Chapter 11 Sinus tachycardia

Gu Xin couldn't help pouting when she heard this, she and Song Tian didn't have a relationship, not to mention that Song Tian had always looked down on herself. After thinking about it, I'd better honestly change the medical records.

The medical records of surgery are much more concise than those of internal medicine, which has a lot to do with the fact that doctors have less time to operate, at least the department has had doctors transfer patients to internal medicine to continue treatment, and the electronic medical records have not been completed in time, and the laboratory results have not been completed in time, and the internists have called to protest after the medical records are handed over.

For this reason, Luo Yanwen also laughed, saying that after Gu Xin came, he had never been urged by the nurse to check the medical records.

Only the sound of Gu Xin tapping on the keyboard remained in the office, while Luo Yanwen sat aside and looked through the case folder of the 3 beds that will be operated on tomorrow. For tibial fractures, an open internal fixation is required, which is only a minor operation in the department, but Luo Yanwen is used to being familiar with the case and can cope with the unexpected situation during the operation.

"Knock knock."

The knock on the door made the two of them look up at the same time, a young round-faced woman stood at the door, her eyes were a little evasive, seeing that both of them were looking at her, she subconsciously rubbed her hands and said, "May I ask if the 3-bed doctor is you?" ”

Luo Yanwen's slender fingers flipped and closed the case folder, "Please come in, I am, my surname is Luo." Who are you with 3 beds? ”

The fracture of the 3rd bed required surgery, and I talked to his family this morning, and Gu Xin remembered that there was no one in front of him in that group of family members.

The woman walked in, "Hello Dr. Luo, I'm my girlfriend with 3 beds, I want to know about his condition." ”

Luo Yanwen's gaze fell on her hands that were unconsciously twisting the corners of her clothes, and then moved away lightly, and said slowly: "You don't have to worry, your boyfriend is a fracture caused by a car accident, as long as you do an open internal fixation, and then recuperate for a period of time, you can recover, but you should also pay attention after recovery, don't exercise too vigorously." Noticing that the woman was very nervous, Luo Yanwen added: "This operation is very common in our department, and it is not a major operation. ”

When the woman heard this, her brows still did not loosen, and she looked like she wanted to speak and stopped.

Luo Yanwen had been watching her patiently without urging.

After a long time, the woman muttered, "Will this operation affect other things?" ”

Gu Xin's face changed, what does it mean that it will affect others, could it be that this patient still conceals his medical history?

As if realizing that there was something wrong with what she said, the woman became cramped and hurriedly said, "I just want to ask if this operation can be done so quickly." ”

Even if he is an intern rookie, Gu Xin has found out that there is a problem with this matter, not to mention Luo Yanwen, he glanced at the woman lightly, and his unsmiling appearance was very intimidating, "This morning, your boyfriend's parents came to talk to me in person, saying that the family has no money, and they hope to have surgery quickly and be discharged from the hospital as soon as possible." And now you're asking me if I can postpone the surgery, ma'am, can your family agree on it? ”

The woman opened her mouth when she heard this, but she didn't speak, but her face was very uncalm, and she seemed to be at war in her heart.

Gu Xin didn't write medical records anymore, opened the electronic medical records of the 3 beds from the system, and saw the end from the beginning to the end, and there was no problem. Of course, this medical record is asked from the patient, and if the patient or family members deliberately conceal it, there is no problem in the medical record. Then I opened the test results, and when I looked at it, the blood routine and coagulation routine were normal, and the infectious disease showed that hepatitis B was Xiaosanyang, but this is not a big deal, and the medical staff should pay attention to the isolation of blood and body fluids. All seem normal. Gu Xin refreshed the page, and the CT results that had just been uploaded by the radiology department jumped out, Gu Xin glanced at it twice, and couldn't help exclaiming, "Teacher Luo-"

Gu Xin moved the computer screen to Luo Yanwen, and after Luo Yanwen saw it, his eyes sharpened a lot, "The patient also concealed other discomforts?" ”

Being stared at so sharply, the woman's expression became even more cramped, with an expression that she didn't know what to do, and finally burst into tears.

Seeing that she was crying very sadly, Luo Yanwen's brows furrowed even tighter.

Gu Xin was helpless, and hurriedly went around the table to hand the woman a piece of paper, and comforted: "Don't cry yet, your boyfriend's condition is more important." Don't lie to the doctor, it will affect his treatment, is he still feeling any lately? ”

The woman has been under a lot of psychological pressure, and after crying, she finally couldn't hold back, "He kept saying that he had a stomachache some time ago, and I asked him to go for a checkup, and the doctor gave him a B ultrasound, saying that it might be liver cancer, and asked him to do another examination to confirm the diagnosis." But he was afraid of wasting money, so he never agreed, and he had to hide it from his family. This time there was a car accident, and he refused to say it, for fear that his family would be worried. ”

She leaned on the table and cried quietly, as if she was afraid of being heard by her boyfriend, who was far away in the hospital room. But she had been suppressed for too long, full of desperation of keeping secrets, "We don't have much money, we really don't know what to do." Now it's a car accident again......"

