Falling behind at the start, the first surgery shocked the world.
Chapter 95 Intestinal Infarction Patients
Could she have fallen in love with me?
...How can you say you've fallen in love when you've never even been intimate with someone?
I think I still like it.
Hey!
A handsome guy like me is loved wherever he goes.
After a brief moment of romantic bliss, a patient was admitted to the emergency room.
The patient, who was in his early forties, was not wearing a mask and was helped in by two colleagues.
The three of them were covered in sweat, looking flustered and anxious.
"doctor."
"He had been experiencing stomach pain, nausea, and vomiting."
"Look, has he eaten something bad?"
The older brother spoke with a strong Minnan accent.
Summer quickly jotted down two keywords.
Stomach ache and vomiting.
"Have the patient lie down, let me take a look."
With the help of the two people, the patient lay down on the examination bed in the emergency room.
Gently press on the abdomen above the navel.
Does it hurt here?
The patient kept nodding: "It hurts, it hurts, it hurts everywhere."
"Where is the most painful spot?" Xia Tian asked.
Abdominal pain can be caused by many diseases, even stomach discomfort, but there is usually a point of intense pressure, the place where the pain is most intense.
For example, in appendicitis, the pain point is in the lower abdomen.
"The area around my navel is the most painful."
Summer: "How long has it been hurting?"
"I've been in pain since last night, and I'm also vomiting, but I can't poop. I feel a bit constipated. Doctor, do I have enteritis? The boxed lunch I ate last night didn't seem to have very clean meat."
"Treatment for enteritis isn't expensive, is it?"
Summer recorded the patient's symptoms and spoke in a professional tone.
"Enteritis can cause abdominal pain and vomiting, but not constipation."
"I'll order a few tests; please get them done first."
Complete blood count, ultrasound, CT, MRI, celiac artery angiography.
Five tests were ordered in one go.
"Take the receipt to pay the fee and get in line for the checkup."
"Tell the nurse you're in the emergency room, the examination will be faster."
The man held the medical report, a look of embarrassment on his face.
"Doctor, so many tests..."
"That must have cost a lot of money, right?"
"A blood routine test costs 25 yuan, an abdominal ultrasound is not expensive at 60 yuan, a CT scan is slightly more expensive at 200 yuan, an MRI is a magnetic resonance imaging, which costs around 600 yuan, and a celiac artery angiography costs around 1000 yuan."
The summer heat made the man's already unpleasant complexion even worse.
"Wow, it's so expensive..."
"Doctor, please prescribe some painkillers for me. I probably ate something bad, and I'll be fine tomorrow."
The man had dark skin, and his old face was etched with the bitterness and vicissitudes of life. Every time he heard a price, his eyelids would twitch.
The man's appearance reminded Xia Tian of her father.
His father was only around 40 years old when he passed away.
Xia Tian softened and said, "How about this, you get your blood routine, ultrasound, and CT scan done first."
"If everything is fine after the procedure, then you don't need to do an MRI or angiography."
The man was still somewhat hesitant.
She muttered to herself, "These three aren't cheap either; they'll cost 300 yuan."
The two people accompanying him were probably from his hometown, trying to persuade him in their local dialect.
Xia Tian couldn't understand the dialect very well, but from the expressions of the two people, he could tell that they were advising him to see a doctor when he was sick and not to worry about the money.
"Alright."
"I'll do it right away."
The man clutched his stomach and took the bill to pay.
After the three left, Xia Tian called out to Wang Xiaobei.
"Xiao Bei, come here for a second."
Wang Xiaobei had just finished treating a woman with a burn when she heard Xia Tian's call and immediately ran over.
"Follow the three people who just went out."
"Tell the nurse to hurry up and examine the patient."
"I suspect the patient has an intestinal infarction."
Summer frowns.
Intestinal infarction, also known as intestinal obstruction, has a sudden onset and can cause symptoms such as abdominal pain, vomiting, constipation, and dehydration.
There are many possibilities for intestinal infarction.
Intussusception, volvulus, mesenteric thrombosis, etc.
There is no particularly good treatment for intestinal infarction in medicine. Once it is discovered, surgery is required immediately. If it becomes serious, it can lead to intestinal ulceration and threaten the patient's life.
Upon hearing the word "intestinal obstruction," Wang Xiaobei immediately dropped his playful expression and nodded quickly with a serious look.
"Okay, I'll go right away."
Wang Xiaobei ran out.
Li Yajun, who was standing to the side, opened her thermos, took a sip of tea, and said to Xia Tian with a smile.
"You diagnosed the patient with intestinal obstruction just from a consultation?"
How confident are you?
Since the two shook hands and made peace, they have been discussing patients in their spare time, just like old colleagues who have worked together for many years.
Xia Tian laughed and said, "I wouldn't dare say 100%, but I'd say 95%."
"95%, that's quite confident." Li Yajun joked, "When I was in school, I told my classmates that if I were to get married, I would marry a confident person. Of course, a confident person also needs to be capable."
I don't like blind self-confidence.
Summer smiles sheepishly.
Li Yajun is targeting him.
Doctors must be very careful with their words. If they say something before the test results are available, and the patient hears this, and the test results are different, it can cause a doctor-patient dispute.
Sister Li meant well.
But I'm a man with a system, yay!
He was all smiles on the surface.
"Then I'll work hard to make Sister Li like me."
Half an hour later, Wang Xiaobei rushed back to the office with the test results in hand and said quickly.
"The patient's white blood cell count and neutrophil percentage are elevated!"
"The ultrasound showed that the small intestine was 7 cm in diameter and contained fluid, gas and intestinal contents within the dilated intestinal tract, which appeared as anechoic, hypoechoic and medium-strong punctate echoes."
"The CT scan showed a mass in the obstructed segment of the large intestine, and X-ray examination revealed signs of gas accumulation, fluid accumulation, and a bird's beak sign."
Listening to Wang Xiaobei's report.
Xia Tian and Li Yajun exchanged a glance.
Xia Tian grinned and chuckled, "Sister Li needs to prepare her dowry now."
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