No CP version of Liu's Pharmacist Hall
Chapter 4 Obstacles
1,
Dr. Lun, who has just entered the hospital, often has inappropriate admiration for Liu Xiyan. This is not only due to his courageous aura when serving patients, but also because of Liu Xiyan's clear thinking in diagnosis and solid basic skills; the most important point is that he is chatty, When treating junior doctors, they are like a mosquito buzzing and constantly teaching—don’t think that mosquitoes are annoying, which department the wheel doctor is in is not used as a coolie, and it is not a teaching hospital, but a small second-class specialized hospital. Does anyone have the time and mood to teach?But this is the case in clinical practice. If no one is willing to give a few words, you may still be in a foggy state after reading books for several years.
Then a round doctor asked: "Has Mr. Liu ever misdiagnosed or missed a diagnosis?"
Teacher Liu naturally severely criticized Dr. Lun's naive questioning method: "Of course there are, there are so many! Doctors are not gods, how can they not misdiagnose and miss diagnosis? A doctor who thinks he will never misdiagnose will never You will know your shame and be brave, a doctor who thinks that if he does not miss a diagnosis, he will never make progress——Your self-willedness is disregarding human life!"
Given that Dr. Liu was too serious and rose to the height of political awareness every minute, Dr. Lun tried to change the subject, but Dr. Liu suddenly said in a low voice: "Boy, remember that the most likely to be misdiagnosed is an acquaintance. You talk to him The handouts are embarrassing to talk about money. If you don’t do this check, don’t do that treatment, and use cheap medicines—how can there be such a good thing!”
"Western medicine requires evidence. If there is no evidence, how can we diagnose by feeling? There are so many diseases with similar symptoms and signs, what should we do if the evidence is not enough? We can only rely on inspection. Let me tell you, if you come to see a doctor, I will not treat you politely!"
Dr. Liu didn't know what medicine he had taken or stopped taking. He was so anxious that Dr. Lun said tearfully, "Teacher, don't curse me."
The reason is nothing more than this: Liu Xiyan learned from the talkative Liuxi Snake that he was an immortal doctor in his previous life, and that a golden needle and a silver needle could save the dead; Smash the cap of the sky.So much so that Liu Xiyan thinks that the so-called previous life should be lived in fantasy novels-I slapped the universe with my palm, and stepped through the void with my foot. I hold the fate and destiny of countless creatures in the three thousand worlds, and I am the god of my own universe. !
So when she told herself "Doctor, I have a stuffy nose", "Doctor, I have a cough", "Doctor, I have a stomachache", Liu Xiyan felt a huge gap and endless emptiness: Where is the agreed male protagonist Goldfinger?What about the stallion harem?Why do I just treat patients with colds in the emergency department of a second-tier hospital every day?What's more, those tinea pedis patients who know that there is no emergency department in the dermatology department, but still come to the emergency department in the early morning, take off their shoes, hold their feet in front of him and say, "Doctor, my feet are so itchy that I can't sleep", are you thinking again? What is the problem in life that makes it itchy during the day?
As for the Liuxi Snake who was going to reincarnate, why can he still make irresponsible remarks to him?Because Liuxi Snake was too happy that day, he reported late, and was knocked out by other bardos. Currently, he can only temporarily stay at Liu Xiyan's place to wait for the next interview opportunity.
That's why Liu Xiyan has been forced to receive paid channels from time to time recently, watching the four spirits play the national essence, while listening to the glorious past of his previous life mixed between "peng" and "hu".
You are all national quintessence, you are all ancients, can't you play chess for a little fun?Well, even if you can't play Go, you can always play chess, right?
Regarding Liu Xiyan's prudent suggestion, all the spirits seriously considered it for a second, and then rejected the reason: I always feel that gambling with chess is not right.
To be correct, it is not quite right to bet on Mingbi with chess.
Liu Xiyan's behavior of going to Yaxiang Street every day after get off work to bring some coins back was finally discovered by Wu Tingfang, who has been haunting Yaxiang Street for a long time.The two met at the intersection of Yaxiang Street that day, and Wu Tingfang looked at Liu Xiyan's hand holding a large stack of Ming coins that looked like the fifth edition of local tyrant gold RMB, and asked, "Is Director Liu very short of money?"
Liu Xiyan said: "He told me in his dreams every day that he owed a lot of usury because of gambling."
"When a person dies, his temperament will change once. When Director Liu was alive, he hated gambling the most."
"..." Born under the red flag and brought up under the teaching of materialism, what kind of bad influence did the good young people have to have such a profound experience?
Liu Xisheng expressed dissatisfaction with Liuxi Snake's behavior of paying for on-demand broadcasts with Ming coins, but he really didn't want to hear the bardo in the form of the second uncle acting like a baby, so he had to let go of all dissatisfaction.
Ever since Mr. Tapir and Liuxi Snake joined the spirit body army and caused all the spirits to indulge in promoting the quintessence of the country, Xiao Lian completely forgot that there is still a Liu Xisheng in the world, so the two brothers can eat on the same table in peace again. Soaking in a bathtub, sleeping tightly on a bed—the latter two were forced by Liu Xiyan to test Xiaolian's influence, and of course the two items are paid items.So Liu Xiyan was very, very happy to find that he was still a patient with sex disorder.
It's so nice not to be able to fuck with my brother.
Liu Xisheng tried his best to prevent Liu Xiyan from using the above sentence as his signature.The complacent younger brother had no choice but to vent this sentence on Weibo.
As for being unfollowed by the only ten fans other than zombie fans, that's another story.
2,
There are Bo'ai hospitals in many cities; it should be noted that those hospitals with the word "Bo'ai" are usually not fraternity, and usually only serve one or two groups of people, namely women and children.Even some Pok Oi hospitals only serve children, equivalent to children's hospitals.In a hospital with the word "fraternal love", in addition to the above two departments serving the population of obstetrics and gynecology and pediatrics, other departments serving these two departments, including the traditional major departments of internal medicine and surgery in other hospitals, are all was classified as a disadvantaged department.
But these two departments of Pok Oi Hospital are indispensable—women only have obstetrics and gynecology diseases, don't children not have surgical diseases?
However, the Bo'ai Hospital in the past did not have these two departments. When Ye Wenxuan was first recruited, he was given the mission to establish an internal medicine department that integrates outpatient clinics, emergency departments, and wards. Patients with medical diseases.Ye Wenxuan mentioned the experience of the first year in the hospital, and he felt that life was worse than death—he was a dignified neurology doctor who graduated from a master’s degree, and he worked in the obstetrics and gynecology department for a year. It's just that there is not enough manpower yet to start a department.In the second year, Liu Xiyan, who had completed two years of resident training in a large hospital in Guangzhou, couldn't bear the low cost of the large hospital, so he casually jumped to this hospital. I went to the Brothers Hospital for a year in internal medicine, and finally came back to establish the department with two doctors who had graduated for one year and had no experience in internal medicine.
Ye Wenxuan and Liu Xiyan chatted, and they both said that they were fascinated by lard back then, and they were too irresponsible for their own lives, so they came to this hospital and chose this department.
The two claimed to be the most familiar physicians in obstetrics and gynecology in the world, but no expert reviewer of internal medicine was interested in this kind of thing, which led to their hardships on the road to promotion.
However, because he is familiar with obstetricians and gynecologists, Ye Wenxuan often seeks help from obstetrics and gynecology departments and even reproductive centers for infertility; Liu Xiyan is a big man, but he often has to help women from relatives and friends find this acquaintance and that acquaintance Seeing irregular menstruation, infertility, miscarriage and abortion, Liu Xisheng would occasionally call him "friend of women" affectionately.
Apart from Wu Tingfang, the obstetrician and gynecologist who has the best relationship with Liu Xiyan is Hu Ling, the director of the general obstetrics department.Since Liu Xiyan followed her during the obstetrics and gynecology department, and her son was about the same age as Liu Xiyan, Hu Ling took good care of Liu Xiyan, and Liu Xiyan often troubled her—because all women expressed their reluctance to see a gentleman like Wu Tingfang. gynecology.
Hu Ling will be 55 years old next year. If the policy of delaying retirement does not come out, she will retire in August next year. When I saw her in recent months, she was in a different cheerful state than usual. She once told Liu Xiyan He stated that after retirement, he would pamper his grandchildren and resolutely refuse to re-employ.
