The system takes me for surgery

The information department of the hospital was busy for three hours.

The hospital crowd became lively again.

[Guizi (Chief of the Information Section): It has been confirmed that it has been hacked, but the system has not been substantially damaged and can be used normally. We will further verify that it is the purpose of the hacker's intrusion. ]
To put it bluntly, this sentence means that there is no way to change the system, and people have not caught it, so we have to wait until later.

In the group, a bunch of people applauded.

Finding it inappropriate, I withdrew all the clapping emojis and replaced them with [@桂子火败的]
Liang Yi and Tan Aizhu almost frightened to death looking at it, what kind of deceptive behavior in the world is this, it is too realistic and magical.

At this time, Liang Yi felt that it was necessary to create a mandatory pop-up information column for the dean, and only anonymous people dared to tell the truth.

The next day, when the dean Fang Yuanhang came to the office and turned on the computer, the mandatory pop-up window popped up suddenly, and he was shocked.

It affects work very much, and you must read it before you can open other software.

He called the information department, and the information department couldn't get rid of the pop-up window.

In desperation, the dean clicked to open it, and there were some anonymous information on the pop-up window.

1. Our hospital should not become a gathering place for homeless people, which will affect the image of the hospital, and there have been many incidents of loss of property by patients.

The dean Fang Yuanhang called the security department over after seeing it. There really was such a thing.

2. The food in the cafeteria is getting more and more perfunctory. Scrambled eggs with tomatoes should be an egg scrambled with ten catties of tomatoes.

The dean Fang Yuanhang went to the cafeteria for a temporary unannounced visit, which is really the case, and warned the cafeteria owner to rectify immediately.

3. There are more than a dozen items that reflect the problem. The computer equipment in the hospital is old and needs to be replaced with a new one.

……

Dozens in total.

Before these things were brought up, the dean Fang Yuanhang didn't know about them at all, or he didn't take them seriously. Now he finds that this anonymous feedback is quite good, and he can hear the most honest thoughts and suggestions from clinicians.

Most of the doctors are in the hospital. The duty room of the medical staff in the movies and TV series looks bright and beautiful. In fact, the real duty room is full of debris, the beds and chairs are old, and several people take turns to use the same bed, but every day Will change and wash a new set of quilts.

Medical staff are not particular about the space, no matter how good the decoration is or how big the space is, as long as it is clean and warm, they can sleep well, because they are too tired on duty, and they fall asleep before they have time to insomnia.

In the emergency department, at night, Tan Aizhu received a male patient who was vomiting, about forty years old.

The patient was brought here by a tricycle hired by his wife.

It was raining outside, and when they arrived at the emergency room, they were completely soaked.

Tan Aizhu looked at the couple and said, "Don't you know how to wear a raincoat?"

The man's face was tired, and he struggled to speak. The woman couldn't understand Mandarin, so she could only hum.

Tan Aizhu took a hair dryer and let them blow it first, so that they would catch a cold.

The nurses were a little surprised when they saw Tan Aizhu's change. She was very indifferent at first, but now she is like this. They didn't expect it, they all thought she was in love.

After the couple dried their hair and body, Tan Aizhu went over and asked, "When did you start vomiting?"

His wife couldn't understand Mandarin, so the husband had to answer by himself.

The patient said: "I haven't been able to eat for more than half a year, and I vomit when I eat."

Tan Aizhu asked: "Have you lost weight in the past few months?"

"If you lose weight, you will lose weight if you can't eat. In three months, more than ten catties will be nearly twenty catties."

"Have you seen it in other hospitals?"

"I've seen it, but it's not necessarily good." The male patient showed Tan Aizhu a bunch of examination reports,

In the local county hospital, there were no obvious abnormalities in liver and kidney function, blood sugar, ECG, abdominal B-ultrasound, head, chest and abdomen CT.

Later, the patient mentioned that his hearing and vision had declined, his bowel movements had changed over the past 2 months, and he had alternating diarrhea and constipation. He had no bowel movements for 1 week, followed by diarrhea for 34 days, yellow watery stools, and intermittent sleep for more than 18 hours a day.

All these symptoms are so weird, this disease is like an alien visitor, without any thoughts.

Diagnosis in internal medicine has always been a brainstorm, and it needs to be stripped away, and all related symptoms are expanded and listed in a tree diagram, and then slowly eliminated one by one.

After the last doctor-patient dispute, Tan Aizhu became more cautious in practicing medicine, and found that this disease was a difficult disease, so she immediately reported it to the director Xie Tianmu, and needed to discuss difficult cases.

Xie Tianmu looked at the patient's medical records and felt that it was very meaningful to discuss. After the morning meeting, he asked Tan Aizhu to introduce the basic situation of the patient.

Everyone's attention is still on the two main symptoms of nausea and vomiting.

Xie Tianmu said: "Everyone speaks freely and expresses their opinions. People say that three cobblers are the best Zhuge Liang, and we can definitely make Zhuge Liang with a dozen graduate students."

Everyone started to discuss.

The digestive system disease that everyone first thinks of due to the cause of nausea and vomiting:
A fat undergraduate student said: "Is there a gastrointestinal obstruction?"

Tan Aizhu said: "This case vomited 1030 minutes after eating, and the vomit did not eat overnight, did not stop gas, defecate, did not have abdominal cramps, and had no vibration and abnormal bowel sounds on physical examination. It does not support pyloric obstruction or intestinal obstruction."

Another short girl said, "Is it possible that the abdominal organs are inflamed or ischemic?"

"This case has no other accompanying symptoms such as abdominal pain, bloody stool, jaundice, fever, etc. The abdominal examination has no positive signs, and the white blood cells are not high, which is not consistent with the performance of inflammatory lesions or ischemic lesions." Tan Aizhu said.

A classmate said: "Is it a metabolic disease?"

Tan Aizhu pointed to the inspection indicators and said: "The patient's blood sugar, liver and kidney function have no abnormalities, and there is no evidence of uremia or diabetic ketoacidosis."

An experienced fellow doctor said: "Check for endocrine diseases. The patient is thin, but has no symptoms such as heat intolerance, sweating, heart palpitations, hand tremors, exophthalmos, etc. The physical examination shows that the thyroid gland is not large, the heart rate is not fast, and the thyroid function is not supported. Hyperactivity. However, his appetite decreased, he vomited, and his expression was indifferent on physical examination. If the adrenal cortex is hypofunctioning, relevant endocrine function examinations are possible.”

Tan Aizhu nodded and took notes in her notebook for the convenience of prescribing a doctor's order later, saying: "I will arrange it later." After writing it down, she added: "The patient has no obvious mental and psychological factors, and the elderly must first consider the whole body and gastrointestinal tract. There is no organic disease of the tract, so the diagnosis of functional disease is not made.

Except for endocrine, which is a bit reliable, everything else was ruled out. Xie Tianmu said to a young graduate student standing opposite: "Xiao Li, are you a graduate student or a graduate student in digestion, and your major is the right one. Let me tell you."