From the doctor's perspective, as an emergency patient with attempted suicide, Ye Tingxuan is really lucky.

The entire suicide plan almost perfectly avoided all the ways of mercury poisoning, and also avoided the three pieces of glass that were mixed in when breaking the thermometer. Blood mercury was 0.06, and the stool was negative. After half a day of treatment, the mercury in her gastrointestinal tract was discharged without any signs of bleeding.

Except for the 120-year-old who called more than 100 yuan and used 200 yuan for abdominal flat films three times, the medical expenses were not used much. The hospital I entered at around 7 o'clock in the morning, my vital signs were stable, and my health had never had any problems.

She finished her treatment that afternoon and went home to rest.

But from the patient's own perspective, November 3 has obviously become her most unforgettable day.

Ye Tingxuan will never forget the pain and happiness of healing. I am afraid that not many people in the world have truly experienced it.

I thought it would be done with just hanging a drip bottle and taking two injections, but I had to do it again and again, which made her feel so painful. Especially the gastric lactate used for vomiting, I didn’t know what was added to it, and it felt very uncomfortable to pour it into my stomach. In comparison, it was much more comfortable to swallow mercury.

"It's activated carbon mixed with sodium bicarbonate, which can help remove excess mercury."

Qi Jing stood at the door of the gastric lavage room, looking at Ye Tingxuan who kept vomiting into the plastic bucket, and explained: "The taste is really not very good, but it is for your own good. If it is not drained, it is definitely not a good thing to accumulate in the body."

After saying that, he waved to Xiaomei in the distance.

Ye Tingxuan wiped her mouth with a tissue, looked at the bottle of small things in Xiaomei's hand, and her stomach tightened: "Come again? I think I'll leave you, I've used one."

"That won't work." Qi Jing waved his hand, "You can still see some residues of mercury in the flat abdomen that you can't clean with one meal three times. As for the same sentence, long-term residues are not good for the body."

"I, I refuse."

Ye Tingxuan was really fed up with the troubles of going up and down, and said, "I am already an adult and I have the right to refuse treatment. I am going to be discharged from the hospital, and I am going home."

Qi Jing did not refute, nor did he sign her medical record. Instead, he took out his cell phone from his pocket and swayed in the air.

In this moment, Ye Tingxuan's stomach and intestines were stirred up, and her thoughts became a little abnormal: "You...you actually colluded with that crazy woman!"

"What crazy woman, that's your mother!"

"I don't have such a mother!"

Qi Jing didn't talk nonsense to her, and yawned and said, "I'm already very tired after work all night. I don't care if she is your mother or not. Now I'll ask you one word, will you cure it?"

Looking at the cell phone in his hand, Ye Tingxuan didn't feel so frustrated when she lived so big. But there was no way. Now the other party pinched her life and had to accept her fate: "Scammer, I had only promised to only have stomach washing, a big liar, a super big liar!"

As long as he is willing to treat everything, Qi Jing didn't feel anything about this title. He turned around and closed the door of the gastric lavage room and returned to the clinic.

Hu Xiaonan was sitting aside: "How is my daughter?"

"It's okay, I think the mercury in my body can be cleaned up after the treatment is over." Qi Jing looked at the flat abdominal film after the re-examination and said, "The blood mercury level is also very low. After using the mercury-removing medicine, the re-examination will be conducted. You can go home if you have nothing to do."

"That's good, that's good." Hu Xiaonan breathed a deep breath, and his heart that had been in chaos for a morning finally settled down.

But Qi Jing's face was not much better. In his opinion, the treatment had just begun: "It's too early to be happy now. Your daughter is going to die at a young age. There are many unpleasant things in the future. She will play every time she encounters it?"

"It's all caused by that boy!"

This sentence has become Hu Xiaonan's catchphrase after coming to the hospital. He almost had to put the examination report in his mouth and chew it on his face. He looked like he wanted to swallow someone else's alive.

Seeing that she was about to speak again, Qi Jing quickly put down the medical record and ran out.

He stayed in the emergency room not only for her daughter, but it was not rare for people to take mercury orally. Qi Jing encountered two of them in his previous life. One of them even swallowed more than 100 grams of mercury, which was five times the amount Ye Tingxuan took orally, but the result was safe and sound.

