Chapter 29

"Chuan Chuan, wake up quickly!" Early in the morning, Qin Chuan's mother was already calling out loudly from outside the door, somewhat worried that Qin Chuan hadn't rested well. "This child, when will he ever grow up? The hospital work is too busy. He finally has a day off, but he still has to work overtime. Working day and night, I used to think being a doctor was a good job, but I didn't expect it to be so tiring."

"Which decent job isn't tiring? But it's for a stable life," Old Qin said.

Qin Chuan got dressed and came out, his hair a bit messy, but his head was clear, with a bit more clarity.

While using the toilet and brushing his teeth, he managed to do several things at once, completing the entire process in less than five minutes. He used a bit of hair gel to tidy up his messy hair.

"Really not eating breakfast?" Qin Chuan's mother asked with concern.

"It's fine, I'll buy it myself," Qin Chuan said.

"Then don't buy from street vendors. It's not hygienic. Go to a proper store. Actually, the breakfast from our old neighborhood is more reliable," Qin Chuan's mother said.

"Who can trust anyone's breakfast now? If you want to be reassured, you have to make it yourself," Old Qin said.

"You two take your time. I need to hurry, or I'll be late," Qin Chuan said.

Jiang Lingling waited at the hospital entrance, seemingly afraid that Qin Chuan would walk by without seeing her.

Wu Xiaoming walked over and said happily when he saw Jiang Lingling, "Lingling, you're really early!"

"Yes, Doctor Wu, you're also quite early," Jiang Lingling said, still staring in the direction of Qin Chuan's house, not even looking at Wu Xiaoming, her brows slightly furrowed.

"Waiting for someone else?" Wu Xiaoming asked.

"No, I'm just checking if Zhan Ting has arrived," Jiang Lingling said.

"Oh, then I'll go in first," Wu Xiaoming said.

Jiang Lingling still didn't look at Wu Xiaoming, just hummed in response.

Wu Xiaoming felt a bit embarrassed but didn't say anything, looking around as he walked.

At this moment, Qin Chuan walked towards the hospital entrance.

"Doctor Qin," Jiang Lingling immediately bounced in front of Qin Chuan when she saw him.

"Lingling, you're really early!" Qin Chuan smiled.

Seeing Jiang Lingling's immediate change in demeanor when Qin Chuan appeared, Wu Xiaoming, who had already walked into the hospital, coldly snorted, glanced out with resentment, and quickly headed to the emergency department.

"I just got here. Come, try this, see how the breakfast tastes," Jiang Lingling said, handing the breakfast to Qin Chuan.

Qin Chuan didn't hesitate and took it directly, "Have you eaten yet?"

"No. Girls don't need to eat much in the morning. Doctor Qin, you go ahead and eat," Jiang Lingling said.

"That's not good. Breakfast is important; otherwise, you might get a stomach problem," Qin Chuan said.

"Let's go inside and eat," Jiang Lingling said.

"Okay," Qin Chuan said.

The breakfast Jiang Lingling brought was indeed delicious, making Qin Chuan praise it highly, "Where did you get this breakfast? It really tastes great."

"There's a restaurant in our neighborhood that specializes in breakfast. The breakfast they make is very good. Doctor Qin, if you like it, I'll take care of your breakfast from now on," Jiang Lingling said.

"No, no, that's too much trouble," Qin Chuan quickly declined.

"It's no trouble at all. It's settled," Jiang Lingling said.

At 8 o'clock, all the doctors and nurses in the emergency department gathered. Cheng Guanhua entered the emergency department.

"Everyone is here. Please let the on-duty doctor report the situation from last night."

Gao Zhanting, who was on duty last night, stood up and said, "Last night, we had 11 emergency cases. A few severe patients were stabilized and transferred to specialized departments. A few with colds were given intravenous fluids and sent home. There is also a patient in the observation room, bed 14. The patient, Cui Jun, 35 years old, has had upper abdominal pain for 4 hours. Moderate pain above the navel, no radiation, no transfer. Fever at 38 degrees, vomiting. No significant past medical history. On examination, the upper abdomen is tense, Murphy's sign (-), no significant tenderness or rebound tenderness at the appendix point. Emergency abdominal X-ray showed no abnormalities. Ultrasound also showed no abnormalities. The diagnosis is unclear, but considering the prolonged pain and inflammation, we started with anti-inflammatory treatment, P-Gna + Amikacin, and fluid replacement. Two hours later, the pain did not significantly improve. On re-examination, the temperature was 38.3 degrees. We repeated the abdominal X-ray, but still found no abnormalities. We considered whether it might be intestinal worm infection and administered 100 mg of pethidine intramuscularly, which relieved the pain..."

"Good, now let's start the routine rounds," Cheng Guanhua said.

When they reached bed 14, the patient's vital signs were relatively stable, and he was still sleeping.

"How is the patient feeling?" Cheng Guanhua asked.

"He just fell asleep after a restless night. We still don't know what's wrong," the patient's family member said with some resentment.

After leaving the observation room, Cheng Guanhua said to Qin Chuan, "Qin Chuan, you take over. Re-examine the patient. I feel there might be something wrong with the diagnosis of intestinal worm infection. We need to consider all possibilities. We shouldn't be afraid of being criticized for using the exclusion method and avoid necessary tests. Western medicine is a systematic science, and to diagnose a disease, we need to use the exclusion method. The exclusion method is not a moral issue; the problem is that some doctors are unethical in their practice. As professionals, we need to have the right attitude towards this. Over-testing and necessary testing are different things."

Qin Chuan nodded.

They hadn't walked far when bed 14 rang the bell.

"Qin Chuan, go check it out," Cheng Guanhua said.

Qin Chuan quickly went over.

"What's the situation?" Qin Chuan asked.

"He was in terrible pain as soon as you left. Doctor, please check him quickly," the patient's family member said.

"Hello, where do you feel pain?" Qin Chuan asked.

"Abdominal pain," the patient said, pointing to his abdomen.

"Try to bear with it, I'll examine you," Qin Chuan said.

Qin Chuan's mind worked quickly, and he found a rapid and effective method for the examination. His technique was very proficient, and his questions were very precise. He quickly identified the patient's true pain point and the nature of the pain.

"I suspect acute appendicitis, and surgery is needed immediately," Qin Chuan said.

Qin Chuan contacted the surgical department for a consultation, arranged preoperative tests, and contacted the operating room. The general surgery department was busy and said that for such a small surgery, they could handle it themselves. A small appendectomy was not a challenge for the emergency department doctors, who were generally trained in both surgery and internal medicine. Therefore, an appendectomy was not particularly difficult.

However, when the patient was asked to undergo various tests, the family member objected.

"My husband is in so much pain, and you're still doing all these tests. What's the hospital's intention? A simple appendicitis, and you couldn't diagnose it all night. Is this the level of a tertiary hospital?" Cui Jun's wife said.

"I understand your concern. However, before surgery, we cannot operate without seeing the results of these tests. We need your understanding. These tests are necessary to confirm whether the patient can undergo surgery. Without these results, performing surgery would be against the rules. These tests are necessary and won't take too long. Please go for the tests quickly, and I'll prepare for the surgery. Once the results are in, I'll confirm them and proceed with the surgery," Qin Chuan said.

"If you had diagnosed it accurately earlier, my husband wouldn't have suffered so much," Cui Jun's wife said.