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276. Child, you admit the wrong person (8000 words)(1/2)

The first person to discover that Liu Zhanjun is abnormal was a female intern.

When it comes to the night check-in time, according to the internal emergency regulations, the interns need to take the blood pressure of the patients under observation.

In the past, there was a certain range of blood pressure tests. Only patients with hypertension and unstable vital signs needed to test them. Anyone with a history of hypertension needs to test their blood pressure every morning and evening, while those critically ill patients even need to test them every hour.

However, since a patient who was observant concealed his history of hypertension and had a sudden cerebral infarction at night, the subject of blood pressure measurement became all patients.

Liu Zhanjun is a patient who is observing, so he naturally needs to measure his blood pressure.

But when the old man saw the female intern, he was angry for some reason. He raised his hand and slapped the blood pressure monitor. After scolding her, he took off the infusion rack by the bed. The girl was soft-hearted and wanted to go up and persuade the old man to lie back on the bed, but Liu Zhanjun was very strong and hit her aside again.

"Discover the bunker, hide!"

Looking at the window in the emergency room, he shouted angrily and picked up the shelf and lay on the ground. Regardless of whether it was dirty or not, he crawled into the treatment room from the door.

Liu Zhanjun looked resolute, used his hands and legs together, and his posture was particularly standard. He crossed the door line in a short while. He ignored the sight of the people around him, took out his wallet from his pocket and threw it onto the windowsill, then raised his head and roared at the desk beside the window: "Snatch the position in front! Go!"

Wang Ting has seen all kinds of patients who are making trouble, but he has never seen them playing so much by himself: "Didn't you use sodium valproate just now? The half-life is at least 10 hours, why are you confused again?"

Ji Qing had never seen a patient with such severe mental abnormality, and guessed: "I guess the amount given is not enough, so I can't hold it back."

Now that the family members are not around, it is definitely unrealistic to put the person on the ground and ignore him. Qi Jing could only call the girl and Ji Qing together, thinking about helping him up first.

After all, Liu Zhanjun is an elderly man and is still sick. They cannot use ruthlessness, so they can only persuade him with kind words while holding his arm. But unexpectedly, the patient was completely trapped in hallucinations and was quite strong. He easily broke free from their constraints when he twisted his body.

And the infusion rack is like a sickle to harvest rice. It swung over with the force of turning around: "Want to catch me? If you have the ability, ***! You can die together!"

Ji Qing almost turned sideways in front of the girl, and his shoulders and arms were suddenly hit several times.

Qi Jing didn't expect that the old man who was quite quiet just now would suddenly make extremely aggressive moves. Seeing this, he quickly pulled the girl away, then opened the infusion rack on both sides, and divided the work and cooperated with Ji Qing, so he barely suppressed Liu Zhanjun: "Go and find a nurse to get tranquilizer and restraint, hurry!"

The female intern has just had an internship and has never seen such a scene. Although she was well protected by the two mentors, she was still scared and was still confused until now.

Qi Jing said it two or three times before she recovered and turned around and ran out of the clinic.

Liu Zhanjun was pressed tightly on his hands and waist. Qi Jing took advantage of the situation to seize his "weapon" and threw it aside: "I gave a lot of sodium valproate just now. The dosage of this medicine should not be too large at the beginning, otherwise there would be a risk of poisoning. The body must be given a process of adaptation."

"It's so troublesome to have mental abnormalities."

Internal Medicine Emergency Department often encounters patients with nerve and brain dysfunction.

Whether it is cognitive impairment caused by mental abnormalities or involuntary exercise caused by neurological abnormalities, you don’t have to be responsible for it after being beaten. If a doctor is beaten during treatment, he will generally not fight back. All he can do is try to protect himself.

Patients like Liu Zhanjun are aggressive and have "weapons". The first thing doctors need to do is to protect themselves. After ensuring their safety, they will consider how to treat the patient.

However, in the eyes of the doctor, this is a patient, and in order to maintain order in the emergency room of the internal medicine, he must be restrained.

But to others, the scene was really terrifying. Moreover, mental illness is rare, and they have no idea. If you look at it without any end, you will classify the matter as a doctor-patient conflict.

"What's wrong?"

"I don't know what happened, but suddenly the fight started, two to one."

"Don't talk nonsense, the patient's brain is not normal." A family member of the onlooker pointed to his head and explained, "I just started to get rid of the blood pressure monitor. He advised him to go back to his bed but refused. He even used the infusion rack to hit someone."

