doctor knife in hand
Chapter 14 Nighttime Appendicitis
These days, why do so many people like to wait at other people's doors?
Lu Jin shook his head, walked into him, and asked, "Who are you?"
Hearing Lu Jin's voice suddenly, the man was obviously startled. He held the lantern and heaved a sigh of relief when he saw the person coming. After bowing, he said, "I'm Li Ziran, a student of Yangjiang Academy. It's so late today. I came to see Dr. Lu because my father’s condition worsened, and he took the liberty to come here for medical treatment if he couldn’t wait until tomorrow, please forgive me, Dr. Lu.”
It was another doctor. Lu Jin knew that after saving the strong man two days ago, more people would come to see her. She didn't expect it to be so fast, and they were probably all emergency cases.
Fortunately, I didn't drink tonight, otherwise I wouldn't be able to have this kind of heart.
"Tell me what's going on, the more detailed the better."
Lu Jin opened the door and entered the room, and Li Ziran followed behind him and said, "My father has been sick in bed for many days. He has been suffering from recurrent abdominal pain, which is unbearable. In the past few days, he has started to vomit continuously, and his forehead is hot, and he has fever symptoms. ..."
"Did you seek medical attention before?"
"Old Doctor He has visited a few times, and prescribed a prescription, and took the medicine, but it still doesn't improve, but it's getting worse."
"What does the old doctor say?"
"He said that he should be fine after taking the medicine a few times, and he couldn't figure out why my father was still getting worse. After seeing it today, he suggested that I ask you to try it as soon as possible. I couldn't wait and came right away. "
Since Lu Jin accepted this identity, she naturally had nothing to say.He took the medicine box and said to Li Ziran, "Let's go."
When he arrived at Li's house, Li Ziran took Lu Jin directly to his father's bed. At this time, Mrs. Li was changing the veil on his forehead and following his heaving chest.
"Mother, Doctor Lu is here."
Mother Li heard the voice, got up quickly, saw Lu Jin, and couldn't help being stunned. The doctor seemed too young, but she said to Lu Jin in a flash: "Doctor, please come and take a look."
Master Li's face turned pale, and he lay on the bed moaning unceasingly, his hands covering his abdomen, as if the pain came from here.
Without further ado, Lu Jin put down the medicine box. He asked Master Li to lie on his back, bent his knees, and began to press from the upper abdomen. While carefully observing Master Li's expression, he listened to his groans.The pressure reached the lower abdomen, and Father Li's groans suddenly increased.
Lu Jin asked, "Is this place particularly painful?"
Master Li's expression was already in a daze of pain at this moment, and it took a long time before he answered with difficulty: "Yes."
When Lu Jin pressed down on the lower right abdomen, Father Li could no longer speak, and the sweat dripped from his forehead.
Afterwards, Lu Jin gently laid his legs flat and covered him with a quilt.His eyes wandered around the room until he saw the spittoon on the bed, from which there was a faint smell, which could be seen that he had just vomited.
"What can I eat today?"
Mrs. Li quickly said: "I drank a few mouthfuls of porridge, but I still vomited it out. I have been vomiting for the past few days, but I haven't eaten anything. It is difficult to even drink water. I am so worried."
Lu Jin nodded, and then said, "Let me see Old Doctor He's prescription."
This is what Li Ziran carried with him. He immediately took it out and gave it to him. There were several sheets, which shows that the old doctor changed the prescription later, but the effect was minimal.
"The old man even tried acupuncture."
After Lu Jin saw it, he already had an idea in his mind that this was an acute appendicitis attack, and it had dragged on for a long time.
There is nothing wrong with Dr. He's prescription, but since it can't be cured, it is not an ordinary inflammation, it should be caused by a bacterial infection.Because it has been a long time, it is now a little serious, and immediate surgical resection is the best solution.
Thinking of this, Lu Jin said: "Don't worry, I have already found the cause, but I have to undergo surgery, which is to remove the necrotic appendix inside to prevent it from affecting other organs in the body. If it has been left in the body, It will become an acute abdomen and endanger life."
