(Thanks to my friend Big Stomach Continent, Book Friend 20181111012931999, and Silent Pole Monthly Pass for encouragement)

Time is always so tight, and when there are many patients, you really have to hurry up with all the time to eat.

After staying here for a while, Wei Yuan and Wang Chao walked back.

"It's going to have to be hard work, and you're going to have to hold on a little longer. Liu Banxia said.

"That's nothing, the operation was a success. Wei Yuan said.

"Mr. Liu, do you have a feeling that every day seems to be going on for a longer time now. Wang Chao said.

"I miss the emergency department of the past, the day is over, and the next day is coming after a good night's sleep. Not now, it's really like a year. ”

"Now that there are more patients and more surgeries to do, it is natural that I will be more tired. Liu Banxia said.

"You guys are okay, what kind of way do I boil this? Fortunately, I still have some time in front of me, and the remaining half a year is really difficult. ”

"Haha, I don't know who will take your shift next. Wang Chao said with a smile.

Hearing his words, Liu Banxia and Wei Yuan also looked at him with smiles.

"Why are you looking at me like this?" Wang Chao was very worried.

"Stupid, it's either you or Qi Wentao next. Liu Banxia said.

"The resident doctors are the three of us now, and if you want to be the attending doctor, you must have general experience in hospitalization, so this matter can only be chosen among you. ”

"Even if the interns are in the hospital by then, they will be resident doctors for a year or two. But if they take charge before you do, tsk, I don't care anyway. ”

"Damn, I forgot about this stubble. Wang Chao suddenly became "spiritual".

He's been busy lately, and he really doesn't have time to think about it. But I don't want to, I have to improve, and the next goal is to be the master.

And the emergency center here is not like the inpatient department and outpatient department, which is a place where you enjoy special treatment. As long as you survive the hospitalization, the contract of the attending is stable.

Otherwise, even if you pass the exam, it is useless, and the contract signed with the hospital is still a resident doctor.

"Don't worry, after the Spring Festival, our departments here will definitely be enriched. At that time, the inpatient general of each department will be responsible for each department, and he will not be in charge of everything like me. Liu Banxia said.

"It's just that no one thought that our emergency center would develop so quickly, and the patients here are mainly trauma patients, so there are more doctors in general surgery. ”

"Wang Chao, come on. Although I don't have any contradictions with Xiao Qi anymore, our brothers are closer. I'm optimistic about you, very optimistic about you. ”

Listening to Liu Banxia's praise, Wang Chao was about to cry.

The total days of hospitalization are really not people's lives, who can have Liu Banxia's strong energy to travel between various departments.

"Dr. Liu, who has been diagnosed, is a GPA. At this time, Chen Hongyang walked over.

Chen Hongyang's consultation request task was completed

Gain 200 XP and 300 Diagnostics Skill Mastery.

This mission is rated as Perfect, gaining 500 experience points, 500 diagnostic skill proficiency points, and 10 glory points

"Hey...... , it will be enough for this family in the future. Liu Banxia sighed.

"Thank you. After Chen Hongyang finished speaking, he turned around and left.

"What does this mean?" Wang Chao was a little confused.

"I came back from the operating room to help him consult a small patient, GPA, and at the beginning of the diagnosis process, he had some small misunderstandings with the child's parents. Liu Banxia said.

"Okay, Dr. Shi is back too, you can hurry up and eat. You can eat slowly, and I don't know if there will be surgery in the afternoon, but you are the main force. ”

"In order for Wang Chao to take over as the general manager of hospitalization, I will give him more opportunities. Wei Yuan dropped a sentence.

Wang Chao had a grudge on his face, he was still looking forward to eating, but now he is not in the mood.

"Are you still resting here for a while?" Liu Banxia asked Qiao Qiao, who came back with Shi Lei and them.

"No, you can't talk to me if you stay, I'd better go home first. Jojo shook her head.

"Don't worry, I'm ......"

"Mr. Liu, I will send over a patient with breathing difficulties in a while, who is a sanitation worker. The dispatch nurse shouted.

Liu Banxia scratched his scalp, "You drive slowly." ”

It's really no problem, I thought I could at least get tired of Qiao Qiao for a minute or two.

Jojo mischievously cocked her foot and pinched his nose, and then jumped out.

"Let's boil, just stay up for another half a year. Shi Lei comforted.

"I still have a hope, when will you solve your personal problems?" asked Liu Banxia while wearing a mask and gloves.

"I don't have a common language with you. Shi Lei also turned around and left.

Liu Banxia is happy, which is also Shi Lei's fatal point.

"The patient, 58 years old, with a blood pressure of 90,140, suddenly suffered breathing while cleaning the road, and his oxygen administration in the ambulance improved. After waiting for a while, the first responder rushed in pushing the patient.

