Qi Jing knew that Yuan Tianchi was a pervert, but he didn't expect that he was so perverted. He not only left behind the spoils but also recorded a diary in particular.

However, from his perspective, this way of leaving the spoils to "remember" the situation at that time was also a way for him to try his best to restrain the thief. But unfortunately, doing so would have a reverse effect. The more you feel aftertaste, the more itchy your hands would become. In the end, you could not control it and you could only go out and have a vote to enjoy it.

Heart disease requires heart medicine, which is actually a very one-sided statement.

When the heart disease is still in the early stages of development and is only manifested as temporary mood changes, heart medicine is almost cured. However, once the heart disease accumulates to a certain extent and forms a stimulation and incentive circuit in the brain, the heart medicine will not work.

This is like addiction, and it is not enough to rely on simple psychological counseling.

After more than ten years of delay, repeated theft behaviors have long caused the brain to produce a reward mechanism. Once this behavior is done, the brain will abnormally produce a large amount of serotonin, which makes him feel happy. Over the years, Yuan Tianchi has already entered the ranks of perverts without any guilt.

At this time, the treatment is useless by psychological counseling, and you need to take medicine or some ankylosing measures.

However, Qi Jing himself is somewhat repulsive to psychotropic drugs. After all, the side effects are not small. Moreover, Yuan Tianchi originally had a good status in the Yuan family, so it would be very troublesome to suddenly have mental problems. By this calculation, the number of methods that can be used will be much smaller at once.

Before he was reborn, Qi Jing was an infectious disease expert and also studied genetic diseases. According to the learning trajectory he had set before, after he gained certain attainments in the genetic disease, he would become involved in another remote clinical category: non-organic psychiatric disease.

Because the causes of this type of disease are complex and vague or even inconclusive, this multiple sense of unknowns about the causes of the disease, diagnosis and treatment are extremely attractive to him.

For patients with this special habit of addiction, there is a slightly clumsy treatment method in the psychiatric department.

The process is a bit complicated, and it also requires some props and a lot of time. However, the cure rate is pretty good, and it is always more reliable than taking medicine.

"Xiao Liang, can you do video editing?" Qi Jing asked Liang Chao beside him as he followed the route Yuan Tianchi said on the computer to find the video of him stealing his wallet, "I need to make a video summary and integrate these clips together."

Liang Chao nodded: "Yes, it's true, but the software is a bit difficult and time-consuming."

"That's okay, there's no hurry, just take the time to help cut it." Qi Jing smiled and wrote out the file name of the video and the time it appeared one by one, and then it was all stored in the document, "Cut it and call me."

"Yeah, I'll do my best."

......

Half an hour later, Qi Jing left Liang Chao and returned to the internal emergency treatment room.

Before going to the first hospital, Hu Dongsheng's affairs made Qi Jing a little worried. Now he has to sound the alarm for him when he goes back. However, Hu Dongsheng is doing a good job. As soon as Qi Jing arrived, he quickly took the time to report. None of them were missing from bed 1 to bed 68. He was so fluent that Gu Jiayang, who was copying the court, called him Niu 13.

This is the basic exercise that Hu Dongsheng has always had to do. After hearing this, Qi Jing just nodded and felt no worries.

Wang Ting and another new attending officer are rescuing patients in the heavy cell. Now the observation room has to be taken care of by Qi Jing and Hu Dongsheng. Looking at the 68 beds, there are still several of them that need to be taken care of.

What he had given priority was the most troublesome bed 11: "Has hepatitis A sent away?"

"Well, the person came at around 10 o'clock, and there was a problem when it came. He was very feverish and cold, his whole body was weak, he was nauseous and vomiting, and his liver area was obviously swollen and painful. I immediately asked to change to the fever channel and asked the infectious doctor for consultation." Hu Dongsheng also held the man's medical record in his hand and replied, "The Gu Bing Gu Grass has all increased, and HaV has been tested, but combined with the previous dietary history, it can basically be confirmed that it is hepatitis A."

"People are in the emergency department of fever?"

"Well, I specially emptied a room for him to fall asleep." Hu Dongsheng said, "The family also asked them to go to the test. If they are infected, they will probably go to the hospital for treatment."

