However, Meng Qingfei was just stunned for a moment without making too many moves.

Ji Xiang saw it, but he didn't ask any more questions. After the patient left, he found a quiet time and asked, "Mr. Meng, I just saw that you seemed a little reluctant when you gave the patient the hospitalization slip."

Reluctant, this word is used wonderfully.

Meng Qingfei was indeed like a miser, stingy with the admission notice in his hand. But in the end, he couldn't find an excuse and reluctantly handed the admission notice to the patient.

"It's a very strange feeling. I always feel that something is wrong with the patient. Xiaoji, please help me figure out what the problem is." Meng Qingfei frowned and said to himself.

"Nothing is wrong. The patient has ruled out cholecystitis, gallbladder stones, urinary tract stones, and ectopic pregnancy. Moreover, the physical signs are obvious, including pain around the umbilicus, which has been transferred to the right lower abdomen. Although the blood count on the test sheet is not high, it is acute appendicitis." Ji.

Xiang said sternly.

"That's what I say, but I always feel like something is wrong."

Meng Qingfei said nothing more, frowning and thinking alone.

Ji Xiang did not bother him, but just helped Meng Qingfei with his work. After a period of training in the emergency department, Ji Xiang has now basically become a very standard emergency doctor, handling things in an orderly manner and growing rapidly.

Taking advantage of the intermission, Ji Xiang came to the system operating room with breathless concentration.

"Teacher." Ji Xiang told the system NPC what happened.

"That's right." The system NPC didn't find it strange. "Experienced clinicians will notice some very critical details. Speaking of critical, in fact, the details are more important."

"Do you understand what I'm saying?"

"I guess I understand." Ji Xiang nodded with great understanding, "Teacher, is it possible that the patient's too obvious physical signs caused misunderstanding, and the small, really important physical signs were ignored, which ultimately led to an error in diagnosis."

"Yes." The system NPC nodded.

"Then let me think about it too." Ji Xiang frowned.

"Go and talk to Dr. Meng. Intuition is an extremely important part of clinical experience." The system NPC said seriously.

Intuition is actually an important part of clinical treatment. A few months ago, Ji Xiang would have scoffed at it.

But based on his understanding of the system NPCs and Meng Qingfei, he knew that this was correct.

Ji Xiang came back and saw Meng Qingfei still deep in thought. He asked, "Teacher Meng, do you think there is something important that you saw but was missed?"

"Yes!" Meng Qingfei nodded, "I have thought about the patient just now many times, and there is no way there was a misdiagnosis. But when I think of her, I vaguely feel that something is wrong."

If he were a urology doctor, he would laugh at Meng Qingfei for thinking that other girls are good-looking and drive a car.

But Ji Xiang is not that kind of person, he is very serious, and he doesn't even think about it.

"If you can't find something when you usually look for it, you can wait a little longer. Maybe you will appear in front of you in a few days." Meng Qingfei frowned, "But the patient has already been admitted to the hospital. If there is a delay of a few hours, once the operation is performed on the stage..."

As Meng Qingfei spoke, he cursed in a deep voice, "Damn it, something is wrong."

Jixiang has experienced empathy many times, so he has an almost instinctive reaction.

Once the diagnosis is wrong and the operation is performed, the patient will still be in pain after the operation...

Neither the doctor nor the patient, nor the patient's family, can accept it.

After Meng Qingfei said a few words, he said nothing more and fell silent. Ji Xiang did not talk to Meng Qingfei to disturb him. Instead, he dissected the process of Meng Qingfei's physical examination frame by frame in his mind.

It's okay, no problem at all.

Whether judging from the patient's chief complaint, physical examination, or clinical auxiliary examination, it is very common and typical acute appendicitis.

After more than ten minutes, Meng Qingfei's train of thought was interrupted by a patient. After handling the emergency patient, he simply stood up and told the internist to ask her to help with some readings.

After a while, he trotted to the 15th ward of gastrointestinal surgery.

Ji Xiang went with Meng Qingfei, and he was also curious about what Meng Qingfei was thinking.

When they arrived at the 15th ward, Meng Qingfei was not polite. When he saw the nurse, he yelled, "Where's your boss?"

The nurse was shocked, "Holy shit, why is it you, Brother Meng! Where is the patient? Car accident? Or stabbed?!"

The doctor in the emergency surgery department hurriedly followed the patient and estimated that the patient's blood pressure was already approaching zero. After the nurse asked, she subconsciously picked up the sphygmomanometer and prepared to start resuscitation.

Meng Qingfei realized that there was something wrong with his attitude, so he softened his voice and said, "There are no emergency patients. We just admitted a female patient with acute appendicitis and she was hospitalized."

"Come on, the boss said we are preparing for surgery. We have just finished skin preparation and there are a bunch of caesarean sections in the operating room. They are still waiting."

Meng Qingfei calmed down a little and said with a smile, "The fertility rate is so low now. I didn't expect there to be quite a few caesarean sections."

"Shit, pregnant women in our provincial capital are all rushing to the First Affiliated Hospital and the Second Affiliated Hospital. The obstetrics and gynecology hospital has already run out of patients," the nurse said.

"Lao Meng, why are you here?" The boss of the gastrointestinal department heard someone talking and came out to see Meng Qingfei. He came up to him and said, "Another patient? Why is your class so popular? When will you retire?"

"No, I'm not that bad." Meng Qingfei said, "Where is the female patient who was admitted just now for the diagnosis of acute appendicitis? I'll go take a look."

The boss of Gastroenterology laughed and said, "Lao Meng, you are going too far. It won't sound good if you say it out loud."

"What are you thinking about?" Meng Qingfei scolded, "Have you had a physical examination?"

"Huh?" The boss of the gastrointestinal department was startled.

"Is it acute appendicitis?"

"Yes, your old Mengdu gave me a diagnosis, is that okay?" the boss of the gastrointestinal department asked.

But he came to his senses after a few seconds, "Lao Meng, do you have any other questions? You drew blood from the patient, does she have an infectious disease? I just finished the physical examination and didn't wash my hands."

"There is no infectious disease, so where are you thinking?" Meng Qingfei said, "I just feel something is wrong, it doesn't look like appendicitis."

"Ha, don't be kidding, how is that possible?" said the gastrointestinal boss, "I also had a physical examination and it must be appendicitis. You did so many examinations and checked out all the diseases that should be checked. After the patient's family members came up, they still

I slander you in a low voice, saying that today’s doctors don’t have machines to check and they don’t know how to treat patients.”

Meng Qingfei ignored this level of ridicule. He said it again, and the boss of the gastrointestinal department took him to see the patient.

Under the strange gazes of the patient's family members, Meng Qingfei checked his body again.

Obvious tenderness at McFarland's point is a definite diagnosis of appendicitis.

After leaving the ward, the boss of the gastrointestinal department smiled and whispered, "Lao Meng, don't bother me. The way you look at the patient's family members probably thinks you are a fool. If you bother me any more, I'll take action."

(End of chapter)

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