There are no specific standards for observation in the emergency observation room. Generally, patients who are suspected of having serious diseases may be asked to stay for one night to see the situation.

For this female patient who coughed, since her previous diagnosis was asthma and now there is a serious tendency to cough, it is necessary to stay in observation. If the patient has asthma attacks at home after being released, even if the hospital is not responsible, there is a possibility of being claimed.

As an emergency doctor, you must consider the possibility of this happening.

Early in the morning, the patient sat on the bed in the observation room, flipping through the notebook and struggling with an English manuscript and several forms.

Compared with other patients on the bed, she looked like an alien. Except for coughing twice from time to time, everything was like a normal person. After the room was checked, the doctor could not come up with a certain diagnosis, so she began to pack up and prepare to go home.

Her original intention of coming to the hospital was to prescribe medicine, but she didn't expect that the result would be so big that it would take a whole night. Now she still feels uncomfortable, so when she saw Qi Jing's white coat slowly walking towards her, she didn't have any good expressions to give him.

"Is the cough still awesome?" Qi Jing walked over with Xiao A.

"Ahem, I just asked the rounds. You can go to the rounds doctor. "The girl tied her hair with a ponytail, put on her shoes and prepared to pack her backpack. "I stayed there for a night of watching, and the cough was getting better. I don't think it's necessary to stay here again."

"Actually, it's a rare holiday today. It's good to check the cause of the cough in the hospital." Qi Jing smiled and looked at her, and said meaningfully, "Frequent coughing should be a waste of work."

The girl stopped her hands in just one sentence.

It is not easy for a fresh undergraduate graduate to find a job he likes. She is very satisfied with her work environment and monthly income.

But she has just crossed the company's threshold now, and she needs to cultivate interpersonal relationships and improve her business capabilities. If a small cough becomes an obstacle to communication with others, or even hinders the expansion of personal relationships and enhances the company's status, that would be really unfair.

So this time the doctor said she wanted to conduct a thorough investigation. She agreed at first, but now she is not satisfied with the results of the examination: "I stayed in the night of observation and did so many examinations, ahem, but in the end I didn't find anything."

"I heard you have tinnitus?" Qi Jing saw that she was about to leave, and accelerated her inquiry.

"What's wrong with something?"

"There is one thing that requires a check-up. There is no emergency department in the ENT department. The outpatient doctor will rest today, and we will not wait until tomorrow..."

"Tomorrow is impossible!" The girl directly rejected the suggestion, "The company will have a regular meeting tomorrow, and there are projects I participate in that need to discuss. I am a newcomer. Do you know how much the consequences will be for taking leave?"

"That two days..."

"No, work is not allowed."

“I think I’ll take a sick leave…”

"Sick leave is even worse!" The girl grabbed her backpack and prepared to leave, and she was in a state of being useless to say more.

Qi Jing had no choice. Although he already had several suspected causes in his head, evidence was needed for the diagnosis.

Now the doctor of ENT is not here, and if you want to check the external auditory canal, you can only hope for the "treasure bag" of the neurology department. He just called the neurology department and asked him to bring the ear speculum, but now he needs to delay time.

In the hearts of young people who love to work often rank ahead of their bodies.

The reason for this situation is nothing more than that of physical problems. When physical problems are big enough, their status exceeds work, only one sentence or even a few simple words are enough.

Qi Jing looked at the girl who was still tidying up the power cord of the laptop and sat on her hospital bed with an ugly face: "Actually..."

An appropriate turning point, an expression that is not too good to look at, and a pause or breaking sentence that must exist. The combination of the three and Qi Jing's identity as a doctor is enough to bring incomprehensible doubts to the patients in front of them.

"What actually?" The girl stopped again and looked over.

"All nerves come from the human brain. The number of brain nerves is limited. Sometimes it is necessary to control two or more organs." Qi Jing lets the brain be the protagonist, and invisibly put a confusing background story behind the disease. "So sometimes, coughing may not be a problem with the respiratory system."

In fact, Qin Xuefeng is also so suspicious. Coughing may not be a problem in his lungs, but maybe his ears are messing around.

