Chapter 33 Emergency Continued

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"I once heard my dad say that if the whole hospital were to be regarded as a small society, the emergency department might be a big theater in this small society, with a tragedy and a drama, but there was absolutely no comedy. Duanmuyan slammed into the chair, his face was full of tiredness, and he vigorously tore off the gloves on his hand and threw them into the medical trash can.

Tian Lu didn't raise his head, shook his hand and threw over a bottle of mineral water: "Don't be busy with emotion, let's take a breath first." ”

"Hey。。。。。。 ”

After drinking most of the bottle, Duanmuyan let out an extremely satisfied sigh.

"Saved?"

Tian Lu asked casually while writing the medical records.

Duanmuyan came over and sat down, nodded and said, "Rescued, good fellow, drank a whole bottle!" I wondered, where did you say she bought pesticides in this city?"

Tian Lu looked down at Duanmuyan's pants, and suddenly smiled: "I don't know where she bought the pesticides, but I know that you are going to break the bank again today!"

"Oh, shit!"

Hearing this, he looked down at Tian Lu's gaze, and Duanmu Yan suddenly jumped to his feet and scolded. The trouser leg was stained with the patient's vomit, which was a disaster for him who was extremely clean! In this case, the only end of the pants was to be honorably discharged and thrown into the trash.

Seeing Duanmuyan hurriedly wiping it with a stack of tissues and desperately wiping it, Tian Lule asked, "Then what is this this for?"

"The third party, this woman in her forties came to wash her stomach, either she couldn't think of a quarrel or her husband had a third party, and there was no other reason. Duanmuyan wiped and wiped it vigorously, but there was no way to wipe it clean, so he had to throw down the tissue and simply ignore him.

Hehe smiled, Tian Lu put down the pen and asked, "How does it feel to do it yourself?"

"Not good!"

glanced at Tian Lu angrily, Duanmu Yan pouted: "When I learned the theory, I thought that gastric lavage was quite complicated, but when I really did it, I thought it was really simple, as long as I didn't panic, there was no technical content, it was a little disgusting." ”

"Hey!"

Tian Lu pouted and said with a smile: "The tracheostomy tube is actually not technical, but it is just an incision, inserted into the tube, and then fixed, do you dare to do it?"

"Ugh。。。。。。 ”

Slightly stunned, Duanmu Yan shook his head with a wry smile and said, "To be honest, I really don't dare!"

"I don't dare. ”

Tian Lu turned around, smiled a little self-deprecatingly, and said: "Every step, every bit of precautions is deeply imprinted in my mind, but let me go and interject the emergency patient, I really can't do it! This is not a question of whether your knowledge reserve and technical ability are enough, the key is to be afraid!"

Duanmuyan nodded in agreement, and said with a wry smile: "My father is a surgeon, and before I went to college, I also went to his department to see the world, but I didn't expect that it would not be the case at all in clinical practice!"

Talking about this topic, Tian Lu was obviously interested, so he simply pushed the medical records at hand to the side, and said with a smile: "In fact, the first aid knowledge that our undergraduates are required to master is nothing more than cardiopulmonary resuscitation, gastric lavage, and the use of some conventional instruments and medicines, which is very simple, but when it comes to real people, I still panic!"

"This is actually because of the difference between book knowledge and clinical practice, just like the woman just now, as soon as I entered the room, I smelled a very pungent smell of organophosphorus. At that time, my first reaction was to immediately use sodium bicarbonate to wash my stomach, but Mr. Zhang used water, and finally I told when I asked, but I smelled the smell of organophosphorus, and there was no guarantee that it was, so water is the most reliable and safest. Duanmu Yan also said with some emotion.

"Otherwise, the really urgent work must not be allowed to be done by us, that is, work like gastric lavage, stitch removal and the like will allow you to practice your hands, it is estimated that if you really graduate and go to work in the hospital, you will have to start from scratch. Duanmuyan shrugged and said helplessly.

The two of them belong to two different teaching doctors, Duanmuyan's teaching doctor is an attending doctor in his forties, bold and open-minded, and many operations will be interfered by students. Just like today's gastric lavage, after the teacher did it once or twice, the rest was directly handed over to Duanmuyan to do. And Tian Lu's teaching doctor is a graduate student in his twenties, who is careful in his work, and basically won't let go, even if it is a small job like removing stitches and dispensing medicine, he must be nervously watching from the side, for fear that Tian Lu will make a wrong step.

