Ji Qing opened his blindfold in a daze, his eyes narrowed into a slit: "What's wrong?"

"Male, 30 years old, watery diarrhea plus upper right abdominal pain." Qi Jing gave a rough introduction to the patient's condition and asked, "Tell me what is the diagnosis?"

Ji Qing was slapped and told two main complaints. He looked down and listened carefully, but in fact, these words were blocked outside his mind by a drowsy sleep. He raised his hand and wiped his face, blinked his eyes that were photophobic a few times, and asked, "Wait, what's the drain?"

"Water-like diarrhea plus right upper abdominal pain!"

This time he heard clearly that the information raw materials were successfully transported into his brain processing plant. However, his thoughts were still immersed in the dream just now. The part of the place where information could be processed was still turned off, and he couldn't react for a while: "Water-like diarrhea, water-like diarrhea...isn't it just diarrhea."

Qi Jing showed patience and repeated again: "There is also pain in the upper right abdomen."

"Right upper abdomen, right upper abdomen..."

Ji Qing groped up and down in a daze, but hesitated for more than ten seconds but could not say the following.

People who just woke up will have their judgment ability to decrease, and their brains will turn on the computer in sequence. As Qi Jing, who is angry with getting up, can understand this strange feeling. If the two of them had switched positions, he would have put down the dining table and slapped the table and cursed.

As an old friend, Qi Jing decided to help him, raised his hand and slapped him hard on the thigh: "Are you awake?"

"you......."

Ji Qing rubbed his thighs with his hands, and the pain made him swallow the words he reached his mouth again. However, the slap did have a slight insignificant effect, which made him wake up a lot: "Right upper abdominal pain, diarrhea... like tumor placeholding, such as liver cancer, pancreatic carcinoids, and gastrinoma can affect gastrointestinal function, and what is manifested is diarrhea and abdominal pain."

Qi Jing nodded, and the slap forced him to say something, which was questionable.

Xu Jiakang rarely does this kind of rapid diagnosis exercise and is surprised by Ji Qing's reaction speed. As soon as he woke up, he could think of something he had never thought of before after listening to two simple complaints. It was really amazing.

"What Lao Ji said makes sense," Xu Jiakang explained. "Pancreatic carcinoids and gastrinomas can secrete ectopic hormones and cause diarrhea. Liver cancer can also cause fat absorption disorders due to lack of bile salts, or cause gastrointestinal congestion and edema due to cirrhosis, resulting in digestive disorders."

Ji Qing yawned and said, "Don't look for me if you play puzzle games. It was too fierce last night. I have to make up for it."

"There are really patients." Qi Jing pulled open the thin blanket covering him and said, "Do you care?"

If Ji Qing had a sense of responsibility in normal times, this sentence would have made him react a little. But today he might have been really tired. After hearing this, he still pulled down his eye mask, put his hands on his chest and prepared to continue sleeping.

On the contrary, Gu Liang, who had no concern for everything, suddenly woke up and was particularly excited: "The patient is almost gone, so I'll send him to the operating room..."

“…”

Gu Liang turned his neck and looked around, and what caught his eye was the somewhat messy airplane economy class.

When his eyes met Qi Jing and Xu Jiakang's surprised eyes, he realized that he was dreaming just now. He couldn't help but open his mouth and yawned deeply, and then returned to his original sleeping position. Such a wonderful dream cannot be broken easily. As long as he enters sleep as soon as possible, he might be able to continue.

You cannot classify the right upper abdominal pain in the internal medicine because of diarrhea. The abdominal pain in the emergency department is generally under the supervision of the surgical department. Since everyone is awake, Qi Jing will not miss this opportunity: "Lao Liang, don't sleep for now!"

"Oh, don't affect me to save people!"

Gu Liang pushed his hand away and felt very unhappy: "It is rare to dream of a case of gangrene cholecystitis combined with septic shock and heart failure. If you are too late, you need to take the surgery as soon as possible!"

"What's the point of cholecystitis?" Qi Jing joked.

"You know what a fuck. When you drive in, the gallbladder triangular is definitely stuck. The gallbladder is filled with pus, high edema, and high tension." Gu Liang showed off his dream imagination, and became more and more excited as he spoke. "The difficulty coefficient is at least 3.5, so my senior brother has to shake three times when he comes..."

This is not a dream. You can still set the difficulty of the operation yourself. Are you playing games? Is there anyone who cheats like this?

