Healing Doctor

Chapter 535 You are the teacher

Mr. Miao glanced at it and saw that it was a patient who had been hospitalized yesterday for appendicitis and had chosen conservative treatment.

He said apologetically, "Dr. Ji, please wait a moment."

"Teacher Miao, you're busy." Ji Xiang smiled and stood quietly against the wall, as if he didn't exist.

"What's wrong?" asked Manager Miao.

"My mom was in a lot of pain. I touched her forehead, and it was burning hot."

"Let's go take a look." Mr. Miao strode towards the ward.

The patient's condition was not good. When Dr. Miao reached out and touched the patient, the perceived temperature was above 38 degrees Celsius. He had the patient lie flat and curl up, and Dr. Miao began the physical examination.

There was no tenderness in the upper abdomen, but the patient had significant pain in the lower right abdomen.

The patient had a very obvious fever; when the blanket was lifted, it felt like a puff of smoke was coming out, and her skin was hot to the touch.

"At least 39 degrees Celsius," Manager Miao frowned as he looked at the patient's family member. "You come here."

After he finished speaking, he turned around and was startled to see Ji Xiang following behind him.

"Dr. Xiao Ji, you can wait in my on-call room."

"Teacher Miao, I'll go and take a look too." Ji Xiang looked at the patient thoughtfully.

Mr. Miao was busy and didn't stand on ceremony with Ji Xiang. He left the ward but didn't go far, standing at the door.

"Your mother has a fever. Go to the nurse and get a thermometer to take her temperature. Don't use a thermometer gun," Mr. Miao specifically instructed. "I recommend emergency surgery."

"Doctor, my mother isn't feeling well..."

The patient's family member said with a worried expression.

Mr. Miao had no choice. The pre-operative instructions and anesthesia explanations mentioned many complications that elderly people would experience, but he couldn't very well say that there was nothing wrong with him.

"Okay, I need a bedside ultrasound to check. If there's a possibility of appendiceal perforation, we need to go to the operating room immediately. If it's perforated, the stool accumulated in the appendix has entered the abdominal cavity, and surgery is necessary. If we wait any longer, it could be fatal."

"Doctor, really? Didn't you say the chances were slim?"

"It's indeed unlikely, but there's an old saying that you can't see into someone's heart, and instruments can only provide a reference. You should prepare for emergency surgery first, and if there are any problems, we'll go to the operating room immediately."

Seeing that the patient's family was still hesitating, General Manager Miao said seriously, "Emergency surgery is not something we can do whenever we want. I need to provide a surgical order, which lists the anesthesiologist and nurses specifically responsible for emergency surgeries. If there are several cesarean sections ahead of us, it will be at least this afternoon."

"..."

Mr. Miao's words seemed to have nothing to do with persuading the patient's family, but after hearing him say that, the patient's family suddenly had a vague sense of urgency that they had a rare commodity to be had.

It's not something you can do whenever you want; you have to wait in line.

Mr. Miao is very experienced; he added a weight to one side of the scale with a seemingly unrelated remark.

Mr. Miao called to the nurse to get the thermometer, worried that the patient's family hadn't heard him clearly to use a thermometer gun.

The thermometer gun needs to be calibrated; anyway, Mr. Miao felt it wasn't as trustworthy as an old-fashioned mercury thermometer.

"Dr. Ji, I'm sorry, I'll have to be busy for a while." When President Miao turned around and saw Ji Xiang, he said with great embarrassment.

Although it's fine to take Ji Xiang to his duty room for a chat now, Mr. Miao felt that the patient with acute appendicitis was in serious condition, and he was worried and wanted to see the ultrasound results.

"Professor Miao, something seems off about the patient." Ji Xiang ignored the embarrassment in Miao's voice and frowned as he said, "McBurney's point tenderness is very obvious, but the area is quite large, and the radiating pain is also very obvious. It doesn't seem like appendicitis."

"..." Mr. Miao paused for a moment.

The patient's diagnosis was correct. Initially, the pain was migratory, but then it became localized at McBurney's point in the right lower quadrant, accompanied by radiating pain.

The location is quite precise; unlike many patients who experience severe abdominal pain and cannot diagnose it as acute appendicitis.

Why would Dr. Ji Xiang say that?!

Although he had doubts about Ji Xiang in his heart, President Miao did not show it. He just smiled gently and turned to contact the bedside color ultrasound.

Just as he was about to make the call, Ji Xiang whispered beside him, "Teacher Miao, could you ask Teacher Kong to do the bedside ultrasound?"

"Teacher Kong? Which Teacher Kong?" Mr. Miao asked, puzzled.

"Director Kong from the ultrasound department," Ji Xiang explained.

"!!!"

Mr. Miao looked at Ji Xiang with a surprised expression.

The bedside color Doppler ultrasound is scheduled, and the doctors who come are all ordinary junior doctors.

If I were to call Director Kong myself, I'd probably get a severe scolding, or no one would even bother to answer me.

Why does Dr. Ji Xiang always refer to Director Kong?

Mr. Miao was quick-witted. After a moment's thought, he realized that Ji Xiang was probably much closer to Director Kong than he was to himself.

"I can't do it," Mr. Miao said honestly.

"Shall I ask?"

Mr. Miao felt that Ji Xiang was very strange. He was just an ordinary patient with acute appendicitis, so why did Ji Xiang keep jumping out again and again?

Furthermore, the head of the ultrasound department must be invited to "personally" conduct the examination.

If it were an ordinary intern who jumped out to make irresponsible remarks, General Manager Miao would have slapped him across the face and ignored him completely.

But Ji Xiang is different.

Mr. Miao watched every episode of the variety show carefully, and he also inquired about and roughly understood many of the things that were cut.

He saw it as a "normal" case of acute appendicitis, with a risk of perforation. The patient had a high fever, and the patient's family was very scared, but Mr. Miao didn't care much.

We see about a hundred similar patients every year. As long as the perforation is treated promptly and sepsis and serious complications do not occur, it is fine.

Even with serious complications, the First Affiliated Hospital has a strong intensive care team, and if they can be pushed in with one breath, they can basically come out alive. Dr. Miao is confident of this.

However, Ji Xiang made a mountain out of a molehill, believing that the patient had a serious problem.

eccentric.

Mr. Miao didn't say anything. He saw Ji Xiang take out his phone, find the phone number marked as belonging to Director Kong of the Ultrasound Department of the First Affiliated Hospital, and dial it.

"Hello, Professor Kong, I am Ji Xiang."

"Are you busy? I'm in the gastrointestinal surgery department. There's a patient here who seems a bit strange. I don't think it's just simple appendicitis. Could you take a look?"

"Okay, okay, thank you for your help."

Although Ji Xiang was on the phone, his tone and body language were very humble. He even bowed slightly while holding the phone, as if Director Kong were right in front of him.

Although Ji Xiang acted very humbly, President Miao almost burst into tears.

A single phone call is all it takes to get the head of the ultrasound department to come scrambling over with the bedside ultrasound machine. Even department heads don't get this kind of treatment; only someone at the vice president level can do that.

I'm not talking about others, but I'm no good myself.

However, how long has Ji Xiang been here? He's still a junior intern recording a program.

He was actually able to summon Director Kong.

Mr. Miao's eyes were brimming with tears, overwhelmed with sorrow. "Look at them, then look at myself—it's truly awful!"

"Teacher Miao, Teacher Kong will be here soon. I feel there are some minor issues with the physical examination and medical history inquiry."

teacher?

"You're the teacher," Mr. Miao thought to himself.

(End of this chapter)