"Not necessarily. What if the doctor is not cured, he is making trouble there."

"It's possible that the store is bullying customers."

"Do you want to call the police?"

"Why are you so lenient? You won't take medical treatment?"

"Oh, now doctors, the two young men look pretty good, why...?"

The hospital never lacks good beating and scolding shows to pass the time, nor does it lacks audiences to watch the show. After a while, there were many people standing at the door, pointing fingers there.

Wang Ting quickly got up and came to the door, slamming the door. It is better to promote less such things. The more people there are, the more outrageous it will be. Then more and more people will gather at the door. This is a green passage, which is not a place to set up a stage to watch the show, and the patient's condition is not optimistic, so he has no leisure to explain to outsiders.

Wang Ting returned to his seat and drank a sip of hot tea, saying, "Add the dosage later, otherwise the whole body will be in a mess."

"Where is the lead treatment?" Qi Jing asked.

"Let's use it together. Anyway, the medicine used to discharge lead has no side effects." Wang Ting raised his eyebrows and said, "If we finally concluded that the patient was not poisoned by lead... Maybe we have to find a doctor from the Eighth Hospital to take a look."

The Eighth People's Hospital is the only tertiary psychiatric hospital in Danyang. At the end of last year, the third and B were mentioned from Second A to Third B, and even the hospital name was changed. If patients with mental abnormalities in other hospitals cannot determine the cause and medication standards, doctors from the Eighth Hospital will need to consult.

Now Liu Zhanjun's whole body was pressed tightly, his face pressed against the ground, but Qi Jing and Ji Qing didn't feel safe at all. Because even with all their strength, they still had the possibility of being overturned instantly.

"This old man is too strong and he is full of muscles!" Ji Qing smiled awkwardly, "I can't hold it here."

Qi Jing was a little better, and he could barely hold him down: "I didn't notice it when I had a physical examination before."

Ji Qing changed his posture and stuck Liu Zhanjun's shoulder joint, thus stabilizing his body balance: "When he came here, he had a mental abnormality and could not have a physical examination at all."

It is rare for Qi Jing to see such a patient, and his physical fitness is almost as good as those guys in the Judo Hall.

It is impossible to let Liu Zhanjun settle down now. The two of them could only hold a few joints tightly and wait for the nurse to deliver the medicine: "We can't even compare to an elderly patient, so we have to reflect on it."

This praise did not bring any substantial changes to them.

Liu Zhanjun's brain is like a wild horse that runs away from the prairie, and will only run around aimlessly. As soon as the text information transformed by the auditory nerve enters the brain, it is cut into pieces, and then a series of strange arrangements and combinations are carried out under the processing of brain cells.

As for what the content after the combination is, no one knows. Judging from the old man's expression, it shouldn't be much better.

Liu Zhanjun's anger continued to rise, and there was no sign of breathing. His face turned red: "You group of imperialist lackeys! You still want to suppress me! If you have the ability, you can get up and fight..."

"Why haven't the nurse come yet?"

"There are so many children with infusion in the observation room, so they have already been scattered. It's too difficult to find someone who has time."

Qi Jing was afraid that something would happen if he was suppressed for a long time, so he could only change his way and persuaded him according to Liu Zhanjun's wishes: "Old Liu, we are not imperialists, we are friendly troops who come to support!"

"Old Liu? Don't get close to me, only the squad leader calls me Lao Liu!"

The anger on Liu Zhanjun's face gradually deepened, and he cursed: "I also said that he was a friendly army supporting the front line! I think you are imperialists disguised as friendly army! They are enemies!"

Ji Qing smiled bitterly. Liu Zhanjun was really sick and his spirit was completely out of control.

However, Qi Jing did not give up, but instead talked about some interest: "I heard your squad leader mention you specifically. You are a very brave child. When you encounter an enemy, you will be sure to throw the grenade."

Ji Qing frowned immediately: Child?

Although what Qi Jing said sounds stupid for normal people, it is different in Liu Zhanjun's ears. There is a door between the world in his eyes and ordinary people, and it requires a special unlocking method to be accepted by them.

A word of affirmation made Liu Zhanjun much quieter. Although he still resisted, he completely lost the strength he had just now.

Seeing that the feedback was good, Qi Jing knew that he had found the right way.

He continued to say earnestly: "Child, this front-line war is in a tight position, and we have suffered a lot of casualties. So the command center specially found reinforcements to support him. You really recognized the wrong person."

