Since 1981 Health School

  Chapter 592 Strange abdominal pain girl

  Mayor Qin walked around the construction site, asked about design work, etc., and said that the city's first construction company would continue to build the building at cost.

  In a corner of the construction site, Mayor Qin pulled Chen Qi aside, and said with a sad face:

   "Xiao Chen, it stands to reason that you are a member of the health system and a doctor, but after all, you are from our Yuezhong, and you are also a talent trained by our Yuezhong Medical School.

So I will not hide some things from you. The task of attracting investment in our city this year is very heavy. Although you have already helped to introduce a medical project worth 100 million US dollars, the funds from others are not credited to the account in one go, so the city There is a lot of pressure here.

You see, you just have 20 million U.S. dollars in your hands. Anyway, U.S. dollars can’t be circulated in the country. Why don’t you show off your style and exchange U.S. dollars to the city to help your hometown solve the big problem of foreign exchange shortage? Sample? hehe. "

hehe

  Chen Qi couldn't laugh anymore.

  Damn it, this old Qin has a really big appetite, wanting to get 20 million dollars away?

  Chen Qi is not an old fox after all, his complexion changed as soon as he saw it, and he began to turn redder and redder. The old Guo next to him seemed to be in trouble, and young people would speak more aggressively, and the relationship would become stiff at that time.

  Don’t forget that Chen Qi’s trip to Africa was caused by speaking out against relevant leaders at the medical dispute mediation meeting.

   This guy has a criminal record.

   "Chen Qi!"

  Old Guo called him decisively, and Chen Qi came to his senses, and stopped talking. All he was thinking about was how to keep his foreign exchange.

  Old Guo was also a little annoyed by the city's actions, but the old fox knew how to compromise.

   Otherwise what? Stuck with the city? Chen Qi doesn't care, but Chen Qi still has 1,400 employees under his command, so he has to think about it for them.

  Old Guo pulled the displeased Chen Qi aside, and persuaded:

   "This foreign exchange is a big piece of fat. Everyone wants to take a bite. It is definitely impossible to keep it at a level like you and me, so I have an idea to share with you."

  Chen Qi is not convinced by others, but he is still convinced by his godfather.

   "Uncle Guo, tell me and I'll listen."

"In this way, if you want to build an endoscopy center, you will definitely need to spend money, so you will have to exchange currency sooner or later. If we want to exchange this money for someone, it is better to exchange it for the city to sell favors, so that the city will also Take good care of our People's Hospital, don't you?

Second, more money is a good thing, but it may also become a bad thing. My idea is that we have to change the plan of the new hospital while the money is in our hands. Didn’t you originally plan to build a 20-story high-rise building? You simply build two of them now.

Anyway, you are not only the director of the endoscopy center, but also the director of the Yuezhong People’s Hospital, which is equivalent to a director, two brands, and the palms and backs of the hands are all meat. You build two buildings in the name of the endoscopy center, one for the interior The mirror center is used, and the other building is 'loaned' to the People's Hospital.

Two buildings, plus ancillary buildings, plus money for decoration, furniture, and imported medical equipment. The budget is so high that it is so high that 20 million U.S. dollars can't be beat at all. See Who still thinks we have more money?

Then you and I go to various departments to ask for sponsorship, beg for money, and cry for poverty, just like Yan Quanxin of Huang Tan did in the past, sleeping with bedclothes and going to the superior office to ask for funding, saying that I can't live on, and see who will come to our foreign exchange idea. "

   "Build two 20-story buildings?"

  Chen Qi's eyes lit up:

   "Hey, that's a good idea. People are afraid that we won't be able to spend all the money, so let's spend as much money as possible. Anyway, the righteousness is in our hands. The new China Internal Mirror Center is a task deployed by the Ministry, and the local government dare not object."

  Old Guo smiled and nodded: "That's right, if the city is still disobedient, you can talk to Leader Xu again, I believe he will definitely talk to you."

   "Okay, then let's do this, Uncle Guo, otherwise, we will exchange 10 million US dollars for the city, and I will use the remaining 10 million in the future."

  Actually, Mayor Qin asked for 20 million US dollars, and it was also a matter of hitting a few shots first if he had dates or not.

   Sure enough, Mayor Qin was quite satisfied when he heard that the People's Hospital could only exchange 10 million foreign exchange.

   "10 million is 10 million. Comrades Lao Guo and Xiao Chen are more enlightened. You have helped the city a lot."

  Chen Qi is not at ease, and is going to be a villain first:

   "Mayor Qin, let's make an agreement first. The city's 40 million funds have arrived, and I will transfer 10 million US dollars to you."

