331. Overview of each Kore area
Men's worries are nothing more than those, women, work and money.
The last two things are nothing for Hu Dongsheng. With Qi Jing here and Wang Ting's student, he may not be able to be the chief director in the future, but Danyang Hospital's internal emergency will definitely have a place for him.
A young doctor will definitely not make much money, but after the professional title is improved, the ways to make money will increase. School lectures, off-campus lectures, cross-campus consultations, and even sports meetings can make money by working as a doctor part-time job, but it depends on interpersonal relationships. Even now, Hu Dongsheng is a master's student at least, and there are subsidies every month.
Calculate the income from subsidies and emergency work, as long as he doesn't touch the house, he can live a good life in Danyang alone.
Unless the original one becomes two.
When Hu Dongsheng was not here, Qi Jing was about 50% sure, after all, family reasons could not be completely ruled out. After seeing others, this kind of confidence rose directly to 80%.
"Woman? Brother Qi, don't joke." Hu Dongsheng quickly explained with a smile, "I just overslept today."
"oversleep?"
Qi Jing still frowned, very dissatisfied with this perfunctory answer. You should know that when he asked to get up, Hu Dongsheng was absolutely fine. Originally, Qi Jing wanted to ask a few more questions, but he was still stopped by Wang Ting: "So many new patients are here, do you still have the intention to discuss private matters? Check the rounds first!"
Things were revealed as if they were flipping through books, and Qi Jing just pointed to the medical record wall and casually warned: "Don't forget the daily practice."
Hu Dongsheng nodded: "Don't worry, Brother Qi, I haven't missed a day in practice."
"Just remember."
Qi Jing did not ask any more. In his eyes, it seemed that the patient in his hand was more important: "Wait until the time comes, let's talk about this patient together."
"Well, I'll go checking the rounds first."
"Go and go."
The patient selected by Ji Qing was named Wang Pingshi. The entire course of the disease lasted for a long time. The earliest incurable cough can be traced back to ten years ago. When the patient went to the Third People's Hospital of Secondary School, the doctor's diagnosis was just a common cold.
But after I got home, I took the medicine and the cough did not improve.
After a month of delay, the patient felt something was wrong, so he went to the hospital again. This time he changed to the First People's Hospital, the closest junior high school, which was the first people's hospital. In the end, the doctor diagnosed Sjogren's syndrome because the patient had symptoms of dry mouth and tongue.
In comparison, men have much lower chances of getting Sjogren's syndrome, but the patient's age happens to fall into the most prone range. The causes of Sjogren's syndrome are very diverse, and the treatment and diagnosis have nothing to do with the cause, so finding the cause is unrealistic, and the most important thing is the laboratory test results.
The most important anti-SSA and anti-SBS reports are now lacking, which are the two most clinically significant indicators when diagnosing Sjogren's syndrome.
Of course, diagnostic indicators are only second. What annoys Qi Jing the most is the missing large section of medical records.
The course of the disease lasted six years after the onset of the disease became an optional thing in the hands of the orthopedic doctor in the first hospital, and was easily mentioned with the words "hormone treatment".
The record came to an abrupt end from February 1992 to May, and then suddenly jumped to the end of 1998. The patient inexplicably developed symptoms of back pain and buttock pain. Finally, he was in the first hospital, and the orthopedic diagnosis result was "femoral head necrosis caused by long-term hormone treatment."
Due to the influence of technology and economic conditions, Wang Pingshi picked up the crutch from then on.
If it is just a simple unilateral femoral necrosis, it will become lame, and he can endure the pain a little. But since 1999, problems have started to occur one by one.
Of course, all this is caused by hormones in the eyes of orthopedics.
Even though Wang Pingshi said that he had stopped taking oral hormones long ago, even if the cough appeared again, he never took hormones again, but the cause of diagnosis in the medical history is still "long-term hormone treatment".
This made Wang Pingshi a little difficult to accept, so after seeing the advertisement of Guanghao Fund, he hoped to try his luck.
It was really half a year for a year to lie in bed to take care of orthopedic wounds, but for the remaining half year, he could only live on crutches. The quality of life since 1999 has been extremely poor, and it has reached an unbearable point, so he had no choice but to choose this path.
