The Surgeon's Studio

"Body examination of the bladder. Where is the bladder filled to?" Zheng Ren asked.

"What position? "Bladder ..." Lingzi was a little surprised as she didn't understand what Zheng Ren meant.

"Look at the tentacles and listen, big sister. To determine the urine storage, we need to make sure the boundary of the bladder by percussion. " Su Yun said.

"Oh, oh." Lingzi immediately answered with an embarrassed look. Then, she thought for a long time and scratched her head embarrassedly,"I forgot."

Zheng Ren sighed in his heart. If this was a doctor under him, he would have kicked her to the community Hospital to write medical records. He wanted Chang Yue to lie to him for a few months first. Otherwise, he would not be a doctor if he did not perform such an important physical examination.

He had gotten used to the 912 Ward, so he would always speak the truth during in-hospital consultations. If the chief resident who reported the medical history said anything nonsense, he would be scolded by the director and the professor leading the group who came for the consultation.

As Yiren was sitting opposite her, Su Yun was embarrassed to scold this childish doctor. He only smiled, his smile full of ridicule and ridicule.

Lingzi was obviously a little nervous and even stuttered a little,"there are three radial incisions on the anal border. There is a lot of secretion, obvious edema, and the skin of the anal duct is defective. The ligation lines at 3,7, and 11 O' clock have not fallen off. The surrounding tissues are congested and edema ..."

"Well, it shouldn't be a problem with the surgery. Have you done any other tests?" Zheng Ren asked.

"I did, and everything is normal. Blood sugar, ions, kidney function, and urine test. " Lingzi took out her phone and showed the test sheet to Zheng Ren and Su Yun.

The test results did not seem to have any problems. It was normal and clean, and there was not even a positive or negative sign.

Su Yun frowned."That shouldn't be the case."

"It looks like there's a problem."

"What's the matter, you two?" Lingzi fell into a state of bewilderment. How could there be a problem with a normal test report?

"Oh, it's nothing. It's just that the test results look too clean and I feel uncomfortable." Zheng Ren smiled."It's nothing, I'll think about it."

"Boss, you're being too polite." Su Yun said in disdain,"let's put it this way. I saw the date. It was yesterday's routine urine test. The patient has been using continuous catheter for three days, right?"

Lingzi calculated for two seconds and then nodded.

"The catheter will stimulate and rub in the urethra. Under normal circumstances, the value of latent blood in the urine test should be +, which is right." Su Yun said,"I can see the red blood cells, but it's not enough to diagnose the hidden blood in the urine. This is the test result of a normal urinary catheter patient, but the one you brought over has no problem at all. It looks so indecent. "

"Speak properly." Zheng Ren muttered to himself while holding Lingzi's phone,"does the patient have any other symptoms?"

"She doesn't want to talk to me." Lingzi said worriedly,"every time I go to the ward to visit her, she would close her eyes and say that we cut her bladder."

"Ha, there's such a thing in private hospitals?" Su Yun laughed, clearly watching the show.

"Uh, that shouldn't be the case. How's the patient's expression? Indifferent or excited?" Zheng Ren asked.

"Apathetic? Excited?" Obviously, Lingzi couldn't figure out such a judgment in clinical medicine.

In fact, this was also a more idealistic judgment standard. It was very difficult to calculate the patient's apathetic expression with quantitative data. What was tested here was the foundation of clinical skills and the control of the patient's various details.

It was obvious that Yiren's classmate had nothing and was still a novice in clinical medicine.

"Has the Neurology Department done a physical examination?" Zheng Ren asked.

The answer was another confusion. This time, the girl's eyes were blurred.

Zheng Ren was also very helpless. He had thought countless times that if a public hospital were to ask him for a consultation, the medical record would definitely be thrown at her face because she didn't know anything.

"Are you familiar with the doctors on duty in the hospital?" Su Yun asked.

"Familiar, we're all colleagues."

"Let the doctor on duty do a physical examination." Su Yun said,"let's see if the patient's expression is indifferent or normal. If you don't know the evaluation criteria, go and check the books first." Then, we'll check if there's any decrease in cardiac stress, as well as various arrhythmia and conduction block. "

"I'll also have to ask about the exhaust. " Zheng Ren added,"is there less gas or no gas for a long time?" By the way, your sugar tolerance ... Is not right. "

As Zheng Ren spoke, he hesitated for a moment, as if he had caught the main point of the problem.

"Boss, are you still worried about the problem with the test?" Su Yun asked,"I knew there was something wrong with this test report!"

"Yes." Zheng Ren nodded.

"Lingzi, the patient should be discharged. Come to 912. I will find a bed for her." Su Yun looked at Lingzi who was already at a loss and said.

He had casually agreed to find a bed in Room 912. This was a huge favor.

However, Lingzi didn't seem to understand the rules of these circles. She was still a little hesitant and her eyes flickered. Then, she lowered her head and didn't say a word.

When Zheng Ren saw this, he immediately knew that his guess was right. He smiled and said gently,"How long have you been in clinical medicine?"

"One and a half years. I got the business license six months ago."

It was more common for many hospitals to take up positions without a license. Some public hospitals were really out of people to use, so they were madly testing the boundaries of the rules. Private hospitals were built because people without a license did not earn much. At the very least, they could be used for personal use.

Zheng Ren actually didn't understand why there were so few Thunderbolts from this series of actions.

He frowned and asked,"do you think it's possible for the laboratory test to have ... An error?"

"Uh ..."

"Lingzi, you might have been in contact with clinical medicine for a short time, but you should have heard of the words" human lives are at stake. "" Zheng Ren said in a deep voice,"every test result is very important. You can't just throw it aside after a casual glance. There should be some problems with the latent blood in the urine of patients who have a catheter with them for a long time, but look at the test sheet, it's too clean. "

"..." Lingzi didn't speak.

"Also, you said that the patient's condition is not right. I don't think it's because the patient has a problem with you, but because she has entered a very bad condition." Zheng Ren replied,"I don't know what it is exactly, but if there's an error in the test report, it'll be too late to treat it even if it's kidney failure."

Lingzi's face was a little pale, extremely pale. Even her blush couldn't cover that paleness.

"Let's assume that something really happened, or that only the last examination was true, and all the blame would be on the clinicians. This pot is too big, are you sure you can handle it?"

"We went to a hospital in Jinhai city a few days ago for a medical evaluation. The doctor's license was revoked for life. It's hard to say how much the compensation will be, so we didn't ask in detail."

"Boss, she won't say anything. Why are you saying so much?" Su Yun replied,"it's a laboratory test. If you're determined, you can take it to a large public hospital for a check and compare the values. I think we'll find the problem immediately."