However, after saying so many things, Gu Liang opened his eyes with a very resentful look. It was as if he had already planned to make enough plans for the next physical education class, but the Chinese, mathematics and foreign teacher standing on the podium said that the physical education teacher was sick and could not come.

"woke up?"

"The operation is gone, it's gone!" Gu Liang patted his forehead gently, "I'm so full that I'm over. I'd known to wear earplugs."

Qi Jing smiled and said, "It's okay, I'll pay you one."

After saying that, he repeated Mr. C's condition, including the nature of spasm of the upper right abdominal pain. However, these contents are far less than that of the gangrene cholecystitis that was destroyed, and it is definitely not possible for Gu Liang to be too interested. He simply replied: "Appendicitis."

Xu Jiakang frowned. The answer cannot be miscalculated, but it is not too simple?

Qi Jing thought it was quite interesting. Gu Liang said casually that the diagnosis was exactly what he could not think of. This is also the reason why he had to form a diagnosis team. There are limitations on relying on one person alone, and Mr. C's situation is a good example.

Diarrhea can also occur during the course of appendicitis, but most appendicitis is metastatic lower right abdominal pain. If you want to lean into the upper right abdomen, the patient must grow an ectopic appendix and wander to the liver.

"Is the probability too low?" Qi Jing said.

Gu Liang spread his hands: "It's interesting to have low chances."

“That’s true.”

Qi Jing nodded and finally looked at Xu Jiakang. Now that the two diagnoses have been obtained, he is the only one who is missing.

Xu Jiakang is not a doctor from Danyang Hospital and has just started dealing with Qi Jing. Although he understands his style of dealing with things, he is still not very familiar with this distinctive speculative diagnosis.

In his own hospital, he would have a test first and then a differential diagnosis, and finally a diagnosis was made. He had never seen him skip the examination and differential diagnosis and give a diagnosis directly. So he just had some suspicion and did not give his own diagnosis results.

Now that he heard Ji Qing and Gu Liang's answer, he couldn't help but be secretly surprised. What did these three guys experience before that they were so confident in their judgment?

However, Qi Jing's question would not stop because of his thinking: "It's your turn."

"I agree with Lao Ji's answer, it may be caused by tumor..."

Halfway through, Qi Jing stopped him: "It's boring to have the same answer, just say something I haven't said before."

"I haven't said that?" Xu Jiakang tapped his fingers on the handrail, and his brain kept running at high speed: "Cholecystitis or pancreatitis, pancreatitis itself will cause fatty diarrhea and watery diarrhea. The pain of inflammation is mostly located in the upper abdomen and has a wide range. From the patient's position just now, it can be seen that the pain has a tendency to develop towards the back. I think these two are the most likely."

"There are four tumors, appendicitis, cholecystitis, and pancreatitis, and it's almost done."

"Where is yours?" Xu Jiakang asked back.

"My?" Qi Jing sorted out his thoughts and said, "I guess there were quite a lot of diseases in the past, but now they are rare. Have you never been to the grassroots level? There should be many poor households in rural areas."

Xu Jiakang shook his head, who would go to the grassroots township health centers without any trouble. He had less money, less medicine, less equipment, and the conditions were too difficult. He learned this and that when he was in school, he did not have anything to do when he was at work. Isn’t this a burden?

Many doctors in major hospitals are used to heart failure and myocardial infarction, various highs and organ failure, and have no experience with some strange diseases. But this is no big deal, because as long as you see a case of this strange disease, you can remember it forever and benefit for life.

I happened to meet a suspected patient. If it was really an illness, I could teach them a lesson.

Qi Jing breathed a sigh of relief and stood up.

Xu Jiakang looked at Qi Jing with confusion. He had just walked around, but why could he not sit still: "What are you doing?"

"I'll go and change your neighbor."

After saying that, Qi Jing left the seat without waiting for him to reply. The target was naturally the seat where Mr. C was, but he was still in the toilet and his seat was empty.

With just a dozen steps, Qi Jing completed the disguise from the doctor to the patient. He staggered a little, covered his lower abdomen with his hands, and his face would definitely not be able to see where he went. When he walked up to him, he grabbed the armrest of Mr. C's seat with one hand, and gently sat on his seat.

"Sorry, sir, here is..."

