A hospital is like a small company, with a similar big framework, but each hospital has its own different systems, and many details are completely different in different hospitals.

Although the First Hospital belongs to Danyang Hospital and Danyang Hospital, the working environment of the internal emergency is completely different.

This should be decided because the two heavyweight public three-tier companies are too close to each other and think about their respective positions. After all, Danyang Hospital has the highest emergency treatment rate and always has one hospital and one end. Over time, it will be meaningless to compete with Danyang Hospital for the source of the disease.

The first hospital does not have a special 120 green channel diagnosis and treatment room, and the treatment room has been integrated into the rescue center. The "green channel" has become a simple treatment for them, that is, patients sent by 120 will receive the first treatment.

In addition, there is no large corridor-style observation room in the hospital, but instead it is a real observation room composed of four large wards with 8 beds.

The four observation rooms are divided on both sides, and they are connected to the emergency room and the intensive care unit in the middle.

There is no special green channel, and the area and beds of the observation room are very limited. However, in contrast, the first hospital has increased the number of treatment rooms in the general emergency room and the beds of the intensive care unit. From the decoration level alone, it is indeed much cleaner and orderly than Danyang Hospital.

The First Hospital no longer focuses on rushing to the emergency center with Danyang Hospital, but focuses on the hospitalization comfort of general emergency and emergency patients during observation.

In the ordinary emergency room of the morning and middle class during the day, four doctors usually take the clinic at the same time, and two people take shifts in the middle of the night. Similar treatment levels and the halved queue time make ordinary emergency patients more favored by the first hospital.

Although it is a workaround in helplessness, the effect is very good.

However, the first hospital needs to transfer some personnel staffing to the internal emergency department, otherwise 10 doctors from other departments will have to be arranged to sleep in the general emergency room a day, even the junior high school students in Beijing will not be able to bear it. Now, the person sitting next to Zhang Xiang is an emergency doctor registered in the internal emergency department of the first hospital, Li Zhihao.

He now has no other feelings except to worry.

The data on the laboratory test form are already understood. If the patient's name is covered, he may have already said the three letters of Hiv. At this time, the antibody test of Hiv is just to help the patient get a tangible evidence and does not help the doctor's diagnosis.

On one side, I had a seriously ill cousin, but I was very likely to have contracted HV. It was probably because of something that happened outside before. My brother-in-law next to me was an honest middle school teacher, and now I am waiting for him to tell the condition in detail. Even if I can hide it now, my cousin has a lot of relatives here, and I always have to tell the truth.

Li Zhihao's mind was in a mess: What should I say about this? What if something happens if I really want to tell it directly?

The best situation is to let his cousin confess himself, but it seems a bit difficult from the current situation.

If you want to settle for the second best, it is to let the doctor in charge say that, but the other party doesn't seem to mean this... Wait, this kid seems to have something. Li Zhihao suddenly realized that the young doctor opposite him was not a good meal, not showing off, but his strength was hidden in those words just now.

From beginning to end, Qi Jing only said that the CD4t cells decreased, but he did not say why the decrease was reduced. The reason was hidden tightly.

It's like someone asking him for directions. He knew there was a big pit on the road but didn't remind him, so he stood there waiting for others to jump in.

Zhang Xiang didn't understand medicine and thought it was a beautiful commercial street. He wanted to see what happened. When Li Zhihao saw him, he had to stop him, but how could he stop him?

To be honest, it is impossible, so I can only...

Forget it, let's go!

"Doctor Qi, this cd4t cell decreases..." Li Zhihao paused and looked back at Qi Jing, "What does Director Wang think is the cause?"

Um?

This time it was Qi Jing's turn to feel strange. How could an emergency doctor from the First People's Hospital not understand the mystery? But after communicating with him, he understood that he was circulating the blame and forcing him to give the answer.

"Then there are many reasons."

Qi Jing explained: "We still need to pay attention to infection and liver and kidney damage themselves. These two points are the biggest threats to take away the patient's life. As for the problem of the immune system, you can go to the Immunology Department for further examination after the patient recovers."

The blame that Li Zhihao drew out was drawn in the air, and Qi Jing easily avoided it.

Generally speaking, it's almost done. This is what Wang Ting and Li Zhihao said before. Next, according to common sense, the two working doctors will swear business and then end the conversation happily. As for whether it is Hiv, if there is still a chance, you can wait until everything is settled before delving into it, so that there is no burden on each other.

Of course Li Zhihao understood it too, but the problem was stuck here, which is what Zhang Xiang had always wanted to figure it out.

Why does a living person have an inexplicable immune system problem? The key is that he, a doctor, can see that the cause of the infection is the decrease in immune ability, but why does the doctor turn a blind eye? The usual saying that the treatment needs to be cured, but why is it not cured now, and it doesn’t even look for it?

He thought about it for a long time, but he couldn't figure it out.

"Doctor, it's not that I'm making things difficult for you." Zhang Xiang also had his own difficulties. "I just want a reason. If the person is gone, I can give her parents an explanation. Tomorrow, her parents, uncles, aunts and aunts will come. If they can't come up with an explanation, how could they give up?"

At this time, Zhang Xiang seemed very rational, but his spirit had reached a critical point. It is very likely that he would get into the point that should not exist because of the doctor's attitude, not to mention that this point of view had existed.

But if you really want to tell the truth, things are unpredictable.

Li Zhihao sighed and could only echo: "Maybe my cousin's immune system is the key. I think it's better to set a personality for the reduction of immune ability first."

Qi Jing also understood that Li Zhihao was not a human inside and outside.

Since he knew the purpose of both of them, Qi Jing also had a general answer range: "There are many possibilities, which can be roughly divided into two categories: congenital and acquired acquired. To be diagnosed, in addition to blood tests, bone penetration is also required. The patient's health is too poor, and bone penetration can cause infection at any time."