But the patient insisted on leaving and signed the letter, so there was no need to keep it. Moreover, from the general situation, the patient did not have much problem. When she came to the clinic and wanted to return her record book, she asked her to go to the ENT clinic for follow-up in the near future.

As for which of the patient's causes, Qin Xuefeng is not Qi Jing, so he has no interest in these.

Qi Jing's explanation seemed very high-end, but in fact he didn't say anything. Instead, he seemed to be a little too hard to outsiders. Especially Xiao A, who was standing beside him, was stunned: How could he bring out all the problem and physiological knowledge?

"..." The girl didn't understand, "What's the problem? It's in her mind?"

After Qi Jing's language guidance and a series of hospice behaviors common in film and television dramas, the patient's cognition has fallen into a state of suspicion.

He is very tough in his mouth, acts very confident, and feels that he will not suffer from any messy strange diseases when he is young. But deep down he is slowly swallowed by this kind of suspicion that seems to be there and not get a satisfactory result, and this emotion will not dissipate easily.

"It does have something to do with your brain, but it doesn't matter much."

Seeing that she was willing to listen, Qi Jing continued to explain: "There are twelve pairs of brain nerves in the brain, among which the tenth pair of vagus nerves have more functions because they are widely distributed. Once there are more functions, they will sometimes be connected, and it can also be considered as a TV channel."

The girl understood a little: "Then what's the problem with me? Is it the brain nerve?"

"No, it's not the nerve itself." Qi Jing thought for a moment, but still sighed as if he hadn't deceived anyone, and said helplessly, "So I said I had to wait for the ENT department to come for consultation before the diagnosis was confirmed."

No one would give up easily after her appetite was so hungry. She repeatedly advised her to stay in the hospital for observation last night, and now she is advised to ask for leave as soon as possible for a follow-up visit. These scenes are still vivid in my mind, and there must be problems!

"No! You have always kept me in the observation and must have a person of suspicion."

After hearing this, Qi Jing was slightly stunned, showing a look that seemed to be guessed. But he immediately recovered from calmness and said with a smile: "We just want to rule out some special circumstances."

"Special circumstances? What special circumstances?"

"That... is nothing." Qi Jing stopped talking, looked around for a few times, deliberately avoiding her gaze.

"You said it!"

After her voice, Qi Jing seemed to be unable to withstand the pressure, but said lightly: "Have you had a bad hearing for a while? I felt that I couldn't hear clearly?"

"Yes, especially after taking a shower."

The girl increased her memory power: "It just happened that it was automatically cured for a while after taking a shower. It should be that water was in my ears, and I heard it very clearly now, so there should be no problem."

Qi Jing shook his head: "The problem lies in hearing and tinnitus..."

"This...what the hell is this problem?"

"It should be a lesion between the external auditory canal and the tympanum." Qi Jing sighed, "It's really hard to say what it is. It may be just a false alarm, or it may be a big problem, so..."

Before Qi Jing could continue, the girl interrupted: "Big problem? What kind of big problem will it be?"

Qi Jing was speechless for a while and hesitated for a while before saying, "The most serious one may be the external auditory canal osteoma."

"Osteoma?" The girl couldn't help swallowing and looked at Qi Jing with a dull look, unable to believe her ears.

"The probability of this is very low, you don't have to worry too much." Qi Jing quickly changed to a smiling face. The speed of the transformation was so fast that he almost wrote the embarrassment on his face. "There will be a doctor from the neurology department to come to consult later. I will ask them to come down to see your ears. Maybe it's just a small problem and it will be solved easily."

From the time I heard the word "ostomy", the girl could no longer hold anything else in her head.

Brain nerve? Vaginal nerve? Neurology? External auditory canal osteomas?

The girl was a little confused, but for Qi Jing, she could stay. Anyway, the bed to stay in the observation costs only 10 yuan a day. He glanced at his new follower, patted his shoulder and gave him a look.

Xiao A followed him and walked towards bed 54, but he always felt a little confused: "Senior Qi, is she really an external auditory canal osteoma?"