Hu Ling's son has been married for 5 years, and his granddaughter is 4 years old. Because he is an only child, he can still have another child. It is said that he is planning this year.
When the winter solstice was approaching, Liu Xiyan troubled Hu Ling again, because his cousin who had a habitual miscarriage had another miscarriage—yes, that’s right, it was his first love cousin whose face was already blurred—he was trying to figure out how to understand this cousin After working in Pok Oi Hospital, I came to ask for help, hoping to introduce a good gynecologist to see a doctor.
Although Hu Ling is the director of the obstetrics department, in the past few decades, a small hospital like Bo'ai Hospital has not divided into departments, and the obstetrics and obstetrics departments all look at the same. Liu Xiyan took her to Hu Ling's place early in the morning.
Hu Ling was not as cheerful as usual that day. When seeing her cousin, Hu Ling said to Liu Xiyan who was about to go to the inpatient department for rounds: "I will go to see you at noon."
This day was Liu Xiyan's day shift. He hadn't eaten at 12:30 and was serving emergency patients at noon.Hu Ling entered the office just after serving a febrile patient.Liu Xiyan gave her a mask, opened the window, and said to her, "It's flu season again, and this is the hardest hit area."
Hu Ling waved her hand and said, "It's okay! Viruses are useless to me! I don't have a cold at all!"
"What's the matter, sister Ling?" Liu Xiyan put the mask in his pocket and asked.
"It's not my son yet." Hu Ling worried, "I don't even know how I was so strong and gave birth to such a sick son. You said he is still a policeman, and he catches a cold every three days."
"It's normal for this person to have a different physique. You used to say that he always works the night shift, did he damage his body?" Liu Xiyan remembered that Hu Ling's son used to fight on the front line of anti-pornography and anti-illegal activities. In the past two years, he has been promoted to a junior. Officer, I was transferred back to the office.
"I guess so. He used to be in good health and worked as a special police officer. That is to say, the years when he was on the night shift began to be bad." Hu Ling asked, "I mean, his second child has been approved for more than a year. My daughter-in-law There is no movement in the stomach at all, I asked them to check, but my son refused to die. He refused to listen to me, do you think there is any medicine for him to recuperate his body?"
"..." You are not looking for me for infertility, right?Didn't you also watch women infertile for many years?Looking at Hu Ling's eagerly looking eyes, Liu Xiyan was really embarrassed to say that - he used to take the risk of practicing medicine illegally to prescribe some traditional Chinese medicine to treat colds for some acquaintances and patients, including Hu Ling's son. It's just a matter of fur, and there are only a few prescriptions to cure colds. If infertility can be cured, it will be a fantasy novel.
The so-called sage does not heal himself, but in fact the whole family does not want to see a doctor. It is reasonable for Hu Ling's son and daughter-in-law not to see a doctor. Just like Liu Xiyan's parents who have a cold, they believe in the herbal tea seller on Yaxiang Street, and they don't want to believe him.
"Why don't I go back and ask my brother?" Besides, it's clear that Hu Ling's son is shying away from medical treatment, even if he doesn't come, he will see a doctor.
"What's your brother doing, Chinese medicine?" Hu Ling heard Liu Xiyan mention his brother for the first time.
"My brother, he..." Liu Xiyan thought for a while, and said, "It depends on Feng Shui."
Hu Ling's eyes lit up, and she quickly copied her son's name and date of birth to Liu Xiyan, and said reverently: "Well, then I will trouble Master to see if I can conceive this year."
"..." So is it because the ideological and political teachers in elementary, middle, high, and high schools are too fishy in troubled waters?Why do intellectuals worship Liu Xisheng so much?
This incident was not remembered until Liu Xiyan took out Hu Ling's son's birth date from his pocket when he was about to change clothes.He went to knock on Liu Xisheng's door, and the latter opened the door with wet hair and a bathrobe.
Liu Xiyan subconsciously covered his heart, but there was no response for a long time.Liu Xisheng glanced behind him and said, "Xiao Lian happened to be fooled."
"What's so exciting about winning Mingbi? It's not hard currency." Liu Xiyan handed the paper to Liu Xisheng, "My colleague's son wants to figure out if he will have a second child this year."
Liu Xisheng took it over and took a look, and said, "The woman's birthday is not unacceptable, and you should ask Chen Ze about this matter. It doesn't match my major, so I can't be sure."
"I've forgotten it all."
Chen Ze is a fortune teller on Yaxiang Street in their village. He is a fortune teller with a hundred times more reputation than his brother. up.His elder brother only helps people read Fengshui, eliminates yin and catching ghosts, sells a few equipment and talismans for money, and occasionally calculates the events of the past few days, I have never seen him mainly engaged in fortune-telling.
"I introduce this kind of business to Chen Ze." Liu Xisheng said, "Five hundred at a time, friendship price. The regular price is one thousand."
"...Why don't you rob the bank?" Liu Xiyan took back the piece of paper and said, "I'm looking for Brother Ting Fang, and he will definitely not charge me."
Liu Xisheng said: "Wu Tingfang will not help you find Chen Ze."
"Why not? Aren't they very old friends?"
Liu Xisheng said, "Have you seen me introduce patients to you?"
"It's too late for you to make money by yourself, why introduce it to me?" Liu Xiyan thought this analogy was inexplicable.
Liu Xisheng stared at his younger brother for a long time, then sighed and said, "Then go and try."
Sure enough, as Liu Xisheng expected, Liu Xiyan went straight to Wu Tingfang's house to explain his intentions, but Wu Tingfang directly refused, so straightforward that Liu Xiyan was dumbfounded.
In the end, Liu Xiyan asked tentatively, "Will the money help, the full amount?"
Wu Tingfang shook his head, and said guiltily, "I can't help you. I really want to let Sister Ling find someone by herself."
Liu Xiyan couldn't figure out why, until that night Liuxi Snake opened a paid channel again.Seeing that Liu Xiyan had been troubled by this matter for a whole day and couldn't understand it, he told him: "Fortune-telling will shorten your life, or you will hurt the yin. The fortune-teller must be widowed, widowed, disabled, or short-lived. Chen is an orphan. For future generations, Wu Tingfang is afraid that he will lose his life if he counts too many."
Liu Xiyan wondered, "Didn't he give birth to a daughter?"
Willow Creek Snake: "...Everyone in the village knows that it is from relatives. How can you give birth without a wife?"
"Okay, I get it. Then why doesn't my brother refer me to patients? What does he mean by this analogy?"
Liuxi Snake looked at Liu Xiyan bitterly.Liu Xiyan felt a shudder down his spine, and suddenly realized: "By the way, he is afraid that I will be exhausted to death, and even if I am tired, he will have to report to the underworld early!"
Then I became depressed again: "How can I explain to Sister Ling?"
3,
Soon Hu Ling couldn't take care of this matter.His son had a high fever for two days. On the first day, the fever reached 39 degrees. He refused to go to the hospital. He took some antipyretics and drank a few packs of Xiaobuihu granules. The fever reached 40 degrees the next day. confused.It happened that Liu Xiyan was on the night shift that day. At ten o'clock in the evening, Hu Ling brought her son and daughter-in-law to the internal medicine office.Liu Xiyan saw that the patient had a fever and cough, looked at his throat and found it was red, and didn't hear anything in his lungs, so he asked him to prick his finger, and asked the nurse sister to hang a bottle of sugar and salt for him, and took a pill prepared by the department Give him ibuprofen.
Liu Xiyan gave him a single room and asked him to lie down for infusion.Half an hour later, the blood test results came out: the white blood cells and lymphocytes were low, especially the lymphocytes, which were only 0.16, and everything else was fine.
"What is it?"
"It might be the flu." Liu Xiyan pointed to the blood picture and said, "The lymphocytes are so low, it must be a severe flu."
"What should I do?" Hu Ling was anxious, "Are you going to be hospitalized?"
"It's fine to stay here. If you're not hospitalized, you'll have to rest for two days. I'll give him some oseltamivir. If you're hospitalized, you'll have to have a detailed examination."
Hu Ling loves her son very much, so she proposed to be hospitalized, but from Liu Xiyan's point of view, if this kind of flu sees more than a dozen people in one night, if all of them are recommended to be hospitalized, the patient will definitely not understand.
