Doctor Shan looked at the medical records, then entered the ward, found bed 52, looked at each other, then looked at the medical records, and said: "Li Lu, I am Shan Ming, the attending physician at the Hepatobiliary Department of Yunyi Hospital. Just call me Doctor Shan.

Let me check you out."

Li Lu is a little girl with an oval face, about 25 or 25 years old, and she still feels nothing after listening to Dr. Shan's words. Her mother at the bedside was first worried: "What's wrong with Li Lu?"

"We can't confirm the diagnosis yet, so I'll do some tests." Doctor Shan's attitude was still very friendly.

In the hospital, doctors are relatively friendly towards real patients, especially for patients whose indications are in line with their main surgical procedures. Doctors are quite patient.

For an attending doctor like Shan Ming, his monthly operation volume is about 20 to 30 operations, with an average of two to three operation days per week, which means he performs two to three operations on each operation day, which is equal to

He said that before and after the operation day, he only needs to deal with two to three patients, and the communication pressure will not be great.

After reading Li Lu's medical records, Shan Ming was already 70% sure that the other party had acute cholecystitis. However, whether surgery was necessary and whether surgery was possible still required further examination. Before getting the results, Shan Ming would not say that he would die.

of.

Li Lu's mother was a little anxious but helpless. She muttered: "It's a bad year. I just injured my hand and it's not healed yet. Why do we need a doctor from the hepatobiliary department to come again?"

Doctor Shan still smiled and said, "Come, let me do Murphy's sign for you."

Li Lu looked at Doctor Shan blankly.

"You lie on your back and bend your knees, and I will press your abdomen." Doctor Shan guided the posture and pulled up the curtains around the hospital bed.

Yunyi Emergency Department mostly has three-person and four-person wards.

The room is painted light blue, with rails inlaid above each hospital bed. When the dark blue curtain is pulled up, a small examination room is formed.

Doctor Shan did not let the family members leave. He waited for Li Lu to get into position, then slowly pressed the lower part of Li Lu's right rib with his left palm, found the position of the gallbladder with his left thumb, and then said: "Take a slow, deep breath.

"

"Doctor Ling just gave me this examination. It seems..." Li Lu frowned slightly.

"I'll check again." Doctor Shan nodded and said nothing more.

It is common in hospitals to perform the same examination multiple times. The main reason is that doctors do not trust their colleagues. Because every doctor knows that their colleagues will make mistakes.

Surgeons receive the most outstanding education in this regard. Even in medical schools, there are still professors who continue to teach students: they must do the tests themselves and must not trust what is written in the medical record.

Surgeons are often not believed by anyone.

There is no cost to do a test for Murphy's sign, and the doctor must do it himself. In the past, if Murphy's sign showed cholecystitis, even if the surgical indicators were met.

Of course, it's not that easy now.

When the inflamed gallbladder touched Doctor Shan's pressing finger, Li Lu suddenly twitched in pain, just like Ling Ran did during the test.

Now, both Li Lu and her daughter knew that the situation was not good.

Doctor Shan nodded and said: "Initially, it appears to be acute cholecystitis, but it is not serious. You can reduce the inflammation first to see the situation. I will then prescribe an abdominal CT scan for you. You can go ahead and do it."

"Okay." Li Lu's mother agreed immediately, and then asked: "If it's acute, it's not dangerous, right?"

"Acute cholecystitis is a minor illness for us."

Li Lu's mother breathed a sigh of relief: "That's good, that's good. Hey, it's a bad year. I gave them pigeon soup, old hen soup, duck soup, and crucian carp soup three times a day, but I still got it.

This new disease..."

"It's because you gave me too much protein." Doctor Shan shook his head helplessly.

"Did you eat too much?"

"Well, if you eat too much or too much, you will easily get pancreatitis and cholecystitis."

Li Lu's mother was stunned, and suddenly said angrily: "It's all my wife's fault. He doesn't plant flowers when asked to do it. Instead, he raises pigeons, chickens, ducks, and a nice lotus pond. They made it so beautiful. He raised crucian carp. It's so beautiful."

Aren’t you making too many things, so why should I rush to make soup?”

Doctor Shan was stunned when he heard this. After a long while, he said with envy: "The rural life now is really good. It's not like us, who look up at the sky and look down at the steel and concrete. When I was in the hospital, I went to work for 20 hours at a stretch. When I came back,

When I got home, the food markets were closed."

