At nine o'clock in the evening, the three brothers of the Qi family were still talking.
Qi Yuanfeng is the oldest, seventy years old. Qi Yuanlin and Qi Yuanming are younger. Qi Yuanlin is 61 years old and Qi Yuanming is 57 years old.
Qi Yuanfeng is the lifelong attending physician at Shanghai Traditional Chinese Medicine Hospital. Although he is seventy years old, he is still retired and occasionally goes to Shanghai Traditional Chinese Medicine Hospital for consultation. Qi Yuanlin is the director of the Traditional Chinese Medicine Department of Shanghai Fuda Hospital and has reached retirement age.
, but was rehired.
The three sons of the Qi family are all department directors of top hospitals in Shanghai. Qi Yuanfeng previously held the title of vice president, not to mention Qi Youmin, so the Qi family is indeed remarkable in Shanghai.
After dinner, the three brothers of the Qi family were still talking. At nine o'clock, Qi Yuanming suddenly received a call.
"Director Qi, this is Yang Baohe from the emergency department. I'm calling you so late..."
"Director Yang is so polite. Is there a patient at this late hour?"
Qi Yuanming asked.
"If it weren't for the patient, I wouldn't be able to disturb Director Qi so late."
Yang Baohe said politely: "I wonder if Director Qi can come as soon as possible?"
"Okay, I'll be right over."
Qi Yuanming responded, grabbed his coat, and hurried out.
As the director of the Department of Traditional Chinese Medicine, I don't get disturbed very often at night, but every time I get a call from the emergency department, there must be an emergency patient. Qi Yuanming also knows that and doesn't dare to delay.
Shanghai Hospital, Emergency Department.
Department Director Song Kai also hurried over.
"what's the situation?"
When he arrived at the department, Song Kai asked while changing his clothes.
"The patient's abdomen is distended, his face is pale, and he has unbearable abdominal pain. The cause is currently being investigated. The symptoms may be acute hepatitis or acute jaundice hepatitis."
Deputy Director Yang Baohe told Song Kai about the situation: "We are currently conducting an investigation, and it will take a while for the inspection results to be obtained."
"First do an expedited B-ultrasound and abdominal puncture."
Song Kai said.
"The puncture has been done to rule out internal bleeding, and the B-ultrasound has been arranged."
Yangbao River Road.
"Have you notified other departments?"
"The Department of Intrahepatic and Extrahepatic Gastroenterology was notified, and the Department of Traditional Chinese Medicine also notified Director Qi."
Yang Baohe said: "The patient's condition is not optimistic. Although the cause of the disease has not yet been identified, the risk is very high."
Song Kai nodded.
In this case, especially at night, priority must be given to notifying the relevant departments for consultation. After all, there are fewer doctors at night, and most deputy senior doctors are not on duty in the hospital. Early notification can also avoid being late.
While talking, Song Kai had already changed his clothes and went to the emergency room with Yang Baohe.
"Director Song, Director Yang, the B-ultrasound results are out, it may be schistosomiasis."
An attending doctor came up with the B-ultrasound results and said.
"Schistosomiasis?"
Song Kai took over the B-ultrasound order.
Schistosomiasis, also known as worms or gu drums in traditional Chinese medicine, is generally abdominal distension caused by blood-sucking worms or parasites. In severe cases, it can lead to cirrhosis of the liver. The main symptoms are abdominal pain and bloating.
This disease has become less and less common since then, and was most serious before the 1980s and 1990s. It was mainly caused by some living habits such as unclean diet, drinking raw water and unclean water.
In the 21st century, with the gradual improvement of people's living standards, some habits such as drinking raw water have become less common. People are also relatively careful about their diet, and a series of diseases such as schistosomiasis and parasitic diseases are also much less common.
But at this time, you can still encounter it occasionally.
B-ultrasound diagnosis plays a certain role in diseases such as blood-sucking worms and parasites, but it cannot completely determine whether it is present or not. It can only be used as a reference. Further diagnosis requires blood and stool.
Song Kai looked at the B-ultrasound results and said, "Do a blood test and a stool test."
"The blood test has been done. If there is stool, the patient has not had a bowel movement now."
Yangbao River Road.
"Waiting for blood results."
Song Hui said something, then walked into the inner room and looked at the patient.
The patient's abdomen was swollen, his face was pale, his veins were exposed, and he appeared to be in great pain.
Song Hui stepped forward and examined the patient: "Have you taken any painkillers?"
"I've tried it, but it doesn't work well."
Yangbao River Road.
While talking, Niu Baohua has arrived.
"Old Song."
"Director Niu came just in time."