Of course, there are still a few kids in the department who don’t know much about taking mercury orally, so he has to look at it. For example, Hu Dongsheng just now wanted to use normal saline to prepare gastric launders, which is wrong.

Normal saline changes the solubility of mercury.

Originally, mercury would not dissolve in gastric and intestinal fluid, but normal saline would change the solubility of mercury. Once dissolved, mercury would become something that can go anywhere, and after entering the blood, it would cause poisoning symptoms.

Apart from this, Ye Tingxuan has no other things to pay attention to, just do a good job of vomiting, diarrhea and re-examination.

Because the Binjiang Branch of the Emergency Center is a bit far from Danyang Hospital, Qi Jing is too lazy to go back to the hospital. Even if the ambulance is sent to the emergency room, he will not stay for too long as there is no special situation.

This time, the most important purpose he deliberately left was to observe the patient. Because a very strange patient came two days ago, after hearing Ji Qing chatting, he decided to come here today.

The original plan was that after the night shift, he came back to attend the early rounds to see the specific situation of the patient. Unexpectedly, Ye Tingxuan suddenly came, and Qi Jing took a ride back to the ride.

After reporting the patient's condition, Yu Gang and Li Yangyu drove back to the branch station.

Next, they have to clean the car, add some medical first aid supplies, and have a simple handover with the next shift, confirm that the instruments and ambulances are correct and then they can get off work.

As for Qi Jing, since he has come, he must meet the patient well.

Now that the emergency room check has basically ended, the next step is to discuss some troublesome patients. If the diagnosis is unknown, the department needs a small consultation and a differential diagnosis. If the treatment is complicated, the medication must be discussed and refined into each drug.

Today is Wang Ting’s personal rounds. He thought Qi Jing was a girl who was taking mercury orally, but he didn’t expect that the person was still there: “Why haven’t you left yet?”

"I haven't participated in the discussion for many days, I'll look for my feelings." Qi Jing said with a smile.

Looking for a feeling?

Wang Ting was a little puzzled, but he didn't object. After all, Qi Jing was just going to rotate, and he was still in a hurry in Danyang Hospital. Besides, he was still his own student, so it would be normal to stay and participate in the discussion.

"At least I'll change my clothes."

"The white coats in the lounge were snatched up, and no ready-made ones were found."

Qi Jing yawned again and chewed the pancakes in his hand. This was bought for him before Li Yangyu left. It was already 10 o'clock so far. I don't know if it should be breakfast or lunch.

"If you don't have a white coat, go back to sleep. What kind of decorum is it to dress like this?" Wang Ting glanced at him and said, "Besides, you've been to the emergency center and are still here to get involved in something. I really think it won't work without you?"

When you meet an interesting patient, Qi Jing's skin will become exponentially thicker, and he will ignore Wang Ting's words: "I'll see a patient."

"Patient? What patient?"

Wang Ting hadn't reacted at first, but after thinking for a while, he realized who Qi Jing was referring to: "It's just a stubborn hiccup, and it's nothing serious. What's so good about it?"

"Have you found the cause of the disease?" Qi Jing asked.

At this time, Ji Qing, who was standing beside him, shook his head: "The temporary determination is stubborn hiccups, but after doing brain ct twice, the possibility of centrality was eliminated."

"That's non-central."

"We are thinking about it for the time being." Ji Qing explained, "but there are too many tests to check the cause of hiccups. Patients and their families seem to find it difficult to accept for two consecutive days."

"Don't want to check it? If you don't want to check it, go back."

"It is impossible to go back." Hu Dongsheng, who was standing beside him, said with a smile, "He had already returned from the first hospital a week ago. As a result, he got better for a while and started hiccups again. He endured it for half a week, and this time he couldn't help but find him here."

"This thing is quite troublesome, the key is that no department is willing to take over."

"So you can only stay here."

The patient was a 70-year-old man. He entered the emergency department of the Internal Medicine Department of the First People's Hospital a week ago due to hiccups for half a day. The patient had no complaints or symptoms of discomfort. The emergency department of the First Hospital did a lot of examinations but no results were found.

