Gu Jiayang didn't expect that he just casually told a case of comparing himself to Monkey King, and the patient in front of him became Water Margin. What's more, he was clearly telling the story of his cultivation becoming an immortal, but he couldn't match the Water Margin of the peasant uprising.

Qi Jing only said one beginning, and there was no intention to continue. Gu Jiayang even got into a dead end, and he really couldn't understand: "Water Margin...... to take the birthday gift smartly...??"

"Hey~" Qi Jing kicked him gently, "I think about it, don't forget to do what you have in my hands!"

After being said, Gu Jiayang came back to his senses: "Teacher Qi, you know what kind of illness is, so do you still need to fill out this form?"

"Of course I have to fill it out, what if I guess wrong."

Although Qi Jing said this, the patient's medical record in his hand was a different story.

Gu Jiayang originally thought that he would put the pen on the main complaint and simple physical examination results, but Qi Jing did not stop at all and went down. As he was about to write the diagnosis, Qi Jing suddenly raised his head: "Why are you standing there? Go and find the family members~"

"oh oh......"

The family member is the patient's daughter. Today, I happened to go to the old man's house to see him. Unexpectedly, this happened just after arriving in the morning: "Doctor, what's wrong with my dad?"

"I can't say it for the time being, so I have to ask you a few questions." Qi Jing asked, "What did you eat in the morning?"

"A bowl of porridge, salted eggs, fried dough sticks and a plate of pickles." The daughter thought about the dishes she had prepared to help clean, and she didn't eat anything messy. "It's all used to eating breakfast, so there shouldn't be any problem."

"Oh, I didn't explain it clearly." Qi Jing asked again, "What medicine did you take in the morning."

"The medicine is just a cough-relieving wine." She said lightly. "I bought it at the 9rentang Chinese medicine store at the end of last year. It was quite good to drink it. My father's old slow sperm for many years has been suppressed. He seemed to have a cough again in the past two days, so he drank two more sips."

Qi Jing was searching for the recipe for this medicinal wine in his mind, thinking about it, shook his head again: "Just just drink a few more sips, it should not develop to this point."

As soon as he finished speaking, a noisy sound rang at the door: "Old sir, don't do this, this is a syringe!"

The old man held the syringe that he had just stolen from the nurse, his eyes were as lightning. Behind his seemingly energetic, the symptoms further aggravated. He had long been unable to hear others' words, and now his vision began to blur. All he could believe was the flying sword dancing back and forth in his hand:

"Five-star color, light shines on the mysterious darkness. Thousands of gods and saints protect my true spirit. The Supreme Lord, hurry up and follow the law!"

"Oh, I've all recited the exorcist curse."

Qi Jing was teasing, but his hands were not slow at all. With the joint efforts of Gu Jiayang and the nurse, he could finally take a good look at the old man's pupils: "You go and pay, we will do these examinations at the same time, and everyone will hurry up."

"well!"

Gu Jiayang had long heard that any patient could see him. Unexpectedly, he met a person who used a syringe to fly with a syringe. However, while opening his eyes, he also had his own opinion: "Teacher Qi, the patient is so irritable now, should he take a sedative?"

Being able to ask this question means that the clinical methods are well learned and know that CT requires the patient to stay still.

However, I have not seen the cause of the patient's disease so far, and my diagnostic thinking is still too simple. At the same time, I have almost no understanding of some common external knowledge of internal urgent matters. If I want to be alone, I still need a lot of exercise and practice.

If Hu Dongsheng had 80 points, then Gu Jiayang would probably have only 40 points, even 10 points less than Guo Yan.

Being an undergraduate intern is enough, but it is still a long way from the requirements of the diagnostic department.

Of course, the problem is still a good question, and Qi Jing can't draw a conclusion now. If the dosage of the medicinal wine used by the patient is indeed large enough, this sedative agent will accelerate the development of his condition. Qi Jing has nothing to say about what he is uncertain, so he did not answer at all, but shrugged his nose and started the exploration mode.

Qi Jing's exploration of the smell slowly shifted from the old man's upper body to the lower body, and his expression gradually became strange: "Xiao Gu, roll up his trouser legs."

