As a surgical expert in his previous life, Chen Xia is not particularly professional in internal medicine, so of course he hopes that the patient can be transferred to another department immediately.
He always had a bad feeling because the patient's liver function was so high when he first came. If it was chronic hepatitis, it would be fine. It would rise slowly and then slowly go down.
But if liver function rises rapidly, it often means the possibility of severe hepatitis, which can be fatal.
Although patients' families in this era were often easy to talk to, medical disputes only occurred occasionally and were not as common as they would be decades later.
But think about the patient's identity. He works in the district government. This kind of people are the most troublesome. If you cure him, you won't get any credit. If you fail, they will turn against you immediately. Who knows which backer behind you will come and kill you.
Didn’t Chen Zhenwu encounter this troublesome thing in Jiangzhou?
Chen Xia has strong connections, but it's a problem. Wouldn't it be nice to be a "salted fish" in the emergency department and chat with the young nurses about life?
However, since the director of internal medicine and surgery refused to admit the patient, the patient had to be placed in the emergency department.
Chen Xia was cautious and asked his number one fan, Wu Shaochen, to keep a close eye on the patient day and night and report any changes immediately.
As for whether Wu Shaochen is willing or not, and whether he is available or not, what does that have to do with the senior doctors? The junior doctors in the hospital, whether now or in the future, have no human rights. Women are used as men, and men are used as animals.
Should he let this "Mr. Chen" keep an eye on her? She's not a delicate girl, so why should he keep an eye on her?
Fighting all night...
The next morning, Chen Xia drank ginseng and wolfberry tea and staggered all the way to the emergency department.
After changing clothes, Chen Xia found that Wu Shaochen had not appeared. Usually he would come to flatter her first, but today it was strange.
So Chen Xia went to the observation room to check on the patients according to his usual working order, and saw Wu Shaochen observing the patients with a strange look on his face.
"Wu Shaochen, how was the patient's mood last night?"
"Mr. Chen, you're here. Just in time. Hurry up! The patient's condition has improved. Look, there are scattered red macules and blisters on his chest, back, and upper limbs. There are also pustules in some areas, most of which are on the upper chest and back. The itching is not obvious."
After hearing this, Chen Xia's premonition about this patient became even worse, and he hurriedly asked, "Besides the blisters, are there any other symptoms?"
"There has been no change yet. I don't have chills or fever, nor do I have chest tightness, shortness of breath, cough or sputum. I just feel a little weak."
Well, yesterday the internal medicine and surgery departments came for a consultation, so it seems we have to contact the infectious disease department today.
After receiving the call, Ren Yuanfei came over in person.
He was actually very worried about his young apprentice working in the emergency department. This department deals with critically ill patients all day long, and people can die if they are not careful.
In his eyes, although Chen Xia's theoretical level was good, he lacked clinical experience after all. Clinical experience and books were two completely different concepts.
So when he heard that there was a request for an emergency consultation, he rushed over in person to stand up for his young apprentice.
Director Ren took one look and knew what the illness was. "It's chickenpox, very clear. How did this patient get admitted to the hospital?"
So Chen Xia continued to describe the medical history of the past two days. Ren Yuanfei thought for a moment:
"It seems the abdominal pain may also be related to chickenpox. Viral infections often cause nerve pain, and abdominal pain is one of the symptoms."
Chen Xia had an expression that said, "I see."
For diseases with no clear cause, any explanation is helpful for diagnosis.
Ren Yuanfei then asked the family, "By the way, has anyone in your family or the surrounding area had chickenpox?"
The patient's wife quickly replied, "My youngest son had chickenpox a few days ago. Could he have infected him?"
Ren Yuanfei nodded. "It's almost certain. It's okay. This disease has been quite common in our infectious disease department these days. Xiaoxia, you can start with the arabinoside injection and vitamin C injection. If necessary, you can use some calamine."
"OK, Master is still amazing."
"Haha, work harder in the emergency department, you hear me?"
The more relaxed the doctor's expression and the shorter the diagnosis time, the milder the condition, which is a good thing.
Many patients who go to the hospital for treatment always complain, "Damn it, I waited in line for two hours, and the consultation took less than three minutes. They didn't even examine me properly before prescribing medicine. What a quack."
In fact, this is not necessarily a bad thing. It means that your condition is very simple, the diagnosis is very clear, and the doctor is decisive in using medication.
When the doctor asks you to lie on the examination bed, frowns and touches and listens again and again, then calls for instructions and asks you to be hospitalized, it means that you have been given a yellow card.
If you are hospitalized, you will immediately be surrounded by a group of white-haired experts, a pot-bellied director, and a serious-looking attending physician, who will visit you every day, several times a day, and then you will be doomed.
Definitely a red card warning.
Experts don’t usually appear, and when they do, it’s definitely something special.
The more relaxed Ren Yuanfei's expression became, the more relieved the patient and his family members felt. Although the patient himself did not feel any better, the upper abdominal pain was getting worse, and he felt nauseous and vomiting.
But since three or four experts couldn't tell what was wrong, he comforted himself that the condition was not serious and he should just grit his teeth and bear with it.
Director Ren still neglected the extremely high liver function index...
After all, Chen Xia was only working part-time in the emergency department, and his main job was in the general affairs department. It just so happened that they had to prepare for the sanitation construction work today, so he didn't care about the chickenpox patient and hurried to clean up.
In the 1980s, people liked to do collective cleaning and then have a competition within the system to see who was cleaner.
When the awards are given, you will get a small red flag or something like that. The key is that the leaders of the unit also attach great importance to it.
Chen Xia came from the future and was quite disgusted by this kind of thing. In a good hospital, people should just get treated properly. Why make so many troubles?
He dared to say that? Comrade Lao Gu could give him a good kick in the ass.
The busiest group these days is the 20 cleaning staff, who wear red armbands and sweep brooms every day to clean the hospital.
Most of the people in the cleaning team are older uncles and aunts. The elderly are responsible for cleaning throughout the year, and Chen Xia, a young man, is not capable of giving orders.
So the future billionaire, the chief of the hospital's general affairs department, picked up a broom and became a cleaner himself.
Some doctors and nurses were leaning against the windows to watch the fun. "Hey, Chief Chen, why aren't you handing out fruit today? Why are you sweeping the floor instead?"
Chen Xia lamented as he swept the floor, "I thought being a section chief would allow me to lord it over the hospital. I never imagined this section chief would be on the same level as the toilet director or the head of the septic tank. What a miserable life!"
The group of young doctors and nurses upstairs all burst into laughter.
There is this Section Chief Chen who not only eats delicious food and drinks spicy drinks, but can also make jokes casually. How can he not be loved by the employees?
Before he knew it, he had become the most popular leader in the entire hospital.
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