Doctor of Healing

Helping Meng Qingfei to make orders and stitches, it was not until 7 o'clock in the evening that the first wave of peak hours passed.

Seeing that there were no patients outside, Meng Qingfei breathed a sigh of relief.

"Xiao Ji, I heard that an NBA star is coming for surgery? Is it true?"

"Ha, Mr. Meng, you already know. Wenban Yama is coming, do you want his autographed jersey or basketball?"

"No need. Hospitals, gossip spreads quickly." Meng Qingfei smiled, and then saw Dr. Merz.

"Who is this……"

"A doctor from the Sports Medicine Department of Massachusetts General Hospital, here to learn surgery." Ji Xiang introduced casually.

"..." Meng Qingfei hesitated.

It was difficult for him to connect Massachusetts General Hospital with studying at the Second Affiliated Hospital.

"Mr. Meng, do you rest during the Chinese New Year?" Ji Xiang asked.

Meng Qingfei glanced at Ji Xiang like a monster.

Ji Xiang was a little embarrassed.

"I mean, on New Year's Eve, is your class?" Ji Xiang hurriedly asked for help.

In the emergency department, there is no rest day, and whoever is on duty is the one whose turn it is. Anyway, one radish is one pit, and the hospital cannot be left unattended.

Ji Xiang was a little surprised, how could he ask such a stupid question.

In an instant, Jixiang thought of the hospital where he suffered a broken bone in empathy.

There are no medical staff at all, and the whole process of intelligent systems, including surgery, intravenous drip, blood transfusion, etc.

Although there is only a glimpse, that kind of future hospital has left an indelible impression in Ji Xiang's heart at some point.

"I'm in the class of 29 this year!" Meng Qingfei said this, his face glowing.

It is indeed a joyful thing to start to rest after the night shift on New Year's Eve, which hardly delays the New Year.

"Xiao Ji, this..." After Meng Qingfei finished speaking, he felt that Dr. Merz was a bit uncomfortable standing aside, so he asked Ji Xiang.

"He wants to follow me to see my daily life." Ji Xiang was also helpless.

"Sit down." Meng Qingfei was more relaxed, he smiled, took out his mobile phone and started ordering meals.

"This doctor's name is Merz. Xiaoji, you can ask him what he wants to eat. I am dumb in English, and my spoken English is almost zero, so I won't make a fool of myself."

After exchanging a few words with Dr. Merz, Ji Xiang said to Meng Qingfei, "Dumplings are fine, and you can fill them with whatever you want. Dr. Merz is not picky."

Meng Qingfei didn't hesitate and started ordering food.

"dong dong dong~"

A young woman stood at the door with a worried face. The door was open. She knocked on the door, attracting the attention of several people in the room.

"What's the matter?" Meng Qingfei glanced at her and thought she was not a surgical patient, so he asked casually while ordering food with his mobile phone.

"I have a terrible headache. There are many people in the internal medicine department. Could you please prescribe a CT for me?"

"Xiaoji, you go."

Meng Qingfei greeted Ji Xiang.

Sitting in front of the computer opposite Meng Qingfei, Ji Xiang asked the patient for a medical card and began to write her a bill.

After issuing the bill and collecting the fee, Ji Xiang gave the receipt to the patient and asked her if she knew the place.

The patient knew that Chong Jixiang forced a smile and left.

It can be seen that the patient is very uncomfortable.

But it's just a headache, and neuropathic pain based on trigeminal neuralgia is the most likely.

It is very troublesome to treat, and there are few cures.

Jixiang did not give the patient more sympathy, and it was already within Jixiang's ability to help prescribe an order for examination in advance.

After going through the turmoil of not being able to perform surgery, Ji Xiang felt that he had changed a lot.

"Dr. Jixiang, why did the patient come to a higher-level hospital instead of a community hospital? And she came here just for an examination, which is a waste of medical resources." Dr. Merz asked.

"We are a house of flies." Ji Xiang described it according to Director Bai.

Dr. Merz was dumbfounded.

Although he doesn't know what a fly restaurant is, Jixiang's next description is simple and easy to understand.

Dr. Merz was completely unacceptable to this medical procedure, but he didn't say much, thinking about the "magic attack" in his heart.

According to the rules, it cannot be used as a magic attack item.

Now the surgery is relatively free, Meng Qingfei and Ji Xiang are chatting, intermittently dealing with the patients who come back from the examination.

I seem to be lucky today, I was not disturbed while eating dumplings.

Ji Xiang and Meng Qingfei finished eating at the same time, but Dr. Merz only studied and understood 3 dumplings.

"I am full."

"Why are you eating so fast?" Dr. Merz asked.

"Isn't it the same in your emergency room?"

"I haven't been in an emergency room in years. It's been hell. Oh my god, I can't even think about it. I think I'm going to have a nightmare today." Dr. Merz shrugged.

"I have a fever of 39 degrees, why don't your doctors care about me!"

A voice came from the corridor, Meng Qingfei shook his head with a smile, went to wash his hands, and walked out while wiping his hands on the buttocks of Baifu.

It must be that the internal medicine department can't handle it. This kind of highly self-centered patient should be dealt with quickly, or it will be a complaint.

It is very common for crying children to have milk and distribute it according to the crying.

Ji Xiang followed behind Meng Qingfei, saw him talking to the physician, and called the patient with fever to the surgery clinic.

"Your hospital's service attitude is really not good at all! It's nothing!" the patient's family complained.

"Hehe, it's pretty good." Meng Qingfei said while prescribing medicine for the patient, "I know a friend whose wife was pregnant and had a [-]D color Doppler ultrasound. When she first came in, it was done by a young man. She was very upset and nagged a few times. sentence."

