Come on, Dr. Wu

Chapter 116 Can appendectomy cause problems?

The next day.

After Wu Xiaofu came to the emergency department, he found that the atmosphere in Corey was wrong.

"what happened?"

There was a large-scale ward round today, and the morning meeting was also large-scale. Wu Xiaofu asked Wang Hu next to him. Although his voice was low, several people around him still heard it. Before Wang Hu could answer, a cold light came. After shooting, Wu Xiaofu was also a little frightened when he saw Duan Fei's somewhat hateful eyes. What's going on?
  Even if he had a problem with Li Ming because of his words yesterday, the look in his eyes was too obvious, almost making him angry.

He didn't think about it all night, but the more he thought about it, the more he hated him. He just acted in a TV series for himself and regarded him as a villain who could become his lifelong enemy.

Wang Hu pursed his lips and said, "Don't worry about him, there's something wrong with the appendectomy."

Ah!
  Wu Xiaofu was shocked when he heard this, "Can cutting out the appendix cause problems? Could it be that I didn't do the examination and the result was cholecystitis?"

This is very possible. After all, appendicitis and cholecystitis have similar symptoms and similar locations. If you don’t do an examination, you may make a mistake during the first diagnosis. You can’t just cut out appendix cancer with one knife. Then it will be a big mistake. Good luck, this is a paper cut out. Wu Xiaofu has never seen anyone really suffer from appendiceal cancer.

puff!
  Wang Hu was also amused by Wu Xiaofu's words, "It's not the problem of appendicitis itself, it's that someone broke the blood vessels."

The blood vessels are broken!
  Wu Xiaofu understood something immediately. It seemed that he had made a mistake. It couldn't be the surgery that Duan Fei and Li Ming performed after they left yesterday. But he didn't know what blood vessel Duan Fei had cut. As for why he couldn't It was Li Ming. Wu Xiaofu still knew Wang Hu. There was no problem in hurting Duan Fei, but he didn't have the guts to hurt Li Ming.

The morning meeting began, and soon Wu Xiaofu understood what was going on.

"Now we want to report a case of a problem that occurred during yesterday's surgery. Fortunately, it was just an appendectomy and it was solved in time. Otherwise, the consequences would be disastrous, and we should all take warning."

Mesoappendix! Appendiceal artery!
  "Fortunately, this was just an appendectomy. The only things I forgot to ligate were the mesoappendix and the appendix artery. What if this is the splenic pedicle? What if this is the hepatic artery and vein? What will be the patient's condition now? Who is it specifically? I won't name him. , but it’s just this time, if there is another time, don’t blame me for being unkind.

There are many accidents during surgery, some of which are beyond our control, but many of them can be prevented and avoided in advance. As a doctor, you must always be responsible for your patients. If your mistakes cause irreparable injuries to your patients, If you suffer a loss, you will have an uneasy conscience for the rest of your life. "

Wu Xiaofu looked at Duan Fei. The child had his head buried under the table now. Although he was not named, the operating room was so big that there was no need for this morning. The news spread last night. Everyone knew that something happened in the emergency department. During an appendectomy, the appendix artery was severed. Fortunately, Li Ming was experienced and saved the situation in time. Otherwise, the consequences would have been disastrous.

It's just that this kid has committed such a low-level problem. What's going on with his bad attitude?

Li Ming also had an ugly face at this time. He was almost, almost his whole life's reputation was ruined. He looked at Duan Fei, and his face was a little cold. Duan Fei was usually a bit irritable and reckless, but this was all It has been two years since I had an appendix surgery and it was so terrible. Especially yesterday, when he was obviously distracted, he even reminded him and almost stepped forward to stop it, but Duan Fei still cut it off regardless. .

As a doctor, being distracted during an operation was the biggest taboo. How could he dare to give him a chance in the future?

After the ward check, it’s time to go out.

Wu Xiaofu quickly put Duan Fei's incident behind him. This kind of thing is not uncommon in hospitals. Almost every young doctor will make some mistakes of one kind or another. During this period, behind them They are all guarded by doctors with higher qualifications, so even if problems arise, they can be corrected in time.

As long as he can adjust his mentality later, this problem will become the most important resource for their growth. Of course, if he cannot adjust his mentality and keeps making mistakes again and again, it will be troublesome. There are too many Doctors have obviously survived the most difficult study journey of more than ten years, but at this time, they fell into self-doubt and could only leave the hospital.

I just hope that Duan Fei can adjust his mentality in time and make rapid progress.

"Doctor, please help me take a look. It hurts so much here."

The patient pointed to his lower right abdomen and said, his face distorted with pain. However, the more exaggerated pressure, the hissing sound and the bulging cheeks made Wu Xiaofu unable to tell for a moment whether it was the tooth or the stomach that hurt more. It hurts.

The first reaction was probably appendicitis.

Tenderness and rebound tenderness in the right lower abdomen are the most obvious symptoms of appendicitis. Wu Xiaofu stepped forward and asked the patient to lie on the diagnosis and treatment bed and examined the patient. They were not scanners. They could determine the patient's symptoms at a glance and then sent the patient for examination. That's irresponsible behavior.

After all, the first consultation may be the easiest and most direct time for doctors and patients to establish contact.

If the patient is asked to undergo an examination now, he may follow the patient's examination later and ignore the patient's chief complaint and physical examination. In fact, sometimes the patient's chief complaint and physical examination are more important than the examination.