In a word, the two young interns discussed with great interest the internship life in the emergency department for more than a week. Unlike other departments, the night shift in the emergency department is sometimes very busy, so I finally stole a little bit of leisure, and the two started talking.

In just a few days, the two interns quickly adapted to their current roles.

Both interns and classmates have a common language, and soon, they both gained a lot of experience from each other's words, so Tian Lu couldn't help nodding secretly: taking the internship seriously is really a very correct decision. The things in the book, the things learned in the system, if you don't actually apply them, are just theories that exist in your mind, and being a doctor, clinical experience and practical ability are too important.

The two were chatting passionately, when the door suddenly opened, and Nurse Yan glanced into the room and said in a deep voice, "You two, come out and help!"

The two hurriedly stood up and followed.

At this time, the doctors in the emergency department are very busy, and it is estimated that it will take a long time, so there is no one to receive a patient who has just been sent, and Nurse Yan has to pull two interns out for a first diagnosis, which is actually to make the patient feel some psychological comfort, so as not to feel unappreciated.

"Did you just fall?"

Seeing the patient, Tian Lu and Duanmu Yan were stunned for a moment, and only asked after a moment.

The patient, a woman in her sixties, was chatting and laughing with a young woman next to her, and she didn't look hurt at all.

"yes, it's me! Hey, how can you be two young boys?"

Two young doctors were found to have entered, and the elderly woman hurriedly replied. Seeing that the appearance of the two people was extremely green, he couldn't help but add, but immediately continued: "Actually, it's nothing, it's just that when I was riding, I was hung up by a three-wheeler, and my back hurt a little at that time, and there is nothing wrong with it now!"

The old lady's voice was loud and loud, full of neutrality, and her tone seemed to be quite dissatisfied.

These words made the young woman next to her suddenly unhappy, and frowned and said: "Mom, is there anything that you didn't say, it's okay to be knocked out for more than ten meters?

"Okay, okay, you have the final say, it's all right?" Hearing her daughter's complaint, the old lady immediately smiled and said, but no matter how she listened, she seemed to be so unhappy.

After glancing at each other, Tian Lu and Duanmu Yan shook their heads helplessly, so they had to sit down and ask patiently. After asking which parts of the fall were at that time, and which places were more painful, Tian Lu asked the old lady to sit on the bed and lifted her clothes.

"Phew!"

The situation under the old lady's clothes suddenly made Tian Lu and Duanmuyan's eyes streak, and they gasped.

What a big bruise!

The old lady has a white complexion, and she is quite rich, although there is no bleeding, not even the slightest bruise, but the old lady's back is all the way to the top of her buttocks, so a big bruise!

"Was it in a lot of pain?"

Duanmu Yan did a careful inspection, and Tian Lu asked in a deep voice.

The old lady pouted and said, "Why isn't it bad?" At that time, I was in so much pain that I couldn't stand up for a long time, but fortunately, I had a mobile phone with me, so I called my daughter over. ”

After speaking, the old lady muttered hatefully: "The kid who drove the three-wheeler is too much of a thing, and the car just ran away without stopping, and I didn't even see a license plate number at night.

Ignoring the old lady's complaints, Duanmu Yan carefully inspected it, turned around and shook his head slightly, Tian Lu hesitated slightly, stepped forward, and pressed his right hand the bruise.

"Oops!"

As soon as she exerted her strength, the old lady immediately screamed and almost jumped up from the bed: "Young man, what are you doing?"

The old lady's daughter also took a step forward with an unkind face and glared at Tian Lu fiercely!

"Does it hurt?"

Frowning, ignoring the attitude of the two, Tian Lu asked seriously.

The old lady was so angry that she was almost happy: "Nonsense, you were hit on your body, doesn't it hurt if you press it like this?"

"Is it the bruise on the outside that hurts, or does it hurt on the inside?"

Seeing Tian Lu's very cautious look, the old lady and her daughter were stunned, and after thinking about it seriously, the old lady hesitated a little unsteadily: "It should be hurting outside。。。。。。 ”

"Then I'll press it again, you feel the feeling!" Tian Lu rolled up his sleeves and stepped forward to do it.

The old lady hurriedly sat up, pulled down her clothes and shouted, "Press it again, press it a few more times, I'll be fine, and you will press it!"

