Since 1981 Health School

Seeing the serious faces of his subordinates, Chen Qi didn't take it seriously.

Anyway, he has become the dean of Yuezhong People's Hospital, so it's impossible for him to be surrounded and beaten by his family members at every turn like when he was in Huangtan or the Fourth Hospital, right?

If you know that beating deputy director-level cadres, you can be put on the line, and you will be arrested directly in the Pingshui labor camp, and your life will be worse than death. Believe it or not.

"Okay, okay, if we can't find out the reason, let's look for it one by one. See that the patient is only 22 years old. I heard that he just got married not long ago. From the perspective of serving the people, we must go all out to ensure the patient's life. ,right."

Yi Zewen, Chen Qi's loyal fan, was the first to jump out again:

"Yes, Dean Chen said it well. We doctors must be able to cure this difficult and miscellaneous disease. Only then can we show our heroic qualities. Let everyone see how the medical level of our People's Hospital is!"

Zhang Xing also nodded firmly: "Yes, we must have confidence, what should Chen do now?"

"What else can I do? Let's push it back to the emergency department first. There are still some blood test reports that have not come out. Let's wait for the checklists to arrive, and then come to the hospital for a general consultation."

Emergency doctors are all general doctors, but they are definitely not universal doctors.

Once encountering a disease beyond the scope of one's cognition, he will often issue a consultation request, just like ordering food, whichever department he wants to order.

The departments that were named did not dare to refuse, no matter how busy they were, they had to spare time to go to the consultation within the stipulated time.

This is the dead rule, the high-tension line, whoever violates it will die.

Of course, if the emergency department doesn’t want to accept patients, it will be difficult for you to send them out, and the departments that are named often don’t want to accept them either, so psychological warfare begins at this time.

The emergency department will often say:

"Department XX, I have a patient here. The condition is quite mild. The patient wants to stay for a few days to recuperate. I can earn some examination fees for you and reduce the ratio of prescriptions. Let me send it to you."

Well, you agreed, and the emergency department couldn't wait to send the patient up.

As soon as it was sent to your department, the doctor in the emergency department ran away, and then you checked it, good guy, this is a troublesome patient who is in critical condition.

But at this time, your resident doctor has no choice but to swear and transfer the patient's bed, prescribe a doctor's order, and go all out for rescue.

Then the doctors in your inpatient department suffer a lot. Many times, the emergency department calls up again, not talking about consultation, but directly saying that they want to transfer a patient.

Resident doctors look at the wall showing that there are still 3 or 4 vacant beds, and they often close their eyes and talk nonsense:

I'm sorry that our beds are full, you can think of a way for yourself, then hang up the phone quickly, and never give the emergency doctor a chance to beg for mercy.

So in many cases, emergency doctors and inpatient doctors are fighting wits and courage.

There is even a battle of wits between the emergency departments of different hospitals.

For example, an emergency patient came to a secondary hospital, but for various reasons he could not handle it by himself, or he did not want to accept this troublesome patient, what should he do?

Of course it will be sent to a tertiary hospital, but if you think it is troublesome, so will other tertiary hospitals, so they will often refuse on the phone.

Don't send them here, our place is already full, and the beds have not been rescued.

At this time, the doctors in the second-level hospital will come up with a despicable method, that is, whether you agree with the third-level hospital or not, I will bring the patient to you first.

When I arrived at the door of the emergency room of the tertiary hospital, I didn't even enter the door.

After pulling the patient out of the car, he left it at the door and ran away. He didn't even need the rescue bed. Anyway, he will get it back in the future.

In this way, the tertiary hospital was forced to accept this troublesome patient. At this time, the emergency doctor of the tertiary hospital was also cursing and started rescue immediately.

Therefore, emergency doctors not only have to fight wits with patients and diseases, but also have to fight wits with colleagues and peers. After work all day, their brains will explode.

Looking at the emergency department, male doctors are just like IT men, and few of them are bald.

Chen Qi and his team pushed the patient Bai Xue, and ran to the emergency department in a mighty manner, attracting the attention of many passers-by along the way.

But before arriving at the emergency department, Bai Xue suddenly became a little irritable on the way, and began to writhe around, which frightened everyone.

Yi Zewen yelled again and again: "Hey, don't move around. Now you need absolute bed rest. Is there something uncomfortable? Tell me."

Bai Xue spoke in a whisper, so low that she couldn't hear her at all.

