After Li Jingsheng took a taxi to Qiaobang Hospital, he sent a message to the 'General Manager of Internal Medicine'.
"I have arrived at Qiaobang Emergency Department. Where is the patient?"
I can’t imagine that an entire building is an emergency center.
The strength of Qiaobang Hospital is not only reflected in the difficult and critical cases successfully diagnosed and treated every year, but also in the scale of the hospital.
Even the People's Hospital doesn't dare to be so domineering.
For a top-notch hospital like this, it is not difficult to acquire land to build a building in Lijiang City, where land is at a premium.
After all, its annual revenue is said to exceed 20 billion.
Compared with Qiao Bang Hospital, Li Jingsheng's Sunshine Clinic is simply a small one. But he has his own advantages, and there is no need to compare with others.
"Come and pick you up right away!"
The general manager of internal medicine responded to the message very quickly.
After a while, an elderly man with a Mediterranean hairstyle hurriedly walked out, followed by a man in his thirties with a rather fierce look.
"Is he the Chief Supervisor of Internal Medicine?"
Li Jingsheng tried to ask the elderly man.
Logically speaking, Boss Zhao should come with him.
After all, he was the one who asked Li Jingsheng for help.
Should be accompanied.
But Boss Zhao has always been cunning and cunning. He can ask for help with such bad things, but he will not ask for help.
He must have been avoiding it on purpose.
It's right to think about it, he is different from Li Jingsheng. The chief manager of Internal Medicine is Boss Zhao's benefactor and has a lot of connections.
If Boss Zhao comes along, if something happens, will he take care of it or not?
If he doesn't care, the relationship between the Chief Internal Medicine Manager and him will definitely become unfamiliar in the future. If you take care of it, you will get into trouble.
Li Jingsheng was different. He came to help out of love. If he couldn't help, he could just turn around and leave.
"It's me, it's me! Thank you very much for coming over so late to help with the consultation!"
The older man looked to be around sixty years old.
Maybe I have been threatened and insulted by my family members for the past few days, and I am physically and mentally exhausted. Under such huge ideological pressure, one can imagine the mental state of the entire person.
Being able to persevere without falling down is considered very strong.
It's just that the haggard look on his face cannot be concealed, and the wrinkles at the corners of his eyes, forehead, etc. are even more obvious. The bags under my eyes are very big and I have severe dark circles.
The smile is terrifying, like a zombie in a zombie movie forcing a smile.
"Oh, by the way, let me introduce myself. My name is Shao Bing. This is the father of the little girl."
The elderly man quickly introduced his identity.
Worried that Li Jingsheng was ignorant, he also introduced the identity of the young man with fierce eyes.
In fact, his worries were unnecessary.
Li Jingsheng opened a clinic in the old street in the south of the city. If he didn't have this kind of vision, he would have been unable to continue playing.
"Is this the so-called expert you invited?"
The patient's father questioned the old man in an extremely dissatisfied tone.
"Correct me, I'm not an expert. I just heard about Dr. Shao and came here to do my little bit out of sympathy. It would be best if I could help find out the cause of the disease."
Li Jingsheng looked at his family members and said with a serious face.
"She's so young. She's not a university student, right? I won't allow my daughter to be used as a guinea pig."
The family members still show strong dissatisfaction.
"You are joking, I have been working for several years. And I am just here for consultation, which will not cause any harm to your daughter." Li Jingsheng can easily deal with such family members.
In fact, this kind of family members are not the difficult type.
He was full of distrust and anger towards doctors because his daughter was treated by a doctor for a minor cold and turned into a psychopath.
"Dr. Shao, please take me to see the patient first! Can the child communicate normally now?"
"Communication is a little difficult."
Shao Bing glanced at the family members following him in fear.
While talking, the two of them had already arrived in the emergency department reception hall.
I saw a five-year-old girl lying on a pushable flat bed, and a twenty-seven or eight-year-old woman stood beside her, her expression sad and full of worry.
Look at this situation, it’s probably the child’s mother.
"It's this little girl. Her current main symptoms are vomiting, nausea, and delirium. Her face seems a bit stiff and she can't show her expression. Even when she is in pain, her facial expression is not obvious."
Shaobing mainly introduced the patient's condition to Li Jingsheng.
The patient was lying in the reception hall of the emergency room, which shows that he was not admitted at all.
There are many similar patients in the reception hall.
Either you have to wait in line for treatment, or you can only rent a temporary flat bed with four pulleys for the patient to lie on.
In the event of an emergency, right in the hospital, the doctors and nurses will not hesitate to save the patient.
Some first aid will certainly be given.
Li Jingsheng has also been to the People's Hospital. Compared with the ruthlessness of Qiaobang Hospital, the People's Hospital is much warmer.
