Chapter 482: Let the respiratory department see the world
"Hmm?"
Mo Wan also looked back. Did Gao Pei'an call other people?
Under the street light, a woman wearing tight jeans, bright lipstick, and a slightly upturned mouth came over.
"Let me introduce you. This is Tong Yan, the chief medical representative of Gan An Ning Baiyun Province."
Just as Gao Pei'an was about to introduce Mo Wan, Tong Yan came over with a smile: "No need to introduce. I have heard of Dr. Mo for a long time. When you won the award in the last world competition, I was still in college. At that time, I wanted to become someone like you."
Mo Wan looked shocked.
General representative of Gan An Ning Baiyun Province?
She stared at Gao Pei'an for a while. This senior brother has so many tricks that he has even infiltrated the enemy?
Gao Pei'an said embarrassedly: "It has nothing to do with me. She was personally recruited by Xu Qiu."
Tong Yan pulled a chair and sat down, saying: "Yes, Dr. Xu can promise me that my salary will be at least twice the current level."
"I am a little tempted..." Mo Wan said.
Those who followed Xu Qiu basically reached the peak of their lives.
For example, Wang Ping, Wang Shengde, Yang Chenxi, etc.
Mo Wan's current research direction is important. If major research results can be achieved, it may be able to further replace sorafenib - but generic drugs are generic drugs and will never be on the table.
Her idea is actually simpler.
Even though the best generic drugs are destined to not have the same status as the original drugs, they may even be spurned and despised by peers...
But Mo Wan doesn't care!
Because generic drugs with prices under one thousand and little difference in efficacy can really save countless patients compared to genuine drugs that cost twenty-five thousand a box.
It's enough to save people. Reputation and academic status are all empty things.
But... if there is really a chance to develop a new drug, who can remain calm?
...
"I can help a little."
In the kitchen, Shen's mother, who had her hair tied up, wiped her hands, her face not timid at all.
Gao Pei'an introduced: "This person's background is even more frightening. She participated in the research and development of Gan An Ning at the beginning, but later found that Hui Ning tampered with the experimental data, so she resolutely returned to China."
Mo Wan's eyes almost popped out.
From the research and development position to the medical representative, did Xu Qiu directly infiltrate the Gan An Ning base camp?
How can he lose!
"Hurry up, Doctor Xu has found a transitional job for me. After I use this identity and get all the internal information I can access, I will run away." Tong Yan said impatiently.
Gao Pei'an said: "We have to hurry up, Xu Qiu plans to wait for the interrogation results of the dump truck driver to officially start the war with Gan An Ning. If we are too slow... Xu Qiu might be able to handle it himself."
"..."
Mo Wan was silent.
With Xu Qiu's ability, this is really possible.
"No, we must reveal some important secrets, just as a token of our loyalty!" Mo Wan's competitive spirit was immediately aroused. She came to help Xu Qiu, how could she tolerate her own laziness!
She must not be like Shi Lian, who only shouted 666 beside her!
...
...
On the clinical side, when the results of the female patient's various examinations came out, it was already the next morning.
The doctor on the morning handover mentioned this patient.
"The patient's blood pressure is 12Hg, heart rate is 109, blood oxygen saturation is 99, and the dynamic electrocardiogram did not find any abnormalities, and ectopic pregnancy rupture was also ruled out..."
For patients with abdominal pain, an indispensable examination is the electrocardiogram, which can timely rule out critical diseases such as myocardial infarction that are fatal.
If it is a female abdominal pain, then "ectopic pregnancy" and "corpus luteum rupture" must be added.
"What we need to worry about most now is the abdominal pain caused by nerve control." After listening to the report of the morning handover, Wang Ping focused on discussing the female patient with rectus abdominis separation.
The expressions of other doctors became more serious.
When abdominal pain occurs, the cause is not only the problem inside the abdominal cavity, but also diseases in other parts of the body can cause abdominal pain and vomiting.
For example, common pneumonia.
For example, aspiration pneumonia, due to its low position, can affect the abdomen.
In addition, the emergency department needs to be most vigilant about myocardial infarction, aortic dissection, etc. Although they have nothing to do with the abdomen, they will also show abdominal pain due to the influence of the innervating nerves.
"This patient is a bit tricky."
At this time, Xu Qiu spoke.
Everyone immediately looked over with surprised expressions. Even Doctor Xu found it difficult to diagnose?
But the next moment, Xu Qiu added: "It's quite typical. Ask the gastroenterology department to come over and gain some experience."
"Fuck..."
Wang Fan shouted subconsciously, and when he realized that everyone around him was looking over, he quickly covered his mouth.
This is too awesome!
In the past, when the emergency department encountered tricky patients, they would call specialists for consultation, and the emergency doctors would learn from them...
As a result, in Xu Qiu's case, they directly called specialists to come and see the world!
…
After finishing his overtime work, Xu Qiu issued new medical instructions and changed the treatment methods, including fasting, taking somatostatin, drugs to inhibit gastric acid secretion, etc., and also supplementing water and electrolytes.
After about an hour, the joint consultation of the Department of Gastroenterology began.
When Director Xiao heard that the patient was Xu Qiu's patient, he went to the inpatient department to check the room early in the morning and looked at the patient's various examinations. He first held a small discussion meeting within the department and brought people to fight when he was sure.
"The patient has abdominal muscle tension and positive abdominal tenderness. The problem is basically locked in the abdominal cavity." Director Xiao ruled out diseases such as aortic dissection and kidney stones right away.
Xu Qiu nodded slightly.
If the abdominal pain is caused by nerve control, there will generally be no abdominal muscle tension.
When he examined the patient yesterday afternoon, he also considered this point, so he paid more attention to the lesions of the abdominal organs.
If it is really aortic dissection and other diseases, then conventional CT will definitely not be able to detect it, and angiography must be done.
Director Xiao's face showed a trace of confidence: "Although the imaging department did not indicate it, we found that the area around the patient's pancreas is not particularly smooth, there should be exudation, and slight edema can be seen around it. Combined with the specialist examination, it is undoubtedly acute pancreatitis."
It's just more hidden and belongs to the type that is difficult to diagnose with imaging films.
At this time, a gastroenterologist took out a report: "That's not right, Director Xiao. The patient's serum amylase and lipase levels are not elevated, which are indicators of pancreatitis... The imaging signs are not obvious, and the laboratory indicators are also negative. How can this be diagnosed as pancreatitis?"
Xu Qiu was silent.
Do you gastroenterologists like to play double acts so much?
He looked at Director Xiao. Although the acting was too obvious, this problem did bother many doctors in the emergency department.
