That night, in the Huichun Hall.

After dinner one by one, they hurriedly hurriedly carried their notebooks to the third floor.

The imperial doctors were a little slower and came to the conference room to see that the room was full of people, and they didn't know what to do.

Boss Xue stood at the door and shouted inside.

"There are six seats in front, and you can sit in the back and give space to the imperial physicians."

Sun Maocai looked embarrassed and quickly saluted Boss Xue.

"No need to do this, just sit in the back. Come and sit forward tomorrow."

Boss Xue glanced at Sun Maocai and was a little annoyed. Why was this old man not ashamed? He felt that they were not good at learning and didn't know how to seize the opportunity to give them.

"Why are you standing there? Hurry up and sit forward. You haven't heard it. Can you pass the exam in six days? If you can't pass it, you have to go to the kitchen to help Wangcai do odd jobs. Isn't this a glorious thing?"

When Sun Maocai heard this, his face turned red. He had nothing to say and rushed forward quickly.

Everyone sat down, Zhou Heng walked in with a scroll in his arms, and without asking Qu Ziping to get up, he hung the scroll in front of him.

Next to it was a huge blackboard. Sun Maocai and the others didn't know what it was, but just sat down with their notebook and looked at Zhou Heng.

Looking up at the six imperial doctors in front of him, Zhou Heng did not have too much politeness and spoke directly:

"Okay, let's start now. I won't talk about basic knowledge today. We have talked too much about human anatomy and general diseases. I went to the rounds in the afternoon and saw two patients. Today I will use them as an example to talk about whether to choose surgery or conservative treatment."

As he said that, he grabbed a piece of chalk. This was made by Boss Xue. The charcoal pen needs too much white paper, which can be erased at any time and can save a lot of money.

Zhou Heng wrote two names and ages on the blackboard, pointing to these two names and said:

"The outpatient clinic has admitted two patients, both of which are determined to be appendicitis. The male patient No. 1 was 50 years old, was thin and had abdominal pain for several months, and was admitted to the hospital for repeated high fever. This is Wang Sanshun's patient. Do you recommend surgical treatment, right?"

Wang Sanshun quickly stood up, "Yes, the patient's body temperature was 38 degrees 2, and the Mai Spot's backlash was obvious. He had a full meal, was tired, had a cold and had a long standing, which caused abdominal pain. The patient asked for surgery. This disease troubled him for a long time, and he couldn't stand it."

Zhou Heng nodded, "Sit down first and look at patient No. 2. The man with a man with a 27-year-old body, was strong and suddenly admitted to the hospital for abdominal pain, vomiting and high fever. This is the patient admitted to Zhang Ping. Your suggestion is conservative treatment, right?"

Zhang Ping stood up. He was Desheng's apprentice and had just started to see the doctor independently. Seeing that Zhou Hengwen was a little confused, Desheng nodded at him and smiled encouragemently.

"Whatever you think and say, there is nothing you can't say here. If you are wrong, find the problem as soon as possible."

Zhang Ping took a deep breath, thought for a while and said:

"Patient No. 2 vomited and had severe diarrhea. When he came to the hospital, his body temperature was as high as 40 degrees and his clothes were soaked. However, his mental state was pretty good. There was a rebound pain in the Mai point on the abdomen, but there was no too much pain in the triangular area of ​​the abdominal wall, and the abdominal wall was a little nervous. I suggested that he have surgery at the time, but the patient did not agree, so he was admitted to the hospital for anti-inflammatory treatment first."

Zhou Heng nodded and signaled Zhang Ping to sit down.

"Okay, you have some understanding of these two patients. Let's talk carefully. Patient No. 1 has a long course of illness and has been repeatedly treated many times, and the effect is not good. So I want to have surgery, but judging by his physical condition and the urgency of the disease, I do not recommend surgery."

As soon as this conclusion came out, everyone was stunned, especially Zhang Sanshun, who looked at Zhou Heng with a confused look on his face.

"The symptoms of appendicitis in this patient are very obvious. Why not have surgery?"

Sun Maocai shivered, and he quickly looked up at Zhang Sanshun. Although he had a little understanding of many of the nouns they said, he compared them with the booklets he had read before and understood a little.