Wang Pingshi's disease is different from the previous ones. I don't know if there are any medical records and reports, so the whole process can be divided into two independent individuals.
The first paragraph is about Sjogren's syndrome. It is necessary to verify whether the diagnosis of Sjogren's syndrome is clear and whether the subsequent treatment is effective.
The second paragraph is about osteoporosis. It is necessary to understand whether the amount of hormones used in the patient over the years can really cause osteoporosis and osteonecrosis. If the amount is insufficient, it depends on whether the patient's bones have other diseases. Finally, it is necessary to find out whether there is a potential connection between the patient's cough and fracture osteonecrosis.
There is too much unknown information, but judging from the limited information now, there is room for discussion on Wang Pingshi's condition. At least in Qi Jing's mind, osteoporosis after hormones is not the only solution, and it is possible that he even suffered from two completely unrelated diseases at the same time.
The patient is still living in the orthopedic department of the first hospital, and all the previous medical records are in the hands of the orthopedic doctor.
"You have to go to the hospital..."
Qi Jing's first choice partner for business trips must be Hu Dongsheng. This kid is smart enough and good at acting. However, he is a little absent-minded now, and Ji Qing is even more attached to Zhu Yating all day long, with only Gao Jian left.
Qi Jing was thinking about her itinerary after get off work, but Xiaomei hurriedly ran in: "The car is coming soon..."
When she saw Qi Jing, she was obviously not prepared enough. She was stunned for a while before she recovered: "Qi Jing? Are you back?"
"Yes." Qi Jing didn't care much about her reaction, and stood up and said, "Everyone has gone to check the room, I'll take out new patients."
Xiaomei nodded and followed Qi Jing: "The patient has chronic bronchitis in the elderly for decades. After taking cough medicine in the morning, he felt a little panic, headache and dizzy. The family members were afraid of cerebral infarction, so they called 120."
"I feel panic after taking the medicine?"
Qi Jing felt strange. Cough medicine does have side effects of palpitations and dizziness, but the degree is very mild. Now it is so serious that it is called 120. Has it been taken overdose? It shouldn’t be true. The family members are around, and the medicine is separated by one piece, and generally it will not be overdose.
"What medicine are you taking?" Qi Jing asked.
"I don't know." Xiaomei shook her head, "I asked specifically, but they all said they didn't know."
Xiaomei knew very limited information. Qi Jing stood at the gate and could only calculate some possible reasons in her head. After the patient arrived, he would then follow his symptoms and put them on step by step.
Of course, he will never do any miscellaneous work if he accepts the patients.
As August begins, Guo Yan's group of students has just left, and now all the people in urgent need are new students.
They were all just spinning from the previous department, and they seemed much more skilled than when they first entered the clinical trial. Qi Jing happened to be missing a choreographer, so he caught a passing intern: "Classmate, come here~"
Qi Jing is no longer the young doctor who just started working last year. His photos, work style and temperament have been recorded on the record and have been widely circulated among interns in the form of text and pictures.
The carrier that is circulated is a small book called.
This is a must-read content for the students who are entering the fifth year. Each book is priced at 10 yuan. You can also find seniors to copy it, which can save some savings. It uses some classic messages from students to describe certain doctors in each subject, including teaching and deputy directors. They often have many requirements for interns, so they can review in advance to avoid being able to step on the wrong time.
Wang Ting and Qi Jing are the two major key points in Neijiu, and are also the people with the most minefields.
Needless to say, Director Wang Ting has always been known for his strictness. The most basic requirement for interns is to do their jobs quickly. If you are slacking off, if you are seen by Wang Ting, you will be scolded.
This kind of scolding has no place to be explained.
Judging from the summary of some news that have been passed down from generation to generation by seniors in the previous few generations, it is useless to write an anonymous letter and send it to the dean's mailbox. No one can control this stubborn old man at all. If he is scolded, he will have to bear it, otherwise he will not think of getting a doctor.
Qi Jing was a new content that was just added at the end of last year. Its style is completely opposite to Wang Ting, and it is another scenic spot in the inner urgent situation.
"Qi Jing, 26 years old, Dean Qi's son, is the new coach of Neihui. He has no interest in how you work, and even whether you work or not has much to do with him. What he needs to do is do the most appropriate things at the right time and be a good screw for Neihui."
