Chapter 146: The Calm Patient (Subscription Requested)
The volume and volume of Enzhong Hospital are far less large than that of Zhongnan Hospital, and the number of patients and family members in the inpatient department is naturally not much.
Even if there is a large-scale emergency department, most of the patients and their families are concentrated in the emergency department, and at least a few patients will be directly advised to go to the department by themselves.
More patients are all treated in the emergency department with the director or attending of the specialty, and those who can't be handled are also in the operating room, and Fang Ziye can't know.
Although it is a large number of knowledge points, Fang Ziye does not covet it.
It should be your own, you can always have a chance, it shouldn't be your own, and you shouldn't force it to squeeze, which will make you extremely utilitarian, if you only need to add a little fuel, or a little bold, you can get the opportunity, Fang Ziye doesn't mind being cheeky.
I hope that people in the world are free of diseases, so why not put medicine on the shelf.
It's just that after all, it's a vision, no matter where the hospital is, there will always be endless affairs, endless patients, and patients waiting to be treated.
There are four links of birth, old age, sickness and death, only illness can have a chance, and the others are only things about fate.
Under the accumulation of a huge number of people, medical resources are still scarce in comparison, and this phenomenon is not only in China.
After nightfall, Fang Ziye carried more than 100 freshly earned knowledge points, and walked in the direction of the community, not in the direction of the emergency department.
If you don't appear in a place of urgent need in a suitable capacity, you are actually uncomfortable or troublemaker.
When he arrived at the door, Fang Ziye took out his ID card, reported his uncle's name, and found the key to his uncle's door.
At this point, the property in this community is also doing quite well, they have made registration and remarks for each owner, for example, the aunt is to explain, if you call Fang Ziye's person to pick up the key, give it to him.
"Thank you, uncle, you have helped me clean up for so long." Before pushing the box and leaving, Fang Ziye thanked him.
However, the uncle seemed to be impressed by the name Fang Ziye, and while sending Fang Ziye out, he replied: "No, no, I know your Fang Ziye, your aunt, but you are very tight." ”
"Say you're the pride of your family and the pride of your group."
"If it's my nephew or nephew, I'll boast too. Terrific. ”
"Kids who can read are amazing." Enshi is not a developed place, although it is barely a tourist city, but if you want to break the class solidification, reading is still the only shortcut.
"Uncle, you're polite."
"That's right, that is, I may get off work and go to work early in the future, and sometimes I go out in a hurry, in case I don't have a curfew, I may need to work hard for you to open the door for me." Fang Ziye turned his head and explained.
But security guards are also aware of the work of the other party's sub-industry.
"It doesn't matter, I know that you are very busy as doctors, and there are many nurses and doctors in our community, all of whom live inside, and there are people who come back at any point." ”
"For example, a nurse, 12 o'clock is a rush hour, at two or three o'clock some surgeons finish their operations, which is a peak for coming back, and at three or four o'clock, some emergency doctors come back after emergency surgery, and it is another peak."
"In another hour or two, I'm going to work again......"
"It's common to forget to bring it, just knock on the glass."
The parking lot passage of the community is not in the same location as the passage for people to enter and exit, which may be to protect pedestrians, and each door of the community needs to be swiped to enter the access control card, which is relatively well managed.
Fang Ziye didn't entangle with him more, but screwed the box, walked in, and then found 3 buildings and 3 three units, and after swiping the access control card again, he took the elevator and prepared to go to 11021 on the eleventh floor.
"Wait a minute! Sorry to wait. Fang Ziye just swiped the access control card to enter, and just passed the door with the box, and saw that the elevator was about to close, and there were still people inside, Fang Ziye hurriedly shouted.
I don't know how many elevators there are, but there are only two, and the other one is still on the 31st floor.
One hand reached out and looked out.
is a middle-aged man, not tall, should be about 1.6 meters. The figure is slightly chubby, with a straight face at the moment, a little serious.
