After the morning shift was over, Teacher Zhu beckoned Tang Boqiang to his side and asked, "Xiao Tang, after yesterday's rounds, how do you feel about the patients in your charge?" ”

"After checking the room with you yesterday, I have some thoughts on the diagnosis and treatment of individual patients, which I have reflected in the medical record. I have checked on the patient this morning and have some insight into how the patient changed yesterday. Tang Boqiang replied truthfully.

"Good, good! Let's go on rounds. Teacher Zhu was very simple, and took Tang Boqiang to start a new day's rounds. Because there were no new patients admitted yesterday, Tang Boqiang reported the changes of the patients yesterday to Mr. Zhu and put forward his own ideas for some changes that need to be dealt with.

When he returned to the doctor's office, Mr. Zhu said to Tang Boqiang: "Xiao Tang, you prescribe a medical order and sign your name according to the idea you just had, and I will look at it after it is finished." After speaking, he picked up the medical records from the countdown order of the medical record book and looked at them, and Tang Boqiang immediately entered the state of prescribing medical orders when he saw this.

Because of the patient's clear understanding of the patient's condition, there are not many patients who need to be prescribed, and even if they need to be treated, the drugs and tests used are very simple, and the medical order is naturally prescribed quickly. Teacher Zhu reviewed it again, signed his name with great satisfaction, and then said to Tang Boqiang: "Well done, very good, I have never seen a student write a medical record in such a way, which is very worthy of promotion in the department." Xiao Tang, after you graduate, you must adhere to this style and stick to it, I dare not say anything else, but I dare to say that you will definitely become a good doctor with excellent medical skills in the future. Also, you handle the test sheet very well, and it's ingenious so that people can see at a glance where the test sheet in question is, well, it's a really good idea. ”

Seeing that Teacher Zhu was in such a good mood, Tang Boqiang immediately seized the opportunity and said, "Thank you for the teacher's affirmation, I will continue to work hard in the future and live up to the teacher's expectations." ”

"Hmm......" Tang Boqiang looked like he wanted to speak and stopped, and Teacher Zhu asked when he saw this, "Is there any problem?" Tang Boqiang reported the meeting of the internal medicine team last night to Mr. Zhu, and then said: "I don't know if Mr. Zhu can help find the ophthalmoscope, because the patient's condition changes are unpredictable, and I am afraid that I will not be able to find the ophthalmoscope." ”

Teacher Zhu was a little stunned after hearing this, but he was more moved: "Are you going to learn to see the bottom of your eyes like this?" Good! Good! Good! Teacher Zhu said three good words in a row, opened a drawer on the table in front of him as he spoke, took out a delicate box from it, opened it gently, took out the ophthalmoscope from it and taught Tang Boqiang how to install it, how to adjust the diopter, etc., and after teaching, he gently put it back into the box and lid it and put the ophthalmoscope back in the drawer.

Seeing this scene, Tang Boqiang felt a little like he had fallen from the sky to the ground again. Before he came back to his senses, Mr. Zhu took out a key from the drawer and handed it to Tang Boqiang, saying: "This is the key to this drawer, there is nothing in the drawer, except for the ophthalmic mirror, just a few books, you keep this key, when you need to use the ophthalmic mirror, you can take it yourself, and return it to me after you finish studying." ”

Tang Boqiang took the key with both hands as if he had just woken up from a dream and said, "Thank you, Mr. Zhu." Teacher Zhu said very seriously: "No thanks." I went back and said to the other students, you are good and promising, and if you need any help in the future, as long as it is within my ability, I will do my best. ”

When Tang Boqiang told everyone what happened during the day today at dinner, Yang Longyue said with emotion, "Your teacher is so good!" ”

Teacher Zhu did what he said, and the next morning at the class meeting, Teacher Cai praised Tang Boqiang's medical record and suggested that everyone learn from Tang Boqiang. This kind of praise is a stimulus for Yang Longyue, whose academic performance has always been at the "top of the tower", for a long time from that day, she always likes to find Tang Boqiang's medical records or medical records, which makes Tang Boqiang feel a little crying and laughing, but he has to face it. Because if someone deliberately looks for your vulnerabilities or weaknesses, they will definitely be able to find them, because there are no perfect people in the world, and there are no perfect things, which seems to be one of the "Murphy's laws". Of course, Tang Boqiang also learned from Yang Longyue's "finding mistakes" that he must have as a doctor's responsibility, rigor and carefulness. Therefore, Tang Boqiang has always accepted her "finding mistakes" with an open mind. It wasn't until after Tang Boqiang fell ill that the relationship between him and Yang Longyue changed differently in the eyes of outsiders, and this kind of "finding fault" activity stopped.

