069 Top Bag
"You were too tired yesterday, didn't you? It's only eight o'clock when I come back from surgery, and you turn off the lights. Wang Hao habitually peeled a salted egg and handed it to Ruyi.
"Thank you." Ruyi took another salted egg, "I'll peel it myself." ”
Mom and Dad ate the porridge with their heads down and intently, as if they didn't see anything.
Wang Hao was stunned for a moment, and suddenly remembered that this time was different from the past, so he hurriedly brought the salted egg to his mouth and took a bite.
Ruyi hurriedly finished breakfast and said to his parents, "I'll go first and see if there were any new patients last night."
"So early?" Li Xia, who was sorting out the medical records in the doctor's office, glanced at Yu Ruyi.
Yu Ruyi said apologetically: "I took leave to go out yesterday, and the two medical records haven't been written yet." ”
"If you want to play as much as you want, you will have fun." Li Xia pushed the two case cards on the desk to Yu Ruyi, "I'll write them for you." ”
"What's so embarrassing?" Yu Ruyi was a little at a loss with emotion, "I should write it for you." ”
Li Xia said boldly: "They are all colleagues in the same department, what are you polite?" ”
"Were you busy last night?" Yu Ruyi knew that the doctors on duty at night also had to take care of emergency patients.
"There is not a single new patient, and the old patient is also stable." Li Xia stretched, "I slept beautifully all night last night." ”
As soon as Li Xia's words fell, a rough and eager baritone sounded:
"Doctor!"
"Doctor!"
A middle-aged man hurriedly ran towards this side with a man on his back.
"What's going on?" Ruyi hurriedly greeted the patient and assisted the family to lay the patient flat on the examination table.
"Fell off a motorcycle." Accompanied by the patient's husband, he blamed himself for himself, "She has been catching a cold for several days, and I only persuaded her to come to the hospital today to get medicine, but I didn't know that she fell off the motorcycle just after starting it." ”
"Delirium...... Pulse and breathing are acceptable...... Scalp contusion and laceration, bleeding a lot......" Yu Ruyi quickly examined and then turned back to Li Xia, "Do you want to ask for a surgical consultation?" ”
Yu Ruyi remembered that Director Sun had said at the morning meeting last time: "You are good at learning, you have a specialization in surgery, and if you encounter a tricky condition, you should ask the relevant departments for consultation." ”
"Oops, this is internal medicine?" The patient's family glanced at the sign above the door frame and suddenly realized, "I'm confused in a hurry, I'll send the surgery upstairs immediately!" ”
"Wait a minute." Li Xia put away the blood pressure monitor, "Although the blood pressure is still stable, this patient needs to be dealt with immediately!" ”
"Nurse! Immediate infusion, dual channel, large dose! ”
"Yu Ruyi, notify the laboratory department to check blood sugar urgently!"
As soon as the nurse finished the infusion, the examiner's blood sugar results came out: the blood sugar concentration was thirty-eight millimoles per liter!
Li Xia said calmly: "Learn more about the concentration of blood ketones, blood potassium, and blood sodium, and do qi and blood analysis!" ”
Ruyi was busy opening the test form while asking the patient's family members who were standing next to him: "Did he have diabetes before?" ”
The family shook their heads in alarm: "I haven't checked it." Although she is thin, she usually eats and drinks a lot, and she has never said anything uncomfortable. ”
By the time other colleagues arrived one after another, the patient who had been in a coma with "diabetic ketoacidosis" had been rescued.
Director Sun praised Li Xia at the morning meeting: "What is it that alerts Dr. Li Xia? It's the smell of rotten apples coming from the patient's body! This is still recognized under the influence of the smell of blood! What is experience? That's the experience! Every one of us doctors has to train to have eyes as sharp as an eagle and a nose as sharp as a dog! ”
Yu Ruyi looked at Li Xia adoringly, thinking to herself: I don't know when I will be able to reach her level?
After the ward inspection, Director Sun instructed: The patient has not yet stabilized, please consult the surgical department before deciding whether to transfer to the department.
Director Sun was just about to go to the outpatient clinic when a group of people suddenly rushed to the inpatient department of internal medicine.
"Bring the man here!"
"The doctors in the internal medicine department are here! Find out which doctor you saw yesterday! ”
Director Sun waved his hand and motioned for the crowd to calm down: "What's the matter?" ”
"You've got a problem with people!"
"I came to see a doctor yesterday in person, and today I am paralyzed!"
"Hand over the doctor from yesterday!"
“……"
Calm down! Calm down! Director Sun said gently, "I'm the director, I'll help you take a look." ”
"What about the director? We can't trust you anymore! ”
"Hand over the doctor from yesterday first!"
"Okay, don't be impatient, I'll find out about the situation right away!" Director Sun whispered to the nurse, "Inform the dean." ”
Yu Ruyi walked to the stretcher curiously, and recognized at a glance that this was the patient who had come yesterday.
