Li Chunsheng's diagnosis, some veteran doctors in the department disagreed:

"At present, we have not found tuberculosis bacteria, so if it is not tuberculosis, the side effects will be even greater, and the patient will not be able to hold on?"

Li Chunsheng disagreed:

"At present, time waits for no one, patients trust us to come to the four hospitals, we must take responsibility, and the clinical drug diagnosis is also in line with the norms, so it is decided."

The section directors are so insistent, and it's hard for others to say anything.

If Li Chunsheng is a three-legged cat, then they are not even a four-legged cat, which is one of the main reasons why the internal medicine business of the Fourth Hospital has not been improved for a long time.

Another two weeks have passed, but Jin Wenyao's body is getting weaker and weaker because of repeated examinations and a large amount of medication.

Although Jin Kangsheng is a turtle, he is not such a turtle that is easy to bully.

Now it's good, a lot of money has been spent, and more than half a month has passed, and the grandson has not only not seen any better, but has become worse and worse.

Can you bear this?

The longer it passed, the more angry Jin Kangsheng became, and finally one day after Jin Wenyao coughed up a mouthful of blood, he couldn't help it, and the contradiction completely intensified.

A large group of villagers from Xiaze Village rushed into the internal medicine department and began to make trouble.

Li Chunsheng was pushed around, like a leather ball, and the office was in a mess, and the glass was broken several times.

"The surname is Li, will you be able to heal?"

"That's it, your four courtyards are just murdering for money, and our good people came in, but now they are dying in the hospital bed."

"Kill this turtle son, let him pay for his life!"

The trouble in the inpatient department of the internal medicine department, because it was the dean's fellow who made the trouble, made it difficult for the security department to do it.

Since the former head of the security department was dismissed by Chen Qi, the top and bottom of the security department are now very attentive to their work, and they will never allow any more trouble in the hospital.

Before that, they didn't care which birdman you were, and they rushed up and knocked out the patient's family.

But now in the face of the villagers of Xia Ze Village, the defense of Ke Ma Claw, is this to arrest people, or to release people?

In fact, Jin Kangsheng is also holding back his evil spirit, firstly because he is anxious about his grandson's condition, and secondly, he is also aimed at Chen Qi.

The ant who was once stepped on under his feet suddenly became the person he needed to look up to, and Jin Kangsheng was already unhappy in his heart.

Why could he be the dean? Why can he drive a Santana? Why is his whole family in good health? Why......

Jealousy has turned him beyond recognition.

Taking advantage of this opportunity, he finally got the handle and didn't make a fuss, then he would be sorry for his name as Emperor Xia Zetu.

So back and forth, internal medicine was completely messed up.

Li Chunsheng was mixed in with the villagers, he didn't know how many slaps he had received on his face, how many kicks he didn't know how many times he had been kicked on his body, and his glasses had been trampled on.

Someone in the Department of Internal Medicine made trouble, and Chen Qi, as the dean, knew it immediately.

And he also knew from Huang Daniu, the head of the security section, that it was the village cadres in his hometown who made trouble, which made Chen Qi's face very weird, and asked Huang Daniu:

"What if it's my fellow countryman? If you are from the same village as me, you can make trouble? ”

Huang Da Niu rubbed his hands awkwardly:

"Chen Tou, you see this is making trouble, don't we want to investigate clearly, hehe, people open and close their mouths to say that they watched Chen Tou grow up, and they hugged you when they were children, and it was the villagers who gave you a handful of and urine for you to go to the health school......"

"Fart, fuck the fuck !!"

After Chen Qi became the dean, he unconsciously had a bit of a model Dean Guo's language style, and he began to scold his mother.

"A handful of and a handful of urine to confess me? Who is disgusting? What do they say, do you really believe? Immediately organize all the people in the security department, coax everyone away for me, and call the police if you can't coax them away. ”

It's good if Chen Qi doesn't fall into the ground, but it's still for the sake of the face of the fellow countryman?

As soon as Huang Daniu heard what the dean said, he immediately ran to deal with it, and ran back in less than half an hour.

"Chen Tou, no, the patient coughed and vomited a mouthful of blood, and the family refused to leave, saying, saying ......"

"Say what?"

"Said that Dean Chen Qi would not save him when he saw death, and they would carry the patient to the county to complain......

Chen Qi lamented, this Jin family can be regarded as finding the right weakness for him, what are you most afraid of as an official? It's just that I'm afraid that someone will go to the superiors to make trouble.

Whether you are justified or not, the board will definitely hit him in the ass, he personally doesn't care, but the hospital will be canceled and evaluated.

People in the 80s still attached great importance to this kind of honor, and it was also related to the distribution of year-end bonuses.

