Chapter 138 138 Coffee-like vomit & pursuit & piercing...
Seeing the six words "coffee-like vomitus", the DNA of medical students is stirred. This is a must-test question that will give you easy points!
In every version of the textbook, no matter who wrote it, the clinical significance of these five words is upper gastrointestinal bleeding.
Originally, blood is bright red, as we all know. However, if it is upper gastrointestinal bleeding, the blood will be converted into acidified hemoglobin by gastric acid in the stomach, and will appear brown.
Upper gastrointestinal bleeding is an emergency of the digestive system and requires immediate hospitalization, otherwise it may be life-threatening.
Although Shu Jinyue was unhappy about them ordering her around and affecting her work, she knew what was important and what was not when it came to curing diseases and saving lives. "Comrade, what did you eat today?"
The person who just vomited was a middle-aged man, about 47 or 48 years old, with a hunched back and was fat. His complexion also looked normal, not pale or sallow... The key point was, this person looked somewhat familiar.
Shu Jinyue thought about it for a while, and heard the people next to him calling him "Director Shen". Suddenly he remembered, could this be Shen Heping?
She said "maybe" because she was not sure. After all, her impression of Shen Heping should still be the year when his second brother and his wife got married. But that was more than ten years ago. She had to meet so many people every day and see so many different facial features and heights. His appearance had been covered by thousands of facial features.
In addition, Shen Heping, who is now middle-aged, has long lost the appearance of his youth. He is fat and hunched, and now looks like a middle-aged man in his forties or fifties. No wonder Jin Yue didn't recognize him. Xu Duan is two years older than him, and looks tall and thin with obvious muscle lines, but he has completely become a middle-aged greasy old man.
In fact, Shen Heping had not said much. He had recognized Shu Jinyue a long time ago. He was quite embarrassed at this time, but in front of his direct leader, it was not easy not to answer, "I didn't eat anything, I just felt like vomiting...yue..." Another mouthful.
Shu Jinyue and everyone present could see clearly that it was indeed a brown paste with a foul smell.
She really disliked Shen Heping. She was young and didn't understand it back then, but now she knows with her toes that Shen Heping took a fancy to her because he thought she was young, easy to control, and easy to train. He wanted to PUA her into the woman who would be most beneficial to him and his family.
But at this moment, Shu Jinyue no longer cared about the past grudges, because Shen Heping's situation was not optimistic. "Has your stool been dark recently?"
After Shen Heping vomited, he paused for two seconds and nodded slightly.
"Do you often have stomachaches?" Jin Yue was afraid that he couldn't tell where his stomach was, so he pressed his stomach with his hand.
Shen Heping thought for a moment, “I usually go out to eat and drink, and I don’t eat on time, so my stomach is not very good.”
Well, considering the color, properties, smell, black stools, upper abdominal pain, irregular diet and drinking, I can be more and more sure that this is typical upper gastrointestinal bleeding! You can’t go wrong with your eyes closed!
"I suggest you go to the hospital right away, the sooner the better. You are now in the acute stage of upper gastrointestinal bleeding and need to stop the bleeding immediately." You might go into shock, which is a life-threatening situation.
Shu Jinyue was not exaggerating, because from the time he entered the door until now, in just over ten minutes, he suddenly vomited two large mouthfuls of blood. Jinyue suspected that the amount of blood he was bleeding was actually very large, but it was accumulated in his stomach and could not be seen by the naked eye.
Another officer laughed dryly, "Vomiting blood? But where is the red color? Even a fool knows that blood is red."
Shu Jinyue was too lazy to explain this stupid question, she just looked at Shen Heping, “If you don’t believe me, I can take your pulse.”
Shen Heping was frightened by her at first, but then he realized what his colleague said. Yes, vomiting blood should be red. He just vomited some bean paste-colored stuff, the same color as the coffee he drank last night. Calling it "blood" doesn't sound reliable no matter how you listen to it.
Maybe the coffee I drank last night was not digested and I vomited it out again.
Shen Heping was unwilling to accept Jin Yue's diagnosis. He came today to arrange for Wang Mate to inject capital into Shu Jin Yue. Once he injected capital, it would be considered an investment, a foreign investment, and his job would be completed. Isn't such a simple thing more delicious than his daily social engagements and drinking with those bosses? If you do it well, you can get a bonus!
Therefore, he had to get this done today, so he had no time to go to the hospital.
"No, I'm fine." He said with full energy, "I just ate something bad yesterday."