There is an outbreak of "occupational disease" in Xinqiao City every summer, and the incidence and number of cases are so high that the major hospitals in Xinqiao City will receive a large number of such patients during such an outbreak period.

The occupational disease is linked to a pesticide factory in the city of Xinqiao, which produces large quantities of organophosphorus pesticides every year and sells them all over the country. A large number of porters are needed in the factory process, and these workers use the most primitive method to "shoulder" the fertilizer on the truck to transport it to various places.

In winter, the porters wear clothes and don't sweat much, so there are very few such cases in winter.

It's a different story in the hot summer, when almost all male workers carry pesticides topless. The bags of pesticides shaken out of the powder during the handling process are combined with the sweat like rain, and the pesticides melt in the sweat at a very fast speed and are absorbed into the body through the skin of the workers. When pesticides accumulate in the body to a certain extent, pesticide poisoning breaks out, and it is often a large number of workers on duty who fall ill en masse. Because this is the case every year, the workers are quickly shunted to various hospitals in the city for emergency treatment as soon as they become ill.

The emergency department of Xinqiao People's Hospital has a fatal weakness and does not have a bed for observation. This means that all emergency patients who are seriously ill and need to be kept for observation because of unknown causes are all sent to the ward by "through train" without exception, and the doctor on duty in the ward will handle it, and the doctor in charge of the bed will decide whether the patient will stay or stay until the next day. So when these pesticide poisoned patients came to the emergency department, they were sent directly to the ward for rescue without any stops. Because the pesticide handling is divided into day and night shifts, there may be such patients arriving day and night.

After following Mr. Zhu on duty for a period of time, Tang Boqiang rescued a large number of organophosphate poisoning patients under the guidance of Mr. Zhu, accumulated a lot of experience, and learned knowledge that it is estimated that he may not be able to learn in the school headquarters, after all, most of such patients are concentrated in grassroots hospitals.

One night, when Tang Boqiang, who was on duty, was rescuing a patient with pesticide poisoning, an accident occurred, which frightened everyone present and made Tang Boqiang unforgettable.

For the treatment of organophosphate pesticide poisoning, especially for patients with mild symptoms in the early stage, the most effective drug is atropine, and the most important thing to use atropine is to make patients achieve "atropine" as soon as possible. The so-called atropine is the use of atropine to allow patients to achieve the following indicators: first, dry skin and flushed complexion; second, mydriasis; third, there is a significant reduction or disappearance of pulmonary rales; Fourth, the heart rate increases to 120~140 beats per minute; Fifth, the impairment of consciousness is reduced, and there is mild restlessness. And the control of these five indications is not easy, and it requires close observation by doctors. Once overdosed, mild or even severe atropine poisoning can occur.

That night, a young man who was poisoned, maybe he was sensitive to atropine. After reaching atropine, he was no longer mildly restless, but his face was flushed, his eyes were wild, he was restless, he was talking gibberish, and he was walking around. Because he was young and strong, although Tang Boqiang, Wen Ruofei and Ding Bowen were all there, they didn't dare to stop it forcefully, for fear of causing accidental injury. Several of them could only surround him to prevent accidents, but the accident still happened, and it happened very suddenly, unexpectedly, the object of his attack turned out to be Tang Boqiang.

After a moment of frantic, the patient slowly seemed to calm down. While everyone was distracted, the patient suddenly leaned forward sideways and hugged Tang Boqiang and shouted, "You stole my bicycle, and the key is in your pocket." As he spoke, he reached into the pocket of Tang Boqiang's white coat.

After all, Tang Boqiang is a person who practices martial arts, and his reaction is very fast. At the moment of being held, Tang Boqiang's hands quickly supported the waist on both sides in a slight "arch" shape, preventing the patient from holding and squeezing the waist. At the same time, Tang Boqiang also stared at the patient's disorderly, chaotic, unshoed feet, if necessary, Tang Boqiang would stomp on the patient's toes, Tang Boqiang was confident that this trick would definitely make the patient let go of his hand when he was in pain and could get out in time.

After taking these precautions, Tang Boqiang began to talk to the patient, trying to stabilize the patient's mood and calm the patient. "I didn't steal your bike, you look through my pockets and make sure you don't have the key." Tang Boqiang said to the patient in a relaxed language, and did not make any movements to resist and let the patient look through his pockets.

Maybe Tang Boqiang's sedation has played a role, or maybe the effect of atropine is slowly receding. Gradually, the patient began to calm down, no longer manic, and the hand holding Tang Boqiang began to loosen. Tang Boqiang continued to talk to the patient and motioned to the others not to approach, for fear of arousing the patient's agitation again.

The patient seemed to listen to Tang Boqiang's words. Unconsciously, Tang Boqiang's hands held the patient's shoulders and gently led the patient to the ward, until the patient lay down on the hospital bed, and a false alarm finally came to an end.