"In the afternoon. After taking a nap, I suddenly had a fever. I don't know if it was because it was too hot this afternoon." said the old lady.
After coming in and standing behind Teacher Xin, Xie Wanying and Yue Wentong did not disturb the teacher from seeing the patient, but just watched and followed from behind. When the old lady was talking, she kept touching her knees with both hands, as if her knees were very painful.
Obviously, Xin Yanjun noticed this early on. So sometimes the patient doesn't say it or forgets to say it or can't say it, and the doctor can observe the patient's potential problems by himself.
"Doctor, do I have a cold?" the old lady asked the doctor. "Oh, I really didn't take care of myself. I shouldn't have walked around outside and caught a cold."
Xin Yanjun told her to comfort her: "No, you don't have a cold."
"If it's not a cold, what is it?"
"You must have had similar fevers before. Have you seen a rheumatoid doctor in the rheumatology and immunology department of the hospital?"
After the doctor's reminder, the old lady remembered her old illness.
"Have you taken your medicine properly recently?" the doctor then asked the patient about his medication history.
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Rheumatoid arthritis is a chronic disease and an autoimmune disease. Like diabetic patients, rheumatoid arthritis patients need to take long-term medication and undergo regular checkups. If it is not controlled well, once it affects important organs such as the heart and kidneys and becomes a serious illness, the consequences will be disastrous. Fever is a sign that the disease is not going well. Therefore, Xin Yanjun suggested that the patient be hospitalized for reexamination and treatment.
Seeing this, Xie Wanying went out to help her teacher call the Internal Medicine Department 5 of the National Association for Disease Control and Prevention. Internal Medicine Department 5 is the endocrine and immunology department, wondering if there are any extra beds to admit patients.
The old lady complained about herself: "I seem to have forgotten to take medicine recently. I thought I had a cold. Look, doctor, does my cough sound like a cold?"
"Coughing is not necessarily a cold." Xin Yanjun patiently explained to the patient.
Rheumatoid disease affects the heart and respiratory system, and can also cause coughing. This is definitely more serious than the common cold. So it is necessary to check the condition of the internal organs. Take a chest X-ray and do an echocardiogram.
After explaining it clearly to the patient, the nurse pushed a wheelchair to take the patient with limited mobility to the inpatient department. Xin Yanjun turned around and saw the two students coming back. She asked, "How was it? Did you learn anything from going out with Teacher Li?"
Xie Wanying and Yue Wentong hesitated.
The injured person was not dead and was brought back for surgery.
Xin Yanjun admired in her heart that the neurosurgery department of her hospital was very good. Since Cao Yong took charge, the neurosurgery department of the National Association has become more and more famous.
The effect brought about by a famous doctor is immeasurable.
After all, after saving the person, her classmate Li would probably be very proud and want to show off to her. It can only be said that classmate Li was much luckier than her. If the school she went to had a strong ability to organize rescue like the construction site, perhaps it would not have been a tragic ending.
"Doctor Xin." Sister Xu walked to the internal medicine clinic and asked her, "I asked Doctor Dong, and Doctor Dong said that you are in charge of the internal medicine emergency department tonight, right?"
"Is there another patient?" Xin Yanjun turned around and asked.
"Yes, it's a patient with hypertension and a history of multiple cerebral infarctions. He said he seems to be mentally confused again. Call 120." Sister Xu conveyed what 120 said.
Xin Yanjun stood up and called the two students: "Let's go. Let's see if we can get someone back this time."
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