This is a small town in the north.
The night in December is a little cold, and the air blowing from the remote plateau is bitterly cold. The street lights on both sides of the city road have been extinguished, and the darkness has completely covered down.
The southwest of the intersection in the city center is a hospital in this small town.
Xue Zhilu is an emergency doctor in this hospital. At this time, he is busy writing medical records on the computer. Just a few minutes ago, there were three people who vomited after drinking (not the same occasion). Two electric cars and motor vehicles were scratched. Fortunately, it was just a skin injury and should not be life threatening.
Xue Zhilu, as an experienced doctor on duty, has become accustomed to these things.
Before these patients entered the consulting room, they could provide Xue Zhilu with a lot of information in just a few seconds.
Doctors, in a way, are experts in the use of the body. In case of myocardial infarction, it is necessary to dredge it urgently and prevent it from being blocked again. The process is similar when cerebral thrombosis occurs.
In case of fracture, the position and degree of fracture shall be found through inspection, and then the manual reduction or surgical treatment shall be determined. After treatment, complications such as venous thrombosis should also be prevented.
Just like those young people who drank just now, there should be no big deal, but the routine inspection should be done, otherwise Xue Zhilu could not bear this responsibility.
The drinkers have been assigned to the observation room for temporary infusion treatment. The nurse arranges the three of them to adjacent beds, and one by one injects young men who snore and sometimes turn over to vomit. The accompanying young people are standing in the corridor leisurely, chatting, laughing and scolding, and occasionally glancing at the nurse to supervise the work progress of the nurse.
Two car accident patients, accompanied by their family members, went to the radiology department to take photos, and they could come back in about half an hour. When he was free, Xue Zhilu hurriedly entered the medical record in the computer workstation. Sneaking at the electronic clock on the wall, Xue Zhilu felt relieved that it was already 24 o'clock at night. He should be relaxed in the second half of the night.
Just as Xue Zhilu lowered his head to input his medical record, nurse Xiao Zhang at the triage desk started calling him again, "Dr. Xue, there is a girl with abdominal pain. It's epigastric pain. It has been about half an hour. She usually has a history of gastric ulcer. Her blood pressure is 110/65mmhg, and her temperature is 36 degrees.". Nurse Xiao Zhang graduated from a bachelor's degree as a nurse. She not only has strong professional skills, but also is very diligent, soft spoken and efficient.
After putting down the work at hand, Xue Zhilu went to the consulting room next door. The patient had been lying on the examination bed as required by the nurse. From the appearance, she should be a young girl about 20 years old, with shoulder length short yellow hair, pale face because of pain, and two hands on her stomach. The location of the press should be the stomach, gallbladder, and pancreas.
After the physical examination of the girl, considering her previous history of gastric ulcer and the barbecue and drinking with friends this evening, it is still considered that the stomach pain caused by gastric ulcer may be large. Of course, abdominal ultrasound, laboratory tests and other examinations are required to exclude cholecystitis, gallstones, pancreatitis and other diseases.
As usual, Xue Zhilu told the girl lying on the examining table about his analysis results. Qi Xiaohua (the girl who saw the doctor, who was a fake name) immediately sat up from the examining table, her hands still covering her stomach, and firmly told Xue Zhilu, "Doctor, I just have stomachache. I don't need to check this and that. Just bring me a box of stomach medicine." 。
Xue Zhilu also saw a lot of patients like him, but he was not anxious to get angry. He explained why the examinations should be carried out with a pleasant face and patience. "Although your pain is in the position of the stomach, it may also be cholecystitis, gallstones, and pancreatitis, which are generally similar to stomach pain. In addition, it does not rule out that heart disease may radiate here. 。。。。。”
Before Dr. Xue Zhilu finished speaking, Qi Xiaohua interrupted in a bad tone, "You don't have to say so much. I know what's going on with me. I said that no inspection is no inspection. What are you talking about?" The little sister who came with her also helped Qi Xiaohua "that is, nice to say, she also wants us to spend more money to earn more income for your hospital, and you also earn more" that is, we are fools? "
Xue Zhilu's anger suddenly rose in his heart, and then he pressed back secretly. When a person's idea has been formed, it is very difficult to change it.
However, as a doctor, Xue Zhilu still has to finish what he should say, "I understand what you mean, but this may lead to misdiagnosis, missed diagnosis, and serious risks to your health and life..."
Qi Xiaohua seemed to be experienced, and immediately said with strong Jianghu flavor, "I can't sign. Tell me where to sign. After signing, you can get me two boxes of stomach soothing (a kind of imaginary stomach medicine). It's really ink"
Xue Zhilu tells Qi Xiaohua to sign the consent form, and then tells Qi Xiaohua that "the emergency pharmacy in our hospital is not as comfortable as you said just now, but only ordinary stomach medicine, so you need to take it."
Qi Xiaohua's stomachache seemed much better, his face became normal, and his strength of speech was also much stronger. "Are you in the hospital? Are you in the emergency department? What kind of hospital do you open?! What kind of emergency department do you open? My stomachache is all right. Fortunately, I didn't check it, or hundreds of dollars would not be thrown here? Even my stomach is not comfortable, and I will complain about you tomorrow."
Qi Xiaohua's companions also said that Xue Zhilu "We have had stomach trouble for several years. Every time we eat spicy hotpot, eat barbecue, drink, nothing happens. Today, if the drugstore outside was closed, we would never come to your hospital." "That is, we will never come to your hospital next time."
Fortunately, at this time, the two car accident trauma patients who went to the radiology department for examination came back, interrupting Qi Xiaohua's criticism. Xue Zhilu, who was liberated, quickly picked up the examination results and communicated with the patients.
Qi Xiaohua and her companions did not continue to tangle. Qi Xiaohua, whose stomachache had been alleviated, regained her vitality and left the consulting room in a brawl with her sisters "Well, well, let's go to the barbecue. I haven't had enough just now."
Xue Zhilu quickly treated the injured patient, disinfected and bandaged the wound, prescribed some oral medicine, ordered some precautions, and sent the patient home. Xue Zhilu can also relax.
Standing next to the triage table, Xue Zhilu and nurse Xiao Zhang told Qi Xiaohua about what happened just now
Nurse Zhang was worried, "Dr. Xue, do you think Qi Xiaohua will pierce? If her stomach ulcers, she will not pay attention. How dangerous it is."
Xue Zhilu also agreed with nurse Xiao Zhang's concern that "it should be OK today, but sooner or later, she will suffer from her stomach." After thinking about it, he added, "The stomach is very comfortable. If you have a stomachache, you should take medicine. If you take medicine, it will not hurt. Then you continue to spoil the stomach, and you don't tell the people who buy medicine to protect your stomach. It is more important than taking medicine to stop the pain."