"The vomit is not bright red. It is the effect of blood being affected by stomach acid. You cannot judge it by the naked eye. Besides, you already have black stools. You need to be hospitalized immediately."
Shen Heping remained unmoved, even quite impatient. Xu Duan and Shu Jinyue had been living a good life in recent years. He knew it and felt so jealous that he wanted to find a reason to report them, preferably to bring Xu Duan down from the altar. Unfortunately, it is not fashionable to report things at every turn nowadays. He thought about it for several years but couldn't find any flaws, so he had to give up in the end.
Now let him listen to Shu Jinyue and go to the hospital for treatment? That would be as uncomfortable as forcing him to eat shit in public.
Except for Shu Jinyue, even Qi Lixin were not considered true professionals. Everyone judged with their naked eyes and felt that it was not vomiting blood. In addition, the man was tall and plump, with a good complexion and a strong voice. He did not sound like a sick person, so no one said anything and just watched the fun.
Some people even thought: Isn’t it said that Dr. Shu is very skilled? He even misdiagnosed this kind of disease. He said the patient was bleeding when there was clearly no blood.
However, the people in the clinic and the old patients all believed Shu Jinyue and gave him some advice. "Comrade, Dr. Shu is never wrong when treating patients, you should pay attention to what she says."
"Yes, if you don't want to take Chinese medicine, you should go to the hospital for a check-up. It's always a good idea to get checked, and it doesn't cost much."
Shen Heping remained unmoved and began to look angry. He suspected that Shu Jinyue had recognized him, so he deliberately embarrassed him in public and intimidated him, hoping that he would give up introducing Wang Mate's investment, thereby affecting his work performance and achieving the purpose of retaliating against him.
After all, when he was exposed by Xu Duan in person, things became quite unpleasant among the three of them, so she must be taking revenge.
Shu Jinyue didn't have so much time to talk to him. There were so many patients waiting at the door of the clinic. If he delayed for one more minute now, he would have to delay his get off work by one minute. It was not worth it.
Anyway, that's all I have to say. She can't just force him to go to the hospital. People who don't know might think that she has some kind of vested interest in the hospital and is specifically sending patients to them.
Good words cannot persuade a damned ghost.
Wang Matt has been very irritable, especially when he found that Shu Jinyue was getting even angrier. "You three, go back if you have nothing to do. Don't be an eyesore here. I have something to say to Dr. Shu."
The three staff members quickly winked at Shu Jinyue, but Jinyue was too lazy to pay attention to them. She didn't even want to pay attention to Wang Matt. "I'm going to continue working."
She didn't ask him to wait, didn't agree to talk to him, and didn't even ask someone to pour him a glass of water. She just left so rudely!
The three staff members who had not left yet looked at the Hong Kong businessman who was so arrogant towards them just a second ago and now stood up and bent down, bidding farewell to Dr. Shu as if he were seeing off a leader. Their mood suddenly became subtle.
The person who had just laughed at Jin Yue for talking about bleeding began to feel worried: Who is this Doctor Shu? Why are even Hong Kong businessmen so respectful to her?
Shen Heping, on the other hand, was anxious to go home and rest. His stomach did feel a little uncomfortable, but he didn't think he was sick, let alone a serious illness. He thought he just drank too much a few days ago and had an upset stomach.
Every time this happens, he just goes home, drinks some honey water and lies down for half a day and he'll be fine. Why bother seeing a doctor or going to a hospital, not to mention taking Chinese medicine? They are simply trying to cheat him out of his money!
It was another staff member who had been silent the whole time who cautiously reminded him: "Brother Chen, you'd better go to the hospital."
"It's okay, I'm fine, I just drank too much, I just need to rest for a while." Nowadays, being able to go out for social events and accompany drinking is a matter of face, and so many people are vying for a job. If it weren't for his outstanding appearance (in the past) and his ability to talk and have fun, he would not have gotten such a good job.
Since his father-in-law fell from power, his life in the Materials Bureau was extremely difficult. His wife was very strict with him and he could not save a penny. Later, after he had a child, his wife became more reassured and he could not run away, so his father-in-law helped him to move to the China Merchants Group. Unfortunately, China Merchants Group is full of talented people, and he is a newcomer with no foundation and is old, so he has no room for promotion and has been just an ordinary clerk for so many years.
