His face was pale, his breathing was rapid, and cold sweat was still breaking out on his forehead. This may indeed be caused by severe pain. However, it may also be a more dangerous disease... Early shock! Before coma, patients are often extremely irritable, with increased heart rate, constant sweating, etc. Compared with the pain caused by hemorrhoids, Xu Qiu's intuition makes him more suspicious that it is a sign of shock! Xu Qiu did not prescribe medicine, but asked: "Have you ever had hemorrhoids before?" "No...no, but I feel very swollen down there all the time. I looked it up online and they said it was anal swelling and that I had hemorrhoids..." At this moment, Xu Qiu completely rejected the main complaint of hemorrhoids. I thought this person had been diagnosed before, but since he wasn't, it has no reference value. He began his usual consultation.
The patient was so irritable that he wanted to curse. But the doctor was so handsome that she couldn’t curse him! "Doctor, please, please give me some painkillers and hemorrhoid ointment. I have to catch a flight later!" The patient endured the pain and said word by word. Xu Qiu nodded: "Let me ask one last question - are you sure there is nothing wrong with your menstruation?" The female patient said: "There is no problem. I have had irregular menstruation since I was a teenager. This time it was only delayed for more than 20 days. In the past, it was delayed for a month!" Xu Qiu was silent. Do you call this normal menstruation? It has always been abnormal, so abnormal is normal? "Do a digital rectal examination." Xu Qiu said calmly. The female patient's expression changed and she quickly shook her head: "No, no! No! Please give me the medicine quickly!" Xu Qiu said: "If you cooperate with the doctor, it can be over quickly." "Can……" "Nothing, just lie down." The female patient was stunned. Who can refuse such a handsome man and say "lie down" to him? She endured the severe pain and gasped: "Then, then close your eyes!" "OK." Chen Qiao quickly laid out disposable towels. The equipment is also fully prepared.
Then he guided the patient to assume a shameful position. Xu Qiu's expression did not change, she wore gloves and applied lubricant to her hands... Then, Yiyan came closer and performed a digital rectal examination with his eyes closed. "Don't pinch me." Xu Qiu frowned. My fingers hurt a little. The female patient cried sadly: "I, it hurts, I can't control it!" Xu Qiu had no choice but to apply more lubricant. While checking, he ordered: "Take her blood pressure." Although blood pressure measurement generally requires calm conditions. But since she was in such pain, there was no need to demand such standards. What Xu Qiu wants is an approximate value. When Chen Qiao took his blood pressure, Xu Qiu was also checking carefully. Left, right, up and down. Soon, he pulled it out. Didn't touch it... There are no external hemorrhoids, and there are no internal hemorrhoids inside! It’s not hemorrhoids at all! At this time, Chen Qiao also gave the result: "Teacher, her heart rate is 120 and her blood pressure is much lower!" Xu Qiu took off his gloves and said silently: "Transfer to the emergency room and fight shock immediately." The woman on the examination bed had a bang in her head. "Doctor, I...what's wrong with me!" She was frightened. Why did you go to the emergency room all of a sudden? I didn’t go into shock either! Also, why do you look so calm? Is it because you experienced World War II? "Doctor, what's wrong with me...I'm not in shock. Will I really go into shock?"
Xu Qiu nodded. The female patient was trembling: "How much longer? I'm so scared, I'm so cold..." Xu Qiu stretched out five fingers. "Five...five hours?" Then, Xu Qiu put away one finger. Another one was put away. Another one was put away. Outside the clinic, the nurse has already wheeled the emergency flat bed over. They rushed in in a hurry, just in time to see Xu Qiu's last finger retracted, and the woman on the hospital bed fell onto the examination bed with a bang, unconscious. … Before sending the female patient away, Xu Qiu completed her medical record and added, "Let the emergency room check HCG quickly, do bedside ultrasound directly, and contact the gynecological emergency department." His judgment was that it was an ectopic pregnancy. Only if the ectopic pregnancy ruptures, the patient will mistakenly think that it is an attack of hemorrhoids. Twenty minutes later, the emergency room reported the news. Sure enough, HCG increased abnormally, and bedside ultrasound also found a gestational sac in the ampulla of the fallopian tube, as well as a ruptured fallopian tube. Ectopic pregnancy is a common emergency in obstetrics and gynecology. The doctors over there are very experienced in dealing with it, so there is no need for Xu Qiu to come on stage. Chen Qiao felt scared for a while. This kind of patient may be misdiagnosed with just one thought... If she had a seizure on a plane, death would be almost certain! If Xu Qiu had not had keen intuition and prepared the emergency room and obstetrics and gynecology department in advance, this patient would not have been so easy to save! Xu Qiu casually reminded: "In this case, we also need to consider the possibility of myocarditis, myocardial infarction, etc. These may also cause shock, but the location of the pain is different." Chen Qiao nodded and took notes, then continued: "Myocardial infarction, there was an anatomy teacher in the anatomy room who died of myocardial infarction. The hospital needed it in the past two days, so he pushed it over." In general, teachers are those who donate their bodies for medical research and teaching, and use their bodies as teachers. "Next one..." Xu Qiu shouted. Soon, a new patient entered the clinic in pain... … At noon, Xu Qiu received a letter of thanks from the family of the female patient in the morning.
