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471. Men should keep promises(1/2)

8:00:

9:15:

9:55:

11:35:

14:48:

16:00:

"......I'm sorry, the phone number you called has been turned off, please dial again later. Sorry!Thesu..."

16:45:

"Hey, what's wrong with Lao Li?"

“…”

"Oh, where?"

“…”

"Okay, I know, you guys go there first. I'll be closer from where I live, so I won't go back to the bureau. Just ask Kobayashi to bring my things with me."

“…”

16:48:

“…I’m sorry, the phone number you called is closed…”

17:00:

"......sorry......"

17:15:

......

Today is New Year's Day on January 1st, and Qi Jing is in the middle class.

When "New Year's Day" and "New Year's Eve" were still very fashionable, the first day of 2005 was naturally different from other days.

Many people just celebrated the end the night before, and today will usher in the last holiday before the Spring Festival, so it is inevitable to have fun. However, this kind of thing does not exist in the dictionary of emergency doctors and emergency doctors. There will always be extremely regular schedules on their worksheets.

In fact, New Year's Eve and New Year's Day are similar to several specific festivals of the year, but they are actually a troublesome thing.

Festivals mean that most of the people who originally worked peacefully have vacations, and when they have vacations, they will naturally have social gatherings, gatherings, plays, etc. With such entertainment projects, they will directly fast forward to more drunkenness, troubles, car accidents, etc.

Of course, holidays also have the benefits of holidays. For emergency doctors, the road conditions are probably not bad, and there is no worries about traffic jams.

Yesterday, Qi Jing was busy all day and went to Li Han’s house to see the house in the evening. He was really tired.

After returning home, I took two cups of coffee, took a shower, and began to slowly study Xiaomo's medical records.

When he couldn't sit, he changed to bed and lie down. He didn't know when he slept with a stack of medical records. When he woke up, it was already afternoon. Perhaps because of the fear of the cold, Qi Jing instinctively got into the quilt, but the medical records on his side were spread all over the floor.

Seeing that it was not too early, he didn't care about too much, so he quickly got up and washed up, changed his clothes, grabbed his cell phone, and went to the Binjiang branch station.

I ate a bowl of noodles at the gate of the branch station. After handing over the shift with the doctor in the morning shift, I went straight to the ambulance. The first call was called.

Only then did Qi Jing realize a serious problem: the phone was not charged last night and it has been turned off now.

"I think the phone is so quiet, it turns out that it's out of power." He sat in the back car and looked at the dark screen a little uncomfortable, so he could only knock on the window, "Yang Yu, lend me your phone to use."

"Oh." Li Yangyu took out his cell phone and handed it over, "Brother Qi, why? Isn't it charged?"

"Well, I forgot last night." Qi Jing took the phone and dialed Lu Zishan's phone first, "Hey, Zishan, it's me, Qi Jing. Well, the phone is not charged, I'm really embarrassed... By the way, how are you discussing in the morning?"

“…”

"No result?"

“…”

"Okay, I know what Qiao Li means." Qi Jing sighed, "Director Huang should be in Danyang tomorrow. I will ask you about his itinerary, but he doesn't like to meddle in such other people's business, and it's not certain whether he is willing to come."

Huang Xinghua came to Danyang not to have fun. Next week it will be an infection conference. In addition to spirals, he also has to provide guidance and final summary reports on the severe respiratory infectious diseases in winter. The hospital infection of the Xi Pediatric Hospital in the City West Pediatric Hospital is also a matter of Danyang's disease control. At that time, he only needs to ask a few questions. Of course, there are several pediatric infectious diseases experts who will take care of it, so there is no need to pay so much attention to everything.

So for Huang Xinghua, this is indeed a "nothing business".

Qi Jing also knew that Qiao Li had no choice but to come up with this bad decision, otherwise Lu Zishan would not come to him with her tough personality and ability to do things.

Just yesterday evening, the fifth child with hospital infection in the west of the city appeared. The 2-year-old child also had respiratory symptoms on the sixth day after being sent to the heavy cell.

It is normal to have respiratory symptoms in autumn and winter. Infants and young children have insufficient immunity and have frequent colds. But this child also had two erythema on his body, just like the previous baby with biliary atresia.

During the flu season, the pediatric outpatient and emergency department is overloaded every day, and it is easy for a person to see No. 100 per day. I am already busy with work, and I have to be scolded by my family for hospital infections. Not to mention front-line doctors, even the hospital infection department and the medical department cannot bear these pressures.

They were eager to find the pathogen and also desperately wanted to eliminate the source. Qiao Li, who accepted the commission, naturally wanted to do so.

The west of the city is really hard to hold on.

"Have you checked the heavy cell? Is there no result?"

