I can see health
Chapter 213 Take a pee and see again
Chapter 213 Take a pee and see again
"Dr. Yin, the patient in bed 39 has to get out of bed to go to the toilet to urinate. He is pumping nitroglycerin now, can he go?"
The nurse's voice came from outside the office.
Lu Chen breathed a sigh of relief. Fortunately, he just asked this question, and there was no change in his condition.
This kind of matter is handled by the superiors, and Lu Chen didn't make a sound.
"Not for now." Yin Xinhua replied loudly, "Bed 39 is a patient with heart failure in our group. He just came to the hospital today, so let him urinate next to the bed."
"Okay, I got it, I'll go tell him!"
"In addition, let his family take good care of him, and don't go to the ground casually."
In the cardiology department, whether it is heart failure or myocardial infarction, in the acute stage of the onset, it is not allowed to go to the toilet to defecate, and it can only be done by the bedside.
The unpredictability of heart disease is too much. Once the condition changes when urinating, it is difficult to find out in time, so I can only urinate next to the bed.
However, there is more than one patient in the ward, and sometimes there are family members of the opposite sex. Some patients cannot pass this psychological barrier and always want to go to the toilet secretly.
"Lu Chen, go and have a look and tell his family members not to let the patient go to the ground." Yin Xinhua was still worried, so he instructed.
"Okay." Lu Chen nodded, picked up the stethoscope, and walked out of the doctor's office.
This time, Fan Zhiping did not follow, but chatted with Yin Xinhua in the office.
……
Comes to 39 beds.
Lying on the bed was a middle-aged man in his 60s with 68 HP.
Bedside monitors and intravenous infusion pumps are all available.
Lu Chen just walked into the room.
The patient sat up and said to Lu Chen, "Doctor, let me go to the toilet. I really can't get it out in the ward."
The patient's expression is uncomfortable, not the discomfort of being sick, but the feeling of wanting to urinate but not being able to.
"Just by the bed." Lu Chen whispered.
It was almost ten o'clock now, and some patients in other beds were already asleep.
"Master, you can't get out of bed yet. You can only get out of bed after your condition has stabilized a little and you have obtained the consent of the doctor in charge of the bed."
The patient did not speak, but looked around with a very tangled expression.
Some people, the older they get, the more stubborn and stubborn they become.
The patient's wife was on the side, holding a urinal in his hand, and persuaded him: "Old man, you can rest on the bed for convenience. I'll ask the nurse to borrow something to cover it. It's fine."
The patient kept a straight face and didn't speak, but he didn't refuse either.
After a while, the nurse brought the shield, and Lu Chen saw this and left the ward.
……
Go back to the doctor's office.
"Junior brother, the patient didn't get out of bed." Yin Xinhua said.
Lu Chen shook his head, "The nurse took a shield and made it easier for him to stay on the bed."
"Well." Yin Xinhua said, "This is an old patient with heart failure. He lives in our department for a week or two every year, but he also relies on himself as an old patient and doesn't listen to the doctor's words."
Fan Zhiping on the side immediately took over.
"The cardiology department of our county hospital is like this. A considerable number of them are old patients. Many people know what medicine they are taking. When they come to the department, they ask for nitroglycerin. There are also some medicines for dilating the tube. They don't listen to the doctor at all."
"Some with a good temper are okay, some with a bad temper often quarrel with the nurses, no one wants to take them..."
Lu Chen's career is still very short, or he has not managed patients completely independently.
Generally, when encountering communication issues, all are resolved by the superior physician.
"Let me ask the nurses to step up their patrols. This kind of patients are most prone to accidents." Yin Xinhua sighed.
"Okay." Lu Chen nodded.
Clinically, treatment only accounts for [-]% of the time, and the rest of the time is spent dealing with patients and fighting wits with their families.
……
After dealing with the patient's condition, Lu Chen began to perfect the case that he will prepare next week.
"Beep beep..."
The WeChat notification sounded continuously.
Lu Chen picked up his phone and looked, it was a message from the dormitory group.
He didn't plan to watch it at first, but Wang Zihao caught his attention.
"Fuck!!!"
"Why is there so much foam in my urine today?"
Before everyone in the dormitory replied, Wang Zihao started a series of heart-pounding self-questions.
"Could it be that I have proteinuria!"
Generally speaking, there is foam in the urine because there is protein in the urine.
"Will there be hematuria that I can't see for the time being!?"
"Is it nephrotic syndrome? Is it chronic nephritis?"
Lu Chen picked up the phone and was thinking about how to edit the message, when Wang Zihao's words popped up from the dialog box again.
"Ah, am I going to have kidney failure!"