"I give you two words: Don't be presumptuous, and don't belittle yourself."
"You can learn a lot with Teacher Qi, but you can't tell me what it is. It's very useful anyway. Remember! You must grasp the time you spend with him, and you must be highly focused. If you don't pay attention, you will not be able to keep up with his ideas. Remember!"
"On the same floor, I think even if he is standing in the corner and scolded a few times, it is a kind of learning."
"Teacher Qi Wan..."
......
With these contents as a foundation, Qi Jing became a completely mysterious person. Being able to gain his favor is a blessing in itself. So when the boy saw Qi Jing appearing in front of him, the boy immediately realized that his luck was coming.
"Teacher Qi~" He hurried over with a blood pressure monitor in his hand, "Is there anything wrong?"
"Are you going to take blood pressure?"
"Well, beds 19 and beds 42." The boy looked at the numbers on the record list.
"I'll give you two minutes." Qi Jing looked at the watch and said, "If you take the blood pressure, come over."
"Okay, I get it."
Five minutes later, the stretcher bed where the patient was lying on was in the emergency hall. As soon as he got off the ambulance, Qi Jing saw something was wrong. Regardless of the other symptoms of the patient, just this face that looked like a steamed crab was a bit outrageous.
"Friend, his face is almost bleeding." Qi Jing frowned, "Why didn't you say anything on the phone?"
"We have nothing to do, we were fine when we went there." The emergency doctor also felt strange and immediately handed over the emergency form and said, "On the way here, the old man's face suddenly turned red. We quickly retested the blood pressure of 161/95 and the heart rate was 103."
Looking at this face, Qi Jing first suspected the things he had eaten in the morning, and asked quickly: "Have he brought the medicine he took?"
"The medicine?" the emergency doctor shook his head, "The family said he was taking a cough, and I don't know what it was."
"Where is the family?"
"Go to register."
The review book I read before had the effect. Before Qi Jing asked, the boy measured his blood pressure and heart rate by himself: "Blood pressure is 155/95, and his heart rate is about 100."
Qi Jing nodded. The requirements for the newcomer should not be too high. It is already very good to have such a reaction: "Go and call the electrocardiogram."
"Um."
After explaining the matter, he walked up to look at the old man's skin. Not only his face, but the flush spread all the way to his chest and upper abdomen. When his hands were put on, his skin looked a little dry and not smooth enough, and the ups and downs of his chest were also accelerating.
"Old man, what did you take in the morning?" Since the family members were not around, Qi Jing could only ask the patient first, "Especially the medicine, what is the name of the medicine?"
"I'm practicing martial arts in the morning, Zhoutian Gong!"
After saying that, the old man was about to get up, and at the same time he used his hands and feet: "As soon as I practiced, I felt the spiritual energy around me surged, and I was about to advance to a higher level immediately. Who knew that several bandits jumped out of the surrounding area and insisted on stopping me from a great disaster. I didn't want to kill, but I really had no choice but to kill him in the end. How sad..."
Qi Jing blinked and glanced at the emergency doctor beside him: "Are you crazy before you come?"
"No, right...we were pretty good when we went there, why did it happen in a blink of an eye?"
Before, Li Wenyi's grandfather was poisoned by lead and was obsessed with a demon. Now, he came directly to a cultivator to ask for the Tao. The emergency room was almost their temple.
"Teacher Qi, do you want to do ct?"
Qi Jing looked at the old man's chapped lips and nodded: "After writing the inspection form, bring a glass of water."
The boy looked at the patient: "If it is a cerebral infarction and cerebral hemorrhage, if you drink water at this time, you will choke..." Qi Jing didn't expect that the child would react very quickly. Although it was a bit one-sided to see the problem, it was at least not a working machine. Since the student had the ability, he had the value of teaching: "Do you think he had a cerebral infarction?"
"It's very likely." The boy said, "I met a similar patient in the Department of Neurology before. I also felt that I could go to heaven and earth and go to the West to obtain scriptures with Tang Monk."
"Have you ever seen a stroke patient blush like this?" Qi Jing began to go deeper into the core of the problem.
"This...this isn't."
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Chapter completed!