Since 1981 Health School

Chapter 413 Rushing to the Second Hospital for Consultation

Principal Li was also surprised when he heard that such a high subsidy could be given, pretending to joke sourly:

"Hey, there are so many, I'm so moved by what I said, and I want to join this research group. My salary at the main hall level is only 300 yuan a month. What kind of principal should I be? How about it, Comrade Chen Qi, Lan Li Comrade Juan, do you welcome me, an old man?"

Hehehe, everyone laughed lightly again.

Chen Qi also said with a smile: "Not only will the salary of scientific researchers be improved, but our research group will also pay Haidong Medical University a management fee of 200,000 US dollars to support the school construction of our alma mater, which can be regarded as a little feedback from our two students. .”

Upon hearing this, Principal Li held Chen Qi's hand tightly:

"Okay, okay, Haidong Medical University has excellent students like you and Comrade Lijuan, it's our school's blessing, haha."

Chen Qi cursed again in his heart: "Nonsense, give us 200,000 US dollars, buy two master's degrees, and you will make a lot of money."

The talks between several parties ended, everyone got what they wanted, and they all left happily.

Chen Qi and Lan Lijuan nodded and bowed and sent them to the door. There was no other way. What is valued in China is domestic qualifications and rules. They are juniors.

When everyone left, the eldest sister, Chen Shu, and Chen Hua stretched out their heads.

"Second, that's the principal of Haidong Medical University, my dear, why didn't you invite him to dinner for such a big cadre?"

Chen Qi said angrily:

"What is left? When they came, our family lost another 200,000 US dollars. The project has not yet started, and 400,000 US dollars have been thrown out. It is really too difficult to do something in China."

Lan Lijuan was very happy, after all, her most respected mentor officially joined this research group, and she felt that this was the best opportunity to repay her teacher.

"We are not losing 400,000 US dollars. Now that Haidong Medical University and Yuezhong People's Hospital are supporting us, we can do experiments with peace of mind. We don't need to worry about those open guns and hidden arrows. What's more, the 2 million US dollars is not our family. Yes."

Chen Qi sighed inwardly, thinking that this wife is really stupid, but his younger brothers and sisters are all there, and he doesn't want to teach the children badly.

"Forget it, it's good to know President Li, and there is an additional benefit. Our graduate students will be exempted from the exam. When the younger brother and younger sister enter the university, Haidong Medical University will definitely be able to enter. By then, our family will be classmates. gone."

The family was joking just now, when there was another knock on the courtyard door, and someone shouted outside the door:

"Chen Qi, is Chen Qi at home?"

As soon as Chen Qi heard that it was the voice of Qi Zhiyi, a classmate from the health school, he ran to open the door.

Qi Zhiyi's personal relationship with Chen Qi has always been very good. His father is the director of the housing management office, and most of the Chen family bought houses through the introduction of Qi's father.

"Hey, Zhiyi, what's the matter? Look at you sweating profusely."

"Chen Qi, come on, come with me to the hospital. There is a critical patient who needs your help. Boy, I didn't know you were at home until I went around a long way on the phone."

When Chen Qi heard that it was an emergency, although his head was full of question marks, he didn't dare to delay, and turned around and shouted:

"Sister, I won't be home for dinner. I'm going to the Second Hospital. There's an emergency patient."

Lan Lijuan also started running at this time: "Qi Zhiyi, what's the matter? What critical patient wants Chen Qi to come over?"

"Hey, don't talk about it, a newborn who was born less than 2 months ago is in danger. It can't be diagnosed now, but the vital signs are getting worse and worse. The child's father is a soldier and guards the motherland on the frontier, so this child There can be no surprises."

Chen Hua was the smartest, as soon as he heard that his eldest brother was in a hurry, he hurried to the house to get the keys to Santana's car.

Chen Qi patted the little girl's head: "The drive is too slow, let's take the trail and run, it's faster. Zhiyi, stop panting, hurry up!"

Lu Xun Road, where the Chen family lives, is just an intersection away from Yan'an Road, where the Second Hospital is located, and it takes only 8 minutes to walk on the path.

If you want to drive around Jiefang Road, the traffic environment in the old city may not be able to reach it in less than ten minutes.

The two of them were walking on the road and Chen Qi was still a little strange: "Zhiyi, you have more experts in the Second Academy than our Fourth Academy, why would you think of coming to me?"

"Hey, don't mention it, the whole hospital can't handle this little patient now, and the leaders of our Second Hospital don't want to ask the People's Hospital for help, for fear of losing face, so I thought of you, the international dual director."

"Damn, you guys also know that I'm an international double director? I'm just a substitute? I don't want cards?"

"Ha, you are a double director with a harelip, and you are not a director of the Thoracic Surgery Department. Hurry up and leave. The situation of this child has really reached a critical moment."