In the end, we can only judge that it was the stubborn hiccup caused by anxiety. Lorazepam and chlorpromazine were used in the treatment, but it did not improve. The doctor in the first hospital wanted to improve other examinations, but was finally rejected by the patient and was discharged from the hospital.

Not long after discharge, the hiccups worsened, from once every half minute to once every 20 seconds. The patient went to the outpatient clinic of the first hospital again, hoping to find the cause, and even if he couldn't find it, he had to stop it first.

But who knew that the doctor in the outpatient clinic didn't care about this at all, and just said that he would relieve himself and sent him away.

As a result, these days, the old man's hiccups have been repeated between good and bad, and have worsened sexually. Two days ago, I couldn't help it, so I had to come to Danyang Hospital for treatment again.

When I was admitted to the hospital, the frequency of hiccups had increased to about 10 seconds. After two days, the cause of the disease was not found, but the hiccups were further deteriorating. It was almost 46 seconds per 10 seconds, but even with such a high frequency of hiccups, the patient had no other symptoms.

Nowadays, anticholinergic atropine can only be used to relieve muscle spasms.

Although the symptoms can be relieved, this is not a long-term solution after all.

In fact, when Qi Jing first heard about the patient's condition, the first thing that came to mind was myocardial infarction. It was not the aggressive acute myocardial infarction, but the mild angina pectoris caused by a small amount of ischemia in myocardial muscles.

A small number of patients will cause hiccups due to this pain.

However, it seems that Wang Ting had long realized this. The patient ruled out the possibility of the heart as soon as he entered the internal emergency. The electrocardiogram was completely normal, and no myocardial ischemia was found, and there was no problem with the subsequent myocardial enzyme spectrum.

Looking at the entire medical record book, the old man has always been in good health. He has no three highs, no other basic diseases, and has no other bad habits except smoking.

"The x-rays and CT in the chest and abdominal cavity were not seen in any problem." Qi Jing felt a little puzzled, "These two did not see anything, so the next one is MRI."

Xia Wei was the one who took over Ji Qing's work. This old man was the first consultation she had: "Yes, the old man refused to do it, and he thought it was too expensive."

"But you can't let him go back, who can survive this burp?" Ji Qing took a sip of water and suggested, "Why do you want to talk to your family?"

"I see!" Xia Wei said, "How good is it to leave the old man alone at home? When I came to pay, I said that if I can't find any problem after using the money in the card, I will be discharged from the hospital and will not be able to see it."

Ji Qing sighed: "No wonder the old man asked me what medicine I used last night. It turned out that he wanted to buy it at a pharmacy."

Xia Wei sat at the desk, with a medical record in front of her, adjusting her medication after the rounds. As she was writing, she looked up at Wang Ting who was drinking tea not far away, and said with a smile: "I think it's better to come to the neurology department for consultation, it's better than dragging it."

"The god may not be willing to care." Wang Ting poured tea into his mouth, "Xiao Ji, call and ask."

"Um."

Ji Qing nodded and agreed, and wanted to turn around and ask Qi Jing’s opinion, but found that the time he had just drunk the water, the person was gone: "Director Wang, where is Qi Jing?"

Wang Ting put down the teacup, picked up several medical records of patients in the heavy cell, and said, "Just Xiaoxia just said that the old man refused to do MRI and left."

"Ha, this guy is fast enough."

"What about Hu Dongsheng..."

Ji Qing had already guessed the answer as soon as he said that at this time Hu Dongsheng was definitely the most loyal helper around Qi Jing: "It seems that he went to the consultation with him."

Xia Wei knew Qi Jing's style very well. Many troubled patients finally found the cause of the disease under his consultation. However, she was still very confident in her previous consultation: "I asked them all when the patients came, and they used the standards of the inpatient department. I don't believe that they can ask something else."

......

Qi Jing naturally went for a consultation.

After so many years of clinical struggles, he firmly believed that many buried causes would be answered by random questions. Consultation is always the cheapest and most convenient method for diagnosis, and sometimes it is the most efficient.
To be continued...