Medical road ahead

"Is the nutrition department busy today?"

After bringing Qiao Tan to the corridor of the ward, Qin Xiao let go of his hand and looked at her with lowered eyes.

Hmm... my hair doesn't seem to be as frizzy as before.

"Busy! I was sent by Director Liu to scout people." Qiao Tan nodded and said truthfully.

"Poaching? Interns?"

Qin Xiao reacted quickly.

"That's right. Director Qin, would you like to assign some interns to our nutrition department?"

Qiao Tan looked up at him and asked with a smile.

"Director Huang is in charge of interns. You can ask her later." Qin Xiao said.

"But most of the interns are here for you?"

Qiao Tan blinked at him.

"Oh."

Qin Xiao was noncommittal, and immediately made it impossible to continue the conversation, which made Qiao Tan feel awkward, so he had to keep scratching his head to think of new topics.

"Do you know why I brought you here for rounds?"

Just when Qiao Tan was scratching the hair that was originally slicked, Qin Xiao suddenly asked a question, and immediately dissolved the frozen air, making Qiao Tan heave a sigh of relief.

She quickly smoothed her hair and shook her head.

Yes!Why should I accompany the ward rounds? I am not a nurse or intern in the Department of Endocrinology.

She only realized it later.

"Haven't you always been interested in the Department of Endocrinology? Just take this opportunity to be a clinical observer and observe the treatment process and recovery of inpatients in endocrinology."

Qin Xiao looked at her with lowered eyes, and said with a smile: "Presumably, even if you often come to the endocrinology department to steal teachers, it is difficult for you to have the opportunity to conduct clinical studies."

"Uh-huh."

Qiao Tan nodded, and then followed Qin Xiao into a ward full of endocrinology patients to learn from it.

"Ms. Chen, do you still feel chest tightness and heart palpitations today?"

Qin Xiao first took Qiao Tan to a hospital bed near the door, and asked a middle-aged woman who was half lying on the bed.

"It's better, thank you, Director Qin."

Ms. Chen spoke very slowly, perhaps because of her illness, she was short of breath.

Qiao Tan picked up the medical log hanging beside the hospital bed, checked it carefully, and continued to listen to the consultation and conversation between Qin Xiao and Ms. Chen.

"What about the eyes? Are things still blurry?" Qin Xiao asked again.

"It's not as blurry as the previous two days, but it's not as clear as it was before I got sick," Ms. Chen said.

"Director Qin, do I need an operation in this situation?"

She rubbed her eyes, then stared at Qin Xiao with a worried look on her face.

"No need for the time being, you should take your medicine first, follow the diet prepared by the nutritionist, keep a good work and rest, and the condition of your eyes will gradually improve. Wait until the thyroid function F3, FT4, and TSH drop to three times the normal value Within a few days, the blood routine and liver function will return to normal, and you can be discharged from the hospital, and you will have regular reexaminations in the future, insist on taking medicine, and pay attention to your diet."

"Thank you, Director Qin."

Hearing this, Ms. Chen was finally relieved.

After a few more instructions to Ms. Chen, Qin Xiao took Qiao Tan to the bedside of a patient who needed to be hospitalized for observation due to receiving insulin treatment for the first time.

It was a young and beautiful girl in her early 20s, but due to diabetes, she looked a little swollen and her complexion was too pale.

Qin Xiao stepped forward, asked her about her situation, and checked whether she had symptoms of insulin allergy.

Insulin allergies may cause local itching, rash, urticaria, or purpura, etc. In addition to allergic reactions, if you inject at the same site for a long time, local subcutaneous fat atrophy will also occur, and the dosage should not be too large, otherwise hypoxia may occur. Blood sugar phenomenon.

Therefore, the hospital will allow patients who receive insulin injections for the first time to stay in the hospital for observation.

"Have you had lunch yet?"

Sensing that the girl's situation was different, Qin Xiao immediately asked, "Did you not eat anything after the insulin injection in the morning?"

