Doctor's Life Simulator

Chapter 187 The Accident at the Opening Ceremony, Rare Acute Abdomen

After listening to Lu Yu's explanation, Wang Heng was relieved:

"I knew that you are not a self-willed and depraved person, so I wish you a year in Hecheng to complete the project plan. If you go to Hecheng, the team of doctors there is really unable to support you, then come back early .”

Wang Heng took care of it again, and the school leaders on the stage also finished their speeches.

"The following is an excellent graduate from the First Affiliated Hospital of Zijingang University, Senior Brother Wang Heng who has returned from advanced studies in Union Hospital, let him give a speech to the students, introduce his experience and experience, and give you some advice. A few words of encouragement, a few words of reassurance! Welcome!"

Vice President Lin obviously admired and valued Wang Heng very much.

Wang Heng straightened his cuffs and collar, got up, and walked onto the big stage. It was clean, sunny, and gentle. As soon as Wang Heng stepped onto the podium, the students below, especially the female students, cheered.

On the stage, the school leaders also looked at this young talent with pride in their eyes. Don't think about it. With Wang Heng's condition, in the future, it will become a signboard of the General Surgery Department of Zijingang No. [-] Hospital, and it will be packaged as A star doctor!
Wang Heng began to introduce himself in a calm tone, and described his various resumes and honors all the way from graduate school in a very objective manner.

". During the postgraduate period, as the first author, I completed an SCI paper. Under the encouragement and guidance of Director Meng, I proposed a patent for a new drug, and at the same time obtained a patent fee of 200 million from a pharmaceutical company, and entered it very smoothly. I went to Xiehe Hospital for further study. I was honored to join the veteran cadre health care group of the Imperial Capital and a project won the second prize of the Natural Science Award of the Imperial Capital.”

Wang Heng spoke in a very neutral and peaceful tone, without any sense of arrogance or superior distance. In the description, it also gave people a feeling that it should be so.

He's humble, he's hardworking, and he's talented.

"Today I want to share with all my fellow students my attitude towards scientific research: the first step in scientific research is questioning. This time, I no longer believe in the second step of Daniel's scientific research. I have no choice but to persevere." In the end, scientific research requires a pioneering spirit, do what you want, and don’t follow the big cows”

After Wang Heng finished speaking, all the younger students in the audience applauded thunderously. Lu Yu also very much agreed with Wang Heng. Looking at Wang Heng, she also looked forward to her going to the treatment center of Hecheng No. [-] Hospital to start a new chapter in her life.

Sitting in the back row, Tang Yue nodded again and again, her eyes shining brightly. She is also a person with scientific research dreams in her heart:

"Senior Brother Wang is really good!"

Qin Lang also admired Wang Heng. At this age, with such achievements, he is indeed a dragon and a phoenix among people.

Just as Wang Heng was about to step down, there was a sudden commotion among the crowd.

An aunt who was in charge of cleaning the lecture hall suddenly became weak and fell forward on the steps on the left side of the lecture hall.

"what happened?"

Everyone's eyes were attracted, and the students who were nearby immediately stepped forward, and saw that the aunt's face was pale, and she covered her abdomen with her hands in pain.

The entire school opening ceremony was also interrupted directly. Vice President Lin took the microphone and signaled everyone to stay where they were, while he rushed over.

Wang Heng also rushed over directly from the stage, and several other school leaders, some maintained order, and some directly started to communicate.

The students were asked to stand in their seats. Everyone stretched their necks, observed, whispered, and made a mess.

Since Qin Lang and Tang Yue are right on the far side, the distance is not very far.

"Qin Lang, what's the situation?"

Tang Yue also had a tense face, and pulled Qin Lang, who had a better view.

Qin Lang looked over carefully and found that it was an aunt in her fifties. The patient was lying on the ground with a painful face, and had symptoms of nausea and vomiting from time to time.

Vice President Lin rushed over, and Wang Heng followed closely behind. Another staff member of this event, Dr. Lu Min from the General Surgery Department, was also at the scene, and soon surrounded him.

Vice President Lin was mainly engaged in administrative posts, and he was not very good at emergency treatment. When he saw Wang Heng who was catching up, he asked:

"Wang Heng, you are studying in the general surgery department of Union Medical College Hospital, and you have also been in the emergency department for a while, come and take a look."

Vice President Liu, in the blink of an eye, considered several aspects.

One is that the patient’s condition must be properly handled and healed completely. Otherwise, on the one hand, the opening ceremony is being held, and on the other hand, if such a sudden patient cannot be handled well, it will affect the reputation of the First Affiliated Hospital of Zijingang University. is a very negative effect.

Second, Wang Heng has accumulated experience in the field of general surgery, so he has experience in dealing with this suspected acute abdomen, and he has the ability to deal with it.