He dreamed of making some achievements and moving up the ladder. By coincidence, he knew Wang Mate's identity from somewhere and also knew that this wealthy Hong Kong businessman was going to invest in a book city. He found ways to contact him and inquire about his preferences and intentions. When he learned that Wang Mate wanted to invest in a private hospital, he immediately stepped forward to "help".
Who would have thought that the "miracle doctor" that Wang Matt praised so highly was actually Shu Jinyue!
When he thought about how she had opened a hospital at such a young age, while he was just an ordinary clerk, fawning and bowing to those younger than him, he felt as if he had drunk ten kilograms of aged vinegar. He felt so uncomfortable that he didn't even think of drinking honey water when he got home, and didn't tell anyone that he was not feeling well.
He felt that his discomfort was caused by the old vinegar.
***
When Shu Jinyue came out after seeing the patient, Wang Matt immediately came forward and said, "Doctor Shu, Doctor Shu, please listen to my explanation."
"I guess there's nothing to explain between us."
"You may have misunderstood me. I am not here today to inject capital to dilute your equity. I am just very interested in your opening of a private hospital, so I want to talk to you."
Shu Jinyue took off his white coat, washed his hands and prepared to leave.
She was really angry. Why didn't anyone say they would support her dream when she didn't want to open the hospital? Now that the hospital has been built and renovated, and it will be open for business soon, suddenly everyone comes out and asks for investment. Isn't this just taking advantage of her?
Even when her second brother and sister-in-law tightened their belts and paid so much money, they still refused to accept her shares because they knew this was her dream and her career. This Wang Matt is so good, he wants to take advantage of the ready-made advantage. To put it bluntly, who does he think he is?
Is it his turn to get some bargains?
"Give me ten minutes, okay? I can explain it clearly in ten minutes."
It's really a dog-skin plaster, but it is still useful at the critical moment. Jin Yue thought about the two blue and white wine cups. If it weren't for the big client he recommended, they might not have been sold yet. Where would she get the money to build the hospital?
Forget it, forget it. It's not like Shu Jinyue doesn't know how to be grateful. "Okay, then you tell me."
"I don't want an injection of capital. I want to repay Dr. Shu for saving my life. If you have any difficulties, just tell me. I don't know what you need. I thought you were short of money, so I asked for an injection of capital, not your equity. I swear I..." He spoke in hot Mandarin, and his speed was so fast that Shu Jinyue could only guess what he understood.
She really was short of money, but she couldn't ask him for it. After all, he didn't owe her anything, and she had already repaid him for his medical treatment.
What she has been worrying about recently is money. She lacks money, too much. The hospital is now open for business, but she wants to attract some traffic. Because hospital charges are in accordance with policy regulations, it is impossible to charge patients a penny more. But compared with public hospitals that receive financial subsidies, private hospitals have to advance every penny spent in the beginning, and that is actually taken out of their pockets.
In order to prepare the money for her, Xu Duan has been busy talking to clients recently, traveling all over the country, working around the clock without a break all week long. She feels sorry for him seeing this.
Jin Yue wanted to increase the exposure of the hospital and do some tangible good things, such as preparing some discounts to attract more people. This was also a helpless move before the word of mouth was officially established.
You can't just sit in the office and wait for patients to come and for profits to fall from the sky.
"I want to donate a batch of medical equipment to your hospital, but I don't know what you have purchased so far and what you are still short of. I am also afraid of buying duplicates, so I want to ask you first."
Shu Jinyue was stunned. Is he so kind?
Although he often does stupid things, Shu Jinyue doesn't think he is a good man. There is no such thing as a truly naive person who can start from scratch and become a wealthy man.
"What do you need from me?"
"Hey, can you... can you please help me persuade Miss Tian?"
Shu Jinyue had a face full of question marks.
"I am currently pursuing her, but she rejected me. I like her very much and hope to spend the rest of my life with her, grow old together, and treat her son as my son..."
Shu Jinyue really wanted to say: Brother, you are old but she is not, how can you live together till old age?
Tian Meizhi is only forty years old this year, and you are over sixty. Even if you are rich, you can't hide the smell of an old man. It is natural for her to reject you.
"Although I am older than her, I am kind, funny and wealthy. Being my girlfriend, she will experience a completely different life and see different scenery."
"I'm sorry, I can't help you with this."
Wang Matt wanted to talk more, but Jin Yue didn't want to talk to him anymore. She thought it was a big deal. He asked her to help him pursue Tian Meizhi. It was not a big deal, but she couldn't do it.
