but…… Xu Qiu took the initiative to take the postgraduate examination again for another purpose—— He wanted to give it a try and break the exam record. In the more than thirty years since the postgraduate examination was launched, The main subject of the medical postgraduate entrance examination, integrated Western medicine, ranks first in the difficulty level of postgraduate examinations in all disciplines. No one has ever gotten perfect scores on multiple-choice questions. Not to mention the perfect score for the entire roll! Even if it was Xu Qiu in the previous life, When he took the exam, he also lost more than 20 points, with a total score of 278. And these are already considered the top few...
But this score is too low for Xu Qiu today. A perfect score is his current goal. Xu Qiu took a sip of tea and said, "Director Wang, there is no need to lower the admission threshold. It's not a big problem." Wang Ping smiled and said: "That's right. It shouldn't be difficult for you to get 220/230. I'm just worrying too much!" Wang Ping's wife also raised her cup at this time, looked at Xu Qiu with a smile, and said in a gentle voice: "Xiao Qiu, I wish you good luck in the exam in advance!" The three of them raised their glasses at the same time. After the meal, Wang Ping drove the car himself, with his wife sitting in the back seat, and the couple took Xu Qiu home together. Both of them were very kind, chatting with Xu Qiu about everyday matters, and already regarded him as a close student. … … the next day. At 8:00, after routine rounds in the emergency department, doctors at all levels returned to their posts. The director and deputy director are busy with outpatient clinics and surgeries. The attending surgeon also traveled to various operating rooms and followed the directors in their work. Resident doctors are responsible for patient management, including but not limited to sending reports to patients, handling feces and urine, writing cases, etc. And interns, They squatted in demonstration classrooms, lounges and other places. They eagerly wait for the superior doctor or nurse to grant them a chance to suture or observe surgery. On this day, a beautiful little intern came to the department.
She was holding a book, with a tender face, black hair, and sparkling eyes. Chen Qiao! A female college student who had her appendix removed by Xu Qiu before. She has basically recovered now, so she resumed her medical internship and happened to rotate to the emergency department. Many boys' eyes secretly drifted to Chen Qiao. But Chen Qiao was reading a book on the surface, but in his heart there was a figure in a white coat... When she thought of Xu Qiu, she became elated. At half past eight, Liu Susu came in pushing a cart. She plans to randomly select a lucky intern and send it to help Xu Qiu take care of outpatients. Suddenly, she noticed Chen Qiao, who was the most handsome. "You...were Dr. Xu's previous patient?" Chen Qiao stood up quickly and said politely: "Sister Susu, it's me. I'm also a medical student. I'm doing my internship in my fifth year this year!" Liu Susu felt relieved and joked: "Why didn't you tell me earlier? If I had known I would have asked you to change the dressing yourself." Everyone burst out laughing. It is reasonable for medical students to go to the hospital and prescribe and change their own medicines. On the other side, Liu Susu saw Chen Qiao's sweet mouth and had a candidate in mind. The arrangement was: "Then it's up to you. Go to Clinic No. 7 and follow Dr. Xu's clinic." Surprise appeared on Chen Qiao's face. Dreams come true! She immediately smiled sweetly and said: "Okay! Thank you, sister Susu!" … Almost running all the way. At 8:40, Chen Qiao arrived at Clinic No. 7. There were already patients inside at this time. Chen Qiao gently pushed open a crack, trying to get in. But the breasts are a bit big. She opened the door halfway, slipped in, and looked inside.
Under the sunlight coming from outside the window, Xu Qiu was carefully auscultating a female patient. Her hair is like black jade, and her facial features are carved, neat and clean. Chen Qiao's heart almost jumped out of his chest. She walked a few steps quickly and stood next to Xu Qiu obediently. After waiting for Xu Qiu to finish handling the patient, Chen Qiao said carefully: "Teacher Xu, I am an intern here to follow your clinic!" "It is you." Xu Qiu looked back. At that time, he knew that Chen Qiao was from Linhai University, but he didn't expect that he would become his intern. "How's your recovery going?" Xu Qiu originally just asked casually. Unexpectedly, Chen Qiao pulled open his white coat, revealing his flat and smooth belly, and said happily: "Look, it's completely healed! Teacher Xu, there really aren't any traces left!" Xu Qiu nodded, indeed recovering beautifully. Returning to the topic, he asked: "Do you know what to do with the clinic?" "Yeah, I need to lay out disposable sheets for the patient, teach the patient how to position themselves, and help you prepare everything you need before the examination!" "Go call the next patient." Xu Qiu said. With an assistant, he doesn't need to worry about many trivial things. The efficiency will also be much higher. In Chen Qiao's clear voice, the next patient entered the consulting room. … The person who came in was a tattooed young man, twenty-seven years old. As he walked in, he coughed violently several times. "What's wrong?" The young man coughed and stated: "Doctor, I've been coughing for several days, and I've drank several bottles of emergency syrup, but it doesn't work!" Xu Qiu observed the other party. His face was pale and his lips were cyanotic. This is a sign of hypoxia.
Many diseases of the respiratory and circulatory systems can cause hypoxia, which has no diagnostic significance. The young man looked very bad, and continued: "Also, my chest hurts. I took my temperature when I came here, and it was degrees." Xu Qiu said: "Pull up your clothes, let me listen." There are wet rales on auscultation. Like blisters, snoring. In addition, there are bronchial alveolar breath sounds. The most common manifestation of pneumonia. After listening, Xu Qiu asked a few targeted questions. "Have you had a cold in the past month?" "No." "How long have you been coughing?" "It started to get serious in the past two days, and the medicine didn't work." Xu Qiu keenly grasped the subtext of the words. He asked: "Started to get serious? Did it happen before?" The young man said painfully: "Yes, I used to cough a few times for no reason, for several years." Several years? Xu Qiu ruled out "ordinary bacterial pneumonia" in his mind. This disease usually has an acute onset and the course of the disease is at most three or four weeks. If a cough can last for several years, it is obviously not ordinary pneumonia. On the contrary... It is more like tuberculosis! Xu Qiu asked a few more symptoms, all of which were consistent with the manifestations of tuberculosis. Night sweats, fatigue, repeated fever, long-term cough... "I'll prescribe a chest CT and a sputum smear culture for you." "Okay." After the patient left, Chen Qiao said without any danger: "Teacher Xu, I was almost fooled by him. It turns out that he had the symptom of coughing for a long time!" Xu Qiu: "Patients will subconsciously ignore many symptoms. As a doctor, you have to analyze the meaning of their words."
"Okay, I remember it!" "Next patient." Chen Qiao hurried to call the number. ... After seeing five more patients. The young man came over with the results of the chest CT. Xu Qiu glanced at it and the imaging diagnosis results did suspect tuberculosis. However, his brows frowned.