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Doctor: It's reasonable to perform surgery on yourself.

Doctor: It's reasonable to perform surgery on yourself.

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Chapter 111: Pink foamy sputum, pulmonary embolism again?

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Chapter 111: Pink foamy sputum, pulmonary embolism again?

The morning shift doctor continued: "This patient was admitted by Wang Fan. At first, I was puzzled. She just ate uncooked green beans. I just need to give her some metoclopramide and Amol. As a result, I checked her previous medical records and found that the matter was not simple... She came to the hospital four times in total. The first time, her daughter-in-law made sauerkraut herself. As a result, the patient suffered from vomiting and diarrhea after eating and came to the hospital. Later, the daughter-in-law felt guilty, so she plucked the patient's ears. As a result, the cotton ball fell into the ear! Later, the patient's daughter didn't trust anyone else to take care of her mother, so she stewed fish soup for the patient. Then the patient was admitted to the hospital with a fishbone stuck in his body!

Finally this time. The patient's son felt that no one could serve him well, so he decided to do it himself. Then he fried green beans but they were not cooked, so the patient went to the hospital again..." The doctor who took over the morning shift suppressed a smile and said: "Her wife is taking care of her now. I'm worried that something will happen to the patient again, so I want everyone to pay more attention and don't let the family members mess around." … In the conference room, directors Wang Ping, He Hai and other directors twitched their lips and tried not to laugh out loud. The other doctors also lowered their heads and couldn't help laughing. This family... is really full of filial piety! "Ahem, Wang Fan, please communicate with bed 66 and ask them to order meals in the hospital as much as possible to avoid eating problems again." Wang Ping warned. After that, he mentioned a few more typical and severe patients, and then the meeting ended. Today is still the long-awaited director’s teaching rounds. A large group of doctors followed Wang Ping as they shuttled between wards. Several intern doctors crossed their hands in front of them during ward rounds and were scolded by Wang Ping. "Hands behind your back are for ward rounds, and hands in front of you are for silent mourning with the body. You don't even understand this?!" The intern shrank his head and quickly put his hands behind his back. "Let's go, the next patient is Old Man Shandan." Wang Ping said seriously. No one understood. Until Wang Fan next to him reminded him in a low voice: "He is a patient with testicular torsion." Others wanted to laugh but didn't dare. In these few seconds, they went through all the painful memories in their lives in their minds.

Ward rounds lasted until nine o'clock. During this period, Xu Qiu completed the sign-in. “Congratulations on your: Masterclass Pheochromocytoma Resection!” Another tumor removal surgery... Xu Qiu didn't think too much and just checked the room. On the way back to the office, he found several young nurses holding a brochure in their hands. "Dr. Xu, the brochure for brain surgery has been printed, and you are on the cover. You are so handsome!" A young nurse said while holding the brochure. "Yes, yes, it's so beautiful!" "I haven't gotten it yet. I'm going to get one when I get off work at noon!" … At this time, brain surgery. Director Lin had just finished his morning shift. He heard that the brochure had been printed and planned to get a copy. The head nurse was a little surprised: "Hey, director, are you still reading the brochure? No one wants that thing. It's just at the door of the department. You can get a copy for yourself when the time comes." Director Lin nodded and walked towards the door of the department after the meeting. On the way, he saw many patients holding a brochure in their hands. He kept saying "so handsome" He had a bad feeling in his heart. I quickly walked to the door and took a look. The bookshelf was full of various health magazines and past brochures. Only the brochure with Xu Qiu printed on it was empty! "Is this all about looking at your face?" Director Lin was shocked. He quickly called the Medical Propaganda Department. The person who answered the phone was also shocked: "Huh? I just delivered a hundred copies. How long has it been, half an hour, and it's gone? Are you kidding!" Director Lin: "Hurry up and send me another hundred brochures!" After hanging up the phone, Director Lin still didn't come to his senses. Is Xu Qiu's appeal really so terrifying? Ding dong. At this time, his cell phone rang. When I opened the department group chat, I saw that the screen was flooded with messages. "Please give me a copy of Dr. Xu's brochure in exchange for a meal!"

"I beg too! Two meals!" "I'll do the night shift!" Director Lin silently called back, "Hey, Medical Propaganda Department, print 500 copies, 400 of which will be sent directly to my office..." … At this time, Xu Qiu had no idea that a brochure had caused such a big stir. He handled the outpatient clinic in the morning conscientiously. During lunch, he thought about Li Qianqian. So, she logged into the account of the obstetrics and gynecology department and called up Li Qianqian's medical records. The medical records included chest CT films. It showed that the lung texture of the left upper lung was thick, the lung lobes were blurred, and there was a small amount of simple ground glass shadow. The diagnosis was also clear: upper left pneumonia. There were no abnormalities in electrocardiogram and cardiac color Doppler ultrasound. After reading the results, Xu Qiu felt relieved. Since it is pneumonia, there is nothing worth paying attention to. It can be easily controlled by a consultation with a respiratory medicine department. As a result, shortly after finishing the meal, there was a sudden click of footsteps outside the office. Li Xue opened the door, looking a little anxious, and said: "Doctor Xu, the patient last night seemed to have a pulmonary embolism. Come and have a look!" Pulmonary embolism, a critical illness with extremely high fatality rate, can only be treated by Xu Qiu at present. Therefore, even Director Hu from the Department of Obstetrics and Gynecology immediately thought of Xu Qiu. Rather than several directors of the respiratory department. …… This time, it took only three minutes to run to the obstetrics and gynecology department. Before Xu Qiu had time to catch his breath, he saw several nurses in the VIP ward preparing to transfer Li Qianqian to the bed and rescue her at any time. There were nursing staff and two young men standing next to her. On the bed, Li Qianqian's face was pale and her expression was full of fear. She greedily breathed in every breath of air, sweating profusely, and her hospital gown was soaked with sweat. Her right hand covered her chest, and she felt that her heart was about to jump out of her throat! "Cough cough cough..." She coughed violently, and every cough brought out pink foam.

This is one of the typical signs of pulmonary embolism. "Get out of the way, Dr. Xu is here!" Li Xue shouted. At this moment, the originally nervous nurses suddenly felt relieved. They quickly made way. Xu Qiu stepped forward, The perfect level of vascular palpation experience was demonstrated at this moment. After a moment, he breathed a sigh of relief and said, "It's not pulmonary embolism. Sit and breathe - this is left heart failure." After saying that, he pressed Li Qianqian's calf. There was no edema in both lower limbs. Physical examination. The liver and spleen were not enlarged. There were no symptoms of jugular vein distension and so on. Fortunately, it did not develop into total heart failure. Xu Qiu fell into deep thought. The previous heart examination was fine, and the patient was so young, and suddenly showed symptoms of heart failure - Under what circumstances would this symptom appear... Xu Qiu's mind was working rapidly, and a disease was about to emerge.

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