Ava was also shy and inexplicable. When she heard downstairs that her sister seemed to be back, she quickly took off the bracelet from Hao's wrist and threw it on the counter.
She quickly washed the small clothes, stuffed them into the dryer, and then Shi Shiran went downstairs. She was a little embarrassed at first, but her sister didn't notice it, so after a while, she and her sister were chatting and laughing, and they got along quickly.
The two of them were eating breakfast, laughing happily, and the laughter like silver bells was particularly charming.
But Zhou Qiao was too embarrassed to go down anyway. I don't know if it was Elena or Ava, but he came up and called me several times, but he couldn't take that step.
"This is really a big deal!" Zhou Qiao felt that he really didn't have the face to face them.
Because, once again, he can't tell who is Ava and who is Elena, unless there is a very close contact! Relying on the red bracelet to identify it is unreliable!
Until, a patient came to our door! One of the twin beauties came up and called, so he had no choice but to go downstairs to do business!
Downstairs, the patient was howling in pain. She was a slightly fat woman in her late twenties. When she saw Zhou Qiao coming down, she immediately begged: "Quickly, doctor, give me a painkiller injection quickly. I It hurts so much, I’m going to die! I’m going to die!”
Zhou Qiao looked solemn and quickly helped her sit down and asked: "Did anything happen before the stomach pain?"
The patient was so painful that tears fell down, and he shouted loudly: "I just had diarrhea. I had diarrhea several times. I felt dizzy and bloated. Then I started to have stomach pain and vomiting. Doctor, can you stop asking and just give me an injection first?" OK?"
Her complexion was extremely pale. Although she was also white, this kind of paleness was different from normal whiteness. For example, Elena and Ava are usually very white, more crystal clear than snow. Sometimes they are slightly rosy. Even if they are not rosy, they are still very refreshing and pleasant white, not this pale white color that looks like excessive blood loss. !
And have diarrhea and dizziness? How severe does it take to cause dizziness?
Zhou Qiao felt that the condition was very serious and most likely it was not acute gastroenteritis or appendicitis.
"Elena, take your blood pressure quickly!" Zhou Qiao ordered. He glanced at the twins. Neither of them were wearing red bracelets, and he didn't know who was who. He could only flicker his eyes without looking at either of them, and said vaguely.
Elena immediately went to get the blood pressure monitor and started to measure the patient's blood pressure. Soon, the result came out and it was only 70/50mmHg! Heart rate 123 beats/minute!
Zhou Qiao was shocked. Was he in shock? Although the standards for high blood pressure and low blood pressure vary from country to country, due to regional changes, people in each region and region have different looks, body shapes, and constitutions, and their tolerance to high and low blood pressure is different.
However, no matter where you are, 70/50mmHg is definitely low blood pressure. In addition, because the blood pressure drops sharply, the heart beats too fast!
The normal heart rate standard in the United States is the same as that in China. It is generally considered that the normal range for adults is between 60 and 100 beats per minute. Although the pulse measuring function of the electronic blood pressure monitor is not as good as that of a professional ECG monitor, it can still be used as a reference.
"What color is your stool?" Zhou Qiao asked.
The woman quickly shook her head and said: "I don't know, I didn't pay attention. Doctor, can you stop asking and get the injection quickly? I'm really going to die!"
The patient said to himself, "This doctor is so annoying and refuses to give me a single injection. If I hadn't been unable to walk, I would have immediately moved to another clinic or gone to a community hospital!"
However, for Zhou Qiao, this analgesic injection really cannot be given easily without understanding the situation!
"Come on, let Elena help and help her onto the examination bed. I'll check her out," Zhou Qiao said.
Ava thought to herself, why are you always looking for your sister and not me? Instead, he took a step forward and helped Elena before she could.
Zhou Qiao was stunned for a moment, but he couldn't tell the difference and had no time to pay attention to it now.
There was business to be busy with, so the embarrassment subsided. Besides, Ava herself was very calm. The beautiful twin girls always have very similar expressions.
The woman had no choice but to lie down on the examination bed obediently. Zhou Qiao opened her clothes and began to examine.
"Does it hurt here?"
"pain!"
"What about here?"
"It all hurts, it all hurts! My stomach hurts, doctor!" the woman couldn't help but wailed.
Zhou Qiao frowned. He touched the woman's belly again and was shocked. This belly was really abnormal! If the bulge is swollen, it's unlikely to be water, but it's probably blood!
If you bleed so much in a short period of time, the problem is serious!
He originally wanted to rely on his own skills to make clinical diagnoses and accumulate more medical experience, but now that the patient's condition was critical, he had no time to think about it carefully and immediately used the system's auxiliary diagnosis function!
"System system, start it quickly!"
Soon, after a burst of invisible scanning, the system gave the answer: "The patient's fallopian tube ampullary ectopic pregnancy ruptured and emergency surgery is required."
At the same time, 2 points were deducted from the Yixuan point account, and the account balance: 20 points!
"Elena, arrange rehydration and oxygen!"
"Ava, call the community hospital and ask them to send an anesthesiologist and anesthetist nurse over immediately. Just say it's an emergency and there's no time to make an appointment!" Zhou Qiao thought to herself, hoping that the anesthesiologist at the community hospital would be free today.
"Okay! Get it done right away!"
"receive!"
The twin nurses were about to split up when Zhou Qiao called out again: "Ava, after making the call, ask the testing center to send someone to bring a portable B-ultrasound to the door for service, and tell them that I will pay last month's bill this afternoon."
In the past, the testing company had pressed for last month's bill several times, always finding excuses to delay the payment, and the deadline was not reached anyway. Today Zhou Qiao is rich and powerful, and he has enough confidence to call for services!
In fact, he has already obtained the diagnosis result through the system. However, this cannot be put on the table or disclosed to others. He still needs a corresponding test report, otherwise, people will say that he is blind and a quack doctor who harms people.
There will be trouble during the audit, and there may be medical trouble.
Because of the availability of guns, medical troubles in the United States are not comparable to the petty troubles in the country, and they might get caught out! Of course, most cases are still through lawsuits.
Elena and Ava went to work separately, while Zhou Qiao began to perform posterior fornix puncture on the patient.
This puncture is widely used to assist in the diagnosis of ectopic pregnancy. The extracted blood does not coagulate after being placed, and there are small clots in it. However, if the fluid is not removed, the diagnosis of ectopic pregnancy cannot be ruled out.
Zhou Qiao graduated from the Medical College less than a month ago. Although I know about the posterior fornix puncture, I don’t have any practical experience. It doesn’t matter. I have the system and the medical skills!
Since it was just a small operation, after deducting 5 medical points, the perfect posterior fornix puncture technique was performed.
This is a serious medical examination. The posterior fornix is punctured, and the blood is drawn out for testing.
It's just that the lithotomy position was used in a relatively shy position. Everyone knows that in China, many female patients will squirm and be embarrassed. However, this white female patient is very generous, mainly because it hurts so much. , I hope Zhou Qiao will finish the work quickly and get the results quickly!
With a 10ml syringe, a 12-gauge puncture needle, and perfect operating skills, Zhou Qiao easily reached the target location in an instant. Then the needle was slightly tilted to the side of the disease, while suctioning and withdrawing the needle.
