The system takes me for surgery

Cai Xiaojie asked cautiously: "Senior, I always feel a lot of pressure and find it difficult to see a doctor."

"It was like this at the beginning. When I first started to see a doctor, I took more notes, and I also read more textbooks. The knowledge in textbooks is the foundation, which is more practical than many miscellaneous medical books." Liang Yi has always supported authority. Books, only authoritative books have sufficient sample size to prove their validity.

Liang Yi looked at Cai Xiaojie's next doctor's order and checked it repeatedly, worried that there would be mistakes and omissions, which was exactly the same as when he first went to the clinic.

At that time, Liang Yi would often toss and turn after seeing a patient, unable to sleep at night, and sometimes would wake up in his sleep from time to time, thinking that his patient had suddenly become ill.

Liang Yi asked: "Did your department just admit a patient this morning?"

Cai Xiaojie immediately became vigilant.

Maybe the female director often reminds them in the department not to say something related to the department lightly.

Cai Xiaojie finally nodded and said, "In bed No. 4, are you relative?"

"No, I'm just looking at this patient, is it convenient?" Liang Yi said.

Cai Xiaojie hesitated to speak.

Liang Yi saw it, and asked: "Sister, what's the matter, just say it."

"That's right, you go to see it secretly, don't let our director see it." Cai Xiaojie was very guilty when she said this.

Liang Yi made an OK gesture.

He really didn't expect that their department would be so strict. He didn't want Cai Xiaojie, a young doctor who just arrived, to get into trouble, so he avoided the nurse's station and sneaked to bed No. [-].

Beds No. [-], [-] and [-] share the same ward. When there are no critically ill patients in the ordinary ward, the patients are actually not so self-conscious, and they will chat with their parents.

As soon as Liang Yi was at the door of the ward, he was attracted by the couple in bed No. 5. This man was on the bed, he had these strange things, and he felt that his mind was not normal. The man seemed to be delusional, and he was hugging left and right.

His daughter-in-law rolled her eyes at him and said, "Just like that, you still told me that you didn't go to KTV. Can you believe me?"

The family members who looked at the No. 6 hospital bed covered their mouths and laughed: "Men are all virtuous, and they will die with a hard mouth."

"Why don't you eat him to death, and learn what other people eat wild mushrooms, and now you look like a lunatic." The daughter-in-law on the 5th bed said angrily and funny.

Liang Yi couldn't help laughing when he heard this. It turned out that it was a paranoia caused by wild fungus poisoning. This kind of patients are often seen in the southern summer.

Such patients usually vomit, have diarrhea, and then see all kinds of strange things.

Some poisoned people have seen little people the size of an inch, and some poisoned people said that they have seen some gods fighting, black and white are impermanent...

In the emergency room, Liang Yi once encountered a wild fungus poisoner who insisted that he was a maggot, and told him to stay on the bed in the emergency room and insisted on running to the toilet in the emergency room, even on the floor of the toilet. lie down.

Liang Yi was puzzled and said, "That's the toilet."

The patient said, "I know that's the toilet."

"It's the toilet, you still go."

"I'm a maggot, of course I live in the toilet."

"..." Liang Yi was speechless for a moment.

And the man in front of him should have gone to the meat market KTV after eating wild mushrooms, so he is still intoxicated by it.

The daughter-in-law of the patient in bed No. 6 glanced at his husband and said, "This is the same in my family. I went to drink with those cronies and accidentally fell down. Now I have to take medicine every day, otherwise I will suffer from epilepsy and scare me to death." .”

The common conclusion of the two daughters-in-law is that men do not have a good thing.

Just as Liang Yi was about to go in to see the No. 4 bed, he avoided it a little when he saw the young nurse was going over to give the No. 6 infusion.

Bed No. 6 was about to receive clarithromycin, Liang Yi felt uneasy, and said bravely, "Are you a family member of No. 6 Hospital?"

The family members of the No. 6 hospital bed were chatting and laughing just now, but suddenly felt that their volume was too loud, and they were a little embarrassed, and said, "Doctor, I am the family member of the No. 6 hospital bed, what's the matter?"

"You mean that my husband usually takes epilepsy medicine, do you know what kind of medicine he takes?" Liang Yi asked.

"How do I know this? I just finished eating this morning, and I asked my child to take a picture with his mobile phone at home for you to see." The family member said.

"Okay." Liang Yi turned to the young nurse and said, "Don't take clarithromycin yet."

The young nurse looked at her very vigilantly and said, "Aren't you a doctor in our department?"

" no."

"The nurses in our department only listen to the doctor's orders in the department, and the infusion should be executed at the time written." The young nurse said.

The family members were also stunned, and looked at Liang Yi, worried that he was a fake doctor.

"Wait a minute." Liang Yi said to his family members, "Did you find it?"

The family members looked hesitant.

The young nurse inserted the infusion needle into the infusion bottle and did not listen to Liang Yi's words.

"Here it comes, this is the medicine." The family member showed Liang Yi the phone.

It's ergotamine.

Clarithromycin and ergotamine.Epilepsy patients often use ergotamine, but clarithromycin can inhibit its metabolism, leading to poisoning, and patients may show symptoms such as convulsions, gray hands and feet, coldness, and sensory disturbance.

And studies have found that the two can also interact to block blood vessels, which may induce strokes or severe hypoxia of brain tissue.

Liang Yi grabbed the nurse's infusion bottle and said, "This medicine and the medicine the patient usually takes will interact with each other, so we must stop."

The nurse said angrily: "You are not a doctor in our department. I only follow the doctor's orders in our department. If you want to change the doctor's order, you can ask the doctor to change the doctor's order. Tell me why, really! If I If it takes more than 5 minutes to execute, whoever is fined will be fined."

It turned out that their department had to execute the doctor's order within 5 minutes. If the time was exceeded, the nurse had to pay the money. Although the efficiency was improved, the risk of the patient was greatly increased.

Now I really can't communicate with the nurse at all, Liang Yi has no choice but to go to Cai Xiaojie.

Liang Yi hurried to the doctor's office and said, "Check the doctor's order in Ward No. 6. Is there a clarithromycin?"

When Cai Xiaojie was called out like this, she felt a little flustered, she was stunned for a while before she hurriedly said: "Let me see."

Cai Xiaojie said: "This is our director's patient, what's the matter?"

"This patient usually takes ergotamine, and your director prescribed clarithromycin. The two drugs interact and cannot be mixed together."

"Ah? The patient didn't say anything, but this is the director's patient, and I don't have a certificate, so I can't change the doctor's order in private." Cai Xiaojie is panicked now, she doesn't know what to do.

Liang Yi said, "Let me change the prescription."

"Our director will definitely be very angry when he finds out." Cai Xiaojie clenched her fists tightly.