Tian Meizhi had clearly refused, but she still insisted on being a matchmaker. Is she still a person?
"I'm not forcing you to pair me with her. She may be worried about my body. In fact, my sexual function has long been restored and is very good now. You are a doctor, you can help me explain it, right?"
Shu Jinyue was speechless, "I'm sorry, this is your private matter."
Wang Matt was still nagging, so Jin Yue went out, took his mother with him, and drove home for dinner.
"This Wang Matt is really like a dog-skin plaster. Tian Meizhi rejected him, but he still shamelessly said that his ability has been restored. He must have been having a lot of fun in Hong Kong City during this period. How can we know whether his ability has been restored or not?"
Zhao Wanqiu smiled and said, "Tian Meizhi has quite a few suitors. A few days ago, I heard Qi Peilan say that Li Xin also wanted to pursue her, but unfortunately Tian Meizhi didn't like him."
Shu Jinyue: "Ah? There is such a thing?"
Tian Meizhi is popular with people of all ages!
Although Qi Lixin is actually not young anymore, he still looks quite young.
But to be honest, Jin Yue is a woman and she also likes Tian Meizhi. She is beautiful, has a good figure, is cheerful and generous, can endure hardships but not suffer losses, and will take revenge on the spot. If Jin Yue was an unmarried man, she would also pursue her.
I just don’t know when Qi Lixin fell in love with her? According to what she said before, old men are unreliable and young men are not honest. Neither the old nor the young is her type.
The mother and daughter chatted and soon returned home. Jin Yue took good care of her two babies. They were three months old and could already be held upright, and they could even lift their heads well. The whole family carried one in each hand, so the two nannies only needed to take care of them during the day.
The little moon tilted its head back and looked here and there. It would turn its head towards wherever there was a sound. It was very active.
"Why isn't Xiao Xingxing moving?" Xiao Ping'an stared at his brother lying on the kang, very puzzled, "Is he lazy?"
When everyone looked back, they saw the chubby white boy just lying there stupidly, his eyes moving occasionally, his chubby little hands holding a small rattle and staring at it quietly, as if he didn't notice that everyone was looking at him.
This child is completely different now than he was during the confinement period. Not only has he gained weight, his facial features seem to have changed, and even his personality has changed a lot. During the confinement period, he would cry for a long time if he was hungry, but now he especially likes to meditate... The Shu family temporarily calls this state "meditation."
"Don't worry about him, let's eat our own food."
Xu Duan is not here today as he is on a business trip again. After dinner, Jin Yue asked the two nannies not to go home as she needed them to take her to bed tonight and she really didn't have time herself - she had to read in the evening and visit several doctors tomorrow.
The list Hu Rongsheng gave her was very long. There were eighteen Chinese medicine practitioners alone. There were also some old pharmacists who had left the Hu family. They only had a name and a rough address or unit. It took a lot of effort for Jin Yue to find them one by one.
"The address that Master Hu gave me was before the founding of the People's Republic of China. Now many places have changed their names and many families have moved. I spent a whole day looking for it yesterday and only found one."
"How is it?" Zhao Wanqiu asked hurriedly.
Jin Yue sighed, "We found the descendants of the old Chinese doctor. The old doctor has been dead for several years. His descendants have learned nothing and are just ordinary workers."
This is not the most regrettable thing. The most regrettable thing is that this old master was a very good acupuncturist. In the old society, his acupuncture skills were very famous in Shucheng City. He could even achieve the effect of removing bullets by acupuncture anesthesia. Such a magical skill was actually lost, which makes me sad today.
"So he has no successors, disciples or anything like that?"
"His descendants said no."
Zhao Wanqiu lamented, "It's such a pity that such technology has been lost, and almost no one will be able to reach his level in the future." The significance of the existence of successors is to carry forward the expertise and create new heights based on the original high foundation.
If we can't reach a new high, at least we shouldn't let it fall into decline and be completely lost.
Zhao Wanqiu felt a little anxious after hearing this. "Summer vacation is coming soon. Let Yaya come to my clinic."
Last year, Yaya kept asking Jin Yue to go to the outpatient clinic, and Jin Yue almost agreed. But when she looked at her grades, she found that she had dropped two places. She was also found by the teacher to be directly brought to Shu Wenyan because she whispered with classmates during the exam. Shu Wenyan was very angry and ordered her to do her summer homework at home. So the outpatient clinic was put on hold.
