I can see health

Chapter 176 Is it really an intern?
Jinghua Second Hospital.

Emergency ward.

Lu Chen is like a firefighter, rushing to various emergency wards outside, helping patients with catheterization, suction, blood gas, and even bronchial intubation and so on.

This stunned Ning Siyang.

This junior brother is omnipotent...

Can do anything!

The blood that the nurse couldn't draw out, he drew out as soon as he started.

Some elderly people have severe benign prostatic hyperplasia and can't insert the urinary catheter. As soon as he got started, he inserted it very smoothly!

And in Lu Chen's system panel.

The proficiency of various skills is rising rapidly.

Oxygen inhalation technique 100%.

Suction 100%.

Catheterization 100%.

……

……

About twenty minutes passed.

The condition of the two critically ill patients under Lu Chen's care has stabilized for the time being.

"Junior Brother, I will take care of you here. Go and see the patients in the observation room." Wang Xiaodong said, "There are still a lot of patients that have not been treated there, and we can't spare anyone here for the time being."

Most doctors in the emergency department are rescuing critically ill patients, so that the mild patients in the emergency observation room have not been taken care of.

It doesn't matter for a while, but after a long time, there will be trouble.

More importantly, no one can guarantee that there are no hidden severe patients among these mild patients!
"Okay." Lu Chen nodded.

He can't intervene in most of the severe cases, and can only do catheterization and blood gas pumping.

Even if he can do many clinical operations, he is not qualified to do them, and the superior doctor will not let him do them.

……

Emergency room.

There are at least four patients sitting on each bed.

Another patient moved a chair and sat in the corridor.

What's more, sit directly on the floor.

When Lu Chen entered the observation room, the first thing he did was not to look at the patients, but to observe the life value on each patient's head.

This allows him to screen out critically ill patients as quickly as possible and give them timely treatment.

As long as Lu Chen sees a person with health below 60, he will immediately transfer the patient to the emergency ward.

There is no, and it is impossible for patients with health points above 80.

There are some patients whose life value is between 70-80.

However, this patient's condition is stable, and there is no need to take care of it for the time being.

Lu Chen is more concerned about patients in the 60-70 life value range.

Some patients may recover slowly, but others may get heavier and heavier until their health drops below 60.

"What's wrong with you?"

In front of Lu Chen was a young man half lying on the bed with 63 HP.

Currently in the emergency observation room, the patient with the lowest life value.

Cheng Lin kept his eyes closed all the time, but when he heard the voice, he opened his eyes and saw that it was a doctor, so he whispered, "Fortunately, just a little dizzy."

"Dizzy?" Lu Chen frowned, "How did you get hurt?"

On the surface of the young man in front of him, Lu Chen didn't see any wounds.

"I was still relatively far away from the scene of the incident, but I was about to ride a bicycle when a stone flew over. I dodged for a while and fell down accidentally."

"Did you fall?" Lu Chen frowned, "Did you hurt your head?"

"No." Cheng Lin shook his head and pointed to his lower right abdomen, "It was because the handlebar hit my stomach here. At first, my stomach hurt a little, but now it's much better, and it doesn't hurt anymore. But I don't know why, after entering the hospital , I've been feeling a little dizzy."

"Stomach pain, and then dizziness?" Lu Chen was a little confused, "Come on, lie down on your back, and I'll show you."

Cheng Lin nodded, followed Lu Chen's words, and lay flat on the hospital bed.

Lu Chen began to give Cheng Lin a physical examination.

No wounds were seen on his head, chest, or abdomen.

There is only a small bruise under the right sternum, which should be the impact injury of the handlebar.

Other than that, other physical examinations were negative.

"Doctor, when can I be discharged from the hospital?" Cheng Lin said, "If it's just dizziness, I don't feel anything. I should be fine after going back to sleep."

Lu Chen shook his head and said, "You still have to observe for the time being, maybe you need to do a CT scan of the head and the whole abdomen."