As a patient, Hu Ling's son Zhang Fang really didn't understand. He heard that it might be the flu, so he immediately rejected his mother's proposal to be hospitalized.
Liu Xiyan followed suit and did not insist.
Zhang Fang felt good after the infusion that night, and went back after taking oseltamivir once.Seeing that her son was in good spirits, Hu Ling didn't mention the hospitalization again.
The next day, Liu Xiyan returned home from the night shift like an eggplant beaten by frost.It so happened that Liu Xisheng received customers in the living room on the first floor.
Originally, Liu Xiyan was not interested in Liu Xisheng's client, but when that client turned around, both of them were stunned.
That client was the patient who complained that Liu Xiyan burned paper, which caused Dr. Liu's bonus to disappear last month.Naturally, Liu Xiyan will not forget him—a nightclub owner who came to catch a cold at three o'clock in the morning, with a huge gold chain around his neck, complaining that he had caught four times this month; , said that Dr. Liu cursed him to die, angrily slapped the table and left, and complained-afterwards, Liu Xiyan actually felt that his complaint was very reasonable. Think about it: if you go to the bank to withdraw money, the people at the front desk are counting the money and counting the money. Halfway through, you suddenly put down your money and your ID card and burn the paper, do you complain?Or when you go to buy a movie ticket, the boy who sells the movie ticket puts down the popcorn in his hand, suddenly smiles at you weirdly and burns the paper, do you complain?Or you go to the notary office to notarize that you and your wife are not real siblings but step-siblings, and the clerk at the notary office suddenly leaves the computer, takes out a lighter, and burns paper in front of you, do you complain?
Liu Xiyan thought about it carefully, and it seems that the only way to avoid complaints is to burn paper in the crematorium.
So he put the bonus on Mr. Tapir's head, and he was actually quite apologetic to the patient.
At this time, the two of them faced each other, and they were quite embarrassed—Liu Xiyan thought it was not the right occasion to prove that he was just an ordinary doctor and not a doctor with schizophrenia, while the big brother of the nightclub had a face of guilt and anxiety after suddenly realizing it. .
"This doctor belongs to you, master?" the big brother of the nightclub turned to ask Liu Xisheng, extremely humble.
Liu Xiyan once again lamented that the degree of respect due to different occupations is so different.Even before the big brother of the nightclub complained to him, his attitude towards seeing a doctor was a bullshit.
Liu Xisheng nodded: "He is my most beloved brother."
One second after this sentence, Liu Xiyan and Liu Xisheng's eyes had exchanged hundreds of thousands of words, he understood.
A younger brother who is loved by his elder brother, when he finds the culprit who caused his bonus to disappear, is standing in front of him. Of course, he should point at the culprit like Liu Xiyan, and act like a baby to his brother: "Brother, this is the bad guy, the last time I saw him He was haunted by a little devil, and he burned a talisman that you saved my life to save him once, but he didn't feel grateful, instead he complained to me, and my bonus for half a year was gone!"
"This, this, this..." The big brother of the nightclub was panicked when he heard the words "little ghost haunting", and he was even more panicked when he heard that Liu Xiyan's half-year bonus was gone.
Liu Xisheng's expression darkened, he waved the cuff of his Taoist robe, and shouted, "Seeing off the guests!"
The big brother of the nightclub turned pale and shouted at the back of Liu Xisheng who was leaving: "Master! Master! I was wrong! Please save my life!"
Seeing this situation, a young but kind-hearted brother of the Holy Mother of the White Lotus, of course couldn't bear to shout to the departing brother: "Brother, he is so pitiful, my bonus is nothing, please help him, I like it." He was a kid last time, but now he has become a ghost! If you don't save him, he will die soon!"
The face of the big brother in the nightclub was as green as a corpse.Liu Xiyan looked at his face carefully and said, "Brother, take a look at him. The last time he came to see a doctor, he said he had caught four colds a month. Now he probably doesn't know what he looks like."
The elder brother who came back touched his younger brother's head and said lovingly: "My dear brother, you have been wronged."
"I'll pay! I'll pay three times the doctor's bonus!" The big brother of the nightclub almost knelt down, turned his head and took out a dozen pink hair grandpas from the sack, put them on the table devoutly, and said, "I don't know if that's enough!" Not enough? Not enough for me to let the little ones bring it over."
Next, Master Liu listened to the story of the big brother in the nightclub with an expression of "I am not willing to pay attention to you. If my brother who is as kind as a white lotus flower asked me to help you, I would have kicked you out."
The younger brother, whose head was lovingly stroked by his elder brother as a prop, felt that it was tolerable to be touched a little bit for hair loss because of the triple "half-year bonus".After all, a wig costs only a few hundred yuan, and a course of hair restorer costs only a few hundred yuan.
So he also listened to the story of the nightclub brother.
The big brother of the nightclub is a real big brother. He has a nightclub with unspeakable service items. There are all kinds of girls and boys serving men and women. He took a few people away, and the rest of the time his nightclub was doing pretty well.
But three months ago, a younger brother died suddenly.
This little brother is 22 years old this year. He debuted very early and has been working for six or seven years. He served men in the early years and has a first-class professional level; he has been promoted to a supervisor in recent years.Seeing that this little brother is quite talented in a certain aspect, the big brother of the nightclub has brought him into the harem.This little brother had some special hobbies, he liked to play some dangerous games, and the day after he played a game with his big brother, he died suddenly.
Since then, strange things have always happened in the nightclub, such as fires, inexplicable fights, and the people inside are always sick every three days.The big brother in the nightclub is even more serious. First, he keeps catching colds, and then he often suffers from sudden weakness in his limbs, so that he can fall down anytime and anywhere——At first, he went to the hospital, but he couldn’t find out what’s wrong—Yesterday, he suddenly fell down in the middle of the road and almost fell down. After being hit and killed by a car, this originally steadfast atheist completely collapsed. After someone introduced him, he found Liu Xisheng, hoping that he could help exorcise ghosts.
After hearing the story of the big brother in the nightclub, Layman Liu remained expressionless.The eldest brother was uneasy, and looked behind him from time to time.
"Is this little brother you're talking about with long hair, dyed brown, earrings, no clothes, and welt marks on his body?" Liu Xisheng continued to ask expressionlessly.
The big brother in the nightclub nodded repeatedly, his eyes filled with tears.
"You've killed someone, and you still want to live on your own terms!" Liu Xi yelled loudly, causing her elder brother to collapse on the ground in fright.
"Take the money away! Call the police!" Liu Xisheng waved his sleeves and got up again, "I, Liu, never do anything wrong!"
Liu Xiyan received another radio wave from his elder brother, so he hurriedly grabbed his brother who was about to leave, and said, "Brother, but this little brother told me that he was not killed by this gentleman!"
Liu Xisheng snorted coldly, looked at the big brother of the nightclub who was sitting on the ground dripping with cold sweat, and didn't say a word.
"He, he really wasn't killed by me." The eldest brother snorted and burst into tears, "He has this hobby. I just cooperated with him and beat him very lightly. He was still very happy after it was over and drank some. Xiaojiu went to bed."
"What did you say?" Liu Xisheng frowned and asked.
"I, I said it wasn't me who killed him. He got up the next evening and patrolled the venue, but suddenly died the next night."
"I didn't ask you." Liu Xisheng interrupted him impatiently, "Be quiet, He Yi is talking to me."
After pretending to listen for a while, Liu Xisheng shook his head and said, "You are too demanding, and it is difficult for me to meet."
"I can pay! I can pay any amount of money! Master, please help me save He Yi!" The elder brother was completely convinced by Liu Xisheng, convinced that only this incomparable master can save his life.
4,
Liu Xiyan was not interested in watching the next thing, he wanted to sleep.The big brother of the nightclub can't escape this business anymore. As for whether his place is really haunted or fake, it doesn't matter. Liu Xiyan believes that Liu Xisheng is indeed cheating money most of the time.
Liu Xiyan, who went upstairs to catch up on sleep, encountered the tragedy of being woken up right after falling asleep. The caller was still his leader, Comrade Ye Wenxuan.
"Poop quickly, and fart quickly." The respect for the leader disappeared in the deep sleepiness.