But what surprised him was that how could Chuntang’s apprentice dare to question his master like this? This was simply disrespectful.

However, looking at Zhou Hengyi's smile, he seemed to appreciate Zhang Sanshun's confusion and questions very much.

Zhou Heng raised his hand and signaled Zhang Sanshun to sit down, and then said:

"The judgment is correct. Patient No. 1 has appendicitis, but it is chronic appendicitis. The previous medication was not correct and naturally had no effect. This requires a combination of anti-inflammatory and decoctions to make the effect better.

If this patient is about 40 years old and his weight is not so low, I also recommend surgery. His condition is not good and the surgery recovery is too slow, which is not conducive to treatment. Do you understand?"

Zhang Sanshun sighed, as if he was still a little unwilling to accept it.

"In fact, surgery is a radical cure. Even if it is treated with medication, it may have recurrence, right?"

Zhou Heng nodded, "You are right, but weighing his current situation, conservative treatment is more suitable. If his weight increases and his condition recovers later, the operation is more suitable at that time."

Desheng came over to look at Zhang Sanshun, "How much is the weight of patient No. 1?"

Zhang Sanshun raised his chin at Liu Xiu'er, "It's about the same height as me, and the weight is about the same as that of Senior Sister Xiu'er."

Everyone took a breath. Liu Xiu'er was only over 80 pounds. If an adult man reached this weight, he was not ordinary thin. No wonder Zhou Heng disagreed with the operation.

Zhou Heng clapped his hands and everyone looked up at him.

"Next to say, the symptoms of acute appendicitis in patient No. 2 are very obvious. Zhang Ping's initial judgment is correct. As for the lack of pain in the triangle area and there are no excessive symptoms in the abdomen, this is not a good thing.

This situation is prone to occur when the appendix obstructs for too long or when the perforation occurs. Therefore, this patient will talk to his family to discuss with him tonight, start fasting water, and operate as soon as possible tomorrow. Desheng will do it."

Zhang Ping was stunned by the arrangement. Desheng poked his arm, and then he thought of opening the medical record quickly. He looked at Zhou Heng with an innocent look on his face.

"But the mental state of patient No. 2 looks much better than patient No. 1, but his body temperature is higher. He was still shouting that his wife would bring food here."

Zhou Heng waved his hand quickly, "Zhang Ankang will make arrangements now. This patient cannot be separated. Will anyone take care of him?"

Zhang Ankang was at the door and quickly stood up.

"Today, Xiao Liuzi is leading the team and is patrolling below. I'll inform you now."

Before he finished speaking, the door of the conference room was pushed open. Xiao Liuzi leaned into his head and everyone looked at him. Xiao Liuzi was a little embarrassed for a moment and quickly bowed to Zhou Heng.

"Boss, please disturb me. Cui Xiangxin, a patient on the second floor No. 16, vomited badly. The high fever has not been relieved. Penicillin has no effect. I'll come and call me. Doctor Zhang Ping, do you go over and take a look? I don't feel relieved."

Zhang Ping stood up, looked at Desheng with an anxious look on his face, and asked for help. Desheng quickly stood up and saluted Zhou Heng.

"Master, I will follow you over and take a look. If the situation is not good, there will be an emergency surgery tonight. After all, it will be troublesome if it is perforated."

Zhou Heng nodded, and the two followed Xiao Liuzi. Zhou Heng looked at Mingyu who was making records on the side.

"This month, Xiao Liuzi will get an extra bonus of two taels of silver. Do you have no objection?"

Everyone smiled and applauded, saying nothing was wrong.

The sudden applause surprised Sun Maocai. Not only did Zhou Heng not have the airs of his master, but his recognition and encouragement towards his disciples is not comparable to that of an ordinary master.

There are also the doubts of these disciples and even their disciples just now, and they did not shy away from it and spoke directly. For their own judgment, it can be said that they are fighting for reason.

If he had to question his grandfather like this when he was young, he would probably have been treated as a kneeling in the ancestral hall.

After the three of them left, the door closed, and Zhou Heng's eyes fell on the six people in the front row. Seeing Sun Maocai thinking, Zhou Heng coughed slightly.
Chapter completed!