After Rachel performed abdominal palpation, she found that the patient had pain in the middle and suspected abdominal hernia. This was a field of surgery that she was not very familiar with, so she referred Isobel to Zhou Qiao.
It was not transferred directly to Murphy. Firstly, Zhou Qiao was the boss and needed his consent. Secondly, there was a patient at Murphy's side dealing with the injury.
"Doctor, come and help me!" Isobel said, holding her stomach.
Although Zhou Qiao is very young, she doesn't care so much anymore. She is willing to take a pain-relieving injection right away! She has no idea that Zhou Qiao is the boss here and the one with the most powerful medical skills!
"Pain in the middle of the abdomen? Also accompanied by episodic vomiting?" Zhou Qiao pondered for a moment, then made a gesture and asked the patient to lie down on the examination bed. He needed to check carefully again.
Isobel lay down on it.
"Is the temperature normal?" Zhou Qiao asked while checking.
Isobel endured the pain and said, "It's normal, no fever. The nurse helped me measure it before."
Zhou Qiao lightly pressed her upper abdomen, and Isobel immediately cried out in pain, showing obvious tenderness.
"Eh~"
When Zhou Qiao's hand came to the area near her navel, he suddenly felt a lump pressing against the woman's belly. At this time, the woman also complained of pain.
He looked carefully and found that the area was slightly raised and the skin was partially erythematous.
Zhou Qiao tried to return it gently, but the tumor remained motionless.
In this case, it is naturally not easy to force it. The only way is to do a CT scan for further examination and confirmation.
Then he checked again carefully and found no other abnormal signs, no muscle guarding, and no rebound tenderness. McFarland's point pain, which is common in appendicitis, does not exist.
"Let's do this. I'll arrange a checkup for you first," Zhou Qiao said.
"Doctor, is my condition serious?" Isobel asked.
Zhou Qiao said while taking the order: "It may be a little serious, and there is a high probability that you will need surgery. Be mentally prepared. By the way, can you bear the pain? If you can't bear it, I can give you an injection first." Painkillers.”
Isobel gritted her teeth and said, "I can hold on, so let's get checked first."
After all, she also knows that drugs have side effects, and it is best not to take painkilling injections if possible.
In the past, a doctor prescribed painkillers for her, and she bought them, but she would not take them until critical moments, and many times they were expired and thrown away!
Zhou Qiao nodded, printed out the letter, handed it to the other party, and asked the other party to go to the cooperative commercial testing center. Because it was an emergency, Zhou Qiao also specified the expedited mode. In any case, the relevant costs will be included in the patient's bill.
This is a poor woman, and there is no one to escort her when she sees a doctor.
In fact, Isobel is working alone in the United States, and her family is in Mexico. I haven’t found a boyfriend here, and as for not getting married at the age of 33, no one will push me anyway.
Isobel gritted her teeth and went for the checkup alone. Originally Zhou Qiao suggested that Ava send her there.
But Isobel knew that this kind of escort was paid and quite expensive. She had to take leave when she was sick and had to undergo surgery. She didn’t know how long she would have to rest. Her income would definitely be much less than working normally. Any little she could save would be worth it!
Zhou Qiao helped her arrange blood routine examination and biochemical examination. The results came out. The white blood cell count increased to 17×109/L (reference value is 4-11×109/L), and C-reactive protein was 214mg/L (reference value is 0 -5 mg/L), and the rest were normal.
Pregnancy test negative.
CT scan revealed an inflammatory appendix located in the paraumbilical hernia sac, and no free fluid or gas was found in the abdominal cavity.
Zhou Qiao looked at the film, zoomed in and took a closer look, and was stunned!
"What's wrong, doctor?" Isobel suddenly became nervous, thinking that it couldn't be a serious illness, right? What if it is an incurable disease?
Zhou Qiao reacted immediately and quickly reassured: "Your illness is not too serious. It is an incarcerated hernia combined with appendiceal inflammation, which can be solved by surgery. The reason why I am surprised is that this situation is rare!"
