Doctor: It's reasonable to perform surgery on yourself.

Liu Susu rested for a while, then curled her lips and said, "You have done a good thing. I won't urge you to insert a urinary catheter for the patient today."

Wang Fan was in a good mood: "Thank you, Sister Liu!"

Liu Susu did not comment, came to Xu Qiu, helped clean the table, and warned: "Doctor Xu, you can rest more in the future."

Xu Qiu nodded: "Thank you Susu."

Liu Susu smiled softly, returned to her work station, and brought all the snacks over.

“It’s almost time to open a canteen.”

Wang Fan was greedy.

Soon, the sound of an ambulance sounded again from the other side of the hall, and everyone present stopped what they were doing.

"Let's go."

Xu Qiu stood up, grabbed the red pen and stuffed it in his breast pocket, and led everyone towards the hall.

…

Emergency Department lobby.

The patient was quickly transferred to the emergency flat car. When Xu Qiu arrived, the doctor on board the car paused and immediately came over to greet him.

"Doctor Xu!"

Xu Qiu walked towards the patient and asked, "What's going on?"

"Female, Du Lingling, 23 years old, suddenly convulsed and fell to the ground while dancing salsa in a bar, suffering from abdominal pain!"

Women of this age...ectopic pregnancy?

This was Xu Qiu's first judgment.

He came forward for a physical examination.

The abdomen is slightly bulging, with some small scars scattered here and there, and there is tenderness and rebound pain throughout the abdomen.

"The skin is slightly yellowish..."

Seeing this scene, Xu Qiu probably had a guess in his mind.

He placed his hand on the gallbladder area of ​​Du Lingling's upper right abdomen and said, "Take a deep breath."

The patient endured the pain and cooperated. Halfway through taking a deep breath, she suddenly screamed and then violently exhaled the air in her lungs.

"It hurts! It hurts!"

Xu Qiu took off his gloves.

At that moment, he felt the inflamed and swollen gallbladder. It was precisely because of this that the patient was forced to stop taking deep breaths due to the sudden severe pain.

This is a positive Murphy sign.

Acute inflammation of the gallbladder is extremely typical.

"Blood routine, biochemistry, B-ultrasound..." Xu Qiu arranged the inspection measures.

A few hours later, the results came back.

Routine blood count showed increased white blood cells, indicating infection.

Mild anemia.

The dynamic B-ultrasound showed that Du Lingling had multiple stones in her gallbladder area, the largest of which was .

It indicates the presence of obstruction and gallbladder wall thickening.

"Do another liver function."

Thickening of the gallbladder wall is a manifestation of long-term stone inflammation. Coupled with the occurrence of obstruction, high vigilance for liver damage is required.

"Communicate with the patient and arrange inpatient surgery."

A stone of three centimeters must be removed surgically. If it is not treated, it will be life-threatening.

That afternoon, Du Lingling was admitted to the hospital, and her boyfriend also arrived, ready to sign for the operation.

When the shift was handed over early the next day, the doctor who took over the shift highlighted Du Lingling in bed 41.

"Severe pain in the whole abdomen, the pain is intermittent, and the pain radiates to the right shoulder and back.

No headache or dizziness, no nausea and vomiting, no acid reflux...

He was admitted to the hospital for 'cholecystitis' and given anti-inflammatory, choleretic, symptomatic and other oral medications...

The abdominal B-ultrasound examination confirmed the diagnosis of ‘1. Chronic cholecystitis; 2. Gallbladder stones (multiple)’…

Schedule surgery within a time limit. "

In surgical arrangements, there are three levels according to priority.

Emergency surgery is the most serious, which means emergency surgery must be performed in the shortest possible time, otherwise it may be life-threatening.

Time-limited surgery is relatively safe, but it needs to be performed as soon as possible, otherwise the condition will be delayed.

Finally, there is elective surgery. Compared with the time of surgery, it requires waiting for the best time for surgery, so it is often performed after full preparation and observation.

