Qi Jing came to the emergency room to change her white coat, and the first thing she did was to go to the observation room to see the patient with intracranial infection.

How effective is the fluconazole used in the afternoon? Whether there is a high fever, whether the original neck strength has improved, and whether other meningeal irritation has occurred, all need to be verified one by one.

Of course, the most important thing is the MRI of the head that was rushed to check in the afternoon. This is the only examination method that allows Qi Jing to make a clear diagnosis.

He had just entered the observation room, but he didn't expect to hit a car with Wu Tongshan and the others.

Wu Tongshan took Ji Qing and two interns and saw Qi Jing standing by the bedside, and was a little surprised.

He had never seen Qi Jing, nor did he know his identity. As a genius doctor who had just returned to China, he had a halo of education. He naturally didn't like young people like Qi Jing who were just starting out, and he didn't know what the meaning of his coming here was.

Facing the bad guys, he never had a good face: "Who are you?"

"My name is Qi Jing."

"I remember there was no name on the scheduling schedule."

"I'm just here to see the patient."

"This is the front line of first aid, and no idle personnel are welcome." Wu Tongshan didn't have a smile on his face, as if he was narrating an extremely normal thing, and said coldly, "Instead of wasting time here, it's better to go home and read a book and truly improve yourself."

"Can the intern come, but I can't?" Qi Jing pulled Li Yuchuan in front of him and used it as a shield.

Li Yuchuan's face turned into a piece of cheese, and his lips were firmly stuck together. He only dared to tear a small hole in the corner of his mouth, grinned and complained softly: "Brother Qi, you are too much, I still treat you as my elder brother."

"Brother is in trouble, don't you come out and help me?"

"This is Wu Tongshan..."

Wu Tongshan remained calm: "It's enough for two people to do miscellaneous work, and there is no need for so many people."

Qi Jing just had an empty name in the emergency room and had no real power. Seeing that he was so tough, he could only use the backup plan. He whispered in Li Yuchuan's ear, and then ran back to the ICU on the grounds of reading magazines.

Wu Tongshan had never met such an unreasonable doctor.

He locked his teeth and was about to scold him, but Ji Qing stood up and tried to smooth things over. He said a few words in Wu Tongshan's ear and revealed Qi Jing's identity. Wu Tongshan was crazy, but he was still a little restrained. The other party was the son of the dean, so there was no need to be angry with him.

Moreover, Qi Sen has treated him well.

In order to keep him in the hospital, not only the distribution of houses and cars, Dan Medical University also reserved a professorship position, and applied for a scientific research fund for him every year. This is where he sits in the main position and enjoys the treatment of the deputy high school. Looking at the entire Dan City, he is the only one.

"Just don't affect our work."

Qi Jing remembers that it was not that difficult to speak when Wu Tongshan got on the deputy high school. Why did he be such a tough person when he was young?

However, encountering some obstacles is not a bad thing. He can calm down and read the book, and Li Yuchuan can also get some training. Qi Jing's plan B is to let Li Yuchuan be a microphone, and the first task is to record all the general medical records of the intracranial infection patient.

At the same time, when Wu Tongshan was conducting rounds, he recorded the rounds and reported them to Qi Jing at the end.

As for what is the key point and what is the point that Qi Jing is interested in, Li Yuchuan has to understand it himself.

Half an hour later, Li Yuchuan came to Qi Jing happily, stuffed a note, and ran away without saying a word.

"The patient Lu Xiang's cranial MRI manifests as multiple lesions in the subcortical and brainstem, and the lesions are mainly in the subcortical arcuate fibers. The patient's headache worsens, but his vision improves significantly and his body temperature is normal. Wu Tongshan withdrew fluconazole and used mannitol and acyclovir."

Qi Jing gently patted the bed and cursed, "Damn, why didn't you write about meningeal irritation? Can this be missed?"

Li Yuchuan missed a key examination result, but MRI's report has already explained the patient's general situation almost exactly. Qi Jing didn't see the film, and he basically figured out Wu Tongshan's thinking direction.

Once the patient had no body temperature, the cerebrospinal fluid was also clean, and the 30 was still a patient with encephalitis indicated by MRI. So he characterized the invading microorganisms as viruses and replaced them with antiviral acyclovir.

The patient's headache worsens, which indicates that the intracranial pressure is increasing, and the mannitol used later can play a role in dehydration and lowering blood pressure. However, the patient's oral vision is improving, and it is estimated that the amount of mannitol will not be too large.

There is not much problem with mannitol, it is just a routine medication, but the problem of antiviral treatment is a bit big.

He has never seen a virus that can invade the lungs and brain at the same time, and it is relatively more reliable to mold. Moreover, after seeing the description of MRI and combining the current situation, he prefers another pathogenic bacteria, tuberculosis.

Forget it, the patient has just been admitted to the hospital on the first day, and he has no other symptoms and still has time.

Tomorrow morning, Director Wang Tingda will conduct a round in person, and there will definitely be a different saying at that time. Moreover, he also feels that such patients with no symptoms of infection should first lure the enemy into the deeper. After the microorganisms have finished swinging their three axes, Qi Jing can see the enemy's path and use antibiotics more reasonably.

Time flies, and Ji Qing's special physique is perfectly activated.

After going to work at 11 o'clock, two ambulances come every hour on average. Now it is the seventh one at 2:30 in the middle of the night. Ji Qing's special physique is showing great power, and all the staff in the green passage in the inner emergency have been mobilized.

I have to say that Wu Tongshan is a tough guy. Even if Qi Jing is not in harmony with him, he has to admire him. If this number of first aid is replaced by him, he would have started to curse the streets long ago.

The first person to come was acute heart failure, weighing 250 kilograms. As soon as I pushed it off, my whole body was wet and cold, and my blood pressure and heart rate dropped. I didn’t have time to enter the ICU and I directly rescued me at the gate.

Li Yuchuan stepped on the man and cooperated with another intern. One of them pressed the other on his chest and pinched the ball. He saved him for more than an hour before he had to give up. Then the other one committed suicide by taking poison. After getting off the car, he couldn't even survive the dozens of seconds of the emergency corridor and finally died on a stretcher truck.

Among the other five people, there were alcohol poisoning, acute liver failure, urinary tract stones rolling on the ground with pain, and those who choked the skin of the melon seeds to choke the inlet tube.

Of course, those who appear as the finale must be warm and waiting to be shipped.

An old man in his 70s coughed and had a fever of up to 39 degrees. He was sent to the isolation room when he arrived.

It was not until this time that Li Yuchuan knew what a special physique was. It turned out to be a physique for recruiting patients. But now he was so busy that he didn't even have the chance to go to ICU to complain about Qi Jing, and he never had both legs idle.

Looking at the whole process, you can only sit for a while when writing the death triple order.

At this time, Qi Jing, who was on the ICU bed, was closing his eyes to rest. What he was thinking about in his head was not the patients who were sent to first aid, but the lungs of the patient with encephalitis staying in the observation room.

Why does a chest radiograph suggest that a patient with such a wide range of infections in both lungs will not have any respiratory symptoms?

Even if you don’t have a fever, you have to cough and phlegm.

Besides, this brain is also very strange. Meningeal irritation has been the next day and the cerebrospinal fluid and body temperature are actually normal.

Qi Jing can't figure it out.
Chapter completed!