"Speaking of business, did you see a doctor for Sister Ling's son yesterday?"
Liu Xiyan woke up: "What's wrong? Taking Tamiflu didn't work?"
"The fever reached 41 degrees today. I came to have a chest X-ray and it was pneumonia."
"I didn't hear anything abnormal in my lungs yesterday." Liu Xiyan was very puzzled.
"I heard a slightly lower breath sound today, and I didn't hear crackles. I don't know if it's interstitial pneumonia." Ye Wenxuan said, "I admitted him to the hospital."
"Thank you." Liu Xiyan said, "I'll go back and have a look."
"I think it's a bit strange. Could it be bird flu? The blood gas analysis just came out, and the blood oxygen dropped." Ye Wenxuan said, "The lymphocytes in the blood test are too low, and I don't feel very good. I asked him to continue taking Tamiflu and used For cephalosporin, three generations were used directly."
Yes, clinically, sometimes it is just a feeling, and I can’t tell what’s wrong, but I don’t feel very good. The guidelines don’t mention that the degree of lymphocyte decline is related to the disease, but the clinically seen influenza A, lymphoma The lower the cells, the more severe the disease is usually.As for bird flu, he has not received a single case so far.
"Boss," Liu Xiyan thought for a while, and said, "I also think it's a bit strange. How about you search everything you can quickly, and then open a quick search for the first two items before surgery."
"You mean?" Marven Ye snorted.
"Anyway, it can't be ruled out. I'm sorry to ask Ye Youshi. The lymphocytes are unusually low. Also, please help me prescribe a CMV antibody."
"How do you tell Sister Ling?" Ye Wenxuan was in trouble.
"What's so difficult about it, just don't talk about it. When the result comes out, if you have any questions, just ask yourself."
The two items before the operation of the emergency check are specially prepared by the obstetrics department for the imminent delivery or emergency surgery, including an urgent check of hepatitis B surface antigen and HIV antibody, and the results can be obtained within one hour.
When Liu Xiyan rushed back to the hospital, Ye Wenxuan had just put down the phone from the department. He said to Liu Xiyan, "You feel right. The Laboratory Department just called to report. Now draw blood and send it to disease control."
"Transfer?" There are designated hospitals in the city to accept this type of patients, and their hospitals do not have antiviral drugs.
"Say hello to me first, and let him decide for himself," Ye Wenxuan said.
Ye Wenxuan notified the Hospital Infection Office, and told the nurses on duty to be careful when operating and to keep quiet.A nurse who had just drawn blood from a patient turned pale, and she did not wear gloves when she operated.Liu Xiyan went to the patient's ward at the same time.
Hu Ling and the patient's wife are both in the ward.Liu Xiyan said to Hu Ling and the patient's wife, "Director Ye let you two go."
After dismissing the two family members, Liu Xiyan went straight to the patient and asked Zhang Fang: "Do you know what's wrong with you?"
Zhang Fang, who was inhaling oxygen, shook his head, weak and burnt.
Liu Xiyan said: "Our hospital can only do screening. The result may not be correct, but it may be the disease, and we have to send it to the CDC for further diagnosis."
"What disease?"
"HIV infection, it is estimated that the disease has already occurred, and it is complicated by lung infection."
When talking with patients, Liu Xiyan usually appears to have a low EQ and is unreasonable.He doesn't like to use such words as "You must be mentally prepared", "This disease is not terminally ill", "There is still hope for good treatment", it should be said that most doctors are afraid to say such words, and the current doctors only dare to state the facts. Liu Xiyan is no exception when putting the patient's emotions in the second place.Although this statement is sometimes difficult to accept, or lead to complaints by patients.
Zhang Fang showed an expression of disbelief.
Liu Xiyan has not dealt with many HIV-infected patients, and most patients even conceal their medical history from doctors, but the patients themselves can tell whether they know it from their expressions.Just like Liu Xiyan diagnosed an HIV-infected person four months ago, when he heard the report result, his expression was "as expected" instead of being shocked.
Zhang Fang really didn't know.
"Do you have someone suspicious? Someone who infected you?" Liu Xiyan thought for a while, and asked a little more tactfully.
Zhang Fang shook his head firmly: "No, I never go out to mess around, and I also trust my wife, she is a good woman."
The feeling of sadness was not the patient, but Liu Xiyan. He asked again: "Have you ever shaved your beard outside? Or shared a toothbrush with others? Think about it, a few years ago."
He thought about it carefully, then shook his head: "I pay attention to personal hygiene."
Liu Xiyan couldn't ask where the source of infection came from for a while, but Zhang Fang calmed down after the initial surprise, and he said, "Doctor Liu, can you check for my wife and daughter, I'm afraid they may be infected by me." ."
"If you plan to tell your family about this matter, you can say it yourself, but you have to tell me who you want to tell and who you want to keep secret, so that I can explain the condition. In addition, our hospital does not have antiviral drugs, so we have to go to the infectious disease hospital on a designated basis." Hospitalized. The condition cannot be delayed, you should discuss it with your family."
Zhang Fang nodded and said, "I'll tell my mother and wife."
Liu Xiyan waited outside the door, and did not go in until Hu Ling opened the door.Hu Ling seemed to be ten years older all of a sudden, but she and her daughter-in-law were very calm, and neither of them asked any more questions. Hu Ling just said to Liu Xiyan: "Transfer to another hospital." Then she paused and said: " Koyanagi, can you not include this suspected diagnosis in the discharge summary and diagnosis certificate?"
Liu Xiyan nodded: "We haven't diagnosed yet, so we can't write."
Hu Ling looked at Liu Xiyan with pleading eyes: "Please keep your department secret, don't tell it."
Liu Xiyan nodded cautiously: "We will definitely not say it, but several departments in the hospital have already known about it. The laboratory department notified us that we reported it to the Hospital Infection Office. This cannot be concealed."
Hu Ling expressed understanding.
Liu Xiyan and the ambulance took Zhang Fang to the infectious disease hospital, returned to the hospital, and got on the elevator.When the elevator reached the second floor, the obstetric hospital director also boarded the elevator. When he saw Liu Xiyan, he obviously hesitated to speak.Liu Xiyan asked him where he was going, and he said he was going to the internal medicine department for consultation.
We got off the elevator together, and the obstetrics hospital finally couldn't bear it anymore, and asked in a low voice, "Sister Ling's son is in your hospital?"
Liu Xiyan was stunned for a moment, then replied vaguely: "Oh, yes."
"What disease?"
"Influenza causes pneumonia."
The obstetric hospital always smiled knowingly: "I just came from the laboratory, so I know everything."
Liu Xiyan greeted all the eighteen generations of ancestors in the laboratory from the bottom of his heart, but did not answer.
"You said that a policeman's behavior is not decent, the current policeman!"
Liu Xiyan said: "Don't talk nonsense, the first one is not diagnosed, and the second transmission route is still unclear."
The head of the obstetric hospital grinned: "Why are you so serious? We don't talk about it in front of Sister Ling. Do you think that Sister Ling will be infected if she eats and lives with him? I don't know if his wife and children are okay."
Liu Xiyan didn't bother to talk to him, and said, "Eighteen-bed consultation! You have delayed for a few days, and if you don't come, I will report to the quality control office."
Liu Xiyan told Ye Wenxuan that the people in the laboratory department had spread the news for fear that the world would not be chaotic. Ye Wenxuan made a call to the laboratory department and scolded him, then put down the phone and sighed: "I don't think I can handle it anymore. Bingbing came to cry just now." , Blame us for not reminding her early in the morning, she did not wear gloves when drawing blood."
"Is there a wound on the hand? Is there blood?"
"nothing."
"Then why cry!"
"You put it lightly, how can it be so easy to pass the psychological test?" Ye Wenxuan said, "Let's not talk about her, I just gave him a physical examination, and just washed his hands two or three times unconsciously."
Liu Xiyan had nothing to say.
"Not everyone has as big a heart as you do."
5,
Liu Xiyan came home exhausted physically and mentally, took a shower, didn't even bother to eat dinner, and fell asleep directly on the bed.In the early hours of the morning, if he felt something, he woke up and found a white figure standing vaguely in the dark room.