"The result didn't come out, so she was called again. This time it was a specialist consultation room, and there were five doctors in it. The one who performed the ultrasound was a middle-aged doctor, and there were four young doctors in their 20s standing beside her."

"Cut." The patient's family members scorned.

Judging from what he meant, he didn't understand what Meng Qingfei wanted to express at all.

"I did it for more than 30 minutes this time, but there was no result yet. My friend's lover was called in again."

"The third time I entered the 50D color ultrasound room, an old doctor was sitting in front of the machine. His hair was all white and he was meticulously groomed. There were more than a dozen doctors standing beside him, ranging in age from four to fifty to more than 20 years old. There are age groups."

The patient and the patient's family were silent.

"There is a problem with the fetal heart. It was finally diagnosed by an old expert. Now the child is three years old and has been taking medicine for three years. He is about to undergo surgery."

"Sometimes..."

Meng Qingfei was talking, when suddenly there was a thud outside the door, followed by a scream.

"I didn't touch it, she fell down by herself."

Someone explain.

Meng Qingfei jumped up and rushed out.

"We haven't finished the list yet! Why are you going!!" the patient's family members yelled.

But neither Meng Qingfei nor Ji Xiang paid any attention to him.

The fainting patient was at the door of the surgical clinic. Ji Xiang was stunned when he saw it. It turned out to be the young female patient who had a headache and no one came to the surgery for an examination.

Ji Xiang judged that she was fine, it should be a nervous headache, but he never expected that the patient passed out directly at the door of the consulting room after returning.

The patient was still holding the film in his hand.

After a simple physical examination and exclusion of vertebral body problems, Meng Qingfei asked someone to lift the patient onto a flat car and send him to the emergency room.

He hurriedly took the film bag from the patient's hand.

"We haven't finished prescribing the medicine yet! Come back quickly!!" The patient's family members in the consulting room roared.

Meng Qingfei strode to the emergency room as if he didn't hear it.

Ji Xiang didn't finish the rest of the work either. The fainting patient in front of him attracted his attention. As for the patient with fever... his vital signs were stable, so being an hour late was not a big deal at all.

Young female patients are likely to have cerebral hemorrhage or cerebral infarction, but precisely because of their young age, Ji Xiang also habitually asked about past history and trauma history, all of which were negative, so he did not think of this at the time.

Ji Xiang felt slightly guilty.

"Click~" Meng Qingfei inserted the film into the film reader.

The head CT image was very clear, nothing happened!

Ji Xiang was wrong, it was not a cerebral hemorrhage, nor a cerebral infarction.

Meng Qingfei was stunned for a moment, and read the film carefully again, but still couldn't find the problem.

Going back to check the patient, the patient is conscious, but the left limb is numb and has speech impairment.

The patient had obvious neurological dysfunction, but the film just made was fine!

Meng Qingfei frowned, making one differential diagnosis after another in his heart.

Ji Xiang quietly came to the corner, held his breath and went to the operating room of the system.

"Old Meng, what's going on?"

"A patient with a headache. Seeing that there were too many people in your room coming to my office for an examination, he came back like this. There is no past history or trauma history, and there is no problem with the head CT. It is strange, the brain is fine, how could he faint In addition, there are neurological disorders." Meng Qingfei briefly described.

The internist asked the nurse to come down for a consultation with the neurology inpatient while doing a physical examination.

Similar to the conclusion of Meng Qingfei's physical examination, the patient should have infarction or bleeding in the head.

Coupled with the severe headache, everyone suspected that the possibility of subarachnoid hemorrhage was particularly high.

however!

The image results of head CT did not support their judgment.

Both Meng Qingfei and the emergency physician faced the film sadly and silently "faced each other".

"Teacher Meng, why don't you do a comprehensive inspection?"

Ji Xiang's voice came from behind.

"Comprehensive inspection? What are you looking for?" Meng Qingfei asked in a deep voice after thinking about it.

"There should be no problem with the head. I suggest checking the blood vessels and heart."

"!!!" The emergency physician looked back at Ji Xiang with a look like an idiot.

This is Ji Xiang. If it is another Gui Peisheng, it will be more than just a simple glance.

"The patient has neurological symptoms, or check the cervical spine MRI." The emergency physician said.

"I suggest looking at the blood vessels in the neck and the heart." Ji Xiang insisted.

"For the heart, there is no echocardiography in the emergency department, so I can't see it. Are you sure? If you are sure, you can apply to the medical office, and the echocardiography room will send a doctor to work overtime." Meng Qingfei asked.

He is familiar with Jixiang, so he respects Jixiang's opinion.

"Old Meng, what are you kidding?" The emergency physician was surprised, "The patient has symptoms of the nervous system. Does it make sense to look at the heart?"

"Emmmm..." Meng Qingfei pondered.

He also felt that it was meaningless, and what he said just now was simply to believe in Jixiang's judgment.

"In this way, you contact the neurology department, see their opinions, and do what you need to do. I will contact echocardiography and blood vessel color Doppler ultrasound, and find someone to do the examination." Meng Qingfei proposed a compromise plan.

The emergency physician frowned and wanted to say something, but Meng Qingfei blamed himself on his own back, and the emergency physician had nothing to say.

Dr. Merz also found that the atmosphere was not right. He waited for the unfamiliar emergency physician to see the patient and came to Jixiang.

"Dr. Ji Xiang, what happened?" Dr. Merz asked.

Ji Xiang briefly described the situation.

Dr. Merz's eyes widened, "My God, you actually want to check the patient's heart? Do you suspect that a young woman with no past history has a heart attack? Even if it is a heart attack, there is a high probability that it will be shoulder and back pain. No headaches."

"Also, I am doing an electrocardiogram, and I think the electrocardiogram is the way to solve the problem, not a color ultrasound of the heart.