Seeing the serious faces of his subordinates, Chen Qi didn't care.

Anyway, he has become the director of the Viet Cong People's Hospital, so it is impossible for him to be beaten by his family at every turn like he did in Huangtan or the Fourth Hospital, right?

You must know that if you beat a deputy department-level cadre, then you can go online, and directly arrest you about the Pingshui Labor Reform Field, so that you might as well die Believe it or not.

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

Yi Zewen, a diehard fan of Chen Qi, was the first to jump out again:

"Yes, Dean Chen said it well, we as doctors must be able to cure this incurable disease, so as to show our heroic nature, let everyone see how the medical level of our people's hospital is!"

Zhang Xing also nodded firmly: "Yes, we have to have confidence, what should Chen Tou 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 checklist to arrive, and then have a hospital-wide consultation. ”

Emergency physicians are generalists, but they are definitely not generalists.

Once encountering a disease that is beyond the scope of one's cognition, they often ask for consultation, just like ordering food, and they can order whichever department they want.

The department that was named did not dare to refuse, and no matter how busy it was, it had to spare time to go to the consultation within the specified time.

This is the dead rule, the high-voltage line, whoever violates it dies.

Of course, if the emergency department doesn't want to accept patients, then it will be difficult for you to send them out, and the departments that are named often don't want to accept them, so psychological warfare will begin.

The emergency department will often say:

"XX department, I have a patient here, the condition is quite mild, that is, the patient wants to stay for a few days to recuperate, earn some examination fees for you, reduce the drug ratio, and send it to you."

Okay, you agreed, and the emergency department couldn't wait to get the patient up.

As soon as it is sent to your department, the doctor in the emergency department runs away, and as soon as you check it out, the good guy is a troublesome patient who is in a critical condition.

But at this time, your resident doctor has no choice but to scold and scold the patient to transfer the bed, prescribe medical orders, and go all out to rescue.

Then the doctor in your inpatient department suffers a lot, and many times the emergency department calls again, and instead of talking about the consultation, he directly says that he wants to transfer a patient.

The resident doctor looks at the wall showing that there are still 3 or 4 empty beds, and often closes his eyes and says nonsense:

I'm sorry that our beds are full, so think of a way for yourselves, and then hang up the phone quickly, and never give the emergency doctor a chance to beg for mercy and say nice things.

So a lot of times, emergency physicians and inpatient doctors are fighting wits and courage.

Even between the emergency departments of different hospitals, there will be a battle of wits and courage.

For example, if an emergency patient comes to a secondary hospital, and he can't handle it by himself for various reasons, or he doesn't want to accept this troublesome patient, what should he do?

Of course, it is sent to a tertiary hospital, but if you are too troublesome, other tertiary hospitals are also troublesome, and they will often refuse on the phone.

Don't send it, we're already full of fours here, and we haven't rescued the beds.

At this time, the doctors in the secondary hospital will come up with a despicable method, that is, whether you agree with the tertiary hospital or not, I will pull the patient over to you first.

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

After pulling the patient out of the car, he left it at the door and ran, not even the emergency bed, anyway, he will go and get it back in the future.

In this way, the tertiary hospital was forced to accept this troublesome patient, and at this time, the emergency doctor of the tertiary hospital also immediately carried out rescue in a scolding manner.

Therefore, emergency doctors not only have to fight wits with patients and diseases, but also have to fight wits and courage with colleagues and peers.

Looking over at the emergency department, the male doctors are just like the IT men, and there are few who are not bald.

Chen Qi and his entourage pushed the patient Bai Xue, and ran to the emergency department, attracting many passers-by along the way.

As a result, before she arrived at the emergency department, Bai Xue suddenly became a little irritable on the way, and the whole person began to wriggle, which frightened everyone.

Yi Zewen shouted again and again: "Hi, don't move, now you need absolute bed rest, is there anything uncomfortable?" You tell me. ”

Bai Xue spoke so low that she couldn't hear it at all.

Chen Qi knew at a glance that it was a matter of patient privacy, and while shouting at you to hold on, he quickly pushed it to the emergency department.

When the head nurse came over and asked, Chen Qi knew that the patient said that his stomach was uncomfortable and he wanted to have diarrhea.

Girls in this era are really conservative enough, just say it if they want to, and they still twist and pinch:

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

Bai Xue did it as soon as she heard this, and refused with a red face: "No, I'm going to the toilet, I, I don't want to be in bed." ”

Chen Qiban raised his face and began to teach a lesson:

"No, you may be in a coma again in your current situation, in case you convulsion and fall to the ground again, you may break your head, and you will not have the same good luck as the first two times.

You either have a head or heart problem now, you need bed rest, don't toss, it's not me scaring you, maybe you use so much force, or walk around, and then the time bomb that causes you to faint will completely explode, will you die, do you know? ”

Although Chen Qi was already patiently scaring her, Bai Xue couldn't accept to defecate on the bed, she was very anxious and impatient, and she was about to get up.

Chen Qi is unhappy now, thinking that beautiful little girls are so stubborn? What kind of princess disease is this?

"Come on, come on, you all come here, calm down, calm down."

Several nurses hurriedly came over and held Bai Xue down.

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

Chen Qi chuckled in his heart and raised his eyes: "I can't rule out this possibility." ”

So everyone's eyes looked at the patient on the hospital bed, who knew that at this time, Bai Xue suddenly stopped moving, was stunned, and closed her eyes.

