Qi Jing has had serious motion sickness since she was a child. It is difficult to last for ten minutes without taking medicine. If you add a full state, the degree and speed of motion sickness will increase exponentially.

Fortunately, the schools he went to are very close to home, at least they can just lean on two legs, and there is no need to squeeze into the bus.

But there is a kind of fun activity in the school called Spring and Autumn Outings. Every time I look for some areas far away from the school, the transportation used starts with buses, and sometimes even board the boat.

Since childhood, spring and autumn outings have been Qi Jing’s nightmare.

In his eyes, this is a huge comprehensive test for him to accept and deal with external stimuli, without any fun. Whenever this time comes, he can only rely on tea diphenhydramine tablets to force him over. If the stimuli exceeds the effect of the medicine, he can only choose to turn off his brain directly, that is, sleep.

When he grew up and studied medicine, he realized that motion sickness is a special product of visual image signals, spatial position signals and olfactory signals superimposed on each other.

However, knowing the principle does not mean that this situation can be avoided. Even if you can improve motion sickness reactions through long-term adaptation, Qi Jing still chose to give up doing this. After all, both school and work are not far from home, and it can be easily handled by walking or bicycles, so there is no need to abuse yourself.

If you need to take a long bus, Qi Jing will also use the method of dealing with the bus when he was a child. So before going to the emergency center to rotate, he was extremely motion sickly and almost fainted as soon as he touched it.

Ironically, most of the pre-hospital emergency work is spent in the car.

For emergency doctors, the rear compartment is fully enclosed, and the only things that are visible to the naked eye are piles of first aid drugs, equipment and emergency patients in front of them. Every bump is a kind of impact of visual signals and position signals.

This is also one of his resistance to the emergency center.

"Carshes sick? Why are you still sick when you grow up?"

Qi Sen drove all year round and had no personal experience of this feeling. As a surgeon at that time, he didn't know much about this kind of internal medicine: "If it really doesn't work, just take medicine. Didn't you take medicine when you were a child? You got used to it after a long time."

"Listen to yourself, is this what a father said to his son?" Qi Jing was a little angry.

Qi Sen didn't expect his son to use his father's identity to suppress him, so he quickly moved out his experience as a son to counter-press him: "If I had used such a mess to find your grandfather, I was afraid he would have been scolded to death by him! Besides, what is this compared to the extraordinary promotion qualification that I got in vain?"

Under the coercion and temptation, Qi Jing naturally compromised. The temptation of an extraordinary promotion did exist, and it was just his temporary complaint just now.

However, as soon as he arrived at the branch station, he regretted it a little. But he had already entered, and it was not that easy to think about it.

The dizziness caused by not riding a car for many years was concentrated at a moment and exploded instantly. Qi Jing also thought about taking medicine, but considering that he was very sensitive to this medicine, he felt drowsy after taking it and his reaction became dull, so he finally gave up.

In fact, on the surface, Qi Jing is just a young doctor who has been working in clinical practice for one year, and is not a pre-hospital emergency major. He needs to be trained for two weeks when he arrives at the emergency center. However, because he is extremely confirmed by the pre-hospital emergency, he is the pioneer of the rotation system, so he was asked to follow the car on the front line on the first day of class.

Without the support of drugs, the results of the front line can be imagined.

The three old partners on the No. 7 bus have worked at the Binjiang branch for many years and have met all kinds of emergency doctors and stretchers. Like Qi Jing, he said he was not good enough in less than ten minutes on the first day. This is the first time he has seen him.

In their eyes, Qi Jing has become an alien.

Li Yangyu is a type of person who is extremely insensitive to motion sickness. He has never known what motion sickness feels since he was a child.

When he was a child, he wanted to join the Air Force, but his height was beyond the standard and he required 185. As a result, he grew to 190. His vision was also unqualified because he had read idle books since he was a child, so he had to take the junior college entrance examination in a daze.

After graduation, by chance, she accidentally ran into the emergency center and became a stretcher, and since then she became obsessed with medicine.

