Chapter 504: Local Resident
"You don't know this female doctor? Since she said so, she must not be false. â
"That's right, you don't even recognize Zhou Guoshou's female disciples, why do you say that others can't do it? It has been spread all over the Internet, and yesterday this Dr. Tao Le was on the train, and he used a few needles to help many passengers cure altitude sickness, and the effect was particularly good. â
As soon as they said this, some people immediately followed the Internet to verify it.
"There is an entry for her on the Internet! Tao Le, it's really me! He is still an honorary member of the Chinese Medical Association, so what he said must be accurate. â
"I recognized her just now. is so enthusiastic about people who don't know each other, he really deserves to be a disciple of Zhou Guoshou, this doctor is benevolent, tsk! â
"I said you're a father, what are you still grinding here. Hurry up and take your child to the hospital for a check-up, don't delay! â
At this point, the father himself checked the information on the Internet, although he was still a little skeptical, but at least he was not as insistent as before.
"Okay, I'll take him to the hospital." He made up his mind.
"I'll go with you." Tao Le was a little uneasy.
Ye Chen and Xie Baoshu glanced at each other, and they both gave up playing, and accompanied them to the Central Hospital of Saxa.
For such a serious emergency, it is natural to have to hang an emergency department.
The newly built Saska Emergency Center building is closely connected to the main building of Saska Central Hospital, but it has not yet been officially opened because the medical team has not yet been put on duty.
At this time, the emergency department of the central hospital was still in the old building, and the place was relatively small.
But doctors are different. The state's policy of grouping aid to Tibet has not just begun today, but is a huge project that is systematically and gradually advancing.
At this moment, 80 percent of the medical staff from Beijing City have come to Tibet in the central hospital of Saxa, and many of them are experts in various disciplines.
The emergency department is no exception. Before the construction of the high-level emergency center, Liang Hong, deputy director of the emergency department of the Second Hospital of Beijing, played a leading role here.
However, it has been a bit unfortunate in the past few days, Liang Hong and many doctors in the department have gone to the ALD area to participate in the free clinic, and the person sitting in the emergency internal medicine department is Chang Shengnan, a local resident doctor.
Although she is not Tibetan, she entered the central hospital of Sa after graduation, and it has been seven or eight years in a blink of an eye.
A large number of experts and doctors from Beijing have poured in, bringing many new medical concepts and new treatment methods, and she has also benefited a lot from them, and her self-awareness and ability have been more than one step higher than before.
The child in front of him can still stand here well, and it doesn't seem like a big problem.
"Don't worry too much, it's just normal altitude sickness, the child's resistance is weak. I'll open some plateau peace, just go back and eat and rest more. â
It's no wonder that she didn't investigate in detail, so she directly gave a doctor's order.
Sa is the gateway station to Tibet, and it is also the pinnacle city of medical technology in the entire Tibetan Province, undertaking the task of "not leaving Tibet when seriously ill", so there are countless patients who come here every day.
She has seen a lot of altitude sickness, mild and severe, including cerebral edema and pulmonary edema.
These two complications often occur in 2-6 days after entering the plateau area, and the onset is rapid, and it is often severe when it is found that it is sent to the hospital, with headache, dizziness, nausea, vomiting, coma, convulsions, dyspnea, cough, and sometimes coughing up white or pink foamy sputum and other typical symptoms.
In contrast, the performance of the child in front of her was not serious, and she did not rely on those two complications at all.
It would certainly be unrealistic to give every patient who comes to see hyperreflex a chest X-ray of the brain.
With the existing equipment and manpower of the imaging department, it will definitely not be able to do it.
Of course, as far as the patient himself is concerned, he is also willing to do less examination, and the two sides hit it off and there is nothing wrong with it.
The problem is that although the patient's family has no opinion, the three outsiders who accompanied him are inexplicably unhappy.
"Doctor, this child should have cerebral edema and pulmonary edema." Tao Le said: "You can take a brain CT and chest X-ray for him." â
Chang Shengnan raised his head and glanced at Tao Le.
"You're teaching me how to see a doctor?" She said angrily: "Don't you see, there are still many people waiting to see a doctor behind." â
The three of Tao Le have done a lot of work to see a doctor, and they are naturally clear about what is going on in the middle.
"You can help prescribe a check-up, and we will pay for it immediately, and we won't delay their treatment." Ye Chen said.
Chang Shengnan simply put down his pen: "You are the family of this child?" â
"It's not." "But we are," he said.
She was just about to release the news that she would start working as a colleague tomorrow when Chang Shengnan interrupted her.
"If it's not a family, don't worry about it so much. This kid is an ordinary high reaction, just go back and take medicine and rest. â
She shoved the doctor's order slip into the child's father's hand and shouted, "Next! â
The child's father took the child's hand, thought about it and then turned back and asked, "Doctor, if we listen to your words and take medicine, and go to Yanghu and Namco tomorrow and the day after tomorrow, can we do it?" â
"It stands to reason that as long as the symptoms improve, it's not a big problem." Chang Shengnan said.
"Thank you, doctor." The father showed joy on his face, and turned to Tao Le again: "Then Doctor Tao, let's go first?" â
He was about to be polite, but Tao Le stopped him with a serious face.
"Doctor. The child had developed pulmonary and cerebral edema and had to be hospitalized and transferred to a lower altitude as soon as he was stabilized. â
"You must not continue the journey below."
Chang Shengnan simply held his cheeks with his hands, listened casually, and didn't answer.
Her attitude made Xie Baoshu and Ye Chen both surprised and angry.
"Doctor, is it so difficult to make a checklist and determine the symptoms?" č°ĒåŪæķē says:
"This kid is coughing more and more, you have also auscultated just now, you should be able to hear something wrong, right?"
"Didn't hear anything wrong." Chang Shengnan opened Chrysostom: "So, don't look at some serious symptoms of high reaction, just put it on yourself, so it is easy to form psychological hints." â
"But you haven't done any other tests, how can you be sure that your child won't get either disease?" Ye Chen also asked with a frown.
"It's funny. I saw heaven and earth sitting here, and I saw more patients with altitude sickness. Chang Shengnan sneered: "But it's really the first time I've seen someone like you." â
"And do you know that we don't have a lot of imaging equipment in our hospital, and the emergency department has to be shared with the outpatient department - if it is occupied by unwanted patients, the patients who need it urgently will be delayed."
Speaking of this, she suddenly remembered that Director Liang always talked about it, and she should strengthen her sense of service and try her best to avoid doctor-patient disputes.
This has always been the least important thing she cares about.
Director Liang and these Tibetan doctors have been in Tibet for too short a time, and they do not understand the Tibetan people's outlook on life and death and their open-minded nature.
The people here have always respected the doctors, do not complain about the sky, do not care about the people, and it is the province with the least medical trouble in the country.
Practicing medicine here, she has long formed her own set of rules of conduct, which are difficult to change.
However, what is in front of you is obviously a tourist from other places, and it should be treated differently.
"Don't overthink it. If this child really has pulmonary edema and cerebral edema, as you say, it will definitely be progressive. It's never too late to come back."
As soon as she said this, Tao Le slammed her palm on the table.
(End of chapter)