The letter was sent directly to the department, which brought a lot of glory to Wang Ping's face. The latter happily shared it with the large group in Linhai No. 1 Hospital. "Holy shit, Dr. Xu's clinical judgment is unrivaled!" "Obstetricians and gynecologists need to learn from Dr. Xu. I guess another obstetrician and gynecologist might misdiagnose me!" "To be honest, after reading the medical records, I thought it was hemorrhoids, but I didn't expect it to have a mysterious cause!" "Dr. Xu received another thank you note, but there are only stacks of cases on my desk..." "Stop scolding, stop scolding!" Xu Qiu watched the crowd commotion, and then the sound of an ambulance sounded outside the hospital again. He put down his cell phone and started working in the emergency department hall again. Surgery, rescue, and transfer to the operating room; The cycle continues. Watching the vital signs of each dying patient gradually stabilize; The desperate family members were filled with tears and relief. These moments gave Xu Qiu a sense of accomplishment. People like Mori Maeda may never understand this. Xu Qiu never thought about saving all the patients in the world, and he never thought that the patients would never be saved. He only knew that he could save this one and that one in front of him. that's enough! On this day, Xu Qiu rarely got off work on time. He had just left the emergency department when he saw Chen Qiao pacing back and forth outside, his expression showing fear. Xu Qiu paused for a moment, then walked towards Chen Qiao, "What's going on?" When Chen Qiao saw it was Xu Qiu, his mood suddenly brightened: "Teacher! You are off work!" "Um." "I...I just received a message from the anatomy room, saying that the hospital has run out of supplies, and asked me to take the gross anatomy teacher to the door of the anatomy building, and someone will come to transport him then..." Xu Qiu nodded: "Afraid?" "Um...Teacher, can you come with me and take a look?" "Let's go." Xu Qiu walked in front. There are anatomy buildings on both sides of the hospital and medical school.
There is a shortage of teachers in general, not to mention those with specific diseases, so both sides sometimes borrow from each other. On the way, Chen Qiao talked about this general teacher. "I heard that she was a doctor from our hospital. She was only in her thirties, and she died of a sudden heart infarction... There were no signs before, what a pity! When she was still a medical student, she signed a body donation form, saying that she would stay in Linhai No. 1 Hospital and work as an anatomy teacher. But I didn't expect that he would pass away just a few years after graduating with a doctorate... After that, her husband made a big fuss in the hospital and refused to donate her body. He said that she liked the sea during her lifetime and wanted to take her back and scatter her ashes into the sea. In the end, her parents came forward and donated her body according to her wishes. " Chen Qiao felt very heavy. I heard that the husband of this general teacher was a gentle man. Because of her, it was the first time in his life that her husband became hysterical. In addition, she had considerate parents who respected her wishes until her death. She didn't have time to enjoy such a happy family, but she died when her career was just starting... "arrive." Chen Qiao raised his head and looked at the anatomy building in front of him. The general teacher is stored on the first floor. As soon as she entered the door, she shivered - the temperature was too low. Xu Qiu turned a blind eye to the surrounding environment. He went straight to the anatomy room, opened the door, and pressed the light switch. In an instant, several bodies of teachers soaked in formalin were exposed to the light. Chen Qiao followed Xu Qiu closely and said, "That's the general teacher!" The two came closer. Chen Qiao raised the movement limiter of the cabinet with her toes and prepared to push the general teacher out. But she found that Xu Qiu was lying down, staring closely at the body soaked in the potion. "What...what's wrong, teacher, what are you looking at the general teacher for?" Chen Qiao felt a little strange and felt furious. The teacher who looked cold just now was staring at the corpse attentively and frowning. This is so terrifying! "Teacher, please say something!" Chen Qiao came over and grabbed the corner of Xu Qiu's clothes. The latter suddenly came back to his senses, took a deep breath, and said softly: "This general physical education teacher... something is wrong."
