From the size, shape, continuous strokes, and overall layout of the characters, the temperament of the writer, the mood of the writer, etc. Qi Jing has learned some of this aspect by himself, and those who have worked in daily life also write a large number of records, and more or less can see some things from it.

The handwriting on this scheduling table is beautiful. I must have learned some calligraphy when I was a child. Even if it was abandoned, it still leaves some traces. The small square square grid has neat fonts. Although it is written a little larger, there are few out-of-line aspects.

From this point of view, people should be very confident, but they are more self-controlled, focused, and pay close attention to details.

The key is that when writing about Qi Jing's scheduling, he showed something different from others. The sudden increase in writing strength and edges, although it immediately restrained, Qi Jing still felt a very strange feeling.

However, Qi Jing only learned a little bit of the basics when he was bored. He read too much and wrote, so it was impossible for him to calm down and practice calligraphy. After all, Ji Qing, who was born in a scholarly family, had a say in his words.

August 8 is a very important day, but the status of the middle class is very embarrassing. Judging from the scheduling situation, if you want to change shifts, you have to exchange it with this new Xia Zhi.

"Anyway, there are a few days left, let's talk about it." Qi Jing glanced at the schedule again and said, "Let's go, go see the patient first. Have you called for a consultation?"

"I just said hello to the rheumatology department. It was an old patient there, and someone would come down soon."

"Um......"

The female patient in bed 46 was a confirmed lupus erythematosus patient. She suddenly developed neurological symptoms and was sent to the emergency department. The patient was in good health, not having three highs or temperature. Judging from the information and past history, the possibility of lupus encephalopathy is more than 90%.

Before the three of them arrived in front of the bed, they saw the patient "tantry" there.

It is probably because lupus damage spreads to the brain, causing abnormal emotions and personality. Anyway, he beats his man up and curses him from time to time to vent his anger. Hu Dongsheng and Gu Jiayang saw this and could not watch it like Qi Jing, so they hurriedly stepped forward to persuade him to fight. Of course, facing such a patient, it was unreasonable to say that it was impossible, and they could not beat him, so they could only try their best to separate the two.

Qi Jing has a medical history, but he can basically diagnose it by just a glance, which is definitely related to lupus.

However, the subjective diagnosis and the diagnosis written in the medical record are two different things. The former can be guessed, while the latter requires some objective examination support, such as brain ct.

For lupus encephalopathy, the value of brain CT lies not only in diagnosis but also in treatment.

The damage caused by lupus is not only in brain cells, but also influencing cerebral blood vessels and secondary to cerebral infarction and cerebral hemorrhage. At this time, the treatment is closely related to determining the type of damage. Even if Qi Jing locks in this disease, the brain CT cannot be avoided.

Moreover, in Qi Jing's opinion, the patient itself has some strange things and needs to be carefully examined. Otherwise, if he throws it to the rheumatism and immunology department that comes to the consultation in the future, there will definitely be problems.

Emergency wards are not only about rescuing patients, but also serving as a transfer station for patient transfer, but also functioning to clear mines for other departments.

For this reason, he took out his cell phone and took a picture of the scene in front of him.

The patient leaned his face and fisted around Gu Jiayang with his right fist, and landed on his husband like raindrops: "Ah!!! Are you shameless, is there a woman outside?"

My husband could only protect his head, carry it over and bear it silently, and he couldn't help but deny it: "I really don't have it, my wife!"

"***! Scam, continue to cheat! Just the perfume smell on you, do you think I can't smell it?"

"I was wronged, that I bought for you two years ago, the green packaging..."

"Nothing! It's obviously a mistress outside!"

"It's really not. You still keep the packaging box..."

"You are also quibbling, you are obviously wrong!"

"Yes, I'm wrong, I'm sorry."

Hu Dongsheng didn't know if he had just fallen in love or because of something else, so he felt particularly sympathetic to the family, so he quickly said to Qi Jing: "Brother Qi, it's all so much, just take a sedative."