After examination, it was found that except for the pain in the right lower abdomen, the patient had no other abnormalities, and the patient reported that he had been having pain here from the beginning.

However, this is somewhat different from appendicitis. Although the appendix is ​​in the right lower quadrant, acute appendicitis usually starts around the navel and then moves to the right lower quadrant, so it is also called metastatic right lower quadrant pain. This is directly I have pain in my lower right abdomen, maybe there is something fishy.

"Teacher, I suspect that the gallbladder is perforated. I'll give him a color ultrasound first."

“Isn’t a perforated gallbladder appendicitis?”

The patient was stunned when he heard this. When he asked Du Niang just now, he was almost sure that it was appendicitis. This little doctor actually said that he had a perforated gallbladder. This stupid guy wouldn't try it on him. He looked like he was inexperienced and was talking too much. The old doctor didn't say anything. He was really irresponsible. In an instant, the patient's mood improved.

When people are in pain, their emotions are the most unstable. They are like firecrackers. They may be in a hurry, just like your girlfriend. When your aunt comes, your mood is particularly irritable. This may not be just an endocrine disorder. Increased hormone levels may also be caused by an outburst of negative emotions caused by pain.

"The pain of appendicitis is transferred right lower quadrant pain. The symptoms of this disease are a bit different, more like right lower quadrant pain caused by gallbladder perforation. I touched your belly and there was muscle tension. It may be after gallbladder perforation. Caused by peritonitis, of course, this is just our first diagnosis, and we will know the details after the color ultrasound. Without further ado, you should go for an examination first. If it is really a gallbladder perforation, you can’t delay it."

Seeing Wu Xiaofu's serious look, the patient, who was full of emotions, suddenly couldn't express himself. After all, this reasonable and well-founded look was quite convincing.

The patient took the list and left, and Duan Hao nodded.

"Yes, as doctors, we must always remain cautious and serious, especially when making diagnoses. We must not be arbitrary, let alone preconceived. Remember this feeling and keep it in the future."

Wu Xiaofu understood what Duan Hao meant. There is no comparison between the outpatient clinics in China and those in foreign countries. There are not many outpatient clinics in foreign countries. Generally, just a few patients can be seen in the morning, but in the outpatient clinics in China, they basically start in the morning. There are dozens of patients, which makes time very tight. Many doctors simply don’t have time to conduct physical examinations and detailed consultations.

Some doctors basically make a diagnosis directly after receiving the patient's chief complaint, write an order, and then perform diagnosis and treatment based on the order. This is how many missed diagnoses come about.

When seeing other patients, the patient came back soon. After all, it was urgent.

Looking at the color ultrasound sheet, "Gallbladder perforation, bile dispersing peritonitis, surgery is required as soon as possible."

What a gallbladder perforation!

The patient was shocked when he heard this, but he breathed a sigh of relief subconsciously. Fortunately, he didn't quarrel with Wu Xiaofu at that time, otherwise, it would have been embarrassing now. But he only knew about gallbladder stones. What's going on with gallbladder perforation? And with such a long name, there is also bile disseminated peritonitis. This can't be serious.

Why did he look at the doctor with a solemn expression?

"Is the surgery difficult?"

The patient asked weakly, but he had to say that in this atmosphere, he seemed to be a little embarrassed if he didn't get nervous.

Wu Xiaofu immediately explained, "The gallbladder has been perforated, and bile has flowed into the abdominal cavity, causing peritonitis. Compared with simple cholecystitis, the difficulty of surgery must have increased. The most important thing is the problem of infection..."

so serious!

"Operation, let's do it quickly."

Wu Xiaofu nodded. The emergency department was performing emergency surgeries every day. There was only one more hospital and one less hospital. Wu Xiaofu directly notified the ward to receive patients and prepare for surgery.

"teacher."

"Go ahead."

Hey, this is too easy to talk about!

In the operating room, Wu Xiaofu brought Wu Qingting.

Duan Hao understood what he meant very well. As soon as he spoke, Duan Hao knew that Wu Xiaofu wanted to do it himself. Duan Hao had no doubts about Wu Xiaofu's level. Although he had peritonitis, Wu Xiaofu should have no problem handling it. Yes, but this operation cannot be performed by one person. At this time, it is necessary to test which teacher Wu Xiaofu can recruit to do it.

However, Duan Hao probably didn't expect that Wu Xiaofu would pull Wu Qingting over instead of Zhu Yun and the other chief doctors.

In fact, Wu Xiaofu didn't expect it to be so simple.

Duan Fei simply ignored the three residents. The remaining Wang Hu and Wu Qingting, Wu Xiaofu felt that they could give it a try. When Wang Hu was away, Wu Xiaofu went to Wu Qingting and asked, "Gallbladder perforation, the surgery will be done soon, can't you do it?"

"on!"

Wu Qingting almost didn't hesitate and agreed directly. If it were other interns, he might have doubted the authenticity of his words, but Wu Xiaofu's current reputation has spread in the emergency department. Who doesn't know that he is the darling of the future director of the emergency department? .

Others, even residents, have a hard time getting the chance to perform surgery, but Wu Xiaofu definitely has the resources. He also wants to do surgery and make rapid progress. If Wu Xiaofu gives him the opportunity, he will naturally not refuse it. Assistants can also do it. As for giving it to interns Whether it would be too shameful to attack is not within the scope of Wu Qingting's consideration at all. He only cares about his own gains, not to mention the dignity of treating illnesses and saving people.

(End of this chapter)