"Have you told Director Wang about the matter?" Qi Jing poured two sips of water into his mouth and asked, "This needs to be reported to the Centers for Disease Control and Prevention."

"I've said it, and I've called it."

"Well, it's done well, let's talk about 24 beds."

Qi Jing looked at the medical records stacked on the desk, and Gu Jiayang quickly got up and delivered the patient's medical records to his hands. At the same time, Hu Dongsheng's mouth did not stop and continued: "The patient was 44 years old and had the fourth chemotherapy after cervical cancer. After being discharged from the hospital after chemotherapy, he developed a high fever, with a maximum of 38.8 degrees, and had chills and high fever."

Chemotherapy has huge side effects, and high fever is a very common side effect.

For Qi Jing, chemotherapy is one of the most boring links in the entire clinical medical work. If the diagnosis is clear and the treatment is single, the prognosis is mostly based on luck. Basically, it is about formulating a set of chemotherapy plans and then slowly destroying body cells with drugs.

Doctors have become tools for drugs, and except for having the right to decide on chemotherapy plans, they basically do not have any effect. More than ten years later, technology has changed with each passing day, and chemotherapy plans can also be judged by precision instruments, so doctors have completely become tools for giving medical advice.

He wouldn't do such a boring job and he didn't have much affection for oncology.

Life expectancy in China is increasing, and the incidence of cancer is steadily increasing, but the popularity of physical examinations in 2004 was not high. This makes it difficult for many cancer patients to detect in the middle and late stages.

Middle-end cancer cells are very likely to metastasis, and once metastasis is performed, it loses its meaning. Because even if a metastasis is found, it is a metastasis that can be seen by the naked eye. Perhaps various metastasis cancer cells are scattered all over the body and can become new at any time.

By then, chemotherapy could only be used to inhibit the growth of tumor cells.

Chemotherapy is time-consuming and labor-intensive, and no problems will occur during the long chemotherapy period. Emergency services have become their only place to seek medical treatment and medicine.

As an emergency doctor in internal medicine, chemotherapy is something that has to be mastered, especially its various side effects. If you really have to study hard, you can publish a textbook for one of these side effects.

"How many cases of body temperature rise after chemotherapy?" Qi Jing sat down, looked up at Hu Dongsheng and turned to Gu Jiayang, knocked his fingers on the table and asked, "Everyone is positive, answer together."

This question asked Hu Dongsheng, but it was the same for Gu Jiayang on the side.

Whether it is seniority or clinical strength, Gu Jiayang is at the forefront: "Chemotherapy will cause a decrease in the body's resistance and induce various infections."

"Hmm, then what?"

"Then..." Gu Jiayang shook his head awkwardly.

He is just a small intern who has just entered the clinic and has no detailed study on chemotherapy after tumor surgery. Even in textbooks, the chemotherapy part is very limited in length, and most of them have been mentioned.

As for the ability of an ordinary intern, Qi Jing would never blame him. After all, he had just arrived at the second internship department and there was still a long road. Of course, if you were the answer, it would be different if you were Hu Dongsheng.

"In addition to infection, there are three possibilities." Hu Dongsheng said.

“What three types?”

"The first is infusion reaction, which usually occurs within half an hour to one hour after chemotherapy drug infusion, with chills and high fever." Hu Dongsheng said, "This patient was discharged from the hospital after chemotherapy two days ago. This article can be ruled out."

"The second is the high fever caused by specific chemotherapy drugs, but it is mainly seen in bleomycin and doxorubicin. This patient uses common chemotherapy regimens after cervical cancer, paclitaxel and cisplatin, which should not be the same."

"The third one is tumor lysis syndrome, but it corresponds to non-precision cancers. These cancer cells die quickly due to the killing of drugs, and a large number of electrolytes, cytokines, and DNA in the cells enter the blood, stimulating the increase in body temperature stress."

Qi Jing nodded, and couldn't tell anything about this answer: "What about the diagnosis?"

Hu Dongsheng said: "There is the most likely to consider infection now, and the infusion port has been trained."

"Um."

After listening to this report, Qi Jing was still relieved. At least Hu Dongsheng's previous working condition did not change. He was indeed late this morning, but he was all young people. It is understandable that he was rare to be out of order. It is not unforgivable for him.

