Chapter 35: What's wrong with you, baby
To register for an emergency number, it is customary to triage at the triage desk first.
An experienced emergency nurse will make a preliminary determination of whether the patient's condition is urgent and whether it needs to be treated immediately.
For example, if a patient is suspected of cerebral infarction, the green channel will be opened immediately to ensure that the CT of the brain will be done within 10 minutes.
Patients who have been in a car accident, who have been cut for drinking, and who have received serious trauma for various strange reasons will also be "cut in line" and sent to the emergency surgeon, and in serious cases, emergency surgery will be carried out immediately.
But people like Zou Junhao, who are not critical and don't need emergency treatment, can only line up obediently.
"Wait, you see so many patients here, it is conservatively estimated that it will take an hour. ”
Zhang Tianyang hung up and was ready to fight a protracted battle.
"An hour, so long?"
Ji Gaojie and Chen Jiajie were shocked.
"Don't you see?"
Zhang Tianyang yelled at the surrounding Nunu.
"I just turned around a little, and there were two people covered in blood on the surgical side, and there were more than a dozen beds in the emergency room, and there were three extra beds outside.
We are looking at the emergency internal medicine, there are seven or eight people in line there, and there are just two new children with children, and the children look very uncomfortable, and they are estimated to be in front of us.
An hour is already a conservative estimate, two hours is possible. ”
"Is the emergency room so busy at night?"
Ji Gaojie didn't go through the emergency department, and at this time he felt that this place was really terrible.
Chen Jiajie has never been in the emergency department, but he can understand a little.
"The emergency room should be busier at night than during the day.
During the day, many patients are triaged to the outpatient clinics of various departments, and at night only the emergency department is working, so it should be a little busy. ”
The two roommates talked and discussed the pros and cons of each department, and began to talk about gossip after discussing and discussing.
Zhang Tianyang listened a little on the side, as if he was saying that there was a powerful buddy among the five-year interns who made 4 C-level cases, and then asked them to teach the matter of fines of 20,000 yuan.
He has little interest in gossip, and in order not to waste time, he closes his eyes and enters the system space to learn knowledge.
Of course, every ten minutes he would withdraw to see how Zou Junhao was doing.
I don't know if it's because I've been hurting for too long and getting used to it, or because the pain has really eased, at four o'clock in the morning, Zou Junhao's face has improved significantly.
Four o'clock is the sleepiest time, Zhang Tianyang looked at Zou Junhao, who obviously had dark circles under his eyes, "Are you still waiting?"
"Wait!" Zou Junhao gritted his teeth, and spoke a lot more neatly, "It's all here, at least you have to die, right?"
......
At 4:25, Zou Junhao's name was finally called.
"What's wrong?"
The attending person in the emergency internal medicine department was staring at the results of an emergency blood test of a patient in his hand at this time, and his brows were slightly furrowed.
"My feet hurt. ”
Zou Junhao hurriedly lifted his right trouser leg and exposed his foot.
In fact, he has improved a lot, but the severe pain just now is still vivid.
Zhang Tianyang helped him make a supplement on the side.
"A week ago, the proximal toephalangeal joint of the right foot was enlarged, red and swollen, with a feeling of fullness.
At 3 o'clock this morning, he suddenly had severe pain, and his right foot was ...... It is accompanied by a pale complexion......
Heart rate measurement 85 beats per minute......
He has an irregular diet and a preference for meat and seafood, and a history of heavy drinking......
......”
"Huh?"
The attending doctor, who had been keeping his head down, raised his eyebrows, glanced up at Zhang Tianyang, and then looked at the patient information on the computer screen.
"A student at this school?"
Zhang Tianyang responded, "Yes." ”
Despite this, the attending doctor asked Zou Junhao about his medical history in detail and did a brief physical examination.
Finally, he nodded at Zhang Tianyang, "The medical history is summarized well." ”
"Since you're from this school, tell me, what's the problem?"