Liu Xiyan turned on the bedside lamp, and saw Liu Xisheng standing in front of his bed, holding a piece of bread in his hand, with his eyes closed, looking as if he fell asleep standing up
Dr. Lun, who has just entered the hospital, often has inappropriate admiration for Liu Xiyan. This is not only due to his courageous aura when serving patients, but also because of Liu Xiyan's clear thinking in diagnosis and solid basic skills; the most important point is that he is chatty, When treating junior doctors, they are like a mosquito buzzing and constantly teaching—don’t think that mosquitoes are annoying, which department the wheel doctor is in is not used as a coolie, and it is not a teaching hospital, but a small second-class specialized hospital. Does anyone have the time and mood to teach?But this is the case in clinical practice. If no one is willing to give a few words, you may still be in a foggy state after reading books for several years.
Then a round doctor asked: "Has Mr. Liu ever misdiagnosed or missed a diagnosis?"
Teacher Liu naturally severely criticized Dr. Lun's naive questioning method: "Of course there are, there are so many! Doctors are not gods, how can they not misdiagnose and miss diagnosis? A doctor who thinks he will never misdiagnose will never You will know your shame and be brave, a doctor who thinks that if he does not miss a diagnosis, he will never make progress——Your self-willedness is disregarding human life!"
Given that Dr. Liu was too serious and rose to the height of political awareness every minute, Dr. Lun tried to change the subject, but Dr. Liu suddenly said in a low voice: "Boy, remember that the most likely to be misdiagnosed is an acquaintance. You talk to him The handouts are embarrassing to talk about money. If you don’t do this check, don’t do that treatment, and use cheap medicines—how can there be such a good thing!”
"Western medicine requires evidence. If there is no evidence, how can we diagnose by feeling? There are so many diseases with similar symptoms and signs, what should we do if the evidence is not enough? We can only rely on inspection. Let me tell you, if you come to see a doctor, I will not treat you politely!"
Dr. Liu didn't know what medicine he had taken or stopped taking. He was so anxious that Dr. Lun said tearfully, "Teacher, don't curse me."
The reason is nothing more than this: Liu Xiyan learned from the talkative Liuxi Snake that he was an immortal doctor in his previous life, and that a golden needle and a silver needle could save the dead; Smash the cap of the sky.So much so that Liu Xiyan thinks that the so-called previous life should be lived in fantasy novels-I slapped the universe with my palm, and stepped through the void with my foot. I hold the fate and destiny of countless creatures in the three thousand worlds, and I am the god of my own universe. !
So when she told herself "Doctor, I have a stuffy nose", "Doctor, I have a cough", "Doctor, I have a stomachache", Liu Xiyan felt a huge gap and endless emptiness: Where is the agreed male protagonist Goldfinger?What about the stallion harem?Why do I just treat patients with colds in the emergency department of a second-tier hospital every day?What's more, those tinea pedis patients who know that there is no emergency department in the dermatology department, but still come to the emergency department in the early morning, take off their shoes, hold their feet in front of him and say, "Doctor, my feet are so itchy that I can't sleep", are you thinking again? What is the problem in life that makes it itchy during the day?
As for the Liuxi Snake who was going to reincarnate, why can he still make irresponsible remarks to him?Because Liuxi Snake was too happy that day, he reported late, and was knocked out by other bardos. Currently, he can only temporarily stay at Liu Xiyan's place to wait for the next interview opportunity.
That's why Liu Xiyan has been forced to receive paid channels from time to time recently, watching the four spirits play the national essence, while listening to the glorious past of his previous life mixed between "peng" and "hu".
You are all national quintessence, you are all ancients, can't you play chess for a little fun?Well, even if you can't play Go, you can always play chess, right?
Regarding Liu Xiyan's prudent suggestion, all the spirits seriously considered it for a second, and then rejected the reason: I always feel that gambling with chess is not right.
To be correct, it is not quite right to bet on Mingbi with chess.
Liu Xiyan's behavior of going to Yaxiang Street every day after get off work to bring some coins back was finally discovered by Wu Tingfang, who has been haunting Yaxiang Street for a long time.The two met at the intersection of Yaxiang Street that day, and Wu Tingfang looked at Liu Xiyan's hand holding a large stack of Ming coins that looked like the fifth edition of local tyrant gold RMB, and asked, "Is Director Liu very short of money?"
Liu Xiyan said: "He told me in his dreams every day that he owed a lot of usury because of gambling."
"When a person dies, his temperament will change once. When Director Liu was alive, he hated gambling the most."
"..." Born under the red flag and brought up under the teaching of materialism, what kind of bad influence did the good young people have to have such a profound experience?
Liu Xisheng expressed dissatisfaction with Liuxi Snake's behavior of paying for on-demand broadcasts with Ming coins, but he really didn't want to hear the bardo in the form of the second uncle acting like a baby, so he had to let go of all dissatisfaction.
Ever since Mr. Tapir and Liuxi Snake joined the spirit body army and caused all the spirits to indulge in promoting the quintessence of the country, Xiao Lian completely forgot that there is still a Liu Xisheng in the world, so the two brothers can eat on the same table in peace again. Soaking in a bathtub, sleeping tightly on a bed—the latter two were forced by Liu Xiyan to test Xiaolian's influence, and of course the two items are paid items.So Liu Xiyan was very, very happy to find that he was still a patient with sex disorder.
It's so nice not to be able to fuck with my brother.
Liu Xisheng tried his best to prevent Liu Xiyan from using the above sentence as his signature.The complacent younger brother had no choice but to vent this sentence on Weibo.
As for being unfollowed by the only ten fans other than zombie fans, that's another story.
2,
There are Bo'ai hospitals in many cities; it should be noted that those hospitals with the word "Bo'ai" are usually not fraternity, and usually only serve one or two groups of people, namely women and children.Even some Pok Oi hospitals only serve children, equivalent to children's hospitals.In a hospital with the word "fraternal love", in addition to the above two departments serving the population of obstetrics and gynecology and pediatrics, other departments serving these two departments, including the traditional major departments of internal medicine and surgery in other hospitals, are all was classified as a disadvantaged department.
But these two departments of Pok Oi Hospital are indispensable—women only have obstetrics and gynecology diseases, don't children not have surgical diseases?
However, the Bo'ai Hospital in the past did not have these two departments. When Ye Wenxuan was first recruited, he was given the mission to establish an internal medicine department that integrates outpatient clinics, emergency departments, and wards. Patients with medical diseases.Ye Wenxuan mentioned the experience of the first year in the hospital, and he felt that life was worse than death—he was a dignified neurology doctor who graduated from a master’s degree, and he worked in the obstetrics and gynecology department for a year. It's just that there is not enough manpower yet to start a department.In the second year, Liu Xiyan, who had completed two years of resident training in a large hospital in Guangzhou, couldn't bear the low cost of the large hospital, so he casually jumped to this hospital. I went to the Brothers Hospital for a year in internal medicine, and finally came back to establish the department with two doctors who had graduated for one year and had no experience in internal medicine.
Ye Wenxuan and Liu Xiyan chatted, and they both said that they were fascinated by lard back then, and they were too irresponsible for their own lives, so they came to this hospital and chose this department.
The two claimed to be the most familiar physicians in obstetrics and gynecology in the world, but no expert reviewer of internal medicine was interested in this kind of thing, which led to their hardships on the road to promotion.
However, because he is familiar with obstetricians and gynecologists, Ye Wenxuan often seeks help from obstetrics and gynecology departments and even reproductive centers for infertility; Liu Xiyan is a big man, but he often has to help women from relatives and friends find this acquaintance and that acquaintance Seeing irregular menstruation, infertility, miscarriage and abortion, Liu Xisheng would occasionally call him "friend of women" affectionately.
Apart from Wu Tingfang, the obstetrician and gynecologist who has the best relationship with Liu Xiyan is Hu Ling, the director of the general obstetrics department.Since Liu Xiyan followed her during the obstetrics and gynecology department, and her son was about the same age as Liu Xiyan, Hu Ling took good care of Liu Xiyan, and Liu Xiyan often troubled her—because all women expressed their reluctance to see a gentleman like Wu Tingfang. gynecology.
Hu Ling will be 55 years old next year. If the policy of delaying retirement does not come out, she will retire in August next year. When I saw her in recent months, she was in a different cheerful state than usual. She once told Liu Xiyan He stated that after retirement, he would pamper his grandchildren and resolutely refuse to re-employ.