"I'm going to have uremia!"
Lu Chen smiled helplessly.
There are so many dramas in this stuff.
At this time, another roommate replied in the group.
"Old Wang, I also took in a few young men yesterday. One suffered from acute renal failure after taking a Chinese medicine prescription from nowhere, and the other suffered from malignant hypertension and renal failure in his 20s..."
This roommate is a graduate student in the Department of Nephrology.
As soon as his words came out, Wang Zihao had nothing to say.
Lu Chen immediately replied: "Don't scare Lao Wang, if he goes to the nephrology department tomorrow, you will take care of him."
"Do you really need to go to the hospital?" Wang Zihao replied cautiously.
Lu Chen was quite helpless: "You go... Everyone will definitely not stop you..."
Wang Zihao: "Really... I always feel sick..."
"It's normal." Lu Chen smiled, "Usually when you see some symptoms, you put them on yourself. Do you feel like you have high blood pressure when you have a headache, or edema when your legs get fatter?"
Even though everyone is in graduate school now, they are still clinical rookies.
In the period of first contact with clinical disease.
Due to the limited level of diagnosis of medical students and the influence of personal psychological factors, it is very easy for medical students to have the illusion of being unhealthy.
Seeing many people with the same or similar symptoms every day, reviewing the typical symptoms every day!
I always feel sick!
Wang Zihao said: "But... there are really bubbles in my urine! If you don't believe me, I'll take a picture for you when I pee again later."
Lu Chen: "Don't take a picture of me, next time you finish peeing, wait a minute or two to see if the foam disappears."
"Can it still be like this?" Wang Zihao asked in surprise, "If it disappears, is there no problem?"
Lu Chen replied with an OK gesture.
A classmate from the Department of Nephrology also sent an approving emoji.
Seeing everyone's replies, Wang Zihao immediately jumped up from the bed.
Got out of bed, poured a glass of water, took a sip, and took another sip...
Half an hour later, Wang Zihao felt the urge to urinate.
He ran to the toilet, and after urinating, he didn't leave immediately, but observed silently for a while.
Wang Zihao was overjoyed, the bubbles really disappeared!
……
The inner eighth district of Jinghua Second Hospital.
Lu Chen suddenly saw another prompt pop up in the system.
"Congratulations, receiving the thank you from Wang Zihao is worth +1!"
This guy really went to pee to see the foam?
(End of this chapter)
"Dr. Yin, the patient in bed 39 has to get out of bed to go to the toilet to urinate. He is pumping nitroglycerin now, can he go?"
The nurse's voice came from outside the office.
Lu Chen breathed a sigh of relief. Fortunately, he just asked this question, and there was no change in his condition.
This kind of matter is handled by the superiors, and Lu Chen didn't make a sound.
"Not for now." Yin Xinhua replied loudly, "Bed 39 is a patient with heart failure in our group. He just came to the hospital today, so let him urinate next to the bed."
"Okay, I got it, I'll go tell him!"
"In addition, let his family take good care of him, and don't go to the ground casually."
In the cardiology department, whether it is heart failure or myocardial infarction, in the acute stage of the onset, it is not allowed to go to the toilet to defecate, and it can only be done by the bedside.
The unpredictability of heart disease is too much. Once the condition changes when urinating, it is difficult to find out in time, so I can only urinate next to the bed.
However, there is more than one patient in the ward, and sometimes there are family members of the opposite sex. Some patients cannot pass this psychological barrier and always want to go to the toilet secretly.
"Lu Chen, go and have a look and tell his family members not to let the patient go to the ground." Yin Xinhua was still worried, so he instructed.
"Okay." Lu Chen nodded, picked up the stethoscope, and walked out of the doctor's office.
This time, Fan Zhiping did not follow, but chatted with Yin Xinhua in the office.
……
Comes to 39 beds.
Lying on the bed was a middle-aged man in his 60s with 68 HP.
Bedside monitors and intravenous infusion pumps are all available.
Lu Chen just walked into the room.
The patient sat up and said to Lu Chen, "Doctor, let me go to the toilet. I really can't get it out in the ward."
The patient's expression is uncomfortable, not the discomfort of being sick, but the feeling of wanting to urinate but not being able to.
"Just by the bed." Lu Chen whispered.
It was almost ten o'clock now, and some patients in other beds were already asleep.
"Master, you can't get out of bed yet. You can only get out of bed after your condition has stabilized a little and you have obtained the consent of the doctor in charge of the bed."
The patient did not speak, but looked around with a very tangled expression.
Some people, the older they get, the more stubborn and stubborn they become.