Sitting next to him was a middle-aged woman, in her 50s, with brown hair dyed. She looked like wearing jewelry and was probably a Chinese businessman who frequently traveled between China and the United States. She was very kind in behavior and attitude and should have received a good education. So when she saw Qi Jing's appearance of enduring abdominal pain, she immediately put away her questions just now.

"Young man, are you okay?"

"I'm fine. I'm not feeling well in line here." Qi Jing bent down slightly and pressed his stomach, feeling a little embarrassed, "Is your friend sitting here?"

"No." The middle-aged woman smiled and waved her hand to deny, "I don't know him."

"I accidentally twisted my foot before getting on the plane and sat for a while." Qi Jing rubbed his lower abdomen, his expression was not too exaggerated, but it was enough to convey his pain to the other party, "Why is it so slow in line in the toilet?"

"The gentleman sitting here has diarrhea inside." She saw that Qi Jing was a Chinese, so she spoke Chinese, "You can go back and take a look, there is also a toilet there."

"The two behind the plane? I've been there, the same one." Qi Jing said halfway, and changed his comfortable position appropriately, "It was a waste of my time when I walked back and forth."

After hearing this, the middle-aged woman just smiled helplessly, subconsciously sat down on the other side, then stuffed her headphones and turned on the magazine at hand, and continued to read.

The plane is not as free as a bus, and once you have to set a seat, you have to get off the plane. If it is two or three hours in China, it is fine. International flights often take more than ten hours, and if you encounter unreliable ones, it will be a torture.

This aunt should have been used to it for a long time, but habit does not mean that she is in a good mood. No one wants a patient with diarrhea to sit next to her.

No matter how noble the character is, I can't stand it. If you think about whether you have washed your hands after convenience and whether you have splashed on your body, your mood will not be much better.

This is all human nature, and it is at the level that is hidden in the heart and not spoken out, but it can be expressed in some small actions.

Qi Jing took this interest.

"This place is quite close to the toilet, it would be great if I could sit here." He endured the "pain" and turned back to look at his seat, and asked, "I'm sorry, I don't know if you want it or not, so I'll ask casually."

"What's wrong?"

"I wonder if I can change my seat with you?" Qi Jing stretched out his right foot embarrassedly, "I limp now when I walk. It's close to the toilet, so it's convenient to use the toilet."

If she was usually not troublesome, she would politely refuse to leave. But now the situation is different. She turned around and looked at the handsome young man who was also looking here in the distance. The urge to be helpful burst out from the depths of her heart.

Qi Jing saw the opportunity and continued, "The next person is a young doctor. He advised me to avoid walking, but unfortunately I am not good at it."

"It's okay, it's okay, I'll switch with you."

The old aunt has grown old and has experienced many vicissitudes that have made her calm. With the help of skin care products and cosmetics, there are no traces left on her face, which can be considered as charming. She naturally took off her headphones, got up with a fashion magazine and left her seat.

Xu Jiakang was not able to react when he heard Qi Jing's word "neighbor" at first. He did not realize the seriousness of the problem until he met the aunt's eyes.

He has just graduated and has never seen such a situation. Even if he has a solution, it is too late.

The old aunt took a strong perfume smell and sat on Qi Jing's seat, then looked at Xu Jiakang with a smile: "That young man wants to change seats with me."

"Uh..." Xu Jiakang was in tears.

"The young man is a doctor? Which hospital is from?"

Xu Jiakang nodded: "The First People's Hospital in Danyang."

"Oh, Grade A hospital, what department does it have for education?"

"A master's degree, an emergency department." Xu Jiakang smiled awkwardly.

"Not bad, young and promising."

Xu Jiakang could feel the gaze of looking at him becoming hotter, and he had already scolded Qi Jing eight hundred times. However, the other party suddenly changed: "Do you have a girlfriend?"

......

After changing seats, Qi Jing sat in the seat that is most suitable for observing patients' condition in the world.

After a while, the patient, who had been analyzed by four young doctors, slowly walked out of the toilet. Obviously, the abdominal pain was not relieved by diarrhea, and his hand was still pressed in his original position. However, the pain did not deprive him of his observation ability, and he was still a little surprised when the person was changed next to him.

"Who are you......?"

Qi Jing did not hide it: "My friend wanted to have a good chat with that lady, so I'll change my seat."

Mr. C looked back incredibly at the way the two of them were talking. Even though the abdominal pain was still there, he still kept complaining: "Your friend's taste is really unique."
Chapter completed!