The system takes me for surgery

The general manager said: "In your case, the down payment after the discounted price will do."

Liang Yi said: "Then thank you, I helped my friend with it."

"Definitely, definitely." The general manager stepped back respectfully and left.

Liang Yi didn't want to use the privileges of the Blue Star card, but the sales department actually used the privileges to drive away customers. This is a drizzle for the Blue Star Group, but those managers are all charged according to the house price, which is also considered a small reward for them. punish.

Zhou Aimin's wife, Lin Xiaojuan, was pointing her fingers at the side, discounting, and paying the down payment at the discounted price, adding up to saving a lot of money compared to the original one.

Zhou Aimin couldn't help asking curiously: "What is this card?"

Liang Yi handed him the card and said, "This is a card issued by a friend of mine's company. This real estate is invested by his family, so there are some discounts."

"Your friend is definitely not simple."

"Well, he is a rich second generation, but he is not a dude." Liang Yi smiled, and then explained: "They are all hardcover houses. Brother Min, you and your sister-in-law can almost pack up your things and move in after a row of formaldehyde." gone."

After the couple completed the formalities, Zhou Aimin didn't say a word.

His daughter-in-law felt that he was chattering non-stop, and saw that he was silent, and asked, "Aimin, are you unhappy about buying a house? You also bought a big house with such a good location and so much cheaper. Renovation."

"It's because of Liang Yi's face that we are so lucky." Zhou Aimin said.

"That's right, you need to get closer to Dr. Liang in the future, he helped us a lot by buying a house this time."

"It's not just about buying a house. Although the 30 yuan is the salary from the hospital, it's actually his money. If you take other people's money, you have to do good things for them." Zhou Aimin felt that Liang Yi had helped him too much, so he must not let him down .

Lin Xiaojuan said: "You like to do case diagnosis. That is your interest and your strength. You will definitely not let him down."

"I hope so..." Zhou Aimin still felt pressured.

Soon afterwards, he moved into a new house. Zhou Aimin worked in the diagnostic department without a single patient, but he never touched fish or played with his mobile phone. Women and children inside and outside, slowly nibbling at work, and also after work.

Since she had a house, Lin Xiaojuan no longer made the family mess up because of trivial matters, but tried her best to take care of all the family affairs on her own, so that Zhou Aimin could devote all her energy and thoughts to the work of pathological diagnosis. With my own room, I am more cheerful than before.

Now Zhou Aimin has a burning fire in his heart, and he just wants to prove to Liang Yi and everyone in the hospital that he didn't waste the money for nothing.

Liang Yi's investment in the diagnostic department is actually not much in terms of personnel costs at present. It is more about forming a fast and limited network channel with auxiliary departments. This requires not only money, but also the tacit cooperation of each department.

Although each department remains neutral, the cooperation with the diagnostic department is not active, which makes the hardware of the diagnostic department gradually improved, but the interaction between the departments is still not satisfactory.

One night, after twelve o'clock, a four-year-old boy came to the emergency department. Because it was a special period, we paid special attention to patients with fever, and no one dared to relax.

The receiving doctor was Hong Chenyu, who asked the little boy's parents about the basic situation.

"Did you go on a trip?"

" always home."

"Does anyone in your family have the same symptoms?"

"No, just like the child, everyone else is fine."

"Besides the fever, did the child say anything uncomfortable?"

The child's parents said: "The child said that his elbows were sore and his knees hurt, but nothing else."

Hong Chenyu did not get any effective information during the consultation process.

On physical examination, the young boy was febrile and restless, with enlarged and palpable cervical lymph nodes.

Swollen knees and ankles, reluctance to bear weight.The whole abdomen was tender, and the liver and spleen were mildly enlarged.An erythematous rash was seen on the abdomen, showing the Koebner phenomenon.

Koebner's phenomenon: typical skin lesions are flat raised papules the size of rice grains to soybeans, round or oval, with smooth and hard surface, normal skin color or light brown, and appear suddenly, in large numbers and densely, and the skin lesions can be enlarged after scratching Arranged in a beaded pattern, that is, an autologous inoculation reaction.

However, fever + rash + swollen lymph nodes are still three clinical symptoms without any specificity.

Hong Chenyu frowned and shook his head. These symptoms and signs corresponded to several diseases, and auxiliary tests and examinations were needed to further confirm the diagnosis.

After Hong Chenyu communicated with the little boy's parents, he suggested that they continue to complete auxiliary tests to confirm the diagnosis after they were hospitalized.

The little boy was taken in, but as the test results came back one by one, Director Li of the Department of Pediatrics began to have some clues about his condition.

Director Li thought that the medical record was of great teaching significance, so he called the deputy chief physician, attending physician, resident physician, training doctor, and intern doctor to surround the long conference table and arrange them in a line by level.

Director Li took out a simple teaching drawing board and listed the abnormal conditions in the auxiliary report in turn: leukocytosis, thrombocytosis, complete blood count increase, hemoglobin decrease; erythrocyte sedimentation rate increased, C-reactive protein increased; alanine aminotransferase and elevated aspartate aminotransferase.

Blood cultures, respiratory virus testing, and other infectious tests were negative; echocardiography was normal; abdominal ultrasound revealed hepatic and splenomegaly.

Seeing the laboratory and special test results at a glance greatly narrows down the range of possible causes.

After several rounds of questioning, few people could answer the answer in his mind.

Director Li was obviously very dissatisfied with this result, and scolded: "You senior doctors should not be, you have been in the clinic for such a long time, and you have no idea at all."

Those senior doctors bowed their heads and did not dare to answer, allowing their directors to criticize themselves.

The director continued to criticize: "This is exposed. Do you know why the hospital built a diagnostic department? It is because your diagnostic level is too poor, and you must have the awareness of self-learning. Don't come here all day to fool around. . "

Finally, Director Li made a diagnosis of "incomplete Kawasaki disease".

Kawasaki disease, also known as mucocutaneous lymphatic syndrome, is a type of acute, self-limiting vasculitis, which occurs mostly in infants under 5 years old. It has various clinical manifestations. Some children do not have all the clinical features or The clinical features appear late, and early diagnosis is difficult.