Although there are some patients who are unwilling to be admitted to the hospital, there are not so many.
Moreover, there will be more or less specialized medical staff to patrol and provide necessary help and supportive treatment to patients.
In the emergency hall of Qiaobang Hospital, it can be clearly felt that some patients are ignored by the medical staff.
Either it cannot be cured and the patient is advised to go to another hospital for diagnosis and treatment, but the patient refuses.
Or the patient has no money to pay for hospitalization.
Either the condition is not obvious and there is no way to confirm it.
In short, there are various reasons. The number of patients who are ignored is quite high.
This has something to do with the hospital's rules and regulations and admission standards.
"Kid, have you had dinner?"
Li Jingsheng greeted the little girl gently.
"I ate a little, but threw it all up."
The girl's mother replied from the side.
"If you can't eat, you still have to ask the hospital to inject some glucose nutrient solution for support! How pitiful the child is at such a young age!"
Li Jingsheng said this not only to his family members, but also to Dr. Shaobing.
Although Shaobing used to be a famous doctor at Qiaobang Hospital, now he can't even get a residency qualification. I don’t know if it’s because he did poorly in the past, or because his former colleagues were too cold and ruthless.
"The child is being given nutrient solution for support! At present, various causes have been investigated here. Systemic lupus erythematosus, syphilis, fibromyalgia syndrome, and rat-bite fever have all been basically ruled out. Tuberculosis is being screened and should be done tomorrow. It can produce results.”
Shao Bing said to Li Jingsheng.
It seems that the hospital did nothing to keep the child here.
It's just that according to the hospital's regulations, there is no way to admit him to the hospital.
The main reason is that no doctor dares to take over easily.
It is not easy to find a job as a doctor in Qiaobang Hospital, which is equivalent to being killed by thousands of troops. If a job is lost because of a moment of kindness, this loss is a loss that no doctor is willing to bear.
Understandable.
Li Jingsheng reached out and touched the little girl's forehead.
"It's a bit hot! Your body temperature should be high, right?"
"Yes, it's hovering around 37.5 degrees."
Shaobing nodded in confirmation.
"Mom of the child, can I check her lymph nodes?"
Li Jingsheng asked the child’s mother for her opinion.
The child's father is a bit vicious and difficult to talk to, so it's better not to ask him.
The child's mother turned to look at her husband.
After getting her husband's consent, she agreed.
"Okay. Please be careful not to hurt the child."
"I will be careful."
Li Jingsheng nodded in agreement and began to check the little girl's lymph nodes.
Mainly the neck and armpits.
"Her lymph nodes are a little swollen! Her neck stiffness is also quite serious."
Li Jingsheng frowned slightly, and he also found a red spot on the back of the little girl's neck. I remember there were red spots on my face, but now I can't see them.
As for other parts of the body, given the cold look in the child's father's eyes, it would be better not to check her chest and abdomen.
After Li Jingsheng finished the inspection, he walked to the convenience counter and squeezed a little disinfectant to clean his hands.
No one knew what the little girl's disease was. Although syphilis had been ruled out, doctors usually used some disinfectant to clean their hands after examining patients.
"Who usually takes care of the child?"
After Li Jingsheng finished the inspection, he already had several doubts in his mind.
Erythema is still regarded by him as the biggest diagnostic breakthrough direction.
"Her father and I usually take her with us."
"Did the child's abnormality occur a week ago?"
"right!"
"I mean, were there any abnormalities two weeks ago, or even a month or two ago?"
Li Jingsheng asked.
"This... usually there is nothing unusual. There was only one time when we took her back to our hometown to visit her grandparents and stayed for two days. After coming back, the child always complained that her body was itchy. After I checked her, I found that the calf area, There are two small red bumps on the neck, which look like mosquito bites. The child’s grandparents live in mountainous areas, so there may be a lot of mosquitoes.”
After thinking about it for a while, she provided a new clue.
Li Jingsheng nodded.
After hearing this, the child's father was a little unhappy and said, "It was more than a month ago. What does it matter if I was bitten by two mosquitoes? I was bitten every day when I was a child!"
"We as doctors only ask about the past medical history, which does not mean that we use this as an important basis for diagnosis. You don't have to do this. Besides, I believe you must hope that we can find out the cause of the child's illness as soon as possible and cure him. ,right?"
Li Jingsheng felt that the child's father was a bit extreme and stubborn.
I don’t say it’s good or bad, at least this kind of thinking can easily go to extremes.
"Dr. Shao, you heard just now that the child was bitten a month ago and now has symptoms such as fever, swollen lymph nodes, nausea, and vomiting. Do you think we should check for scrub typhus?"
A disease popped into Li Jingsheng's mind.
The child's various symptoms and medical history are consistent with scrub typhus.
