The taxi driver shut his mouth knowingly.
The car was speeding down the street and arrived at the Second Hospital in a short time.
After paying eight yuan, Li Jingsheng got out of the car.
The two girls in smoky clothes were also slightly relieved. When they saw Li Jingsheng getting off the car at the entrance of the Second Hospital, they believed Li Jingsheng's identity to a certain extent.
However, there will be no intersection between the two parties.
Living in a big city, we pass by too many people every day.
Li Jingsheng walked quickly to the hospital.
At night, the outpatient clinic was dark and many glass doors were locked.
But it's still possible to get in and out.
After he entered, he took the elevator directly to the fourth floor, and then began to walk through the aisles like a maze.
It is often not easy for patients and their families who first come to the Second Hospital to find the outpatient clinic they need to see. It's easy to get lost inside.
There are signs all over the walls though.
When he arrived at the inpatient building where the orthopedic surgery department was located, he took the elevator directly to the sixth floor.
"Dr. Li, why did you come here at night? There are no emergencies in our department!"
The nurse girls on the night shift asked in surprise when they saw him.
"I won't be going to work tomorrow. I heard from Dr. Qin that a patient in bed 53 has a fever at night. I'll come over and have a look. Are you guys busy tonight?"
"It's okay! It's okay for now, but don't talk nonsense! Otherwise we will get busy later and we will definitely blame you."
"Haha, doctors are all atheists. Do you still believe this?"
Li Jingsheng thinks these nurse girls are cute sometimes.
Of course, they are also very violent when they lose their temper.
You shouldn't be able to scold Li Jingsheng. If you have a little discernment, you would know that he is now a popular figure in orthopedic surgery and a new upstart.
If you really offend him, you will probably not get any good results.
After chatting with the nurses for a while, Li Jingsheng borrowed a personal thermometer and went straight to bed 53.
"I heard the fever started again?"
Li Jingsheng asked the family members.
The patient was lying on the bed, dazed and in a very bad mental state.
Maybe he didn't eat much, and he was mentally depressed, so he looked even more sick.
"It's you! I almost didn't recognize it!"
The family members stared at Li Jingsheng carefully for a few times, and then recognized him as the young doctor who came over at noon.
Li Jingsheng has already taken the patient's forehead temperature.
37.5 degrees, low heat.
"I was off work. I heard your son had a fever and came here to check on him, so I didn't wear work clothes."
Li Jingsheng explained with a smile.
"He does have a fever. How long has he been like this?"
"I didn't notice it before. It only appeared in the past few days!" The family members were not sure.
It has been three months since the patient had the surgery. If he has a low fever after the surgery, he will definitely have energy.
There will be a doctor's order for intensive monitoring after the operation.
Some even need to take body temperature and blood pressure every half an hour to observe the amount of drainage.
Any abnormalities need to be reported to the doctor immediately.
Postoperative bleeding, blood clots, and various complications are very dangerous.
"Let me check you again!"
After saying hello to the patient, he tried to feel the patient's bones again.
Perhaps because of the fever, there is sweat on the patient's back and it feels a little sticky.
The bone elephant still has that wooden feeling, which is indescribable, as if it is touched on a frosted surface. But there are certain differences.
And it was concentrated on the injured vertebrae, extending to both ends.
"The patient's condition seems to be progressing!"
After Li Jingsheng felt it carefully, he found that compared with the bone image he felt at noon, the scope of the patient's diseased bones seemed to have expanded a bit. Although it was very small, it happened to be at the fifth vertebrae, so he was very impressed.
Since it was not a sterile inflammation, the X-rays taken were fine, but the vertebral lesions were still progressing.
What could be the reason?
I have never touched this kind of woody bone elephant, and there is no way to learn from it.
Therefore, doctors still rely on experience.
Some cases require more accumulation and more exposure to gain a broader knowledge.
After carefully examining the patient, he found no other abnormalities.
There's no way to diagnose it, and there's nothing you can do about it.
Not to mention him, all the directors of the orthopedic surgery department have already gone into battle, but the cause of this patient's disease is extremely hidden and cannot be found out at all.
He walked to the nurse's station and returned the thermometer.
The family member chased him and asked, "I told you yesterday that my son had a fever at night, but you said it was fine without measuring it. What now? The doctor has measured it and confirmed that my son has a fever. I will definitely file a complaint tomorrow." you."
I don’t know if this woman didn’t receive enough education since she was a child, or if she received too few beatings in society.
He would hold on to the smallest thing and offend the nurse to death.
Really worried for her son.
The nurses are responsible for infusions, dressing changes, etc., so there is nothing wrong with them.
However, there will be some differences in treatment, and issues raised by family members and patients will not be dealt with. This is completely normal.
As for complaints, if a family member complains against multiple patients and doctors, does he really think the medical department is a fool?
In all likelihood, this woman will be defined as a psychopath.
At that time, it will probably be just official talk, and there won't really be any real deal.
The hospital itself does not belong to any one person, but to a whole composed of all medical, administrative and general staff.