Chen Qi knew at a glance that it was about the patient's privacy, and while calling for you to hold on, he quickly pushed to the emergency department.

When the head nurse ran over to ask, Chen Qi found out that the patient said his stomach was uncomfortable and wanted to have diarrhea.

Girls in this era are quite conservative, they just say shit if they want to shit, and they are coy:

"Nurse head, give her a potty and let her pull it directly on the hospital bed."

Bai Xue did it as soon as she heard it, and refused with a blushing face: "No, I'm going to the bathroom, I, I don't want to be on the bed."

Chen Qi frowned, and began to teach him a lesson:

"No, you might be in a coma again in your current situation. If you convulse again and fall to the ground, you may break your head. You won't be as lucky as the previous two times.

You either have a brain problem or a heart problem, and you need to rest in bed. Don’t worry about it. I’m not scaring you. Maybe if you exert yourself so hard, or walk around, the time bomb that causes you to faint will explode completely. You will Do you know if you are dead? "

Even though Chen Qi had patiently frightened her, Bai Xue couldn't accept defecating on the bed, she was very anxious, impatient, and was about to get up soon.

Chen Qi was upset now, thinking that all pretty girls are so stubborn? What kind of princess disease is this?

"Come, come, all of you, come over, appease, appease."

Several nurses hurried over and held Bai Xue down.

Yi Zewen was a little worried at this time: "Chen Tou, is this a recurrence of the disease? Why is this patient so irritable all of a sudden?"

Chen Qi's heart skipped a beat, and he raised his eyes: "This possibility cannot be ruled out."

So everyone's eyes turned to the patient on the hospital bed. Who knew that Bai Xue suddenly stopped moving at this moment, and closed her eyes in a daze.

His face was full of shame, annoyance, and pain, and tears flowed down his face.

Chen Qi, Yi Zewen, Zhang Xing and other male doctors were a little dazed, unable to figure out what was going on with this female patient? Is it really a mental problem?

At this time, the head nurse is more experienced.

Changshou Yunzhen, a nurse in the emergency department, is personally in charge of the deputy director of the Nursing Department. She is in her 40s and is very experienced in clinical nurse work. It was also ordered by Comrade Lao Guo to come here.

Head nurse Shou seemed to realize something, and was about to pull back the quilt to have a look.

Bai Xue suddenly yelled, holding on to the quilt tightly: "Don't move~~~"

A sudden shout startled everyone again.

Bai Xue's tears came down again, and she said desperately: "I'm pulling the bed~~~"

When Chen Qi heard this, he quietly took a step back, thought about it and took another step, and then secretly held his breath.

I'm sorry, even if you're a fairy girl, your shit still stinks.

Although the other male doctors didn't say anything, they acted honestly and retreated towards the door. Only the nurses stepped forward to help.

The emergency room was in a hurry, and the head nurse Shou comforted the patient while directing the people to clean up the bed.

"Tou Chen, does this count as fecal incontinence?"

Zhang Xing, who suspected epilepsy just now, leaned over and asked in a low voice: "Patients with epilepsy may have fecal incontinence, and I feel that this fits the bill again."

Chen Qi gave him a supercilious look,

"Do you look like he is incontinent? He can't help it. No one can't help it. The incontinence is pulled out without knowing it."

At this time, Bai Xue wanted to find a crack in the ground and slipped into bed in front of strange doctors and nurses. It was really disgraceful. She felt that her face was completely humiliated and she wanted to die.

At this time, Chen Qi had already smelled the stench, and was about to go out with an excuse to ask the nurse to change the patient's clothes.

Suddenly, head nurse Shou shouted:

"Dean Chen, come and see, the patient's stool is a bit abnormal, this is, this is tarry black stool."

"What?"

Chen Qi, who was about to leave just now, turned around and ran over quickly, regardless of whether Bai Xue's white buttocks had been seen or not, Bai Xue was so frightened that she screamed again.

Black stools are all shiny black stools, exactly the same color as tar.

There was such black poop on Baixue's pants, on the sheets, and on her buttocks.

Chen Qi immediately calculated in his mind based on experience that the amount of bleeding should be at least several hundred milliliters.

This is definitely not a small problem.

Chen Qi didn't care about the question of whether men and women could accept or not, anyway, he was a surgeon, what kind of bare ass woman had he never seen? He just looked at Bai Xue eagerly and asked:

"Have you ever had black poop before?"

Her lips trembled a little, and it was obvious that she was also nervous.

