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640. I am sb?(1/2)

"Send the beggar?"

Qi Jing didn't expect that Japan still had such a vivid way of speaking, so she couldn't help but feel curious: "There is this statement here in Japan?"

"This is what I translated, don't care too much." Luo Sanguan looked at Yamada and sighed, "Don't you pay attention to money."

"money?"

Qi Jing was very calm and found an empty seat on the sofa under Yamada and sat down: "I gave them all the money. What does it have to do with me? It's fun to see their dog bite. Come on, don't stand, sit, watch the show together."

Yamada truly interprets what "paper cannot contain fire."

But the fire came a little faster. The stolen money from Qi Jing was broken in just three hours after 1:00 in the afternoon.

If it is placed in the bank robbery team, such a gangster who embezzled stolen money and uneven share of the stolen money would be shot to death. No matter how bad it is, he would have to be beaten up. At least he would not be able to get out of bed for at least a week, and the money that originally belonged to him would definitely be gone.

But the doctor group is ultimately a highly educated scholar, and there is a fundamental difference between robbers who can only rob.

Without force, Yamada had a full opportunity to defend himself. Facing so many eyes, he gritted his teeth and still had to quibble for himself, and he didn't admit it even if he beat me to death: "Director, when he gave me money, he didn't say he gave Dr. Takahashi 100,000."

"No?" After all, it was his doctor, and Miyano didn't want to say anything. "Sometimes, it is inevitable that there will be problems with communication."

Depend on!!!

How could a person as serious as Sangui, stand up shortly after sitting down: "Sang Yamada, I was the translator at the beginning. When Dr. Qi gave you the money, he had already agreed to allocate the price. You were the doctor in charge and the doctor Takahashi got 150,000, and Miyao got 250,000 yuan, and the director of the department was 250,000 yuan. Why didn't you say that?"

Yamada shook his head. Even if he knew he was in a disadvantage, he still needed face skills. Even if he was exposed, he would still pretend even if he bit the bullet and said: "Luo Sang, your Japanese level needs to be improved. You should be wrong."

Luo Sanguan looked full of question marks: "Jyuu(10) and sann(3), the difference is so big, can this be wrong?"

"I guess my mind didn't turn around and said it was wrong. This is also a very normal thing. Japanese is indeed much more complicated than Chinese, so it's normal to say something wrong!" Yamada walked up to him and said with a smile, "Besides, I'm Japanese, how could I hear my own dialect wrongly."

"Yes, yes, Luo Sang, this is inevitable. Since..."

As the biggest beneficiary, Miyao began to smooth things over, wanting to be this peacemaker and then bring the whole thing back to his own pace. His pace was to take the initiative and let Qi Jing do multiple-choice questions, whether to add money or pat his butt and get out.

But who knew that the sound of "Qi Jing" came from somewhere, and there were also a lot of current sounds in it: "Teacher Yamada, this is a little bit of a little meaning. I hope the teacher can help me do something small."

After Qi Jing's very flattering voice, Luo Sanguan's voice was in very standard Japanese, loud and magnetic. He even deliberately lowered his speech speed because he was not fluent, and there was no problem of not explaining clearly or hearing clearly: "Doctor Qi has prepared some small gifts for you, and I hope Dr. Yamada can help you a little."

Compared to Yamada's voice was much lower, but anyone could hear a hint of surprise from just a few tones: "Are you guys?"

"I hope Dr. Yamada can keep this patient named Ye."

"Just for this?"

"Well, just keep her, this bag of 150,000 envelope is yours."

"I think... I think the problem shouldn't be big."

"Doctor Yamada, don't be anxious. When you really leave the person behind, the money will naturally be delivered to you. I hope you can help you hand over these two bags of envelopes, one of which is Director Miyao and the other is Director Takahashi, the Imaging Department."

"Oh, this is a trivial matter...but I want to ask, how many are in their envelopes?"

"Director Miyano 250,000, and Director Takahashi 100,000."

