Chapter 884 The Disease You Made up, Right? (Add 2 for the Pit in the Sky for the Leader)
Hearing Li Yue's words, Chen Cang was stunned.
"That five-year-old boy?" Chen Cang asked back, "I think he's recovering well?"
Li Yue also frowned. He pushed his glasses and couldn't help thinking: "Well, the operation went well!"
There was no abnormality in the operation and operation, and there was no infection in the incision. This sudden fever was obviously abnormal.
What the hell is going on?
At this moment, Chen Cang suddenly received a system prompt:
【Ding! Trigger the mission to save Li Yue. After the operation is successful, you can get a random skill of Li Yue! 】
Chen Cang was stunned for a moment, it seems that this is not a simple matter...
Chen Cang has a deep understanding of Li Yue's level. He has excellent clinical skills and a solid theoretical foundation. This is a man who likes to carry a few pieces of paper in his pocket anytime, anywhere.
Li Yue has a habit of reading a paper every day. This habit has been maintained since he went to work.
And now the task shows that it is a problem that Li Yue can't solve, which must mean that it is a big thing!
While talking, the car finally arrived at the emergency door very well.
Li Yue got up and got down, followed by Chen Cang.
Nurse Xiao Ke saw everyone and said quickly, "Dr. Li, Dr. Chen, the patients are all in the emergency room."
"Be careful, this... that little boy's mother is a reporter, and his father seems to be a lawyer!" Xiao Ke warned carefully.
Li Yue nodded, this sentence is obvious, this is telling him not to talk nonsense.
After entering the emergency room, the little boy was already on the monitor.
Zhang Yuan and Yang Hui are already busy.
Seeing Li Yue and Chen Cang coming in, he quickly said, "Mr. Li."
When Helan and the man saw Li Yue, they said anxiously, "Dr. Li, was there any accident during the operation?"
Li Yue shook his head and insisted: "There was no accident, the operation went well, and the video of the operation is also saved and can be viewed at any time!"
Hearing Li Yue's words, Helan and his wife looked at each other: "Dr. Li, we are not here to make trouble, we are really anxious, and the child suddenly has a fever."
Li Yue nodded, looked at the restless little boy lying on the bed, crying and making trouble, turned to Helan's family and said, "Well, you go to the rescue room first, I have something to call you, and I will see how the child is doing. something."
When Helan heard this, although he was a little reluctant, seeing Li Yue's serious face, he was about to go out.
The man was a little stubborn: "No, I don't know the reason, I won't leave, I'm here, I won't disturb your treatment, but I hope you don't have anything to hide from us."
Obviously, the man already believed that this was a medical dispute, because Li Yue's irresponsibility caused the child's repeated illness!
Seeing this, Li Yue couldn't help shaking his head, and the two nurses in front of the nurse desk in the rescue room were also nervous.
Li Yue thought about it, walked directly towards the patient, and said to the child:
"I rub my stomach and relax. I press it and tell me if it hurts."
The little boy was lightly pressed by Li Yue, and suddenly wailed: "It hurts, I'm so uncomfortable, help me..."
"Please, don't press it! It hurts..."
Li Yue frowned, and saw that the abdominal pain was very obvious, accompanied by abdominal muscle tension.
"What's the temperature?"
Zhang Yuan: "39.5 degrees Celsius!"
Is it peritonitis?
This possibility popped up in everyone's mind.
Chen Cang also saw all this in his eyes.
Full abdominal tenderness, abdominal muscle tension, rebound, nausea and vomiting, high fever!
The peritoneal irritation sign is very obvious!
This satisfies almost all manifestations of peritonitis.
Li Yue asked, "Has the blood routine been done?"
Zhang Yuan nodded: "Blood was drawn, and abdominal puncture was also performed. They were all urgently checked. It is estimated that it will take about 10 minutes."
Li Yue nodded.
Now, everyone is highly suspicious of peritonitis.
At this time, Yang Hui handed over the x-ray: "The x-ray is normal."
Li Yue took a look and found that there was no free gas, no perforation, no obstruction, or volvulus...
Now, all the blame is on peritonitis.
There was silence in the room.
The man behind couldn't help but ask, "What's going on?"
Li Yue said calmly: "Wait for the result! Be quiet."
The man was at a loss for words: "What attitude, I'm a lawyer! Be careful..."
Li Yue: "I'm a doctor. If it's my problem, you can sue me!"
With a single sentence, the scene suddenly became anxious.
No one wants to deal with the media and lawyers because they are more sensitive.
But Li Yue was very confident in his treatment plan, and he didn't think it had anything to do with him.
"After you are discharged from the hospital, what do you give your children to eat? Do you have anything to drink?"
Helan took a breath, trying to ease the atmosphere: "Doctor, don't be angry, my wife is a little excited and anxious."
"After the child was discharged from the hospital, he had always been on a light diet, which was well-digested food."
This time, the results are back!