And there is another key point, people are making trouble, and in the end the ball is kicked to the fourth hospital, asking the hospital to immediately solve the needs of patients.

What's more, it is an objective fact that he does not save himself when he sees death, and Chen Qi is also weak-hearted, isn't it?

After thinking about it for a long time, Chen Qi suddenly sat on the chair and stood up, and said to his left and right protectors:

"Let's go, let's take a look, who is it, Bian Meng, you go and call Director Bian, there will be a diagnosis from inside and outside, this mouth vomits blood, it is estimated that it is a surgical disease, this Li Chunsheng is a rice bucket like Yu Chuandong."

When Chen Qi appeared in the internal medicine department with everyone, Jin Kangsheng seemed to be waiting for him, and said with a smile:

"Xiaoqi, it's been a long time, hehe, look at the talent now, I didn't look at the wrong person at the beginning, you look like a promising child."

Chen Qi nodded, looked at Jin Wenyao on the hospital bed again, and was a little surprised:

"Hey, how did the little fat man get so thin? Is this a void that cannot be remedied? I remember that you were the fattest child in the whole village. ”

Jin Kangsheng's eyes lit up: "Yes, my grandson is seriously ill, please Dean Chen look at the face of the fellow villagers and help treat it." ”

Chen Qi's eyes were wide,

"Come, Jin Zhishu will see for himself, smash our internal medicine department like this, and beat our internal medicine director to the point that his head is swollen, do you think I will have to treat your grandson if you say a word?"

Jin Kangsheng smiled coldly: "I haven't said that this Doctor Li has treated my grandson worse and worse, and how much money he has deceived us, why, do you want to shirk responsibility?" ”

"Is it cured, or is the little thin man seriously ill, we have to ...... this"

"Chen Qi!"

Before Chen Qi finished speaking, he was interrupted by a voice outside the door, and Secretary Huang Ying and Huang walked into the internal medicine department quickly.

Huang Shuji knew that Chen Qi and the Jin family had contradictions, after all, they had been working together for so many years, and they always knew each other a little bit.

So when I heard that the Jin family in Xia Zecun was making trouble in the internal medicine, I knew that Chen Qi's temper might not be able to bear it, so he hurried over.

Sure enough, before he entered the internal medicine department, he saw that Chen Qi was already about to quarrel with them.

A dean who saw death and didn't save it, and quarreled with the patient's family, this matter is not reasonable anywhere, the emperor is unreasonable, but the intellectuals can't be unreasonable.

Huang Ying glared at Chen Qi back, and the look in her eyes was very clear, you kid is waiting for me.

She turned her head again and said to Jin Kangsheng: "Jin Zhishu, you see that the experts of our four hospitals are here today, how about it, let's have a consultation on the spot?" ”

Huang Ying appeared in time, if Chen Qi insisted on not treating the patient, I am afraid that he, the dean, would be beaten again.

The patient's family members beat the doctor, and they don't even have to sit in detention, which is so arrogant!

The patient's X-ray was placed on the reader, and a large group of doctors gathered head to head.

Chen Qi is a doctor after all, although he despises the Jin family very much, but he is still happy to see that the Jin family has incurable diseases, so he also watched.

He is the dean, and the posture he should have must have.

Huang Ying flipped through the medical records and asked Li Chunsheng, the pig-headed pig next to her:

"Director Li, what is the basis for your diagnosis of pneumonia?"

Li Chunsheng knew that he had overturned, so he could only answer honestly:

"Huang Shuji, Dean Chen, yes, the patient had a history of fever, chest pain, and cough for 3 years before being admitted to the hospital, and the films I took after admission also did a chest X-ray, all of which showed the right middle lung, and there were obvious flaky shadows here, so I began to suspect that it was caused by inflammation."

Chen Qi didn't speak, looking at the X-ray film, he always felt that this white shadow was a little weird.

It's a pity that the film is too model Lake and can't be seen very clearly.

Huang Ying patted the medical records and said sternly:

"You have been diagnosed with tuberculosis on what basis you have made a diagnosis of tuberculosis if you have no effect on antimicrobials? Directly given anti-tuberculosis drugs? ”

Li Chunsheng continued to reply honestly:

"It's mainly based on the film, which doesn't look like consolidation, so I think it's okay to not consider lung cancer first, plus the patient's long-term history of fever and cough, so I think it's okay to diagnose tuberculosis."

Director Bian listened and nodded: "I also feel like tuberculosis." ”

Dong Gaoyan, another director of internal medicine next to him, also said uncertainly:

"You see that this shadow is of different sizes and densities, large at both ends and thin in the middle, and it looks like it is about to merge, and it does look like type 1 tuberculosis."