“soga~”

After playing here, Qi Jing turned off the audio, and the facts had surfaced: "Even someone who doesn't know Japanese very well understands the pronunciation of Japanese numbers. It's clear who is making trouble."

Yamada's face was gloomy and his eyes flashed back and forth. It would be useless to argue even after this.

Everyone knows that he is lying, but he is a doctor at Shirahara Memorial Hospital after all, and Miyao still wants to protect him. For nothing else, they are grasshoppers tied to a rope. If they insist on pressing Yamada to death, they might force him to bite him back in the end.

At that time, if you are not afraid of wearing shoes, the losses will be huge.

"Okay OK."

Miyao didn't want to hold him accountable, but after all, he was not greedy for himself. After looking at Takahashi, he helped Yamada: "Since I heard it wrong, then admit it and apologize to both sides. Why do you have to save face so much?"

Yamada clenched his fists and thin beads of sweat oozed out from his forehead.

Miyao has said this, and if he doesn't respond, he will be ungrateful. He looks at Takahashi on the side and bows: "I'm really sorry, Teacher Takahashi, I haven't figured out the situation, and I almost caused you a loss."

"Haha, it's okay."

Seeing that the other party pulled out seven thousand yuan bills from his wallet, Takahashi smiled and accepted them, and said, "Yamada, you should go and check your ears. Jyuu just listened to sann, but he could still listen to jyuu (15) as ni   jyuu     ni (22). He is really sick."

Yamada blushed to the base of her neck, and the 70,000 yuan that had dropped her pocket still entered Takahashi's hand intact.

Takahashi is also honest and strictly abides by the unspoken rules of the gift-giving industry. He should get a lot of points, and he will not covet too much what he shouldn't take. Moreover, he will do practical things after taking the money. Soon, his mind was more than 0.49 and he actually wrote it into the chest x-ray examination report.

It was just a phone call. In just a few minutes, a new report was printed in the chest radiograph reading room, and there was also an electronic version on the computer on Miyano's desk.

It is said that Japan is slow, but if you really have to worry about it, you can still get faster if you want it.

"Since the matter is done, I'll leave first."

Takahashi touched the wallet in his pocket, nodded and greeted Qi Jing with satisfaction, and then left the hospitalization department.

As the pressure came to Miyano.

He originally wanted Qi Jing to choose one of the two, but the ultimate goal was either money or worry-free. But unexpectedly, before Qi Jing made a decision, the situation happened first. Yamada Yichi's slutty operation turned Takahashi, who could have helped him, into a tool to restrict him by the other party.

【Must heart rate is 0.49, I suspect the possibility of heart enlargement】

With this statement in the chest radio report, there will be problems if Miyano no longer checks. At that time, it is not just Qi Jing who wants to use the recording to complain, but maybe he will be deemed to be a waste of time when he is negatively treated.

In this way, the color ultrasound was quickly put on the agenda.

However, it is not enough to have heart color ultrasound alone. Several other examination items are required to be done to confirm the diagnosis, including re-examination of electrocardiogram and myocardial enzymes, checking for BNP related to heart failure, and performing tablet exercise tests. If necessary, do CTA.

Of course, there must be a 24-hour dynamic electrocardiogram, after all, many premature ventricular strokes are captured in the electrocardiogram. (1)

And more importantly, in the electrocardiogram of the review, not only did I see the ventricular premature, but also found a slight T-wave change. The amplitude of this change was not large, but Qi Jing was particularly concerned about this chest radiograph and the review storm.

At this time, Miyano could not pretend that he hadn't seen it anymore. All the clues pointed to the heart: "Yamada, go and open a holter, it's best to let her take it tonight."

"good."

Yamada stood at the door of the ward. After reading the freshly released electrocardiogram, he took out a checklist from his pocket and immediately filled in Ye Han's basic information. Although others were a little shameless, they still had work ability.

"Can color ultrasound be done now?"

Yamada shook her head: "I just called. The appointment time has passed there, and it will be 9:00 am tomorrow as early as tomorrow. I have signed up for the director's name and hope to do it now, but they still insist on making an appointment."

