Chapter 1222: [1222] It’s really troubleso
The newly admitted patient with angina needs further evaluation to rule out a heart attack, so they were sent to the ergency room for observation.
After greeting Doctor Dong, Xin Yanjun took the students back to the consultation room to continue seeing other patients.
The dical records on the desk seed endless. She didn’t know how late she’d have to work tonight before getting any rest.
The patients coming to the ergency departnt weren’t necessarily all critical cases. Most of them could actually be resolved during dayti outpatient appointnts. For instance, now that it was autumn, many were visiting for cold or fever symptoms.
A male patient ca in, a young man in his twenties, complaining of a sore throat.
The doctor asked him to open his mouth and shone a flashlight inside.
Standing by her ntor’s side, Xie Wanying blinked: it was asles Koplik spots.
With widespread vaccination against asles, one consequence was that the onset age had shifted. It no longer occurred in childhood, but was delayed to adulthood. The outbreak season had also moved from autumn to the spring of the following year. This young man’s case of asles was expected yet sowhat surprising to the doctor.
The patient himself hadn’t considered that he might have asles. He just knew his throat hurt, hurt so much he had a fever.
“Doctor, I bought so dicine for my throat at the pharmacy, but it didn’t work. People told that with such severe pain, it’s probably not pharyngitis but tonsillitis, and that I might need an IV drip. Is that right?”
No, you’re the opposite of that little boy—it’s asles.
asles is an infectious disease. The consulting doctor felt a bit apprehensive. Thankfully, they were wearing a mask and gloves.
“You need to be admitted to the hospital,” Xin Yanjun imdiately told the young man.
“Hospitalized? No way.” The young man waved his hands repeatedly. “I have no money for hospitalization, doctor.”
His clothes made him look like a migrant worker who had co to the city for labor. The doctor noticed this but knew that with his condition, hospitalization was non-negotiable. Leaving aside the risk of infecting others outside, the bigger issue was that adults with asles had a much higher risk of severe complications compared to children.
Now that the patient was running a high fever, the doctor had sufficient reason to suspect his condition might progress to critical severity.
“Do you have any friends? Can you contact your family? Which company do you work for?”
The doctor fired off questions one after another, but the young man only emphasized, “Just give so dicine or an injection to bring down my fever. I need to return to the construction site tomorrow.”
“Which company do you work for?”
“I’m not staying in the hospital.”
“You can’t refuse! You have asles!”
At tis like this, doctors couldn’t always back down. For an elderly woman, the doctor might consider postponing decisive action to assess the situation further. But if this young man were sent back, his condition could worsen rapidly within two days, and he could die.
The young man froze, seemingly unable to grasp why the doctor in front of him was more anxious than the patient himself.
Ignorance breeds fearlessness. For patients like this, they remain oblivious to how close to death they are until their condition deteriorates. They think they’re fine. But doctors, who’ve studied the relevant knowledge, seem to possess a predictive vision—able to foresee the patient’s imminent danger—and can’t help but feel panicked on their behalf.
“You must listen to . Call your friend here imdiately. I don’t believe you don’t have a single friend or fellow villager. Tell them that not admitting you to the hospital is a huge problem. The doctor isn’t lying to you,” Xin Yanjun said, flipping through the dical records in her hand with increasing urgency.
Soone passing by the consultation room paused, overhearing the conversation, and popped their head in to say, “Not admitting him?”
Hearing this voice, everyone in the room turned their heads.
It was Doctor Li Chengyuan. Xie Wanying recognized him as a senior from the cardiothoracic surgery departnt.
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