Now it seems that Hu Dongsheng's several procedures are pretty good, and he has not seen any bad signs for the time being.

Of course, the result is not static. In Qi Jing's eyes, work is always the first priority, and the family can take into account both, but sometimes they can only make concessions. He will definitely practice this principle, so the people who follow him must do the same, otherwise he can only give up.

"Then I'll say the next one, bed 47..."

Seeing that Qi Jing didn't find anything wrong, Hu Dongsheng prepared for the next patient's report. Unexpectedly, Qi Jing waved his hand and stopped him: "Take the blood routine report of the female patient in bed 24 to me to see."

“The report is here, it’s very typical…”

Hu Dongsheng wanted to continue talking, but Qi Jing shook his head and blocked his mouth, then threw the report in front of Gu Jiayang. After checking Hu Dongsheng, it was now the intern's turn. Some knowledge points were ordinary in his eyes and Hu Dongsheng's eyes, but they became important knowledge points for the interns.

Now there is a rare opportunity. He has to teach his teaching role: "Look, what's wrong with this blood-regular list?"

Gu Jiayang did not dare to neglect, so he quickly stopped writing and took the blood report back and forth. Just a glance made him feel a sense of incongruity: "The patient's white blood cells are 4.5, the neutrophil count is 19%, the lymphocyte count is 73%, and the neutrophil percentage is so low."

"Do you know what this means?" Qi Jing asked.

Gu Jiayang recalled the previous routine blood report of a patient infected with viruses, which was roughly similar to this one, and replied: "The percentage of medium particles decreased and the percentage of lymph increased, which should be caused by the virus."

He stepped in with one step.

It is because there are such pitfalls everywhere in clinical practice that their emergency doctors will walk on thin ice when working and be careful everywhere. In addition to mistakes, there may be time to make up for the outpatient clinic, but in the emergency department, maybe just make a decision and the patient will not be able to do so.

Hu Dongsheng explained: "Xiao Gu, percentage counting is indeed an important indicator, but it has to be viewed in combination with other aspects. There are so many inspection items in laboratory examinations, and the level of a single value does not explain much." "For example, the absolute value of the medium particle is only 0.85..."

Hearing Qi Jing say, Gu Jiayang quickly moved his eyes down and saw the number: "It's so low."

"This is a typical granulopenia after chemotherapy. Because paclitaxel and cisplatin used for cervical cancer can reduce neutrophils, so they reduce immunity." Qi Jing explained, "I'm afraid that the white blood cell-raising drug has been used during chemotherapy."

“So that’s what it is…”

"I learned it?" Qi Jing asked with a smile.

"I learned it." Gu Jiayang nodded.

"If you learn, go find me a clean white coat." Qi Jing is still wearing her black short-sleeved T-shirt, "Medium size, the best collar without a name."

“Oh oh ~”

After seeing him leave, Hu Dongsheng continued to report: "Bed 47 is lupus erythematosus. It was diagnosed a few years ago and has been treating it. However, my brain is not very good recently. Today I almost started having a fight with my man, and I was pulled over."

"Lupus encephalopathy?"

"Well, Director Wang feels so too." Hu Dongsheng said, "A few tests are ready to do, just ct... The patient is not cooperating at all. Why don't Brother Qi, come and take a look?"

"Okay."

Qi Jing sighed, and just before leaving, he caught up with Gu Jiayang who came out of the lounge, put on a white coat. Looking at the calendar hanging at the door: Qi Jing suddenly thought of something and asked, "By the way, what day is today?"

“August 4.”

Qi Jing looked at Hu Dongsheng and asked with a smile: "The days are coming soon."

"Yes." Hu Dongsheng nodded, "I made a discussion with Lao Ji and Gao Jian yesterday and were going to celebrate with him. I just don't know what you think."

"Go to his house? Don't go." Qi Jing frowned, "That was the weekend, and his son and daughter-in-law were there. We must be having dinner outside, so we just go."

"Will it seem abrupt if four people were gone at once?"

"What's abrupt about this?" Qi Jing asked again, "Have you agreed on a schedule? Don't be unable to go then."

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Chapter completed!