Gu Jiayang was very obedient and quickly pressed the old man's legs and rolled up his trouser legs.

"Did you smell it?" Qi Jing asked.

"Yes." Gu Jiayang nodded, "It tastes like the smell of traditional Chinese medicine wine."

"The family will come later and ask her to return the ct order." When she smelled this smell, Qi Jing had already confirmed his judgment and the patient was diagnosed. Looking at the patient who was still struggling and wailing in front of him, he couldn't help but shake his head: "Forget the tranquilizer, if it really doesn't work, put on the restraint belt."

Qi Jing arranged everything well, and the nurse drew blood when she should, and the test when she should do it. Gu Jiayang also acted very obedient and worked very hard.

However, there are still some shortcomings in the entire diagnosis and treatment process.

"Doctor, do you say you won't do ct?" The patient's daughter was a little confused and asked, "It's said that ct in the head is a routine examination, how can you not do it?"

The previous second was her life savior, almost obeying her orders. But the next second, she became an inexperienced young doctor because of disagreement with her. Although she did not say it clearly and had no intention of belittlement, Qi Jing could still see something from the other person's eyes.

"It's hundreds of times to take a photo, how can it be considered a routine inspection?"

Qi Jing was a little amused and crying. People everywhere in the world who thought the hospital examinations were too expensive, but it is rare for family members who thought the examinations were not thorough enough.

As a doctor, naturally, I can't refute the face of the patient's family: "I have no objection to insist on doing it, but I've generated income for the hospital."

After saying that, Qi Jing handed over the blue and black pen in his hand and the medical record book: "Help write a paragraph of words, and then sign the name."

Looking at the neat handwriting on the pages, Qi Jing nodded with a smile, then looked at Gu Jiayang and said, "It's not easy for the old man to take pictures of CT. If you need some help, just go with it. Remember to call a nurse, you may not be enough for you alone."

Gu Jiayang had no complaints, but the question mark that "smartly taking the birthday gift" in his mind has not been solved yet.

"We've all been prompted to this point, think about it yourself." Qi Jing looked through other medical records, "It doesn't matter if you can't think of it. Anyway, you'll have to do a drug test later, and you can get a diagnosis as soon as the result is released."

"So fast?"

"Of course this kind of test is soon," Qi Jing said with a smile. "When you have a diagnosis, if you can't see the problem anymore, it's really that there is something wrong with your theoretical foundation."

For Gu Jiayang, this kind of question with time limit is the most itchy thing.

I had been thinking about it for a while, but I could not think of anything, so I could only watch the time move forward minute by minute. Qi Jing used only one sentence to completely clear his mind in the next half hour, leaving these "five words" alone.

Whether it was taking the patient to do CT or coming back to the clinic to help copy prescriptions, Gu Jiayang was thinking about the birthday gift, and he almost turned into Chao Gai: "Birth gift... King Chao Tianwang, Wu Yong, Gongsun Sheng, Ruan brothers..."

"Doctor, the ct report is here." Li Wenying took the report and ran in all the way, "Let me see what the situation is!"

Now there is no one else in the clinic except Gu Jiayang, so he has to support the urgent doctor's store.

If even Zhang's CT report that had already stated the results could not be explained clearly, then the imaging and diagnostics he had come into contact with when he was in his senior year were in vain. Moreover, the department he had interned before was the Department of Neurology, so he still had a lot of experience in reporting CT.

When reading the report, the doctor is different from others and is very sensitive to specific words.

Low-high density shadows, glitches, unclear boundaries, liquid areas, substantiveness, etc. For brain CT, it is necessary to add a midline structure to have displacement. These are all places where the lesions can be pointed out, and by combining the diagnostic opinions at the bottom, you can roughly see where the problem lies.

Gu Jiayang also looked at the report according to this method. He glanced at it and saw a sentence "low-density shadow".

Low-density shadows are common imaging manifestations of cerebral infarction, but they will change due to changes in time. At first glance, the patient's low-density shadows are a very common cerebral infarction, but you can see the descriptive statement "clear boundaries" below.

