89. Is auscultation important? Important!
Qi Jing didn't expect that the senior internship organized today would be interrupted twice by the same patient. The most important thing is that this is still a patient who has been clearly diagnosed.
Yan Yunkai was also very depressed. A simple trauma fracture patient will have sudden acute myocardial infarction. Not only will the main complaint be vague, but there will not be much changes in the electrocardiogram.
The most unlucky thing is that he was guided by auscultation by a patient who did not understand medicine at all in front of so many people.
Afterwards, he asked awkwardly, and the question really lies with Qi Jing. No need to guess, it must be that he did an auscultation in one fell swoop when he first came.
Yan Yunkai was so angry that his teeth were itchy, but he had no choice but to do anything about this guy. Moreover, in order to send the patient to the intervention room as soon as possible, at Qi Rui's strong request, he had to knock on the door of the emergency lounge.
The door was opened by a female college student, wearing a white coat and an awkward smile on her face.
Qi Jing, who was sitting not far away, faced the other two students.
He had just been slapped in the face by the patient, and his face was so hot that he had not yet retreated. Who knew that the first thing he said when he entered his ear after opening the door was auscultation: "If you listen to the stethoscope in the apical area, you will know where the problem is. Wouldn't this be stupid?"
Auscultation, auscultation, is it all auscultation... Auscultation has become a taboo word for Yan Yunkai.
Although he was a student, Yan Yunkai always felt that he was criticizing him.
Qi Jing looked at him strangely: "What's wrong? Is there something wrong?"
If you meet other doctors, Qi Jing may be more respectful, and those with seniors will also add the suffix of "teacher".
But he would not give a good face to people like Yan Yunkai.
The two of them are at the same level by their professional title, so they don’t need to be too polite. And when he thinks of the little girl who is poisoned by mint, he gets angry.
You can admit that you are not strong enough, but you cannot refuse to save you. This is the doctor's bottom line.
So for Qi Jing, Yan Yunkai had long lost his name. Unlike the three A, B and C in the room, he is permanent.
Yan Yunkai's face is now blue and purple, but in order to complete the work, he could only ask: "Is there a noise in the pre-heart area of the patient with a sternum fracture just now?"
"Yes, I have."
Yan Yunkai had heard it around the patient's heart just now, but he could only hear ordinary heart beats, where did the noise come from? Seeing Qi Jing so sure, he naturally became suspicious: "Are you sure?"
Qi Jing frowned: Isn’t this nonsense!
But he swallowed it back without saying it.
The main reason is that these three college students were present, and the impact was not good. Moreover, he had a dean and father than the other party, so he would definitely be taken to the dean's office to criticize him afterwards.
"I just told you that this patient has post-traumatic myocardial infarction."
Qi Jing said seriously: "There are dynamic changes in the examination of myocardial infarction, and you cannot do it just because one examination is normal...
Before he could finish speaking, Yan Yunkai handed over his phone: "Tell me about it yourself."
"Director Qi?"
Qi Jing stood up and took the phone: "Hey, Director Qi. It's me, Qi Jing."
"I said you guys stretch your hands long enough, and the patients who are anxious are all touching their hands." Qi Rui laughed twice, and then asked, "Tell me about the location of the noise. We are in a hurry to send it to the intervention room."
"Just a little above the apex, it should be the front wall, and there is a problem with the front drop." Qi Jing said, "Not only is there a murmur, but also a pericardial friction sound."
Qi Rui likes the more he listens, but unfortunately this kid is not the person in his heart. It’s a pity.
"Okay, I get it, give Xiao Yan the phone."
Yan Yunkai took his cell phone, responded a few times and left the lounge.
"Okay, let's continue."
Qi Jing closed the door and sat back in his seat, and asked the boy C with a smile: "How is it, is it important to have auscultation heavy?"
The three of them spoke in unison: "Important!"
Unfortunately, the sound insulation effect of this hospital lounge is very poor. A few words pierced into Yan Yunkai's ears like an awl and could not hide at all.
A few minutes later, the family signed an angiography informed consent form.
Half an hour later, Huang Xianbing appeared in an emergency and found that the patient was "taken first" and wanted to get angry. Unexpectedly, after going to the interventional room, the patient was pushed out without saying a few words.
"Old Huang, you're here so fast."
"It's nothing if I'm lost. At worst, I can just walk a little more. Your symptomography is an invasive examination. Isn't it reasonable to lose? I've said it a long time ago and waited for me to come, but I just didn't listen. Now..."
Huang Xianbing's mouth was like a cannon, and she wanted to knock down all the occupants in front of her.
"I didn't lose the money, and the problem with the front-down expenses was due to the front-down myocardial infarction." Wang Chengdong explained, "Fortunately, I did it quickly enough, otherwise something big would happen to this child."
Huang Xianbing looked at the entire interventional operation record list sceptically and found that the operation was indeed done.
He was a little embarrassed, and the whole lot of cursing words he had originally thought seemed to be useless.
"I admit that you, Wang Chengdong, are indeed powerful enough, and intervention in the hospital is awesome. But you have a big heart in your heart. If you rely solely on the examination report of myocardial enzymes, you can use the imaging?"
"There is a noise at the top of my heart."
"Murmur? Can you hear it? When did you evolve?"
"Of course it's not me..."
Wang Chengdong didn't care about these things. It was indeed because he was not strong enough in his soft power. This was already known to the whole hospital. Now he has intervention skills and can fully play to his strengths and avoid his weaknesses.
"Not you? Who else is in your heart on Sunday? Qi Rui? Are you sleeping at home? Liu Yunxiang? His wife and children are warm on the kang, who else? I guess a few little guys aren't that strong yet."
"The one who is in a hurry..."
......
A few minutes ago, Qi Jing saw A, B and C away, and is now sitting on a chair in the lounge, looking up at the ceiling. He has two hours of rest, and after dinner, he has to welcome the third group.
"It's not easy to select people, teaching is not easy to teach."
He sighed, and originally thought that he could have some high-end dishes such as sushi tonight to change his tongue. Now, thinking about it, it is impossible.
I knew I would have saved a lot of trouble if I went alone last night.
Qi Jing looked at his phone, and the previous chat record with Ji Qing was still discussing the quality of the east window glass. He hesitated for a while and held back his fingers that were about to move.
At this time, the initiator appears, which will definitely further deteriorate the relationship between the other party's men and women, and it is better to be calm.
Qi Jing flipped through other phone numbers, and his eyes slowly stopped on a string of very familiar mobile phone numbers.
【I'm done, are you okay?
After a while, Lu Zishan replied to the message.
【Yeah, it's okay】
After reading the information, Qi Jing felt embarrassed because he didn't know how to talk about it.
Talk about the situation in the past four years does not match the current atmosphere nor his personality. It is even more outrageous to talk about the other person's health recently. He knew at a glance that the woman he likes is very healthy.
I'm just tired recently and a little tired.
【Go to bed early at night】
【Well, we will send some food later】
Qi Jing stared at the message on the screen blankly, not knowing who the "we" represented. He turned off the short message, opened the address book, and dialed someone's phone number.
Doudou...
There was a young man on the other end of the phone, and the laughter of two young women was mixed in from time to time: "Hey, Qi Jing, we just talked about you...hahaha..."
The other party's voice was filled with happiness and joy, and there was no cold war atmosphere after just quarreling with his girlfriend.
Chapter completed!