It is estimated that the stomach is a little more comfortable, and the nervousness is the nervousness. After defecating, Baixue looked less anxious, so she replied:

"I used to have black stool occasionally, and I didn't care about it, but it's not as much black as today, and the color is darker."

"Did you have gastric ulcer or duodenal ulcer before? Or stomach pain or something?" Chen Qi continued to ask.

"I, I don't know, maybe I have a stomachache, and I don't care."

"Have you ever had a gastroscopy?" Chen Qi pressed her every step of the way.

"No, no."

"Do you often have stomach discomfort, pain, acid reflux, bloating, etc.?" Chen Qi felt that he was about to get the answer.

"Well, it happens occasionally. It happens when I eat uncleanly. It's been many years." Bai Xue tried hard to remember.

Hearing these conversations, even Manager Xie, who doesn't understand medicine, realized something was wrong, and blamed him through the curtain:

"Comrade Bai Xue, tell us earlier if you have this problem, you see what happened to you today."

Manager Xie has his worries. As the saying goes, good things don't go out, but bad things travel thousands of miles. The way Bai Xue fell to the ground and twitched today must have spread throughout the unit.

As far as the mouths of these women in department stores are concerned, it's strange to hear good things, and I don't know why everyone is arranging Bai Xue.

If everyone believed that Bai Xue had "goat epilepsy", even if Bai Xue was cured and discharged from the hospital this time, her reputation would be ruined after returning to the unit, and everyone would treat her as if she was mentally ill.

In addition, Manager Xie was also worried about how Bai Xue's family would react if they found out.

But Bai Xue didn't realize the seriousness of the matter, and when she heard Manager Xie's kind blame, she replied unhappily:

"You didn't ask me either."

Didn't you ask?

Chen Qi muttered, that is, you are a patient who fainted and convulsed, who would ask you about your usual stomach condition, I wouldn't be able to think of it if it was different.

Dark stool means that the patient has gastrointestinal bleeding, and the bleeding site should be relatively high, possibly the duodenum or a lower position.

After such a large amount of blood is digested in the intestine, it will turn black.

Chen Qi's eyes lit up suddenly, and he said to Zhang Xing:

"Hurry up to the Department of Gastroenterology and ask Director Lan to come and tell her that there is a patient with gastrointestinal bleeding and ask her to bring all the gastroscope instruments."

What Chen Qi thought was that if it was stomach bleeding, it would be the best. He originally wanted to teach gastroenterologists how to use endoscope to perform surgery, and now the opportunity was in front of him.

When Zhang Xing heard it, he ran out immediately.

Finding the possible cause of the disease made Chen Qi feel happy again. Doctors are most afraid of overturning, not to mention he is still the dean, and he has to fight for face.

"Nurse, you immediately speed up the fluid rehydration, fill up the blood volume quickly, and arrange for someone to go to the blood transfusion department to ask for blood, including red blood cells and plasma. Lao Yi, you are going to use some hemostatic drugs. We are now waiting for the gastroenterologist. Come for a consultation."

Chen Qi is arranging for rescue, but Manager Xie is not calm anymore.

"Doctor, you suspect that Comrade Bai Xue has stomach bleeding or intestinal bleeding, right? But I don't understand. Is this gastrointestinal bleeding related to coma and convulsions?"

Manager Xie's words immediately attracted all the doctors in the emergency department.

From simple common sense, your digestive tract is your digestive tract, your brain is your brain, and your heart is your heart. They are basically two things.

It is understandable that you said that gastrointestinal bleeding may cause the patient to faint, so how to explain this convulsion?

Don't say Manager Xie, a commoner, can't understand, even the little doctors started to argue.

Connected?

Then you have to tell a related truth. Modern medicine pays attention to evidence when seeing a doctor.

No contact?

If there is no contact, it means that there is still a problem with Chen Qi's diagnosis. If the real cause of the patient's syncope and convulsions has not been found, it means that his level is not good.

Obviously everyone wants to know the answer.

Chen Qi didn't want to answer at first, because at this time the laboratory report had already been delivered, and rescuing patients was the first priority.

But seeing everyone's earnest and suspicious eyes, Chen Qi had to say a few words:

"This problem is easy to explain. The patient's heavy bleeding in a short period of time will lead to a rapid insufficiency of circulating blood, which will lead to brain dysfunction due to ischemia and hypoxia. Syncope is the most common. Although convulsions are rare, they are not uncommon. "

"Oh~~~"