Since 1981 Health School

  Chapter 522 Tarry black stool

   Seeing the serious faces of his subordinates, Chen Qi didn't care.

  Anyway, he has become the dean of Yuezhong People's Hospital, so it is impossible for him to be surrounded and beaten by his family members at every turn like when he was in Huangtan or the Fourth Hospital, right?

  If you know about beating deputy department-level cadres, then you can go online, arrest you directly and go to the Pingshui labor camp, and make your life worse than death, believe it or not.

"Okay, okay, if we can't find out the reason, let's look for it one by one. See that the patient is only 22 years old. I heard that he just got married not long ago. From the perspective of serving the people, we must go all out to ensure the patient's life. ,right."

  Chen Qi's loyal fan Yi Zewen was the first to jump out again:

   "Yes, Dean Chen said it well. We doctors must be able to cure this difficult and miscellaneous disease. Only then can we show our heroic qualities. Let everyone see how the medical level of our People's Hospital is!"

  Zhang Xing also nodded firmly: "Yes, we must have confidence. What should Chen do now?"

   "What else can I do? Let's push it back to the emergency department first. There are still some blood test reports that have not come out. Let's wait for the checklists to arrive, and then come to the hospital for a general consultation."

  Emergency doctors are all general doctors, but they are definitely not universal doctors.

  Once encountering a disease that is beyond the scope of one's cognition, they will often issue a consultation request, just like ordering food, whichever department they want to order.

  The departments that were named did not dare to refuse, no matter how busy they were, they had to spare time to go to the consultation within the stipulated time.

  This is dead rules, high-tension lines, whoever violates it will die.

  Of course, the emergency department does not want to accept patients, so it is difficult for you to send them out. The departments that are named often do not want to accept them. At this time, psychological warfare begins.

  Emergency departments often say:

   "Department XX, I have a patient here. The condition is quite mild. The patient wants to stay for a few days to recuperate. I can earn some examination fees for you and reduce the ratio of prescribing medicine. Let me send it to you."

  Okay, you agreed, the emergency department couldn't wait to send the patient up.

  As soon as it was sent to your department, the doctor in the emergency department ran away, and then you checked, good guy, this is a troublesome patient who is in critical condition.

   But at this time, your resident doctor has no choice but to transfer the patient's bed, issue a doctor's order, and go all out for rescue.

   Then the doctors in your inpatient department suffer a lot. Many times, the emergency department calls again, not talking about consultation, but directly saying that they want to transfer a patient.

   Resident doctors look at the wall showing that there are still 3 or 4 beds vacant, and they often close their eyes and talk nonsense:

  I'm sorry that our beds are full, you can think of a way for yourself, then hang up the phone quickly, and never give the emergency doctor a chance to beg for mercy.

  So many times, emergency doctors and inpatient doctors are fighting wits and courage.

   Even the emergency departments of different hospitals will fight with each other.

  For example, an emergency patient came to a secondary hospital, and for various reasons he could not handle it by himself, or he did not want to accept this troublesome patient, what should he do?

  Of course it will be sent to a tertiary hospital, but if you find it bothersome, so will other tertiary hospitals, so they will often refuse on the phone.

  Don’t send them here, our place is already full, and the beds were not rescued.

   At this time, the doctors in the second-level hospital will come up with a despicable method, that is, whether you agree with the third-level hospital or not, I will bring the patient to you first.

  When I arrived at the door of the emergency room of the tertiary hospital, I didn’t even enter the door.

  After pulling the patient out of the car, he left it at the door and ran away. He didn’t even need a rescue bed. Anyway, he will get it back in the future.

  Using this method to force the tertiary hospital to accept this troublesome patient, at this time the emergency physicians in the tertiary hospital are also cursing and immediately carry out rescue.

  So emergency doctors not only have to fight wits with patients and diseases, but also have to fight wits with colleagues and colleagues.

  Looking at the emergency department, the male doctors are just like IT men, and few of them are bald.

  Chen Qi and his team pushed the patient Bai Xue, and ran to the emergency department in a mighty manner, attracting many passersby's attention along the way.

   It turned out that before arriving at the emergency department, Bai Xue suddenly became a little irritable on the way, and she began to writhe around, which frightened everyone.

  Yi Zewen yelled again and again: "Hey, don't move around. Now you need absolute bed rest. Is there something uncomfortable? Tell me."

  Bai Xue whispered, so low that she couldn't hear her at all.

