Healing Doctor

Chapter 339 Pervert

However, Meng Qingfei only paused for a moment and did not make any further moves.

Ji Xiang noticed this, but he didn't ask any further questions. After the patient left, he found a quiet time to ask, "Teacher Meng, I noticed you seemed a little reluctant when you gave the patient the admission slip."

The word "reluctant to part with" is used aptly.

Meng Qingfei was indeed like a miser, stingy with the admission notice in his hand. But in the end, unable to find an excuse, he reluctantly handed the admission notice to the patient.

"It's a strange feeling. I feel like something's wrong with the patient. Xiao Ji, can you help me figure out what the problem is?" Meng Qingfei said to himself, frowning.

"No problem at all. The patient has been ruled out for cholecystitis, gallstones, urinary tract stones, and ectopic pregnancy. Moreover, the physical signs are obvious, with pain around the navel that has shifted to the lower right abdomen. Although the blood count on the lab report is not high, it is still acute appendicitis," Ji Xiang said matter-of-factly.

"That's what you say, but I still feel like something's not quite right."

Meng Qingfei stopped talking after that, frowning and lost in thought.

Ji Xiang didn't bother him, but simply helped Meng Qingfei with his work. After a period of training in the emergency department, Ji Xiang has now basically become a very standard emergency room doctor, handling things in an organized and efficient manner, and has grown rapidly.

During the break, Ji Xiang held his breath and focused as he entered the system's operating room.

"Teacher," Ji Xiang told the system NPC what had happened.

"That's how it is." The system NPC wasn't surprised either. "Experienced clinicians will notice some very crucial details. In fact, the details are even more important than the crucial ones."

Do you understand what I'm saying?

"I roughly understand." Ji Xiang, who was very perceptive, nodded. "Teacher, could it be that the patient's obvious physical signs caused misunderstandings, leading to the neglect of smaller, truly important signs, which ultimately resulted in a misdiagnosis?"

"Yes." The system NPC nodded.

"I'll think about it too." Ji Xiang frowned.

"Go and talk to that Dr. Meng. Intuition is an extremely important part of clinical experience," the system NPC said earnestly.

Intuition is actually a very important part of clinical diagnosis. A few months ago, Ji Xiang would have definitely scoffed at it.

But based on his understanding of the system NPCs and Meng Qingfei, he knew that what he said was true.

When Ji Xiang returned, he saw Meng Qingfei still deep in thought. He asked, "Teacher Meng, do you feel that you saw something important but missed it?"

"Yes!" Meng Qingfei nodded. "I've thought about that patient many times, and there's no way I could have misdiagnosed her. But whenever I think about her, I have a vague feeling that something is wrong."

If it were a urologist, they would probably laugh at Meng Qingfei for looking at a pretty girl and then making a fuss.

But Ji Xiang wasn't that kind of person; he was very serious, and he didn't even think about it that way.

"If someone can't find something normally, they can wait a while; maybe it will reappear in front of them in a few days." Meng Qingfei frowned. "But the patient has already been admitted to the hospital. If there's a delay of a few hours, once the surgery begins..."

As Meng Qingfei spoke, he cursed in a deep voice, "Damn it, what's wrong with this?"

Ji Xiang had experienced empathy many times, so he had developed an almost instinctive reaction.

If the diagnosis is wrong, surgery will be performed, and the patient will still experience pain after the surgery...

Neither doctors, patients, nor patients' families can accept this.

After saying a few words, Meng Qingfei fell silent. Ji Xiang didn't chat with Meng Qingfei or disturb him, but instead mentally rehearsed the process of Meng Qingfei's physical examination frame by frame.

It's okay, there's no problem at all.

Whether from the patient's chief complaint, physical examination, or clinical auxiliary examination, it is a very common and typical case of acute appendicitis.

After more than ten minutes, Meng Qingfei's train of thought was interrupted by a patient. After finishing with the emergency patient, he simply got up and told the internist to help him take a look for a few minutes, and then ran to the 15th ward of the gastrointestinal surgery department.

Ji Xiang went with Meng Qingfei, and he was also very curious about what Meng Qingfei was thinking.

Upon arriving at Ward 15, Meng Qingfei didn't stand on ceremony and immediately shouted at the nurses, "Where's your boss?"

The nurse was startled. "Holy crap, it's you, Meng Ge! Where's the patient? Car accident? Or stab wound?!"

The emergency surgeon rushed in with the patient, estimating that the patient's blood pressure was almost zero. After the nurse finished asking, she instinctively grabbed the blood pressure monitor to prepare to start the resuscitation.

Meng Qingfei realized his attitude was inappropriate and softened his tone, "There are no emergency patients. We just admitted a female patient with acute appendicitis; she's been admitted, right?"

"I'm here. The boss said he's preparing for surgery. He just finished shaving, and there's a bunch of C-sections in the operating room. I'm still waiting."

Meng Qingfei calmed down a bit and laughed, "With such a low birth rate these days, I didn't expect there to be so many C-sections."

"Sigh, pregnant women from our provincial capital all flock to the First and Second Affiliated Hospitals. The Maternity Hospital is completely full of patients," the nurse said.

"Old Meng, what brings you here?" The head of the gastroenterology department heard someone speak, came out, saw it was Meng Qingfei, and greeted him, "Another patient? Why is your shift so busy? When are you retiring?"

"No, I'm not that unlucky," Meng Qingfei said. "Where is the female patient who was just admitted and diagnosed with acute appendicitis? I'll go check on her."

The head of the gastroenterology department laughed and said, "Old Meng, you've gone too far. It won't sound good if word gets out."

"What are you thinking about?" Meng Qingfei scolded. "Have you had a physical exam?"

"Huh?" The head of the gastrointestinal department was taken aback.

"Is it acute appendicitis?"

"Yes, you, Lao Meng, have already given a diagnosis, how could it not be?" the head of the gastroenterology department retorted.

But a few seconds later he realized, "Old Meng, is there another problem? You drew blood from the patient, does she have an infectious disease? I just finished the examination and didn't wash my hands."

"There's no infectious disease, what are you thinking?" Meng Qingfei said. "I just feel something's not right, it doesn't seem like appendicitis."

"Ha, don't joke around, how could that be?" the head of the gastroenterology department said. "I also did a physical exam, and it's definitely appendicitis. You did so many tests, ruled out all the possible diseases, and when the patient's family came up, they were even whispering to each other that doctors these days can't diagnose without the machines to do the tests."

Meng Qingfei completely ignored this level of ridicule. He repeated himself, and the head of the gastroenterology department took him to see the patient.

Under the strange gazes of the patient's family, Meng Qingfei conducted another physical examination.

The presence of significant tenderness at McBurney's point strongly suggests appendicitis.

Outside the ward, the head of the gastroenterology department chuckled and whispered, "Old Meng, stop messing around. Look at the way the patient's family is looking at you; they probably think you're a pervert. If you keep bothering them, they'll have to hit you."

(End of this chapter)