Li Ziran quickly said: "Then let's do it quickly, is it like saving the victim who was stabbed two days ago?"
Lu Jin nodded: "Similar, since you already know, that's better, it's just..."
Li Ziran said: "I know, don't worry, do it."
Lu Jin smiled when he heard the words, "Thank you for your understanding, but in accordance with the principle of responsibility, I must tell you in advance that your father is not young, and his physical condition cannot be compared with that strong man, so the risk of surgery is relatively high." It will be relatively high. I am not absolutely sure that the disease will be cured, and it may cause other diseases during the operation, and even shorten his life. After all, this is still relatively risky. Of course, surgery is the best choice. For a radical cure, if it is controlled with medication, it is just delaying time. You should think about it carefully, do you want to have an operation?"
The possibility of an accident in the operation is greater than the current pulse diagnosis and medication. He had to explain all the possibilities. Even after today, he considered whether he should write a disclaimer and make a consent form for the operation to let the patient's family members know in advance. Sign it, otherwise one day someone will die and be sued in the government office, and his career that hasn't started will end immediately.
Li Ziran and Mrs. Li looked at each other, he thought that Dr. Lu would be saved as long as he used a knife, but after hearing what he said, his heart wavered again.
"Doctor Lu, do you mean that my father is very dangerous? Is it very likely that after this operation... By the way, is the removal of that thing directly from his body? Will this part be lost if there are fewer people?" ..."
Lu Jin shook his head and explained: "No, the lack of an appendix does not affect normal activities. It's okay. This operation is not too difficult, but your father is a bit older, and the recovery time will be longer. Please believe that I will do my best. It can treat every patient, but there is no certainty in everything, after all, it is a knife on a person, right? Say it in advance, so I can do it with confidence."
"That's right, that's right, Ziran, forget it, this knife... When Mother heard this, she felt scared, it was scary." Mother Li shook her head while pulling her son.
Li Ziran hesitated, but looking at his father moaning on the bed, he couldn't help asking: "What will happen if there is no operation?"
"How?" Lu Jin smiled, "The old doctor is better than me in medicine, how long do you think your father can last? If you drag it on, it's time to use the medicine of tiger and wolf. It won't take long to relieve the pain but hurt the body." of."
Li Ziran was dumbfounded.
"Well, you should think about it again. After all, not everyone is willing." Lu Jin waited for a while, then lifted the medicine box, "When you can discuss it, come to me again. But for the sake of your father, this operation is a The sooner the better, the longer the delay, the more difficult it will be, the less sure I am, and even in the end, if you ask me to do it, I don’t recommend it.”
After Lu Jin finished speaking, she picked up the medicine box and walked to the gate of Li's house.
Although he strongly hoped that Li Ziran would agree, after all, human life is at stake, and he dared not speak too much. This place is no different from his previous life. The rules and regulations are not perfect, and human beings' acceptance of surgery is not so high.
It's just that he was invited back before he stepped out of the Li family's gate.
"Doctor Lu, we've thought it through. You can do it. Long-term pain is worse than short-term pain. I really don't want to see my father in such pain."
Lu Jin said to Li Ziran: "Okay, if it goes well, I will pay you a tael of silver for the consultation."
If it doesn't go well, just don't go to the yamen to sue him, and there is no need for a consultation fee.
"Another person to ask Dr. Sun if he would like to be my assistant again, go quickly."
Dr. Sun was naturally willing. Not only did he get up from the bed in the middle of the night, but someone notified Mr. He, the old man also came.
Everyone is familiar with the preparatory work, and the operation will begin in a short while.
Lu Jin quickly and steadily cut open the abdomen, wiping away the blood with gauze as he cut open.His movements were calm and precise. After the laparotomy, he pulled apart the tissues layer by layer, quickly found the diseased appendix, and explained: "Look, it's already festered, and the intestines will be infected if it's too late."
After talking about excision, hemostasis, and stitches.
He introduced and explained, and within an hour, Father Li's abdomen had been sutured.
