100. Clinic exchange
The father and son have different positions and different positions. They tried each other for a few results, and finally had a very heated discussion on "humanitarian compensation".
Qi Jing has been in clinical practice for so long and is still in the emergency department with the highest risk, so he naturally knows that this situation is inevitable.
But even so, he still wanted to express his thoughts.
Fortunately, he lived for a lifetime and his temperament became much more stable. If this happened in his twenties in his previous life, it would definitely not be like this.
"How will more than 20 families tell others when they go back with money? They can get money when they make trouble! How can the hospital give money without responsibility? They live a hard life and deserve sympathy, but we must have our own principles."
"Then let them continue to sit? The expert team will give the written results for several days. You also know that the weather is hot, and there are still elderly people in their seventies or eighties. Who will be the one who will be if they have heatstroke?"
"You will be so disappointed with the emergency doctor's heart this thousand yuan, which means you sold your son together!"
"You can do it, come on, let me give it to you, you can try it!"
After several confrontations, the two were in a difficult position to separate, which could almost be said to be a true portrayal of the inner hearts of the leadership and the front-line doctors.
If the two were not father and son, they would probably not have arguing about such trivial matters. Because no matter how much they fought, there would be no result, and no matter how much they fought, they would not change the fact that the hospital paid.
However, it is easy to get stuck when you keep it so tight, so it is better to vent it.
The debate started very quickly, reaching its climax in just half a minute, then slowly falling back, and finally came to an end with the ringing of their respective phone calls.
Qi Sen answered an important call. After seeing the caller ID, he became completely different and lost the dean's majesty just now. After answering, he responded softly a few times, and without much speaking, he began to turn over the materials on the table.
Qi Jing called Ji Qing, and the number of emergency patients increased sharply. Now he was short of staff, so Wang Ting specially asked him to come over and help.
"I can go to the emergency room to work now." Qi Jing hung up the phone and asked.
"Go and go." Qi Sen didn't look at him, but just sighed and said, "Be careful when doing things."
......
The emergency room is now in chaos, and several doctors who are anxious outside and anxious inside are all mixed together. The nurses are interspersing back and forth between them, and they are very busy.
Qi Jing found Ji Qing at the gate: "What's the situation?"
"You're here."
Ji Qing simply sorted out all the things that happened in the past half an hour, and summarized them in one sentence: the internal emergency and external emergency are exchanged.
Things were indeed a bit bizarre. Qi Jing carefully sorted out before he realized: "Are you saying that our patients who are urgent internally sleeping in the emergency treatment bed?"
"Yes." Ji Qing sent the medical record book to him and pointed to the urgent room, "The patient is inside."
"Even if you have an emergency disease outside, you have to get it over. It's so inconvenient." Qi Jing walked in as he spoke.
Ji Qing shook his head helplessly, "I want to pull it too, but... forget it, you will know when you see him. I just finished writing the prescription and haven't opened it yet. You see, there is no problem, so go to Director Wang..."
As he spoke, Ji Qing disappeared into the bustling emergency room crowd.
The person who came to the emergency department of the surgery was a young couple. The woman was more than eight months pregnant. She started abdominal pain in the morning and then moved to the right lower abdomen. Gu Liang had a simple examination and knew it was pregnancy and appendicitis at a glance.
Her condition is fine, so she did a B-ultrasound positioning appendix, then contacted obstetrics and gynecology and general surgery, and signed the letter and cut the appendix.
Even if the fetus is stimulated during the appendix, you can immediately seek obstetrics and have a cesarean section. Anyway, the child has been more than eight months old, and as long as there is no other problem, the probability of survival after birth is almost 100%.
The key to the problem is her husband.
At the age of 31, he brought his wife to the hospital. He felt a little chest tightness and shortness of breath as soon as he entered the door. Gu Liang specially found a chair for him to sit down, but unexpectedly the symptoms worsened.
At first I thought the road here was a bit long and tired. But the feeling of poor breathing became more and more obvious, and it was not relieved by rest.
"Come on, give me a spot."
Qi Jing asked Zhong Xiaoxi, who was still busy taking blood pressure, to free up a seat, then turned around and looked at the pregnant woman covering her lower right abdomen and asked, "Is he your husband?"
"Yes, it's him."
Qi Jing looked at the patient's stomach and couldn't help but touch it with his hands: "It's rare to see such a bulging abdomen. It's almost up to your child, it's 260 kilograms?"
The patient nodded embarrassedly.
"What 260, just weighed three days ago, 271!"
Although the pregnant woman was in great pain, she still grinned when she talked about his weight. However, her smile moved her abdominal muscles and pulled her swollen appendix, which did not last long.
"It's true, it's a bit fat." The man was sucking oxygen in his nose, still feeling panting, and was out of breath when he spoke.
"Senior Qi, the patient's blood pressure is 130/75mmhg, his heart rate is 102/min, and his breathing is 45 times/min. Before, Teacher Gu suspected that the patient had chronic heart failure, so he came to see us."
"This kid is so cool."
After hearing this, Zhong Xiaoxi smiled: "Actually, there is a patient here who belongs to him, otherwise how could he change the clinic?"
"That's a coincidence?"
"It's a coincidence. The man came over with a woman on his back and said his groin hurt as soon as he got off the ground."
"Wow, inguinal hernia."
"It should be."
Qi Jing didn't care much about the patient's rapid breathing, but just kept staring at the round belly and asked, "Is there any problem with the blood test?"
“No problem.”
“Where is bnp and NT-proBNP?”
Zhong Xiaoxi looked puzzled: "What's bnp?NT?"
"Brain natriuretic peptide and amino-terminal b-type natriuretic peptide precursors." Qi Jing explained, "both antihypertensive and diuretic effects, secreted by the heart can be used to diagnose heart failure."
"That's right, this laboratory diagnosis has never been mentioned in the textbook..." Zhong Xiaoxi looked at the record book while digging out his memory. "I'm checking it, and I guess there's no result yet."
"A set of testing plans that were just approved abroad in 2000 must be later in China. There are many cardiology magazines in the window, and several papers in it talk about this."
Zhong Xiaoxi nodded.
Qi Jing continued to ask: "What medicines did Ji Qing prescribe?"
"Sodium nitroprus, furosemide and morphine, but I just wrote the prescription and said that I would prescribe it after I was diagnosed."
"Displaying blood vessels, diuretics and sedation are all for treating left heart failure." Qi Jing nodded, as if he agreed with the choice of the drug, but after two seconds, he said, "Wait first and let me check it."
Qi Jing photographed the patient: "Sit up and sit down should be more comfortable."
"Actually, I think, are almost the same."
With Qi Jing's powerful help, the patient sat up very hard, but sitting in meditation did not stop his breath.
Qi Jing felt something was strange, so he took out the stethoscope and placed the earpiece on his back: "Left heart failure may not necessarily have foamy phlegm, nor may he have coughs, soaring blood pressure and sitting upright breathing, but isn't it too strange that these are not together?"
As he listened, Qi Jing discovered some strange places and his eyes were placed on the patient's tight belly again.
The more he thought about it, the more something was wrong: "You have something in your stomach."
"Haha, there is no...it's just beer, belly." The patient gasped and smiled.
Chapter completed!