Seeing that Director Tang had a positive attitude and was willing to move closer to her husband, Lan Lijuan quickly flattered the old director:

"Director Tang has stepped in, and we are absolutely at ease. We are really grateful."

Director Tang was also very satisfied with the polite and respectful attitude of the young couple, so he also worked extra seriously.

As soon as I put on the reflector on my head, I took out the dental tools from the box and inspected them carefully.

At this time, all the people nearby gathered around, the answer to the mystery was about to be revealed, and the patient's family members were eager to know the final answer.

After about 3 minutes, Director Tang picked up his tools and said cheerfully:

"Dean Chen, this is really a dental problem. You see, the patient's teeth are somewhat loose, accompanied by continuous bleeding of the gums, and local redness, swelling and bleeding. If all the bleeding is swallowed, black stool will also appear.

."

The onlookers simultaneously made a sound of sudden realization: "Oh"

Chen Qi looked at the middle-aged female patient and asked:

"Sister, did your teeth bleed a few days ago?"

The patient nodded sheepishly:

"I've been bleeding these past few days. Sometimes I spit it out when there's too much blood. Sometimes I just swallow it without having time to spit it out. Doctor, am I okay?"

As soon as the patient said this, the young doctors and interns next to him took on the role of cute little new ones again, and all of a sudden they were talking about it.

"Oh my God."

"Could the patient be vomiting blood due to bleeding gums?"

"We always thought it was gastrointestinal bleeding. We had a gastroscopy for a while, but we couldn't find any problems. The more we did it, the more we became upset."

Qi Damin's heart skipped a beat, thinking, couldn't it be such a bloody thing? Is it because the gastrointestinal tract has been bleeding for a long time? Is the gums bleeding?

Liu Huichun breathed a long sigh of relief, and at the same time glanced at the livid Qi Damin next to him, and snorted coldly in his heart:

"The dean won't cooperate on the first day of work, so you just have to wait to wear small shoes."

After Chen Qi completely pulled out the gastroscope, he handed it to the head nurse at the side. After regaining his confidence, Chen Qi straightened his waist again.

"Combined with the previous colonoscopy and gastroscopy, which were all normal, we can now preliminarily confirm that the melena and vomiting of blood are caused by bleeding gums. In fact, it is not vomiting of blood. It should be more appropriately called vomiting of blood, right?

You see, this shows that when we usually do physical examinations and laboratory tests, we must be careful and careful. We can't just focus on the part you think of the disease. What if it's not the part? Then we will be in a hurry, so we must have a clear vision and layout.

Zoom in.

Finally, we still want to thank Director Tang for his wonderful action. Look at the old director's intervention and cure the disease in three minutes that we couldn't deal with in two days. This shows that we still need to learn more from the old director."

Everyone nodded to Director Tang.

Director Tang waved his hands repeatedly: "Our dentistry is a minor department, unlike your gastroenterology department, which is the trump card of our People's Hospital. We all learn from each other."

The ward rounds were still going on, so Director Wang signed the consultation form and went back happily.

Some people were happy, while others were unhappy. Wang Fang was about to cry as she stood there.

Because she is a bedside doctor, she also performed the first gastroscopy. If a "misdiagnosis" occurs now, she is the first person responsible.

Moreover, she also judged a simple "vomiting blood" as "vomiting blood", which further misled the direction of subsequent treatment and examination.

So what Dean Chen just said sounded to her like a slap from the dean, indicating that he was dissatisfied with her clinical level.

The key is that something like this happened on the first day that the new dean took office. Thinking of this, Wang Fang felt a sense of frustration with a gloomy future.

At this time, Chen Qi also saw the little girl with a sad face and a red nose. He couldn't bear it, so he comforted her a few more words:

"We doctors are not always right, and mistakes are inevitable. But if we make a mistake, the most important thing is to be able to find the correct cause immediately and help the patient solve the problem in a timely manner. Don't blame yourself, I am the director.

I didn’t criticize you, why did you cry first?”

Hahaha, there was a burst of laughter in the ward.

Deans like Chen Qi are really rare. If you meet other deans or department heads, you will be scolded bloody.

If you don’t believe it, ask Professor Wu Mengchao’s students how they spend their days.

The atmosphere in the ward suddenly relaxed. The cause of the disease was found. The patient and his family members were also very satisfied and hurriedly thanked Chen Qi.

"Thank you, dean. After all, the dean is really good. He found our bleeding point right away."

Chen Qi felt quite contemptuous in his heart and cursed in his heart: Who was calling the dean a backdoor guy just now? Now he has become more sophisticated again?

But on the surface, Dean Chen is still very graceful:

"Okay, you guys take good care of yourself. Since it's not bleeding from the gastrointestinal tract, you can be discharged from the hospital. You can just go to the dentist for a checkup then."

A "misdiagnosis" was finally resolved peacefully, which made Chen Qi breathe a sigh of relief. Although he looked smiling on the outside, in fact, he was already sick in his heart.

When turning to leave the No. 1 hospital bed, Chen Qi still whispered in Lan Lijuan's ear:

"Oh my god, I was scared to death. I thought I was going to make a fool of myself on the first day I came to the People's Hospital. Fortunately, you were careful."

