"You don't know this female doctor? Since she said that, she can't lie."
"That's right, you don't even recognize the female disciples of Zhou Guoshou, so why do you say they can't do it? It's spread all over the Internet. Yesterday, Dr. Tao Le helped many passengers on the train with just a few needles. It cured altitude sickness and the effect is particularly good.”
As soon as they said this, people started going online to verify it.
"There are actually entries about her on the Internet! Tao Le, she is really herself! She is also an honorary member of the Chinese Medical Association, so what she said must be accurate."
"I recognized her just now. She is so enthusiastic towards people she has never met before. She really deserves to be a disciple of Zhou Guoshou. This kind of medical doctor is amazing!"
"I said as a father, why are you still here? Take your child to the hospital for a check-up quickly, don't delay it!"
At this point, the father himself checked the information online. Although he was still a little doubtful, at least he was not as insistent as before.
"Okay, I'll take him to the hospital right now." He made up his mind.
"I'll go with you." Tao Le was a little uneasy.
Ye Chen and Xie Baoshu looked at each other, gave up playing, and accompanied them to Sasa Central Hospital.
For such a serious emergency, it is natural to go to the emergency room.
The newly built emergency center building in Saskatchewan is closely connected to the main building of Saskatchewan Central Hospital, but it has not yet been officially opened because the medical team assisted in the construction has not yet taken up its duties.
At this time, the emergency department of the Central Hospital is still in the old building, and the space is relatively small.
But the doctor is different. The country’s group-based aid to Tibet policy did not just start today, but is a massive project that is being systematically and gradually advanced.
At this moment, in the Savoy Central Hospital, 80% of the medical staff coming from Beijing and the city to assist Tibet account for 80% of the total number of medical staff, including many experts in various disciplines.
Emergency departments are no exception. Before the high-level emergency center was built, the person who played the leading role here was Liang Hong, deputy director of the emergency department of Beijing No. 2 Hospital.
However, it was a bit unfortunate these days. Liang Hong and many doctors in the department went to the ALD area to participate in free clinics. The person attending the emergency medicine department was Chang Shengnan, a local resident.
Although she is not a Tibetan, she has been admitted to Sasha Central Hospital for seven or eight years after graduation.
The influx of a large number of experts and doctors from Beijing and the city brought many new medical concepts and new treatment methods. She also benefited a lot from them, and her knowledge and abilities have improved to more than one level than before.
The child in front of me can still stand here properly, so it doesn't seem to be a big problem.
"Don't worry too much, it's just normal altitude sickness, the child's resistance is weak. I'll prescribe some altitude sickness, and just eat and rest enough when you go back."
It’s no wonder she gave the doctor’s orders without checking in detail.
Saskatchewan is the gateway to Tibet, and it is also the pinnacle city of medical technology in the entire Tibetan province. It is responsible for ensuring that serious illnesses do not leave Tibet, so there are countless patients who come here every day.
She has seen a lot of altitude sickness, ranging from mild to severe, including cerebral edema and pulmonary edema.
These two complications often occur 2-6 days after entering the plateau area. The onset is rapid and severe. They are often severe when they are sent to the hospital. They may include headache, dizziness, nausea, vomiting, coma, convulsions, difficulty breathing, and coughing. Sometimes you will cough up white or pink frothy sputum and other typical symptoms.
In comparison, the child's performance in front of her was not serious, and she did not suffer from those two complications at all.
It would definitely be unrealistic to take brain CT and chest X-rays for every patient who comes to see you for hyperreflection.
It is definitely impossible to do this with the existing machines and manpower of the imaging department.
Of course, the patient himself was willing to have fewer examinations. The two parties hit it off and there was nothing wrong with it.
The problem is that although the patient's family members have no objections this time, the three outsiders who accompanied him are inexplicably unhappy.
"Doctor, this child should have cerebral edema and pulmonary edema." Tao Le said, "Please give him a brain CT and chest X-ray to check."
Chang Shengnan raised his head and glanced at Tao Le.
"Are you teaching me how to treat a doctor?" She said angrily: "Don't you see, there are many people waiting for treatment behind me."
Tao Le and the three of them had done a lot of work of sitting in the clinic and seeing doctors, so they naturally knew what was going on.
"Just help with the examination, and we'll pay for it right away. There won't be any delay in treating them," Ye Chen said.
Chang Sheng Man simply put down his pen: "Are you this child's family member?"
"No." Tao Le said, "But we are."
She was just about to release the news that she would start working as a colleague tomorrow when Chang Shengnan interrupted her.
"If you're not a family member, don't worry about it. This child is just an ordinary high-refractory child. Just go back and take medicine and rest."
She thrust the doctor's order into the patient's father's hand and shouted directly: "Next one!"
The patient's father held the child's hand, thought for a moment and then turned back and asked, "Doctor, if we take the medicine according to your advice, can we go to Yanghu and Namtso tomorrow and the day after tomorrow?"
"Logically speaking, as long as the symptoms improve, the problem is not big." Chang Shengnan said.
"Thank you, doctor." The father's face showed joy, and he turned to Tao Le: "Doctor Tao, let's go first?"
He was just preparing to be polite, but Tao Le stopped him with a serious look.
"Doctor. This child has developed pulmonary edema and cerebral edema and must be hospitalized. Once the condition is stable, he will be transported to a lower altitude area as soon as possible."
"We absolutely cannot continue the journey below."
Chang Shengnan simply raised his chin with his hands and listened indifferently without answering.
Her attitude made both Xie Baoshu and Ye Chen both surprised and angry.
"Doctor, is it that difficult to prescribe a checklist and confirm the symptoms?" Xie Baoshu said:
"This child's cough is getting worse and worse. You just auscultated it, so you should be able to hear some problems, right?"
"I didn't hear anything wrong." Chang Shengnan said: "So, don't apply it to yourself after seeing some severe symptoms of high reflex. This can easily form psychological implications."
"But you haven't done any other tests, how can you guarantee that the child will not have these two diseases?" Ye Chen also asked with a frown.
"It's really interesting. I see Tiandi sitting here for consultation, and I've seen a lot of patients suffering from altitude sickness." Chang Shengnan sneered, "But this is the first time I've seen people like you."
"And do you know that our hospital doesn't have much imaging equipment, and the emergency room has to be shared with the outpatient department - if it is occupied for unimportant patients, urgent patients will be delayed."
Speaking of this, she suddenly remembered that Director Liang always said that he should strengthen his service awareness and try his best to avoid doctor-patient disputes.
This has always been the least of her concerns.
Director Liang and other Tibetan aid doctors have been in Tibet for too short a time and do not understand the Tibetan people’s outlook on life and death and their open-minded nature.
People here have always respected doctors very highly. They don’t complain about God or blame others. It is the province with the least medical troubles in the country.
Practicing medicine here, she has long formed her own set of rules of conduct, which are difficult to change.
However, the people in front of me are obviously tourists from out of town and should be treated differently.
"Don't think too much about it. If this child really has pulmonary edema and cerebral edema as you said, it will definitely get worse. It won't be too late then."
As soon as she said this, Tao Le made a "bang" sound and slapped her palm on the table.
(End of chapter)