"Do you still want to do CT?" Cheng Lin hesitated, "Is it necessary? I feel that I am already well, and there is nothing serious. I still have some urgent things to do."

"It is very necessary. We need to rule out whether your internal organs are damaged." Lu Chen explained, "Many internal organ injuries are delayed."

The patient's life value is 63, and he must not be sent home.

"Let me take your blood pressure first."

The nurses are very busy, and most of the patients in the emergency observation room have not undergone any examinations, and they have not even had time to measure their blood pressure.

After searching for a long time at the nurse's station, Lu Chen finally found an electronic sphygmomanometer.

"Doctor, I don't usually have high blood pressure." Cheng Lin said.

"Blood pressure needs to be measured routinely." Lu Chen said, and quickly tied the cuff on Cheng Lin.

On the electronic sphygmomanometer, the blood pressure value was quickly displayed: 108/64mmHg, heart rate 98 beats/min.

"Look, let me just say, my blood pressure is not high." Cheng Lin laughed.

Lu Chen took a look at Cheng Lin's body shape. He was about 1.7 meters tall, but his weight should be close to 160 kilograms.

This BMI is about to reach the obesity standard.

People with this body type should have high blood pressure, not just this low.

For example, Cheng Peng, who is in the eighth area of ​​the heart, is about the same size as the patient in front of him, and his blood pressure is usually 130-140/80mmHg.

Although it has not yet reached the standard of high blood pressure, it is already in the range of normal high value and may develop into high blood pressure at any time.

"What range is your usual blood pressure?" Lu Chen put away the blood pressure monitor.

Cheng Lin thought for a while and said, "I don't usually measure my blood pressure, but during the physical examination, it seemed to be around 130/80mmH."

Lu Chen nodded.

Now it seems that compared with the usual blood pressure, the patient's current blood pressure is still low.

It is even more necessary to do the CT of the head and the whole abdomen!

"I'll give you a CT checklist later, be sure to do it."

"Ah? This..." Cheng Lin hesitated.

Will the government reimburse for this emergency?
If he doesn't get reimbursed, then he will be at a disadvantage!

It's really sad to have to encounter this kind of thing after being fired just now.

Seeing the patient's hesitation, Lu Chen frowned: "Don't want to do it?"

Cheng Lin shook his head and looked at the young doctor in front of him.

"Doctor, do I have to do it?"

"Yes, we must do it!" Lu Chen said firmly.

His tone was unmistakable.

Cheng Lin hesitated for a moment, and finally let go.

"Okay then, I'll do it."

……

Lu Chen first returned to the emergency ward and reported Cheng Lin's condition to Wang Xiaodong.

"At present, the patient cannot exclude the damage of abdominal organs. I think it is still necessary to improve the abdominal CT."

Wang Xiaodong listened to the medical history report.

"Well, it is indeed necessary, then you can arrange a CT for him."

"Okay." Lu Chen nodded, ready to leave.

"Junior brother, wait a moment." Wang Xiaodong called to stop Lu Chen, "You can arrange what tests those patients need, and you don't need to report to me."

After getting along for this period of time, Wang Xiaodong has already trusted Lu Chen's ability very much.

Lu Chen was taken aback for a moment, then smiled and said, "Okay."

With Wang Xiaodong's approval, it will be more convenient for him.

Otherwise, he would have to come back and report every time he sees a patient, which is a waste of time.

Next, Lu Chen came back to the emergency observation room and continued to look for patients with 60-70 HP.

"Doctor, come and see me. I feel uncomfortable in my chest, have I been injured?" When passing by a hospital bed, a middle-aged woman stopped him and took off her coat as she spoke.

Lu Chen stopped and saw that the HP on her head was 76.

This patient should not be considered a patient.

However, although her life value is displayed as 76, Lu Chen still needs to check it himself.

This system is a system after all, what if there is a card bug?

Nor can he completely rely on the system to judge his condition.

"Auntie, let me show you."

Lu Chen came to the hospital bed, and after a series of examinations such as blood pressure measurement and physical examination, he smiled and said, "Auntie, you are fine, maybe you just received a shock."

