going back to rest at night, my stomach started to hurt a little at night.

But I didn't care, I thought I had a bad stomach, and I took some medicine for diarrhea, but I didn't have diarrhea in the middle of the night. This morning, my stomach hurts more and more, so I rushed to the hospital up. "

Xiao Chu thought about the patient's symptoms.

After drinking alcohol and eating barbecue, I developed epigastric pain, and the pain was severe, but there was no diarrhea.

Acute gastritis?

Acute cholecystitis?

Then Xiao Chu asked again: "Have you had any medical history before?"

The man thought for a while, and immediately said: "I used to have gallstones, which were relatively small. I also saw a doctor and said to observe temporarily. I didn't care about it. It has been two years."

I have a history of gallstones, and after drinking and eating greasy food, I have severe pain in the upper abdomen.

In Xiao Chu's mind, he already had a rough judgment on the man's illness.

Then Xiao Chu asked the man some other details and gave him a physical examination.

It was found that there was abdominal tenderness in his right upper quadrant and left upper quadrant.

And the right upper quadrant Murphy's sign was positive.

Obviously this man has gallstones, and acute cholecystitis was induced after eating greasy food.

And do not rule out the possibility of biliary pancreatitis.

Xiao Chu was on the computer preparing to issue an inspection form for him, but stopped after thinking for a while.

He said to the man: "In your case, I consider gallstones to induce acute cholecystitis, and the possibility of acute pancreatitis is not ruled out.

Either of these diseases requires hospitalization.I suggest that you should go through the hospitalization procedure directly, and then check after the hospitalization procedure.If you have an outpatient examination, the cost of medical insurance will not be reimbursed. "

The man nodded repeatedly.

"Doctor, please go through the formalities for me. I am here today to prepare for the hospitalization."

Xiao Chu issued a hospital certificate for the man, and then arranged for him to go to the general ward.

Since Gao Yingjun was busy, the patient was handed over to Zhou Ziqiang.

He and Xiao Chu checked the man again in the general ward, and then issued a checklist.

An hour later, all the man's inspection reports came out, and Zhou Ziqiang found Xiao Chu.

"Xiao Chu's patient is gallstones, acute cholecystitis and acute pancreatitis."

Sure enough, it was exactly the same disease as Xiao Chu considered.

This man had acute cholecystitis induced by dietary problems, but patients with gallstones can easily induce acute pancreatitis.

Once pancreatitis occurs once, it is easy to induce it again if you do not pay attention to diet in the future.

And this man was caused by gallbladder stones. To eradicate the cause of the disease, the gallbladder must be removed.

I only heard Zhou Ziqiang say: "I have explained the condition to the patient very clearly. After the acute pancreatitis is controlled, we will perform cholecystectomy for him in our department."

Xiao Chu nodded.

"Okay, Brother Zhou, you can arrange it."

After all, when Xiao Chu first came, Zhou Ziqiang was his substitute teacher.

Even now that he is the deputy director of the emergency department, he still maintains due respect for Zhou Ziqiang.

Zhou Ziqiang called Xiao Chu, but still called him by his first name.

After all, his qualifications are there.

But this patient needs a cholecystectomy in a week.

Because acute pancreatitis wants to be completely controlled, it takes at least a week.

At that time, this patient should still choose laparoscopy for surgery.

After all, laparoscopy has less trauma and quicker recovery.

It seems that this laparoscopic surgery has to be done by Xiao Chu.

In the afternoon when Xiao Chu was about to leave work.His cell phone rings.

When I took it out, it was an unfamiliar number.

After answering, a somewhat familiar voice came from inside.

"Is it Xiao Chu? I'm Zhao Gang's mother."

Isn't Zhao Gang his aunt?

Xiao Chu could definitely hear his aunt's voice.

Furthermore, there is also my aunt's mobile phone number stored in the mobile phone.

But although this person's voice was somewhat familiar, Xiao Chu couldn't remember it for a while.

Xiao Chu suddenly remembered.

Isn't this voice the cousin's mother-in-law Zhang Xiaocui?

What's the matter with her?

"I'm Xiao Chu, is there something wrong with my aunt looking for me?"

After all, this is his cousin's mother-in-law-to-be.

Zhao Gang is getting married on May [-] next year, so Xiao Chu is more polite to Zhang Xiaocui.

Zhang Xiaocui and Xiao Chu exchanged some polite words, and then got to the point.

"It's like this, Xiao Chu. My own sister has pancreatic cancer and is now living in the Oncology Department of the First Affiliated Hospital of Jiangnan University."

"But the doctor here said that my sister's surgery cannot be done, and they want us to go back and wait for death.

I thought that you are an expert from the Provincial People's Hospital, can you come and show my sister, whether it can be cured? "

It turned out that it was for this reason that Zhang Xiaocui called herself.

The medical level of the First Affiliated Hospital of Jiangnan University is comparable to that of provincial doctors.

Since their oncology department said that surgery is inoperable, there is a high probability that this patient will not be able to undergo surgery.

However, after all, Xiao Chu has not seen the patient yet.

He didn't dare to make a judgment about the patient's condition.

But what Zhang Xiaocui meant was that she wanted to go to the First Affiliated Hospital to see patients and get some opinions from her.

If it was a stranger who asked him for help like this, Xiao Chu would definitely not go to the First Affiliated Hospital for consultation.

After all, the two hospitals are of the same level, and Xiao Chu went to consult without the doctor's consent, so he was not welcomed by others.

But now it's the cousin, the mother-in-law, who is asking for help. For the sake of the aunt's family, she has to go anyway.

The worst thing is to pretend to be a relative and not let the doctors in their hospital know.

If they don't go, Zhang Xiaocui's family will reduce the betrothal gifts for their cousin for their own sake.

It happened that tomorrow was Saturday, so Xiao Chu decided to go to the First Affiliated Hospital tomorrow morning.

Let's see if Zhang Xiaocui's younger sister still has a chance of surgery.

Chapter 214 Out-of-Hospital Consultation

On Saturday morning, Xiao Chu got up at six o'clock, washed up, had breakfast, and it was already seven o'clock.

He checked the calendar on his phone first.

Today is the sixth day of the lunar calendar.

Xiao Chu walked out, ready to rush to the First Affiliated Courtyard.

Why did Xiao Chu go to see Zhang Xiaocui's younger sister for a consultation and also look at the lunar calendar?

Because in their hometown, there is an unwritten rule.

On the first and fifteenth day of the junior high school, I don’t visit relatives, and I don’t go to the hospital to visit patients.

Even people in the city don't pay much attention to this aspect, but Xiao Chu is a person who visits his hometown after all.

It's better to pay attention to it, so as not to make others feel uncomfortable.

The First Affiliated Courtyard is more than ten kilometers away from Xiao Chu's community, in the western suburbs of Jinshui City.

He took Metro Line [-] and rushed there.

After more than 20 minutes, Xiao Chu came near the gate of the first affiliated Jiangnan University.

I bought some fruit, and then called Zhang Xiaocui.

Because Xiao Chu didn't ask them which building and which department they were in yesterday, he wants to ask the room number now.

"Auntie, I'm at the gate of the First Affiliated Hospital. Where are you?"

Zhang Xiaocui's voice came from the receiver immediately.

"We are in Building No. 15, [-]th floor, ward No.[-]."

"Okay, I'll go up right away."

After hanging up the phone, Xiao Chu found Building No. [-] with some fruit, squeezed the elevator, and came to the fifteenth floor.