Fang Ziye quickly pushed the box into the elevator, and then pressed the 11th floor before thanking him and said, "Thank you, I'm sorry." ”
The man's expression was still serious, and he didn't respond politely because of Fang Ziye's words, he just shook his head slightly, then blinked his eyelids and looked to the other side.
Fang Ziye noticed that the man's right hand was wrapped with a white bandage, and a forearm sling was hung, and he didn't know if there had been a dislocation, or if it was just a small bruise, so after arriving at the hospital, he was disinfected and let him come back.
When Fang Ziye looked at him, he didn't have much expression on his face, and just when the phone came, his left hand was connected and put in his ear: "Hey." ”
"It's okay, I just came out of the hospital and took a picture."
"Well, it's okay to eliminate the poison."
"Okay." His tone was short, even a little cold.
The temperament of the whole person is terrifyingly calm.
"Uncle, what's wrong with you?" Fang Ziye has one more heart.
Because, Fang Ziye used to go to the emergency department for rotation. In the emergency department, when Fang Ziye went in, the first point explained by his superiors was that he was a little ruthless.
The second point is to cry and make a fuss, but a little joke and a good attitude.
Cry and make a fuss, and have a good attitude.
This kind of person who does not cry or make trouble, and sits quietly, should pay special attention.
Because people, the sensitivity to pain is not something that ordinary people can bear. Even if you bear it, it's good to give some unpleasant emotions.
Even if you are a calm person, at least you have to grin, frown, or something like that, after all, TM hurts.
However, there is a kind of person, he is expressionless and silent, this is definitely not a personality, such a personality is a very rare person who will have a normal reaction to pain, such a probability can be said to be almost negligible, and it is difficult to encounter in reality.
Well, in such a situation, his calmness is a kind of lesion.
It is possible that the head has damaged the speech or emotional center, making him apathetic rather than silent.
"It's okay, I accidentally hit the car before."
"Your 11th floor is here." He didn't smile, just pointed outside with his healthy hand, still expressionless.
Fang Ziye instantly had an extra heart, and instead of going out, he said, "Maybe I pressed the wrong button." I'll go further up. ”
"Uncle, have you been to the hospital?" The more Fang Ziye looked, the more he felt that something was not quite right.
"Just came back." He said.
"And what about your medical records?" Fang Ziye obviously looked at him without any medical information.
"Huh? Medical record book. He was finally a little more confused.
"Where?" He searched left and right, but couldn't find it.
"If you don't go back and look for it again, the medical record book is still very important, and you will need to use it for reimbursement in the future, you can find the insurance company at that time, and you don't have this invoice." Fang Ziye's mind was spinning rapidly, and in just a few seconds, he changed the topic.
Absolutely nothing to ask the patient, you may have a problem with brain damage, which will only irritate the patient.
It will be more natural to communicate with such a patient, directly use the fee, and let him go back.
By the way, Fang Ziye can find more clues in the process of being parallel to him.
This is an art of doing things, not a medical skill, but it is also a way of doing things.
"Hey, I'm still here." There was a little more emotion in his tone.
Fang Ziye hurriedly said, "Otherwise, you can go to the emergency department to look for it again, or call your family members to find it too." ”
"Although it may not cost much money, it's a good thing to be able to repay it, anyway, it's just a matter of a few steps. Right? ”
Fang Ziye can be sure that after this patient returns home, it is estimated that there is no family in the house, otherwise, unless it is a family member of a special immortal, he can rest assured that he will be allowed to walk back from the opposite hospital alone.
And not accompaniment.
If he returned home and waited for his family to come, it was estimated that the corpse would be cold.
"Yes." The patient still didn't have much expression.
Fang Ziye helped press the first floor of the elevator and said.
"Uncle, don't you have any family members? Otherwise, you give them a call and ask them to help them find out. ”
"You probably spent a lot of money on this, and if you find it, you will earn it. Invoices and stuff. Fang Ziye continued to suggest.
"On their way here, it will take time for them to come from Feng County." The man said, but he didn't even realize that Fang Ziye didn't get off the elevator.
The elevator door opened, and Fang Ziye still walked out of the community with the box in parallel with him.