"I have no appetite." The girl muttered.

"Dr. Qiao, please bring some candy biscuits for this patient, and ask the nurse to prescribe some blood sugar control medicine."

Hearing this, Qin Xiao's expression darkened, and he immediately turned his head to give Qiao Tan instructions.

"it is good!"

Qiao Tan didn't dare to delay, knowing the seriousness of hypoglycemia in a diabetic patient, he trotted away and headed for the nearest nurse's station.

"Didn't your nurse tell you that you must have a meal or other food half an hour after the insulin injection, otherwise hypoglycemia will occur?"

After watching Qiao Tan leave, Qin Xiao looked at the girl again and asked with frowned eyebrows.

"I said it, but I just don't have an appetite." The girl said wearily.

Seeing this, Qin Xiao dragged a stool and sat down beside her bed, and poured a glass of warm water for her, "Drink some water first."

"Director Qin, I have some snacks here, do you think there are any suitable for that girl?"

Ms. Chen walked up to Qin Xiao with a bag of snacks, and persuaded the girl earnestly: "Sister, I know you are suffering now. When I was first admitted to the hospital, I was not much better than you. At least your eyes are still I can see clearly, and it’s okay to play with my mobile phone. But I can’t, I have to protect my eyes and use my eyes less. But if you don’t eat, when the condition worsens, your eyes will also become blurry. Are you staring at the ceiling?"

"Ms. Chen is right. Although the two of you are not suffering from the same disease, in the final analysis, it is both endocrine problems. Moreover, whether it is hyperthyroidism or diabetes, it will affect the eyes."

Qin Xiao nodded and continued: "If a diabetic suffers from hypoglycemia, and the blood sugar is lower than 3.9mmol/l, they may experience panic, hand tremors, fatigue, and even worse, sudden epilepsy."

"You don't want to lie on the ground with twitching limbs and foam at the mouth, do you?"

After finishing speaking, he stared at the girl, and added something lightly, but the girl was startled, shivered subconsciously, and hurriedly took a bag of small cakes from Ms. Chen, tore open the package in twos and twos, hello into the mouth.

"Eat slowly, there are many more here!"

Ms. Chen smiled, and simply sat down and set up a dragon gate formation with the girl, while Qin Xiao nodded his thanks to her, then got up and left.

"Give them to Nurse Lin."

Not long after he walked out of the ward, he saw Qiao Tan walking with Nurse Lin, holding a bunch of snacks in his arms.

After explaining a few words to Nurse Lin, Qin Xiao took Qiao Tan to continue the ward rounds.

"Director Qin, which diabetic patients must be hospitalized?" Qiao Tan asked.

"One is the patient like the one just now, who had to be hospitalized for observation because of the first injection of insulin; the other is patients with acute complications of diabetes, including diabetic ketoacidosis, non-ketotic coma, lactic acidosis, and Severe hypoglycemia coma; third, patients with fluctuating blood sugar, or high blood sugar for a long time, can only undergo a comprehensive examination and close monitoring after being hospitalized, so as to find out the reason for the high blood sugar, and then readjust the treatment plan. Prescribe the right medicine; fourth, patients in a state of stress should be hospitalized for treatment in emergency situations such as fever, severe respiratory infection, tuberculosis, acute cholecystitis, urinary tract infection, myocardial infarction, and stroke. In addition, severe Patients with chronic complications of diabetes and newly diagnosed type [-] diabetes patients also need to be hospitalized." Qin Xiao explained in detail.

"Doctor Qiao, I will hand over the nutritional treatment of the patient just now to you. What do you think?" He said again.

"No problem." Qiao Tan nodded in response.

"Dr. Qiao, in fact, if you stay in the nutrition department, you can also learn a lot about endocrine, because nutrition and endocrine are closely related."

Walking to the door of another ward, Qin Xiao stopped and said to Qiao Tan: "This is the real reason why I brought you here for rounds today."