"Consultation bed. Uncle, how do you feel now? What is uncomfortable, is your chest hurting?" Liu Banxia asked.

The patient waved his hand a little effortlessly, "Panting is laborious, and I am panicking." ”

"Even the monitor. After Liu Banxia finished speaking, he began to auscultate the patient's lungs and heart.

"There seems to be some inflammation in the lungs, but the heart sounds are normal, and the body temperature is 38 degrees, which is a little high. Uncle, have you been feeling any other places in the recent past, do you have coronary heart disease or diabetes?" Liu Banxia asked again.

"I didn't have that disease, and my blood pressure wasn't high, but I was always fine. I had diarrhea last month, does it count?" the patient said after a moment's thought.

"Well, that's fine. Liu Banxia nodded.

"Based on your current physical condition, we need to give you a blood test and then take an X-ray of your lungs. On initial examination, there appears to be some inflammation in your lungs, which may be the main cause of your difficulty breathing. ”

"By the way, I still have rheumatoid disease, right shoulder. The patient said again.

"Then what medicine are you taking now, and it has something to do with your work, right?" asked Liu Banxia.

"It's actually nothing to eat prednisone. After all, I can still make a few bucks, and I don't work for a long time. The patient said.

"Nacheng, let's take a blood test first, and then take an X-ray to see what happens. Well...... , Zhou Qian, you accompany this uncle to go through the formalities. Liu Banxia greeted.

"Uncle, I'll take your blood first, and then we'll go take an X-ray. Do you have your ID card? I'll help you register your number. Zhou Qian, who came over, asked.

"Bring it, bring it, you don't have to pay first?" asked the patient as he dug into his pocket.

"You're still a little inconvenient now, you can take blood first, and then pay for it. Zhou Qian said.

This is also a special place in the emergency center, and the normal procedure is to pay the fee first. However, these are all patients sent by ambulance, and they are not accompanied by family members, so they also need special treatment.

It can be regarded as taking care of this uncle, after collecting blood and completing the formalities, he is waiting here for the X-ray queue.

Again, for that reason, although it is said that you can do a bedside X-ray directly, you have to consider the cost. Otherwise, you may be well-intentioned to save time for the patient, but you are likely to be saddled with a complaint.

"How do you feel about your work during this time?" asked Liu Banxia to the interns.

"It's very fulfilling, and I'm living in a mess. Xu Yinuo said.

"Teacher Liu, can we accept patients independently now?" asked Huang Bo curiously.

"It can only be said that it is your initial contact, don't forget the task I assigned, communication with the patient's family is a very important link, you must adapt and master. Liu Banxia said.

"In fact, no matter where you become a doctor in the future, you need to pay special attention to the communication with patients. It is helpful for diagnosis and also helps to ease the doctor-patient relationship. ”

"Teacher Liu, is it okay to ask a personal question?" Liu Yiqing said.

"Ask, I can choose to decline to answer. Liu Banxia said.

"Oh, I'm not asking you about your wife. It's just that working here is so tiring, have you ever regretted it?" asked Liu Yiqing.

Liu Banxia shook his head, "Maybe it's because my starting point is relatively low, the original goal was to stay in the hospital, but it's not like you have such good conditions now." ”

"Emergency doctors will be very tired, but when you graduate, our general surgery team will expand, and there will be new interns for you to call on. Whether you can bring it well or not depends on your own ability. ”

The interns grinned, although they seemed to be very majestic at that time, but they also had no bottom in their hearts.

"Mr. Liu, the patient's X-ray was taken just now. At this time, Zhou Qian walked back.

Liu Banxia operated on the computer for a while, and was stunned after seeing the image on it. There was nothing out of the ordinary, how could this be.

"The blood test results haven't come out yet?" asked Liu Banxia.

"I'll go to the lab and have a look. Zhou Qian hurriedly responded.

"Liu Yiqing, go over, the patient who was just sent. Liu Banxia said.

I was a little worried in my heart, I shouldn't be bad at auscultation, is it because the location of the lesion is very small, and the X-ray is not illuminated?

He is still very confident in his auscultation and hand diagnosis, which is also a manifestation of strengthening the body. I definitely didn't hear the errand just now, but it didn't show it on the X-ray.

After waiting for a while, Liu Yiqing got the blood test results back. The patient has a little anemia and a somewhat high white blood cell index, but everything else is normal.

A high white blood cell index and a high body temperature, combined with one's own auscultation and the patient's difficulty breathing, are enough evidence of inflammation in the lungs.

Quest Release: Strange Pneumonia

The patient is sent to the hospital in an emergency and further diagnosis is required because the instrumental examination is contrary to the host's judgment. Task rewards will be awarded based on the diagnosis results

Liu Banxia leaned in front of the computer again and carefully watched the patient's X-ray. If it still can't be checked, he will consider doing a CT scan.