"Yeah." Qi Jing looked at the phone screen and nodded casually, "It must be put on, and the restraint belt must be used, otherwise the CT will not be able to be taken." After a while, two emergency nurses were in place, one helped with the limbs and the other was given a sedative. The patient's hands and feet were restricted, so he increased his strength in his mouth: "What are you doing? Do you know who I am? My dad is a ***, and he can lock you in with one sentence, so that you all die without a burial place!"

“…”

"Ah!!! Let me go soon! Did you, the shameless person, ask them to come? Are you??!"

"Wife, they are nurses."

"Shameless, get out of here!"

"Okay, I'll get out, I'll get out..."

“****!”

Seeing his wife tied to the hospital bed, my husband felt uncomfortable when he saw her. After getting up and walking out of his wife's firepower range, he could only pull Qi Jing, who seemed to be very experienced, to the side and ask: "Doctor, is this too much?"

Qi Jing seemed a little incredible when he heard the sound from his phone: "Is it too much to scold you so much?"

"This, this is actually nothing, it's not a heavy blow." My husband scratched the old bruise on his hand for a while and laughed silly. But in just a while, he suddenly said: "I don't know when Director Wang will come. When we met just now, he said he would come to see her."

"Director Wang is rescuing patients in the heavy cell, but now he can't get through." Qi Jing listened to the sound from his phone, looked at the ct examination application form written by Gu Jiayang, handed it over, and said, "Do you have a brain ct first and see what's wrong with your brain."

The man took the examination form, but his eyes floated to Qi Jing's cell phone and his empty chest: "You... are you also an emergency doctor? Why are you always listening to your cell phone?"

"Well, what's wrong?"

The man's surname is Wang, and he is obviously a family member of an old patient. He is very familiar with the hospital's regulations and personnel. He knows that the work number plate is another symbol of the doctor's identity besides the work seal. If it were other family members, he might have been holding on and asking questions long ago. But the old Wang in front of Qi Jing said it very tactfully:

"I saw that you didn't have a job license plate on your chest, and you kept listening to your phone, and you thought you were an intern."

Qi Jing thought of the white coat he had left in the first yard, and couldn't help but sniff: "I lost my work license plate and am applying."

"Oh, so that's the case, sorry."

Sometimes things are missing a fuse switch. When this switch is turned on, it is equivalent to wearing tinted glasses to see the world and applying a layer of established colors to everything.

Because he did not have a license plate, Lao Wang had doubts about Qi Jing's identity. This suspicion, coupled with the phone that Qi Jing had always kept in his ear, left him a very bad first impression.

He looked Qi Jing up and down, and his face gradually became ugly.

But after dealing with the doctor for more than ten years, Lao Wang knew that there would be some unpragmatic guys in the hospital, so he didn't make it clear. Instead, he looked into the direction of the heavy cell and continued to say in a different way: "Save the checklist first, I'd better wait for Director Wang to come, it should be soon."

Qi Jing looked at the patient who was still performing language output on Hu Dongsheng, then looked back at him, and advised: "Your wife is very ill, so you can do a test first. Even if Director Wang comes, he must do a brain CT."

Lao Wang hesitated for a moment and shook his head: "I'd better wait. I've been given a sedative anyway, so there's no hurry."

I was in a hurry to ask the doctor to deal with it just now, so I am not in a hurry?

Hu Dongsheng was scolded so badly that he and Gu Jiayang were spitting on their faces, and they couldn't hold on. Seeing that the family members wanted to drag them, they wanted to walk up and say something to him, but when they arrived, they were still stopped by Qi Jing: "Well, Xiao Gu, why don't you go to the heavy cell to call Director Wang, and just say that there is a patient's family here who wants to see him."

"Ah?" Gu Jiayang was a little embarrassed, "Teacher Qi, this..."

The serious patient in the heavy cell was very ill. Wang Ting even brought the teapot and cup in and had already been preparing to stay in for a day. Now he went to call this old man out, but he didn't seem to have much effect except being scolded. This scolding is much more professional than the patient with a brain problem in front of him, and each one can fall into his pain.

Qi Jing knew he was in a dilemma: "Just say I said it."

"Then...well that."

