Chapter 3 An Opportunity to Help the Old Lady

Ye De's schedule is still very regular, going to bed at eleven o'clock and getting up at half past six. Pen % fun % Pavilion www.biquge.info

Ye De still went to bed at eleven o'clock as usual. At half past six the next day, Ye De got up, went to the toilet, and then washed. After washing up, I went to the small shop downstairs for breakfast. The small shop downstairs is called Ye's Noodle Restaurant, as the name suggests, the owner's surname is Ye, and he once talked about the family tree with Ye De, but in the end there was no match. But Ye De has been eating in this noodle restaurant since then, and the owner has increased the amount, and Ye De likes to eat in this noodle restaurant even more.

Ye De always remembered that task in his heart, so he hurriedly ate a bowl of noodles and went to the hospital. Ye De went to the department and looked up, 7:15! Normally, it was 7:45 to hand over the shift, and after the shift rounds, Ye De came for half an hour this morning, and there was nothing to do, so after copying the information of the ophthalmology patient's bed, he went to see the old lady.

Ye De looked at the old lady's medical records, Li Xiuying, 65, female, 34 beds, open-angle glaucoma in both eyes, visual acuity 0.5 in the right eye, 0.5 in the left eye, intraocular pressure in the right eye 46, and 50 in the left eye (intraocular pressure is the pressure of the contents of the eyeball on the wall of the eyeball, so it is better to treat it as something similar to blood pressure)...... Ye De glanced at her a few times, and then went to see her in Mrs. Li's hospital bed.

Walking into the ward, Ye De found that there was an old man sitting next to Mrs. Li's bed. The old man's hair was half white, his face was thin, and his eyes were cloudy. His dark skin, crooked back, exposed neck, and heavy wheezing sound reminded Ye De of his grandfather. So Ye De's gaze became softer, and his steps were lighter.

Ye De walked to the side of the bed lightly and found that Mrs. Li was still asleep, so he asked the old man in a low voice: "Old man, are you a family member of Mrs. Li Xiuying?" The old man's cloudy eyes suddenly became bright, grinned, pulled out a smile, and also whispered to Ye De: "Yes, are you her bed-managing doctor?" Ye De nodded and continued to whisper back: "No, I am the doctor who brought her to the ward yesterday, and the old lady glaucoma was found when she got off work yesterday, so I quickly brought her to the ward." "It turned out to be you, thank you so much, thank you so much yesterday, I heard that glaucoma is easy to go blind, thank you, good doctor......" The old man hurriedly stood up and grabbed Ye De's hand and thanked, "Doctor, your surname?" "Doctor Ye, how is my wife's condition?" "I'm going to take the old lady to check on it now to see how the situation is." "Okay, okay. The old man hurried to wake up the old lady.

Ye De first went to the dark room (many ophthalmology examinations need to be done in the dark) to turn on the lights, set up the chairs, turn on the instruments, and then came to bed 34 to take Mrs. Li to the dark room for examination, and the old man quickly followed.

Ye De helped Mrs. Li to sit down, and found that Mrs. Li was much better today, and her face looked a little better. "Old lady, how are you feeling today? Are your eyes still swollen and painful?" "Today is much better, it doesn't hurt anymore, but it's still a little swollen." "Okay, then I'll take your intraocular pressure first. Ye De was overjoyed when he heard this, if the intraocular pressure was lowered, there would be no surgery for open-angle glaucoma. "Come, old lady, just like yesterday, put your chin on the chin rest, put your forehead on the forehead rest, keep your eyes open, look at the middle light," Ye De said to the old lady in detail how to do it while operating, "Old lady, if the intraocular pressure drops, there will be no big problem・・・・・・・ "The voice did not fall, "poof-" softly, the intraocular pressure of the right eye is 26, Ye De feels good, a little higher, much better than yesterday. Continue to check the left eye, "poof-" left eye intraocular pressure 30. "Old lady, your situation is much better today, wait a while our director will show you, don't leave yet." Ye De and the old man also explained and asked them to wait patiently in the dark room for a few minutes. Then Ye De went to the office to hand over the shift first.

Ye De walked to the office and just started to hand over the shift. Ye De is an ophthalmologist, and the hospital he works in is a county-level hospital, with an ENT ward on the first floor, and the entire ENT department is on duty. After listening to the nurse talk about the routine data, the doctor on duty said that in addition to admitting a glaucoma patient to hospitalization, there were three fish bones and one trauma, and the trauma refused to be examined and hospitalized after being sutured. After listening to the shift, the director said majestically: "Nothing special, then let's start the ward round!" Lin Xin, director of the ENT department, is also the director of the ophthalmology department, he is a very strict old doctor, in a special era, since he started working at the age of 17, he has been a doctor for forty years. Ye De is most afraid of Director Lin, because Ye De has only been working for a year, and he has just passed the medical practitioner examination, so he has very little work experience. Director Lin is very strict with every doctor, especially ophthalmologists. Director Lin has a few words that are often on his lips, one of which is that since I took over the ophthalmology, no one has died in the ophthalmology! On the one hand, Director Lin has outstanding achievements, and on the other hand, he has behaved properly, so Director Lin has managed the ENT department well, especially the ophthalmology. Ye De interrupted his memories and hurriedly called the patient to the dark room according to the information he copied from the ophthalmic patient's bed, so that they could do rounds together.

Two minutes later, Ye De called more than a dozen postoperative patients, and together with the other three young and middle-aged ophthalmologists in the ward, they took a look at the patients first, and the patients who had no problems let them go back to the ward first, and those who had problems stayed first, and waited for the director to take a look. Ye De and the four ophthalmologists had just finished seeing it, and the director also came. Ye De and the others hurriedly moved out of the way and asked the director to be in front of the slit lamp microscope. When the director saw Mrs. Li Xiuying, Ye De had the courage to ask the director: "Director, do you think this old lady needs surgery?" Her eye pressure has dropped a lot today, yesterday it was 46, 50, today it is 26, 30. The director thought for a moment and replied: "This old lady is in good condition at present, mannitol will still hang today, if the intraocular pressure is completely normal, we will try to take conservative treatment and not operate." Ye De had a flash of inspiration at this time: "Director, when this old lady's eyes are pressed down, let her check the optic nerve and see how specific the optic nerve is." "Yes, this old lady really needs to check the optic nerve, and the ophthalmoscope is not enough, and she needs to check the OCT. The director smiled and said, "Yes, now I can think of these problems, and there is progress! "Ye De is very happy, the director's praise is very rare, and the OCT examination machine is in the outpatient clinic, so you can try the merit system. Soon, the morning rounds were over, and Ye De went to bed 34 to talk to the old lady alone. Ye De told the old lady that her condition was currently fine and that she might not need surgery, so that she could rest assured. The old couple was grateful again, and although Ye De was thick-skinned, he still couldn't resist it and left the ward.