Outside the window, lead clouds were thick and the wind was cold.

In the internal medicine clinic of the emergency center of Wuhan Zhucheng Hospital, Dai Yunyang turned his head to look at the window and shrunk his neck after seeing a patient. He always felt a yin wind in the room, a cold that penetrated into his bones like hell. Could it be that the windows are leaking? But I checked it just now.

He got up again to check, and the double-glazed windows were indeed tightly closed, and there was no wind leaking in.

Zhao Guang, an intern at the medical university sitting opposite, also got up to check and said, "The window is not leaking, teacher." ”

At this time, Wang Bingbing, the nurse in charge of calling the number outside the door, pushed the door probe in and said to him: "It's time to hand over shifts, Doctor Dai, you can go." ”

Dai Yunyang took out his mobile phone and looked at it, just in time to get off work. He took off his mask, carefully threw it in the sorted garbage can, and was about to get off work, when a rapid cough came from the door, and a middle-aged man walked in with an old man who was coughing dryly.

"Doctor, my dad's cough can't stop, he can't breathe, can you help take a look?" ......", the middle-aged man shouted anxiously, and before he finished speaking, he was stopped by Wang Bingbing.

"Why? Why did you come in without a number? The doctor is on shift. Go out first, sit outside on a chair and wait! ”

"Doctor, my dad really can't cough, he can't breathe, let's take a look first?"

The middle-aged man looked at Dai Yunyang with pleading eyes, it is not easy for everyone to reach middle age. Looking at the old man who couldn't say much coughing outside, Dai Yunyang hesitated slightly, and finally sat down and turned on the computer, "Come in." ”

Dr. Wu hasn't come yet, and it's just a patient anyway, so he won't be able to delay much.

The old man was helped to sit down by his son, and before he could speak, there was a series of coughs, clattering, like tiles scraping in a dilapidated chimney.

Dai Yunyang glanced at the medical records, and the old man who sought medical treatment was surnamed Pang, so he asked with concern: "Master Dafang, how many days have you been coughing?" ”

Master Pang couldn't speak, Boss Pang next to him was his son, a businessman, and replied on behalf of his father: "It's been five days, and it's getting more and more powerful." That, doctor, my dad often comes to your hospital to see patients, especially trust you here. Boss Pang smiled dryly, trying to get close.

"Oh, the old man has a bad cough, have you got the medical records?"

"Take it, take it." Boss Pang hurriedly took out a weighty medical record and spread it out, Dai Yunyang flipped through the medical records, looked at the case, and found that the old man was over seventy years old, and he was accompanied by serious underlying diseases, and immediately reprimanded him with some displeasure, "Why did it take so long to come?" ”

"When I just coughed, I said that I would buy some medicine, if I hadn't dragged it, he wouldn't have come at this time." The son explained a little embarrassedly, "The old man is like this, the old man who sells frozen shrimp next door is worse than my father, with a high fever of 40 degrees, unable to get up from the bed, hanging a drip on the bedside, and refusing to be hospitalized." ”

Dai Yunyang nodded and turned to the patient: "Is there phlegm in the cough?" ”

"There's no phlegm, it's just a dry cough," the old man coughed again while speaking, and Boss Pang hurriedly patted the old man on the back while describing to Dai Yunyang, "I don't know why, I always have breathless symptoms." ”

Dai Yunyang saw it in his eyes, and at the moment he stretched out his hand to help the old man smooth his breath and do a physical examination, while explaining: "I have been coughing so dryly, my breathing rhythm is completely disrupted, I exhale more and inhale less, I am prone to hypoxia, and I will definitely hold my breath and feel uncomfortable." – What other symptoms are there?

"Headache, but not very bad."

The patient finally felt better, and was able to breathe a little and say two words: "Cough, it's a bad cough,—— I used to have a cold and cough, cough cough ......, but never this time so bad, cough cough cough ......." I can't breathe, my chest is very tight, this breath is ......, cough cough cough ......"

Dai Yunyang took the stethoscope and motioned for him to sit on the stool next to him: "You sit down." ”

After the old man sat down, Dai Yunyang helped untie Pang's father's clothes, revealing the thick sweater inside.

Dai Yunyang listened to the patient's chest with a stethoscope, and his expression was even more solemn, because he heard a distinct crackle, which is the main manifestation of pneumonia.

"A little feverish, huh?" When he was auscultating, he felt that the old man's body was very hot.

"yes, it feels hot, but I haven't taken my temperature."

Dai Yunyang took a thermometer and asked Boss Pang to help his father take his temperature under his armpit, and then asked, "Have you taken any medicine?" ”

"I have eaten all kinds of cough syrup, cough medicine, as well as amoxicillin, cephalosporin, roxithromycin, but I have taken all the medicines I can think of, and I went to the outpatient clinic for infusion yesterday, but it has no effect at all, and I feel out of breath at noon today, so I came to the emergency department. Doctor, what kind of antibiotic will you give you a good infusion? ”

Dai Yunyang shook his head: "Antibiotics are not used indiscriminately, antibiotics can only be used if the test is determined to be a bacterial infection, if it is a cough caused by a virus or other reasons, antibiotics are useless, but will make your body resistant." The next time you get seriously ill and need antibiotics, but your body has developed resistance to antibiotics, it will be terrible. In the future, there is no doctor's examination and prescription, so don't take antibiotics indiscriminately, this is to leave a way for the future. ”

Boss Pang nodded again and again, but when he saw his father's cough severely, he couldn't help but beg: "Doctor, let's get an infusion, the infusion comes quickly." Combined antibiotics are used! ”

"Don't worry, even if it's an infusion, you have to find out what the disease is," Dai Yunyang was a little helpless, but he still explained with a pleasant face, "Different diseases need to use different medicines, and if the disease is not checked clearly, the indiscriminate use of drugs will have no effect, and it will not play a role in suppressing cough." ”

"That's right." The son hesitated, and finally stopped struggling, watching Dai Yunyang's movements from the side.

"Have you had any illnesses before?"

"I have coronary heart disease, I was diagnosed nine years ago. Been on treatment, nothing works. ”

Dai Yunyang nodded, estimated that the time to take the temperature was about the same, and asked his son to help take out the thermometer and look at it, 38.7 °C. frowned, and said, "The old man's lungs are likely to have a serious infection, so let's do a chest CT scan first to see the situation." It's right in our emergency department. When you get the test report, you will immediately come to Dr. Wu, who will take over the shift, and he will give you symptomatic treatment according to the results. ”

Dai Yunyang said while calling Wang Bingbing to come in and open the order, but unexpectedly, Boss Pang heard Dai Yunyang's advice, but he changed color a little, "What, wait for other doctors?" ”

"Yes, I'm off work, but I'll explain your situation to the doctor in the back."

The son was a little unhappy that Dai Yunyang was about to leave after seeing half of it, "Doctor, this is not appropriate, leave us here after seeing half of it, what should I do if my father has a problem later, this is not the style of a white-clothed soldier?" ”