The incubation period of this disease can be as short as five or six days, or as slow as more than 20 days.
"I also thought about this disease and immediately tried to find a way to get it checked out by the hospital."
Shaobing's internal medicine skills should be quite solid.
Experience.
After listening to the patient's mother's description, she and Li Jingsheng thought of going together.
"Is my daughter's disease really related to mosquito bites? What is scrub typhus?"
When the child's father heard that the two doctors thought of scrub typhus, he couldn't help but come over to ask about the situation.
It can be seen that he is actually very concerned about his daughter's condition.
"Scooty typhus is not a mosquito bite, but an acute infectious disease that occurs after being bitten by chigger larvae carried by mice and other animals. The incubation period is slow, almost exactly more than 20 days, close to a month. So I I feel it is necessary to investigate the possibility of this disease.”
Li Jingsheng’s patient explanation to patients.
"It seems that Shaobing didn't just ask you to come here to help casually. You still have some skills."
The man couldn't help but look at Li Jingsheng.
But there was still a bit of arrogance and arrogance in his tone of voice.
An ordinary person should not talk to a doctor like this.
If you want to become a qualified regular doctor, you need to study medicine for at least five years.
Many people study hard for seven or eight years, or even longer.
Then you have to go to the hospital to receive secondary training, which usually takes about three years.
Only by passing numerous examinations and assessments can you obtain qualification certificates such as medical license, training completion certificate, and graduation certificate.
The little girl’s father is a complete layman in the medical field.
It is very rude to use such a tone to evaluate a professional doctor in person.
Li Jingsheng ignored him and further thought about the doubts.
First of all, the fever of scrub typhus is generally very acute, and the body temperature rises rapidly, usually reaching a high fever of over 39 degrees Celsius.
This little girl has moderate fever and the onset of illness is relatively slow.
This is somewhat inconsistent with scrub typhus.
Second, scrub typhus causes eschar, which he has not seen in the little girl yet.
Third, scrub typhus may occasionally appear erythema, but it will not migrate away.
When Dr. Shao took the video of Li Jingsheng, red spots could be seen on the little girl's face, but now they are not visible.
Instead, I saw red spots on the back of my neck.
This remains a major doubt.
Doctor Shao is already calling an acquaintance to help the little girl with scrub typhus screening.
"Mom, can I check her upper body and lower legs?"
Li Jingsheng asked the little girl’s mother.
"Okay, please take your time."
The child's mother did not ask her husband's opinion this time and agreed directly.
He also took the initiative to lift up the child's shirt and cooperated with Li Jingsheng's inspection.
It seems that Li Jingsheng just showed some ability and made a new breakthrough in diagnosis, which has made his family place great hope on him in despair.
The child's father was holding his cell phone as if searching for something.
It is estimated that most of them are using the Internet to popularize information about scrub typhus.
After Li Jingsheng examined the little girl, he found no eschar, but instead found several erythema.
It seems that the risk of scrub typhus is low!
Since it’s not scrub typhus, what kind of disease is it?
Rabies has been screened and basically ruled out.
At the level of Qiaobang Hospital, the tests are still very authoritative, and the possibility of errors is extremely small.
The probability of missed detection is there, but very low.
Moreover, after the onset of the disease, symptoms such as fear of water and screaming will appear, but the little girl did not show these symptoms.
Therefore, rabies does not need to be considered anymore.
The initial symptoms were like a cold, but on the third day after treatment, he turned into a neurosis and started going crazy. This kind of disease is really rare.
"Dr. Shao, have you checked the child's CSF?"
CSF biochemical examination is a cerebrospinal fluid examination, which requires a puncture.
"The family members haven't agreed yet."
Shao Bing replied somewhat depressedly.
If the family does not agree to such a risky examination, there is no way out.
"Family members, why don't you agree to do a cerebrospinal fluid biochemical test?"
Li Jingsheng looked at the child's father, who was lowering his head to educate himself about scrub typhus.
"I checked on the Internet, and it was said that a lumbar puncture was required for this examination, which might lead to disability. There were also people who died directly because of this examination, so I did not agree."
The child's father spoke plausibly.
"Then there are still people who choked to death after eating dates! Don't we all still eat dates now?"
"Anyway, I'm just worried about the danger. I can no longer trust you doctors easily."
The child's father has his own set of ideas.
"I think it is necessary to check CSF, because based on the child's current symptoms and physical examination, the possibility of scrub typhus is low. It may be some rare diseases. The sooner it is detected, the better for the child. Procrastinate As time goes by, even if the cause of the disease is found, the child's brain and nerves will be seriously invaded, or the disease will be irreversible, leaving serious sequelae.
