Wang Ning felt unhappy when he picked up the phone: "Hey, hey, hey, you can call me Wang Ning. What do you call me Lao Wang? Really, it sounds like swearing."

Dr. Yan and Wang Ning are old colleagues, and they are used to talking casually:

"Okay, okay, I'll call you Xiao Wang next time. Come here quickly. This patient is in a hurry."

"Okay!"

The surgeon is in the clinic downstairs and will be here soon.

He took a look, touched his belly, and said casually:

"It's okay, not tight, and there are no obvious symptoms of acute peritonitis. It's just a slight tenderness in the right lower abdomen. I suggest you do an abdominal CT to get a clearer picture. If it's acute appendicitis, just arrange for hospitalization and surgery."

Having said this, Dr. Wang whispered to Dr. Yan:

"In addition, you must first rule out the possibility of ectopic pregnancy. Don't find out you are pregnant only after doing a CT scan. That will cause trouble."

"It's okay. I've done relevant examinations to rule out the possibility of early pregnancy."

Every doctor is most afraid of encountering an early pregnancy that no one knows about. Otherwise, as soon as the X-ray is taken and certain medicines are taken, the patient finally bites back and says, I want to keep this child, and you are not doing harm to others.

Yes, be prepared to lose money.

The surgeon looked at the boy and girl and said a little uneasily:

"Little girl, you may have appendicitis. You have to ask your parents to come over. Hospital surgery is a big deal, so your parents can do it."

The girl was frightened and at a loss.

After all, Dr. Yan was a woman, so she felt a little pity for the girl, so she comforted her softly:

"Don't be afraid. You know the phone number of your parents' workplace. I'll call it for you. You go for a checkup first."

The boy and girl were both frightened: "Auntie, I, we didn't prepare that much money."

Yan Ning looked at the girls and saw that they were well dressed, with smooth skin and tender flesh. It was clear that their family's economic conditions were not bad, so he wrote "urgent" on the CT list:

"It's okay. You go get the CT scan first, and then you can pay for it together when your parents arrive."

"Thank you, aunt, thank you, uncle."

They didn't know how many times they had gone out for a checkup. Seeing the girl's pain, Dr. Yan and Dr. Wang both sighed. As parents, this is the worst thing to do.

About an hour later, the girl's parents arrived in a hurry and looked at their daughter's male classmate suspiciously.

16 is the age of middle school. What parents fear most is early love, especially if they do something scandalous, the whole family's reputation will be ruined.

The girl's mother quietly pulled over Dr. Yan and asked, "Doctor, what's going on with my daughter? Is it related to the boy?"

As both a woman, Dr. Yan knows what parents are afraid of, so she comforts them:

"Don't worry, it's not that kind of scandal. I've checked it and it's fine."

The girl's mother patted her chest after hearing this, and a smile immediately appeared on her face:

"It's okay, it's okay. It's good if nothing like that happens. But it's strange that she has been complaining about stomachaches in the past few years. We have also gone to the hospital several times for examinations, but we can't find anything wrong."

"At present, we initially suspect that it is appendicitis, and we are still waiting for the CT report. If so, we will have to be hospitalized."

"Appendicitis?"

The girl's parents didn't care as soon as they heard that this disease was not considered a serious disease in surgery. Although it would take a little pain, at least they would not worry about their lives and would recover quickly.

But after the CT scan was completed, the surgeon, Dr. Wang, took a look at the film and frowned a little:

"It is not acute appendicitis, nor is there bile duct stones, cholecystitis, cholangitis, pancreatitis, intestinal obstruction, gastrointestinal perforation, etc. There is no indication for surgery."

The girl's parents were stunned. They didn't understand what it meant that there was no indication for surgery. Is it a good thing or a bad thing?

"Doctor, you said there is no indication for surgery. Does that mean the problem is not big or is the problem big?"

Dr. Wang was a little impatient and raised his voice and said:

"There are no indications. It means that this abdominal pain does not require surgery. It is recommended that you consult a gastroenterologist for another look. After all, you have had abdominal pain for several years. It may be a chronic disease. You need to spend some time to check it out."

After Dr. Wang said these words, he left in a hurry. There was still an operation waiting for him to start, so there was no time for chatting.

The temper of a surgeon always comes and goes in a hurry.

Dr. Yan spent a long time looking at all the examination reports. Decades of clinical experience told her that the girl's pain was definitely not that simple. After all, ordinary intestinal spasm would not cause such pain.

However, after a round of checks, all the abdominal organs were normal, and for a while there was no explanation for the abdominal pain.

And the girl herself said that in the past, the pain would be relieved in about an hour, but these times the pain lasted longer and was more painful.

What patients fear most is that the doctor is silent, frowns, and has a cold face. If he sighs, he says to go back and eat whatever he wants.