Zou Junhao sneered and shook his head.
He hadn't been to much class in the first place, and if he knew what was going on, he would have come to the hospital in the middle of the night.
The attending doctor looked at Zhang Tianyang, "What about you." ”
"I think it's a gout attack. ”
Zhang Tianyang shrugged, "Small joints, redness, swelling, heat and pain, acute onset, no trauma and infection, and I used to like seafood and drink a lot of alcohol, all of which are in line." ”
"That's a good point. ”
The attending doctor nodded, his eyes gradually becoming resentful.
"Since you can diagnose it yourself, what's the matter with coming to see me in the middle of the night?"
Zhang Tianyang smiled and didn't speak.
You can't tell him that Lao Zou thinks I'm a half-ass, don't you believe me?
The face of his own brother still has to be given.
Zou Junhao also smiled, his face faintly red.
"Alright, I'll prescribe a blood draw for you to check for uric acid.
You are all from this school, and I don't want to give you a check-up for such obvious symptoms.
But since you're here in the middle of the night, let's get a shot. ”
The attending doctor sighed while operating on the computer, typed two words, and suddenly leaned back on the chair.
"You're a five-year student?
"Yes. ”
"Interned?"
"Interned. ”
"Will the system use it?"
"Yes. ”
"Then you can do it yourself!"
The attending doctor gave up the computer and said, "Come to me after the results of kidney function come out and prescribe medicine to you." There are a lot of patients in the back, I'll take a look. ”
With that, he simply stood up, walked to the other side of the emergency department, and occupied another computer, "Next!"
Zou Junhao's face was full of surprise, but Zhang Tianyang was calm.
When I was in the Department of Nephrology, the more rights Professor Liu gave him, the more power he proposed, and basically the treatment plan would not be rejected.
Now it's just writing an emergency medical record and opening an emergency blood test, what's all the fuss?
The results of the emergency blood test came out half an hour later, and sure enough, the uric acid reached 700+.
Coupled with the typical symptoms, it is a gout.
"In the future, don't come to the emergency department in the middle of the night for such small problems. ”
The attending doctor complained while prescribing medicine.
"It's a self-limiting disease, it's good to endure it, even if I prescribe you medicine at the time, your symptoms can't be relieved immediately, isn't it good to wait until the day to go to endocrine?"
"Look at so many patients outside, if you weren't students, I'd be scolding!"
was complained all the way, and when he walked out of the clinic, Zou Junhao felt in a trance.
He suddenly remembered that it seemed that Zhang Tianyang had warned him of the risk of a gout attack a few days ago, and warned him not to waste.
But he didn't listen.
Now, retribution has come.
He gritted his teeth, "Lao Zhang, I'm sorry, I should listen to you." ”
Zhang Tianyang shrugged his shoulders and said it didn't matter.
After all, it's not him who hurts.
"No, I'll treat you to dinner tomorrow, eat a big meal!
"Eat it again!"
Zhang Tianyang couldn't help but complain, "Okay, did you forget the pain of the scar?
"Hey......
Walking out of the consultation room with a smile and scolding, Zhang Tianyang saw at a glance that there was an extra girl beside Ji Gaojie.
The girl is slender, conservatively estimated at 175cm.
Ji Gaojie likes tall girls, this is obviously his dish.
Zou Junhao was also stunned.
"Which one is this?baby?baby?or honey?"
"Who knows, let's go, toss for half a night, hurry up and pay the money and get the medicine back to sleep!"
Zhang Tianyang urged to pass by the two and vaguely heard their conversation.
"Don't be angry, aren't baby babies all affectionate names, you like baby, I'll just call you baby in the future, okay?"
"Humph!"
"Eh, you just got off the night shift, and you haven't had time to eat calcium tablets today, right? ”
"Humph!"
"Hmm, why don't you break it? This calcium tablet is so big......
“......”
"Baby, baby, why are you ignoring me?"
“......”
"Baby,,,, what's wrong with you!"