Watching Tanglou complete the operation, Ma En and Wang Daquan stood aside quietly, waiting for Qingping's treatment.

Qingping looked at Tanglou, and he was naturally very happy, but he also had a headache, although the final result proved that Tanglou's choice was correct.

"Okay, you go clean the tenement building first, and we'll have a small meeting in the office later."

Qingping couldn't tell whether he was happy or angry, and looked at Ma En and Wang Daquan. The latter quickly nodded obediently.

As for Tian Linsheng, he is naturally still cleaning up the mess.

Ten minutes later, the general surgery office.

The Qingping team gathered around the desk. Qingping looked at Ma En: "What do you think of the patient just now? What will you do if you encounter a situation that may not be handled?"

Ma En swallowed his saliva, and naturally responded obediently: "First of all, Tanglou's operation was smooth and correct for the appendicitis perforation just now. I couldn't have done it better. But, if I had done it at that time, I definitely wouldn't have been like this

If you take risks, you will definitely follow Dr. Qing’s arrangements and absolutely obey the instructions of your superior doctors.”

Qingping nodded and looked at Wang Daquan again: "What about you?"

Wang Daquan was modest and low-key, moved closer to Ma En, and chose political correctness: "Dr. Qing, as you know, I am now very good at suturing and opening and closing the abdomen. As for finding the appendix, I don't even dare to think about it. Everything depends on Dr. Qing and Ma En.

Doctor’s arrangement.”

Qingping looked at Tian Linsheng again: "What do you think of the surgery just now?"

Tian Linsheng didn't know what was going on. Just now in the operating room, he just did his job of pulling the hook carefully and followed Tang Lou's movements throughout the process. He only knew that the operation was very successful. Among them, the appendix was gangrenous or perforated, and the possible risks of the operation were

, no idea.

Regarding Qing Ping's questioning, he was a little nervous and laughed: "I'll just stand and watch quietly."

"..."

Wang Daquan glared at him and thought, if you don't do it, who will?

The corner of Ma En's mouth twitched, and the god stood watching quietly!

Qingping was speechless, and finally looked at Tanglou: "What about you? What do you want to say?"

Tanglou said seriously: "Strive to become an attending physician as skilled and experienced as Dr. Qing as soon as possible."

"???"

Qingping was almost furious and couldn't speak for several seconds. Two interns, one was rotten wood and the other was smart and hard-working, they just had to go to the house to build a house.

This medical team leader is so difficult!

Qing Ping calmed down before picking up the train of thought: "Tanglou, this kind of disobedience to orders today will not be allowed to happen again!"

"Oh." Tanglou responded perfunctorily.

"As punishment, you will continue to perform ten appendicitis operations in the next half month."

"Oh." Tanglou responded calmly.

Ma En watched helplessly as the two acted like a double act, and finally understood in his heart that Qing Ping clearly wanted to reuse Tanglou.

"Doctor Qing! I don't think it's appropriate."

Wang Daquan was a little jealous. What kind of punishment was this?

"Wang Daquan, what do you think?"

Qing Ping looked at Wang Daquan and asked slowly, with a calm tone. Wang Daquan suddenly calmed down, and just now he was still plausibly following the instructions of the superior doctor... In hindsight, he realized that Dr. Qing was playing a big game of chess!

His face turned red. In his desperation, Wang Daquan actually thought of a reason and quickly explained: "Dr. Qing, didn't you arrange for Tanglou to do dressing changes for burn patients? I'm afraid that Tanglou won't be able to do all the work. I'm afraid that Tanglou will not be able to do all the work.

The building is exhausted, but I can actually share some of it."

Wang Daquan praised his wit, looked at Qingping sincerely, and divided the appendicitis surgery between me and me!

Qingping thought about it for a while, and it made sense: "What do you think about Tanglou?"

Tanglou thought about it for a while. Due to his own surgical expertise, the healing rate and patient pain are not universal and generalizable for burn patients. If he does it himself, the data in subsequent papers will be problematic.

It would be best if other people could do this, so that it can be scientifically rigorous.

After thinking deeply, Tanglou said: "Dr. Qing, I think what Wang Daquan said makes sense. After all, I can't do two things at once. In that case, he will be responsible for changing the dressing for the burn. I have already sorted out and perfected the steps for using the medicine. Lin

Nurse Jia worked in sync with me, and Wang Daquan is more experienced than me, which is helpful for completing the research on the subject better."