Du Lingling's disease is a time-limited surgery and is not life-threatening, but if not treated quickly, it may cause liver damage.

After Wang Ping listened, he nodded and said, "We'll talk about her during the ward rounds."

…

According to the normal procedure, Du Lingling should have been sent to the Hepatobiliary Surgery Department long ago.

The emergency department is engaged in life-saving work. Occasionally, there are emergency surgeries, and only two or three surgeries are involved.

There are often little boys running over in the middle of the night with their crotches covered. Basically, they are dishonest after circumcision surgery, and the sutures have collapsed due to the enlargement or the enlargement.

For people like this, the emergency department will help with disinfection and stitches.

However, since Xu Qiu arrived, the status of the emergency department has undergone subtle changes.

I dare to undergo many surgeries.

Moreover, it is better than a specialist.

Du Lingling's gallbladder surgery was held back by Xu Qiu, who planned to perform it himself.

"The inflammation of the gallbladder is very serious. These stones must be removed as soon as possible. If it continues, the entire gallbladder will have to be removed..."

After checking the room, Wang Ping gave Xu Qiu a warning.

However, the more he spoke, the softer his voice became. Facing Xu Qiu, he suddenly felt a little less confident.

"What kind of surgery are you planning to do?" Wang Ping asked.

"Endoscope."

"Endoscopic surgery is good, with small wounds and quick recovery. However, the patient's stone is so large that classic laparotomy is more conducive to comprehensive judgment..."

Wang Ping is a conservative.

For this kind of patient, he will not pursue small wounds, but first ensure safety.

Of course, this is just the way he operates.

He covered the patient with a quilt and was ready to end the ward round.

"Wait a minute."

Suddenly, Du Lingling stopped everyone.

"What's wrong?" Wang Ping asked.

The interns also looked over at the same time.

Du Lingling's throat moved several times, her eyes flickered, and finally she mustered up the courage to say: "You, can you go out? I want to talk to Doctor Xu alone!"

"Okay."

"Doctor Xu, treat him well!"

"It's really a society that values ​​appearance. They don't even tell us ugly people about the condition, woo woo woo..."

Wang Ping led everyone to continue the ward rounds.

In their eyes, as long as Xu Qiu is there, there will be no problems.

...

"Go ahead." Xu Qiu looked at Du Lingling on the bed.

"My boyfriend went to buy breakfast..." Du Lingling explained.

Xu Qiu was silent.

What is this for.

"I asked him to buy you one too. Do you want to eat it later?"

Xu Qiu shook his head.

After eating this breakfast, when you are on the operating table, does he feel a little involved when I cut you?

"I've eaten it."

"Oh... you can eat it too. Did you perform the surgery on me?"

"Yes."

"Then I'm relieved. This is my first surgery. I'll remember you."

Xu Qiu thought about the scars on the patient's abdomen. The holes were obviously laparoscopic surgery.

The patient had no history of miscarriage, but had dysmenorrhea and irregular menstruation.

"You've had a cystoscopic surgery."

Du Lingling was exposed without changing her expression. She stammered, "Well, that was the first surgery you performed on me!"

Xu Qiu had no expression on his face.

He was already thinking about how to cut Du Lingling, where to cut, and whether there would be serious adhesions when the gallbladder triangle was ligated with the gallbladder duct and gallbladder artery...

Thinking of this, he showed a satisfied smile on his face.

This surgery is really interesting...

Du Lingling also smiled foolishly when she saw this scene.

I successfully made Dr. Xu laugh. It seems that I am still very lively and cute!

"What do you want to talk to me about?"

At this moment, Xu Qiu interrupted Du Lingling's silly smile and prepared to leave the ward.

He just wanted to quickly paralyze Du Lingling and push her onto the table for surgery. He didn't have time to chat about some meaningless topics here.

"Hey, don't leave, I really have something to report!" Seeing Xu Qiu was about to leave, Du Lingling directly lifted the quilt, revealing two long legs wearing black stockings underneath.