  Mayor Qin's expression changed. Sure enough, he planned to take the foreign exchange first after saving, which was dark enough.

   "Okay, then I'll go back and raise money."

  Mayor Qin left very quickly. As soon as Chen Qi and Lao Guo returned to the hospital, they immediately called Yijian Company to request a change of hospital planning.

  The original plan of turning one building into two buildings was still too conservative, so Chen Qi added two more outpatient buildings.

  With such a plan, Yuezhong People’s Hospital will have a brand new inpatient building and outpatient building, which is equivalent to building a new hospital on the original site.

  With a 20-storey inpatient building, Yuezhong People's Hospital has also become one of the most arrogant hospitals in the country, at least the hardware facilities can be the leading in the country.

  Shaanxi Gaoguanan City, Xijing Hospital.

  At this time, a pair of 16 and 7-year-old young people walked into the hospital. In fact, they should be called students.

  The gastroenterology outpatient doctor is Yan Changhong, who is over 40 years old this year. He is a very experienced physician and has 20 years of clinical experience in gastroenterology.

   "Next! Everyone, keep quiet."

  It’s the same in hospitals across the country these days. Doctors sit in the consultation room to see a doctor, and then a large group of patients and their families surround them, completely blocking the office.

  There is no such thing as one consultation room per person, and no patient privacy.

  Sometimes the doctor gets angry and asks everyone around to go out, but because there is no calling system, the crowd will be full again after a while.

  Patients’ worries are not superfluous, because if you don’t surround yourself with the doctor, it’s very easy to be cut in line, honest people wait outside, at least wait until the last one to see the doctor.

  Seeing that no one answered, Dr. Yan Changhong called again: "The next one, number 38, where is he?"

  At this time, a weak voice answered from behind the crowd: "Doctor, we are here."

   After speaking, the boy and girl squeezed out from the crowd and came to the doctor.

  The first thing Yan Changhong saw was that the girl was clutching her stomach with a pale face, while the young man was supporting her with an anxious and hesitant expression.

"What's wrong?"

   "Auntie doctor, I, I have a stomachache."

  Yan Changhong was writing the medical records. When she heard the girl complaining of a stomachache, she raised her head. She looked at the girl who was huddled together, and at the young man standing there with a frightened face. She frowned.

   "Come on, lie on the hospital bed, let me touch it."

  The girl stood up obediently, because the pain was unbearable, and the young man who accompanied her helped her slowly lie on the treatment bed.

  Yan Changning took a meaningful look at the pair of boys and girls, and then began to palpate:

   "Does it hurt here?"

   "It doesn't hurt."

   "What about here?"

   "Ah, it hurts~~~"

   There was obvious tenderness in the lower abdomen, but no obvious rebound pain. As an experienced doctor, a bad thought flashed through my mind.

  Yan Changhong stood up straight, faced the pair of boys and girls, and asked the girl with a serious face:

   "Little sister, how old are you this year?"

   "I, I'm 16 years old..."

  Yan Changhong aimed at the standing young man again: "How old are you?"

   "Auntie, I am also 16 years old, we are classmates."

  The patients and family members onlookers are a little strange. When they come to see a doctor, why does this female doctor always ask her age? Even ask the age of the companion?

  Yan Changning took a deep breath: "Is he your partner?"

"ah?!"

  The boys and girls were dumbfounded when they heard this, and waved their hands again and again: "No, we are classmates."

  Yan Changhong suddenly asked again: "Little sister, tell auntie the truth, do you two live together?"

  Actually, Yan Changhong wants to ask, have you two ever eaten the forbidden fruit? Have you ever had sex? Life history, but with so many people around her, she can only ask with this obvious hint.

  The noisy crowd of onlookers suddenly fell silent.

  These adults are all veterans, and immediately heard the doctor's hint, thinking that they could see some gossip today, so they all looked at the boy and girl with enthusiasm.

  The boys and girls were also in a hurry, and the young man quickly denied:

   "No, no, my family lives in Yongle Road, and hers is in Wanqing Lane."

  Boys and girls repeatedly denied it, not sure if they understood the hint or really didn't know.

  Yan Changning knew that she would not be able to ask any questions, but as a doctor, she had seen too many cases of boys and girls stealing forbidden fruits. Even in rural areas, 16 or 7 years old can get married in a fair way.

  Now the girl is suffering from severe abdominal pain. As a doctor, she has to first consider the possibility of ectopic pregnancy or threatened abortion, a gynecological disease.