Generally, doctors will withdraw the tube directly after performing a gastroscopy, and will not pay attention to what else they can see halfway. Fortunately, Lan Lijuan is careful and has good eyesight and quick hands.

Lan Lijuan also covered her mouth and joked:

"I can't let Dean Chen fail in the Sixth Department of Internal Medicine, otherwise he will be judged by the leader in the future."

Chen Qi became excited when he heard this, biting his ear and said:

"That's right. Otherwise, if Director Chen was angry in the hospital, he wouldn't have vented his anger on the department director when he got home and went to bed..."

Lan Lijuan blushed upon hearing this and pinched the fat around Chen Qi's waist so hard that Chen Qi almost cried out in pain.

The ward is so small, everyone can see the two parents-in-law biting their ears, and others pretend not to see it. Ma Xiaona, an old classmate, couldn't stand it anymore, so she also joked:

This chapter is not over yet, please click on the next page to continue reading!

"Okay, okay, a dean and a department director openly flirted in front of everyone in the hall, aren't you afraid that gossip will spread and your family members will know about it?"

Hmm? Is there any gossip?

The patients and companions in the ward pricked up their ears. They didn't know what the relationship between the two was, and thought they had heard a shocking scandal. They all looked at Chen Qi and Lan Lijuan with strange eyes.

The other doctors and nurses knew the inside story, so they all chuckled and didn't take it seriously.

Lan Lijuan pursed her lips: "Okay, everyone, be serious. We are doing ward rounds. Dean Chen, you should also pay attention."

"Oh yes, be serious, be serious!"

For those who don’t know, I think Lan Lijuan is the dean.

Lan Lijuan turned around and looked at Wang Fang: "Doctor Wang, please continue to introduce the situation of the patient in bed 2 to Dean Chen."

The young doctor Wang Fang quickly cheered up, wiped the tears that had just flowed out, changed the iron clip of the medical record in his hand, and continued to introduce:

"Dean Chen, a 72-year-old male patient in bed 2, was admitted to the hospital yesterday evening because a fish bone got stuck after eating fish at noon yesterday. The patient's fish bone is currently very troublesome. We have already done a gastroscopy and a CT scan.

It is certain that the fish bone is stuck in the upper end of the esophagus.

The trouble is that this fish bone is relatively thick, and it is stuck horizontally in the esophagus, with the left and right ends deeply embedded in both sides of the esophageal wall. We can only temporarily use anti-inflammatory and anti-infective treatments. The fish bone is really

If it can’t go down, the only option is to have surgery to remove the thorn.”

Chen Qi glanced at the elderly patient on the hospital bed and felt a little strange:

"No, a fish bone is stuck. Why does this old man look like he is dehydrated and fatigued? Are there other underlying diseases?"

No wonder Chen Qi was surprised, because the old man was lying on the bed now, his whole body as limp as a paralyzed noodle, as if he had no strength at all, and could only make moaning sounds from time to time.

What doctors fear most when seeing a doctor is meeting a patient with such a terrible mental state.

At this time, the son of the patient next to him was anxious:

"Doctor, my dad never likes to chew slowly when he eats. Yesterday at noon, a relative happened to be a guest. My dad took a big mouthful of fish, and the fish bone got stuck in his throat.

At that time, we tried many ways. We swallowed the rice and vegetables without chewing them. We tried to remove the fish bones but failed. Later, we tried drinking vinegar, coughing hard, picking them with our hands, etc. Good guy, not only did we not see

The fish bones only made the pain in the throat worse and worse.

We had no choice but to send him to the hospital to see if there was any other way to take out the fish bone. Now, can this operation not be carried out? My dad is so old and has to open his stomach, which is too much for him.

."

Chen Qi heard the problem:

"Wait a minute, you said what did you do when the fish bone first got stuck?"

The patient's son was a little confused, but he still answered honestly:

"I just swallowed rice, swallowed whole vegetables, induced vomiting, and drank vinegar. By the way, we drank a full 3 kilograms of vinegar from such a large bottle, but it had no effect at all, and then my dad became completely exhausted."

"Oh my God, after drinking three kilograms of vinegar, how can I not feel weak? Even the fellows from Shanxi can't stand it."

After the fish bone gets stuck in the throat, drinking vinegar to soften the fish bone is also a common error treatment method, and it is also a method that everyone usually uses.

Many people think that drinking vinegar can soften the fish bones in the throat, because the acetic acid contained in vinegar can chemically react with the calcium contained in the fish bones, thereby softening the fish bones and relieving the stuckness.

In fact, this is not the case, because liquid cannot accumulate in the throat. After drinking vinegar, the vinegar will quickly flow from the throat into the esophagus and will not stay in the fishbone for a long time.

Therefore, it cannot soften the fish bones at all. It just flows the vinegar through the fish bones.

In addition, if the fish bones are large, drinking a large amount of vinegar will not only fail to soften the fish bones, but will also cause increased damage to the mucous membrane of the throat, which will aggravate the symptoms of mucosal edema and increase the discomfort of fish bones stuck in the throat.
To be continued...