"Rarely?" Isobel was surprised. At the same time, a strange thought suddenly came to my mind, that is, I was a little bit different, and even getting sick was rare. I couldn't help but laugh.
Her mentality can be regarded as joy in hardship and positive.
Zhou Qiao said: "Generally, appendicitis is typically characterized by tenderness at McFarland's point, which is a certain point in the right lower abdomen. Your appendicitis is pain in the midline of the abdomen. This is one of the reasons. It is usually not easy to judge by palpation, and there are often Misleading effect.”
"In addition, incarcerated hernia and appendicitis, individually, are common general surgical emergencies, but it is very rare for the appendix to be included in the hernia sac of paraumbilical or umbilical hernia!"
“Generally speaking, hernia contents range from the small intestine to the greater omentum, and if appendicitis is in the hernia sac, it is usually femoral hernia and inguinal hernia, with an incidence rate of about 1%.
"As for your situation, among paraumbilical hernias or umbilical hernias, there are only 5 cases reported in the literature!"
Isobel vaguely understood, and couldn't help but grinned in pain: "Then I'm quite honored!"
When she saw Zhou Qiao was young before, she thought Zhou Qiao might not be very good, but now after hearing Zhou Qiao's words, she suddenly felt like her eyes were brightening! I feel like this doctor is really professional and has a lot of experience!
Pretty awesome!
She wondered, was Zhou Qiao taking good care of himself? In fact, you are already very old?
Because she has also seen Asians in their fifties and sixties who still look like young people in their twenties and thirties! Just like a certain singer, when she met him for the first time, she thought he was a young man. When she found out his age, she was simply shocked!
In fact, she misunderstood, Zhou Qiao was really only 23 years old!
"Dr. Zhou, I heard that blood transfusion can keep you young. Have you ever had a similar operation?" Isobel couldn't help but ask.
Zhou Qiao: "..." confused.
After Isobel explained and expressed his doubts, Zhou Qiao quickly waved his hands and said seriously: "I am really only 23 years old, and I am not an old monster who uses blood transfusion surgery to stay young forever. In addition, there are no people in my clinic. Providing that evil exchange transfusion.”
He has read the news that many rich people in the United States like to raise "blood children".
The requirements for "blood children" are to be young, healthy, not drinking, not smoking, not taking drugs, and can be vegetarians.
The only job of these "blood boys" is to provide regular blood transfusions to provide young, healthy blood to the rich.
Some people even regard their sons as "blood children."
This kind of therapy has no scientific basis and has some potential risks. Some clinics will provide this service to the rich, but Zhou Qiao will never do it.
Isobel didn't ask any more questions, she was ill after all.
Zhou Qiao arranged for her to be hospitalized and made necessary preoperative examinations and preparations. As for the surgery, after seeking the patient's consent, it was naturally arranged for Murphy.
This surgery is not very difficult, and Murphy is completely capable of it. Whether it was appendicitis or hernia repair, Murphy had done it alone before.
Of course, there are some unique aspects that need to be paid attention to in this operation. Zhou Qiao called Murphy over and taught him the techniques carefully.
As for the 19-year-old Murphy serving as the chief surgeon, Isobel was no longer surprised after seeing Zhou Qiao's age.
In addition, Murphy's reputation as the youngest MD at UCLA is sometimes quite misleading.
At least, Isobel admired it quite a bit.
Isobel just graduated from an ordinary university in the United States. She knew that getting admitted to such a prestigious school, especially a doctorate in medicine, was more valuable than an ordinary doctorate. It was really not something ordinary people could do to get a doctorate in medicine at the age of 19. Arrived!
After admission, some examinations can be performed at the bedside, or Elena may take samples and send them to the testing center for testing.
Zhou Qiao took one look at Murphy's beautiful face and thought to herself, this should be her sixth surgeon! The victory of the "Great Mentor" mission is in sight!
"Qiao, I have two questions about this disease." After reading the report and the film, and listening to Zhou Qiao's introduction, Murphy did not follow blindly. She is a very independent girl, so she asked softly. road.
Thanks to "Book Friends 20230808174925255" for the reward.
(End of chapter)
