Chapter 29 Zhan Ting's Misdiagnosis
"Chuanchuan, get up soon!" Early in the morning, Qin Chuan's mother was already shouting outside the door, and she was worried that Qin Chuan had not had a good rest. "When will this child grow up? The work in this hospital is a little too busy. I finally took a day off and asked to work overtime. I always started working day and night. I used to think that being a doctor was a good job, but I didn't expect it to be so tiring."
"Who is not tired when doing serious work? But what you want is stability." Lao Qin said.
Qin Chuan put on his clothes and walked out. His hair was a little messy, but his head was clear. He really had more insights.
While going to the bathroom, I rinsed my mouth and did a few things interspersed. The whole process was completed in less than five minutes. I got some hairspray and sorted out the messy hair.
"Don't you really don't have breakfast?" Qin Chuan's mother asked with concern.
"It's okay, I'll buy it myself." Qin Chuan said.
"Then don't buy it randomly on the roadside. It's unhygienic. Go to those regular stores to buy it. In fact, it's better to be more at ease with the breakfast made here in our old neighbors." Qin Chuan's mother said.
"Now, no one is at ease. If you want to be at ease, you can only do it at home." Lao Qin said.
"You guys do it slowly by yourself. I have to hurry up, otherwise I will be late." Qin Chuan said.
Jiang Lingling waited at the hospital gate, as if afraid that Qin Chuan would walk past the side and not see it.
Wu Xiaoming came over and saw Jiang Lingling immediately said happily: "Lingling, did you come so early?"
"Well, Dr. Wu, you're pretty early." Jiang Lingling's eyes were still staring at the direction of Qin Chuan's house, and she didn't even look at Wu Xiaoming, and her brows were slightly frowned.
"Who are you waiting for?" Wu Xiaoming said.
"No. I'm looking at Sister Zhan Ting's arrival?" Jiang Lingling said.
"Oh, then I'll go in first." Wu Xiaoming said.
Jiang Lingling still didn't look at Wu Xiaoming and nodded casually.
Wu Xiaoming was a little embarrassed, but he couldn't say anything. He looked outside while walking.
At this time, Qin Chuan walked towards the hospital gate.
"Doctor Qin." Jiang Lingling immediately jumped in front of Qin Chuan when she saw Qin Chuan.
"Lingling, you came so early!" Qin Chuan smiled.
When Jiang Lingling saw Qin Chuan appear, she immediately changed her smile. Wu Xiaoming, who had already walked into the hospital, snorted coldly, looked outside with resentment, and quickly walked towards the emergency department.
"I'm just here too. Come and try it, see how the breakfast tastes?" Jiang Lingling handed the breakfast in her hand to Qin Chuan.
Qin Chuan was not polite and took it directly: "You haven't eaten yet, right?"
"Well. We girls don't need to eat too much in the morning. Dr. Qin, you can eat it just." Jiang Lingling said.
"That's not OK. You must eat breakfast well, otherwise you will easily get stomach problems." Qin Chuan said.
"Let's go inside and eat." Jiang Lingling said.
"Okay." Qin Chuan said.
The breakfast that Jiang Lingling brought was really good, which made Qin Chuan praise him: "Where did you make the breakfast? It tastes really good."
"There is a restaurant specializing in breakfast in our community. The breakfast is very good. Dr. Qin, if you like to eat it, I will include all your breakfast in the future." Jiang Lingling said.
"Don't. It's too troublesome." Qin Chuan quickly declined.
"It's okay, it's not trouble at all. That's it." Jiang Lingling said.
At eight o'clock, all the doctors and nurses in the emergency department were crowded in the department, and Cheng Guanhua walked into the emergency department.
"Everyone is here. Please ask the doctor on duty to tell me what happened last night."
Gao Zhanting was on duty last night and stood up and said, "I received ten emergency departments last night. After stabilizing the signs, several more serious patients have transferred to a junior college. Several other patients with colds have gone back directly after taking a drip. There are also 14 patients in the observation room for observation. The patient Cui Jun, 35 years old, had a pain in the upper abdomen for 4 hours. The pain in the navel is moderate, no radiation or metastasis. He has fever T38 degrees, vomiting. His previous medical history is not special. Palpation of the upper abdominal muscle tension, Mo Feizheng
(-), there was no obvious tender and rebound pain at the appendix point. There was no abnormality in the abdominal flat film taken in the emergency room. There was no abnormality in the B-ultrasound. The diagnosis was unclear, but considering the long-term pain and inflammation, I had to treat it first, P-Gna+Amikacin, and replenish fluids. After two hours, the pain was not significantly relieved. The physical examination was the same as before. T38.3 degrees. I checked the abdominal flat film again, but there was no abnormality. At that time, I considered whether it was intestinal ascariasis? So I gave 100mgim pain relief..."
"Okay, start routine rounds now." Cheng Guanhua said.
When I reached bed 14, the patient's signs were relatively stable and he was still asleep.
"How do the patient feel?" Cheng Guanhua asked.
"I just fell asleep and had tossed all night. I haven't figured out what's going on." The patient's Cui Jun family had a little complaint.
After leaving the observation room, Cheng Guanhua said to Qin Chuan: "Qin Chuan, take over and check it again. I always feel that ascariasis has some problems. All kinds of situations need to be considered. We cannot be afraid of people saying that our hospital's elimination method is not afraid to prescribe the examination. Western medicine is a systematic science. To diagnose a disease, we must use the exclusion method. The exclusion method is not a problem of medical ethics. The problem is that some doctors are unethical in the process of practicing medicine. Therefore, as professionals, we must view this problem correctly. Overexamination is not the same as necessary examinations."
Qin Chuan nodded.
After walking a few steps, the 14th bed rang the bell.
"Qin Chuan, go and have a look." Cheng Guanhua said.
Qin Chuan hurried over.
"What's the situation?" Qin Chuan asked.
"He was in great pain after you had just walked a few steps. Doctor, please take a look." said the patient's family.
"Hello. Where does it hurt?" Qin Chuan asked.
"Abdominal pain." The patient said, pointing to his abdomen.
"Hold on, I'll do a check for you." Qin Chuan said.
Qin Chuan's thoughts were like lightning, and he quickly found a quick and effective way to check. His techniques were very skilled and his questions were very accurate. He quickly found the patient's real pain point and the way he was already in pain.
"It is suspected that it is acute appendicitis and surgery is needed immediately." Qin Chuan said.
Qin Chuan contacted the surgical consultation, arranged preoperative examinations, and contacted the operating room. General SIPG was too busy and said that such a small operation should be solved by yourself. A small appendix surgery will naturally not make it difficult for the doctors in the emergency department. Emergency doctors are usually surgery and majoring in internal medicine. Therefore, appendicectomy surgery is indeed not too difficult.
But when the patient was asked to do various examinations, the patient's family quit.
"My husband is in such a state of pain, and he still checks here and there. What does your hospital mean? A simple appendicitis, you haven't found it after checking it all night. Is this the level of a Grade A hospital?" Cui Jun's wife said.
"I can understand your mood. But before the operation, if we do not see these test results, we dare not use the surgery. I would like to ask you to understand this. This kind of test is a prerequisite for us to confirm whether the patient can go to the operating table. Without these test results, it is not in line with the rules for our surgery. These tests are necessary to check and will not delay too long. Go and check quickly. I will prepare pre-operatively first. Once the test results are out, I will confirm the results and the surgery can be performed." Qin Chuan said.
"If you could accurately check the results as soon as possible, my husband would not have suffered such great pain." Cui Jun's wife said.
Chapter completed!