Hu Ling's son has been married for 5 years, and his granddaughter is 4 years old. Because he is an only child, he can still have another child. It is said that he is planning this year.
When the winter solstice was approaching, Liu Xiyan troubled Hu Ling again, because his cousin who had a habitual miscarriage had another miscarriage—yes, that’s right, it was his first love cousin whose face was already blurred—he was trying to figure out how to understand this cousin After working in Pok Oi Hospital, I came to ask for help, hoping to introduce a good gynecologist to see a doctor.
Although Hu Ling is the director of the obstetrics department, in the past few decades, a small hospital like Bo'ai Hospital has not divided into departments, and the obstetrics and obstetrics departments all look at the same. Liu Xiyan took her to Hu Ling's place early in the morning.
Hu Ling was not as cheerful as usual that day. When seeing her cousin, Hu Ling said to Liu Xiyan who was about to go to the inpatient department for rounds: "I will go to see you at noon."
This day was Liu Xiyan's day shift. He hadn't eaten at 12:30 and was serving emergency patients at noon.Hu Ling entered the office just after serving a febrile patient.Liu Xiyan gave her a mask, opened the window, and said to her, "It's flu season again, and this is the hardest hit area."
Hu Ling waved her hand and said, "It's okay! Viruses are useless to me! I don't have a cold at all!"
"What's the matter, sister Ling?" Liu Xiyan put the mask in his pocket and asked.
"It's not my son yet." Hu Ling worried, "I don't even know how I was so strong and gave birth to such a sick son. You said he is still a policeman, and he catches a cold every three days."
"It's normal for this person to have a different physique. You used to say that he always works the night shift, did he damage his body?" Liu Xiyan remembered that Hu Ling's son used to fight on the front line of anti-pornography and anti-illegal activities. In the past two years, he has been promoted to a junior. Officer, I was transferred back to the office.
"I guess so. He used to be in good health and worked as a special police officer. That is to say, the years when he was on the night shift began to be bad." Hu Ling asked, "I mean, his second child has been approved for more than a year. My daughter-in-law There is no movement in the stomach at all, I asked them to check, but my son refused to die. He refused to listen to me, do you think there is any medicine for him to recuperate his body?"
"..." You are not looking for me for infertility, right?Didn't you also watch women infertile for many years?Looking at Hu Ling's eagerly looking eyes, Liu Xiyan was really embarrassed to say that - he used to take the risk of practicing medicine illegally to prescribe some traditional Chinese medicine to treat colds for some acquaintances and patients, including Hu Ling's son. It's just a matter of fur, and there are only a few prescriptions to cure colds. If infertility can be cured, it will be a fantasy novel.
The so-called sage does not heal himself, but in fact the whole family does not want to see a doctor. It is reasonable for Hu Ling's son and daughter-in-law not to see a doctor. Just like Liu Xiyan's parents who have a cold, they believe in the herbal tea seller on Yaxiang Street, and they don't want to believe him.
"Why don't I go back and ask my brother?" Besides, it's clear that Hu Ling's son is shying away from medical treatment, even if he doesn't come, he will see a doctor.
"What's your brother doing, Chinese medicine?" Hu Ling heard Liu Xiyan mention his brother for the first time.
"My brother, he..." Liu Xiyan thought for a while, and said, "It depends on Feng Shui."
Hu Ling's eyes lit up, and she quickly copied her son's name and date of birth to Liu Xiyan, and said reverently: "Well, then I will trouble Master to see if I can conceive this year."
"..." So is it because the ideological and political teachers in elementary, middle, high, and high schools are too fishy in troubled waters?Why do intellectuals worship Liu Xisheng so much?
This incident was not remembered until Liu Xiyan took out Hu Ling's son's birth date from his pocket when he was about to change clothes.He went to knock on Liu Xisheng's door, and the latter opened the door with wet hair and a bathrobe.
Liu Xiyan subconsciously covered his heart, but there was no response for a long time.Liu Xisheng glanced behind him and said, "Xiao Lian happened to be fooled."
"What's so exciting about winning Mingbi? It's not hard currency." Liu Xiyan handed the paper to Liu Xisheng, "My colleague's son wants to figure out if he will have a second child this year."
Liu Xisheng took it over and took a look, and said, "The woman's birthday is not unacceptable, and you should ask Chen Ze about this matter. It doesn't match my major, so I can't be sure."
"I've forgotten it all."
Chen Ze is a fortune teller on Yaxiang Street in their village. He is a fortune teller with a hundred times more reputation than his brother. up.His elder brother only helps people read Fengshui, eliminates yin and catching ghosts, sells a few equipment and talismans for money, and occasionally calculates the events of the past few days, I have never seen him mainly engaged in fortune-telling.
"I introduce this kind of business to Chen Ze." Liu Xisheng said, "Five hundred at a time, friendship price. The regular price is one thousand."
"...Why don't you rob the bank?" Liu Xiyan took back the piece of paper and said, "I'm looking for Brother Ting Fang, and he will definitely not charge me."
Liu Xisheng said: "Wu Tingfang will not help you find Chen Ze."
"Why not? Aren't they very old friends?"
Liu Xisheng said, "Have you seen me introduce patients to you?"
"It's too late for you to make money by yourself, why introduce it to me?" Liu Xiyan thought this analogy was inexplicable.
Liu Xisheng stared at his younger brother for a long time, then sighed and said, "Then go and try."
Sure enough, as Liu Xisheng expected, Liu Xiyan went straight to Wu Tingfang's house to explain his intentions, but Wu Tingfang directly refused, so straightforward that Liu Xiyan was dumbfounded.
In the end, Liu Xiyan asked tentatively, "Will the money help, the full amount?"
Wu Tingfang shook his head, and said guiltily, "I can't help you. I really want to let Sister Ling find someone by herself."
Liu Xiyan couldn't figure out why, until that night Liuxi Snake opened a paid channel again.Seeing that Liu Xiyan had been troubled by this matter for a whole day and couldn't understand it, he told him: "Fortune-telling will shorten your life, or you will hurt the yin. The fortune-teller must be widowed, widowed, disabled, or short-lived. Chen is an orphan. For future generations, Wu Tingfang is afraid that he will lose his life if he counts too many."
Liu Xiyan wondered, "Didn't he give birth to a daughter?"
Willow Creek Snake: "...Everyone in the village knows that it is from relatives. How can you give birth without a wife?"
"Okay, I get it. Then why doesn't my brother refer me to patients? What does he mean by this analogy?"
Liuxi Snake looked at Liu Xiyan bitterly.Liu Xiyan felt a shudder down his spine, and suddenly realized: "By the way, he is afraid that I will be exhausted to death, and even if I am tired, he will have to report to the underworld early!"
Then I became depressed again: "How can I explain to Sister Ling?"
3,
Soon Hu Ling couldn't take care of this matter.His son had a high fever for two days. On the first day, the fever reached 39 degrees. He refused to go to the hospital. He took some antipyretics and drank a few packs of Xiaobuihu granules. The fever reached 40 degrees the next day. confused.It happened that Liu Xiyan was on the night shift that day. At ten o'clock in the evening, Hu Ling brought her son and daughter-in-law to the internal medicine office.Liu Xiyan saw that the patient had a fever and cough, looked at his throat and found it was red, and didn't hear anything in his lungs, so he asked him to prick his finger, and asked the nurse sister to hang a bottle of sugar and salt for him, and took a pill prepared by the department Give him ibuprofen.
Liu Xiyan gave him a single room and asked him to lie down for infusion.Half an hour later, the blood test results came out: the white blood cells and lymphocytes were low, especially the lymphocytes, which were only 0.16, and everything else was fine.
"What is it?"
"It might be the flu." Liu Xiyan pointed to the blood picture and said, "The lymphocytes are so low, it must be a severe flu."
"What should I do?" Hu Ling was anxious, "Are you going to be hospitalized?"
"It's fine to stay here. If you're not hospitalized, you'll have to rest for two days. I'll give him some oseltamivir. If you're hospitalized, you'll have to have a detailed examination."
Hu Ling loves her son very much, so she proposed to be hospitalized, but from Liu Xiyan's point of view, if this kind of flu sees more than a dozen people in one night, if all of them are recommended to be hospitalized, the patient will definitely not understand.
