The newly admitted patient with angina pectoris needed further investigation to determine whether he had a myocardial infarction, so he was sent to the emergency room for observation.
After greeting Dr. Dong, Xin Yanjun took the students back to the clinic to continue seeing other patients.
It seems like I will never finish reading all the medical records on my desk. I don’t know what time I will be able to rest tonight.
The patients who come to the emergency department are not necessarily all seriously ill. Most of them can actually be treated in the daytime outpatient clinic. For example, now in autumn, many patients with colds and fevers come to see the doctor.
A male patient, a young man in his twenties, came and said he had a sore throat.
The doctor asked him to open his mouth and shone a flashlight inside.
Xie Wanying, who was watching with the teacher, blinked: It's measles mucosal spots.
Another consequence of the widespread measles vaccination is that the onset age is no longer in childhood, but has been delayed to adulthood. The outbreak season has been postponed from autumn to spring next year. The measles outbreak of the young man in front of me was both expected and a little unexpected by the doctor.
The patient himself never thought that he would get measles. He only knew that his throat was so sore that he had a fever.
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"Doctor, the throat medicine I bought at the pharmacy didn't help. They said that the pain I was in was not from pharyngitis, but from tonsillitis. I need an IV drip, right?"
No, you are the opposite of that little boy, you have measles.
Measles is an infectious disease. The doctor who saw me was a little scared. Fortunately, I wore a mask and gloves.
"You need to be hospitalized for your illness." Xin Yanjun immediately said to the young man.
"Hospitalization? No way." The young man waved his hands repeatedly, "I don't have money for hospitalization, doctor."
The clothes on the young man looked like those of migrant workers who came to the city to work. The doctor saw it, but the patient had to be hospitalized in his current condition. Not to mention whether he would infect others and cause them to get sick if he went back to the outside world, more importantly, the probability of severe measles in adults is much higher than that in children.
The patient is now running a high fever, and the doctor has reason to speculate that his condition will develop into a serious condition.
"Do you have any friends? Can you contact your family? Where is your workplace?"
The doctor asked question after question, but the young man just emphasized: "Please give me some medicine and an injection to reduce my fever. I have to go back to work at the construction site tomorrow."
"Which company do you work for?"
“I’m not in the hospital.”
"You have to be hospitalized! You have measles!"
At times like this, doctors can't back off. The old lady doctor can give way for now and make plans based on the situation. If the young man is released, he will die if his condition deteriorates rapidly within two days.
The young man was stunned, as if he couldn't understand why the doctor in front of him was more anxious than he, who was sick.
Ignorance is bliss. For patients like this, when they are not sick, they have no idea that they are about to die and think they are still fine. Doctors have learned relevant knowledge and seem to have precognitive eyes. They can see what is about to happen to patients and not rush to death.
"You must listen to me and notify your friends to come over immediately. I don't believe you don't have any friends or fellow villagers. Tell them that you will be in trouble if you don't stay in the hospital. The doctor won't lie to you." Xin Yanjun said, and she was so anxious that she turned the medical records in her hand over and over again.
A person passed by the clinic door, heard the conversation inside, poked his head in and asked, "Aren't you going to be hospitalized?"
Hearing this voice, several people in the room turned their heads.
It was Dr. Li Chengyuan. Xie Wanying recognized the senior surgeon in the Department of Cardiothoracic Surgery.
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