  Chen Qi knew at a glance that it was a matter of the patient's privacy. While calling for you to hold on, he quickly pushed to the emergency department.

  When the head nurse ran over to ask, Chen Qi found out that the patient said his stomach was uncomfortable and wanted to have diarrhea.

  Girls in this era are quite conservative, they can talk **** when they want to shit, and they are coy:

   "Head nurse, give her a potty and let her pull it directly on the hospital bed."

  Bai Xue did it as soon as she heard it, and refused with a blushing face: "No, I'm going to the bathroom, I, I don't want to be on the bed."

  Chen Qi frowned, and began to teach a lesson:

   "No, you may be in a coma again in your current situation. If you convulse and fall to the ground again, you may break your head. You won't be as lucky as the previous two times.

You either have a brain problem or a heart problem, and you need to rest in bed. Don’t worry about it. I’m not scaring you. Maybe if you exert yourself so hard, or walk around, the time bomb that causes you to faint will explode completely. You will Do you know if you are dead? "

  Although Chen Qi had patiently frightened her, Bai Xue couldn't accept defecating on the bed, and was very anxious, impatient, and was about to get up soon.

  Chen Qi is upset now, thinking that all pretty girls are so stubborn? What kind of princess disease is this?

   "Come, come, come, all of you, comfort me, comfort me."

   Several nurses hurried over and held Bai Xue down.

  Yi Zewen was a little worried at this time: "Chen Tou, is this a recurrence of the disease? Why is this patient so irritable all of a sudden?"

  Chen Qi's heart skipped a beat, and he raised his eyes: "This possibility cannot be ruled out."

  So everyone's eyes turned to the patient on the hospital bed. Who knew that Bai Xue suddenly stopped moving at this moment, and closed her eyes in a daze.

  The face was full of shame, annoyance, and pain, and tears flowed down.

  Chen Qi, Yi Zewen, Zhang Xing and other male doctors were a little dazed, wondering what the **** this female patient was doing? Is it really a mental problem.

   At this time, the head nurse is more experienced.

  Changshou Yunzhen, a nurse in the emergency department, is personally in charge of the deputy director of the Nursing Department. She is in her 40s and is very experienced in clinical nurse work. It was also ordered by Comrade Lao Guo to come here.

  The head nurse Shou seemed to realize something, and was about to pull back the quilt to have a look.

  Bai Xue yelled suddenly, holding on to the quilt tightly: "Don't move~~~"

   A sudden shout startled everyone again.

  Bai Xue burst into tears again, and said in despair: "I'm pulling the bed~~~"

  When Chen Qi heard this, he quietly took a step back, thought about it and took another step, and then secretly held his breath.

  I'm sorry, even if you are a fairy girl, your **** still stinks.

  Although the other male doctors didn't say anything, they acted honestly and retreated towards the door. Only the nurses stepped forward to help.

   The emergency room was in a hurry, and the head nurse Shou comforted the patient while directing the people to clean the bed.

   "Tou Chen, does this count as **** incontinence?"

   Zhang Xing, who suspected epilepsy just now, came over and asked in a low voice: "Patients with epilepsy may have **** incontinence, and I feel that this fits the bill again."

  Chen Qi gave him a supercilious look,

   "Do you think he looks incontinent? He can't help it. Who can't help it. Incontinence is pulled out without knowing it."

  At this time, Bai Xue wanted to find a crack in the ground and slipped into bed in front of strange doctors and nurses.

  Chen Qi already smelled the stench at this time, and was about to go out with an excuse to ask the nurse to change the patient's clothes.

  Suddenly, head nurse Shou shouted:

   "Dean Chen, come and see, the patient's stool is a bit abnormal, this is, this is tarry black stool."

"What?"

  Chen Qi, who was about to leave, turned around in a swish, and ran over quickly, not caring whether Bai Xue's white buttocks were seen or not, and Bai Xue screamed again in fright.

  Melena is shiny black stool, exactly the same color as tar.

  Bai Xue's pants, sheets, and buttocks are all black like this.

  Chen Qi immediately estimated based on experience in his mind that the amount of bleeding must be at least several hundred milliliters.

   This is definitely not a small problem.

  Chen Qi doesn't care about whether men and women are in love or not. Anyway, he is a surgeon. What kind of bare p-butt woman has he never seen? He just looked at Bai Xue eagerly and asked:

   "Have you ever had black **** before?"

  Her lips trembled a little, and it could be seen that she was also nervous.

