10. New patients
Ji Qing took the stretcher car, looked at the patient with a painful face and asked, "What's the situation?"
"The half marathon contestant, He Wenyuan, is 53 years old, complains about chest pain." A medical staff member at a marathon medical station reported his medical history. "He ran about five kilometers to the medical station for rest. He said he had chest pain. We suspected myocardial infarction and called 120 directly. Unexpectedly, after resting for a while, he felt that it was okay and ran another half a kilometer. The speed was very fast. Later, he couldn't hold on and was caught and sent to him."
On the other side, an emergency responder took the next sentence and continued: "When I got on the bus, my body temperature was 36.8, my blood pressure was 178/103mmhg, my heart rate was 88 beats/min, my breathing was 25 beats/min, and my oxygen saturation was 98%. "
“Retest blood pressure and heart rate.”
Ji Qing issued an order, and one of the two college students was fiddling with the blood pressure monitor, and the other listened to his heartbeat, and the corridor suddenly became busy. After signing the emergency form, he asked the patient: "Is it hurt so much?"
He Wenyuan pressed his hands on his chest and nodded in pain.
"Dumb, swelling, stinging, choose one of three."
"Sting."
"Is there only chest pain? Is there any other place?"
"without."
"Have you ever had this kind of chest pain before?"
"without."
"Did you catch a cold or trauma?"
"I caught a cold one year ago and I have never been injured. I have always been in good health."
Ji Qing simply collected the medical history, and then quickly prescribed a prescription and test form for the nurse. One was nitroglycerin under the tongue to lower blood pressure. The second was intravenous morphine and analgesic, which could also play a role in dilating blood vessels and alleviating patient anxiety.
Qi Jing had been standing at the door of the clinic, leaning slanted against the wall, looking at Ji Qing who was on the phone and asked, "What do you think?"
"It's probably a heart attack."
"Oh, so sure?"
"The age has reached the range of people with high incidence of myocardial infarction. After strenuous exercise, I am in good health and have no symptoms of infection. It should be acute myocardial infarction."
Qi Jing raised his hands slightly, patted them gently for a few times, and praised him, "It's not bad."
An ordinary question comes from his mouth and always makes people feel stressed. Especially for a young resident doctor like Ji Qing, who seems to be on the top of the line of qualifications than Qi Jing, but you can see the shadow of the department director in him.
"What do you think?"
"It's the opposite of you, most likely not."
"Look at the electrocardiogram and myocardial enzymes, I've called." Ji Qing stuffed a lunch box into Qi Jing's hand, "This is what I lost to you in the morning."
"Green pepper shredded pork..." Qi Jing opened the lunch box and was indifferent. "I think potato diced chicken is better, with the taste of the previous university cafeteria."
As he spoke, he came to Ji Qing's desk and sat down, looking like he wanted to enjoy his spoils. In fact, just as he was about to use chopsticks, his other hand reached out to He Wenyuan's medical record that was placed aside.
He was very fast and hidden, but before he could lift it up, he stopped him with a smile: "Teacher Qin seems to be looking for you next door, so you won't have to worry about it here."
"Okay, okay." Qi Jing didn't know anything and was ready to leave with the lunch box.
Before leaving, he looked at the patient on the stretcher bed again and said with a smile: "Why do you want to bet another supper as you said? I won, you'll invite supper."
"OK."
Qi Jing looked at the green peppers in the lunch box and suggested: "Stop eating in the cafeteria."
"Oh." As soon as Ji Qing said casually, he suddenly felt that he had fallen into a trap. He immediately added, "You can choose the location, within 50."
"Look at what you're afraid of." Qi Jing explained, "It's a small noodle restaurant outside the door, it's very cheap."
"The person in the electrocardiogram room will come soon, and the result should be very soon."
"I don't think it's that fast. You can check it slowly, there's no hurry."
After eating the green pepper shredded pork rice, Qi Jing still sat at the door of the general clinic and continued to be his janitor.
Although he could speed up the diagnosis and treatment by copying it in it, Qin Ruofen and Xue Ping did not dare to be too harsh on him. After all, they are the dean's son, so it would be very troublesome if they come here to do an intern, if they try their best to go home and file a lawsuit.
If Qi Jing has no ability, it would be fine. If he is weak, he should copy prescriptions to increase his strength. This is the old way for the hospital to train young doctors, and it has been tried and done many times.
But this second-generation medical practitioner is not bad, so it is difficult for them to control them too tightly.
Since I was willing to take care of the outpatient consultation, the two of them allowed him to go there.
Once a person does the same thing for a long time, he will reduce his mobility without proper stimulation. Compared to normal people, Qi Jing feels tired of one thing much faster. After only half a day, he has lost interest in the janitor, and has also read the drug manual in his hand twice, and it has long been no longer innovative.
Now he looked at the rows of patients sitting in front of him, with only two words in his head: boredom.
Just after eating, blood flows to the stomach, and the brain will be relatively hypoxia. At this time, boring work will cause another behavior: yawning.
In order to relieve this boredom, his current focus was on the patient with chest pain.
Since the people from the electrocardiogram room came just now, Ji Qing's diagnosis and treatment room was completely activated like a flood with a gate open. Not only two ambulances followed, but several doctors also came. Judging from the situation, the new patient was diagnosed early, and no one dared to diagnose him.
In fact, this is impossible. The emergency room has the most troublesome and requires the most caution.
One is abdominal pain due to external acuteness. It distinguishes it from the nature, location, and other symptoms, and it includes dozens of diseases that need to be slowly checked.
Another is chest pain caused by internal acuteness. Although there are fewer diseases, the causes are much more common and it is more difficult to treat. Sometimes the same symptoms and the same examination results have completely different causes.
In addition to what Qi Jing said just now, it was even more difficult for Ji Qing, who had always been cautious.
"Xiao Qi, call it a patient."
Qi Jing's thoughts were instantly pulled back, and he hurriedly shouted: "Next."
As soon as he finished speaking, he saw a young man standing up, holding the medical book in his hand, looking so healthy and not feeling uncomfortable. He was still hesitant after getting up, but after stopping for two steps, he walked out of the crowd and came to Qi Jing.
“No. 472?”
The guy nodded.
Qi Jing looked at him again, but he didn't see anything special. He pointed to Xue Ping on the side and said, "Go."
Generally, Qi Jing is assigned to Xue Ping for patients without obvious discomfort symptoms. Because there are many chronic diseases in kidney, immunity, endocrine and neurology, the symptoms are not easy to show.
But unexpectedly, the young man turned his body and looked inward, hesitated again, leaned over and asked softly, "Is there no male doctor?"
?
"You wait a moment." In order to maximize the consistency of medical treatment, Qi Jing asked him to wait aside first and immediately called the next patient, "Patient No. 473."
The patient was a middle-aged woman. When she came, she leaned her head up and leaned on the back of the chair, her eyes closed. She never fought again except for asking the man around her to pour a cup of hot water and then drink two sips.
When I got up for treatment, I took small steps and moved slowly with the help of the man. The steps were very soft and my body kept shaking back and forth, and it seemed that I could fall down at any time.
It looks scary, but it's not a big problem.
Vertigo, Teacher Xue Ping’s favorite.
"Go."
Chapter completed!