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Chapter 452: Disobeying advice and insisting on transfer(1/2)

 But Piet was obviously a little impatient. He picked up various reports and asked:

"So Dr. Chen, why don't all the examinations in your country support your point of view? How do you explain this? Do we doctors rely on our own inferences when seeing patients? Then what is the point of these auxiliary examinations?"<

/p>

Chen Qi: "You also said that auxiliary examinations only play a supporting role. As doctors, we should look at clinical symptoms and physical examinations. If we rely entirely on machines to treat patients, it is sometimes easy to make mistakes in judgment.

For example, if you bump your head, you immediately go for a CT scan, and the results show that the CT scan is normal. Experienced doctors will never think so, and will ask the patient to observe, because the head is prone to delayed bleeding, which may be 6

Hours, maybe 8 hours, maybe bleeding occurs every other day?"

Piette: "The example you gave is a special case. Now we are talking about a small case of appendicitis. This is a very easy disease to diagnose. I think we don't need to make it so complicated.

I don’t know how your Chinese doctors treat patients. Anyway, Newster Hospital in England, where I studied, will decisively choose surgery to solve the patient’s pain, instead of delaying the condition because of a few doubts. What if the appendix is ​​perforated?

Do it?"

The Chinese and Serbian doctors at the scene looked at Chen Qi and Piet going back and forth with each other, and they were so angry that they dared not speak out.

From a normal academic discussion, these two people obviously became a little angry.

In comparison, Chen Qi is relatively calm, and he never doubts his diagnosis.

Black people are generally more impulsive and not good at forbearing, so Piette's eyes have already popped out.

At this time, Qi Yunming got the news and hurried over. Seeing that although the two parties were smiling on the surface, they were secretly at war with each other, so he could only persuade them to reconcile.

"Sir, you are all doctors. It is normal for doctors to have different opinions. Otherwise, we would operate immediately. Wouldn't it be clear what the reason is?"

Piet shook his head:

"Sorry sir, I think my brother-in-law, the patient, needs to go to a better hospital to receive better treatment. Could you please let me borrow your phone number? The best hospital in Sierra Leone, Freetown National Hospital, will be there soon."

An ambulance will be sent."

Qi Yunming was a little anxious when he heard it, and he stuttered a little when he spoke:

"This, this, why is this necessary? Our President Chen is a director of the International Medical Association, so his words should not be wrong."

Piette was surprised when he heard this. He is a doctor and understands the importance of the two directors of the International Medical Association.

To put it bluntly, there is currently no director of the International Medical Association in the entire country of Sierra Leone. If Chen Qi really has this status, then he will have to re-examine it.

"Excuse me, which two medical associations are Director Chen a director of?"

Yi Zewen coughed lightly beside him, "One is the ICPF Medical Association, and the other is the FSSH Medical Association. They are also one of the few international double directors."

When Piette heard this, he almost burst into laughter.

"Oh, it turns out they are plastic surgery and hand surgery. Haha, not bad, not bad. Dr. Chen is great. Mr. Qi, can I borrow your phone?"

When Yi Zewen heard the tone of the black man in front of him, he was about to teach him a few words, but was stopped by Chen Qi, who said in Vietnamese and Chinese dialect:

"What's there to argue about? Can my identity be the same as his? Let them do whatever they want. It's going to rain and my mother wants to get married. One of the most taboo things for a doctor is arbitrariness, and the other is bookishness. This guy

If Dr. Black is guilty of both, this operation will not be successful."

Qi Yunming also quietly asked in dialect:

"Chen Qi, are you sure this isn't appendicitis? I don't know where this black man got his confidence, but he actually looks down on us."

Chen Qi pouted and chuckled:

"You didn't hear that he introduced himself just now. He started talking about which foreign university he graduated from and which hospital he interned in. In our domestic terms, this is a turtle who drank foreign ink, so it's normal to be a little arrogant."

After all, Mrs. Adem is an official's wife. She is unusual in the city. She still said politely:

"Dean Chen, my brother has such a temper. I apologize to you on his behalf. I sincerely thank you for your help. So many people stayed awake for my husband. Thank you so much."

The meaning of Aunt Hei's words is very clear. Thank you, we still ask for transfer.

Chen Qi didn't care after hearing this. He was not his biological father, so there was no need to say anything else:

"For the sake of China-Serbia friendship, madam, you don't have to be too polite. You can always be there if necessary."

About an hour later, the ambulance from the Freetown National Hospital arrived. Adem was put on the ambulance while shouting that he was in pain.

Piette didn't speak or pay attention to anyone during the whole process. He drove his off-road vehicle and left the China-Serbia Friendship Hospital with the ambulance.

Qi Yunming stood at the gate of the camp, feeling quite disappointed.

"Hey, why don't these black people listen to advice? Isn't it good to have an international double director to treat them? Really. Hey, Chen Qi, why are you going?"