"The same goes for my family." Li Lu's mother sighed and said, "My family lives in Daguanying, a few miles away from the hospital. I bought four villas and just enclosed a few acres of land. I thought I could finish the things myself.

We can raise something, but it can’t compare with the real countryside. First of all, the air level is different..."

Doctor Shan's mind couldn't help but think of the housing prices in Yunhua and the villa area in Daguanying, plus the combination of several acres of land, which made his own gallbladder tremble.

Doctor Shan suddenly had a new idea and said: "In this case, I will check your blood pressure and heartbeat again..."

Five minutes later, Dr. Shan left the ward silently and only said to Lu Wenbin: "Just transfer the patient to our department."

Lu Wenbin naturally did as he was told.

The emergency department will not perform this kind of surgery just because acute cholecystitis has the word "urgent". At least so far, no doctor in the Yunyi Emergency Department is interested in treating cholecystitis, and, except for Ling Ran

With such a doctor, ordinary emergency physicians have no desire to compete with professional departments for surgery.

Mastering a new surgical procedure often requires hundreds of operations, which is equivalent to three to four years for an ordinary doctor. It can be said to be a relatively major transformation.

Ling Ran watched Lu Wenbin sign the form for transferring to another department, countersigned it himself, and stared at the empty bed in a daze.

"You don't want to detect any diseases from other patients and then transfer them to departments." Lu Wenbin spoke gloomily.

Ling Ran chuckled: "It's impossible, right?"

"This is the conclusion you came to." Lu Wenbin's mouth twitched and he said seriously: "Dr. Ling, the key to this problem is that you shouldn't think like this."

"Shouldn't we help our patients detect hidden diseases?" Ling Ran asked back.

Lu Wenbin's brain shut down for a few seconds: "I was almost convinced by you."

Ling Ran said: "Logic is infallible."

"So, do we still need to do internal medicine diagnosis part-time?" Lu Wenbin sighed heavily, took Ling Ran's arm, and walked out of the ward, saying: "Dr. Ling, I'm not telling you that apart from surgery, you will

Don’t you want to do something else?”

"For example?"

"Buy your own house?" When Lu Wenbin said this, he couldn't help but raise the corners of his mouth and said: "You actually made a lot of money from the surgery fee. If you put it together a little, it will be enough to pay for a house.

I’m not saying that girls nowadays need to have a car and a house when they get married. It’s even worse when you’re on a blind date. If you don’t have a car or a house, people won’t even bother to introduce you, so it won’t work out anyway…”

Ling Ran heard the "oh" sound but had no reaction.

"Hey, Doctor Ling, don't take it seriously. The house matter is a big deal. Even if your family has a house now, you won't be able to move into your home when you get married. Girls nowadays are picky and want to be at odds with each other.

We live together with my mother-in-law. Since we have to buy a house in the final analysis, why not buy it earlier? If we buy it earlier, the pressure will not be so great. After a few years, the loan will have been paid off a lot." Lu Wenbin's eyes flashed and he looked at Ling Ran.

.

Ling Ran said "Oh" again, but still had no reaction.

Lu Wenbin couldn't bear it anymore and walked silently for a while and said: "Doctor Ling, I am going to buy a second-hand house with a down payment in front of our hospital. Do you want to look at it with me?"

Ling Ran finally came to his senses and asked, "Do you want to buy a house?"

"Yes, I just saved up enough for the down payment." Lu Wenbin smiled broadly and said: "The house is not only for living, but also for getting married, and for the children to go to school in the future..."

"Hello, Dr. Ling."

"Doctor Ling, we got a really big shrimp today. When do you come to the cafeteria, we'll ask the chef to cook it for you."

"The 40cm long tiger shrimp is so beautiful."

The young nurses who came towards me smiled and waved, and stretched out their arms to show the thickness and length of the tiger shrimp.

Lu Wenbin looked at their gestures and couldn't help but fell into silence.

At this time, I heard Ling Ran say: "I want to have an operation at noon, so just drink some milk, and then eat shrimp in the evening."

"No problem, then let's ask the master to defrost the shrimp slowly." The two young nurses waved their hands and left happily.

"Send a box of pine nuts to the nurse's station for me." Ling Ran told Lu Wenbin smoothly.
Chapter completed!