Qi Jing explained that the inner emergency room kept laughing, and even Gao Jian, who had been cold, couldn't help laughing after hearing this. However, the laughter would not last long. After a while, the nurse's phone number was blown up by the emergency center.

First, the surgeons sent two cars in succession, but then the internal emergency was not spared.

"After three, what's going on today?" Chen Xiao looked at Ji Qing who had just returned from the outside world and said in confusion, "Are you chatting with Gu Liang in the outside world? You're so cruel if you don't have someone?"

Ji Qing quickly explained: "Isn't this correct? Whether the internal medicine emergency department is busy has nothing to do with me at all."

"No, I think the halo behind you is getting stronger and stronger. Here are three cars. Tsk tsk, today is a weekend, amazing!" Qi Jing smiled and cleaned up the magazine on the desktop. After all, there were three cars. If Wang Ting was not there, he had to help collect patients. "Fortunately, Director Wang is not here, otherwise you will definitely be scolded again."

"In the more than two weeks when you were not here, there were only four or five cars in a class, and I have never seen the situation together."

"Okay, don't criticize me." Ji Qing knew he was in trouble and immediately changed the topic, "Let's choose a car first."

Danyang Hospital is the largest tertiary hospital in Danyang and bears a lot of burden of first aid. As long as it is not too far away and the patient has not designated a hospital, emergency doctors generally recommend sending it to the first hospital and Danyang Hospital.

Danyang has a large population base and relatively concentrated medical resources, so it is normal for an ambulance to come to the hospital.

Once this happens, you will enter the familiar selection process.

A few minutes later, three ambulances lined up and entered the hospital almost at the same time. The three patients in the car were taken off by their respective followers, and the scene was particularly spectacular.

Chen Xiao is a senior in hospital. He has been in the hospital for the fifth year and is older than them. According to common sense, he should pick out the most troublesome patients. But Ji Qing and Qi Jing are both very strong, so he has no psychological burden and directly picked up the gastroenterology patients with vomiting and diarrhea: "This is my part, you can divide the other two."

The remaining two are chest pain waiting to be quenched and suspected cerebral infarction.

The causes of chest pain are complex and changeable, and in comparison, it aroused Qi Jing's interest more, so the 61-year-old patient with cerebral infarction naturally gave it to Ji Qing.

Of course he struggled, but unfortunately it was useless. At this time, no friendship between friends and colleagues can be better, but who is more ruthless. In this regard, he definitely cannot compare with Qi Jing, so he can only choose cerebral infarction.

However, a drama scene appeared. When Qi Jing was about to take over a patient with chest pain, he suddenly turned around and changed his mind: "I think it's better to change it. I'll choose cerebral infarction."

"What's wrong?"

Ji Qing didn't understand what he was selling in the gourd, and Qi Jing didn't think of explaining it too much, but just said: "Remember to show me the electrocardiogram for chest pain."

After saying that, he didn't care whether Ji Qing agreed or not. He took a step and went over and introduced himself to the family of the cerebral infarction patient in a few words.

Ji Qing was really a little amused when he saw him like this. However, after knowing Qi Jing for a long time, Ji Qing knew that this temporary change of mind must have his own purpose. Why did he abandon chest pain and choose a stroke? Is there something else in the patient's body?

Ji Qing finished some simple auscultation for patients with myocardial infarction with questions, and the mdf stethoscope was really useful: "There are some small noises. Let's take off the ECG single myocardial enzyme spectrum sheet together, and first determine if it is a myocardial infarction."

"good."

Gao Jian is obviously more familiar with the clinical procedures than other interns. When Ji Qing took the patient, he had already held many possible test forms in his hand. Some of them had even outlined the items to be examined from the beginning, and waited for Ji Qing to confirm.

If you have the helper, Ji Qing will have the leisure to consider the issue just now.

In fact, the condition of the next cerebral infarction patient is nothing special, it can be summarized in a few words. It is nothing more than the increase in blood pressure when I was raising my grandson, and cerebral vasospasm leads to rupture of atherosclerosis in the blood vessels. The thrombus formed after the rupture blocks the cerebral blood vessels, resulting in ischemia and necrosis of the brain tissue.

The symptoms are typical, with weak hands and feet on the right side, and skewed corners of the mouth on the right side. Just CT eliminate encephalitis and cerebral hemorrhage and you can be diagnosed.

The treatment methods for cerebral infarction vary depending on the cause of infarction.

In 2003, there was only one treatment method for cerebral infarction caused by blocking blood vessels, that is, using medicine to melt the thrombus. Since melting the thrombus itself has certain side effects on the patient, once diagnosed, you have to call the neurology department to consult and formulate a melting plan based on the onset time and symptoms.

However, since around 2010, mechanical thrombectomy removal has gradually replaced anticoagulants for thrombosis after intervention, and cerebral infarction has gradually become a frequent visitor to the interventional center from a disease of internal medicine.

Judging from Qi Jing's reaction, he did not show any interest in the patient. He just took a look and did some examinations and asked Fang Xiaoli to take him to the CT room, waiting to read the report.

Although he was not interested in the patient, he was not idle either. The patient couldn't speak clearly, and asking his family became the most important way to obtain information.

"Did you find it half an hour ago?" Qi Jing asked the patient's family on the side, a 60-year-old aunt, "and you sent it here after you found it?"

"Yes, one of our neighbors is the same. His hands and feet are weak and his mouth is crooked. Later, he was diagnosed with cerebral infarction. So I called him like this. He took high blood pressure medicine every day... Why do you still..." As she said that, tears flowed from the corners of her eyes, "Doctor, will he get better? You won't just slump in the bed all the time!"

"That depends on the effect of the thrombosis. I have called the neurology department and will be able to come down to do an evaluation in a while."

Although Qi Jing talked about the patient's condition, his eyes kept looking at the child holding in the old aunt's hand.

The child is four and a half years old, and the kindergarten is closed on weekends. Seeing that the weather is good, the old couple took him to the park to play in the morning. After lunch, they were about to coax the child to take a nap, but the old man became ill.

There was no one else at home, so she could only bring her child to the hospital with her in desperation.

The old aunt recalled what happened, but unexpectedly, Qi Jing suddenly asked a question without any end: "Where were you when the patient was sick?"

“I’m washing dishes in the kitchen.”

Qi Jing nodded: "That's just that I didn't see his illness."

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Chapter completed!