I really don't want to be a doctor

Chapter 58
monday,

The weather is turning sunny.

The weather in August is terribly hot, which makes people feel irritable.

Even under the desperate cooling of the central air conditioner, the coolness in the operating room still cannot dispel the ubiquitous irritability.

Yu Wenxing was very annoying.

While holding the mirror, he was thinking about his own affairs.

It has been more than half a month since he came to this world.

Half a month!
other traversers,
For more than half a month, he has almost become the richest man in one party,

At least, they have already shown their prominence in society.

And what about yourself?

Ha ha,

Still holding the mirror here.

I will help you ￥%………&.

Yu Wenxing couldn't hold back, and sweared in his heart.

After more than a week of surprise study,
He suddenly discovered that he probably couldn't make up the song [In the Name of Dad].

He didn't know until now,
Why is this song known as the pinnacle of Zhou Tianwang's arrangement.

and,

He also recognized a problem.

It's my own voice,
It should be very difficult to make a breakthrough.

This made him extremely irritable.

It was clearly a broad road, but abruptly turned into a dead end.

Three established routes.

Copying novels has basically been given up.
The music road looks like it's about to close, too.

"Could it be that I really have to learn to be a director?"

Perhaps the ideal career deep in every man's heart is a director.

after all
Ha ha
Of course Yu Wenxing was no exception.

But he knew that with his current situation, not to mention being a director, even being a shopping guide would be difficult.

"How to do it?"

Yu Wenxing became even more irritable. If it wasn't for the gloves on his hands, he might have scratched his head and ears on the spot.

"Brother Xing, what's the matter?"

Tang Ling has been observing Yu Wenxing, seeing that he has been a little distracted, so he asked softly.

Yu Wenxing sighed, "It's nothing."

"Actually, I understand."

Tang Ling also sighed sadly.

Yu Wenxing was astonished,
Do you understand again?

Do you understand my troubles as a time traveler?
"Did you get rejected by that man?"

Tang Ling asked.

"???" Li Xiaojun stopped what he was doing, and looked up at Yu Wenxing.

"???" The anesthesiologist stopped calling the landlord and looked up at Yu Wenxing.

"???" The itinerant nurse Ben dozed off in the corner, then woke up suddenly, and looked up at Yu Wenxing.

Three gazes from different people, with the same meaning, shot at Yu Wenxing's face.

"Hiss!" Yu Wenxing had a toothache on the spot, and gasped wildly.

Tang Ling didn't seem to check, and lowered her head, as if talking to herself, but it spread throughout the operating room.

"I know, you don't have to hide it from me. I will go to him after get off work, and I beg him to promise you. "

Tang Ling's voice seemed a little choked.

Li Xiaojun also seemed to understand, and sighed, "Yu Wenxing, although men are nice, don't be greedy."

The itinerant nurse got up from the stool and shot Yu Wenxing as if she had seen a ghost.

The anesthesiologist lowered his head and continued to call the landlord, but slightly moved the stool away.

"That's not the case." Yu Wenxing was speechless, and immediately looked at Li Xiaojun, "Let's do the surgery first, we'll talk about it later."

Li Xiaojun couldn't ask any more questions, and continued with the surgery.

At 68 minutes, the operation was over, and Li Xiaojun wanted to continue the unfinished topic, but Song Rentou called, saying that there was a patient who asked him and Yu Wenxing to go down and have a look.

Li Xiaojun agreed without the slightest hesitation, after all he is the leader of this group.

In order to avoid being questioned by the curious itinerant nurse, Yu Wenxing followed Li Xiaojun back to the department.

When Yu Wenxing saw the patient,
My heart sank.

The patient is fat.

胖，
It means that the operation risk is high and the postoperative recovery is slow.

Moreover, the patient was short in stature, lying on the bed with a high raised abdomen.

"what's the situation?"

Li Xiaojun asked.

"Abdominal pain awaiting treatment, the hospital below was transferred up." Song Ren nodded.

"How long has it been? Have you been checked? Need emergency surgery? What disease are you considering?"

Li Xiaojun kept asking questions like a machine gun.

"Abdominal pain for 2 days. The hospital below did a color Doppler ultrasound. I just ordered an abdominal CT for him, and the results are all there."

Immediately, Song Rentou's voice became much softer, "I'm thinking about appendicitis."

Song Rentou handed over the checklist to Li Xiaojun.

Li Xiaojun glanced at it, then handed it to Yu Wenxing.

【Abdominal color Doppler ultrasound: the gallbladder wall was thickened, and no abnormalities were found. 】

[Abdomen ct: The shape, size and proportion of each lobe of the liver are normal, and the outer edge is smooth.There was no obvious dilation of extrahepatic and extrahepatic bile ducts, clear hilar structure, and no abnormal density shadow.The gallbladder was slightly enlarged, and the gallbladder wall was slightly thickened. No positive stones were found in it, and no abnormalities were found in the spleen and pancreas.No enlarged lymph nodes were found in the retroperitoneum, and no effusion was found in the peritoneal cavity.The shape, size and axis of bilateral kidneys were normal, and no abnormal density shadow and space-occupying lesions were seen.

Consider the diagnosis: cholecystitis? 】

Abdominal CT is much more detailed than abdominal color Doppler ultrasound, and even gives diagnostic considerations.

But for clinicians,
A suspicious diagnosis cannot be used as the basis for diagnosis. Medical history, physical examination, and auxiliary examination are all indispensable.

Although not many abnormalities were seen, both color Doppler ultrasound and abdominal CT suggested a problem.

The gallbladder wall is slightly thickened.

Just as Yu Wenxing was about to speak, Li Xiaojun spoke first, "I think this patient is more likely to have cholecystitis."

"Why are you considering appendicitis?"

Li Xiaojun looked at Song Ren's head puzzled.

Song Rentou blushed, perhaps because of shyness, "This patient's tenderness is very low, so..."

"is it?"

Li Xiaojun asked about the medical history again, and then had a physical examination.

After checking the body, Li Xiaojun stopped talking.

Yu Wenxing also frowned.

This patient is a bit of a problem.

The reason is very simple. Because this patient is too short and fat, perhaps because the internal organs in the abdominal cavity are too close together, the entire right abdomen has tenderness.The three returned to the office in silence and began to discuss.

"Let's do an exploratory examination for this patient," Li Xiaojun thought for a moment, "do an exploratory laparotomy, I think the possibility of an acute attack of chronic cholecystitis is relatively high."

"However, except for the thickening of the gallbladder wall, this patient found no abnormality, and the tenderness point is not the typical right upper quadrant, and the Murphy's sign is not obvious."

Song Ren retorted.

"So there are indications for laparotomy." Li Xiaojun said.

"Then why not do laparoscopic exploration? I think the little patient had a good result after laparoscopic exploration, and he recovered well after the operation. This patient is so fat, the laparotomy is not easy."

Song Ren asked back.

"This patient first considers cholecystitis, what's the point of doing laparoscopic exploration?"

Unlike that little patient, this patient already has a certain amount of thinking, so the significance of investigation is much less.

"The diagnosis of this patient is not clear, I still think it is more reassuring to investigate first.

Song Rentou still insisted on his own consideration.

Li Xiaojun couldn't find a clear basis to refute for a while, and was a little angry.

(End of this chapter)