The general emergency department of internal medicine is extremely boring and boring, and the patients are tossed and turned. Of course, there are also novel cases, but the freshness will become vanished under the impact of the huge patient base.

And because the outpatient clinic is closed today on Sunday, we often encounter patients who come here simply to prescribe medicine.

For these chronic patients who have been taking medication for a long time, the hospital is almost their second home.

And doctors have become their prescription tools.

If they are qualified to prescribe, there is no doctor's business. They know exactly what medicines should be taken, how to match each other, how the dosage, whether they take them before or after meals.

Qi Jing met three patients in a row, especially the last one who had been living in the hospital for more than ten years.

The middle-aged man in his early 50s had a very ordinary shirt and trousers on his feet, but he wore the softest and largest pink cotton slippers on his feet, and limped into the clinic.

From this gait, Qi Jing guessed a lot, and the swollen red lump on his toes can be diagnosed.

However, the patient did not give Qi Jing a chance to speak.

"I have been gout for more than ten years, just prescribe some medicine." After saying that, he took out the medical record book and turned two pages forward, "Just press the one above and open more."

Qi Jing smiled.

Since it is prescribed, as long as it does not affect the doctor's treatment plan and does not exceed the limit, it is necessary to listen to the patient's more prescribed.

"Have you eaten seafood these two days?"

"Not much, a little bit."

“Get beer.”

The patient nodded.

Qi Jing opened the record book that recorded most of the books, and there were only a few medicines on it. However, what he paid attention to was another point: the patient's compliance with the doctor's instructions was not good.

Often, the scars are forgotten to hurt after healing. After taking the medicine, the condition is better, and I get greedy in a few days.

"How about prescription allopurinol and yintaiqing?"

"Yes, both medicines are gone."

Qi Jing nodded and took out the prescription form and prescribed it for him again according to the previous amount.

Suddenly the patient seemed to remember something: "By the way, prednisone is gone, so let's prescribe it."

Qi Jing was stunned for a moment, looked at him twice, and suggested out of kindness: "You can't eat Ying Taiqing and Qiangdipine together."

"I know this, the doctor told me before."

"I said I'll open it together?"

"Isn't that impossible? Ying Taiqing sometimes has no use, so she has to replace the prednisone." The man patted his knees and complained, "I'm staying alone, and it's inconvenient to go back and forth in the hospital, so you can prescribe it together."

Qi Jing still felt that it was inappropriate and put down his pen: "I'm afraid this won't work."

"Why are you, a little doctor? Can other doctors prescribe you?" The patient was a little angry and said impatiently, "If you don't want to prescribe those two things first. I'll ask someone else to prescribe."

At this moment, Yan Dingfei interrupted his thoughts and looked up at Qi Jing.

Qi Jing pretended to be fine. After looking through his previous cases, he found that there was no description of gastrointestinal symptoms. Then, the doctor in the clinic did have records of prescribing medicine together.

"Okay, okay, I'm afraid of you, I'll open it for you now."

"Will that be over if this is already happening?"

“Is omeprazole still available?”

"Yes, that medicine is very much."

"If you have stomach upset, take omeprazole."

"I know, mine is iron-tempered, it's okay."

To be on the safe side, Qi Jing also wrote a suggestion as the previous outpatient doctor and asked him to sign it. Naturally, he had to look at Yan Ding first. After getting him nodded, he knocked on his seal on the prescription sheet.

The patient was really in pain and signed the name very readily.

"You have to pay attention. You must not take the two medicines together." Before leaving, Qi Jing was still giving instructions.

"I know, it's an old patient, and I always have this common sense." After saying that, he got up and dragged his sick leg out the door.

Qi Jing looked at his left back and shook his head helplessly: "Next."

This time, it was an old lady, in her 70s. However, her legs and feet were very neat. She walked in and sat next to Qi Jing, which was in sharp contrast to the one just now.

"Old lady, where is it uncomfortable?"

"My chest hurts." The old lady touched her chest and said with certainty, "It started at 10 o'clock, and it hurts for a long time."

Obviously, the symptoms of chest pain attracted the attention of Yan Dingfei and Qu Yi, especially Qu Yi, who put the tracheal intubation in his hand aside and got up and walked over.

Chest pain is the most common internal medicine emergency, but there are many differential diagnosis and need to be eliminated step by step.

Qi Jing was not surprised. She helped her with the blood pressure cuff while measuring her blood pressure and asked, "Is there any other discomfort besides the chest pain?"

The old lady felt the stimulation signals coming into her brain again and took another hand around her back: "It seems that the back hurts a lot, and her neck and waist."

"How is it painful? Is there a sharp piercing or something pressing down?"

"I can't say it." The old lady shook her head.

"I'll call the electrocardiogram."

Qu Yi immediately thought of myocardial infarction, which is a very small area of ​​infarction with radiation pain with back and neck.

But as soon as he made a judgment, he hesitated.

The pain rating of myocardial infarction is not low. Many people have respiratory symptoms, and in severe cases, they will feel dying. However, this old lady is very energetic, walks smoothly, and has few painful expressions.

“There is something weird…”

"Old lady, let's do an electrocardiogram first." After hearing this, Qi Jing issued a checklist for her and asked her to pay first.

Qu Yi didn't understand a little.

Of course, what he didn't understand was not the electrocardiogram that Qi Jing gave, but the reason why he was still so calm when he saw chest pain. It took a lot of courage to let a patient suspected of myocardial infarction pay the fee alone.

He originally wanted to remind him, but he didn't speak when he saw that Yan Dingfei didn't stop him.

"Do you think it's a heart attack?"

Qi Jing wrote about his examination and treatment plan and said, "Whether you feel it or not, you have to check and rule out the electrocardiogram."

"What do you think it will be?"

"There is no problem with blood pressure, and the heart and lungs sound good. If you guess correctly, it should be shingles."

“Shaned…herpes?”

Qu Yi heard that this diagnosis was unreliable, but when he thought about it, he was quite consistent with the old lady's symptoms. The pain in a large area of ​​simple areas involves the most common areas of herpes simplex, and there are no other symptoms.

"Will you just have a physical examination to see if there are any rashes?"

"No hurry, you can find it when you do an electrocardiogram." While speaking, Qi Jing even prescribed acyclovir for herpes. "At that time, it can not only eliminate myocardial infarction, but also let the old lady pay for the medicine as soon as possible."

"And many patients prefer the previous method to do an 'waste money' electrocardiogram after diagnosis."

Qu Yi suddenly realized and felt that he had learned his true skills: "It's amazing, everyone is saying that Dean Qi's son is very powerful, and today I saw it."
Chapter completed!