1986: Old Stories in Northeast China

"Tell me what happened during the examination." Chen Tiezhu frowned and said.

"During the examination, I pressed the McBurney point and felt a throbbing pain. Then I also did a B-ultrasound, and it was also shown on the echo." Fang Zhiyong said hurriedly.

He was really a little panicked now, after all, he had never encountered this situation before.

He could never have thought that he could misdiagnose appendicitis.

"Dean Ma, do you want to explain to the patient's family first?" A comrade next to Ma Guoming asked.

"Wait a little longer and see if there are any new discoveries." Ma Guoming frowned and said.

He also knew that this time the trouble was big. After making a big fuss, he still misdiagnosed it. What should he do next?

"Doctor, what's wrong?"

The patient asked at this time.

"I just checked your appendix and didn't find any inflammation." Fang Zhiyong said honestly.

"Ah? What should I do? Didn't I get a knife in vain?" The patient became emotional.

"Young man, don't worry." Chen Tiezhu spoke.

"Your pain reaction is real, and it is also shown in the B-ultrasound examination. These are enough to prove that you still have a real lesion."

He really didn't want to interfere, after all, there are many rules in the operating room. But in this situation, can he not interfere?

In the case of underdeveloped medical equipment, not intervening will only bring greater pain to the patient.

In his heart, he also had some guesses about the symptoms, and he could only say that Comrade Lao Fang's "luck" was too good.

Hearing his words, the patient's mood became more complicated, and various indicators became unstable.

However, Ma Guoming and the others' nervousness was slightly relieved. Chen Tiezhu was right, but the location of the lesion had not been found yet.

"Lao Fang, let me try." Chen Tiezhu spoke again.

"Dean Ma..."

Hearing his words, another white coat beside Ma Guoming was not calm.

Not only him, but others were in a similar mood.

It's already like this, and you dare to let Chen Tiezhu take action? When the patient comes to question you, won't you make a big deal about this? This is too much responsibility.

Ma Guoming frowned slightly and shook his head.

This is inconsistent with his usual style. In the past, he would not take such a risk. But seeing Chen Tiezhu's calm expression, he gained confidence.

Fang Zhiyong, on the other hand, was "superstitious" about Chen Tiezhu. He did not hesitate at all and gave up his position directly.

Chen Tiezhu also put his finger in and touched along the root of the appendix and upwards.

After touching for a while, he also frowned and did not feel anything abnormal.

"Teacher Chen, how is it?" Fang Zhiyong asked nervously.

"We need to enlarge the incision and make a more detailed observation." Chen Tiezhu said.

"Judging from the records in the materials that Mr. He gave me, it is very likely to be diverticulitis. However, the location of the disease is too likely to be found, and it is still unclear."

"Combined with the patient's symptoms, it is also consistent with diverticulitis. If the location is similar to the appendix, the reaction on B-ultrasound is also similar."

This is the suggestion he gave based on the current patient's situation.

After all, he is not the chief surgeon, and this is all he can do now.

It can be regarded as using some tricks, and even "Mr. He" was brought out, which is somewhat convincing.

But even if he said this, Ma Guoming was very entangled.

"Okay, Director Fang, you go and explain to the patient's family. Director Liu, also prepare for general anesthesia."

After a little consideration, Ma Guoming spoke.

Now that there is such a situation, this is the only way to do it.

"Doctor, is that inflammation serious?" The patient asked.

"If my judgment is correct, although the level of surgery has been improved, it is not a very serious disease." Chen Tiezhu said with a smile.

"What does this mean? There is a small bulge somewhere in our intestines, and there is a gap inside. Then some of our intestinal substances fall into this gap, causing inflammation."

"If it is discovered early, there will be no problem. We just need to repair it. If it is discovered late, it will be dangerous, and it is easy to cause diverticulum perforation."

"The degree of danger of this is higher than appendicitis. After all, many things in the intestines carry bacteria."

"If this disease can really be cured?" The patient became nervous again.

"Why can't it be cured? But I can't make a small incision for you. Due to the limited conditions, I can't see the details inside." Chen Tiezhu said."How about letting me feel it for you again? The time just now was a little short. I think you are quite strong. If it were someone else, their blood pressure would have been so scared that they would have rushed up."

"Actually, I am also a little scared. Then you can feel it again. If I can't figure it out, I will be scared all the time." The patient said.

Chen Tiezhu nodded and inserted his finger again.

"President Ma, I want to keep my own opinion on what happened today. Although Chen Tiezhu is very good at bone setting, he should not be involved in such an operation."

"Yes, President Ma, it has become like this now. If the cause of the disease cannot be found, how can the patient's family members explain it?"

"President Ma, I can understand the hospital's determination to improve the surgical plan. But I personally suggest that small incisions like this should not be performed for the time being, and the operation should be performed according to the conventional incision."

...

Seeing Chen Tiezhu start again, the white coats around Ma Guoming started talking.

Ma Guoming felt powerless because he was the one who pushed for the small-incision appendectomy.

However, many comrades in the hospital disagreed, after all, the risk was too great.

He did not expect that the first patient would have such a situation.

In fact, he was not afraid of taking responsibility, because he did not kill someone on the operating table. But he was really unwilling to accept the impact on the research and promotion of the small-incision appendectomy.

The white coat standing on his right was in a very good mood. He was a staunch opponent and a strong challenger to the position of the dean.

Today was a good opportunity.

If nothing happened, could Lao Ma be taken down?

If he was not taken down, how could he go up?

Their discussion was in a low voice, and other people below could not hear it clearly. But in Chen Tiezhu's ears, it sounded very real.

Small hospitals are also very complicated. If this is not done well, it may really affect Fang Zhiyong.

Thinking of this, he probed more carefully with his fingers.

"President Ma, we have figured out the situation. The location of Meckel's diverticulum is a bit tricky. We couldn't find it the first time."

After a while, Chen Tiezhu shouted loudly.