What Fang Ziye has to do now is to send him to the emergency department, and then make a simple explanation to the doctor over there, be sure to let him do a brain MRI and lumbar puncture, and don't worry about the rest.
What methods the doctors in the emergency department used to retain him was not within the scope of Fang Ziye's consideration.
Because, once you realize this kind of thing, no one will ignore it.
The man walked in the direction of the hospital, rarely speaking, only when Fang Ziye kept asking, he reluctantly answered, and he didn't doubt why Fang Ziye wanted to follow him.
The security guard saw Fang Ziye put his luggage in the security room, and asked strangely: "Young man, aren't you going back?" ”
"Big brother, I still have something to do in the hospital temporarily, I put my luggage first, I forgot to take something." Fang Ziye did not reveal his identity, for fear that middle-aged people would think that he was a doctor, so he deliberately led him to the hospital, causing a certain amount of defense.
There is no need for this.
After arriving at the hospital, he will identify himself again, and he will probably have a greater possibility to consider doing more examinations.
Even, Fang Ziye felt that he might be in the hospital, and he would say yes to whatever advice the doctor had, because his current consciousness was only barely clear.
The security guard took the initiative to open the door and looked at the middle-aged man next to Fang Ziye seriously, he didn't feel familiar, so he didn't say hello again, but lowered his head and continued to go.
It's not far from the hospital, but the pace of middle-aged people is slowly decreasing, and the whole person looks more and more mature man's temperament, but Fang Ziye's heart is a little panicked.
Because after getting closer, the lights on the road made him notice that this middle-aged man has a problem with the width of his pupils, which may not be an emergency, but it must be dealt with in time.
However, it is not an urgent intracranial hemorrhage, and it has to be said separately.
Finally, when he was about to arrive at the hospital, Fang Ziye persuaded him to call home and ask them to rush to the hospital to help find the medical record book and invoices together.
After finishing speaking, he put down the phone again, turned his head sideways and said thank you to Fang Ziye.
"It's okay, uncle, I don't have anything to do anyway, we all live in three buildings and three units, and we will all be neighbors in the future." Fang Ziye said while taking him into the emergency department.
"Uncle, you wait for me here, I'll go over and find the doctor and nurse to help you find it, they should be familiar with it here."
After Fang Ziye finished speaking, after comforting him and sitting down, he turned around and ran to the nurse's station, grabbed a nurse, and briefly explained his identity and situation.
The nurse on the other side was stunned.
Although Fang Ziye is a little handsome and doesn't look like he has very high medical skills, in Hubei Province, the identity of a master's student in Zhongnan Hospital affiliated to Han University is still worth mentioning and needs to be a little cautious.
After Fang Ziye reported his identity, the nurse hurriedly called a person, and then decisively followed Fang Ziye to the uncle.
Asked: "Uncle, what's the matter with you?" What's uncomfortable? ”
"There's nothing uncomfortable, I feel like I'm going back. I've taken care of it. "He's forgotten what he's doing in the emergency department again.
When the nurse heard this, she looked at Fang Ziye.
Fang Ziye didn't bother to explain to her.
In the distance, a white coat shouted from afar: "Xiaoqi, call to see who?" ”
Fang Ziye hurried over and said quickly: "Hello teacher, I am from orthopedics, I was just about to go home, and I met a patient who was apathetic, and his pupils were narrowed to about 3mm, and he had not been specifically measured. ”
"We were in the same elevator, I saw him coming back from the hospital, but there was no medical record book and invoice, his expression was not right, I think he may have an intracranial injury, do you want to come and help do a personal examination?"
"You? Orthopaedics. He turned around and trotted quickly.
While watching Fang Ziye parallel to him, he seemed to be very unfamiliar with Fang Ziye.
"Just came. I just happened to meet. ”
"It's not that there are more patients in a car accident today, I'm afraid that something will happen to him, and the medical records and invoices will still be in the hospital at that time, but the person will be gone at home." Fang Ziye described it briefly.
The doctor's face changed instantly.
Quickly arrived in front of him, let him sit down and do a reflection of the light, at that time, the white coat that could not see the age changed suddenly.
