The typical example Qi Jing said is not typical in the eyes of Li Yangyu and the doctors in the district central hospital. This is a complication that increases the effect of the drug when there are basic lesions.

It's still a question of déjà vu.

The district central hospital does not usually treat serious illnesses, but the one who takes over is a common infection like an old lady. Shingles are a common disease in the elderly. It is simple to diagnose and treat it easily. It is enough to have enough antiviral infection with acyclovir with sufficient treatment.

It is this sense of déjà vu, and after the patient's past history, the doctor easily diagnoses herpes zoster infection.

Of course, this diagnosis is correct, but his understanding of shingles only floats on the surface. Abdominal pain may be caused by the virus infecting the gastrointestinal tract, or it may be caused by bladder swelling and pain caused by invasion of the nerves and further affecting the bladder's urination function.

The doctor's treatment method is not a big problem, but it misses some key things. In the eyes of others, it can be confused, but in the eyes of Qi Jing, it is a piece of sand that cannot be tolerated.

The doctor in the district center just touched the old lady's stomach, and immediately realized it and patted Qi Jing's shoulder with a little embarrassed look: "Please trouble you."

Out of protection for his colleagues, Qi Jing did not say it out on the spot and took his family and patients into the ambulance as soon as possible.

Li Yangyu didn't understand medicine, but he understood these human feelings. He didn't ask until the car drove a distance: "Teacher Qi, is it wrong to diagnose shingles in the district central hospital just now?"

This question is very sharp, and the family members on the side are very concerned.

"Actually, there is no problem with the general direction of the diagnosis." Qi Jing looked at the patient's small crystal clear blisters on his arm and slightly lifted the old lady's clothes. "She had experienced shingles infection before, and this time she may have relapsed."

Looking at the pigmentation and scars pointing to the patient's waist and abdomen, Li Yangyu was a little confused: "Since it is shingles, the use of acyclovir is definitely correct, the dosage and usage are also correct, how can there be urinary retention?"

"Look at the patient's past history and then look at the medicine he used."

Qi Jing put the medical record to the isolation window, pointed to the place where "654-2" was written, and emphasized: "It was originally a frequent occurrence of shingles, and it was basically a foregone conclusion to invade the nerves. But he didn't care much about the old lady's abdominal pain, thinking it was just a simple gastrointestinal reaction."

Li Yangyu lacks knowledge of drug pharmacology. Although he understands the clinical effects of 654-2, he does not understand the interaction relationship with certain diseases. Once it is linked to specific cases, it will not work: "This 654-2..."

"Oh, 654-2 can treat stomach cramps and soothe smooth muscles, but the shingles on the old lady have caused neurological urination disorders. The two items are superimposed and become like this." Qi Jing explained, "This is probably a bit difficult for you, just understand it."

"Well, I've written it down."

Seeing Li Yangyu start taking notes, the conversation between the two came to an end, the patient's family asked, "Doctor, I don't understand what you said, but I just want to ask clearly whether the doctor just misdiagnosed?"

After being asked this, Qi Jing remembered this person. In fact, his clothes and conversation were OK. It was really hard to imagine that the person just now would be his cousin.

In the situation just now, I naturally have to protect my colleagues. If they get smashed, it will not be a joke. However, now I have left the hospital and the crowds have dispersed, and the family has the right to know the patient's condition.

"You are her son?"

"Yes, it's my son."

"I'll know!" The son was so angry that he was tiring, "When my mother is settled, I will definitely go to settle the score with them!"

"You can't pay much money if you make trouble. The key is your mother."

Qi Jing looked at the old lady and sighed: "Urgent retention is completely the result of herpes not being treated completely. I have treated herpes zoster twice on my medical record. Every time I treat it, I feel a breath. I think it is unlikely that this is caused by the doctor not allowing me to take medicine."

This is suspected of his colleagues who are hemiplegic, but by analyzing the essence of the problem, allowing the patient's family to see clearly their responsibilities is actually an inevitable part of easeing the relationship between doctors and patients. Even based on the scale of trouble just now, Qi Jing could not have placed all the problems on that doctor.

If you call someone back by phone, it may not be possible to end up cursing the streets and blocking the door.

"I'm really too busy with work." The son also looked at his mother with apologies on his face. "Sometimes she can't accompany her to the hospital, she is unhappy to go out alone, so..."

Qi Jing wrote the first aid form and said, "Always relapse is not a solution. The old lady is old and can't bear this kind of crime."

"Oh, I know the doctor, thank you..."

The ambulance walked around and returned to the First People's Hospital. The difference is that this time I changed from trauma orthopedics to internal medicine.

Because it is just a neurological urinary retention, the bladder is not swelling, but the vital signs are very stable. Moreover, because of the use of acyclovir, the old lady's body temperature is also normal.

In this case, there is no need to make a notification.

As long as the patient's condition is not serious, it is a good thing for emergency doctors. But for medical staff working in the hospital, any car needs to be treated seriously, especially for nurses who are on the front line.

Now they have to deal with patients who are already in the hospital, and they also have to pay attention to whether new cars are coming to deliver new patients. It is a challenge every morning, which often requires a lot of energy to be consumed.

"What happened today? Why are there so many cars in the morning?"