Then cleaning the wound is much easier.
Father Li hasn't had a good night's sleep for a long time, and now he is sleeping soundly.
Now that he had the operation, Lu Jin couldn't go home. He stayed at Li's house. Tonight was the key, and he had to pay attention at all times.
Also, before Dr. Sun left, Lu Jin held him back, "The man who was stabbed with a knife before, how is he doing now? Is the wound healed well?"
"It's fine. I had a fever the day before, and I just retreated last night, and I spoke fluently, but I lost a lot of blood, and I have to recover for a while."
Lu Jin felt relieved, "Alright, if everything goes well here, I'll go and have a look tomorrow or the day after tomorrow."
Dr. Sun said yes again and again.
And the old doctor He said: "Ah Jin, I discussed with the shopkeeper Fang before, and arranged another room in the medical hall for you to use for surgery. Although the three operations went well, the old man can see that it is still too much. I was in a hurry, and there were some things that were not fully prepared.”
After this incident, Lu Jin was thinking about this issue, but Doctor He unexpectedly brought it up first.
He nodded again and again, "That's great, that's exactly what I wanted to do, but I don't know how to discuss it with you. To be honest, every time I do it at the patient's home, it is not only unhygienic, but also risky. Follow-up treatment and observation are also troublesome. It would be great if they were unified in the medical center. And..." Lu Jin curled his lips and said with a smile, "It's not easy to operate alone, and you need an assistant. I always trouble Dr. Sun and you. How about discussing with shopkeeper Fang, if there is anyone willing to be my regular assistant, I will take him to the operating table."
This meant that it couldn't be more clear. If you become Lu Jin's assistant, you can observe all of Lu Jin's operations, just like teaching them hands-on!
Old Doctor He's eyes suddenly lit up, and even Doctor Sun was a little excited, "Okay, okay, don't worry, I will definitely choose a few smart and capable ones for you, and you will never cause trouble."
Old doctor He decided to write to the clan immediately, recommending some good seedlings, and his little grandson, who can almost recognize all herbs, is just the right time.
Lu Jin shook his head, walked into him, and asked, "Who are you?"
Hearing Lu Jin's voice suddenly, the man was obviously startled. He held the lantern and heaved a sigh of relief when he saw the person coming. After bowing, he said, "I'm Li Ziran, a student of Yangjiang Academy. It's so late today. I came to see Dr. Lu because my father’s condition worsened, and he took the liberty to come here for medical treatment if he couldn’t wait until tomorrow, please forgive me, Dr. Lu.”
It was another doctor. Lu Jin knew that after saving the strong man two days ago, more people would come to see her. She didn't expect it to be so fast, and they were probably all emergency cases.
Fortunately, I didn't drink tonight, otherwise I wouldn't be able to have this kind of heart.
"Tell me what's going on, the more detailed the better."
Lu Jin opened the door and entered the room, and Li Ziran followed behind him and said, "My father has been sick in bed for many days. He has been suffering from recurrent abdominal pain, which is unbearable. In the past few days, he has started to vomit continuously, and his forehead is hot, and he has fever symptoms. ..."
"Did you seek medical attention before?"
"Old Doctor He has visited a few times, and prescribed a prescription, and took the medicine, but it still doesn't improve, but it's getting worse."
"What does the old doctor say?"
"He said that he should be fine after taking the medicine a few times, and he couldn't figure out why my father was still getting worse. After seeing it today, he suggested that I ask you to try it as soon as possible. I couldn't wait and came right away. "
Since Lu Jin accepted this identity, she naturally had nothing to say.He took the medicine box and said to Li Ziran, "Let's go."
When he arrived at Li's house, Li Ziran took Lu Jin directly to his father's bed. At this time, Mrs. Li was changing the veil on his forehead and following his heaving chest.
"Mother, Doctor Lu is here."
Mother Li heard the voice, got up quickly, saw Lu Jin, and couldn't help being stunned. The doctor seemed too young, but she said to Lu Jin in a flash: "Doctor, please come and take a look."