The child's life will be ruined. "
In order to persuade the family members to agree to let their children undergo this examination, Li Jingsheng even used some coercive language techniques.
"If my child is ruined, I will make this quack doctor pay with his life! I will make his family ruined."
After hearing this, the child's father lost control of his emotions and became extremely irritable.
Dr. Shaobing was so frightened that he hid behind him.
He looked at Li Jingsheng with pleading eyes, hoping that Li Jingsheng would stop using these irritating words to stimulate family members who are prone to going crazy and losing control.
"This result could have been avoided! Now listen to me and agree to let your child have this test. I can't say that the cause of the disease will definitely be found. At least there will be a bigger breakthrough. I personally think that it is very possible to directly find the cause of the disease. The possibility is extremely high. Judging from some of the child's current symptoms, the progression of the disease should have reached a critical stage, and the cause must be found as soon as possible to prevent it from continuing to progress."
Li Jingsheng is not afraid of threats from his family.
In fact, it is impossible for his family to do anything to him.
"What would have happened if I hadn't been able to stop it?"
the child's mother demanded.
"The prognosis is probably going to be poor."
Li Jingsheng told the truth.
“Does prognosis mean sequelae?”
"Absolutely! It refers to the patient's condition after treatment."
After hearing this, the woman looked at her husband.
"Husband, let's agree to do this examination! My daughter's condition is getting worse day by day, and I feel really bad when I see it. I think Dr. Li speaks very straightforwardly, so he doesn't need to lie to us."
"What if something happens?"
"If it is not treated, something will definitely happen. If it is treated, at least there is hope!"
The wife appears to be much more sensible than the husband.
The husband was still hesitant. After a long time, he looked at Li Jingsheng and said, "I will believe you just once. If you dare to lie to me, I will do it with you."
Li Jingsheng was sweating profusely.
"If you say that, then I won't care about it. Treat whoever you want to treat."
After speaking, Li Jingsheng visited Dr. Shaobing several times.
"Dr. Shao, we are no one's slaves as doctors. We practice medicine legally and there is no need to compromise blindly. If you encounter unreasonable family members, just go through legal procedures. The more you give in, the more reasonable you become. No reason."
After saying that, he really gave up.
Which doctor would dare to take care of such a mentally ill family member?
There is a reason why little girls are not admitted to institutions if they are not straight.
When the doctors and nurses saw that the family members were covered in thorns, they didn't want to provoke anyone, they just thought about how to persuade them to leave.
After the patient's father was scolded, he became extremely angry at first.
However, you may feel that what Li Jingsheng said is reasonable, his expression has changed somewhat, and his eyes are much less ferocious and crazy.
In this world, who is afraid of you going crazy?
After all, he wanted to save face. Even though he knew he was wrong, he was too embarrassed to lower his head.
He could only look at his wife.
He has a good wife who understands her husband's eyes and thoughts at a glance.
"You, you, are good at everything, but you are bad at trying to solve everything with your fists. Finally, a doctor who is really helpful comes here, but you scared them away. What should I do about my daughter's illness?"
"I'm...in a hurry too!"
The man was so ashamed after being scolded by his wife that his tone of voice became much softer.
She ignored her husband and chased after Li Jingsheng.
"Dr. Li, Dr. Li, my husband just said the wrong thing. I apologize to you. Can you please stop arguing with him? I promise you that I will never let him threaten you again."
"No need to apologize. If you are willing to listen to my advice, just agree to let the child do the CSF biochemical test. When the results are available, let Dr. Shaobing send them to me. As long as it is within my ability, I will definitely be active Let's help with the diagnosis. I estimate that after the test results come out, the cause of the disease can be found without my help."
Qiaobang Hospital is full of experts. As long as the test results are available, the doctors here will definitely be able to find out the cause of the disease.
Li Jingsheng waved to the female family members.
He came to help with the consultation and was treated like this, which would definitely make him angry.
But this was originally agreed to because Boss Zhao owed a favor.
When people come and their strength is exerted, it naturally doesn't matter.
"I don't think your daughter has scrub typhus. Let's take a look when the test results come out! I find that your biggest problem is that you don't cooperate with the doctor, which is very bad. I suggest you stop fighting against the doctor. The doctor wants the patient more than you do. get well soon."
After saying that, he didn't stay any longer and went straight away.
Back at the clinic, after taking a shower and reading medical books, Dr. Shaobing called him.
I glanced at the time, it was almost twenty-four o'clock.
"Hello, Dr. Shao!"
"The test results are out, they're out!"
Dr. Shaobing seemed very excited and his words were incoherent.
"Speak slowly, are your family members staring at you again, making it inconvenient to speak?"
Li Jingsheng hates family members like the patient's father.
He threatens doctors at every turn, shouts and kills him, who do he think he is?
(End of chapter)
