In Shu Bingyu's opinion, Chu Tianyu is simply too messy, a patient who shouts a sore throat does not need to take any nasopharyngeal front and side films anyway, because this examination is above the nasopharynx, and if there is a sore throat, it is completely possible to ask the otolaryngology consultation to do a throat examination.

Once the patient's family understands that they come to the hospital, the hospital is unreasonable, the emergency department will definitely receive punishment, and the deduction of the department bonus is certain, everyone has worked hard for a month, and it cannot be said that they will live on the bonus, but this bonus is also very important to everyone, especially for the nurses who earn less, and now because Chu Tianyu indiscriminately prescribes the examination list to the patient, everyone's one-month bonus is gone, so how can everyone accept it?

Chu Tianyu is simply making trouble for everyone in the emergency department, and Shu Bingyu, the teacher, is the first to bear the brunt, and it is certain that he will be reprimanded by the hospital leaders, thinking about Shu Bingyu, she didn't let Chu Tianyu deal with other patients, only let him deal with wounds with trauma that need to be stitched, but Chu Tianyu simply took her words as the wind in her ears and ran around, and now she has caused such a big mess, which makes Shu Bingyu hate itchy.

Shu Bingyu said with a cold face: "Go and call Chu Tianyu to me." ”

Gu Jing's impression of Chu Tianyu is still good, from five o'clock yesterday to dawn today, Chu Tianyu has been helping their nurses work, although Chu Tianyu has caused a mess now, but Gu Jing still said: "Doctor Shu, you dissipate your anger, Xiao Chu didn't mean to, yesterday you also knew that there was such a big car accident, our department is really not enough, the child is crying a lot, he ......"

Shu Bingyu unceremoniously interrupted Gu Jing's words and said: "Can he indiscriminately issue a checklist to the patient when Corey is busy?" The patient's family is making a fuss, and the bonus of our emergency department this month is gone, just because he is alone, everyone's hard work for a month will be in vain, is this fair to all of us in the emergency department?"

This is still not the most important thing, the most important thing is that if this child has some other problems, but he takes some kind of nasopharyngeal orthoposterior and lateral films, what if something happens to this child? He is careless about human life, I really don't know what Dean Leng thinks, get him to the hospital, you go and call him to me now, immediately, immediately, quickly. ”

Seeing that Shu Bingyu was so angry, Gu Jing had no choice but to go to Chu Tianyu.

At this time, the emergency doctors and nurses also entered the office one after another, there was such a big car accident yesterday, and the people who were not on duty at night were also called over, there were really not enough people, even Xiang Yunfei was called over, everyone didn't close their eyes all night, they were all sleepy and tired at this time, but it was impossible to rest, and they had to stand up in sleepiness, today is a new day and there are still many patients waiting for them to be treated.

As soon as Jin Hui came in, he saw Shu Bingyu's dark face, and he said in surprise: "Who is Xiao Shu so blind in the morning to provoke you?" Say it, brother will help you clean him up." ”

Jin Hui didn't say that it was okay, but Shu Bingyu immediately said angrily: "Who can it be?" It's not that Chu Tianyu. ”

As soon as these words came out, they immediately attracted everyone's attention, and Xiang Yunfei walked over and said, "What's the matter?"

Shu Bingyu took a deep breath, calmed the anger in his heart and said: "There was a car accident yesterday, I went to the scene with the car, let Chu Tianyu stay, and deal with the trauma patients he can suture, but this guy is so good, he actually ran to treat a child with a sore throat, I will first talk about the child's situation, the child is six years old, he came to the doctor for half an hour with a sore throat, no fever, all vital signs are stable, and the only symptom is ......"

Speaking of this, Shu Bingyu took out the backup of the outpatient medical records left by the nurse and looked at it carefully, and continued: "The only symptom is a sore throat, which says that the tonsils are of normal size, no redness and swelling, no thick spots, and the child has never eaten prickly food at three meals a day, what diseases do you consider for such symptoms?"

Jin Hui thought for a while and said: "Judging from the symptoms and signs you mentioned, it's hard to say what kind of disease the child has, and it needs to be observed, so you should check the blood routine to see if it is tonsil inflammation." ”

Shu Bingyu looked sideways at Xiang Yunfei and said, "Director, what is your opinion?"

This child's condition is indeed very special, and the symptoms and signs of other diseases that cause sore throat do not support the diagnosis, and it is indeed difficult to diagnose what the disease is for a while, so Xiang Yunfei said: "I agree with Xiaojin's opinion, this disease is indeed difficult to figure out immediately, so it is necessary to observe, you can check the blood routine, some children's tonsils do not have obvious redness and swelling, and there are no pus spots, but it is tonsil inflammation, such children's tonsillitis is not obvious, it is a specific sign, but often there will be increased white blood cells on the blood routine." ”

Shu Bingyu sneered at the doctor and slammed the backup of the outpatient medical records on the table and said, "But do you know how our Chu Datian gave the auxiliary examination?"

Jin Hui smiled bitterly: "It can't be our Chu genius who prescribes a CT and MRI for the patient, right?"