"Doctor, then you said I don't need to go for a CT?" the woman said nervously.

Lu Chen shook his head slightly: "I checked just now, and you are not injured anywhere. Your blood pressure and ECG are normal. You may have been frightened. You don't need to do a CT scan for now."

"Then can you guarantee that I'm fine?" the middle-aged woman asked.

"Well, no matter which hospital's doctor or doctor's level, they dare not guarantee this to the patient!" Lu Chen was quite helpless.

"That's all right. I think it's better to get a CT for insurance. You can prescribe a full-body CT for me and check it out for me." The woman said, "I just heard news that the medical expenses this time, The government reimburses them all.”

"Auntie, I really don't know about reimbursement." Lu Chen said.

"Of course you don't know. How about this, you have checked everything that should be checked for me, such as MRI of the head, ultrasound of the liver, gallbladder and spleen... You should do these tests for me first."

Lu Chen was stunned, good guy, this is the time to prepare wool.

"Auntie, I said in case, if you don't get reimbursed at that time, then you..."

The middle-aged woman was slightly taken aback, and a trace of hesitation flashed in her eyes: "What you said seems to make sense, then I will wait and see, and I will come to you again when I have something to do."

Lu Chen: "..."

After solving this middle-aged woman, Lu Chen continued to look for patients with 60-70 HP.

He found three more one after another, conducted a simple consultation and physical examination, and asked them to do the corresponding examinations.

Without having to report the condition to Wang Xiaodong, Lu Chen saw patients much faster.

……

Outside the emergency department building of Jinghua Second Hospital.

Xiao Zhongjiang, counselor of the Graduate School.

He manages all the postgraduates of Jinghua Second Hospital, including masters and doctors.

At this time, behind him were more than a dozen graduate students who came to support him.

"This accident has had a great impact. Our Jinghua Second Hospital is the closest to the accident site, so some of the patients were sent to us at first." Xiao Zhongjiang said to the students behind him, "The emergency department is short of manpower, so you are called here temporarily, mainly Help take care of some patients with mild symptoms, and also need to accompany patients to go out for examination."

The students following behind nodded.

Most of them are graduate students.

Many of the third-year students are busy with their graduation thesis and have no time to come.

"I won't let you come in vain. Everyone will get extra points for the scholarship selection at the end of the year. In addition, for today's support, we will also give everyone a duty allowance."

Xiao Zhongjiang led the crowd to the emergency department.

He found Director Dai Bin immediately.

"Director Dai, my wave of students is at your disposal."

"Mr. Xiao, you've come!"

Dai Bin was so busy that the nursing team asked him to borrow someone, and the medical teams also asked him for someone to ask for.

Before, he thought that Director Lu, the director of this department is a good job, but now it seems that he is really a hot potato.

Director Lu is in Kyoto, so he gave him this broken stall.

"All the students come with me, and I will assign tasks to you." Xiao Zhongjiang brought all the students to the emergency ward, "Two students go to the nursing team, one person goes to the teacher Wang Peng's group, two people go to the teacher Xia Yingzheng group, and then Teacher Dong Yuan's team will go to two...the remaining five people, you should follow Teacher Wang Xiaodong's dispatch and go to the emergency observation room."

"Okay, teacher."

Everyone was assigned to each medical group.

In front of Wang Xiaodong stood five students, three men and two women.

"Junior brothers and sisters, you are in charge of the patients in the observation room, so the task is more difficult than others." Wang Xiaodong said, "You follow me first."

Wang Xiaodong brought five students to the emergency observation room.

Lu Chen was measuring an old lady's blood pressure.

"Junior Brother Lu, come here."

"Okay, it's coming soon."

After taking his blood pressure quickly, Lu Chen came to Wang Xiaodong.

"Junior Brother Lu, these five classmates will follow you first, and ask them to help them deal with the patients in the emergency observation room." Wang Xiaodong said, "Call me anytime if you need anything."

"Okay, brother." Lu Chen nodded.