"All right, let's compare and see who runs faster!"

"NND's, run away~~~"

When Chen Qi and Qi Zhiyi ran to the Department of Surgery of the Second Hospital, the small conference room was already full of people.

Chen Qi and Qi Zhiyi are both young and unobtrusive, so they didn't say hello, they quietly walked to the corner of the meeting room and sat there, wanting to hear everyone's opinions on the consultation?

After being seated, Qi Zhiyi covered his mouth and introduced the specific condition of the child to Chen Qi in a low voice.

All the experts from the Department of Surgery, Internal Medicine, Obstetrics and Gynecology, and Pediatrics of the Second Hospital came, and all of them frowned at the medical records.

Dean Gai looked at his subordinates with a livid face, and was so angry that the table slapped loudly:

"Speak, what's the situation with this newborn baby? All of them are dumb? You must know that the father of the child is still guarding our motherland in the frontier. His child is sick and dying, and we as doctors are helpless? Director Lu , you are the director of surgery, tell me, what's going on here?"

Director Lu coughed a few times in embarrassment:

"I think the current condition of this child is a problem in the lungs, and it should be a pediatric disease. It would be better to ask Director Yao of the pediatrics to answer this."

The director of pediatrics, Yao Qingju, was furious when he heard this, and wanted to smash the medical director to death with the iron clip containing the medical records.

But the dean stared at her, and she had no choice but to express her opinion:

"At present, the child has obvious respiratory failure, and the physical examination is suspected of dullness, so pulmonary edema, or severe pneumonia is more likely. I think the best antibiotic anti-infection treatment should be used. What do you think, Director Ge?"

Ge Xinliang, director of the second internal medicine department (respiratory department), gave Yao Qingju a white look, thinking you are a dead old woman, I remember you.

"I am more inclined to diagnose severe pneumonia, because the X-rays show that it is all white lungs..."

Dean Gai became furious when he heard this, knocked on the table and asked sharply: "I also know about white lung, but how should white lung be treated?"

Director Ge stopped talking now: "This, this..."

Dean Gai took a deep breath, there was no place to vent the anger in his heart, and suddenly he glanced at the corner of the meeting room, where two little doctors were whispering, and immediately found the target:

"Which department are you two from? We're talking about patients' problems, what are you still doing there? What are you talking about? If you don't want to listen, get out of here."

The deans these days are more rude than the other, and they like to scold their mothers at every turn. The most typical one is a certain dean surnamed Guo of the People's Hospital...

The dean was furious, and everyone in the conference room looked at the two young doctors in the corner.

Chen Qi was leaning on his side, listening to Qi Zhiyi's condition report while listening to everyone's condition analysis with the other ear. He was not sure yet, but suddenly the meeting room fell silent.

Everyone looked at him and Qi Zhiyi, which made Chen Qi feel like he was caught in class.

Before he could say anything, Qi Zhiyi stood up in a flash: "Dean, I am Qi Zhiyi from the Department of Surgery. I was just reporting my condition to Chen Qi..."

Dean Gai was so angry that he gritted his teeth:

"You and your classmates want to discuss the illness, don't you go outside? Do you still understand the rules? You are disorganized and disciplined, you..."

Director Lu Yue quickly coughed, and quietly reminded: "Dean, Dean, it is Chen Qi who is here, Chen Qi~~~"

"Chen Qi? What's wrong with Chen Qi? Hey, it's Chen Qi. Hey, why did you sit in the corner?"

Dean Gai realized that it was Chen Qi, the dean of the fourth hospital, and immediately stood up. Anyway, the leaders are thick-skinned, and they were scolding just now, but now they put on a smiling face.

"Comrade Chen Qi, you said that you are our distinguished guest. You should be the first seat here. How can you sit in the corner? Comrade Xiaoqi, I will criticize you for this. Now you are not receiving classmates, but The dean is an expert, do you know? Come, come, everyone welcomes Dean Chen for consultation."

There was applause instantly in the meeting room, although the applause was a bit sparse.

Dean Gai had to be polite, one is that they have something to ask Chen Qi now, and they rushed over for consultation, of course they should give enough respect.

There is another one, Chen Qi is currently at the main department level, Dean Gai is the deputy department level, Chen Qi's level is above him, of course he has to take the first seat in the conference room.

Faced with Dean Gai's enthusiastic pull, Chen Qi was too embarrassed to refuse, but he would definitely not take the first seat.

When he started working in 1982, all the people sitting there were senior directors and teachers. Chen Qi had obtained his qualifications, but his qualifications were far from enough, so he had to be polite and sat next to the first seat.

