Gu Fan got out of the car and asked the driver to go back by himself.

Standing at the entrance of the hospital, he moved his legs and feet, and walked towards the emergency department with his hands in his pockets.

After the fight between the three of Gu Fan that day, Sun Hong and Zhang Jianguo were sent to the hospital, and after their narration, the nurses and doctors roughly understood what happened. The nurses in the emergency department looked at those gangsters and didn't fight anywhere, so they just collected protection money, bullied the elderly, and beat their colleagues, how could they bear it. A group of doctors in the emergency department tortured the gangsters half-dead until one or two o'clock in the evening, when everyone was tired of torture and refused to let go. At about four o'clock in the morning, another group of criminal police came to the hospital, and regardless of the injuries of the gangsters, they were directly handcuffed. All of them were taken away on charges of disrupting society and intentionally injuring others.

Along the way, the nurses were shocked to see Gu Fanna, and on the first day of work, they got into the bureau in a fight, and then they heard that they were okay and didn't come to work for two days. Which tendon is wrong today, and he came to the hospital at night.

Gu Fan came to his emergency room and saw Sun Hong sitting there treating an emergency patient, so he didn't bother, and directly picked up his cup and poured himself a cup of tea in front of the water dispenser.

When Sun Hong saw Gu Fan, he was a little surprised at first, and then greeted him with a smile, "Wait for me for a while, the patient will finish reading it immediately." ”

After some simple examinations, Sun Hong told the patient, "It is estimated that you have gout caused by uric acid, and now that the laboratory department is off work, I have no way to make an accurate judgment." I'll prescribe you some painkillers first, and get through the evening first. Tomorrow morning, you will go directly to the orthopedic department and go over there for a systematic examination. ”

After looking at the patient in his hand, Sun Hong stood up and looked at Gu Fan, "Go outside and talk." ”

Sun Hong put his arm around Gu Fan's shoulders, "Where have you been in the past two days?"

Gu Fan looked at Sun Hong, "Didn't the dean tell you?"

Sun Hong shook his head, "I only said that you went to see an old man, and I didn't say anything else." When we asked again, he blocked us back on the grounds that he was doing his job well. ”

Gu Fan nodded, "Hey, it's okay if you don't know about this, it's really troublesome." He took out a pack of cigarettes from his trouser pocket, took one out of it and handed it to Sun Hong. "How's the hospital doing these days?"

Sun Hong lit his own cigarette, "It's okay, but sometimes I'm too busy." ”

Gu Fan took a puff of cigarette, he had smoked a lot of cigarettes in the past few days, and gradually felt a little unable to give up, "It's okay." ”

Sun Hong inhaled the cigarette into his lungs, felt that the smell of smoke was a little special, and slowly exhaled the cigarette.

"What kind of smoke? While speaking, Sun Hong rotated the cigarette butt and saw the word special for a red panda written in small characters under the cigarette butt. Sun Hong gasped, "Damn, special for red pandas?"

Gu Fan gave him a blank look, "Isn't it strange? I don't know how many packs I've smoked these days." ”

Gu Fan is really not showing off, he really doesn't know the preciousness of the special red panda.

Sun Hong pointed at Gu Fan and stammered, "If you don't pretend to die, do you know the preciousness of the special red panda?"

Gu Fan shook his head, and then Sun Hong popularized what he knew about the special red panda to Gu Fan.

Gu Fan just nodded, smashing his mouth, "I didn't expect that this box of cigarettes is worth 100,000 yuan, so didn't you smoke 5,000 yuan from me?" ”

Sun Hong nodded with a wry smile, "No problem, if you can give me that pack of cigarettes, I will take care of the food for the next few days." ”

Gu Fan didn't care, and directly threw the remaining half of the box of cigarettes directly to Sun Hong.

After smoking, the two returned to the emergency room.

Gu Fan changed into a work uniform and started his first shift.

Tonight, Gu Fan and Sun Hong were on night shift, and the two of them were sitting in the same office, and the two of them chatted with each other when they were fine.

Zhang Ke heard that Gu Fan was coming back, and came to the office to say hello to Gu Fan in his spare time.

At about 3 o'clock in the evening, the hospital received a special patient.

The patient was taken to the hospital by the Gufan team.

Sun Yu ran to the door of the office, "Doctor Sun, a patient with a sudden cardiovascular attack just now, please come and have a look." ”

When Sun Yu approached the office, he saw Gu Fan sitting there, "Doctor Gu, I didn't know you were back." ”

Gu Fan picked up the stethoscope on the table, "Let's go, I'll go over with you and have a look." ”

Sun Yu glanced at Sun Hong, and finally nodded. Seeing her actions, how could Gu Fan not understand that Sun Yu was not at ease with herself.

He didn't care, and walked quickly into the emergency room alone.

