408. Every family has a scripture that is hard to read
Qi Jing used the most common method in micro-expression research.
First try out the baseline of the other person's expression through chatting, and then use various sensitive words to perform experimentation stimulation. Once the expression deviates from the baseline, the word has a great possibility that it is a hidden answer.
More than ten years later, even though there are still not many people who can judge micro-expressions, these three words are already well-known. However, at the end of 2004, foreign countries had just made some progress in research on micro-expressions, and there was not even a concept in China.
Therefore, Qi Jing's strange operation was really incredible to Hu Dongsheng, and Xia Wei had never seen it before.
Because it was Qi Jing's judgment, the patient admitted it personally. Wang Ting didn't care much about the process and passed the examination plan he requested, and first gave Lao Zhang a cervical lateral film.
There are only six people in the department, Ji Qing still knows a little bit about this, but it is far from the "micro-expression" that was widely publicized later:
"In my impression, this should be called expression observation or expression capture. It was originally a study of how to identify and judge the development of the central nervous system by observing the patient's expressions, but later it was slowly used in other aspects."
“Other aspects?”
"I remember it's the electronic information technology industry, and they seem to be studying facial recognition systems."
Ji Qing knew very little about this part of the knowledge, so he had to draw a sign between Qi Jing's method and facial recognition: "I'm afraid he learned it from those electronic technology papers."
Xia Wei was so confused that her head was a little dizzy. Anyway, admitting that Qi Jing’s master has long been a normal situation for Danyang to be anxious, and it would be better if she admits: "Let's wait for the patient to report, and you can find the cause as soon as possible."
When he went to the emergency center to rotate, Qi Jing himself seemed the most reluctant, but in fact the interns who went to the emergency department of the internal medicine were the most painful. At least he still had the advantage of being promoted for two years, but the interns lost the only opportunity to communicate with him in close contact.
So after hearing these high-end explanations, the two interns had to sigh:
"Can human eyes capture the details of expressions?"
"I've surpassed the principles and exceeded the principles and deserve to be the legendary Senior Qi..."
The first time I saw Qi Jing, I gave them this trick, which can only be said to be too exciting: "Don't you think this trick is very practical? If you learn it, you won't be afraid of being deceived. What a pity, I didn't go and take a look at it just now. I don't know when I will meet Senior Qi next time."
Ji Qing was so angry that he laughed: "You haven't even learned basic skills well, and you haven't even understood the most ordinary consultations. Go and listen to him personally consulting? Look at your Teacher Hu, you can't recover until now."
Hu Dongsheng was sitting aside in his mouth, staring at the patient's medical record, and the scene of Qi Jing's consultation was repeatedly displayed in his mind like a video replay.
But even if he was pulled away from the camera and focused on Lao Zhang's movements and expressions, he could not find any changes. In Hu Dongsheng's impression, Lao Zhang was in a state of confusion throughout the whole process, just like him.
Originally, Hu Dongsheng thought that the efforts during this period had achieved considerable results, and it seemed that he was getting closer and closer to Qi Jing, but unexpectedly, it was just his own imagination.
......
At this time, Qi Jing had just walked out of the toilet.
He washed his hands, wiped his face again, and prepared to go back to the Binjiang branch to change out of his clothes and wait until he got home before he had a good rest. Because he had been staying in the hospital for too long, Yu Gang and Li Yangyu had already driven back to the station to hand over the shift, and Qi Jing had to go back by himself.
Embarrassing...
Just as he left the emergency room and was about to walk towards the hospital gate, a young man came towards him.
Perhaps this orange vest for pre-hospital emergency was too eye-catching, and the other party looked at him differently from others, and he locked him as a target after a meeting. However, rather than saying that Qi Jing was stopped by this child, it would be better to say that Qi Jing was shy when he looked at him, but he stopped.
The same age, the same style of school uniform, the eyes and expressions are somewhat similar to that of a girl lying in the gastric lavage room.
It is said that after being with his partner for a long time, they will be married, but these two seem to be too similar. Qi Jing became more and more suspicious whether they had confirmed their relationship long ago, but they just kept hiding and not talking about it.
Qi Jing walked over: "Jian Ming?"
The boy was about to come forward and say hello to ask if the other party knew about a silly girl, but he didn't expect that he was confused by his name: "Do you know me?"