As a patient, Hu Ling's son Zhang Fang really didn't understand. He heard that it might be the flu, so he immediately rejected his mother's proposal to be hospitalized.
Liu Xiyan followed suit and did not insist.
Zhang Fang felt good after the infusion that night, and went back after taking oseltamivir once.Seeing that her son was in good spirits, Hu Ling didn't mention the hospitalization again.
The next day, Liu Xiyan returned home from the night shift like an eggplant beaten by frost.It so happened that Liu Xisheng received customers in the living room on the first floor.
Originally, Liu Xiyan was not interested in Liu Xisheng's client, but when that client turned around, both of them were stunned.
That client was the patient who complained that Liu Xiyan burned paper, which caused Dr. Liu's bonus to disappear last month.Naturally, Liu Xiyan will not forget him—a nightclub owner who came to catch a cold at three o'clock in the morning, with a huge gold chain around his neck, complaining that he had caught four times this month; , said that Dr. Liu cursed him to die, angrily slapped the table and left, and complained-afterwards, Liu Xiyan actually felt that his complaint was very reasonable. Think about it: if you go to the bank to withdraw money, the people at the front desk are counting the money and counting the money. Halfway through, you suddenly put down your money and your ID card and burn the paper, do you complain?Or when you go to buy a movie ticket, the boy who sells the movie ticket puts down the popcorn in his hand, suddenly smiles at you weirdly and burns the paper, do you complain?Or you go to the notary office to notarize that you and your wife are not real siblings but step-siblings, and the clerk at the notary office suddenly leaves the computer, takes out a lighter, and burns paper in front of you, do you complain?
Liu Xiyan thought about it carefully, and it seems that the only way to avoid complaints is to burn paper in the crematorium.
So he put the bonus on Mr. Tapir's head, and he was actually quite apologetic to the patient.
At this time, the two of them faced each other, and they were quite embarrassed—Liu Xiyan thought it was not the right occasion to prove that he was just an ordinary doctor and not a doctor with schizophrenia, while the big brother of the nightclub had a face of guilt and anxiety after suddenly realizing it. .
"This doctor belongs to you, master?" the big brother of the nightclub turned to ask Liu Xisheng, extremely humble.
Liu Xiyan once again lamented that the degree of respect due to different occupations is so different.Even before the big brother of the nightclub complained to him, his attitude towards seeing a doctor was a bullshit.
Liu Xisheng nodded: "He is my most beloved brother."
One second after this sentence, Liu Xiyan and Liu Xisheng's eyes had exchanged hundreds of thousands of words, he understood.
A younger brother who is loved by his elder brother, when he finds the culprit who caused his bonus to disappear, is standing in front of him. Of course, he should point at the culprit like Liu Xiyan, and act like a baby to his brother: "Brother, this is the bad guy, the last time I saw him He was haunted by a little devil, and he burned a talisman that you saved my life to save him once, but he didn't feel grateful, instead he complained to me, and my bonus for half a year was gone!"
"This, this, this..." The big brother of the nightclub was panicked when he heard the words "little ghost haunting", and he was even more panicked when he heard that Liu Xiyan's half-year bonus was gone.
Liu Xisheng's expression darkened, he waved the cuff of his Taoist robe, and shouted, "Seeing off the guests!"
The big brother of the nightclub turned pale and shouted at the back of Liu Xisheng who was leaving: "Master! Master! I was wrong! Please save my life!"
Seeing this situation, a young but kind-hearted brother of the Holy Mother of the White Lotus, of course couldn't bear to shout to the departing brother: "Brother, he is so pitiful, my bonus is nothing, please help him, I like it." He was a kid last time, but now he has become a ghost! If you don't save him, he will die soon!"
The face of the big brother in the nightclub was as green as a corpse.Liu Xiyan looked at his face carefully and said, "Brother, take a look at him. The last time he came to see a doctor, he said he had caught four colds a month. Now he probably doesn't know what he looks like."
The elder brother who came back touched his younger brother's head and said lovingly: "My dear brother, you have been wronged."
"I'll pay! I'll pay three times the doctor's bonus!" The big brother of the nightclub almost knelt down, turned his head and took out a dozen pink hair grandpas from the sack, put them on the table devoutly, and said, "I don't know if that's enough!" Not enough? Not enough for me to let the little ones bring it over."
Next, Master Liu listened to the story of the big brother in the nightclub with an expression of "I am not willing to pay attention to you. If my brother who is as kind as a white lotus flower asked me to help you, I would have kicked you out."
The younger brother, whose head was lovingly stroked by his elder brother as a prop, felt that it was tolerable to be touched a little bit for hair loss because of the triple "half-year bonus".After all, a wig costs only a few hundred yuan, and a course of hair restorer costs only a few hundred yuan.
So he also listened to the story of the nightclub brother.
The big brother of the nightclub is a real big brother. He has a nightclub with unspeakable service items. There are all kinds of girls and boys serving men and women. He took a few people away, and the rest of the time his nightclub was doing pretty well.
But three months ago, a younger brother died suddenly.
This little brother is 22 years old this year. He debuted very early and has been working for six or seven years. He served men in the early years and has a first-class professional level; he has been promoted to a supervisor in recent years.Seeing that this little brother is quite talented in a certain aspect, the big brother of the nightclub has brought him into the harem.This little brother had some special hobbies, he liked to play some dangerous games, and the day after he played a game with his big brother, he died suddenly.
Since then, strange things have always happened in the nightclub, such as fires, inexplicable fights, and the people inside are always sick every three days.The big brother in the nightclub is even more serious. First, he keeps catching colds, and then he often suffers from sudden weakness in his limbs, so that he can fall down anytime and anywhere——At first, he went to the hospital, but he couldn’t find out what’s wrong—Yesterday, he suddenly fell down in the middle of the road and almost fell down. After being hit and killed by a car, this originally steadfast atheist completely collapsed. After someone introduced him, he found Liu Xisheng, hoping that he could help exorcise ghosts.
After hearing the story of the big brother in the nightclub, Layman Liu remained expressionless.The eldest brother was uneasy, and looked behind him from time to time.
"Is this little brother you're talking about with long hair, dyed brown, earrings, no clothes, and welt marks on his body?" Liu Xisheng continued to ask expressionlessly.
The big brother in the nightclub nodded repeatedly, his eyes filled with tears.
"You've killed someone, and you still want to live on your own terms!" Liu Xi yelled loudly, causing her elder brother to collapse on the ground in fright.
"Take the money away! Call the police!" Liu Xisheng waved his sleeves and got up again, "I, Liu, never do anything wrong!"
Liu Xiyan received another radio wave from his elder brother, so he hurriedly grabbed his brother who was about to leave, and said, "Brother, but this little brother told me that he was not killed by this gentleman!"
Liu Xisheng snorted coldly, looked at the big brother of the nightclub who was sitting on the ground dripping with cold sweat, and didn't say a word.
"He, he really wasn't killed by me." The eldest brother snorted and burst into tears, "He has this hobby. I just cooperated with him and beat him very lightly. He was still very happy after it was over and drank some. Xiaojiu went to bed."
"What did you say?" Liu Xisheng frowned and asked.
"I, I said it wasn't me who killed him. He got up the next evening and patrolled the venue, but suddenly died the next night."
"I didn't ask you." Liu Xisheng interrupted him impatiently, "Be quiet, He Yi is talking to me."
After pretending to listen for a while, Liu Xisheng shook his head and said, "You are too demanding, and it is difficult for me to meet."
"I can pay! I can pay any amount of money! Master, please help me save He Yi!" The elder brother was completely convinced by Liu Xisheng, convinced that only this incomparable master can save his life.
4,
Liu Xiyan was not interested in watching the next thing, he wanted to sleep.The big brother of the nightclub can't escape this business anymore. As for whether his place is really haunted or fake, it doesn't matter. Liu Xiyan believes that Liu Xisheng is indeed cheating money most of the time.
Liu Xiyan, who went upstairs to catch up on sleep, encountered the tragedy of being woken up right after falling asleep. The caller was still his leader, Comrade Ye Wenxuan.
"Poop quickly, and fart quickly." The respect for the leader disappeared in the deep sleepiness.
"Speaking of business, did you see a doctor for Sister Ling's son yesterday?"