Miyano sighed: "Forget it, the symptoms are not obvious yet, so make an appointment tomorrow at 9:00 am. Don't forget the myocardial enzymes and bnp for the re-examination, and the thyroid function are also done together."

"good."

Ye Han looked at the scene, looked puzzled, and unconsciously touched his chest: "You guys say there is something wrong with my heart? But I don't feel anything. It's always good."

Qi Jing stood beside her bed: "Don't have chest tightness?"

"No..." Ye Han thought about it and replied, "I had the flu for the past three days, but it was very light. I was fine when I fell asleep. Now, I really don't feel anything."

Premature dysfunction often does not show any symptoms, and it is reasonable to not feel it.

Since he had no idea about his symptoms, Qi Jing changed direction and continued to ask: "How many people are there in your family? Only two of them?"

Ye Han nodded.

"Do they have heart problems?"

"This..." Ye Han blinked and wanted to shake his head, but hesitated for a while and replied, "I don't actually know. My mother probably didn't, but my father once had chest pain. After being sent to the hospital, he said coronary heart disease and prescribed some medicine."

"Oh..." Qi Jing nodded and asked again, "Are there any brothers and sisters?"

"No."

It seemed that there was no problem in the genetic direction, so Qi Jing and Miyao took turns to perform cardiac auscultation, and the result was that there were frequent chambers and some faint noises. The noise was too light, and even Qi Jing, who had always had a sharp ear, could not make a judgment.

Time passed quickly and the crowds in the hospital gradually faded away. If it were the past, Miyao would have been running to have fun after work. But today, because of the 250,000 suddenly entered his pocket and Qi Jing's inexplicable "persistence", he could only stay reluctantly.

"Qi Sang, I didn't even do the inspection. Why did you ask me to stay?" Miyao kept looking at the watch, "I really have an important meeting to attend. It's too late now..."

(He said he was going to have a meeting)

Qi Jing stood by his desk, looked at the pattern on a lighter and said, "Will this meeting be held in Ginza?"

(Doctor Qi told you not to think about Ginza, it is better to check the cause of Ye Han here)

"How did you know?"

"Don't worry about that." Qi Jing didn't want to talk nonsense to him, "The heart shadows are enlarged, the mind is enlarged, and the frequent room is preceded. What did you think of?"

This is difficult for Luo Sanguan.

The mind is better than the one who can say a general meaning. But the room is different, it is a proper noun. He has seen it, and if he sees it, he will definitely recognize it, but it will be a bit troublesome to ask him to take the initiative to read it. After thinking for a while, he could only take a compromise.

(Doctor Qi wants you to make a differential diagnosis based on the results of chest X-ray and electrocardiogram)

Miyao is a little greedy and lustful, and seems to be inappropriate, but the basic skills of intracardiac differential diagnosis are still: "cardiomyopathy, structural heart disease, coronary syndrome, pericardial effusion, ventricular wall tumor, and chronic heart failure."

Luo Sanguan hadn't learned so many professional vocabulary, and there were two who hadn't even heard of them. He could only grab a book in the bookcase and asked Miyano to check: "These two...this...this...and this, that and that, yes, that's all."

With the written words, Luo Sanguan finally understood and told Qi Jing about the six situations just now.

"It's not bad." Qi Jing asked again, "Professor Miyano, you said that you have ventricular tumors. The cause of ventricular tumors is often clinically caused by myocardial infarction, but she does not have myocardial infarction."

(Shouldn't ventricular tumor be a sequelae of myocardial infarction?)

Miyao had short hands and wanted to send Qi Jing away as soon as possible. He could only answer as much as possible: "Of course there are other causes of ventricular wall tumors, hypertrophic cardiomyopathy at the apex, stress cardiomyopathy, arrhythmic right ventricular cardiomyopathy. By the way, Besse's disease that affects the heart must be added."

Luo Sanguan was easy to find again, and then Qi Jing understood what he said: "Director Miyano is good, he said it completely."
To be continued...
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