Leukocytosis, infection is definitely there, but no abnormality was found in the examination of ascites.
Now, the clue is suddenly broken!
Zhang Yuan couldn't help but suggested: "Mr. Li, do you want to open the abdomen again?"
When the man behind him heard it, he nodded immediately: "I suspect that there must be something wrong with your operation!"
Li Yue was frowning and thinking.
Chen Cang's eyes suddenly lit up: "It's not peritonitis, nor is it an intra-abdominal complication, and there is no accident in the operation."
"The patient is fifth day syndrome!"
As soon as these words came out, Li Yue suddenly froze for a moment.
And the patient's father was suddenly frightened by the name: "What do you mean?"
Chen Cang couldn't help but said: "This is the fifth day syndrome after appendectomy in children. The operation went very smoothly during appendectomy, but on the fifth day, abdominal pain and high fever suddenly appeared, and after a few hours, it developed into Similar signs of diffuse peritonitis!"
After speaking out, the patient's family was suddenly stunned, and couldn't help but sneer: "Are you kidding me?"
"Everything went well, but high fever? Abdominal pain? Do you think we don't understand medicine? There must be a cause for everything, right?"
"Fifth day syndrome, does my son have to make up a sixth day syndrome if he has a fever tomorrow?"
"The appendix was cut, and the fever was unknown. It must have been an accident during the operation!"
Chen Cang couldn't help shaking his head, is the appendix really useless?
Of course not, it will definitely be useful, just because modern medicine has not researched it.
And as for the fifth day syndrome, it's also true!
However, the cause is still unclear. Some people think that it may be caused by immunodeficiency and weakened defense function.
At this time, Helan quickly grabbed the man and whispered, "Maybe it's true!"
The man was stunned for a moment, only to see Helan handing over the phone. After the man saw it, he was suddenly blinded!
Do you really have this disease?
For a time, the man was extremely ashamed and didn't know what to say.
After a while, he said, "Fifth day syndrome...is the sixth day just fine?"
Helan couldn't help covering her face, how could she be so confused as a law student?
"Okay, you go outside and wait, I'll talk to the doctor!"
"Doctor, I'm really sorry. My wife is confused. We don't trust us, we're just in a hurry! Don't worry about it, how should you treat it? We will cooperate actively!"
Li Yue nodded: "Well, don't worry, this is our responsibility."
After the family members left, everyone stared at Chen Cang and was full of emotion!
"Mr. Chen is too good!"
"Yeah, male god...you're amazing!"
Li Yue couldn't help looking at Chen Cang and smiled: "Thank you."
As a doctor, no one can guarantee that they can face all situations calmly, because the diseases themselves are diverse, and even if you have been studying and working hard, there will always be some blind spots in knowledge.
That's why healthcare is a collaborative role, not a one-man job.
Chen Cang couldn't help but smile: "I was just doing research recently, so I thought of this disease."
In fact, Chen Cang is perfect for appendix surgery, and the role of the special training card is not wasted.
Unexpectedly, when I thought that the most trivial appendectomy, when I thought the special training card was overkill, suddenly showed its residual heat.
However, even so, Chen Cang was very sorry. After all, who would have thought of fifth day syndrome?
Seeing Chen Cang's modesty, everyone couldn't help but smile: "Okay, Mr. Chen, don't be humble."
"Yeah, I really don't know what else you can't do?"
"Yes, yes, I don't think you need to study. Why don't you come here to be the director?"
The double-reed duo couldn't help booing.
Once the diagnosis is clear, the treatment must follow.
Yang Hui couldn't help but ask, "Mr. Chen, what should I do with this? Do I need surgery?"
Chen Cang shook his head: "Conservative treatment is the mainstay, and surgery is often unnecessary.
Fasting, intravenous fluids, continuous nasogastric tube decompression, and antibiotics are necessary and effective for the treatment of this syndrome. "
After finishing speaking, Chen Cang warned: "However, it is important that after encountering appendicitis in children in the future, you must ensure that you can be discharged after the sixth day, so as not to miss the fifth day syndrome and delay the treatment."
Li Yue couldn't help but sighed, he was just too confident.
As a doctor, self-confidence is a good thing, but you must not be blindly confident!
The patient was hospitalized again and was observed.
The farce ended, and everyone breathed a sigh of relief.
The emergency room is a really worry-free place.
Zhang Yuan and Yang Hui followed behind Chen Cang: "Mr. Chen, is this appendix really useful?"
Chen Cang pondered for a long time, and couldn't help but say: "This may be your wisdom root! Maybe you can get the way to soar!"
Zhang Yuan was taken aback: "Are you kidding me?"
Chen Cang rolled his eyes: "How do I know, I'm from 2088. At that time, the function of the appendix was not discovered yet, so you can't blame me!"
When Zhang Yuan heard this, he immediately became happy: "Who is my wife?"
Yang Hui: "Can you have a wife? No, can you live to 2088?"
...
ps: In order to finish writing this story, it will be delayed until now.