"Honey, have you had a cerebral infarction before?" Gu Jiayang grasped the key in the CT report and seemed much more confident.

Daughter Li Wenying nodded: "It has been more than three years. At that time, the doctor said he was recovering well. Did he relapse today? My father has been controlling his blood pressure and maintaining his blood lipids and blood sugar well. He won't be so unlucky..."

"Don't be excited, I'm just asking." Gu Jiayang explained, "In fact, there is only an old infarction lesion in my head. The current situation should not be a cerebral infarction."

"No? What is that?"

"Go ahead of your wisdom..." Gu Jiayang was thinking about the birthday gift and almost let it go.

However, he was not slow to react. As soon as he realized that he said the wrong thing, he immediately followed up the correct words: "...... I can't make a conclusion after only taking the patient's CT report. After other test reports are released, we will find a doctor to discuss it together."

After training in the neurology department, this passage is a relatively standard way to deal with the interns when communicating with their families.

Since it is a standard, it means there are still many flaws, and it is impossible to completely convince Li Wenying.

Li Wenying must have received guidance from experts, and it was not disappointing. Although she agreed to wait for a while, she threw the question back: "Now there is not even a diagnosis, why did I use so many medicines for my dad? Including the one I just paid, there are already several."

"this......"

The problem involves the clinical use of many drugs, and also requires a considerable understanding of the patient's disease situation. For these, Gu Jiayang's fully formatted brain can only stop and convulse.

Can't stand it anymore.

"Xiao Gu, what's wrong?" At this time, a doctor came from outside. Seeing that the atmosphere was not right, he quickly helped to relieve the situation.

"Teacher Hu, you're here." Gu Jiayang was almost dumbfounded by his family and immediately repeated the patient's condition briefly. "The family now wants to know the diagnosis results and also wants to know how to treat it next."

"Diagnosis?" Hu Dongsheng felt strange, "Brother Qi has already had a diagnosis, didn't he say it?"

Gu Jiayang shook his head.

"Aren't the person here?"

"I said I wanted to go to the laboratory to read the report, but I never came back."

This was the first time Hu Dongsheng saw Qi Jing losing his whereabouts without a patient in his hand.

Judging from the family's current appearance, it was too late to find someone. As a half-teacher, he could not leave the intern alone. Hu Dongsheng could only temporarily put down his work and picked up the medical record.

The same problem is a big problem in Gu Jiayang, but Hu Dongsheng would not be a problem at all. He had guessed half of it just because he fell in love with the patient's main complaint: "Oh, this looks like Chinese medicine poisoning..."

"Poisoned?"

"There are facial flushing, dry mouth, and slightly elevated heart rate and blood pressure. Then there was anxiety, delirium, and auditory hallucinations." Hu Dongsheng looked at the physical examination results recorded by Qi Jing, and without thinking much, he popped up a standard answer from his mouth: "From these symptoms, it looks like Yang Jinhua poisoning."

Gu Jiayang is a doctor and knows little about plants, while Li Wenying is an ordinary person who does not understand medical principles, so he knows even less: "Golden Flowers? What kind of Golden Flowers?"

"It's the medicinal wine your father drank, and the main ingredients in it are golden flowers." After explaining to Li Wenying, Hu Dongsheng looked at Gu Jiayang again, "In fact, it's something similar to Atropine."

Speaking of Atropin, he suddenly realized: "It turned out to be Atropin, no wonder his face turned red like this."

As Qi Jing recorded the content in depth, Hu Dongsheng roughly understood the entire process of the disease and added: "The patient drank medicinal wine in the morning to treat chronic cough, and applied medicinal wine to the knee joint of arthritis. After the two items were added, the dosage was too large, which led to excessive poisoning of Yang Jinhua."

"So that doctor advises not to do ct?"

Hu Dongsheng looked at the signed words and nodded: "The symptoms are very consistent. In fact, you can diagnose it by taking a look. I think Brother Qi has already written the treatment plan, which means he has determined that Yang Jinhua was poisoned from the beginning."

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