"It was measured yesterday and if there's no problem, it means there's no problem. If you want to complain, there's nothing we can do about it."
The nurse looked cold.
The two young nurses were so angry that their noses were no longer noses and their mouths were no longer mouths.
The older nurse in charge ignored the female family member.
Just the words she said would be enough to choke her.
"You are obviously derelict in your duties and bully no one in my family, right? I will go to the Health Bureau to complain against you tomorrow..."
This female family member's mouth is full of fragrance, which makes people frown when listening to it.
"Auntie, you need to calm down first. The most important thing now is to find out the cause of your son's illness. I will report the problem of our nurse teacher to the superiors when the time comes."
Li Jingsheng persuaded the female family member to go back.
The Health Bureau has long ceased to exist. As soon as everyone hears it, they will know that they are a country leopard who doesn’t understand anything.
But it’s a bit troublesome to actually file a complaint.
The impact on hospitals is also not good.
Li Jingsheng persuaded the people to go back, which was considered to be the end of the matter.
Opening a clinic for a year has taught him some tact.
There really is nothing to argue with this kind of family members.
In the hospital, which medical staff would be afraid of threats from her? In the end, she was the one who suffered.
"Dr. Li, why do you care about this kind of person? Tomorrow we will find a way to persuade people to be discharged from the hospital. It's really noisy."
"The quality of the patient and her family members are different. Why do you have to be the same as her? I will order you some cups of milk tea later to calm down the anger."
Li Jingsheng comforted them.
"Only Dr. Li would tolerate such a person. Okay, okay, for your sake, let's not get along with this kind of person."
"Women should smile more and be happy, otherwise they will age easily and get freckles easily!"
Li Jingsheng breathed a sigh of relief when he saw that both parties had been persuaded.
If the nurse is not persuaded, the patient may be discharged the next day.
There is no need to doubt their strength.
"Ah... you are so annoying! Don't you know that we women are most afraid of growing old and ugly?"
The nurses were coquettish.
"Haha, just reminding you! How many people are there in the evening shift? I can place an order."
"Five nurses are on night shift. Why are you so please to us? It's impossible to say you have any thoughts about any of us. You already have a girlfriend. And it's our orthopedic surgery department, even the most popular one in the Second Hospital. Beautiful female doctor.”
"There's really no purpose in trying to please you. If anything, I just want you to help take care of Dr. Ou."
"Don't worry, the sisters will definitely treat Dr. Ou as one of their own. I like coconut-flavored milk tea, can you satisfy me?"
"No problem at all. Where are you two?"
"I love the smell of milk!"
"I don't care!"
Li Jingsheng placed an order online according to their taste requirements and ordered five cups. When I arrived at the doctor's office, the lights were on.
Normally the lights would be on all night and a doctor would be on duty.
"Doctor Qin, are you the only one on duty at night?"
Li Jingsheng smiled and greeted.
The tense relationship between the two has improved in recent times.
Dr. Qin knew that he was no match for Li Jingsheng, so he basically compromised on his own initiative.
"You really came here?"
Qin Fei must have known that he was coming.
After all, the doctor's office is right next to the nurse's station.
As long as you are not deaf, you can definitely hear his voice.
"I won't be working tomorrow, so I just thought I'd come over and have a look. You go about your business, I'll sit down for a while and then leave."
Li Jingsheng turned on the computer, logged in to his account, and then started to check the patient's information.
I have a fever at night and my body temperature is normal during the day. The X-ray of my vertebrae is good, but it feels a bit numb to the touch and is still expanding. The patient's lower limbs have been paralyzed, and he is also accompanied by lumbar pain...
While checking the patient's information, he sorted out the found information, and then thought hard about the reasons.
"Could it be a problem with the patient's immune system?"
His immunodiagnosis has been stuck at the introductory stage. Now after thinking about it, he decided to upgrade his diagnostic skills.
He was really willing to spend 500 health points to upgrade this medical skill from beginner to master. In one step, you can reach the diagnostic level of a senior doctor.
The diagnosis and analysis of various immune diseases have been improved by leaps and bounds beyond imagination.
"The tumor can be ruled out!"
"Judging from some of the patient's symptoms, rheumatic immune lesions may also be ruled out."
"What about an immune system infection? There seems to be some consistency."
Li Jingsheng kept thinking in his mind, and he already had a clear understanding of the diagnosis of immune diseases in the human body.
Most diseases in the human body are caused by a breakdown of the immune system.
Then the cure is due to the existence of the immune system.
Rather than a drug or surgical cure.
Improving immune diagnosis will have immeasurable benefits for improving his overall diagnosis and treatment level.
After layers of analysis and diagnosis, he believed that the patient was probably infected and had his immune system destroyed.
Infection with what?
bacteria? Virus? Or something else.
Considering that the patient had a deep wound on his back and lumbar spine after a car accident and was soaked in a smelly ditch on the roadside, the possibility of infection with bacteria and viruses does exist.