That's basically a death sentence.

So the girl's parents were very nervous: "Doctor, how is my daughter doing?"

Dr. Yan didn’t know how to answer, so he could only shake his head:

"No problem can be found now. The problem that cannot be found is the most terrifying thing, because you don't know how to remove the root cause of the disease, so you'd better be hospitalized for a thorough examination first!"

The girl's parents were dumbfounded when they heard it.

But there is no way. Xijing Hospital is the best hospital in the entire northwest. If Xijing Hospital cannot diagnose the disease, there is no chance of going to other hospitals.

In this way, the girl was admitted to the Department of Gastroenterology.

It was very exciting after I was admitted to the hospital. Every corner of my body was checked. I spent thousands on medical expenses. The Gastroenterology Department of Xijing Hospital failed to find out the cause.

Not to mention parents who are dissatisfied and anxious, even doctors are anxious. After all, doctors also want face.

The director of the department, Liang Wenping, was furious. He slapped the table and called for a general consultation.

After get off work, the gastroenterology office was full of doctors. Whether they were outpatient doctors or inpatient doctors, they were all called in. No one was allowed to leave after get off work.

As the attending physician, Yan Changhong began to make a medical record report.

Every doctor listened very carefully and was thinking about the possible diagnosis? What is the cause? Which part of the body has not been checked properly? What other examinations have been forgotten?

Director Liang smoked cigarettes one after another, regardless of whether the female doctors next to him were waving their cigarettes in disgust.

"Everyone, tell me, what is going on with this patient? He has been treated for more than 10 days, and no matter whether he uses antispasmodics, analgesics, various antibiotics, or even hormones, there is no effect at all.

Comrades, do you know what parents just said to me? They said they thought Xijing Hospital was omnipotent and the most powerful hospital in the country, but in the end it couldn't even cure a stomachache. They were very, very disappointed with us.

The child's parents are both intellectuals, and they did not scold her. If they scolded us, everyone in the Department of Gastroenterology would be disgraced, and they should scold us. We have gathered everyone together today to work together, and no one can hide it.

If you have something to say, you have to fart."

Director Liang, who usually has a good-natured image, started swearing. Everyone knew that the director was really anxious.

How many causes of abdominal pain are there? Even the most professional doctors themselves may not be able to tell clearly.

So everyone started to discuss it.

Doctor A:

"I think acute inflammation of abdominal organs cannot be ruled out, such as acute gastroenteritis, acute corrosive gastritis, acute cholecystitis, acute pancreatitis, acute appendicitis, acute cholangitis, etc. Otherwise, how can we explain B-ultrasound, X-ray CT

No substantial lesions can be detected?"

Someone retorted: "Blood routine, erythrocyte sedimentation rate, D dimer and other indicators are all normal, which can rule out the possibility of inflammation."

Doctor B:

"We do not exclude patients from abdominal wall diseases, such as abdominal wall contusions, abdominal wall abscesses, and abdominal wall herpes zoster. In particular, herpes zoster can cause abdominal pain and neuralgia."

Another doctor retorted: "The problem is that no herpes has been found in the abdomen, and not a single one has come out. It has been so long, and it should have come out."

Doctor C:

"Thorax diseases are also possible, such as acute myocardial infarction, acute pericarditis, angina pectoris, pneumonia and pulmonary infarction, etc., which can cause severe abdominal pain and are difficult to detect."

Some doctors retorted: "The problem is that we have been hospitalized for 10 days now. If it is myocardial infarction and pericarditis, the patient cannot be jumping around now. The patient's pain is intermittent, and the pain occurs every few days. This is obviously not consistent with these critical conditions."

disease."

Doctor Ding:

"Then the remaining possibilities are rheumatic fever, uremia, acute lead poisoning, porphyria, abdominal allergic purpura, etc. These rare diseases cannot be ruled out, and comprehensive examinations must continue."

Director Liang was embarrassed when he heard this:

"I can't check any more. I have done countless tests in the past 10 days. I have done 3 CT scans alone. The trial medication and the examination fees have cost me more than 3,000 yuan, which is my year's salary."

No, if I check it again, my parents will really scold me."

At this time, a doctor suggested:

"Director, why don't we ask Mr. Tong to come for a consultation? We can't figure it out, so we can only ask our ancestors to take action."

"Teacher Tong, yes, let's ask Teacher Tong to come for a consultation."

"This is a good idea. Once Teacher Tong takes action, it will be an immediate success."

"Hurry up. Teacher Tong is in the outpatient clinic today. He has many patients and always misses work. He must still be in the hospital now."

"Let's go and invite him together."

The teacher Tong everyone is talking about here is actually Professor Tong Shanggao who attended the WGO conference in Texas with Chen Qi.
To be continued...