The nurses of Gu Fan's group and Lan Ke'er were also slightly surprised when they walked into the emergency room, but quickly moved out of the way and let Gu Fan examine the patient.

When the patient's family saw Gu Fan coming in, they were stunned at first, and then said, "Doctor, could you please come and see what happened to my husband?"

"Please let me show the patient first. Gu Fan walked up to the patient, listened to the patient's heartbeat with a stethoscope, and tore off the report from the heart rate monitor to look at it.

Heart rate sinus bradycardia with a heart rate of 35 beats per minute. The patient was put on a ventilator and injected with 1 mg of epinephrine intracardiac. Gu Fan instructed while doing artificial heart pacing for the patient.

Hearing Gu Fan's doctor's instructions, the nurse hurriedly began to prepare.

"Does your husband have a history of heart disease?" asked Gu Fan as he paced the patient's heart.

The woman shook her head, "I've never heard him say it." ”

"How's the patient resting lately?"

The woman thought for a moment, "Recently, the company has a big order to talk about, and there is very little rest. ”

"Did you smoke or drink too much?"

The woman nodded, "All of these." ”

"The adrenal gland injection was successful. Zhang Ke said.

Gu Fan stood in front of the heart rate machine and watched the patient's heart rate rise. Turning around, he instructed Lan Keer, the assistant doctor next to him, "Prescribe cardiac color ultrasound, blood tests, and cardiac marker examinations and arrange for patients as soon as possible." ”

Although Lan Keer was dissatisfied with Gu Fan, this was not the time for her to play a little temper, and she was obediently operating on the computer.

Seeing her husband's heart rate gradually rising and his breathing calming down, the woman asked Gu Fan, "What's wrong with my husband?"

Gu Fan looked at the patient lying on the hospital bed, "At present, it is suspected that it is fainting caused by a low heart rate caused by staying up late for a long time." The possibility of a myocardial infarction cannot be ruled out. ”

The woman's tears were about to burst into her eyes, "How can I treat it? Doctor, please save my husband!"

Gu Fan wiped the sweat from his forehead, "Since the patient has been sent here, we will try our best to treat the patient, and there should be no major problem tonight." Later, we will transfer the patient to the cardiology department, and you will pay for the hospitalization first. ”

The woman nodded, "Looking at Gu Fan, how likely is my husband's heart attack?"

Gu Fan was silent for a while, "Let's wait for the results of the examination to come out." ”

Looking at the back of the woman leaving, Gu Fan sighed.

Zhang Ke handed Gu Fan a bottle of water, "Doctor Gu, you worked hard just now. ”

"Thank you" Gu Fan took the mineral water that Zhang Ke denied, and he was not polite.

"Do you think this patient has a high chance of a heart attack?" Zhang Ke asked curiously.

Gu Fan looked at Zhang Ke, "Judging from blood pressure and heart rate, 80% may be myocardial infarction." ”

As a surgeon, Sun Yu was not very familiar with internal medicine, so he asked, "Since it is a heart attack, why doesn't his family know about it?"

"The patient has an acute myocardial infarction, which is caused by poor rest for a long time, smoking and alcoholism. Of course, it cannot be ruled out that he has a myocardial infarction and has been hiding it from his family," Gu Fan replied.

Sun Yu nodded, "In the past, we used quick-acting heart-saving pills to treat acute myocardial infarction, but why is the effect not very good this time?"

Gu Fan nodded, "Don't you smell the smell of alcohol in the patient's mouth? Drugs for heart disease will have a weakened effect when they encounter alcohol." In the future, if you can't accurately understand the patient's condition during the emergency process, try to observe as much as possible so that you can better use the appropriate medicine. ”

Gu Fan looked at the medical staff in his group and continued, "In many cases, the family members of the patients we encounter in the emergency department are not around, and our communication with patients may only be judged through some of the patient's behaviors, which requires sufficient clinical experience to judge." This time it is my responsibility, I am busy with other patients these days, and I have not been on the call with you. But I hope that in the future, you will be able to clear the customs and observe and understand the patient's condition. ”

The medical staff in Gu Fan's group all lowered their heads, only Lan Ke'er snorted softly, "The head of the talk is the Tao, and it makes you feel like a cardiologist." ”

When Gu Fan heard Lan Ke'er's words, he didn't care. "Sun Yu, Zhang Ke, the two of you will go to the cardiology department with the patient's family for a handover. ”

After packing up his things, Gu Fan returned to his office.

Sun Hong looked at Gu Fan, "The patient is fine!"

Gu Fan nodded, took a sip of water from his own water cup, "The clinical experience of these deputy attending doctors is still a little less. ”

Sun Hong smiled, "They have little clinical experience, don't they still have you?"

The two of them were chatting in the office, and the time passed quite quickly.