Song Kai hurriedly said: "Now it is basically confirmed that it is insect poisoning, a type of schistosomiasis. The liver function should be affected, and other organs are also affected. Blood tests have been done..."
"Schistosomiasis?"
Niu Baohua stepped forward and did some inspection, saying: "In this case, we need to determine the location first. If it is really schistosomiasis, how big are the worms and where are they? If it's in the liver, does it require surgery? At present,
This situation is not easy for me to handle."
"Now we can only wait for the results to come out before further investigation."
Song Kai nodded and then asked: "Director Niu is on duty today?"
"I was in the department just now. I had dinner with Fang Le and came to the department for a walk. I just happened to encounter something terrible in your emergency department."
Niu Baohua Road.
"How can this be a bad thing for our emergency department?"
Song Kai doesn't like to hear this. Their emergency department is the bridgehead, but patients who can't come are a problem for their emergency department, right?
As we talked, some subsequent results gradually came out, and soon the director of the liver department and Qi Yuanming from the gastroenterology and traditional Chinese medicine department also arrived.
"It's definitely insect poison."
Qi Yuanming examined the patient and said: "And the delay has been quite long. The patient's condition is not optimistic now and he may be in danger at any time."
After all, he is Qi Youmin's son. Qi Yuanming can diagnose the patient's condition without any other results.
"How about trying anti-bloodworm medicine first?"
Song Kai asked.
"Since Director Qi is here, it's natural to use traditional Chinese medicine methods." The director of the liver said with a smile.
"Let's try anti-bloodworm medicine first."
Qi Yuanming pondered for a moment and then said.
"Why, Director Qi can't do anything?"
the liver director asked.
Naturally, the department directors sometimes joke and sometimes argue with each other. What's more, one is a Chinese doctor and the other is a Western doctor. It's not that there is any conflict. It's just that when there is an opportunity, everyone is like this and ridicules each other.
"There is a way. You can try it with the letter stone, but I'm afraid Director Song won't dare."
Qi Yuanming said calmly.
"???"
The director of the liver immediately fell silent.
Xinshi is arsenic. Arsenic is also a medicine in traditional Chinese medicine. However, arsenic is highly poisonous and more terrifying than aconite. Although aconite is also poisonous, a small amount of aconite is generally not life-threatening for normal people. However, arsenic can be found even in small amounts.
It may cost people's lives.
"Use anti-insecticide first."
Song Hui glared at the director of the liver and said to himself, why are you teasing Qi Yuanming for nothing? Qi Yuanming's level is not low, he is very famous throughout Shanghai, and the three sons of the Qi family are all extraordinary.
Qi Yuanming said he was using the letter stone, but no one around him, including Niu Baohua and Song Kai, realized that Qi Yuanming was just trying to scare the head of the liver department.
There is a precedent for traditional Chinese medicine to use trust stones to treat insect poisoning.
"Director Song, wait a moment."
Qi Yuanming said: "How to use anti-insect drugs and whether they are effective still need to be considered."
"What does Director Qi mean?"
Song Kai was puzzled.
"Judging from the patient's symptoms, the condition is not serious. If the anti-insecticides are ineffective, the patient's condition will inevitably rebound."
Qi Yuanming said: "If the condition rebounds, the patient will be in danger."
"What should we do?"
Song Hui asked: "We must find a way. Is it possible to use a letter stone?"
Qi Yuanming was also a little helpless: "Even if you use Xinshi, the dosage is still a problem."
"What does Director Qi mean? Should we just ignore it?" asked the director in Gan Nei.
"It would be easier if we could determine the size and location of the insect."
Qi Yuan Mingdao.
"It's hard to tell whether the specific location is in the esophagus, liver duct or bile duct. How can we check it step by step?"
Song Hui asked.
"Tsk, let me recommend someone to you."
Listening to what several people said this and that, Niu Baohua couldn't help but said: "Fang Le from Xijing Hospital happens to be in the guest house of our hospital. If we do surgery, Fang Le is better than me, and he can also give some advice on traditional Chinese medicine, then."
I’ve seen the level.”
Thinking of Fang Le's performance at the Affiliated Hospital of Jiangzhou Medical University, Niu Baohua thought of Fang Le.
"Director Niu, Fang Le, I know that this is the first living donor liver transplant in the country, but there is no one in our Shanghai Hospital. Isn't this a liver transplant?"
The director of liver surgery is a little unhappy. Don't they want to go to Shanghai Hospital to save face?
"Fang Le?"
Instead, Qi Yuanming muttered softly and said: "In that case, please invite Director Niu to come over. I also want to meet Sun Qingping's disciples."