Master Li's face turned pale, and he lay on the bed moaning unceasingly, his hands covering his abdomen, as if the pain came from here.
Without further ado, Lu Jin put down the medicine box. He asked Master Li to lie on his back, bent his knees, and began to press from the upper abdomen. While carefully observing Master Li's expression, he listened to his groans.The pressure reached the lower abdomen, and Father Li's groans suddenly increased.
Lu Jin asked, "Is this place particularly painful?"
Master Li's expression was already in a daze of pain at this moment, and it took a long time before he answered with difficulty: "Yes."
When Lu Jin pressed down on the lower right abdomen, Father Li could no longer speak, and the sweat dripped from his forehead.
Afterwards, Lu Jin gently laid his legs flat and covered him with a quilt.His eyes wandered around the room until he saw the spittoon on the bed, from which there was a faint smell, which could be seen that he had just vomited.
"What can I eat today?"
Mrs. Li quickly said: "I drank a few mouthfuls of porridge, but I still vomited it out. I have been vomiting for the past few days, but I haven't eaten anything. It is difficult to even drink water. I am so worried."
Lu Jin nodded, and then said, "Let me see Old Doctor He's prescription."
This is what Li Ziran carried with him. He immediately took it out and gave it to him. There were several sheets, which shows that the old doctor changed the prescription later, but the effect was minimal.
"The old man even tried acupuncture."
After Lu Jin saw it, he already had an idea in his mind that this was an acute appendicitis attack, and it had dragged on for a long time.
There is nothing wrong with Dr. He's prescription, but since it can't be cured, it is not an ordinary inflammation, it should be caused by a bacterial infection.Because it has been a long time, it is now a little serious, and immediate surgical resection is the best solution.
Thinking of this, Lu Jin said: "Don't worry, I have already found the cause, but I have to undergo surgery, which is to remove the necrotic appendix inside to prevent it from affecting other organs in the body. If it has been left in the body, It will become an acute abdomen and endanger life."
Li Ziran quickly said: "Then let's do it quickly, is it like saving the victim who was stabbed two days ago?"
Lu Jin nodded: "Similar, since you already know, that's better, it's just..."
Li Ziran said: "I know, don't worry, do it."
Lu Jin smiled when he heard the words, "Thank you for your understanding, but in accordance with the principle of responsibility, I must tell you in advance that your father is not young, and his physical condition cannot be compared with that strong man, so the risk of surgery is relatively high." It will be relatively high. I am not absolutely sure that the disease will be cured, and it may cause other diseases during the operation, and even shorten his life. After all, this is still relatively risky. Of course, surgery is the best choice. For a radical cure, if it is controlled with medication, it is just delaying time. You should think about it carefully, do you want to have an operation?"
The possibility of an accident in the operation is greater than the current pulse diagnosis and medication. He had to explain all the possibilities. Even after today, he considered whether he should write a disclaimer and make a consent form for the operation to let the patient's family members know in advance. Sign it, otherwise one day someone will die and be sued in the government office, and his career that hasn't started will end immediately.
Li Ziran and Mrs. Li looked at each other, he thought that Dr. Lu would be saved as long as he used a knife, but after hearing what he said, his heart wavered again.
"Doctor Lu, do you mean that my father is very dangerous? Is it very likely that after this operation... By the way, is the removal of that thing directly from his body? Will this part be lost if there are fewer people?" ..."
Lu Jin shook his head and explained: "No, the lack of an appendix does not affect normal activities. It's okay. This operation is not too difficult, but your father is a bit older, and the recovery time will be longer. Please believe that I will do my best. It can treat every patient, but there is no certainty in everything, after all, it is a knife on a person, right? Say it in advance, so I can do it with confidence."
"That's right, that's right, Ziran, forget it, this knife... When Mother heard this, she felt scared, it was scary." Mother Li shook her head while pulling her son.
Li Ziran hesitated, but looking at his father moaning on the bed, he couldn't help asking: "What will happen if there is no operation?"