After the human body loses the skin barrier, it is very vulnerable to various bacterial infections.
There were no obvious abnormalities in the blood routine, except for a slight increase in white blood cells.
But considering that the patient's bone lesions are still progressing, and he has no fever during the day, but has a fever at night, could it be a parasitic infection that is more difficult to deal with than bacteria and viruses?
Some parasites are very scary, such as brain-eating worms, double-grooved larvae, etc., which are terrifying to humans.
Someone liked to eat snake meat. Ten years later, he had an unbearable headache and went to the hospital for examination. The doctor removed a 17-centimeter-long two-headed larvae from his brain.
This parasite needs to be boiled in 100-degree boiling water for more than five minutes to kill it.
If it were hidden deep in snake or frog meat, it could easily escape.
After entering the human body, it will slowly adapt and become parasitic.
Li Jingsheng was not sure that this patient was caused by parasites, but he thought it was worth checking.
Looking at the time, it was already past 12:20 pm.
He sent a message to Director Hua, briefly explaining his diagnostic ideas and some subtle findings. I suggest Director Hua do a parasite check on the patient tomorrow.
The strangest thing about this patient is that there is no significant increase in eosinophils.
Otherwise, we would have done this investigation long ago.
Because of this, Li Jingsheng was unsure.
Unexpectedly, Director Hua responded to him immediately after receiving the message.
"You're still up so late? We'll arrange for the patient to be checked in this area tomorrow morning."
"I couldn't sleep anyway. When I heard Dr. Qin say that the patient had a fever at night, I came over to check on him. I was going to go back to sleep right away."
Li Jingsheng was still a little restrained when sending messages and chatting with the department director.
"have a good rest!"
Followed by a thumbs up emoji of praise.
"Okay, good night!"
After Li Jingsheng replied, there was one more thing that needed to be resolved.
I need to see the female patient in the urology department who had enlarged kidneys. It was a bit late now, so he brought his work clothes.
Although the inpatient departments of orthopedic surgery and urology are in the same building, Li Jingsheng is not familiar with them.
When I got to the eighth floor, I smelled the smell of disinfectant and urine as soon as I got out of the elevator.
Many patients here need urinary catheters or even urine bags hung around their waists.
Sometimes it leaks or gets on the quilt or clothes, and it will smell a little bit.
When this floor is filled with such patients, even if only a small number of patients have this condition, the smell of ammonia is still a bit strong.
Li Jingsheng's visit was immediately discovered by the nurse at the nursing station.
They looked at Li Jingsheng warily.
Since they were not doctors from the same department, they naturally did not recognize this slightly handsome young doctor.
"Are you looking for someone?"
A female nurse with brown hair and a thin face stared at him and asked.
"I am Li Jingsheng, a doctor of orthopedic surgery. This is my work ID."
Li Jingsheng must reveal his identity and gain their trust.
"What are you doing here? Which nurse sister is on duty with us?"
Married female nurses are bolder than unmarried girls, and they speak so directly.
It made Li Jingsheng, an old fritter, blush a little.
"I would like to ask if the patient in bed 37 is named Chen Guixiang?"
"Yes! Are you here to find her?"
"Do you, Dr. Tan Shuilin, work the night shift tonight?"
"It happens to be inside. Dr. Tan, Dr. Li from the orthopedic surgery department is here to chat with you!"
The female nurse shouted into the doctor's office with a smile.
This female nurse is so naughty.
"come in!"
A tall young doctor appeared at the door of the doctor's office, then looked at Li Jingsheng and waved to him.
This man wore glasses and looked to be in his thirties.
No matter how old he is, he is considered very young among the medical team.
"Hello! My name is Li Jingsheng. I came here to ask you to take me to see the female patient named Chen Guixiang, the one with edema in both kidneys."
Li Jingsheng did not go in, but directly expressed his intention to the other party.
"What are you doing?"
"I also saw the patient's information from Director Mu, and I was very interested, so I wanted to come over and broaden my horizons. Is it convenient for Dr. Tan to see you?"
"Convenient, very convenient! I'll take you there!"
After hearing this, Tan Shuilin did not refuse.
Young doctors like to delve into difficult cases, which is a sign of advancement. All young doctors like this have some ability.
Tan Shuilin had never heard of Li Jingsheng.
After all, Li Jingsheng had only been in the Second Hospital for a short time, and he might be more famous in the orthopedic surgery department.
Then he became well known by some top chief physicians in the Department of Respiratory Medicine, Emergency Department, and Cardiac Surgery.
On the contrary, the doctors at the lower level know very little.
"This female patient is the strangest case I have ever encountered in my career. It is obviously a kidney disease, but there has been no effect after symptomatic treatment. Your orthopedic surgery department also conducts research in this area?"
Tan Shuilin introduced the situation as he walked.
He didn't know Li Jingsheng's name at all, but as long as this case was solved by Li Jingsheng, he might come to say hello to Li Jingsheng if he saw it from afar.
(End of chapter)