"Xiaoqi, push a cart and call the people from neurology and neurosurgery to come over."
"Brother, you can do it yourself." He looked at Fang Ziye, didn't have time to explain more, and slowly moved away from the patient who had almost no self-consciousness and only followed him.
did not ask Fang Ziye for help.
In the hospital, if you don't wear a white coat or are not on duty, even if you are the director, you can not mix it, let alone someone as young as Fang Ziye.
Only by performing their duties can they be well.
Fang Ziye looked at the backs of the two, and the corners of his mouth twitched, bending into an arc.
Silently looking at a huge knowledge point of +62 points, I knew that I had come to the right place this time.
The more serious the disease, the more serious the disease, the more knowledge points you will get, and it may be a comprehensive contribution rate.
The patient may not have a complicated disease, but diagnosis and awareness are the first priority.
Fang Ziye has already indicated his identity and the direction of his suspicions, and the rest is just a matter of the doctor in the emergency department going through the reception process.
And this is not difficult for a mature emergency department and a mature hospital.
If this is difficult, then there is no need for this hospital to continue to open......
Fang Ziye turned around and finally left the emergency department again.
Looking at the time again, it was already 7:20 in the evening, which was equivalent to Fang Ziye's trip back and forth, which took half an hour.
But meeting is fate.
Looking at the bright lights outside, Fang Ziye's eyes and feelings when he entered the community again this time completely changed.
This is the benefit of knowledge, consciousness, and knowledge, if you don't know anything and don't take the words of the emergency department teacher to heart, then Fang Ziye won't do so much.
Fang Ziye is not a professional neurologist, so he can't give accurate diagnosis and physical examination results, and he doesn't do so, he is afraid that his physical examination results are not professional enough, but covers the diagnosis and physical examination of professionals.
Blank space is a kind of art in itself.
"Coming back?" The security guard asked.
"I'm back, uncle." Fang Ziye replied with a smile.
"Hey, what about the guy who just went out with you? Won't he come back? The security guard looked up and said, "You said you would be back soon, but I didn't bring your luggage inside." ”
"He's back, too." Fang Ziye pushed his luggage with a smile and strode towards the third unit.
Fang Ziye's sale was a little infiltrating, which made the security guards inside tense for no reason.
But then he smiled.
Young people, they love to joke and understand very well.
And he went again.
Fang Ziye finally boarded the elevator smoothly, came to his 'rented' house, entered the door, first turned on the electric valve, and then turned on the light.
After taking a look, he found that he hadn't specially prepared slippers for himself, so Fang Ziye planned to go out to buy them later.
After entering the door, he tidied up his clothes a little and put them in the cabinet in the guest room, Fang Ziye sat on the bed and chatted with Luo Tingzhu, who had just finished breakfast and planned to go to the laboratory.
"Senior brother, are you going to help? You didn't reply to the message. Luo Tingzhu asked.
"Uh-huh, just returned."
"I also met a textbook-level patient......" Fang Ziye told him what had just happened.
"Huh? Are you sure? Do you know his name? ”
"This is a very typical case, you can collect and collect the results of his examination in the hospital, summarize it, and use it as learning materials in the future." Luo Tingzhu was very curious.
This kind of thing is only heard in teachers and textbooks, and has never been seen.
"Well, yes, I'll sort it out and send it to you then."
"Oh, by the way, what do you usually eat for breakfast?" Fang Ziye asked.
"I got up early and cooked somen by myself. There is nothing else to eat. ”
"There is a senior sister who said that about twelve miles from here, there is a bun shop, which is more authentic, but the distance is too far......," Luo Tingzhu replied.
"So it's still a domestic stomach?" Fang Ziye took off his shoes, slumped his feet on the bed, and said with a smile.
"Hmm. Yes, but I plan to drive to the next city with my senior sister to eat spicy fragrant pot this weekend, about two hundred ......kilometers away," Luo Tingzhu smiled and shared with Fang Ziye her upcoming food hunting trip.
(End of chapter)