Gu Xin had no choice but to hand over the paper one after another.

Luo Yanwen opened the doctor's order system and opened an examination, and said, "Go and talk to the nurse and draw blood for the 3rd bed." ”

Gu Xin saw that he had opened a new alpha-fetoprotein, nodded and hurriedly ran out.

Generally speaking, the doctor will prescribe the medical order before 10:30 a.m. to facilitate the nurse's review and implementation.

When Gu Xin came back, Luo Yanwen was explaining the precautions to the woman, and the woman also stopped her tears and listened to him carefully.

“…… According to the CT findings, the patient's liver mass is very large, you should pay attention to the patient's diet these days, do not eat sharp food, and also be careful not to let him move vigorously, fall or bump. If the lump ruptures and causes massive bleeding, it can be fatal. Luo Yanwen's tone was very gentle, but it was a little more aggravated at the right time.

The woman nodded her head again and again, indicating that she remembered.

"As for the rest, you have to trust the doctor in the hospital. I'll talk to you again when the results I want are out. ”

After Luo Yanwen finished speaking, the woman nodded, stunned in her seat for a moment, and then walked out.

"Teacher Luo, you are so amazing, how did you make her not cry." Gu Xin blinked his star eyes and looked at Luo Yanwen with admiration.

Talking to patients is also an important technique in the doctor's course. How to make patients and families accept and believe in you is something that many young doctors struggle to do.

Luo Yanwen leaned on the back of the chair, and saw that her eyes were sparkling, very cute, and she couldn't help but shake her head. Then he took out a box of cigarettes from the drawer and said with a smile: "Explain the condition in detail, and tell her the next tests and treatments." That's it. ”

"It's that simple?" Gu Xinhu was suspicious, she had heard the young instructor talking to the patient's family when she was rotating in the oncology department, what did she say...... A very ordinary sentence, when the doctor said it, always makes people feel like they want to hit someone. It may be a bit unkind to say this, but in all fairness, the doctor is very conscientious, whether it is prescribing medicine or prescribing tests, he never messes around, but he will not say it well if it is good.

Luo Yanwen spit out a puff of smoke rings, and Gu Xin could barely see his expression in the smoke, and at the end of the smoke, Luo Yanwen's eyes were staring at Gu Xin's face, "That's it, in another week, I'll let you come to talk to the patient, and I'll listen." ”

Gu Xin swallowed her saliva, this proposal is very attractive, as an intern, she has a thirst for knowledge, but she is afraid that she will not be able to do it well, and she said: "If I can't speak, what if the patient's family wants to beat me?" ”

As soon as the words came out, Gu Xin felt that he had asked a stupid question, and with Mr. Luo's high standards and strict requirements, he would definitely feel that if the conversation talked about the patient's family, he must have deserved it.

Who knew that Luo Yanwen just laughed when he heard this, then got up and opened the window to disperse the smell of smoke in the office, and replied when he turned around: "I'm not listening, with me, who dares to beat you." ”

Gu Xin looked up in a daze, and saw him leaning against the window, with a cigarette between the middle finger and index finger of his right hand, although he was standing loosely, the white coat on his body was tightly buttoned and neat. Standing in the backlight, she could barely see his expression under the effect of the light, only those deep and dark eyes, as if they had seen into her own heart.

Gu Xin's heartbeat accelerated inexplicably, and she subconsciously pressed her right hand to her pulse, and when it was over, she had sinus tachycardia.

And also...... She inexplicably felt that she was provoked by Luo Dashen's words just now.

Fortunately, Luo Yanwen's mobile phone rang at this time, so she didn't notice her abnormality. Gu Xin stood in place in a daze, thinking about what was going on, how could he be provoked by Luo Dashen, he was a strict teacher, could it be that the worship was too much?

Luo Yanwen has always been concise and to the point when answering the phone, and after a few simple words, he hung up, took a cigarette butt and flushed it in the pool, and threw it into the trash. Greet her: "Hurry up and order food." ”

Well? Gu Xin came back to his senses, "It's time to get off work, it's not your 24-hour shift today." "What else to order.

Luo Yanwen shrugged, "Your teacher Wu just called me to say that there was something at home and asked me to work a night shift." ”

Gu Xin nodded, ready to go to the takeaway menu. remembered the gossip he heard from Suka on weekdays, and said casually: "What's going on at home, it's a girlfriend who is making trouble." ”

Luo Yanwen looked at her with a smile, "It's not easy for a surgeon to find a girlfriend, of course, you have to treat it as an ancestor." ”

"Is Teacher Luo the same to his girlfriend as he is to his ancestors?" Maybe the atmosphere just now was too relaxed, Gu Xin said this in passing, she wanted to shoot herself to death after speaking, wouldn't it be too much like a temptation to ask this? But inexplicably, she was a little looking forward to it, wondering if Luo Dashen had a girlfriend.

Luo Yanwen also paused, "I don't have a girlfriend." ”

The joy in her heart flowed out little by little, and Gu Xin felt that her pulse was speeding up again. She's finished, she thought!