After 100 days of signing in system, My first operation shocked the world - Chapter 17
Chapter 17:- Finally, encountered legendary appendicitis
“Wait, Dr. Lin performed another surgery?” The news of Lin Feng’s surgery quickly spread throughout the hospital.
“This time, it’s a spleen removal.”
“He has already done heart surgery, pancreatic surgery, and now the spleen… Oh my, is there anything Dr. Lin can’t handle?”
“I heard that the hospital administration was impressed with the surgery and decided to share a video for us to learn from.”
“I love gaining knowledge!”
“I haven’t finished studying the video of the pancreatic surgery yet, but the more I think about it, the more amazed I become by Dr. Lin’s skills.”
“I’m starting to feel like I’m just here at the hospital to fill the roster.”
“I’m here to fill the roster too!”
“+1 for roster duty!”
“+10,000 for roster duty!”
“I’m curious about what the next surgery will be.”
“It might be an appendectomy. After all, Dr. Lin hasn’t performed an appendix removal yet.”
“For such a minor procedure, it’ll be a breeze for him!”
“We can perform a minimally invasive laparoscopic surgery without an open abdominal incision.”
“Appendix: feeling slighted.”
On Lin Feng’s side, he once again immersed himself in the routine of seeing patients. Colds, fevers, cardiovascular cases, pancreatitis, alcohol poisoning, gastrointestinal illnesses…
Each case was unique and quite fascinating. Let me know if you need further assistance!
Shortly after, a woman in her forties entered the emergency room with the support of her husband. Lin Feng approached and asked, “What’s the matter?”
The female patient replied, “Doctor, I’m currently experiencing abdominal discomfort.”
Lin Feng nodded and asked, “Is the discomfort sharp or dull?”
After a moment’s thought, the woman replied, “It’s a dull ache.”
Lin Feng recorded the information on the computer and inquired, “Do you have any other symptoms?”
The woman shared, “I feel a bit queasy, have no appetite, and I’m feeling weak and lightheaded.”
Lin Feng continued, “Any episodes of nausea or vomiting? Have you had a fever or diarrhea?”
The woman replied, “No vomiting, fever, or diarrhea.”
Lin Feng then asked, “Can you tell me your age?”
The woman responded, “I’m 49.”
Lin Feng followed up, “When was your last menstrual period?”
Since abdominal discomfort could be linked to menstrual pain, it was crucial to clarify this to avoid misunderstandings or misdiagnosis.
The woman recalled, “It was last month, on the 12th…”
Lin Feng considered, “Today is the 10th; could it be related to your menstrual cycle?”
The woman was concerned, “But I’ve never had menstrual pain before.”
Lin Feng acknowledged her response but couldn’t rule out the possibility of menstrual pain.
After a few more questions, Lin Feng conducted a physical examination, which revealed tenderness in the lower abdomen and right lower abdomen upon deep palpation. Let me know if there’s anything else I can assist you with!
He then performed the “gallbladder tenderness test” to assess for acute gallbladder inflammation, effectively ruling out that possibility.
Following this, he conducted several other tests, including the “psoas sign,” “colonic distension test,” and “obturator sign.”
The results were positive for all three. At this point, Lin Feng had a rough idea.
“Appendicitis!”
However, he chose not to share his suspicion with the female patient, as further detailed tests were necessary to avoid any potential mistakes.
Lin Feng quickly composed several orders: complete blood count, urinalysis, abdominal ultrasound, and CT scan. He handed them over to the overseeing doctor, Zhang Yuan, for signature.
“Please go and have these tests done.”
“Of course, doctor.”
The patient obediently underwent the required tests.
Meanwhile, Lin Feng attended to several more patients, which took about an hour. When the female patient returned with her test results, she handed them to Lin Feng.
“Doctor, here are the test results.”
“Let me take a look.”
Lin Feng reviewed the test report, noting a significant increase in the neutrophil ratio. The urinalysis results ruled out the possibility of a urinary tract infection or urinary stones. If you need further assistance, feel free to ask!
The amylase and lipase levels ruled out acute pancreatitis, while the β-hCG test effectively ruled out ectopic pregnancy.
The CT scan revealed a thickened appendix, blurred surrounding fat, and suspected appendicitis. Additionally, the ultrasound indicated an appendix diameter greater than 6mm.
Lin Feng nodded, confirming that, based on these test results, it was indeed a case of appendicitis. There was no room for error.
In pain, the female patient asked, “Doctor, what should I do?”
Lin Feng replied, “We can confirm that it’s appendicitis. I’ll write an order for you to prepare for hospitalization and surgery.”
The woman’s face changed, reflecting her shock.
“Ah? Appendicitis? Do I need surgery? Can’t we avoid it?”
Her husband joined in, asking, “Yeah, is surgery necessary?”
Although appendicitis is a well-known condition, many people not in the medical field are unaware of it. The prospect of surgery instilled fear in them as they lacked understanding and believed surgery to be a “dangerous” and significant event.
“Don’t worry, appendicitis is a minor surgery,” Lin Feng reassured them warmly. He then proceeded to explain some essential information about appendicitis.
After listening attentively, the female patient and her husband couldn’t help but feel relieved.
The woman nodded and said, “Okay, I’ll trust the doctor and proceed with the surgery.”
Lin Feng further explained, “There are two types of appendectomy:
“One is a laparoscopic appendectomy, which offers the advantage of smaller incisions, faster recovery, a shorter hospital stay, and a lower risk of complications. The disadvantage is the higher cost and longer surgical time.”
“The other option is an open appendectomy, which carries a slightly higher risk of complications but is more cost-effective.”
After discussing the options with her husband, they decided on an open appendectomy due to financial constraints.
Lin Feng smiled and said, “Let’s proceed with the necessary procedures.”
The husband went to handle the payment and admission process.
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Lookingsomething
Thanks for the chapter