As soon as Li Chunsheng heard that there were supporters, he changed his previous decadence, and immediately became energetic:

"It's all the rage, Lao Bian and Lao Dong think the same thing, don't they? I'll just say that this shape is a bit like a dumbbell, what an obvious manifestation of tuberculosis, I have been a doctor for decades, how can I be mistaken? ”

Huang Ying actually feels that this is like tuberculosis in her heart, but as a leader, she always has to raise objections.

"Did you find Mycobacterium tuberculosis in your sputum?"

Li Chunsheng blushed:

"This and this, I haven't found it for the time being, but there are no acid-fast bacilli in the sputum, and the diagnosis of pulmonary tuberculosis cannot be denied, after all, so many tuberculosis patients, only about 20% of them can really find acid-fast bacilli in the sputum.

Most of us can't find it in the sputum in clinical practice, because their Mycobacterium tuberculosis is hidden deep and will not be excreted through the bronchi, so we can't find it, and it is possible. ”

Director Bian and Director Dong also nodded slightly, obviously agreeing with this point of view.

Tuberculosis is still very common in China, especially in the 80s, when there were more than 3 million new cases of tuberculosis every year, and 80% of them were concentrated in rural people.

Tuberculosis is also the disease with the highest mortality rate among infectious diseases in China, and it is very harmful.

Tuberculosis is actually a type of pneumonia, but the pneumonia caused by Mycobacterium tuberculosis is not quite the same as that caused by ordinary bacteria.

Common bacterial pneumonia is acute, the general course of the disease is 1-2 weeks, at most 2-3 weeks, the symptoms are obvious fever, cough, sputum production, chest pain, etc.

Tuberculosis is often chronic, and there may be several months of coughing, especially recurrent fever and long-term fever.

Therefore, according to the symptoms and course of the disease, combined with X-rays, and recently, the patient still has a little hemoptysis, with blood in the sputum, which excludes lung cancer, pulmonary fungal infection, common pneumonia, etc., and tuberculosis is not running.

Li Chunsheng was diagnosed with tuberculosis and there was nothing wrong with it.

Chen Qi stood together, listening to the discussions of several old directors, and always felt that tuberculosis should not be explained.

Otherwise, how can we explain why the patient's symptoms have not been alleviated at all, but have a tendency to worsen after more than half a month of anti-tuberculosis treatment?

The idea of clinical diagnostic medication is correct, but it doesn't work after you try it, in fact, it can prove that there is a problem with the diagnosis of "tuberculosis", instead of continuing to die of tuberculosis.

Hearing Chen Qi's questioning, Director Li hurriedly explained:

"This patient has seen too many doctors in the past 3 years, and after taking this medicine and that medicine, it is estimated that he has a certain amount of antibodies in his body, and it may be drug-resistant tuberculosis."

When Chen Qi heard this, there was also a certain amount of truth, so he nodded and said no more.

If there is another patient, he will definitely take out the bedside portable CT in his own space hospital to help the patient scan it, and the disease can be quickly determined.

But now it's the Jin family, anyway, as long as the surface kung fu is there, if you can save it, you can save it, and if you can't save it, you can only blame yourself for your hard life, anyway, it is impossible for Chen Qi to take the risk of playing gold finger for Jin Wenyao.

Huang Ying heard that everyone's thinking had been unified, so she made a decision directly:

"Since everyone's opinion is unanimous, let's continue the anti-tuberculosis treatment and make it clear to the patient's family, in addition, the smashed things will definitely be compensated, and if we don't pay for it, we won't be cured, so why don't you love it."

When the old lady heard that the previous diagnosis of internal medicine was not wrong, she had a bottom in her heart, and her tone hardened.

Outside the ward, Jin Kangsheng was relieved when he heard that all the experts in the hospital, especially Chen Qi, the dean, thought it was tuberculosis.

So he said to Huang Ying with a smile on his face:

"Okay, Huang Shuji, this is our fault, I will apologize to Director Li immediately, I will pay for how many things I smashed, I will compensate."

Jin Kangsheng's wishful thinking is very good, now that the diagnosis is clear, there will definitely be no major problems in treatment, as long as the grandson's illness can be cured, everything is negotiable.

After all, Jin Wenyao is the grandson of his branch, the only heir of the family, and his status is extraordinary.

Anti-tuberculosis treatment continued, and even in order to increase the efficacy and prevent the emergence of drug-resistant strains, Li Chunsheng also increased the dose.

Good guys, in the next month, in addition to daily hemoptysis, blood tests, white blood cells continued to decline, but the indicators of liver and kidney function rose sharply.

Li Chunsheng rounds the ward every day, and his heart is getting more and more empty, and after getting the test sheet, he knows that this time he has completely overturned.

The patient's family members didn't know the test indicators, but the patient Jin Wenyao was getting more and more haggard and weak, and finally fell into hemoptysis and high fever again.