As soon as he was seated, Chen Qi said a few words politely:

"I just received President Li of Haidong Medical University at home. No, I heard that there is a critically ill child in our second hospital. I didn't even have dinner with him. Take care of my dinner."

Hehehe, everyone in the conference room laughed.

All the old directors in their fifties and sixties, of course, could hear Chen Qi's implication, which meant to tell them:

"Don't bully me when I'm young, look at what level I am, and what level are the people I come into contact with, so don't put the old status in front of me, everyone has something to say."

Chen Qi also had no choice, literati were underestimated, and seniority was ranked according to seniority. This is a long-standing shortcoming of the health system.

Dean Gai also heard the meaning of Chen Qi's words, and felt quite uncomfortable.

When Chen Qi was in Huangtan Health Center, Dean Gai invited Chen Qi to work in the Second Hospital several times. At that time, Dean Gai was at the deputy department level, and Chen Qi was at the deputy stock level.

As a result, after a few years, Chen Qi was already at the department level, and he, Dean Gai, was at the sub-section level, and was overtaken.

If it weren't for the fact that the Second Hospital had nothing to do this time, and they didn't want to ask the rival People's Hospital in the same city for a consultation, they had no choice but to invite Chen Qi to come over and think of a way.

"Thank you, Comrade Chen Qi, for rushing to the Second Hospital as quickly as possible. This patient is quite special. Xiao Qi should have made a preliminary report just now, right? Come here now, Xiao Qi, and talk about the patient's situation in detail."

In fact, Qi Zhiyi was quite embarrassed, his classmates had already sat on it, but he was still standing in the corner like a little mushroom.

But now is the urgent time to save people, he didn't think too much, and immediately reported:

"It's like this. The child's current age is 1 month and 23 days. The premature baby was born at 35 weeks. He was admitted to the hospital due to fever and cough for 2 days, and aggravated shortness of breath for half a day.

A week ago, the child developed a cough without obvious triggers, which was paroxysmal continuous cough, no difference between day and night, spit up milk occasionally, non-choking cough, phlegm, difficult to cough up, fever, irregular heat pattern, heat peak 38 degrees Celsius, No chills and convulsions, no runny nose.

The family members gave their children Ganmao Granules for treatment, but the symptoms did not improve. Three days ago, the child had aggravated cough, shortness of breath, and cyanotic lips when crying, so he went to the Pediatrics Department of our hospital for treatment.

Physical examination after admission showed that the child had a little shortness of breath, three inspiratory depressions, rough breath sounds in the right lung, low breath sounds in the left lung, and wet rales and wheezing sounds were heard. Diagnosis considered on admission: 1. Pneumonia, 2. Severe malnutrition.

When he was admitted to the hospital, a chest X-ray was taken, which indicated that the transparency of the right lung increased, and the transparency of the left lung field decreased relatively.

Among them, arc-shaped slightly high-density shadows can be seen in the outer area of ​​the left lung field, and the double lung hilar shadows are blurred. There was no abnormality in the size and shape of the heart shadow, and the left diaphragm surface and costophrenic angle were not clearly displayed. Double pneumonia and left pleural effusion were considered. "

While listening to the report, Chen Qi flipped through the relevant auxiliary examinations after admission.

While drinking tea, Dean Gai quietly observed Chen Qi. The old man had a feeling that what he was facing was not a young man.

Qi Zhiyi's report continues:

"After 6 o'clock in the morning today, the doctor on duty found that the child's breathing suddenly became worse, the heart rate increased, and the skin became cyanotic. At that time, an emergency chest X-ray was taken, which showed that both lungs were white lungs. .”

Chen Qi was immersed in the condition analysis, and asked casually: "What was the oxygen saturation at that time?"

"Ah? What saturation? Oh, oxygen saturation, we don't have such a machine in the Second Hospital."

Chen Qi patted his forehead, and almost forgot that this was Huaguo in 1986, and it was a county-level hospital in a small eighteenth-tier city.

Lu Yue and Chen Qi were quite familiar and old friends, so he asked directly:

"Comrade Chen Qi, what do you think of the current situation of the child?"

Chen Qi took the chest X-ray and looked at it carefully for a long time, and clicked his tongue: "The chest X-ray both lungs turned white rapidly, and with the sudden aggravation of breathing difficulties, pneumothorax must not be considered, it should be pleural effusion."

Director of Pediatrics Yao Qingju hurriedly added:

"We also judged that it was a pleural effusion, but how did this effusion come from? What is its nature and how should it be treated? This cannot be judged now, and there is no way to carry out follow-up treatment."

Facing everyone's expectant eyes, Chen Qi blushed slightly:

"It's impossible to judge the nature based on this film alone. In this case, I need to see the child in person."

Dean Gai nodded again and again: "Yes, yes, let's go, go to the ward now."

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