243. The bear child's life reminder
On February 17, Danyang still blew the north wind in late winter. Fortunately, the sun gave a sunny day, and the sun was so sunny that it made people feel warm.
The separation from his wife made Chang Zhijun feel in a bad mood. But that day happened to be Lantern Festival, so he still made an appointment with his family and went out to have a gathering together.
After noon, a lot of people gathered in the lobby on the first floor of the hotel.
Chang Zhijun met with his son and relatives and told each other about peace. After leaving the meal, the family was divided into three groups according to social circles.
The elderly and middle-aged women have been sitting in the private room, smiling and talking about the interesting things in the past and the third generation of the Chang family gradually grew up. Several of Chang Zhijun's brothers gathered together, either on the first floor or at the gate, smoking while talking about the helplessness they encountered recently and the troubles that they could not escape.
The happiest thing is the younger generation.
Stay away from book exams and class teachers during the Chinese New Year. Girls will talk about what new clothes they bought during the Chinese New Year, while boys will give their body and mind to play.
In 2004, there were not many things to play with, and children could not get access to high-end electronic products. Without a TV, the only thing that could be played with when they were together during the Chinese New Year was firecrackers.
Even Chang Wenhan, who is usually the most focused on learning, is a bloody man at heart and is obsessed with this small and legal explosive. The sound of firecrackers can make him feel the stimulation brought by the explosion, and can also find a trace of self-esteem satisfaction in other people's horror.
Recently, there has been a big quarrel between his parents. He is under a lot of pressure from studying and needs something to vent his inner emotions.
Now that the annual firecracker feast is coming to an end, he needs to seize the last time to burn out this desire to welcome the new semester.
Children can only access a few small firecrackers with little power, and the big cities also lack the surprise of rural areas that can be used to obtain local materials at any time.
However, these obstacles cannot stop the children's childlike innocence. As long as you are brave enough, the car tires on the roadside and even the undercarriage can become their "detonation". The thick rubber and chassis naturally have no response to this itchy little firecracker, but these children can just enjoy it.
"Do you want something exciting?" One of Chang Wenhan's little cousins pointed to a manhole cover on the side of the road and made a suggestion, "Who do you know what will happen if you throw the firecrackers down?"
"When there is water below, it will extinguish the fire." said a child who is familiar with the theory of water and fire conflict.
"Not necessarily, if it burns fast enough, it will explode before it is extinguished." Chang Wenhan answered a question he shouldn't answer the most in his life.
After the answer, he felt a little regretful and always felt something was wrong, but he was still limited by his label as an "excellent student" and did not stop them in time.
"Come and try."
Several children stood in front of the manhole cover, and the person who proposed to pull out a cannon from the cardboard box in his hand. He quickly wiped the sand paper beside the box, and with a puff, the firecracker rushed into the small hole in the cover with the fire emitted.
“…”
"No sound..."
"Squid?"
"Maybe it's going to be destroyed."
For children whose New Year's money usage rate is nearly 0, firecrackers are expensive consumables, just like the cigarettes in the hand of a pauper, one less. Several people looked at Chang Wenhan, with a hint of pity in their eyes.
"Try again!"
The boy who started was a little unwilling to accept it. Before the playmates around him came to his senses, the second firecracker had already ignited and was gently thrown away.
A lot of biogas will be gathered in the urban sewers, and methane is brought into the biogas. The spark of firecrackers will ignite methane mixed with air, producing local high temperatures, and manifesting an explosion. When the explosion that naughty children are usually thinking about really appears in front of them, they are stunned.
Maybe at that time I didn’t even have the qualification to be stunned.
Chang Zhijun still remembers the scene before.
At that time, he was chatting with a few brothers in the hotel. Hearing a dull loud noise, a waiter said that two manhole covers outside had flew into the sky. Driven by the explosion, they flew straight to the fourth floor, one broke a private car on the side of the road. The other knocked on the billboard and changed direction, causing the children on the side of the road to suffer.
Chang Zhijun, who is over 40 years old, runs a company and looks like he has experienced many storms. But when he talks about this, his tears can't be stopped.