"Teacher Qi, be careful. There are many roads to the district central hospital here." Li Yangyu got on the co-pilot, closed the car door and warned kindly, "If you vomit when you get off the car like the first time you left, the patient's family would definitely be scared to death after seeing it."

"Can you stop mentioning this mess?" Qi Jing asked.

"Okay, okay, don't mention it, but... but... I'm really impressed." Li Yangyu smiled like a child when she mentioned this, "Or why would I call you a teacher? Let's not talk about the people who vomit and diagnose it. I'm afraid you are the first in Quandanyang Emergency Center."

"I have only been with the car for three days, and the boss let me do it alone." Yu Gang said a rare sentence, "I'm afraid this is the first in Danyang emergency."

"Don't worry, you won't be dizzy." Qi Jing looked at Li Yangyu on the passenger seat as the car bumped, knocked on the window and asked, "Don't you really want to learn diagnosis? Come and tell me what the patient is like."

"This..." Li Yangyu was suddenly stabbed by this backlash and said hesitantly, "The patient is urinating and is an elderly patient. It is probably because of a kidney problem."

"It's not bad, it's a little bit better." Qi Jing continued to ask, "Have you read the books you have read these days?"

"I looked at it." Li Yangyu nodded wildly, "How dare I not read the book you recommended by Teacher Qi?"

"Then talk about the final diagnosis. The 'kidney problem' cannot be found in the medical record."

"That's it..." Li Yangyu laughed twice, shook her head, and stopped talking.

After all, the other party is just a stretcher, has not received systematic medical education, and only has a first aid certificate. What you usually do is to help yourself. Qi Jing cannot ask him according to the level of a medical intern. It is good to know that there is a kidney problem.

Of course, as a pre-hospital emergency doctor, he has to consider much more.

As a result, Li Yangyu, who is five years older than him, calls him a teacher, Qi Jing's ability completely exceeds that of a normal doctor. Especially in recent days, after getting used to Yu Gang's driving rhythm, Qi Jing basically landed and saw the patient's appearance, he could accurately determine what the problem was.

Of course he is not a god, and it is impossible to make a judgment by just a glance. To do this, you have to rely on the information provided by the dispatcher to do all the differential diagnosis you should make in just a few minutes' drive.

"Let's tell me, why does the old lady feel uncomfortable in the middle of the night?" Qi Jing's question would not stop because of Li Yangyu's silence. "Is the blisters on her arms shingles?"

"It should be shingles. As for the belly..." Li Yangyu was a little embarrassed, "Can shingles cause stomach discomfort?"

"The book I gave you is written." Qi Jing did not give the answer, but gave a specific page number, "Pages 219-220 include various categories of herpes virus infection, which is also a content that needs to be identified in the internal medicine acute abdominal disease."

"Oh, I got it, I'll go back."

Li Yangyu recorded these numbers, and soon the car pulled the sirens and drove into the district central hospital.

It is actually very common for lower-level hospitals to be transferred to higher-level hospitals. If there is no urine, it may be that there are major kidney problems. Maybe there are other situations. Even if there is a kidney problem, it will be acute damage. There is absolutely room for improvement after reasonable treatment.

If you want to compensate and sue, you can wait for the patient to be treated and then slowly contact the hospital's medical department for details. If you don't work, you can still go through legal procedures.

But the patient's family chose a bad strategy and caused trouble. For this reason, an ordinary transfer of hospital actually called all the patrol police.

The three of them got off the car and looked at it. The outpatient and emergency hall of the hospital was already surrounded. Qi Jing roughly estimated that there were no less than 30 people causing trouble. In addition, there were a large number of melon-eating patients and other people around him, this lineup was even better than the Three-A-slave banners.

"Okay, OK, the ambulance is here!"

A young policeman was surrounded by everyone and looked a little unstoppable: "Can you send the patient away first? Have you ever considered the patient's physical condition here?"

However, the sound is like a small wave drowned in the tide. When it appears, it is swallowed mercilessly.

Seeing that the loss of composure was moving towards the out of control, Qi Jing looked at Yu Gang: "Old Yu, get the alarm."