   "Little sister, don't worry, how long has your abdominal pain been?"

"Auntie, just now we were shopping outside, and then it started to hurt. It has been about an hour now. I have had pain several times this month alone. It is an old problem. It has been painful repeatedly in the past few years, but this month The pain is more frequent and lasts longer."

  Repeated pain for several years?

   Not caused by pregnancy? Will you lie? This age group happens to be the rebellious period, and it is also the age most likely to lie.

  Dr. Yan recalled the palpation just now. There was a slight tenderness in the lower right abdomen, which was not too obvious, and there was no rebound tenderness. Acute appendicitis seemed to be ruled out.

  So he said to the girl: "There are many reasons for stomach pain, but other possibilities cannot be ruled out. To be on the safe side, go hold your urine. Let's take a urine test and take a urine pregnancy test."

  The girl was confused, and looked at the young man, both of them were anxious:

   "Doctor, we, we are innocent."

   After all, they have attended hygiene class, no matter how silly and sweet they are, they can still understand what pregnancy means.

  The crowd of onlookers suddenly uttered "Oh~~~" in unison, and then they had such expressions on their faces.

  Dr. Yan asked with a straight face, "When did your period end last month?"

  The girl lowered her head and said in a low voice, "It's supposed to come in these two days, but it hasn't come yet..."

   "That won't work, a urine pregnancy test must be done."

  Dr. Yan's attitude was tough, and the whole person became angry.

   Also as a mother, even if Yan Changhong is not a doctor, she can't see that girls don't love themselves, and such shameful things happen.

  From a doctor's point of view, for such a beautiful girl, delayed menstruation may mean pregnancy. If she is really pregnant, she will suffer if she is misdiagnosed and treated incorrectly.

  Ectopic pregnancy can cause severe abdominal pain. Many doctors have suffered.

  Although the girl was a bit reluctant, she followed the doctor's request and quickly disappeared into the outpatient clinic with the young man who accompanied her.

   About an hour later, the two came back, and the report showed that the urine pregnancy test was negative.

  Seeing this result, both Dr. Yan and the surrounding people breathed a sigh of relief, after all, no one wants this young girl in her prime to be ruined for the rest of her life.

  The 1980s were different from later generations. Chastity is still very important these days. If she really doubts it, even if she finally marries her current "boyfriend", she will be looked down upon by her husband's family after marriage.

  If you don't marry your current "boyfriend", it will be even worse. If you don't get popular on the wedding night, the relationship between the couple will not be reconciled.

  If the rumors of abortion are passed on again, divorce is 100% a thing.

   "It's okay, it's okay, it's really not pregnancy, it's fine if it's not, it may be abdominal pain caused by other reasons, then I'll give you a B-ultrasound order, you go to check the lower abdomen, there shouldn't be any major problems."

  Dr. Yan was not as serious as before. He smiled and said to the boys and girls, and prescribed a B-ultrasound sheet while talking.

  The boys and girls were obviously relieved, and walked out supporting each other.

  Dr. Yan asked the girl to have a B-ultrasound. At the same time, she was very careful. She was afraid that the urine pregnancy test would be inaccurate, so she added a gynecological B-ultrasound.

  As a result, after a round of inspection, no obvious problems were found.

  The appendix seems to be a little thicker. The gallbladder, kidneys, and ureters are all in good condition, and there are no stones.

   Considering that the girl has no history of overeating, and the pain is not mainly on the left side, it should not be acute pancreatitis, but to be on the safe side, Dr. Yan still took blood to check the blood amylase, and the result was still normal.

   Could it be appendicitis? Dr. Yan thought to himself.

   I also asked the girl specifically, is the abdominal pain around the navel at first, and then transferred to the lower right abdomen later?

  If this is the case, appendicitis is highly suspected, because metastatic right lower quadrant pain is a typical manifestation of acute appendicitis.

  The girl shook her head and said that it was pain in the lower right abdomen at first.

  Dr. Yan has nothing to do now. He has done the examination three or four times. Fortunately, the two children are patient. If they were patients, they would have quarreled long ago.

  However, Dr. Yan believes that appendicitis is the most likely possibility. After all, atypical appendicitis can develop in different parts, and the pain can also be various. It is not necessarily as written in the textbook, first the pain around the navel, and then transfer to the right lower abdomen.

  So Dr. Yan picked up the internal phone and was going to have a consultation with a gastrointestinal surgeon to see if it was appendicitis, whether he should be admitted to the hospital for surgery, and so on.

   "Are you the king of surgery? Come here quickly, I have an acute abdomen here."

  (end of this chapter)