MTL - I Can See Health-Chapter 49 old age rule

   Chapter 49 Wannian Old Master

   "Huh? It's going to be four or five days?"

   The old woman sighed and looked back at her wife on the bed.

   Every extra day spent in the hospital costs hundreds of dollars more!

   "Mother-in-law, don't be in a hurry to be discharged from the hospital." Sun Guoguo advised, "If your condition is unstable and you are in a hurry to be discharged from the hospital, you may have to come back to the hospital within a few days."

   "Hey." The old woman nodded, "Then listen to Dr. Sun."

  Heart failure is the final end point of various heart diseases. It cannot be cured. Only drugs can be used to relieve symptoms and prolong survival as much as possible.

  Many heart failure patients are hospitalized repeatedly every year.

   Every time you are hospitalized, if the cause of heart failure, such as respiratory infection, is not completely eliminated, you may be discharged from the hospital a few days later, and the symptoms of heart failure will flare up again, and you have to come back to the hospital again!

  …

  The crowd came to 12 beds.

  Sun Guoguo instructed two interns to do an electrocardiogram for the 12-bed patient again.

   The result of the ECG output is still "premature atrial beats, ST segment depression".

   "Auntie, have you taken any special medicine recently?"

  Sun Guoguo took the electrocardiogram and frowned at the 12-bed female patient.

"No, this question you asked, Dr. Lu asked me many times today, and I really didn't take any medicine." The woman replied confidently, "Dr. Sun, you are my doctor in charge, you said that I What kind of disease is this?"

  Sun Guoguo paused and said, "Based on your current electrocardiogram and symptoms, we initially suspect that it is an overdose of digitalis caused by toxic side effects."

   "Digitalis...Drug toxicity?" There was a hint of doubt in the woman's eyes, "But I haven't been exposed to any drugs at all recently!"

   Everyone present was very strange. The electrocardiogram and symptoms suggested "digitalis" poisoning, but the patient denied taking any related drugs.

   "Auntie, then think about it carefully, do you eat any special food?" Sun Guoguo continued.

   The woman frowned, lost in thought.

   for a long time.

   She raised her head, her eyes twinkling.

   "I didn't eat any special food. But if it's really the digitalis poisoning you said, what should I do?"

  Sun Guoguo said solemnly: "This afternoon, we will draw another tube of blood for you to test the concentration of digitalis in the blood. If the concentration exceeds the standard, then the diagnosis can basically be confirmed."

   "Afterwards, we will treat you with digitalis poisoning, such as using activated charcoal to absorb toxic substances."

   "Okay." The woman nodded, "I'll listen to you when I come to the hospital anyway."

  …

  The crowd walked out of the ward.

  Sun Guoguo turned around and said to Lu Chen, "Junior Brother, you can collect this 12-bed case. If you can find the exact cause, you can write it as a case report and publish it."

   "casereport?" Lu Chen wondered.

   "It means case report." Sun Guoguo explained, "A high-quality case can also be written and published as a paper, but this requires you to be as standardized as possible when diagnosing and treating."

There are many forms of    papers, usually there are monographs, reviews, and brief forms of this kind of case report.

  casereport does not need to do any basic and clinical experiments, directly collects the information of clinical cases, and then can write a paper as a whole and publish it.

  Lu Chen nodded: "Senior sister, I'll try it later."

  Li Yao has communicated with him in advance. After this, the evaluation of the scholarship will depend on the thesis.

   Being able to write a big thesis without doing experiments is definitely the best for Lu Chen now.

  …

   After checking the room, everyone followed Sun Guoguo back to the doctor's office.

   Before his **** was hot, Lu Chen felt that the atmosphere in the office was a bit weird.

   He turned his head and looked, it turned out to be the senior physicians of the other two groups of Keli—Chief Physician Lin Cui and Deputy Chief Physician Shao Jun. They were sitting face to face with very serious expressions.

   "Director Lin Cui, if this problem is not resolved now, then I will go to Director Li Yao. If Director Li Yao can't solve it, then I will go to Director Cao on the fourth floor to see if he can solve it!"

  Shao Jun looked gloomy and stared at Lin Cui closely.

   "Director Shao, let's talk about anything." Lin Cui said solemnly, "Why did you go to Director Cao's place?"

   Shao Jun stood up and sneered: "I just hope Director Lin, you can discipline the doctors under your command well, if something goes wrong in the future, you won't regret taking the medicine!"

   "Don't worry, Director Shao, don't bother you to worry about this matter, I will tell him well."

  Lin Cui replied lightly, and then left.

