Chapter 114 Disagreement in diagnosis
Half an hour later, Wang Chen and Zhao Lei returned to the consulting room, and the woman pushed the middle-aged man out of the hospital.
Today's emergency room was much cleaner, and the number of patients was relatively sparse, and many of them had only minor illnesses that did not require surgery.
Wang Chen rarely sat in a chair leisurely and drank a few sips of tea.
Sudden!
The cell phone in his pocket rang suddenly, making Wang Chen and Zhao Lei tremble.
"Ouch! It's so quiet. This thing suddenly makes a loud noise. It's scary."
With that said, Wang Chen took out his cell phone and saw that it was Zhang Lijun from the Department of Cardiology.
I shouldn't go to cardiac surgery today. Is there any surgery?
"Hey, Director Zhang."
"Now, I'm not busy, why don't you go to cardiac surgery?"
"Okay, I'll go over now."
After hanging up the phone, Wang Chen said to Zhao Lei: "Director Zhang from the Cardiac Surgery Department called and said that a patient's family insisted on seeing me. I should go and see what's going on?"
"Go, I'm here." Zhao Lei raised his head and said.
"Call me if you need anything."
After saying that, Wang Chen walked out of the consulting room and went to the cardiac surgery department.
As soon as I arrived at the cardiac surgeon's office, I saw a couple standing in the office.
Wang Chen looked familiar to these two people, but he couldn't remember who they were.
"Doctor Wang, you're here!" The two of them said in surprise when they saw Wang Chen's face suddenly filled with smiles.
"Who are you?" Wang Chen really couldn't remember who these two people were, so he had to ask Zhang Lijun next to him for help.
"They are patients in bed 36. They are the little girl who underwent surgery for ruptured descending aortic dissection and aneurysm the morning before yesterday. These are her parents." Zhang Lijun naturally saw that Wang Chen did not remember these two people, so he laughed.
He made an introduction to him.
"Oh... hello, I'm sorry, I have a bad memory." Wang Chen said with some embarrassment. Looking at these two people at this time, well, they are really them.
"Where? Doctor Wang, you are too busy. How can you remember so many patients' families? It is completely normal not to remember us." The man said very politely.
"You are..."
Wang Chen looked at the two people and moved his eyes to the man's hand.
"That's it, Dr. Wang. Yesterday, Professor Wu told us in detail what happened in the operating room that day. Only then did we know that you are my woman's savior and our family's benefactor!"
The man stepped forward, held Wang Chen's hand tightly, and said excitedly: "This is our little thought, please accept it!"
With that said, he handed the pennant in his hand to Wang Chen and said: "Originally, I wanted to give something as a gift, but Director Zhang said it was inappropriate, so I made this pennant specially."
Wang Chen took the banner, but his heart was calm, because this was the first banner he had received.
"You are too polite. This is what we doctors should do." Wang Chen smiled, nodded, looked at the two of them and said.
The man smiled and nodded, then handed over a metal business card to Wang Chen with both hands, and said: "Doctor Wang, this is my personal business card. Remember to look for me if you go to Kyoto in the future. Although I am not anything
I am rich and powerful, but my business is not bad. If you need anything, you can come to me."
Then, the man said to Wang Chen seriously: "You are my daughter's savior. We will never forget this kindness!"
After speaking, the man took a step back and bowed deeply to him.
"No, no, no, no, no, Mr. Li said seriously. It is a doctor's duty to save lives and heal the wounded." Upon seeing this, Wang Chen quickly stretched out his hand to help the couple up, shook his head and said.
Just taking a look at the business card, Wang Chen knew that the man in front of him was named Li Qinglong, and he opened a company in Kyoto to make refractory materials.
…
The two of them chatted for a while, and this Li Qinglong was really good at talking. After chatting for half an hour, Wang Chen felt like he was going to become a good friend with this person.
Fortunately, at this time, the phone rang again.
"Oh, okay! I'll go back right away."
The call was from Zhao Lei. There was a patient whose diagnosis was unclear and he needed to go back and have a look.
After hanging up the phone, Wang Chen, Li Qinglong and Zhang Lijun said hello, then took the banner and hurried back to the emergency surgery department.
After jogging all the way to the emergency room, Wang Chen saw a young girl with a pale face, holding her stomach and curling up on the emergency bed.
"What's going on?" Wang Chen asked Zhao Lei next to him.
However, at this time, there were two doctors in front of the hospital bed.
Wang Chen also knew these two people. One was Li Min, the attending physician in the obstetrics and gynecology department, and the other was Dr. Li in the ultrasound department who often came to the emergency room to do bedside work.
"The patient, an 18-year-old female, suffered from lower abdominal pain for one day. I ruled out stones and appendicitis, so I called a sonographer for further examination and also requested an emergency consultation from the obstetrics and gynecology department. However, they disagreed on the diagnosis," Zhao Lei told Wang.
Reported by Chenhui.
"Doctor Li, how did you judge?" Wang Chen asked directly without any time to greet him.
"I thought it might be an ectopic pregnancy, but both the family and the patient clearly denied the history of close contact." Obstetrics and Gynecology Department Li Min frowned and whispered.
"Dr. Li, what do you suspect about the ultrasound you performed?" Wang Chen asked Dr. Li from the ultrasound department again.
"Judging from the direction of the blood vessels, it doesn't look like they branch off from the ovary. Although the pain point is next to the ovary, I don't think it is a gynecological disease." Dr. Li replied to Wang Chen.
Wang Chen nodded, knowing what he was doing, and then asked the patient to lie down, lowering his pants slightly to expose his lower abdomen, and applied coupling agent. He was going to perform a color ultrasound examination on the patient himself.
Because the family members and the patient themselves reported that they had no history of close contact, they could not do the most appropriate transvaginal color ultrasound. Wang Chen could only do a color ultrasound from the abdomen.
Through the probe, Wang Chen carefully observed the patient's abdominal cavity. There were no abnormalities in the uterus and both ovaries. A mass about 5 cm in diameter was visible next to the left ovary.
It seems that this is the reason for the disagreement between the two.
Wang Chen holds the ultrasound probe in his right hand and presses the patient's abdomen with his left hand.
However, when pressing, Wang Chen noticed that the mass was separated from the ovary, and several large blood vessels were visible inside.
Wang Chen agreed with the sonographer's opinion, although the physical examination looked very much like an ectopic pregnancy.
"Where are the family members?" Wang Chen asked.
An anxious middle-aged woman stood next to her and asked hurriedly: "Doctor, how is my daughter?"
"The origin of the tumor is unknown and requires surgical exploration." Wang Chen said. At this time, he had doubts in his heart, but he was not sure yet.
When most people hear that surgery is required, a middle-aged woman will immediately start to sweat.
Surgery? Does that mean there is a risk of death? Because even an appendicectomy may lead to death. Although the probability is very low, it makes people more afraid of surgery.
"Doctor Wang, can I come with you for the surgery?" Li Min, the attending physician at the Department of Obstetrics and Gynecology, asked Wang Chen.
Chapter completed!