Now the whole family agrees that Yaya should study Chinese medicine with Jinyue, but they have requirements for her grades and she cannot fall out of the top three in the class. This is because they are afraid that she is too young and her attention and energy are limited. If she focuses on studying Chinese medicine, her academic performance will be neglected.
In the future, she will have to take the college entrance examination and receive professional education. If she can't even get into college, in the eyes of the world, this child will be considered "hopeless".
Many years in the future they will find that this rigid requirement is necessary.
"Ya Ya is one of the heirs of our family, and Xing Xing and Yue Yue will be the same in the future."
Jin Yue laughed, "Mom, don't say it so early. We don't know what they will look like yet, and we don't know if they will be interested. I don't want to be the second Qi Huanxin."
The disciples she wants to train must be those who are truly interested in Chinese medicine, not those who are forced to learn it. It doesn't matter if they don't have talent. Anyway, she won't just teach these few disciples. She is only in her thirties now, and there is plenty of time to accept more disciples in the future.
Pick a few more, there will always be a suitable one. If one cannot be developed, then pick two, three, or ten. She will always have a chance to cultivate them. As long as they like Chinese medicine and are willing to study it hard, she is willing to teach them everything she knows.
***
For the next half month, Shu Jinyue was as busy as a top. On the one hand, he had to look for doctors everywhere, especially those experienced traditional Chinese medicine practitioners and pharmacists, and on the other hand, he had to prepare for the purchase of equipment.
Although she rejected Wang Mate, Wang Mate was thick-skinned and went to Old Wang himself to ask what equipment they needed and he would sponsor them, but he stated that he did not want any shares.
Currently, the most advanced "three major items" in district and county hospitals are X-ray machines, biochemical analyzers and black-and-white ultrasound machines, but Jin Yue thinks they are not good enough. She always feels that the imaging technology is too poor and too blurry, and is very dependent on the doctor's technical level and clinical experience. She wants to buy a CT machine, but has no money.
Who is Lao Wangtou? He was a smart and stubborn old man. "Can you sponsor us a CT machine? When our hospital is established and we have extra money, we will create a foundation and name it after Boss Wang. What do you think? Of course, if you need some medical convenience, we will also open our doors to you. If there is anything around you that needs our treatment or examination, we will do our best to serve you first. You will be given priority over all ordinary patients."
Wang Matt really didn't know the market. When he heard that it was just a "machine", maybe it wasn't much more expensive than a TV, he immediately agreed and asked his secretary to write it down. "I'll send it to you in a few days."
"That's great! We will ask President Shu to personally hold a grand donation ceremony for you, and invite media friends to report on it so that everyone knows about your kindness and generosity."
Wang Mate was a little confused. What kind of "machine" was being donated? Was it necessary to make such a big fuss about it? But he likes it.
"It's this CT machine. There is no domestically made one at the moment. We need to import it. The price might be..."
The last thing Wang Matt lacked was money. "It doesn't matter. Among the three big things you just mentioned, do you still lack anything?"
Old Wang's eyes turned. He hadn't decided yet whether to buy a black and white or color ultrasound machine. The color imaging technology was higher and the image was clearer, that was beyond doubt, but the price was also... He gritted his teeth and said, "We still need a color ultrasound machine."
Wang Matt waved his hand and asked his secretary to write it down.
Seeing that he agreed to it so easily, Old Wang felt a little uneasy. He gave him such an expensive gift, but he didn't even ask for anything? He didn't think that what he said just now could fool this big Hong Kong businessman.
"Does Boss Wang have any requests?"
"No, I just want to make friends with Dr. Wang."
Old Wang swallowed his saliva and said, "Make... make friends?"
"right."
Old Wang confirmed again and again, and seeing that he really had no requirements, he immediately instructed his secretary to arrange the equipment. He didn't know what to say, and felt uneasy, so he called Jin Yue in the evening to ask how to deal with this matter.
"No need to deal with it. He wants to donate it, and we will take over." Shu Jinyue deserved it.
Such a big fuss was made during the confinement period, and so many gifts were given to her personally. Jin Yue would definitely not accept them. But what he wanted to give her now was a real good deed that would benefit countless patients, so she had to accept it.
The whole world seemed to be very busy, and everyone was working hard. But in a corner where no one cared, Shen Heping was sent to the emergency room of the provincial hospital because of coma one night.
He had a duodenal ulcer and perforation, complicated by diffuse peritonitis, and his life was hanging by a thread.
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