Chapter 49

"Huh? Another 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 leave the hospital." Sun Guoguo persuaded, "If the condition is unstable and you are in a hurry to leave the hospital, you may have to come back to the hospital after a few days."

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

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

Many heart failure patients are repeatedly hospitalized every year.

Every time I am hospitalized, if the cause of heart failure is not completely eliminated, such as respiratory infection, etc., the symptoms of heart failure may recur within a few days after being discharged from the hospital, and I have to come back to the hospital again!

……

Everyone came to bed 12.

Sun Guoguo ordered the two interns to take another electrocardiogram for the 12-bed patient.

The result of the electrocardiogram output is still "atrial premature beat, ST-segment downslope depression".

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

Sun Guoguo held the electrocardiogram and frowned at the female patient in bed 12.

"No, the 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, "According to your current electrocardiogram and symptoms, we preliminarily suspect that it is a toxic side effect caused by an overdose of digitalis."

"Digitalis... drug toxicity?" The woman's eyes were full of doubts, "But I haven't been exposed to any drugs at all recently!"

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

"Auntie, think about it again, did you eat any special food?" Sun Guoguo continued.

The woman frowned, lost in thought.

half an hour.

She looked up, her eyes twinkling.

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

Sun Guoguo said in a deep voice: "This afternoon, we will draw another tube of blood from you to test the concentration of digitalis in the blood. If the concentration exceeds the standard, 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, "Anyway, I'm in the hospital, so I'll listen to you."

……

Everyone walked out of the ward.

Sun Guoguo turned to Lu Chen and said, "Brother, you can collect the cases of the 12 beds, and if you can find the exact cause of the disease, you can write it as a case report and publish it."

"Case report?" 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 standard as possible in diagnosis and treatment."

There are many forms of papers. Generally speaking, there are treatises, reviews, and brief forms of case reports.

The case report 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 will try later."

Li Yao has communicated with him in advance, and the selection of scholarships in the future will depend on the thesis.

To be able to make a big paper 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 butt was hot, Lu Chen felt that the atmosphere in the office was a bit weird.

He turned his head to look, and it turned out that it was the senior physicians of the other two groups in the department—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 the fourth floor to find Director Cao. I will see if he can solve it!"

Shao Jun looked gloomy, staring at Lin Cui closely.

"Director Shao, let's talk about it carefully." Lin Cui said in a deep voice, "Why are you making trouble with Director Cao?"

Shao Jun stood up and said with a sneer, "I just hope Director Lin, you can discipline your doctors well. If something happens 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 listened in a daze.

It is normal to have conflicts within the department.

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

After Shao Jun left the office, everyone started whispering.

Dong Hao, as the "old man" in the second year of Guipei, has a clear understanding of the department's gossip.

"Junior Brother, you have to be more careful about the attending doctor in Director Lin's group." Dong Hao whispered next to Lu Chen's ear.

"What's wrong?" Lu Chen wondered.

Dong Hao continued: "Actually, this matter is well known in the Department of Cardiology. Not only the people in the eighth district of the heart know about it, but also the doctors in several other districts."

"The incident is like this..."

From Senior Brother Dong Hao, Lu Chen has a better understanding of the entire eight districts in his heart.

There are eight areas in the heart, and there are four medical groups.

Director Li Yao, Director Lin Cui, Director Shao Jun, and Director Shi Guobin.

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

Lin Cui is the deputy director of the department and the second in command of the eighth district.

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

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

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

Ding Deli is an older doctor in the Department of Cardiology. He is 43 years old this year.

The 43-year-old attending physician is really 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 provincial tertiary hospitals, because it is extremely difficult to promote professional titles, there are still a group of "ten thousand years old attending doctors".

Ding Deli is one of them.

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

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

Take a look at the comparison.

Ding Deli, 43 years old, attending physician.

Li Yao, 45 years old, Chief Physician, Director of the Department of the Eighth Division of Cardiology.

Lin Cui, 49 years old, Chief Physician, Deputy Director of the Department of the Eighth Cardiac Division.

Shao Jun, 38 years old, deputy chief physician!
Comparing the ages of everyone, one 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 the net for two days in the department.

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

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

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

It was Ding Deli and one of Shao Jun's graduate students who were on the night shift last night.

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

Dong Hao looked around the office, seeing that the person concerned was not present, he whispered.

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

"Ms. 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.

Logically speaking, Shao Jun would definitely not fall out with Lin Cui because of a graduate student.

But if something happened to the student on the night shift, then he, the tutor, couldn't get away with it.

"Hey, Mr. Ding is on duty. When I was rotating in the respiratory department, I heard Gui Peisheng from the same group say that everyone was discussing that working night shift with Mr. Ding was the scariest thing."

Understand the cause and effect of things.

Lu Chen could only sigh secretly in his heart, never run into Teacher Ding in the night shift in the future.

However, Lu Chen was also very surprised. According to Li Yao's work style, a doctor like Ding Deli who was slack in his work would definitely not ignore her.

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

There was something unusual about this matter.

The eight districts in the heart, the water is very deep.

(End of this chapter)

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