"..." After walking a certain distance, Qi Jing immediately denied, "It's basically impossible."

"Then..." Xiao A looked back at the patient, then immediately pulled her eyes back, for fear that she would see something, and muttered in a low voice, "You lied to her just now and said it was an osteoma!"

"Care? Where did I cheat?" Qi Jing didn't even look at him, and said directly, "I didn't use any affirmative words throughout the whole process, and I kept emphasizing that osteoma is the most serious and the lowest probability. Finally, I comforted her a few words, which may be just a small problem. Am I a cheat?"

Xiao A shook her head helplessly, but she still refused to admit it: "This is no different from cheating."

"Whatever you think."

Qi Jing naturally had her own reasons to keep her.

Given the patient's usual work intensity, if he goes back this time, he will probably never come to the hospital without waiting for the cough to be severe again. At that time, it will be even more troublesome to delay minor illnesses. It is better to help her thoroughly check the cause of the disease during holidays.

Of course, these are all second-hand, and the most important thing is for himself. The reason why Qi Jing feels most happy is to be able to detect the cause of the disease.

"It's enough for the patient to stay. The psychiatrist will know what it is when he comes here to see the external auditory canal." Qi Jing smiled and walked towards the bed 54.

The patient in bed 54 is a boy in his early 20s. He should be in college and his parents are here by his side. He is not as difficult as the girl just now, but his condition looks much more serious.

After undergoing a check on the muscle strength and perception of the hand, the results were not ideal, and the situation was not optimistic in comparison.

But at this time, Qi Jing did not use the way she used to treat the girl just now. She smiled all the time and joked with the boy from time to time: "How was the New Year's Eve last night? Did you go to the movie?"

"I originally planned to go to the cinema after watching it on Binjiang Avenue." The boy looked at his parents and said, "But later his family urged him to go home, so he gave up."

Qi Jing nodded: "I also went to Binjiang for the New Year's Eve yesterday. The scene was well arranged. It turns out that you are there too."

"Haha, yes."

At this time, Qi Jing noticed an irregular crimson mark on his neck. He looked at it and pointed at his neck and joked: "The children nowadays are so bold. Strawberries are so big, so my girlfriend and I are not so open-minded..."

"Uh, this is her..."

The boy was a little shy. Because of the problem with his right hand, he had long forgotten the kiss mark on his neck. It was really embarrassing now, but Qi Jing acted very naturally. After being told this, he didn't make the boy feel uncomfortable. Instead, he laughed: "She said she wanted to leave a trace."

Fortunately, his parents were quite enlightened. After hearing this, they were a little disgusted and never spoke. For them, these were not as important as their son's right hand.

"Doctor, will there be any serious problems with my son's right hand?"

Qi Jing picked up the small hammer, checked the boy's muscle tendon reflex, and said with a smile: "It's not easy to say now, and there are too few examinations. His current situation needs to wait for the neurology department to help determine the direction of the examination. It's not good to have a random examination without head or tail."

The parents nodded and agreed with his point of view.

"Okay, I've almost finished the examination here. After the consultation between the neurology department, we will discuss the general direction of the examination as soon as possible." Qi Jing smiled and took Xiao A to the clinic.

On the way, Xiao A couldn't help but sigh: "This 54 bed is quite evil."

If Gao Jian or Hu Dongsheng said this, Qi Jing might not be able to help asking him a lot of questions about neurology. Maybe he could eliminate unnecessary considerations and even get a general result after chatting.

But he couldn't be interested in interns who were not very interested in medicine, so he chose not to respond.

Everyone has their own ambitions. Since the person who comes is a mess, he must have an attitude of dealing with a mess. It would be boring to teach too much.

Xiao A knew that Qi Jing had been looking for interesting juniors. Seeing Qi Jing's attitude was like this, he thought he was just pretending to be cold: "Senior Qi, since you don't want to teach me, why do you always like to take me with you when looking for a patient? Am I still quite qualified? Are you testing me?"

Qi Jing:???

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Chapter completed!