Zhang Chao felt that he had made a profit in this wave!

...

In the afternoon, Ruan Bin received a call from Professor Guo.

"Doctor Ruan, do you still remember me?" Professor Guo's voice came from the phone.

"So it's Professor Guo!" Ruan Bin was a little surprised.

"Dr. Ruan, your morning surgery was so exquisite and improved. I think you will definitely have greater development prospects in orthopedic tumors in the future. I wonder if you are interested in the idea of ​​developing in our Beijing University Hospital?" Professor Guo said straight to the point.

“…”

Well, I was shocked by my brother's strength again. I called over so quickly to poach people!

"Sorry, I don't want to consider going to the capital to develop at the moment." Ruan Bin politely refused.

Just kidding, my house is in the Magic City and my girlfriend is in the Magic City. If I don’t talk about it, I will not consider going to the capital for at least five years.

In fact, the capital is similar to the Demon City, so he is not very interested!

As for changing to a better platform?

No no no no!

With brother here, small platforms can also be built into large platforms!

"You don't think about it, we can offer good conditions here!" Professor Guo did not expect Ruan Bin to refuse so simply.

"Really, I really don't want to think too much now."

"Well, then are you interested in joining the National Orthopedic Association?"

"Well, I have joined five or six associations..." Ruan Bin said with his fingers. To be honest, he is not very interested.

"There are only five or six, not many, not many, one more friend, one more road, add it! I'll take you next time I come to Beijing..." Professor Guo did not give up. Although he was shocked in his heart, he actually joined so many associations...

He is worthy of being a demon genius in the Demon City and a scholar-in-law!

He had carefully investigated the news about Ruan Bin just now. After reading the other party’s information, he was shocked in one word!

"Okay." Helplessly, Ruan Bin finally agreed to Professor Guo's request.

…………

The next day, night shift.

At around 8 o'clock, Ruan Bin had just finished what was at hand and just sat down when suddenly Guo Hui came to him!

"Old Ruan, are you free?" Guo Hui said with a chuckling.

"What's wrong?"

"I have a special patient who cannot be diagnosed. I want to ask you to help me!" Guo Hui said.

Anyway, since he saw Ruan Bin's zero-missing diagnosis, all patients who could not be diagnosed would come over to find Ruan Bin!

"What patient, go and have a look." Ruan Bin was a little surprised.

Soon the two walked to the clinic No. 2 of the Department of Internal Medicine of the Emergency Department, which was Guo Hui's outpatient clinic on duty.

"The patient is a boy, 13 years old, vomiting without obvious causes. He has been repeatedly vomiting for more than a month, and has been to the hospital for repeated treatment, but no improvement has been seen. He has been hospitalized for three days in Modu City 404 Hospital."

"I vomited again after dinner today, so I came to our emergency department. Vomiting is non-squirting, and vomiting is the contents of the stomach, accompanied by upper abdominal distension and pain, no fever, no jaundice, and no limb convulsions." Guo Hui explained briefly.

Soon Ruan Bin came to Guo Hui's clinic and saw a middle-aged couple supporting a boy sitting on the hospital bed.

There was a sour smell of an abscess in the clinic. I didn’t need to look at it. I must have vomited again just now!

"Have you done a check on the relevant system?" Ruan Bin asked.

"It's done, look." Guo Hui handed Ruan Bin a stack of inspection materials.

Ruan Bin looked and saw that the perfect gastroscopy showed chronic gastritis. There were no obvious abnormalities in the three routines, biochemical, electrolytes and trace elements, no obvious abnormalities in the head and EEG, and no obvious abnormalities in the upper abdomen!

"After symptomatic treatments such as acid suppression, antiemetic and rehydration, the patient's symptoms improved, but he still had upper abdominal discomfort." Guo Hui continued.

I just saw that the medicine had improved, but I was still a little uncomfortable, so I told him that the child's illness was not that simple, so I invited Ruan Bin.

"Ruan Bin, what do you think?"

After hearing this, Ruan Bin frowned. Although he had not used general diagnosis, based on his current clinical experience, he felt that the patient was a young man with chronic onset and the first symptom was vomiting. It could be relieved appropriately after symptomatic treatment, but it was repeated and routine diseases could not be explained.

Repeated endoscopy all showed chronic gastritis, no obvious abnormalities in trace elements, and even abdominal epilepsy was considered, but no obvious findings were found.

This situation is the most painful!

The doctor is afraid that the examination results will not be abnormal...but the patient is sick!

"General diagnosis!" Ruan Bin directly threw away a general diagnosis.

Patient: Wang Xiaotao

Age: 13 years old

Medical record: Duodenal Yongji syndrome

"Duodenal Yongji syndrome?" Ruan Bin looked at the diagnosis and his heart became clear in an instant.

No wonder, duodenal congestion refers to a clinical syndrome caused by various reasons, resulting in proximal dilation of the duodenal obstruction site and accumulation of chyme. It is mainly caused by upper abdominal pain, symptoms of fullness, etc. It is easy to misdiagnose!

"I think gastroscopy cannot rule out peristaltic function and dynamic diseases. It is recommended to improve upper gastrointestinal angiography!" Ruan Bin said.

"Doing a digestive tract syndrome examination?" Guo Hui was a little surprised.

But he also thinks that he can do an inspection and implement it!

Soon, he issued a bill and asked the patient to go for examination.

The final upper gastrointestinal contrast results suggest duodenal dysfunction!

"Ruan Bin, this time it's really thanks to you!" Guo Hui said happily.

"You can read more books, you can do it too." Ruan Bin smiled.

“…”

"By the way, why do you need this test?" Guo Hui asked in confusion. After all, he is not a doctor in the gastroenterology department or surgery department. He is just an emergency department doctor. He knows a little anything but is not serious. He really can't figure out why Ruan Bin is so powerful?

"Glializing endoscopy is the gold standard for the diagnosis of digestive tract diseases. Almost all digestive tract symptoms can be diagnosed and treated through digestive endoscopy, but any examination has its limitations. Upper gastrointestinal tract contrast examination has more advantages for peristaltic function and dynamic diseases, and combined with application, it will help us diagnose diseases more." Ruan Bin explained.

"Okay, awesome, admire me!"

After the patient is diagnosed, the symptoms will basically disappear after surgery.

Then you can just go to the digestive surgery department.

By the second half of the night, there were almost very few patients in the emergency department.

Ruan Bin is in good spirits and doesn’t need to sleep. She made a takeaway, ordered a casserole porridge, and then she was in a daze in the clinic.

"Pick the Wave Award." He completed two tasks in a row, but now he has 6 chances to draw!

"System, I want a lottery!"

In an instant, the lottery page appeared.

1: The system mall function is turned on the card!

……
Chapter completed!