Shu Bingyu sneered: "There is no CT MRI, he prescribed a nasopharyngeal anterior lateral position for the patient." ”

Xiang Yunfei immediately exclaimed: "What? Isn't this nonsense? The child has a sore throat, and he suspects that it is adenoid hypertrophy? This ......"

Jin Hui shook his head helplessly and said, "Chu Tianyu, Chu Tianyu, no one can save you this time, don't you know the signs and symptoms of adenoid hypertrophy?"

At this time, Chu Tianyu came in, and everyone immediately looked at him, some people were gloating with schadenfreude, some people shook their heads helplessly, and some people had an expression that didn't care about themselves, and they were busy with the work in their hands.

Ren Jiajia and Gu Jingzhi had worried looks, anxious for Chu Tianyu in their hearts, and wanted to help him, but they didn't know how to help?

Ren Jiajia complained in a low voice: "I told him a long time ago not to give the patient a random checklist, and if you can't see it, you have to do it yourself, this is troublesome, right?"

Gu Jing whispered, "Oh, you're so worried about him, you won't like him, will you?"

Ren Jiajia hurriedly said: "When is this happening? Do you still have the heart to make such a joke?"

Gu Jing sighed helplessly, and glanced at Chu Tianyu worriedly, she couldn't help either.

Zhu Xinyue was even more helpless, and muttered in a low voice: "Xiao Chu, Xiao Chu, what do you want me to say about you? I just had such a stiff quarrel with your teacher yesterday, and you caused such a big mess in the evening, what do you want? Do you want to be a doctor anymore?" Zhu Xinyue also called over as soon as she got home and just finished the meal, so she has been in the hospital, and she was also there when Gu Jing brought those outpatient medical records and checklists, so she knew the cause and effect of the matter.

As soon as Shu Bingyu saw Chu Tianyu arrive, he immediately said coldly: "Hey, isn't this our Chu Great Genius? It just so happens that I don't understand a little bit about work, and I want to ask for advice, please ask you, a great genius." ”

Shu Bingyu is really angry, there are thorns in these words, there are still a lot of thorns, it is simply a cactus, you must know that she is Chu Tianyu's teacher, and now she actually said that she wants to consult Chu Tianyu, a student, as long as you are not a fool, you can hear that Shu Bingyu has completely exploded.

Chu Tianyu also heard it, and said helplessly: "Teacher Shu, just say what you want to say, don't ......" In fact, Chu Tianyu wanted to say if you could talk Don't be so weird, but thinking about it, it will definitely stimulate Shu Bingyu, and when she goes out of rage, it will be troublesome, and finally Chu Tianyu swallowed the words that came to his mouth.

Shu Bingyu said very politely: "I want to ask you what symptoms and signs your patients with adenoid hypertrophy have." ”

As soon as Chu Tianyu heard this, he knew that Shu Bingyu was so angry, it must be because of the child he treated yesterday, he knew that Shu Bingyu didn't understand, in fact, he also wanted to explain to Shu Bingyu why he patted the child's nasopharynx on the front and side, but yesterday Shu Bingyu was so busy that his feet didn't touch the ground, and he ignored him, so he didn't give him a chance to explain at all.

Chu Tianyu didn't want things to be like this, but what could he do if it was already like this, he could only sigh in his heart that he had made a mistake with Shu Bingyu, and it was really depressing to make trouble after a day of work.

Thinking of this, Chu Tianyu said: "Adenoid hypertrophy blocks the top of the nasopharynx and the posterior pharyngeal wall, which causes the symptoms of nasal obstruction and mouth breathing, especially aggravated at night, sleep snoring, sleep restlessness, children often turn over from time to time, more obvious when lying on their backs, and apnea can occur in severe cases. It is most common in children and is often associated with chronic tonsillitis and tonsillar hypertrophy. ”

Chu Tianyu didn't say that it was okay, as soon as he said it, Shu Bingyu immediately exploded, stood up and shouted: "Do you still know? I thought you didn't know that? What signs did the child have yesterday? What symptoms did it have? What symptoms did it have? Sore throat! Are there any clinical signs that support adenoid hypertrophy? Not at all!" Speaking of this, Shu Bingyu slapped the table and said word by word: "But you gave him an adenoid? What was the brain of your genius that day? You tell me, do you know how bad the consequences of this incident will be?" Once the family knows that the child is coming to the hospital, a month's hard work of our people in the emergency department will be in vain, you know?"

Chu Tianyu's anger also came up, and he looked directly at this Shu Bingyu and said, "But he is adenoid hypertrophy." ”

Shu Bingyu didn't laugh angrily, picked up the surgical book and smashed it on the table: "You check it for me now, but if there is anything in the book about adenoid hypertrophy can cause a sore throat, you are my teacher." ”

Chu Tianyu frowned and said: "Shu Bingyu, you are messing around, if the symptoms of all patients can be recorded in the surgical book, then everyone can be doctors, you should know that the human body is very complex, and the clinical symptoms caused by not any disease are the same as what is written in the book, as an emergency doctor, you should know this better than me!"