The newly admitted patient with angina pectoris needed to be further investigated for myocardial infarction, so he was sent to the emergency room for observation.
After saying hello to Dr. Dong, Xin Yanjun took the students back to the clinic to continue seeing other patients.
It seems that the medical records on my desk will never be finished. I don’t know when I will be able to rest after reading them tonight.
Not all patients who come to the emergency department are seriously ill, and most of them are patients who can be treated in the daytime outpatient clinic. It is autumn now, and many patients with colds and fevers come to see the doctor.
A male patient came here, a young man in his twenties, who said he had a sore throat.
The doctor asked him to open his mouth and shine a flashlight on it.
Xie Wanying, who was watching with the teacher, blinked: it was measles mucous membrane spots.
After universal measles vaccination, another consequence is that the age of onset of measles is no longer in children, but is mostly postponed to the adult stage. The outbreak season has been postponed from the previous autumn to the following spring. The measles attack in the young man in front of me was unexpected by the doctor.
There is also something unexpected in it.
The patient himself never thought that he would get measles. He only knew that he had a sore throat, which was so painful that he felt like he had a fever.
"Doctor, the medicine I bought at the drugstore to treat my throat has no effect. People said that the pain I have is so severe is not due to strep throat, but maybe tonsillitis. I need an intravenous injection, right?"
No, you are the opposite of that little boy, you have measles.
Measles is an infectious disease. The doctor who treated me was a little scared. Fortunately, he was wearing a mask and gloves.
"You need to be hospitalized for your illness." Xin Yanjun said to the young man immediately.
"Hospitalization? No way." The young man waved his hands repeatedly, "I don't have money to be hospitalized, doctor."
The young man’s clothes look like those of a migrant worker who has gone to work in the city. It’s not that the doctor didn’t see it, but the patient’s current condition cannot be treated without being hospitalized. If he goes outside, he will infect others and make others sick. More importantly, adults
The chance of severe measles is much higher than in children.
The patient now has a high fever, and the doctor has reason to speculate that his condition will develop into a serious disease.
"Do you have any friends? Can you contact your family? Where is your work?"
The doctor asked one question after another, but the young man only emphasized: "Prescribe me some medicine and give me an injection to reduce my fever. I will go back to work at the construction site tomorrow."
"Which company do you work for?"
"I'm not hospitalized."
"You can't do it without being hospitalized! You have measles!"
At this time, there are times when the doctor cannot retreat. The old lady doctor can give way first and then make plans based on the next situation. If this young man is put back, his condition will deteriorate rapidly within two days, and he will die.
The young man was stunned, as if he couldn't understand why the doctor in front of him was more anxious than the sick man himself.
Those who don't know are fearless. A patient like this has no idea that he is about to die when he is not sick, and thinks that he is still fine. The doctor has learned relevant knowledge and seems to have precognitive eyes, and can see what is about to happen to the patient.
Urgent to death.
"You must listen to me and notify your friends to come over quickly. I don't believe you don't have any friends or fellow villagers. Tell them that you will be in trouble if you don't hospitalize. The doctor doesn't lie to you." Xin Yanjun said, anxious to handle
I flipped through the medical records inside.
A person passed by the door of the clinic. Hearing the conversation inside, he poked his head in and said, "Aren't you going to be hospitalized?"
Hearing this voice, several people in the room turned their faces.
It was Dr. Li Chengyuan. Xie Wanying recognized the senior cardiothoracic surgeon.