The patient's wife was on the side, holding a urinal in his hand, and persuaded him: "Old man, you can rest on the bed for convenience. I'll ask the nurse to borrow something to cover it. It's fine."
The patient kept a straight face and didn't speak, but he didn't refuse either.
After a while, the nurse brought the shield, and Lu Chen saw this and left the ward.
……
Go back to the doctor's office.
"Junior brother, the patient didn't get out of bed." Yin Xinhua said.
Lu Chen shook his head, "The nurse took a shield and made it easier for him to stay on the bed."
"Well." Yin Xinhua said, "This is an old patient with heart failure. He lives in our department for a week or two every year, but he also relies on himself as an old patient and doesn't listen to the doctor's words."
Fan Zhiping on the side immediately took over.
"The cardiology department of our county hospital is like this. A considerable number of them are old patients. Many people know what medicine they are taking. When they come to the department, they ask for nitroglycerin. There are also some medicines for dilating the tube. They don't listen to the doctor at all."
"Some with a good temper are okay, some with a bad temper often quarrel with the nurses, no one wants to take them..."
Lu Chen's career is still very short, or he has not managed patients completely independently.
Generally, when encountering communication issues, all are resolved by the superior physician.
"Let me ask the nurses to step up their patrols. This kind of patients are most prone to accidents." Yin Xinhua sighed.
"Okay." Lu Chen nodded.
Clinically, treatment only accounts for [-]% of the time, and the rest of the time is spent dealing with patients and fighting wits with their families.
……
After dealing with the patient's condition, Lu Chen began to perfect the case that he will prepare next week.
"Beep beep..."
The WeChat notification sounded continuously.
Lu Chen picked up his phone and looked, it was a message from the dormitory group.
He didn't plan to watch it at first, but Wang Zihao caught his attention.
"Fuck!!!"
"Why is there so much foam in my urine today?"
Before everyone in the dormitory replied, Wang Zihao started a series of heart-pounding self-questions.
"Could it be that I have proteinuria!"
Generally speaking, there is foam in the urine because there is protein in the urine.
"Will there be hematuria that I can't see for the time being!?"
"Is it nephrotic syndrome? Is it chronic nephritis?"
Lu Chen picked up the phone and was thinking about how to edit the message, when Wang Zihao's words popped up from the dialog box again.
"Ah, am I going to have kidney failure!"
"I'm going to have uremia!"
Lu Chen smiled helplessly.
There are so many dramas in this stuff.
At this time, another roommate replied in the group.
"Old Wang, I also took in a few young men yesterday. One suffered from acute renal failure after taking a Chinese medicine prescription from nowhere, and the other suffered from malignant hypertension and renal failure in his 20s..."
This roommate is a graduate student in the Department of Nephrology.
As soon as his words came out, Wang Zihao had nothing to say.
Lu Chen immediately replied: "Don't scare Lao Wang, if he goes to the nephrology department tomorrow, you will take care of him."
"Do you really need to go to the hospital?" Wang Zihao replied cautiously.
Lu Chen was quite helpless: "You go... Everyone will definitely not stop you..."
Wang Zihao: "Really... I always feel sick..."
"It's normal." Lu Chen smiled, "Usually when you see some symptoms, you put them on yourself. Do you feel like you have high blood pressure when you have a headache, or edema when your legs get fatter?"
Even though everyone is in graduate school now, they are still clinical rookies.
In the period of first contact with clinical disease.
Due to the limited level of diagnosis of medical students and the influence of personal psychological factors, it is very easy for medical students to have the illusion of being unhealthy.
Seeing many people with the same or similar symptoms every day, reviewing the typical symptoms every day!
I always feel sick!
Wang Zihao said: "But... there are really bubbles in my urine! If you don't believe me, I'll take a picture for you when I pee again later."
Lu Chen: "Don't take a picture of me, next time you finish peeing, wait a minute or two to see if the foam disappears."
"Can it still be like this?" Wang Zihao asked in surprise, "If it disappears, is there no problem?"
Lu Chen replied with an OK gesture.
A classmate from the Department of Nephrology also sent an approving emoji.
Seeing everyone's replies, Wang Zihao immediately jumped up from the bed.
Got out of bed, poured a glass of water, took a sip, and took another sip...
Half an hour later, Wang Zihao felt the urge to urinate.
He ran to the toilet, and after urinating, he didn't leave immediately, but observed silently for a while.
Wang Zihao was overjoyed, the bubbles really disappeared!
……
The inner eighth district of Jinghua Second Hospital.
Lu Chen suddenly saw another prompt pop up in the system.
"Congratulations, receiving the thank you from Wang Zihao is worth +1!"
This guy really went to pee to see the foam?
(End of this chapter)
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