   It is estimated that the stomach is a little more comfortable, and the nervousness is the nervousness. After defecating, Bai Xue looks less anxious, so she replied:

   "I used to have black stool occasionally, and I didn't care about it, but it was not as much black as today, and the color is darker."

   "Did you have gastric ulcer or duodenal ulcer before? Or stomach pain or something?" Chen Qi continued to ask.

   "I, I don't know, maybe I have a stomachache, and I don't care."

   "Have you ever had a gastroscopy?" Chen Qi pressed forward step by step.

   "No, no."

   "Do you often have stomach discomfort, pain, acid reflux, bloating, etc.?" Chen Qi felt that he was about to get the answer.

   "Well, it happens occasionally. It happens when I eat uncleanly. It's been many years." Bai Xue is trying to remember.

  Hearing these conversations, even Manager Xie, who doesn't understand medicine, realized something was wrong, and blamed through the curtain:

   "Comrade Bai Xue, tell us earlier if you have this problem, you see what happened to you today."

   Manager Xie has his worries. As the saying goes, good things don't go out, and bad things travel thousands of miles. The way Bai Xue fell to the ground and twitched today must have spread throughout the unit.

  As far as the mouths of these women in department stores are concerned, it's strange to hear good things, and I don't know why everyone is arranging Bai Xue.

  If everyone believes that Bai Xue has "goat epilepsy", even if Bai Xue is cured and discharged from the hospital this time, her reputation will be ruined after returning to the unit, and everyone will treat her as if she is mentally ill.

   In addition, Manager Xie was worried about how Bai Xue's family would react if they found out.

  But Bai Xue didn't realize the seriousness of the matter. Hearing Manager Xie's kind blame, she replied unhappy:

   "You didn't even ask me."

  Didn't you ask?

  Chen Qi muttered, that is, you are a patient who fainted and convulsed, who would ask you about the condition of your stomach?

  Black stool means that the patient has gastrointestinal bleeding, and the bleeding site should be relatively high, possibly the duodenum or a lower position.

  After such a large amount of blood is digested in the intestine, it will turn black.

  Chen Qi's eyes lit up suddenly, and he said to Zhang Xing:

   "Hurry up to the Department of Gastroenterology and ask Director Lan to come and tell her that there is a patient with gastrointestinal bleeding and ask her to bring all the gastroscope instruments."

   What Chen Qi thought was that if it was gastric bleeding, it would be the best. He originally wanted to teach gastroenterologists how to use endoscope to perform surgery, and now the opportunity was in front of him.

   Zhang Xing ran out immediately after hearing good news.

  Finding the possible cause of the disease made Chen Qi feel happy again. Doctors are most afraid of overturning, not to mention that he is still the dean, and he has to fight for face.

"Nurse, you immediately speed up the fluid rehydration, fill up the blood volume quickly, and arrange for someone to go to the blood transfusion department to ask for blood, including red blood cells and plasma. Lao Yi, you are going to use some hemostatic drugs. We are now waiting for the gastroenterologist. Come for a consultation."

  Chen Qi is arranging for rescue, but Manager Xie is not calm over there.

   "Doctor, you now suspect that Comrade Bai Xue has stomach bleeding or intestinal bleeding, right? But I don't understand. Is this gastrointestinal bleeding related to coma and convulsions?"

   Manager Xie's words immediately attracted all the doctors in the emergency department.

  Based on simple common sense, your digestive tract is your digestive tract, your brain is your brain, and your heart is your heart. They are basically two different things.

   It is understandable that you said that gastrointestinal bleeding may cause the patient to faint, so how to explain this convulsion?

  Don’t say that Mr. Xie, a commoner, can’t understand, even the little doctors started to argue.

Connected?

  Then you have to tell a related truth. Modern medicine pays attention to evidence when seeing a doctor.

  No contact?

   If there is no contact, it means that there is still a problem with Chen Qi's diagnosis. If he has not found the real cause of the patient's syncope and convulsions, then his level is not good.

   Obviously everyone wants to know the answer.

  Chen Qi didn't want to answer at first, because at this time the laboratory report had already been delivered, and rescuing patients was the first priority.

  But seeing everyone's earnest and suspicious eyes, Chen Qi had to say a few words:

"This problem is easy to explain. The patient's heavy bleeding in a short period of time will lead to a rapid insufficiency of circulating blood, which will lead to brain dysfunction due to ischemia and hypoxia. Syncope is the most common. Although convulsions are rare, they are not uncommon. "

   "Oh~~~"

  (end of this chapter)