Chen Qi had already turned around and walked towards the kitchen, and the voice came from far away:

"Vivian's family has sent a lot of crabs this evening. I'm going to cook them for a midnight snack. I'll have enough to eat before I have the strength to work."

When the doctors around him heard this, their eyes lit up and they followed quietly.

Qi Yunming frowned as soon as he heard this: "Eat, eat, eat, you know how to eat all day long, be careful of eating too much and you will become obese. Hey, wait for me, save some for me..."

Freetown National Hospital, operating room.

Piet was undergoing an operation, and he felt very unhappy at the same time. He thought that these Chinese colleagues could not even deal with the simplest case of appendicitis, and they were really here to fool the Sierra Leoneans.

During the operation, the abdominal cavity was first opened and a small amount of light yellow exudate was found inside.

Piet breathed a sigh of relief and thought that fortunately it was not purulent, which meant that the disease was relatively mild.

This is also consistent with the preoperative evaluation and examination report.

The appendix was successfully found.

The appendix is ​​located at the intersection of the small intestine and colon. It is a blind end, the size of an adult's little finger.

Because the appendix is ​​a blind end organ, it is very easy to become inflamed if fecal stones block the lumen. This is why the incidence of appendicitis is so high.

The appendix was seen, but it was different from what was predicted before the operation.

This appendix is ​​only slightly congested and edematous, not as congested and thick as imagined.

For example, the doctor thought that the appendix might be swollen like a pig's head, but it turned out to be just a little swollen. This is problematic.

Such appendiceal lesions are not enough to cause such severe abdominal pain, which proves that there is a problem with the diagnosis of appendicitis and a misdiagnosis has occurred.

Another surgeon next to him was very alert and suddenly said:

"Piete, maybe the appendix is ​​not the murderer."

At this time, sweat began to streak across Piet's back, and a chill rose from the soles of his feet.

If the appendix is ​​not the main cause of this abdominal pain, what problem could it be? Is it true that Chen Qi from Friendship Hospital was right, and are there really other problems?

But what useful information did Chen Qi say before? Yes, inner ring entrance.

What's the problem with the inner ring? Why didn't he explain it clearly?

Piet was a little confused. An accident occurred during the operation. Can he calm down quickly and make the most prepared judgment to minimize the loss?

This is the difference between an excellent surgeon and an average surgeon.

Piet is obviously not an outstanding person, and now he has a feeling of being in a state of confusion, because he doesn't know at all that there is a problem here at the inner ring entrance. What is the problem?

Now the patient is lying on the operating table with his abdominal cavity opened, but he doesn’t know what the cause is? If he were on the football field, he would basically be sent off with a red card.

The surgeon next to him saw Piet in a daze and quickly reminded:

"Piete, Piette? What's wrong with you? What should we do now?"

Piette refused to give up, "Hurry up and call the director of surgery, and also call the surgeon on duty in the ward. Let's discuss what's going on? Hurry!"

The Department of Surgery at the Freetown National Hospital quickly came for a consultation that night, but all the evidence showed that it was appendicitis.

At this time, the director of surgery suggested, "How about closing the abdomen directly? Maybe this is just a simple appendicitis, but the patient is particularly sensitive to pain?"

Piet shook his head. The patient was his brother-in-law. No one knew better than him. His brother-in-law was usually a very strong person. He had also been injured on the battlefield. He was definitely not a sissy who screamed at the slightest pain.

.

How can it be so unbearable to have a little appendicitis?

When Mrs. Adham heard that her husband's operation had been suspended and she didn't even know the cause of the illness, she became anxious:

"Hurry, go to the China-Serbia Friendship Hospital to ask for Director Chen, hurry, damn Piet, it's all you, what can you do if you don't have the ability!"

Okay, I helped for a long time without a word of thanks. If something goes wrong, I will be blamed first.

When the ambulance from Freetown arrived at Friendship Hospital at high speed, Chen Qi was already a little drunk.

The seafood in Africa seems to be free. Such a big conch, such a big crab, dipped in vinegar, and a bottle of German dark beer, you are like a god.

Several men gathered together, enjoying delicious food and bragging.

Chen Qi was telling everyone about the farce that happened in the Jin family. When they heard the final fate of the Jin family, everyone felt sad.

At this time, several unscrupulous doctors from Freetown Hospital broke in. When they saw Chen Qi, they shouted:

"Dr. Chen, Dr. Chen, we need your help. Adem, who you treated before, is now on the operating table. He is sure that the severe abdominal pain is not caused by the appendix. Now we need to ask you to help us save the day!"

"Ha, what did I say?"

Chen Qi was half drunk: "If you don't listen to the old man, you will suffer a lot. Do these black guys know who is Lord Ma now?"

Qi Yunming became anxious upon hearing this:
To be continued...
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