When Qi Jing saw that someone left, she didn't say anything wrong with the family. Instead, she held Lao Wang's shoulder and asked with a smile like a brother who had been with him for several years, "Brother, will I ask you something?"

This hook caught him off guard: "What's the matter? What's the matter?"

"I heard you quarrel just now, and I always felt that your wife's voice was a little hoarse." Qi Jing said, "Has her vocal cords been injured? Or has it been this voice all the time?"

"I haven't been hurt, do you think it's hoarse?"

Lao Wang was asked by his question, thought for a while and said, "After you said this, it seems that you really feel this way, and the tone is a little heavy. However, she just caught a cold two days ago and shouted again today for a whole morning. It should be normal for her to feel uncomfortable throat."

"It's not your final decision whether it's normal or not, of course I don't have the final say." After Qi Jing said that, he took his cell phone and put it in his ear and listened repeatedly, "You have to have the final say after a check."

"Another check?"

"Um."

“What kind of check?”

“I’m afraid I have to do it…”

At this time, Gu Jiayang, who had just come out of the heavy cell in the distance, walked over with a doctor. He was a female doctor in her 30s. Her long hair was wrapped in a surgical cap and she was wearing a mask on her face. She couldn't see her face clearly. However, Qi Jing always felt that she had seen someone and was very familiar with her.

"Teacher Qi~" Gu Jiayang said with a smile, "I called Teacher Xia."

Teacher Xia...

Qi Jing then realized that in terms of face shape or eyes, the senior attending doctor in front of him who was constantly approaching here was exactly the same as Xia Wei who helped to retrieve maggots before.

"Hello, Teacher Xia Wei." Qi Jing hurriedly greeted him with a smile, and used the title of "teacher" with great guilt. "The patient's family wants to talk to the doctor at the superior, so I can only trouble you."

"It's not trouble, but..." Xia Wei looked at Qi Jing for a moment and asked, "Are you friends?"

"No."

"brother?"

"Of course not."

"Then why are you wearing your back and shoulders?"

"Oh, I just want to ask him about the patient's condition." Qi Jing smiled and let go of his hand, explaining, "It's lupus erythematosus. It's been more than ten years. This time I suddenly had a mental abnormality. I guess it's lupus encephalopathy."

"You probably..."

Xia Wei gave him a blank look, took the medical record and looked through a few pages, and said to the family with a smile: "The patient must do a brain CT as soon as possible to see what is wrong, whether it is an infection, a cerebral infarction, a cerebral hemorrhage, or just a brain change in the elderly. Our methods of dealing with it here are different."

"Oh, so that's it."

Lao Wang lowered his head and subconsciously looked at the work number plate on Xia Wei's chest. When he saw the bright word "main indication", he calmed down. Moreover, after this little episode, his view of Qi Jing changed. Although it didn't seem reliable, the result was still good.

Lao Wang picked up the CT checklist he had received before and nodded: "Then I will take my wife to do CT first, and then check a few rheumatism indicators. By the way, where can I do that laryngoscopy?"

"Laryngoscope? What kind of laryngoscope?"

Xia Wei is the main treatment of ENT. She knows the best whether there is any throat problem. If you really want to compare ENT knowledge with these doctors in the emergency department, even Wang Ting may not be able to compare: "She should have lupus encephalopathy, just look at the brain CT. Who said she wants to have laryngoscope?"

As soon as Xia Wei said it, she felt something strange.

If something goes wrong, there will be a demon. Laryngoscope is not a routine examination. How do the family know about it?

laryngoscope......

Why is it laryngoscopy again...

She suddenly thought of Qi Jing beside her, and couldn't help but frown, and she felt a bad feeling in her heart. This feeling was the same as the consultation half a year ago. She knew there was a pitfall in front of her, but she had to step forward.

"It's me." Qi Jing poked his chest on his own before Lao Wang exposed him.

"Why did you ask the patient to check the laryngoscope?" Xia Wei knew that Qi Jing had thought of all the solutions, but she still couldn't help asking the previous question, "No matter how you look, it's a brain problem, and it doesn't matter to your throat. Also, look at her appearance, and she doesn't cooperate with her ct, and she still wants to stuff a mirror into her throat?"

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