"No, it's not a manhole cover!" Qi Jing interrupted his sad thoughts, "The cover that causes cerebral hemorrhage has nothing to do with our internal medicine. What I want to know is whether the sewage from the sewage splashes on Chang Wenhan's body."
“Sewage….”
What Chang Zhijun had been thinking about before was that the damn manhole cover hit his son's head. Who would think about the smelly sewage sewage? Chang Zhijun thought for a while before he could barely remember some details: "It seems that there is, when he went to the hospital, he was a little dirty."
"Where is that face?" Qi Jing drew a circle around his nose with his fingers.
Chang Zhijun shook his head: "I didn't care much, maybe there is. What's wrong with my son? Why are you asking about sewage in the sewage? My son's illness is related to sewage?"
"I want to know the details. Maybe the bacteria in the sewage infected your son's body. What specific bacteria should be used for further verification." Qi Jing patted his shoulder and comforted with a smile, "Just do one or two more examinations, you should be able to determine the cause of the disease. Don't worry."
......
"Bacteria virus? What are you thinking?"
Two minutes later, Qi Jing appeared in the internal emergency treatment room, frowned and looked at Gao Jian, who was still guessing the cause of the disease: "Don't limit your thinking to textbooks, and you're bold enough to guess."
Gao Jian was confused. How could he guess? If the parasites were lost, there were only two kinds of things left. Is there anything else? He thought about the cause of the disease and turned on the pages that Qi Jing had just seen, searched for a few times, but he didn't know what he was thinking about.
Qi Jing has already dialed the phone: "Turn the ENT."
"Hold on."
Otolaryngology is a very professional, but there are not many diseases that can make money. In addition, the three words ENT sound like a small family, so the number of full-time ENT doctors is much smaller than other major departments. Once a Grade A hospital gathers a supporting ENT medical team, no one will be available to other hospitals.
In this case, even if a department is set up, it is useless, which causes many Grade A hospitals to have no ENT department.
The hospital that sucks away Danyang ENT talents is Danyang Hospital. The ENT department of this hospital has been the signature since 20 years ago. After development in recent years, the ophthalmology department here has divided into ophthalmology and dentistry and ENT. The first two departments can enter the top three in the city. Because of the independent ward and a complete examination and treatment system, the ENT department can be ranked in the country.
"Hey, what's the matter?" The girl answered the phone and yawned, and the sound was very soft and sweet.
Qi Jing did not mean to be pity for female colleagues at all. No matter whether the doctor is a man or a woman, the patient must be treated as soon as possible. At least he had to see what the nasal cavity and throat developed: "There is a patient in the inner emergency. I hope you can come down for a laryngoscopy."
"Endoscope?" the girl thought for a while and said, "Tomorrow, we don't have the help of interns. I am the only one in the whole ward and I can't leave."
Qi Jing knew he was criticizing him as soon as he heard this.
There are so many patients in the surgical ward. When patients who need emergency treatment come, they need to be treated according to the department. There are no excuses or nonsense at all. There are no critical patients with otolaryngology. If there are any, they will be sent to the outside of the head, neck and nerves as soon as possible. Usually, they are treated with patients such as nasal polyps, rhinitis, sleep breathing disorder, pharyngitis, and otitis media.
"The patient is a young man under 20 years old. We suspect that he has epiglottis cysts and has already shown acute inflammation and suppuration." Qi Jing coughed twice, and naturally he had his own solution, "If it delays for a long time..."
"Is it acute epiglottis?"
Qi Jing doesn't need to explain these words in detail. As an ENT doctor, the girl understands its seriousness very well. In fact, from the moment she answered, she had bit Qi Jing's fish hook and could no longer get rid of it.
Acute epiglottis develops rapidly. Because of its special location, the inflammatory swelling will expand to the point where the throat is blocked in a short period of time. Since the doctor in the Neijing doctor found the inflammation and asked her to do laryngoscopy, it means that it is not serious yet. If she does not go down to confirm the diagnosis and guide the treatment, the patient's inflammation will not be controlled and the throat is blocked, she is responsible.