Seeing that the old lady was very uncooperative, Duanmuyan hesitated for a moment, and said softly to Tian Lu: "I checked it just now, there shouldn't be any major problems, why don't we ask Teacher Li to come and have a look?"

Teacher Li is Duanmuyan's teacher, he is very enthusiastic, except for liking to joke with students, he is very popular at other times, Duanmuyan thought of him immediately.

Nodding his head and motioning for Duanmu Yan to watch here, Tian Lu ran out of the consultation room.

Luckily, Mr. Li had just completed a small debridement and suturing operation, and was resting at this time, and after Tian Lu roughly explained the situation, Mr. Li got up and walked to the consultation room very cooperatively.

"What do you think?" asked Mr. Li in a low voice as he walked.

Tian Lu scratched his head and said with some hesitation: "I can't see anything wrong with the appearance, but I suspect that the one who was hit may have hurt the inside, but this old lady seems to be a little resistant to inspection, and we can't be further sure." ”

After a few steps, he walked to the door of the clinic, and Mr. Li didn't ask any more questions, walked in with a smile, and said to the old lady: "Come, you lie down again, I'll show you again!"

It seems that Mr. Li's age gave the old lady some confidence, and she honestly lay on the hospital bed again.

After checking the side and pressing it a few times, Mr. Li groaned slightly, and after asking a few more words, he said to the old lady's daughter: "For the sake of insurance, I think it is better to take a film first, and there is no guarantee that there will be no internal organs." ”

Before the daughter could say anything, the old lady was anxious when she heard this, so she quickly got up and shouted: "What kind of film are you shooting! If I don't press it now, it won't hurt much, what are you spending that unjust money for?"

"That's not what I said!"

Seeing that the old lady's daughter was also a little hesitant, Mr. Li patiently explained: "The outside injury can be checked outside, but the inside injury is invisible to the naked eye, so it is safer to make a film." ”

"No, no, no!"

Seeing that her daughter was extremely moved, the old lady was anxious: "You doctors, let us do this examination if you have something to do, and do that examination is actually making us spend money in vain!"

As soon as the old lady's words came out, Tian Lu and Duanmuyan were suddenly stunned, and a sense of grievance aggrieved arose in their hearts, but Mr. Li's face remained unchanged, and he still smiled and said: "How can this be a waste of money?

"I won't shoot anything you say!"

The old lady was stubborn, even if her daughter gently pulled her arm, she still shook her head like a rattle and shouted at her daughter: "I tell you, I won't shoot even if you go to pay the money!"

Seeing that the old lady's attitude was extremely firm, Teacher Li was not in a hurry, and after a deep groan, he said, "Otherwise, if you don't want to make a film, you can stay in our emergency observation room for one night, and then leave when you are sure that there is no problem?"

"That's not going to work either!"

The old lady said categorically: "You must persuade me to do an examination if you keep me, I'll go home, it's not far from here anyway, I'll come to you again if I have something!"

Duanmuyan and Tian Lu were a little incomprehensible: why were they reluctant to have a check-up when they had been hit hard, and it was difficult to guarantee that there was no hidden danger?

Teacher Li tried his best for a while, and the old lady's daughter went into battle together, but in the end she couldn't change her mind, and kept shouting to leave. In the end, Mr. Li had no choice but to take out a list, fill it out and ask the old lady to sign it. This is a notice of information from the hospital in order to avoid risks, stating that the doctor recommends staying for treatment and the patient asks to leave on his own, and the doctor can be exempted from responsibility if something goes wrong in the future.

As soon as the daughter saw the list, she immediately wanted to persuade the old lady, who knew that the old lady grabbed the list, signed it and strode out!

smiled a little apologetically, and her daughter hurriedly followed.

Seeing the patient leave, Tian Lu looked at Teacher Li in amazement and asked, "Teacher Li, let them go like this?"

"No way!"

With his hands spread, Teacher Li shook his head and said, "We are doctors, not policemen, and we are not their families, we have no right to force them to stay, can we still tie her up?" That's why she must sign this notice of knowledge, in this case, even if there is a problem, we will not be responsible." ”

After speaking, he shook his head again, and Mr. Li walked out of the consultation room slowly, leaving only two interns who were a little confused, looking at each other, and they didn't know what to say for a while。。。。。。