  Lu Chen was bewildered.

  In the department, it is normal to have conflicts.

   But now it is rare to take the contradiction on the bright side.

   After Shao Jun left the office, everyone began to whisper.

  Dong Hao, as an "old man" in the second year of regulation training, is a clear child of the gossip door of the department.

   "Junior brother, you have to be careful about an attending doctor in Director Lin's group in the future." Dong Hao whispered beside Lu Chen's ear.

   "What's wrong?" Lu Chen asked in confusion.

   Dong Hao continued: "Actually, this matter is known to everyone in the Department of Cardiology. Not only the people in the eight districts of the heart, but also the doctors in several other districts."

   "The event is like this..."

   From Senior Brother Dong Hao, Lu Chen had a better understanding of the eight areas in his heart.

  There are four medical groups in eight districts in the heart.

   Director Li Yaoke, Director Lin Cui, Director Shao Jun, Director Shi Guobin.

  Li Yao is the director of the department and the leader of the eight districts in his heart.

  Lin Cui is the deputy director of the department and the second-in-command of the eight districts in his heart.

   Shao Jun, Deputy Chief Physician, is a newly promoted Deputy Chief Physician and postgraduate tutor in recent years. He has a promising future, but currently he does not have any real power in the department.

  Shi Guobin, the chief physician, is an old professor who has retired and rehired. He is very Buddhist and has almost no conflict of interest with everyone in the department.

   The crux of the matter lies in Ding Deli, an attending doctor in Lin Cui's chief physician group.

  Ding Deli is a relatively old doctor in the Cardiology Department. He is 43 years old this year.

  A forty-three-year-old attending physician is rare in county-level hospitals.

   Because the promotion of professional titles in county-level hospitals is based on seniority, most doctors of this age are already deputy chief physicians.

   However, in the provincial tertiary hospitals, because the promotion of professional titles is extremely difficult, there are still a group of "ten thousand-year-old attending physicians".

  Tin Deli is one of them.

  The more you get older, the more difficult it is to get promoted.

   The status of these old attending physicians in the department is extremely embarrassing.

   Take a look at the comparison.

  Ding Deli, 43 years old, attending physician.

  Li Yao, forty-five years old, chief physician, director of the eight districts of the heart.

  Lin Cui, forty-nine years old, chief physician, deputy director of the eight districts of the heart.

  Shao Jun, 38 years old, Deputy Chief Physician!

   Comparing the ages of everyone, you can see the embarrassment of Ding Deli's position in the department.

   His qualifications are older than Shao Jun's deputy chief physician, but his professional title is still attending physician.

   Therefore, Ding Deli usually has a working attitude of fishing for three days and drying nets for two days in the department.

   In the Cardiology Department of Jinghua Second Hospital, the deputy chief physician does not need to work night shifts, but the attending physician still needs to work night shifts.

   The cause of this incident was that when Dingley was on the night shift last night, he stayed in the duty room and did not come out!

  Jinghua Second Hospital, the normal night shift is the main class plus the auxiliary class. The main class is a doctor from an undergraduate room, and the auxiliary class is a rotating graduate student or regular trainee.

   It was a master student of Ding Deli and Shao Jun who was on the night shift last night.

   "Mr. Ding works the night shift. Unless the patient is dying, all other matters will be handled by the students on duty."

   Dong Hao looked around the office and said in a low voice when he saw that the client was not present.

   "Last night shift was a female graduate student of Director Shao. She was too busy last night, and several patients with heart failure fell ill."

   "Mr. Ding slept in the duty room and couldn't come out. Fortunately, nothing happened in the end. But the female graduate student went directly to Director Shao to complain this morning."

   Dong Hao shook his head.

   It stands to reason that Shao Jun will definitely not turn against Lin Cui because of a graduate student.

   But if something happens to the student on night shift, then he, the tutor, can't get rid of it.

   "Hey, Mr. Ding is on duty. When I was in the respiratory department, I heard from the peers in the same group that everyone was discussing that it was the most terrifying thing to do night shift with Mr. Ding."

   Understand the cause and effect of things.

  Lu Chen could only sigh in his heart, don't run into Mr. Ding in the night shift in the future.

   But Lu Chen was also very strange, a doctor like Ding Deli who was slack in work, according to Li Yao's work style, she would definitely not ignore it.

   But now Ding Deli has been at ease for so long, which has led to this conflict between Shao Jun and Lin Cui.

   This thing reveals an unusual taste.

  Eight districts in my heart, the water is very deep.

   (end of this chapter)