In fact, when Qi Jing was counting the thermometer at Ye Tingxuan's house, he happened to see those torn small pieces of paper, with these two words on it.
Looking at the context, the girl expressed her expression very straightforwardly, and finally wrote it unforgettably for a while. A discerning person could tell the identity of the person's name at a glance. Combined with the appearance of the person in front of her, it is actually not difficult to guess. Now that the name matches, the purpose of coming here is naturally obvious, it must be for her.
Qi Jing did not explain and pointed to the emergency room and said, "You can see the gastric lavage room on the left side of the hall, and Ye Tingxuan is inside."
Before he could enter the emergency department, he knew where Ye Tingxuan was. Jian Ming called out that he was lucky: "How is she now?"
"Well, it's okay." Qi Jing said with a smile, "Re-check again, if everything is normal, you can go home in the afternoon."
"Thank you." After that, he ran to the emergency room.
Qi Jing raised his hand and looked at his watch. It was already past 10 o'clock. For middle school students who are still in the third year of high school, this time is the time for class. It seems that this kid is also a "person of temperament". Is it so easy to take leave in high school now...
He turned around and looked at the boy again, sighed and said it was so good to be young, and couldn't help but persuade him: "You'd better come back later, her mother is waiting outside the gastric lavage room."
Judging from the boy's reaction, Hu Xiaonan was indeed a huge obstacle. After hearing this, her whole body seemed to have electricity.
But after struggling for a while, he decided to go in: "If it's late, she might go home."
"Well, with her temperament, I'm afraid she won't stay in the hospital for too long."
After hearing this, Jian Ming nodded and walked through the crowd and entered the emergency room.
Qi Jing was not interested in seeing the development of the couple. As for whether Hu Xiaonan made a fuss or chose to reconcile, it had nothing to do with him.
The taxi went home all the way, and when I finished taking a shower and went to bed, it was almost noon. Qi Jing didn't care about lunch and just slept like this. He opened his eyes again and turned over to look at his phone. There were no missed calls, but there were four text messages lying down.
One is Lu Zishan's, which is to let him pay attention to rest and not forget to eat. The other three are all Gao Jian. These three are all related to Lao Zhang, and Qi Jing also finds it strange.
The first one was sent from 11:44, just before Qi Jing fell asleep. The content was:
The second item is 15:23 pm:
Director Li is naturally referring to Li Zhiyong, director of the radiology reading room. The two messages directly denied the possible problems in the spine. However, X-rays have limitations after all, and the bones can be seen very clearly, but the spinal cord inside cannot do it. Since X-rays cannot be seen clearly, they have to use MRI for verification.
But just as Qi Jing wanted to call for a review, the third text message jumped into his sight, stirring the originally clear idea of the disease development into a muddy water:
New symptoms that are completely different from the vague original symptoms overturn the test results of diagnostic speculation. Three text messages completely overturn Qi Jing's conclusion in the morning from both positive and negative aspects. At the same time, this is also the most common combination when correcting the diagnosis in clinical practice.
If it were another doctor, they would definitely feel depressed at this time. At least they had spent a lot of effort to verify the symptoms, and they would naturally feel unwilling to accept it if they were not in line with the facts. Next, they would follow the facts, stop the loss in time, and choose the path of gastrointestinal diseases.
But Qi Jing is different, these three text messages are not enough to change his diagnosis.
Moreover, because the patient has changed a lot, it has aroused his interest and the corners of his mouth cannot help but rise wildly.
Qi Jing stood up left and called Gao Jian with a phone call: "What do you say about this patient, Director Wang?"
"Old Zhang?" Gao Jian had already come home from get off work and is now sitting at the table having supper. "Director Wang suggested that he make MRI, but unfortunately he said it was too expensive and he did not agree."
"Then my stomach hurts."
"Yes." Gao Jian heard Qi Jing's meaning, took a mouthful of food and asked, "Brother Qi, do you think he is still lying to us?"
"It's hard to say, this can happen if there is a problem with the spinal cord." Qi Jing couldn't take it accurately, so he didn't say it in detail. After a pause, he asked again: "How is his hiccup?"
"Old look." Gao Jian said, "It will be a burp in a few seconds."
"This old boy is like a child calling for a wolf."
A patient who likes to hide symptoms is like a child who calls a wolf. Since he will lie to someone on finger twitching, his stomachache may be to cover up for not doing anything.