Seeing that Zhang Xiang was anxious and wanted to say something, Qi Jing immediately comforted him: "Since you must have an explanation, I'll make a decision for you."

"Infer?" Li Zhihao frowned.

"Yeah, infer."

Qi Jing took out his phone and placed it on the desktop, then switched to the recording function: "Since it is an inference, it is a guess and it cannot be said that it is 100% correct. So I want to record a sound to prove it, is it okay?"

When the two saw their phones, they shook their heads: "No problem."

It is actually easy to understand that congenital immune deficiency is caused by birth, but it has never occurred, and has survived to this age. However, under normal circumstances, it is impossible to survive for so long. Congenital immune deficiency will develop shortly after birth, so this one can be skipped directly.

Compared with congenital, acquired acquired causes are more common.

For example, the immune cell production disorder caused by long-term medication, such as infection with certain viruses, causing paralysis of the immune system, and the immune system itself has problems, the most likely one is lymphoma.

Qi Jing introduced the possible situations one by one with his fingers, and the Hiv infection was mixed with the second virus infection.

He expanded the HV to the entire virus range, and the general concept and super fast speaking speed made Zhang Xiang skip this item directly. Immediately after the speech speed slowed down, the lymphoma he spoke became one of the reasons he cared most about.

"Lymphoma?"

"It is possible, but the diagnosis requires bone penetration for smears. The patient's body cannot withstand this traumatic examination and cannot be confirmed now."

Zhang Xiang nodded. After confirming this reason, he wanted to go forward and confirm one by one. But just as he was about to ask, Qi Jing snatched it again: "In fact, there is another possibility, that is, idiopathic cd4t cytopenia."

This statement is very straightforward. In combination with the test sheet for patients with CD4T cells reduction, Zhang Xiang became very interested: "This...what is this idiopathic diarrhea?"

In fact, it was not just Zhang Xiang, but even Li Zhihao around him was puzzled: What kind of disease is this? Why have I never heard of it?

Qi Jing successfully attracted Zhang Xiang's attention with a seemingly complex but actually simple professional term: "This is an idiopathic disease discovered by the US Centers for Disease Control and Prevention in the 1990s. The number of CD4t cells in the patient's immune system continues to decrease, the immune system collapses, and finally the whole body is seriously infected..."

Exactly the same as your wife!

Zhang Xiang nodded again, this time the amplitude and strength were much larger than before: "It should be this."

Qi Jing continued: "These are just suspicions. It was only in 1992 that the United States discovered that the country lacked understanding of this disease and it was difficult to do the examination. So we have never wasted time for examination. The most important thing now is liver and kidney failure and lung infections that are likely to counterattack."

Finally it made sense.

Zhang Xiang thanked Qi Jing twice: "Doctor, please."

"I will stay in the heavy cell tonight and watch her." Qi Jing patted his shoulder and encouraged him: "You go and eat something first. The next one might be a long-term struggle."

"Um."

Zhang Xiang is gone.

Li Zhihao stayed, and specially confirmed his cousin who walked out of the emergency room to have dinner, and then closed the door of the gastric lavage room.

"There are still problems?" Qi Jing packed the test form in his hand and looked at him strangely, "I fooled the person and didn't say it was a hiv. I should be satisfied."

"Actually, even if I talk about my sister's true situation, my cousin's husband shouldn't..." Li Zhihao said halfway, and did not continue to talk, but changed the topic, "Doctor Qi, I stayed here not for my cousin, but for that idiopathic CD4t cytopenia? What is this?"

"I said everything just now, didn't you listen?"

"I heard it." Li Zhihao cursed him inwardly, "Is there really such a thing?"

"Then there must be. I have recorded it all, how could I lie?" Qi Jing said with a smile, "I have to be responsible for myself."

Li Zhihao felt strange: "You have been fooling my cousin's husband. You are not talking about the cause, but the symptoms in another way. I know the other causes, but what are the causes of idiopathic cd4t cytopenia?"

"Hey, you won't really believe your sister, right?" Qi Jing smiled.

Li Zhihao really believed it a little.

After all, he is his cousin, and he has become more or less lucky since he was a child. Especially Qi Jing even took out a disease that he didn't know. Who would know that even this is fooling him?

In fact, idiopathic CD4T cytopenia is similar to HV, and is also a viral infection, but it is not as lethal as the HV virus. Instead, it is an autoimmune system disease.

However, the probability of idiopathic CD4t cytopenia is too low, and it is a rare disease among rare diseases.

"Okay." Li Zhihao sighed.

This sighed at my ignorance and my cousin's poor prognosis. Hiv has reached this point, but it is actually difficult to turn things around. Being able to control the previous Toxoplasma gondii pneumonia is simply a miracle.

.........

After all, Li Zhihao was a fellow traveler and a doctor under He Tianqin, so Qi Jing still let him in and meet his cousin. However, the hospital has regulations and the visit time is limited. Li Zhihao also knew the interests and did not make things difficult.

In just ten minutes, he left Danyang Hospital.

Tonight, he was in Li Zhihao's middle class. He asked for leave from his colleagues before he came to see his cousin. Now that he has learned about all the situation, it doesn't make much sense to keep it. He is going back to rest for a short two-hour period and has to rush back to the first yard to work the night shift.

Qi Jing is preparing to fight in the heavy cell for a long time, at least he can't leave tonight. In order to refresh himself, he has to bring the coffee and magazines hidden in the clinic.

Unexpectedly, as soon as he left the heavy cell, a familiar figure came to the door of the emergency room.

In fact, if he really looks at his face, he really can't tell who he is. But the other party's limping action was too familiar. Just a few hours ago, he had watched this action repeatedly in the surveillance video.

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