Since 1981 Health School

  Chapter 413 Rushing to the Second Hospital for Consultation

  Principal Li was surprised when he heard that such a high subsidy could be given, and pretended 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 chuckled 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. .”

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

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

  Chen Qi cursed again in his heart: "Nonsense, give us 200,000 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 to the door, there was no other way, domestic qualifications and rules were important, and they were 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? Once 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 siblings 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 the courtyard door was knocked again, and someone shouted outside the door:

   "Chen Qi, is Chen Qi at home?"

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

  Qi Zhiyi and Chen Qi have always had a good personal relationship. His father is the director of the housing management office. Most of the Chen family bought houses through the introduction of his father.

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

   "Chen Qi, hurry up, 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 mind 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 is an emergency patient."

  Lan Lijuan also ran up at this time: "Qi Zhiyi, what's the matter? What critical patient wants to invite Chen Qi 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. When he heard that his elder brother was in a hurry, he hurried to the house to get the keys to the Santana 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 is located is just an intersection away from Yan’an Road where the No. 2 Hospital is located, and it will take no more than 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, Chen Qi was still a little strange: "Zhiyi, you have more experts in the second hospital than our fourth hospital, 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, because they are afraid of losing face, so I thought of you, the international dual director."

   "Damn, you guys also know that I'm an international co-director? I'm just a substitute when co-authoring? 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, and quietly walked to the corner of the meeting room and sat there, wanting to hear everyone's opinions on the consultation?

  After taking his seat, 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 for Director Yao of the Pediatric Department to answer this question."

  Pediatric director Yao Qingju was furious when she heard this, and wanted to smash the medical director to death with an iron clip containing medical records.

   But the dean stared at her, and she had no choice but to express her own 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. Director Ge, what do you think?"

  Director of the Second Department of Internal Medicine (Respiratory Department), Ge Xinliang 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-ray shows 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 squeaked now: "This, this..."

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

   "Which department are you two from? We are talking about the patient's problem, what are you still doing there? What are you talking about? Get out if you don't want to listen."

  The deans these days are more rude than the other, and they like to scold 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, and listening to everyone's condition analysis with the other ear. He didn't know what to do, 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 abruptly: "Dean, I am Qi Zhiyi from the Department of Surgery. I was just reporting my condition to classmate Chen Qi..."

  Dean Gai was so angry that he gritted his teeth:

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

  Director Lu Yue coughed quickly, 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?"

  President 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 cursing 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 in the conference 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 he rushed over for consultation, of course they should give enough respect.

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

   Facing Dean Gai's enthusiastic pull, Chen Qi was too embarrassed to refuse, but he definitely wouldn't take the first seat.

  When he started working in 1982, all the people sitting there were chief directors, and they were all leading teachers. Chen Qi had reached 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 polite words:

"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 they 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 has no choice. Scholars are underestimated and seniority is ranked according to seniority. This is a long-standing drawback 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 solution.

   "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 now, Xiao Qi, and talk about the patient's situation in detail."

   Actually 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 reported immediately:

   "It's like this. The child is currently 1 month and 23 days old and was born prematurely 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, with inspiratory three concave signs, 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 I was admitted to the hospital, I took a chest X-ray, which showed 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 left lung field area, 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. "

  Chen Qi listened to the report, while flipping through the relevant auxiliary examinations after admission.

  Dean Gai watched Chen Qi quietly while drinking tea. 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 slapped his forehead, and almost forgot that this was Huaguo in 1986, and it was a county-level hospital in a small eighteenth-tier city. It is strange to have such an examination.

  Lu Yue and Chen Qi are 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."

  Pediatric director Yao Qingju hastily added:

   "We also judged that it was a pleural effusion, but how did this effusion come from? What is its nature and how to treat it? 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 is 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."

  (end of this chapter)