Just as Wang Xiaodong was about to leave, he suddenly turned around and said, "By the way, your diagnosis of the patient with ventricular fibrillation just now is correct. Mr. Li from the Department of Cardiology came for consultation, and he was diagnosed with acute myocardial infarction. Considering that it was caused by acute stress, go to CCU is gone."

"That's good, otherwise he will have ventricular fibrillation, and sooner or later there will be problems." Lu Chen said with some gratitude.

At this moment, the system popped up a prompt.

"Congratulations, the completion of the system upgrade has increased by 9%!"

Lu Chen glanced at it, but didn't care.

"Okay, then I'll go first." Wang Xiaodong patted Lu Chen's shoulder.

He was quite at ease with Lu Chen.

……

Lu Chen looked at the five students in front of him, feeling a little puzzled, and his senior asked them to follow him.

Are the few in front of you all interns?
The five students who came to support were also puzzled.

Could this very young doctor in front of him be a new doctor in the emergency department?

They wanted to see Lu Chen's badge, but found that he didn't wear a badge on the front of his white coat.

"Okay, let's do this first." Lu Chen coughed softly, "Each of us manages the patients in one area, takes the patient's electrocardiogram, measures the blood pressure, and records the medical history. If the patient feels uncomfortable, tell me immediately. "

"Okay, brother."

One of the girls named Chi Jia nodded immediately.

Seeing that Chi Jia called out "Senior brother", several others also echoed.

Lu Chen knew it in his heart.

"It seems that they are really interns."

There are more than 40 personal patients in the observation room, and each person is assigned to manage seven or eight patients.

Lu Chen's burden suddenly became much lighter.

Everyone began to work separately, checking everyone's patients.

……

About 7 minutes later, Cheng Lin returned from the abdominal and head CT scans.

He happened to be in Chi Jia's area.

After Chi Jia learned about Cheng Lin's condition, she immediately turned on the computer and watched the images on the video system.

"Doctor, is there anything wrong with my test result?" Cheng Lin asked Chi Jia impatiently.

"There is no problem with the CT of the head. There should be no problem with the CT of the abdomen." Chi Jia quickly browsed through the images, "But we still have to wait for the report from the CT room. We don't see it professionally."

"Oh, okay, then I'll wait." Cheng Lin nodded.

But after hearing Chi Jia's words, he felt a little relieved.

Although my stomach started to hurt again, I endured it and it passed.

Lu Chen had just bandaged an old lady's wound when he noticed Cheng Lin was back.

"Junior sister, what is the result of this patient's abdominal CT?"

Chi Jia immediately stood up and said, "The CT room hasn't produced any results yet, but I've seen the images, and I feel fine, nothing abnormal."

Lu Chen frowned, was it okay?

He looked at Cheng Lin, only to find that the life value on his head had changed!
His HP was 63 before, but now it has become 60!

"Junior Sister, go and measure this patient's blood pressure." Lu Chen's heart tightened.

Although Chi Jia felt a little strange, she obediently went to get the blood pressure monitor.

Lu Chen quickly sat in front of the computer, clicked on the imaging system, and began to check Cheng Lin's CT image.

Head CT...no problem.

Abdominal CT, at first glance, is not a problem.

Could it be that he was wrong, the system is buggy, is there really no problem with him?
Lu Chen settled down and carefully looked at every layer of the abdominal CT image.

At this time, Lu Chen didn't reply, staring at the image closely.

He suddenly noticed that when looking at the fourth slice of abdominal CT, there seemed to be a low-density shadow in the liver area.

The area of ​​this low-density shadow is very small, and it is really not easy to see if you don't look carefully.

"Brother, the patient's blood pressure is not very high, only 92/58mmHg, and the upper limbs are symmetrical." Chi Jia has already measured the blood pressure.

"Oops, blood pressure has dropped!" Lu Chen's heart sank.

Something went wrong, something went wrong!

　Brothers and sisters, how many words are good for a chapter?
　　
　
(End of this chapter)