Liu Xiyan woke up: "What's wrong? Taking Tamiflu didn't work?"
"The fever reached 41 degrees today. I came to have a chest X-ray and it was pneumonia."
"I didn't hear anything abnormal in my lungs yesterday." Liu Xiyan was very puzzled.
"I heard a slightly lower breath sound today, and I didn't hear crackles. I don't know if it's interstitial pneumonia." Ye Wenxuan said, "I admitted him to the hospital."
"Thank you." Liu Xiyan said, "I'll go back and have a look."
"I think it's a bit strange. Could it be bird flu? The blood gas analysis just came out, and the blood oxygen dropped." Ye Wenxuan said, "The lymphocytes in the blood test are too low, and I don't feel very good. I asked him to continue taking Tamiflu and used For cephalosporin, three generations were used directly."
Yes, clinically, sometimes it is just a feeling, and I can’t tell what’s wrong, but I don’t feel very good. The guidelines don’t mention that the degree of lymphocyte decline is related to the disease, but the clinically seen influenza A, lymphoma The lower the cells, the more severe the disease is usually.As for bird flu, he has not received a single case so far.
"Boss," Liu Xiyan thought for a while, and said, "I also think it's a bit strange. How about you search everything you can quickly, and then open a quick search for the first two items before surgery."
"You mean?" Marven Ye snorted.
"Anyway, it can't be ruled out. I'm sorry to ask Ye Youshi. The lymphocytes are unusually low. Also, please help me prescribe a CMV antibody."
"How do you tell Sister Ling?" Ye Wenxuan was in trouble.
"What's so difficult about it, just don't talk about it. When the result comes out, if you have any questions, just ask yourself."
The two items before the operation of the emergency check are specially prepared by the obstetrics department for the imminent delivery or emergency surgery, including an urgent check of hepatitis B surface antigen and HIV antibody, and the results can be obtained within one hour.
When Liu Xiyan rushed back to the hospital, Ye Wenxuan had just put down the phone from the department. He said to Liu Xiyan, "You feel right. The Laboratory Department just called to report. Now draw blood and send it to disease control."
"Transfer?" There are designated hospitals in the city to accept this type of patients, and their hospitals do not have antiviral drugs.
"Say hello to me first, and let him decide for himself," Ye Wenxuan said.
Ye Wenxuan notified the Hospital Infection Office, and told the nurses on duty to be careful when operating and to keep quiet.A nurse who had just drawn blood from a patient turned pale, and she did not wear gloves when she operated.Liu Xiyan went to the patient's ward at the same time.
Hu Ling and the patient's wife are both in the ward.Liu Xiyan said to Hu Ling and the patient's wife, "Director Ye let you two go."
After dismissing the two family members, Liu Xiyan went straight to the patient and asked Zhang Fang: "Do you know what's wrong with you?"
Zhang Fang, who was inhaling oxygen, shook his head, weak and burnt.
Liu Xiyan said: "Our hospital can only do screening. The result may not be correct, but it may be the disease, and we have to send it to the CDC for further diagnosis."
"What disease?"
"HIV infection, it is estimated that the disease has already occurred, and it is complicated by lung infection."
When talking with patients, Liu Xiyan usually appears to have a low EQ and is unreasonable.He doesn't like to use such words as "You must be mentally prepared", "This disease is not terminally ill", "There is still hope for good treatment", it should be said that most doctors are afraid to say such words, and the current doctors only dare to state the facts. Liu Xiyan is no exception when putting the patient's emotions in the second place.Although this statement is sometimes difficult to accept, or lead to complaints by patients.
Zhang Fang showed an expression of disbelief.
Liu Xiyan has not dealt with many HIV-infected patients, and most patients even conceal their medical history from doctors, but the patients themselves can tell whether they know it from their expressions.Just like Liu Xiyan diagnosed an HIV-infected person four months ago, when he heard the report result, his expression was "as expected" instead of being shocked.
Zhang Fang really didn't know.
"Do you have someone suspicious? Someone who infected you?" Liu Xiyan thought for a while, and asked a little more tactfully.
Zhang Fang shook his head firmly: "No, I never go out to mess around, and I also trust my wife, she is a good woman."
The feeling of sadness was not the patient, but Liu Xiyan. He asked again: "Have you ever shaved your beard outside? Or shared a toothbrush with others? Think about it, a few years ago."
He thought about it carefully, then shook his head: "I pay attention to personal hygiene."
Liu Xiyan couldn't ask where the source of infection came from for a while, but Zhang Fang calmed down after the initial surprise, and he said, "Doctor Liu, can you check for my wife and daughter, I'm afraid they may be infected by me." ."
"If you plan to tell your family about this matter, you can say it yourself, but you have to tell me who you want to tell and who you want to keep secret, so that I can explain the condition. In addition, our hospital does not have antiviral drugs, so we have to go to the infectious disease hospital on a designated basis." Hospitalized. The condition cannot be delayed, you should discuss it with your family."
Zhang Fang nodded and said, "I'll tell my mother and wife."
Liu Xiyan waited outside the door, and did not go in until Hu Ling opened the door.Hu Ling seemed to be ten years older all of a sudden, but she and her daughter-in-law were very calm, and neither of them asked any more questions. Hu Ling just said to Liu Xiyan: "Transfer to another hospital." Then she paused and said: " Koyanagi, can you not include this suspected diagnosis in the discharge summary and diagnosis certificate?"
Liu Xiyan nodded: "We haven't diagnosed yet, so we can't write."
Hu Ling looked at Liu Xiyan with pleading eyes: "Please keep your department secret, don't tell it."
Liu Xiyan nodded cautiously: "We will definitely not say it, but several departments in the hospital have already known about it. The laboratory department notified us that we reported it to the Hospital Infection Office. This cannot be concealed."
Hu Ling expressed understanding.
Liu Xiyan and the ambulance took Zhang Fang to the infectious disease hospital, returned to the hospital, and got on the elevator.When the elevator reached the second floor, the obstetric hospital director also boarded the elevator. When he saw Liu Xiyan, he obviously hesitated to speak.Liu Xiyan asked him where he was going, and he said he was going to the internal medicine department for consultation.
We got off the elevator together, and the obstetrics hospital finally couldn't bear it anymore, and asked in a low voice, "Sister Ling's son is in your hospital?"
Liu Xiyan was stunned for a moment, then replied vaguely: "Oh, yes."
"What disease?"
"Influenza causes pneumonia."
The obstetric hospital always smiled knowingly: "I just came from the laboratory, so I know everything."
Liu Xiyan greeted all the eighteen generations of ancestors in the laboratory from the bottom of his heart, but did not answer.
"You said that a policeman's behavior is not decent, the current policeman!"
Liu Xiyan said: "Don't talk nonsense, the first one is not diagnosed, and the second transmission route is still unclear."
The head of the obstetric hospital grinned: "Why are you so serious? We don't talk about it in front of Sister Ling. Do you think that Sister Ling will be infected if she eats and lives with him? I don't know if his wife and children are okay."
Liu Xiyan didn't bother to talk to him, and said, "Eighteen-bed consultation! You have delayed for a few days, and if you don't come, I will report to the quality control office."
Liu Xiyan told Ye Wenxuan that the people in the laboratory department had spread the news for fear that the world would not be chaotic. Ye Wenxuan made a call to the laboratory department and scolded him, then put down the phone and sighed: "I don't think I can handle it anymore. Bingbing came to cry just now." , Blame us for not reminding her early in the morning, she did not wear gloves when drawing blood."
"Is there a wound on the hand? Is there blood?"
"nothing."
"Then why cry!"
"You put it lightly, how can it be so easy to pass the psychological test?" Ye Wenxuan said, "Let's not talk about her, I just gave him a physical examination, and just washed his hands two or three times unconsciously."
Liu Xiyan had nothing to say.
"Not everyone has as big a heart as you do."
5,
Liu Xiyan came home exhausted physically and mentally, took a shower, didn't even bother to eat dinner, and fell asleep directly on the bed.In the early hours of the morning, if he felt something, he woke up and found a white figure standing vaguely in the dark room.
Liu Xiyan turned on the bedside lamp, and saw Liu Xisheng standing in front of his bed, holding a piece of bread in his hand, with his eyes closed, looking as if he fell asleep standing up
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