"Okay, okay, I'll get down right away."
Qi Jing nodded with a smile and hung up the phone with satisfaction.
"Brother Qi, does Chang Wenhan get epiglottis?" Gao Jian was a little surprised, "Isn't this caused by bacteria? Staphylococcus aureus pneumonia double-ball strand ball flew..."
Qi Jingyu pressed his palms seriously on his shoulder: "It seems that you have been away from me for a while and you seem to have forgotten something. But it's good that human nature is difficult to change. After all, you are not Hu Dongsheng. You have no talent in lying, and it is normal to go backwards after neglecting training."
Gao Jian suddenly realized: "It turns out it's not epiglottis."
"Nonsense, if you don't say that, why are you willing to come down to get an emergency laryngoscope?" Qi Jing sat on the chair and looked up at the ceiling. "I hope it's not too serious. I don't want to hear a little girl screaming in the emergency room all night."
Gao Jian’s more confused the more he listens.
He repeatedly asked, but Qi Jing was still indifferent and refused to say it. According to his opinion, the stimulation brought by hearing is not as strong as visual. It is not enough to remember that listening alone is just a matter of listening. You must see it with your own eyes.
"How did you look up this book?"
"Just arrived at f." Gao Jian looked back at the complete list of diseases he had at hand, "The amount was a bit too much."
"Are there any doubtful targets?"
Gao Jian shook his head: "At the beginning, I excerpted a few, but after reading them again, I found that there was no possibility. The patient had no cause of the disease, nor any obvious symptoms. At most, he had coughed and phlegm. The disease I was attracted to was not tenable in front of his condition."
"You can't just look at the medical history, you have to look for clues from the past history."
"There are actually not many things in the past history." Gao Jian said, looking at the few entries in his record book, "The three highs only account for high blood pressure. It has been more than ten years ago and has been well controlled. He suffered from chronic prostatitis and lumbar muscle strain when he was young, and he was cured and relieved afterwards."
"I remember he had other diseases."
Qi Jing quickly passed the patient's information in his mind: "I had a dinner a year ago. I ate too much greasy food and suffered from acute cholecystitis. At that time, my body temperature reached 39.4c, and I sent it to a local junior high school in 120."
Gao Jian looked at the record book: "I had a cholecystectomy that night and went down to the ground five days later."
Qi Jing nodded and continued, "More than a month ago, he went on a business trip and used unclean towels in a small hotel, and his eyes were conjunctivitis."
Gao Jian didn't expect that he even counted conjunctivitis: "The hospital prescribed antibiotic eye drops, and he recovered three days later and never relapsed."
Qi Jing said: "It doesn't mean it has nothing to do with the current medical history."
"But even if it is not cured, they have nothing to do with lung nodules." Gao Jian retorted.
"I know he's cured, but I still have to count these things." Qi Jing said with a smile, "Maybe when you encounter an opportunity, you will find that the answer is in your own hands."
Gao Jian nodded, Qi Jing far surpassed him in terms of diagnosis.
Even the father in his family who had already reached the position of director had to praise him after hearing Wu Zhenggen's case. Of course, praise is praise. When entering the emergency department after taking the postgraduate entrance examination, he touched his father's reverse scale. These are two different things.
Of course, Gao Jian didn't care about these things. His father opposed it when he first learned medicine. Now he was just a little more intense.
"What do you think?" Qi Jing closed the microbial collection and handed it back to him, "I think about my worries?"
"No." Gao Jian shook his head, "I'm a little tired after watching it for a few hours."
The other party doesn't want to talk, and Qi Jing won't ask too much.
After a while, the female doctor from the ENT department went downstairs to the clinic: "You were the ones who called me in a hurry just now. Where is the patient? Which bed?"
Qi Jing nodded: "In the emergency room."
"Ah, is acute epiglottis blocking the throat?" The female doctor was a little nervous. As an otolaryngology department, she would not meet such patients with acute and severe symptoms.
"No, it's just a coma." Qi Jing smiled and wanted to mention it.
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Chapter completed!