“Reinforcements…”

Speaking of these two words, Liu Zhanjun completely gave up resistance, and his anger slowly turned into a kind of sadness: "The position ahead was lost."

"It's okay." Qi Jing patted his shoulder and comforted him, "We are here, and if we lose the position, we will take it back."

"Can you take it back?"

"It will definitely be recaptured..."

When the female intern brought the medicine and restraint into the door, Liu Zhanjun was already sitting on the examination bed. The previous anger on her face was long gone, completely replaced by sadness and sobbing.

"This is..." the girl was a little unbelievable and asked, "Is this medicine still a little bit too?"

"The patient is stable, so I will keep the medicine first, and I won't take it for the time being." Ji Qing shook his sore arms and said, "When his grandson-in-law comes, he will take the lead and treat it to see what it is."

Qi Jing shook his head: "Director Wang, I don't think I have to wait, just use sodium calcium yedeate."

Considering Liu Xue's situation, he didn't know when Li Wenyi would come back. Although Liu Zhanjun has calmed down his emotions, no one knows when the attack will occur again.

The treatment of the urgent treatment was not once or twice before payment, and the ones that needed to use were not any outrageously expensive medicine. Wang Ting finally let go: "Okay, don't wait, let's talk about it after using it."

......

"The medicine is sodium calcium yedeate, which is a diagnostic treatment method." Qi Jing briefly introduced the prescription to Li Wenyi, who had just returned to the emergency room. "Because blood lead urine lead sometimes has false negative results, only after the lead discharge treatment and the amount of lead urine can the diagnosis of lead poisoning be made."

Li Wenyi ran back and forth between the delivery room and the internal emergency, and was sweating.

But he had no objection to this prescription that had been used, and said directly: "Now you have to pay the medicine money?"

"Yes." Qi Jing handed over several test forms for the review, "When the bottle of water is finished, we have to review it again. Let's hand over the money first."

Li Wenyi thought about the money he brought in his wallet and nodded: "Okay, I'll pay the money now."

Seeing his tired look, Qi Jing couldn't help but ask: "How is your wife?"

Li Wenyi just came back from the operating room and hugged the child from the nurse. He also heard about Liu Xue in the operating room. After all, he was a team leader in the police station. He usually lost some flesh and blood, as if nothing had happened. But today, tears would pop up inexplicably.

I just cried before, but I didn't expect to be here and couldn't help it: "I heard it was quite dangerous when I came, but now the mother and son are safe."

"Well, just be safe." Qi Jing nodded, "Go and pay."

"Thank you, the doctor."

Liu Zhanjun's situation is very special, and it is different from other patients.

Even if the diagnostic treatment of lead discharge can clarify the diagnosis of lead poisoning, where is the lead?

It's like catching the murderer at the scene of the murderer. The murderer smiled and stretched out his hands and said that he did it himself. After taking the person back, he was unaware of the motive, weapon, and the murder process. In the end, he might be convicted, but most of the police would feel depressed and feel like they were being played with.

More than an hour later, Qi Jing, who was holding the lead urine report sheet, felt this way: "I didn't expect that the lead urine would rise in just one hour."

"Although the effect of lead discharge treatment varies from person to person, the lead content in urine must be measured according to regulations, but the value should be determined now." Ji Qing did not expect that Qi Jing, who had no evidence, could guess chronic lead poisoning in one go, "You guessed it again."

"If the old man hadn't had an aggressive tendency, he would have been able to diagnose lead poisoning long ago."

"Hmm? How to diagnose this?"

Qi Jing grinned, pointed to the gums on the lower teeth, and said, "After leading poisoning, a blue-black "lead line" will appear along the edge of the gums. It is a kind of pigmentation, which looks quite obvious."

This is a specific manifestation of lead poisoning and is easy to identify. However, Liu Zhanjun has a tendency to aggressively accept the examination. If he breaks open his mouth rashly, it will be troublesome if he gets bitten by opening his mouth.

This diagnosis felt like he was accidentally hit. Qi Jing felt uneasy and didn't look excited on his face. He just spread his right hand towards Ji Qing: "Money."

"Hmm? What's the money?" This time it was Ji Qing's turn to pretend to be stupid.

"I'm willing to accept the loss of the bet. I promised to pay 100 yuan, and I can't lose a penny." Qi Jing frowned and stretched his hand forward in front of him, "You won't be able to afford to lose 100, right?"

"My salary is not much higher than yours."

"But you have Yating."
To be continued...
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