However, gastrointestinal lesions are the main cause of stubborn hiccups. They have symptoms and are supported by examinations. The patient insists on being discharged from the hospital. The three parts work together, and it is a bit unreasonable for the doctor to stop them again.
"Yes, now I can't tell whether what he is talking about is the real symptoms or fake."
"He will be discharged from the hospital tomorrow?"
"Well, this was decided by Director Wang for a long time." Gao Jian seemed helpless. "If it weren't for stopping him, I'm afraid the old man would have packed up when the X-ray report was released."
Faced with such a patient, time waited for no one, Qi Jing decided to go to the hospital now when he heard this.
Lao Zhang's hiccups are more serious than ordinary cases, both in terms of stubbornness and frequency, and it is impossible for him to be just an ordinary gastrointestinal disease. Moreover, he has not taken the acid inhibitor. Unless the gastroscopy is confirmed, Qi Jing will not easily change the diagnosis.
Now that the patient does not cooperate, if you want to find the answer, you can only find the patient and have a good chat.
"I'll go to the hospital now."
Qi Jing knew about Gao Jian’s family. His father had shown dissatisfaction with the emergency department before. Now he forced him to go there a little inhumane. So he clicked until he said, "You can do it, if it doesn’t work..."
"Of course I have to go for something fun."
Gao Jian said as he put the bowls and chopsticks on the table and was about to get up and leave. Unexpectedly, just as he was about to leave, a woman called out to him: "You two are both morals. No matter how busy you work, you have to eat your meal first."
"Mom, I'm full."
"I don't know how much you eat? If you want to go to the hospital, hurry up and have a meal!"
Qi Jing listened to the soft but unopposed voice in the receiver and asked with a smile: "Is your dad here?"
"He is in the department for preparatory class today and will not go home." Gao Jian had to sit back on the chair and said, "My mother is staring at me for dinner and goes out in ten minutes."
"Well, your home is close to the hospital anyway, so there is no hurry."
"See you in the hospital~"
......
Half an hour later, four young people gathered in the emergency hall.
Because Qi Jing left at the end of last month, some minor changes occurred in the emergency scheduling. Originally, the four people could perfectly cover the three shifts in the morning, middle and night, and observe all emergency patients with full perspectives at 24 hours a day, but now there are loopholes after the shift changes.
"I remember that I was Director Hou's night shift tonight." Ji Qing's family lived the farthest, so he was naturally the last one to arrive.
"Yes." Qi Jing pointed to the ground under his feet and said, "Look at me, I will know now."
"How disliked he likes you." It was the first time Ji Qing saw someone so strict with Qi Jing. Even Wu Tongshan was not so excessive at the beginning. "I usually look very kind when I hand over the shift, but why do I get angry when I see you?"
"hehe."
Qi Jing said helplessly: "I'm afraid my dad has instilled some bad ideas in him. After all, he and my dad are quite familiar with each other. They are still brothers in undergraduate studies, one in internal medicine and the other in surgery."
"This time your dad and Director Wang brought him here together, probably to keep you, the little demon." Ji Qing said with a smile.
"It's also Director Hou who is so easy to talk to. The two old men were fooled as soon as they instigated. They are already the next director of the God's Inner Office, and they are going to come to the emergency department to suffer."
Qi Jing sighed: "I won't talk anymore, let's talk about the patient. Has his son been here?"
"Come in the afternoon for a while." Gao Jian said, "but he left before he was not long."
"What a good son. I come every day, but unfortunately I don't care about anything." Hu Dongsheng complained, "I don't even want to be a mri."
"Every family has a difficult sutra to recite."
In Qi Jingyan, the patient's family affairs sometimes do become an obstacle to diagnosis, but it is also an additional product to increase the difficulty of the puzzle. Sometimes doctors must be independent of the patient's family affairs, but sometimes they can make good use of their own diagnosis and treatment.
In large cities with increasing aging, conflicts between the elderly and their children are often the most common family relationship in hospitals.
Now Zhang Zhenguo is lying on the bed, and the daily necessities on the side have been packed. He is looking at the evening newspaper he just bought while cultivating sleepiness. As long as he wakes up and checks in early and doesn’t find any new problems, he can pat Pigu and leave.
"Go and see him first, and then have a physical examination."
"Teacher Xia did it in the afternoon, and Director Wang was also present." Gao Jian said, "I didn't see any problems after a set of abdominal physical examinations."
Chapter completed!