Yu Gang nodded, and a sirens sound that was different from the moment before exploded in front of the door of the emergency hall, giving the on-duty police a chance to regain their voice.

"Everyone calm down. Now our police officer will leave it to us for treatment." The young police officer ran out of the "encirclement" just now and said, "The patient's stomach is still hurt and he can't urinate. It's better to send it to the big hospital as soon as possible. What will happen if you are making trouble here?"

At this time, the old policeman on the side changed his accent and repeated these words again before evacuating the person.

However, before leaving, they did not forget to speak harshly. The leaders were probably some distant relatives of the patient. After discussing for a few words, they pointed to a doctor hiding beside him and cursed: "If something happens to my aunt, you must be nice!"

After much persuasion, the crowd slowly faded away.

"Thank you."

The two police officers stepped forward to thank Yu Gang, took off their hats and wiped the sweat beads that slid down their foreheads: "Why are they all so troublesome? I feel that the hospital has not been peaceful recently, and the patients' families are getting more and more ruthless."

"It's probably because the weather is too dry in autumn." The old policeman laughed helplessly, "In previous years, autumn and winter were also the peak period for trouble."

He breathed a sigh of relief, and it was Qi Jing's turn to take action. After he got rid of the people around the venue, he could finally do some simple physical examinations for the patient with peace of mind.

However, out of his own preference, when he was doing first aid, he would chat with the patient's relatives as long as the situation was not serious: "Who was that just now?"

"My cousin." The family members looked at the abortions away and were sweating. "If this hospital hadn't bullied people, we would have done this."

"Look at how amazing he was just now." Qi Jing said casually, then gave a percussion to the old lady's abdomen, and then smiled, "Do you feel your belly is swollen?"

"Well, not only does it swell, but it also hurts." The old lady was tortured all night, and it was really hard.

The doctor in the district center standing next to her explained: "I checked last night that there was no obvious percussion pain in the kidney area. Combined with the blisters on her arm, it should be abdominal pain caused by herpes virus infection of internal organs. I took a cyclovir and I specifically warned the nurse to have a slow drip, which could not be a drug-induced injury."

"Then why did my mother not urinate?" My son seemed to have not calmed down. "It must be your doctor who had the reverse injection and destroyed the person."

For patients who are always ready to bite the doctor when problems arise, no one will feel good when they receive the doctor, so they must be treated indifferently: "Just kidding, it's normal for kidney function to be tested."

"Where is the urine?"

"This disease is so weird. I don't know, so I want you to transfer to the hospital!"

"quack!"

The two of them were about to start arguing again, and the police who had just rested and could take a breath had to come to mediate.

Ten years before entering the clinic, Qi Jinghui believed that clinical experience is a good thing and could allow him to quickly find out the cause of the disease. I am afraid that only the doctor can understand the pleasure after diagnosis.

But after working in clinical practice for ten years, Qi Jing suddenly realized that clinical experience may not be a good thing. At this time, he finally realized that everything has a good side and a bad side, not just empty words, sometimes too rich clinical experience is a burden.

Too much experience will give people a sense of déjà vu. Coupled with the confidence accumulated over many years of work, doctors will deeply believe in a certain diagnosis and forget to ask themselves why.

When Qi Jing became the main subject, he would encounter these problems from time to time when he slowly climbed to the secondary high position. In the end, he used him for three years to get rid of this illusion, which probably was related to his already strong personality.

The patient's condition gave Qi Jing a sense of déjà from the beginning.

At an old age, after infection, after treatment, oligouria and anuria are treated by lower hospitals, which is very consistent with the various conditions for drug-induced kidney injury that are often accepted by the nephrologist. If a nephrologist is asked to see it, it is determined that drug-induced kidney injury is to be examined, and then it is treated as acute renal failure.

Qi Jing has survived this period of time. Faced with an emergency case, he has a much more comprehensive view. At least in terms of the cause, he has to think about it.

Is oliguria medicinal?

If we put aside the two factors of infection and treatment in lower-level hospitals, many people may not think so.
Chapter completed!