“…”

"Okay, I'll work night shift tomorrow and I'll pick up Director Huang during the day. If he's willing to come, I'll follow him together. If he doesn't, I can't do anything."

“…”

"Okay, I'll send you news then."

“…”

After hanging up the phone, Qi Jing started working in the middle class and completely put what a man had to do.

The first one was a patient who was drunk at noon. After eating and drinking at two o'clock, he got in the car and went home with the help of his family, and then lay down. He called him several times but couldn't wake him up. During this period, he vomited twice, and the second time he vomited blood. The family felt something was wrong and he was beaten 120.

"Yang Yu, precautions for alcohol poisoning." Qi Jing returned his cell phone and asked while knocking on the window.

"Keep warm, blood sugar, prevent suffocation, prevent myocardial infarction, prevent upper gastrointestinal bleeding, prevent secret trauma, and also cerebral hemorrhage caused by hypertension."

Li Yangyu is very skilled in dealing with alcohol poisoning. After working for so many years, he can understand it even if he doesn't understand it. After getting to know Qi Jing, he also began to strengthen his theoretical knowledge: "Oh, by the way, you should also pay attention to the amount of urine. If the patient cannot urinate himself, he should evaluate the amount of urine and catheterize it in time."

"It's good, I know how to urinate." Qi Jing explained with a smile, "Many people don't feel the urge to urinate because they are drunk, and they don't even know that their bladder is swelling."

......

There is nothing special about alcohol poisoning. After being admitted to the hospital safely, the second person was immediately followed.

The patient is a girl. She has just graduated from college this year. When the operator asked her, she turned out to be a pregnant woman and she had been 32 weeks old.

Originally, pregnant women go to the hospital by themselves when they seek medical treatment. After all, ordinary pregnancy hypertension, diabetes, and even reduced fetal movement will not affect their mobility. Calling a taxi at the door is no slower than an ambulance, and it is much cheaper.

But she was a little special. She suddenly had a convulsion at home. The family members called 120 after seeing it.

Qi Jing asked, just like before, “What should I do if a pregnant woman twitches?”

Li Yangyu thought for a while and replied: "Check your blood pressure after the convulsions to see if there is any hypertension. However, even if we know it is hypertension, we are not very clear about the specific medication plan. We should ask the operator to inform the hospital delivery room that there are eclampsia patients and let them do the follow-up treatment."

"I won't mention the treatment for the time being." Qi Jing took out the first aid record sheet and pointed to the symptoms column, and asked, "Just take a blood pressure, are you going to finish writing your blood pressure here?"

It is really unreasonable to just write high blood pressure and blood pressure values ​​in the huge symptom column, and Li Yangyu has many loopholes in other places.

"First of all, you have to ask about the number of pregnancy weeks, ask Jianka Hospital, and measure blood pressure simultaneously." Qi Jing asked, "What if you have high blood pressure? What do you do when you encounter patients with hypertension?"

"Break down the pressure first, then ask..."

Li Yangyu suddenly realized: "Then asked other symptoms to evaluate the degree of hypertension in the patient, such as whether there are symptoms such as edema of lower limbs, visual disorders, headaches, foamy urine, etc."

When the ambulance arrived at the place, the three of them went upstairs with stretchers. The patient was lying on the bed, with only a man next to him, and it was his husband.

"Has it twitched?" Qi Jing stepped forward and asked, while Li Yangyu took the blood pressure first.

"Yeah." The girl nodded, looking very tired, "Just a few minutes ago, now it's OK."

"Test your blood pressure first to see what's going on."

After she finished answering for a while, Li Yangyu on the other side was finished. He looked at the Mercury Blood Pressure Monitor with a strange look: "Brother Qi, her blood pressure is OK. 138/90, it shouldn't be high."

After hearing this, Qi Jing was stunned and did not reply. She just looked at the patient and continued to ask: "Have you ever had a prenatal examination? Where is the hospital for building a card?"

The girl looked at the man: "The card was built in the first hospital, but the prenatal examinations were not often taken."

“When was the last time I went there?”

"One and a half months ago."

"Is the blood pressure high?"

"It shouldn't be high, and I don't remember it very much." The girl answered very vaguely, but she was very good at distributing responsibility. "Did the doctor from the first hospital treat me badly? I was fine before I went to the examination, so why did I twitch?"

Qi Jing still didn't answer and continued to ask: "I don't know my blood pressure, so I don't know if I have proteinuria?"

"I don't know." The girl shook her head, "I think it was the doctor from the first hospital who ruined me."

Qi Jing looked at the man beside her, then glanced around the room, sighed, and continued to ask Li Yangyu: "Are your feet swollen?"

"A little bit, it's okay."

“Do you have a history of epilepsy?”

The girl shook her head: "No!"
To be continued...
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