Great Doctor Ling Ran

Dr. Shan was optimistic about the medical records, and then entered the ward, found the 52 bed, looked at the other party, and looked at the medical records, saying, "Li Lu, I'm Shan Ming, our liver and gallbladder doctor in Yunyi, you just call me Dr. Dan. Let me check it for you. "

Li Lu is a little girl with a face of Gua Zi. She is about twenty-six years old. After listening to Dr. Shan's words, she didn't feel anything. The mother beside her bed was anxious first: "What's wrong with Li Lu?"

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

In the hospital, doctors' attitude towards real patients is relatively friendly, especially for patients whose indications conform to their main surgery, doctors are still more patient.

An attending doctor like Shan Ming has a monthly operation volume of about 20 to 30 units, with an average of two to three surgery days per week, which means that two to three operations are performed on each surgery day, which is equivalent to He said that before and after the operation day, what he needed to face was two to three patients, and the communication pressure was not great.

After looking at Li Lu's medical records, Shan Ming has determined that the other party is acute cholecystitis. However, whether surgery is necessary or not, further examination is needed, and Shan Ming will not say death until the results are obtained. of.

Li Lu's mother was a little anxious, but she was helpless, saying in her mouth: "It's not easy to get through the years. Your hand has just been injured. It's not good yet. Why do you want a liver and gallbladder doctor?"

Doctor Shan still smiled and said, "Come, I'll give you Murphy's sign."

Li Lu stared at Dr. Shan blankly.

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

The Yunyi emergency department is mostly three- and four-person wards.

The room was painted light blue, and tracks were inlaid on each bed. After the dark blue curtains were pulled up, a small examination room was formed.

Dr. Shan did not let his family leave, waited for Li Lu's posture, then slowly pressed the lower palm of Li Lu's right rib with his left palm. The thumb of his left hand found the position of the gallbladder, and then said, "You breathe slowly and deeply. "

"Dr. Ling did this check for me just now. It seems." Li Lu frowned slightly.

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

Doing the same test multiple times is a common occurrence in hospitals. The main reason is that doctors do not trust their colleagues. Because every doctor knows that colleagues can 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 they must not trust what is written on the medical records.

Surgeons are often unbelieving.

Murphy's test does not cost money to do, Dr. Shan must be done in person. Before, Murphy's sign had cholecystitis, even if the surgical index was reached.

Of course, it's not so easy now.

When the inflamed gallbladder touched Dr. Shan's depressing fingers, Li Lu suddenly pumped due to pain, which was generally the same as that of Ling Ran's test.

Now, both mother and daughter Li Lu know that the situation is not good.

Dr. Shan nodded and said, "It is initially seen as acute cholecystitis, but it is not too serious. You can check the inflammation first, and I will give you an abdominal CT, and you will do it."

"Okay." Li Lu's mother agreed, and then asked, "Acute, isn't it dangerous?"

"Acute cholecystitis is a minor illness for us."

Li Lu's mother breathed a sigh of relief: "That's good, that's good. Hey, life is not good, I have three times a day of pigeon soup, old hen soup, and old duck soup, catfish soup, and I still get This new disease ... "

"Just because you have too much protein." Doctor Shan shook his head helplessly.

"Did you eat too much?"

"Well, eating too much is too good, it is easy to get pancreatitis and cholecystitis."

Li Lu's mother was dumb, and suddenly said, "I blame my wife for letting him grow flowers but not for him, but he wants to raise pigeons and chickens and ducks. A good lotus pond is so beautiful. He raises catfish. Isn't there too much stuff to make, so am I anxious to cook the soup? "

Dr. Dan also listened to it, and for a long time enviously said: "Now the village life is really good. Unlike us, looking up at the sky, bowing down is reinforced concrete. I am in the hospital and I work for 20 hours in one breath. Back At home, the vegetable market is closed. "

"My home is the same." Li Lu's mother sighed and said, "My family lives in Daguanying, a few miles away from the hospital. I bought four villas at first, and just surrounded a few acres of land, thinking about what I can finish myself. Something to raise, but it can't be compared with the real village, first of all, the air level is different ... "

Dr. Shan's mind jumped out of Yunhua's house prices, the price of the villa area in Daguanying, and the compatibility of several acres of land, which made his gallbladder tremble.

Suddenly, Dr. Shan had a new idea, and said, "In this way, I'll measure your blood pressure and heartbeat ..."

Five minutes, Dr. Shan left the ward silently, only to Lu Wenbin: "Transfer the patient to our department."

Lu Wenbin naturally did.

The emergency department will not carry the word "emergency" because of acute cholecystitis, and it is necessary to carry out this operation. At least so far, none of the doctors in the Yunyi Emergency Department are interested in doing cholecystitis, and besides doctors like Ling Ran, ordinary emergency doctors have no willingness to rush surgery with professional departments.

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

Ling Ran watched Lu Wenbin sign the transfer department's form, and he was at the side deputy, staring at the empty bed in a daze.

"You don't want to check out other patients from other patients, and then give them to the referral department." Lu Wenbin said with a somber voice.

Ling Ran grinned: "It's impossible."

"This is your conclusion." Lu Wenbin twitched and said seriously: "Dr. Ling, the key to this problem is that you shouldn't think so."

"Let's help our patients to detect hidden diseases, shouldn't we?" Ling Ran asked.

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

Ling Ran said: "Logic can't go wrong."

"So, do we still have to take a part-time medical diagnosis?" Lu Wenbin sighed heavily, took Ling Ran's arm, and walked outside the ward while saying: "Dr. Ling, I didn't say, except for surgery, you just Don't want to do something else? "

"Like what?"

"Buy a house of your own?" Lu Wenbin said here, and his mouth could not help but said, "Your surgery fees actually make a lot of money, just a little bit together, enough for a down payment for a house, It ’s not that I say, girls now, when they get married, they have to have a car and a house. It ’s even worse when you go on a blind date. You do n’t have a car or a house. Can't do it ... "

Ling Ran heard "Oh" and did not respond.

"Hey, Dr. Ling, do n’t take it seriously. The house is a big deal. Even if your house now has a house, you wo n’t be able to move to it when you get married. The girls now are picky and demand discord Since my mother-in-law lived together, in the final analysis, I have to buy a house, why not buy it earlier. Buy it early, the pressure is not so great, and after a few years, the loan has been paid back a lot. .

Ling Ran said "Oh" again, still nothing.

Lu Wenbin couldn't bear it and walked silently, saying, "Dr. Ling, I'm going to pay a down payment for a second-hand house in front of our hospital. Would you like to see it with me?"

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

"Yes, just enough to pay the down payment." Lu Wenbin smiled openly and said: "The house is not only a residential function, like marriage, children go to school in the future ..."

"Doctor Ling is good."

"Dr. Ling, we got a big shrimp today. When do you come to the cafeteria, we call the chef to do it for you."

"A 40-centimeter-long tiger prawn is beautiful."

The oncoming nurses waved their hands with a smile, and stretched out Bai Shengsheng's arms, marking the length of the tiger shrimp.

Lu Wenbin looked at their gestures and fell into silence.

At this time, I heard Ling Ran said: "I want to have surgery at noon, just drink some milk and eat shrimp at night."

"No problem, then we let the master slowly thaw the shrimp." The two little nurses waved hands and left cheerfully.

"Help me send a box of pine nuts to the nurse station." Ling Ran urged Lu Wenbin.

Lu Wenbin bowed his head and muttered to himself: "I'm going to buy a house, why should I be your intermediary for such transactions ..."