Thirdly, today’s occasion is very special. At the opening ceremony of the first graduate school of Zijingang University, a patient appeared. It was time to test their hospital’s emergency response capabilities. A perfect solution is the best solution. Afterwards, you can take the opportunity to spread the word.

Of course, Wang Heng was also ordered in the face of danger. He went straight forward, squatted down to give the patient an early diagnosis, asked, percussed, and palpated.

First of all, the main symptom of the patient is sudden right upper quadrant pain, and there is a burning sensation, accompanied by persistent aggravation, nausea, weakness and vomiting, as well as some palpitations and palpitations.

Wang Heng is still very professional. He did a physical examination and confirmed that there was no obvious abnormality in the heart and lungs. The abdomen was flat. There was throbbing pain, no obvious mass was touched, no percussion pain in the liver and spleen area and both kidneys.

"Doctor Wang, how are you doing?"

Vice President Lin asked, Wang Heng thought for a while, then said:

"According to the patient's signs, it is a type of acute abdomen. Since there is no tenderness at McBurney's point, the patient has no previous medical history of gallbladder and bile duct stones, no history of hepatitis, and no recent history of trauma. It is highly suspected to be diffuse peritonitis, or upper digestive tract. Road piercing!"

Wang Heng soon had a preliminary judgment: "In this case, send it to the emergency department of this hospital immediately for blood routine examination, neutrophils, liver function, electrolytes, kidney function and blood and urine amylase."

"Okay, then everything will proceed according to Dr. Wang's arrangement."

Vice President Liu made a decision, and he took Wang Heng, and the staff who caught up, Lu Min and other doctors from the First Affiliated Hospital of Zijingang University, and took the patient to the emergency department of this hospital.

Lu Min inadvertently saw Qin Lang sitting in the back row, his eyes lit up, he was very impressed with Qin Lang.

If it is said that the patient is really acute abdomen, then there is no possibility of suture problems, Lu Min beckoned to Qin Lang.

[Ding, new task, help Dr. Wang Heng and others to find the real cause of the patient and assist in the operation.Task reward: super recovery: for patients with deep wounds operated by the chief surgeon, the healing recovery will be accelerated by 20%]

Qin Lang was naturally very happy with Lu Min's invitation, so he followed along.

Vice President Liu still has some impressions of Qin Lang who followed up. He made great contributions to the treatment of Ms. Wen Xia.

Therefore, Vice President Liu still has some approval for Qin Lang's work. Although this time the patient is acute abdomen, not in the field of burns, it is not a bad thing to have one more person with suture skills.

The matter was urgent, and Vice President Liu didn't have time to greet Qin Lang, so he hurriedly led Wang Heng and others to the emergency department of the hospital.

Wang Heng's peripheral vision also caught it. Qin Lang, who was invited by Lu Min, didn't care about such a young doctor.

One more is not much, one less is not more.

Soon, the patient was sent to the emergency department, and various examinations began according to Wang Heng's doctor's orders. Vice President Lin, Lu Min, Qin Lang and others were waiting on the sidelines.

Wang Heng stood alone in the center, waiting for various materials, and soon, various inspections were sent over:

“.血常规:WBC:12.9×109/L，中性粒细胞:79%，肝功能:AST 45U·L-1， TBIL:62μmol·L-1， DBIL 40.2μmol·L-1;电解质、肾功能及血尿淀粉酶检查正常.
ECG: sinus bradycardia; echocardiography: left ventricular diastolic dysfunction
Abdominal plain film: no free gas under the diaphragm
Abdominal B-ultrasound: linear fluid can be seen in the recesses of the liver and kidney, with a thickness of 0.5cm, and pneumatosis in the right upper quadrant
The liver and gallbladder were unremarkable.
Abdominal CT: inflammatory edema in the gallbladder fossa and periduodenal tissue, a small amount of fluid can be seen
Paracentesis: fluid was not drawn from the right McBurney's point"

Looking at these examination materials, Wang Heng gradually frowned. Among these symptoms, he still couldn't find a specific illness.

Several doctors around, including Vice President Lin also asked:

"Doctor Wang, do you have an idea?"

Wang Heng looked through it carefully again, and shook his head with a wry smile: "Right now, we can only infer diffuse peritonitis or perforation of the upper gastrointestinal tract, but they don't quite look like it."

"It seems that a comprehensive expert consultation is still needed. If the cause cannot be determined, then the only way to make a further diagnosis is through surgical exploration!"

Hearing Wang Heng's words, Vice President Lin was also a little disappointed. Even Wang Heng couldn't diagnose it. It seems that this patient's illness is very rare.

But medicine is like this. Many patients don't even know the specific disease after they are cured. With Wang Heng's ability, they can't find it out. Most likely, they can only rely on surgery to find out.

"Lu Min, you go to contact Director Han Hu of your general surgery department, and I'll contact Director Wei of the emergency department."

(End of this chapter)