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

Chen Qi, Yi Zewen, Zhang Xing and several other male doctors were a little stunned, and they couldn't think of what this female patient was doing? Could it really be a mental problem?

At this time, the head nurse is more experienced.

Chang Yunzhen, the nurse of the emergency department, is the deputy director of the nursing department, who is in her 40s this year and is very experienced in clinical nurse work. It was also ordered by Comrade Guo himself.

Nurse Shou seemed to realize something, and was about to pull open the quilt to take a look.

Bai Xue suddenly shouted out and grabbed the quilt: "Don't move~~~"

Suddenly, a shout startled everyone again.

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

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

I'm sorry, even if you're a fairy daughter, the you pull stinks.

Although the other male doctors did not say anything, they acted honestly and retreated towards the door, only the nurses stepped forward one by one to help.

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

"Chen Tou, is this fecal incontinence?"

Zhang Xing, who had just suspected epilepsy, leaned over and asked in a low voice: "Patients with epilepsy may have fecal incontinence, and I feel that this is in line again." ”

Chen Qi gave him a roll of the eyes,

"Do you think people look like they are incontinent, people can't help it, who doesn't have a time when they can't help it. Incontinence is pulled out without knowing it. ”

At this time, Bai Xue couldn't wait to find a crack in the ground to get into, and pulled a bed in front of strange doctors and nurses, it was really disgraceful, she felt that her face was completely lost, and she wanted to die.

Chen Qi had already smelled the stench at this time, and was about to excuse himself to go out and ask the nurse to help the patient change clothes.

Suddenly, the head nurse shouted:

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

"What?"

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

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

Snow white pants, sheets, buttocks are all black stool like this.

Chen Qi immediately estimated in his mind based on experience that the amount of bleeding must be at least a few hundred milliliters.

This is definitely not a small problem.

Chen Qi doesn't care about the question of whether men and women are intimate or not, anyway, he is a surgeon, what kind of light woman has never seen it? Just looked at Bai Xue eagerly and asked:

"Have you ever pooped black poop before?"

Her lips trembled a little, and she could tell that she was nervous too.

It is estimated that the stomach is a little more comfortable, nervous to nervous, and Bai Xue looks less anxious after pooping, so she replied:

"In the past, there were occasional black stools, and I didn't care about them, but they weren't as much black as they are today, and the color was darker."

"Have you ever had a stomach ulcer or duodenal ulcer before? Or have a stomach ache or something? Chen Qi continued to ask.

"I, I don't know, I have stomach pain, I don't care."

"Have you ever had a gastroscopy?" Chen Qi pressed forward step by step.

"No, no."

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

"Well, once in a while, when you don't eat cleanly, it's been years." Bai Xue was trying to remember.

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

"Comrade Bai Xue, tell us earlier if you have this problem, you see that you are making trouble today."

Manager Xie has his worries, as the saying goes, good things don't go out, bad things spread thousands of miles, Bai Xue's appearance of falling to the ground and convulsing today must have been spread all over the unit.

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

If everyone thinks that Bai Xue has "sheep madness", even if Bai Xue is cured and discharged from the hospital this time, her reputation will be ruined after returning to the unit, and everyone will treat her as if she is mentally ill.

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

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

"You didn't ask me."

Didn't ask.

Chen Qidi muttered, that is, you are a patient who faints and has convulsions, who will ask you about the condition of your usual stomach, and I can't think of a piece of it if I change it.

】

Black stools mean that there is bleeding from the gastrointestinal tract, and the bleeding should be relatively high, possibly in the duodenum or lower.

When such a large amount of blood is digested in the intestines, it turns black.

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

"You hurry up to the Department of Gastroenterology and ask Director Lan to come here, just say that there is a patient with gastrointestinal bleeding here, and ask her to bring a full set of gastroscopic instruments."

Chen Qi thought that if it was stomach bleeding, it would be better, and he had the intention to teach gastroenterologists how to use endoscopy to perform surgery, but now the opportunity was in front of him.

When Zhang Xing heard it, he immediately ran out.

found the possible cause, which made Chen Qi happy again, as a doctor, he was most afraid of overturning, not to mention that he was still the dean, and he had to fight for his own face.

"Head nurse, you immediately accelerated the speed of rehydration, quickly replenished the blood volume, and arranged for someone to find the blood transfusion department and ask for blood, red blood cells, and plasma. Lao Yi, you are going to use some hemostatic medicine. We're waiting for the gastroenterologist to come and consult. ”

Chen Qi is arranging rescue here, and Manager Xie is undecided.

"Doctor, you now 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 the point of view of simple common sense, your digestive tract is the digestive tract, the brain is the brain, and the heart is the heart, which are two different things.

You said that gastrointestinal bleeding may cause the patient to faint understandably, so how to explain this convulsion?

Not to mention that Manager Xie couldn't be understood by ordinary people, even the little doctors began to argue.

Connected?

Then you have to say a related truth, modern medicine is all about evidence.

Not in touch?

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

Apparently everyone wants to know the answer.

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

But seeing everyone's eager and skeptical eyes, Chen Qi had to mention a few words:

"This problem is very easy to explain, the patient will have a large amount of bleeding in a short period of time will lead to a rapid lack of circulating blood volume, which will lead to brain dysfunction in the brain due to ischemia and hypoxia, syncope is the most common, and convulsions are rare, but not nothing."

"Oh~~~"