The nurse picked up the car looked at the ambulance parked at the gate with disgust. She looked disgusted. After seeing Li Yangyu, she couldn't help but complain: "Why is it your car again? It's the second round, you are too dark!"

"This is not something we can decide." Li Yangyu opened the rear door and pulled out the stretcher bed. "Besides, we are considered red. Those who came are not serious patients. The old man named Huo just now had a rib fracture, right?"

The nurse looked at Qi Jing in the car and said nothing more: "What's the situation with this patient?"

"Repeated shingles infection, I used aloxivir and 654-2 last night, and now I have severe urinary retention." Qi Jing got out of the car and looked at the emergency passage and asked, "Is it Xu Jiakang the morning shift today?"

"Xu Jiakang?" The nurse quickly recorded the patient's condition and shook her head and said, "He left two days ago."

"Leave?"

What does it mean to leave? Have you quit? Or have you gone out for a trip?

Qi Jing didn't understand these two words and seemed a little confused. However, now is the important time to hand over the patient, so he can't ask in depth. He signed his name on the first aid form: "Who is the morning shift?"

"Director He, I'm here every day, everyone else..." The nurse said casually, and suddenly pointed to a female doctor who was communicating with the patient in the distance and said, "It was her today's morning shift. She just came to our hospital not long ago."

The nurse pointed to the perfect person and went to work hard without even raising her head.

Qi Jing followed her fingers and saw that the first hospital had its own observation room, and the corridor seemed very small. There were about ten stretcher beds sleeping on both sides, and some of them were on the floor. A female doctor was holding a stack of medical records and saying something to Director He Tianqin beside her.

There are many female doctors in the internal medicine department, so a new female doctor is nothing, but this girl is different from the common female doctor.

"This is really tall." Qi Jing glanced at it and joked, "It's almost 1.8 meters tall."

"It's indeed a bit tall." Li Yangyu looked at the female doctor a little unbelievable, "Director He looks almost the same as her."

Qi Jing didn't think much about it, pointing to the abortion in the hall and said to the old lady's son: "You go to register and pay first, show the green channel sign given to you by the nurse just now, and then go to the female doctor to explain the situation..."

As soon as he finished speaking, the tall female doctor turned around and showed her side face.

"Uh, it turns out it's her..."

Qi Jing had some impression of this person. After reading it, he thought about it and remembered an old story about Xu Jiakang in the past. I don’t know why, but this incident has been rumored to be very popular since last year, but it has been delayed until now.

"Who is this?"

Li Yangyu helped to send the patient to the nurse and asked, "Is he actually still blonde hair? Can the doctor dye his hair?"

"What dye hair, please see clearly. Her hair is the color." Qi Jing smiled and said, "It's a female doctor from abroad who was exchanging with Xu Jiakang. If I hadn't seen it with my own eyes, I would have forgotten about this."

Qi Jing is not very delicate, but is just a medium-level and impressive enough. Just a meeting, and as soon as he met his sight, the man recognized him: "Doctor Qi, it's Dr. Qi!"

"Oh? You two know each other?" He Tianqin looked at Qi Jing, a little surprised, "Is it that seminar?"

"Yes, Director He, Dr. Qi stole the limelight at the beginning."

"Beth, I thought you and Xu Jiakang had no idea about the exchanges." Qi Jing looked her up and down, "Are you still used to coming to China?"

"The exchange has been planned all the time, and Mr. Coent has been thinking about you two."

Beth was a little helpless and suddenly felt bitter at him: "It's really hard to learn Chinese. I found a teacher who specializes in Chinese in Seattle, and it was too painful to learn. Teacher Coent thought I had to take it seriously if I came here, so I could only delay this matter again and again."

Unlike the popularity of English in China, in 200304, there were not many people in the United States who would study Chinese specifically.

In fact, after Chinese character training, Beth can only do a little simple communication. For the Americans, the square characters are completely different from the 26 letters they use, not to mention that these square characters can be combined to form various different meanings, which is definitely a disaster.

Moreover, even if she can ensure her usual communication, she cannot fully use Chinese in her medical profession, and the professional terms in clinical practice are not that easy to remember.

"You can do it first, and we'll talk slowly after finding some time in the future." Qi Jing said with a smile.

Qi Jing was not interested in Beth, but he also wanted to contact Coent more.

Although I am unwilling to go to the United States, Coent's influence on the world is still very important. The first article of SCI was the external review done by this old man. Now the second article is already written, so I will inevitably bother him.

Beth looked at the first aid order delivered and nodded.

But just as Qi Jing was about to leave, He Tianqin suddenly made a sound and stopped him: "Oh, by the way, Xiao Qi, you don't have a task now, right?"

Qi Jing looked at Yu Gang at the gate, then nodded: "It's okay now."

"It's fine." Coent pulled his sleeve and walked towards the heavy cell. "The patient I just sent in the morning has been very hot. Our infectious department is not good enough. You just happened to help you take a look."

"That environmental worker?" Qi Jing suddenly remembered a patient who was sent to the first hospital when Chen Xing handed over the shift in the morning.

"Yes, how do you know?"

"Oh, a colleague told me in the previous class." Qi Jing said, "I heard it was taken out of the garbage dump. What's it? It's very tricky?"
Chapter completed!