"Tanglou, you!"

Wang Daquan looked at Tanglou's actions in disbelief and roared in his heart: I have never seen such a shameless person!

"If that's the case, then it's settled. There is a way to change the dressing, and whoever does it doesn't affect the final conclusion. Then you should learn about appendectomy..."

"Doctor Qing, I...that's not what I meant..."

Wang Daquan wanted to resist, but when he saw Qing Ping's serious expression, he took it back. He raised the corner of his mouth with difficulty and gritted his back teeth: "Okay, Doctor Qing, I promise to complete the task."

Qingping nodded in approval: "The meeting is over!"

Looking at Qing Ping's leaving figure, Wang Daquan gently smacked his mouth to make you talk more, to make you talk more...

Ma En gently patted Tang Lou on the shoulder, and it seemed that he would be friends with each other from now on: "Congratulations!"

Tian Linsheng looks like a dead pig and is not afraid of boiling water.

…

Just as everyone was digesting their emotions, Dr. Qingping hurried back to the office half an hour later.

The general surgery department admitted a post-operative patient with appendicitis who was sent from a lower-level hospital.

Qingping once again convened a meeting of the whole group.

Qingping held a pile of case information seriously and frowned.

"Wang Daquan, prepare for the projection. Ma En, go and invite Director Cheng. Tian Linsheng, go to the Department of Internal Medicine and see Fang Qing, the attending. In Tanglou, go to the General Surgery Department and see Song Yang, the attending. I need to start a department consultation."

Several junior doctors are all in disbelief. What is going on?

Something big happened!

Naturally, several people quickly went to find people according to Qingping's order.

Twenty minutes later, at the large conference table in the center of the general surgery meeting, Cheng Jian, the director of the general surgery department, Fang Qing, the senior attending of the internal medicine department, and Song Yang, another attending of the general surgery department, all arrived.

As for Ma and En, they were naturally not qualified to sit at the big conference table, so they all stood aside and listened.

Qingping presided over the meeting and was not polite. He started by playing a series of examination films.

While playing, the patient’s condition is introduced:

Today at noon, we received a post-operative patient with appendicitis who was transferred from a lower-level hospital.

Patient: Hu Jindong, male, 24 years old

Brief medical history: 3 days of metastatic right lower quadrant pain, accompanied by intermittent fever, maximum body temperature 40°C, anti-infection and antipyretic treatment at the local hospital, with poor results. Emergency CT showed acute appendicitis and surrounding exudative inflammation, and mesenteric lymph node reaction

Sexual enlargement, a small amount of pelvic fluid accumulation.

Physical examination: body temperature was 39°C, abdominal muscles were flat and soft, right lower quadrant tenderness, and rebound tenderness.

Auxiliary inspection:wbc14-5*109/L,N93%

...

After reading the preliminary information, Qingping continued to briefly describe:

After the clinical diagnosis, the local hospital proposed two options, one was conservative treatment and the other was laparoscopic appendectomy.

Taking into account the symptoms, signs, and auxiliary examination results, the indications for surgery are clear and there are no contraindications to surgery.

After communicating with the patient, on the same day of surgery, laparoscopic exploration revealed that the mesenteric lymph nodes in the terminal ileum were swollen. The appendix was about 10cm long, slightly swollen, and had no purulent fur. It was located behind the terminal ileum. There was turbid fluid accumulation in the pelvis and right iliac fossa.

.

Qingping cut out the corresponding photo on the projection, and the swollen appendix was clearly visible in the photo.

Several experts also nodded, approved the local hospital's approach, and performed an appendectomy.

Qingping continued: After the appendectomy, saline flushing and indwelling drainage tubes were performed, and the operation went smoothly. On the first day after the operation, the abdominal pain was completely relieved, the abdominal muscles were soft, there was mild tenderness in the right lower quadrant, no rebound tenderness, and intermittent high fever.

When talking about this, the expert was a little confused. Appendiceal lesions are not enough to cause high fever of 40℃.

Qingping naturally had the same reaction as the experts and continued:

"On the second day after the operation, the patient still had a high temperature of 40°C."

Qingping turned over another page of patient information, looked at the experts, and said in a serious tone:

"On the third day after the operation, the patient's white blood cells continued to rise. The antibiotic was upgraded to imipenem. After three days of use, the patient still had intermittent high fever!"
Chapter completed!