"How?" Lu Jin smiled, "The old doctor is better than me in medicine, how long do you think your father can last? If you drag it on, it's time to use the medicine of tiger and wolf. It won't take long to relieve the pain but hurt the body." of."
Li Ziran was dumbfounded.
"Well, you should think about it again. After all, not everyone is willing." Lu Jin waited for a while, then lifted the medicine box, "When you can discuss it, come to me again. But for the sake of your father, this operation is a The sooner the better, the longer the delay, the more difficult it will be, the less sure I am, and even in the end, if you ask me to do it, I don’t recommend it.”
After Lu Jin finished speaking, she picked up the medicine box and walked to the gate of Li's house.
Although he strongly hoped that Li Ziran would agree, after all, human life is at stake, and he dared not speak too much. This place is no different from his previous life. The rules and regulations are not perfect, and human beings' acceptance of surgery is not so high.
It's just that he was invited back before he stepped out of the Li family's gate.
"Doctor Lu, we've thought it through. You can do it. Long-term pain is worse than short-term pain. I really don't want to see my father in such pain."
Lu Jin said to Li Ziran: "Okay, if it goes well, I will pay you a tael of silver for the consultation."
If it doesn't go well, just don't go to the yamen to sue him, and there is no need for a consultation fee.
"Another person to ask Dr. Sun if he would like to be my assistant again, go quickly."
Dr. Sun was naturally willing. Not only did he get up from the bed in the middle of the night, but someone notified Mr. He, the old man also came.
Everyone is familiar with the preparatory work, and the operation will begin in a short while.
Lu Jin quickly and steadily cut open the abdomen, wiping away the blood with gauze as he cut open.His movements were calm and precise. After the laparotomy, he pulled apart the tissues layer by layer, quickly found the diseased appendix, and explained: "Look, it's already festered, and the intestines will be infected if it's too late."
After talking about excision, hemostasis, and stitches.
He introduced and explained, and within an hour, Father Li's abdomen had been sutured.
Then cleaning the wound is much easier.
Father Li hasn't had a good night's sleep for a long time, and now he is sleeping soundly.
Now that he had the operation, Lu Jin couldn't go home. He stayed at Li's house. Tonight was the key, and he had to pay attention at all times.
Also, before Dr. Sun left, Lu Jin held him back, "The man who was stabbed with a knife before, how is he doing now? Is the wound healed well?"
"It's fine. I had a fever the day before, and I just retreated last night, and I spoke fluently, but I lost a lot of blood, and I have to recover for a while."
Lu Jin felt relieved, "Alright, if everything goes well here, I'll go and have a look tomorrow or the day after tomorrow."
Dr. Sun said yes again and again.
And the old doctor He said: "Ah Jin, I discussed with the shopkeeper Fang before, and arranged another room in the medical hall for you to use for surgery. Although the three operations went well, the old man can see that it is still too much. I was in a hurry, and there were some things that were not fully prepared.”
After this incident, Lu Jin was thinking about this issue, but Doctor He unexpectedly brought it up first.
He nodded again and again, "That's great, that's exactly what I wanted to do, but I don't know how to discuss it with you. To be honest, every time I do it at the patient's home, it is not only unhygienic, but also risky. Follow-up treatment and observation are also troublesome. It would be great if they were unified in the medical center. And..." Lu Jin curled his lips and said with a smile, "It's not easy to operate alone, and you need an assistant. I always trouble Dr. Sun and you. How about discussing with shopkeeper Fang, if there is anyone willing to be my regular assistant, I will take him to the operating table."
This meant that it couldn't be more clear. If you become Lu Jin's assistant, you can observe all of Lu Jin's operations, just like teaching them hands-on!
Old Doctor He's eyes suddenly lit up, and even Doctor Sun was a little excited, "Okay, okay, don't worry, I will definitely choose a few smart and capable ones for you, and you will never cause trouble."
Old doctor He decided to write to the clan immediately, recommending some good seedlings, and his little grandson, who can almost recognize all herbs, is just the right time.
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