The reason why Yu Ruyi remembers it very clearly is because when she was in a hurry to ask Li Xia for leave to go out, this patient always chattered endlessly to Li Xia. Faced with the patient's doubts, Li Xia patiently pointed to the prescription and explained: "This cephalexin is anti-inflammatory, and this paracetamol is antipyretic and analgesic, aren't you sore all over your body and have no strength?" This is the table of colds, and you will be fine after taking these two medicines. ”
"The dean is here!"
When the patient's family saw the dean who came in a hurry, they rushed up: "Dean Wang, you have to call the shots for us!" ”
"He is only in his thirties, old and young......"
"Don't worry, let me understand the situation first, I will definitely give you an explanation! The dean comforted the family and walked up to Director Sun.
Yu Ruyi also followed.
"Who took this patient?" Dean Wang looked at Director Sun.
Director Sun looked at Li Xia.
"Don't worry." Dean Wang looked at Li Xia gently: "Recall carefully, what was the situation of this patient yesterday?" What drugs were used? ”
Li Xia was a little hesitant: "This patient was handled by Yu Ruyi, I don't know very well." ”
Yu Ruyi was stunned for a moment, and immediately replied: "I used cephalexin and paracetamol." ”
"What are the patient's main symptoms?"
"I don't know very well, I only heard that I felt soreness all over my body and had no strength."
Director Sun and Dean Wang glanced at each other: "Blood potassium!" ”
Dean Wang had a plan in his heart and said to the patient: "Give me half an hour, take blood for a check, and give you the answer immediately." ”
The family members cooperated with the examination with suspicion.
A few people surrounded Yu Ruyi: "What did you mean by saying just now?" ”
"Did you prescribe medicine without identifying the disease?"
"Are you sure you're prescribing those two pills?"
Yu Ruyi was about to explain, when Wang Hao suddenly appeared in front of her and said to the patient's family: "Don't worry, didn't you say that it would be half an hour?" After half an hour, the dean will naturally give you a satisfactory answer. ”
After Wang Hao finished speaking, he squeezed Yu Ruyi's arm tightly and pulled her to the side of the doctor's duty room before stopping.
Yu Ruyi shook off Wang Hao's iron tong-like hand, and said dissatisfiedly, "What are you doing?!" ”
"Are you sick?" Wang Hao glared at Yu Ruyi fiercely, "Didn't you see that those family members looked like they wanted to eat people?" Don't understand avoidance? ”
Yu Ruyi was caused by Li Xia's misfortune to collapse the idol, and was yelled at by Wang Hao, and said angrily: "Don't worry about it!" ”
"I've got you covered!"
"Why do you mind my business?"
"By ...... I'm your brother! ”
"You're not my brother! I don't want you brother! ”
"What are you arguing about?" An internal medicine nurse asked them curiously as she passed by.
The two said in unison, "Nothing." ”
After Yu Ruyi finished speaking, she turned around and wanted to leave, but Wang Hao stubbornly blocked her: "I can't go over for the time being!" ”
The results of the test came out quickly.
The patient was paralyzed because of hypokalemia, and there was no causal relationship with yesterday's medication.
After one hour of potassium supplementation, the patient is able to move his legs, and after two hours, the patient happily gets out of bed.
Although Li Xia didn't make this matter clear, she deliberately canceled her vacation and explained to Yu Ruyi: "I was on duty for you yesterday, and I should have been on duty today, so I will continue to work." ”
Yu Ruyi smiled coldly: "Thank you." ”
When receiving patients together, Li Xia also intended to praise Yu Ruyi in front of the patients.
The more Li Xia is like this, the more Yu Ruyi despises her in her heart.
Yu Ruyi just can't figure it out: Isn't it necessary to be responsible? Li Xia has strong business ability, she should have more experience than herself, and she is usually so good to herself, why should she put the responsibility on herself at a critical moment?
"Because she can't afford to lose." While walking after dinner, my mother explained, "Her beautiful image in everyone's hearts has been established with great difficulty, and if you can't stand up to doubt, you are different, you are a novice, even if you make a little mistake, everyone will forgive you." ”
"She didn't mean to hurt me?"
"What do you think?" Mom looked at Yu Ruyi with interest.
"Not only did she not laugh at me for being a rookie, but she also shared a lot of experience with me; She was kind enough to let me go out and play, and she also offered to help me finish what I didn't finish; She ......," Yu Ruyi said to her mother embarrassedly, "she just accidentally made a small mistake." ”
"Hmm." Dad nodded, "Everyone is not perfect, and you can't veto a person because of a little flaw." ”
"Don't worry." Yu Ruyi was relieved, "I will still respect her as before, and I will look at everyone and everything comprehensively and objectively in the future!" ”
"Good." Mom glanced at Yu Ruyi lovingly, and exchanged satisfied looks with Dad.