Do nothing

Wednesday.

Yan Ke came to the consultation room ahead of time, and when he opened the door, he saw Ling Lu eating bread.

"Fawn? Why are you here?"

"Mr. Yan, good morning!" Xiaolu smiled and handed out another piece of bread, "Have you had breakfast yet?"

"I've eaten." Seeing him wearing a white coat, Yan Ke couldn't help being surprised, "Why don't you come here without reading?"

"I'm tired of reading every day, come here and copy to change my mood."

Yan Ke laughed and said, "That's why you dragged me to play poker that day. Do you still want to take the postgraduate entrance examination? Have you finished all the simulation papers?"

"Oh, it's so annoying." Ling Lu covered his ears, with an attitude of "don't listen or listen", and muttered, "I've been here since I came, why can't I just go back after breakfast?"

Yan Ke had no choice but to say, "Fine, you can do whatever you want. But you really are, and you don't tell me in advance if you want to copy the recipe."

"If I told you in advance, you would definitely not let me come."

"No." Yan Ke sat down in front of the computer and entered the password of his job number, "If you agree with me, I will buy egg pancakes at the gate of the community and bring them over. You don't have to eat bread dryly. "

Ling Lu lowered his head, unable to hold back the smile on the corner of his mouth, his mouth was covered with bread crumbs.

"By the way, you have come to copy prescriptions so many times, and I haven't taught you anything." Yan Ke opened the medicine set, "Now I have time, let me tell you how to treat a cold."

Ling Lu quickly took out his small notebook.

"Colds have several common symptoms. Fever, cough, sore throat, dizziness, stuffy nose and runny nose. Common colds can be divided into three types, which are summarized by my uncle."

Yu Cheng's experience?

Ling Lu pouted, and quickly persuaded himself: knowledge is innocent!

Yan Ke didn't notice it, and continued: "The first type is that the patient complains mainly of cough. He may or may not have a fever, but the most important thing is cough. At this time, look at his blood routine, white blood cells and neutrophils are normal. It’s not too high, and the CRP may be more than a dozen (Note 1). These are usually mycoplasma or virus infections. If you look at him and think he’s okay, just give him some oral medicine, pudilan and chlorobrown mixture They are all Chinese patent medicines, and the effect is good. If it is more serious, let him go to the emergency room for water hanging. By the way, the outpatient clinic does not allow water hanging now, you know?"

Ling Lu nodded.

"The second type is mainly sore throat. Take a look at his throat with a tongue depressor. The back wall of the throat is congested, the tonsils are enlarged, and may even suppurate. At this time, a typical symptom of the patient is dysphagia. , Throat saliva hurts when eating. This situation is basically a bacterial infection with high white blood cells. You can give him some antibiotics, such as first- and second-generation cephalosporins. But before using cephalosporins, you must ask if you have any allergic history. Oral cephalosporins are better, and skin tests must be done when using cephalosporins for hanging water. In addition to antibiotics, you can also prescribe cattail blue."

"The third type is gastrointestinal cold. He has cold symptoms and gastrointestinal symptoms at the same time, such as nausea and vomiting, abdominal pain and diarrhea, and some conversely constipation. This situation is similar to our traditional Chinese medicine's exogenous cold and dampness... "

Ling Lu had a flash of inspiration: "Huoxiang is righteous?"

Yan Ke smiled: "Yes, Huoxiang is righteous. Lansoprazole can be used orally to protect the stomach, and Zuoxi can be added to control infection. If the blood count is high, let him hang the water. The water is also added with antibiotics. Stomach medicine."

Ling Lu wrote them down one by one, and couldn't help but praise: "This classification is so clear and easy to remember." After boasting, he remembered that this was Yu Cheng's experience, and he wanted to give himself two slaps.

Forget it, knowledge is innocent...don't be so narrow!

Yan Ke said with a smile: "It's almost time, open the door to receive guests."

There are indeed many more patients today than in the past. Fortunately, Ling Lu helped to maintain order.Yan Ke took a deep breath and took the first medical record.

"Doctor, I have a cold. Give me some medicine."

"Where does it hurt?"

"It's just a cold."

"What are the specific symptoms? Do you have a fever?"

"It seems to be there... I haven't measured it either."

Yan Ke wrote a note "Please take your temperature": "Take this to the nurse's counter at the door to measure it. No. 2!"

No. 2 is a girl, she seems not energetic, her voice is low and feeble: "Doctor, I have a cold too."

"Where is it uncomfortable? Do you have a fever?"

"If you have a fever, measure 39 degrees at home."

"Apart from fever, what's wrong?"

The girl swallowed her saliva, frowned and said, "My throat hurts, it hurts so much. I want to hang up the water."

Yan Ke smiled at Ling Lu: "This is the second type." He motioned Ling Lu to take the tongue depressor: "Xiao Lu, take a look."

Ling Lu shone a small flashlight into the girl's throat: "The back wall of the pharynx is congested, and the tonsils are swollen to the second degree, with a bit of suppuration."

At this time, Yan Ke had already prepared the laboratory test form, and said to the girl, "You go for a blood test first, and then decide whether to hang water or take medicine based on the blood test result."

The girl said: "Doctor, I'm in such pain that I can't even drink water, so you can hang water for me."

Yan Ke said: "There is also a risk of transfusion when hanging water. We should try not to hang water if we can take it orally. Go to the blood test and see the test results first."

The girl left disappointed.

The third patient suffered from gastrointestinal flu. Yan Ke reported the doctor's order while writing the medical records: "Two boxes of Huoxiangzhengqi Soft Capsules, 3 tid. Zuo Ke...you take levofloxacin, 1 bids. Lanso 2 box, 1 A bid (Note 1). Add another Bamir, which is an effervescent aspirin tablet, and 2 prn."

Yan Ke looked up at the computer to make sure that Linglu had typed correctly, then pointed to the screen and told the patient: "This Bamir is an antipyretic medicine, take it when your body temperature exceeds 38 degrees 5, there should be an interval of 4 hours between two doses of medicine." 6 hours, do you understand?"

The patient nodded, took his medical records and left.

In this way, the outpatient service went smoothly and quickly.

After seeing dozens of patients, Yan Ke gradually began to tremble again.Fortunately, Xiaolu helped him to use the computer. He just wrote the medical records, just hold the pen a little harder.

Muscle tremors seem to be more frequent than before?

By the way, the medicine is almost finished, and it's time for a follow-up visit this week...

Yan Ke lost his mind for a while, looked up from the medical records, but suddenly forgot what he wanted to say.He glanced at the patient, then looked down at the medical records. The diagnosis he just wrote down two seconds ago was stomach flu.

Gastrointestinal cold... the blood has been experienced, there is a slight bacterial infection, the inflammation index is not high, there is no need to hang water, just take some oral medicine and it will be fine.

Oral medicine... what is it?

Yan Ke stared at the medical records, unconsciously turning his pen.Pop, the ballpoint pen fell off immediately.He picked up the pen again and saw that his hands were shaking badly.

Stomach-intestinal cold...what medicine is taken for stomach-intestinal cold?Chinese patent medicine combined with antibiotics... Chinese patent medicine...

Can not remember.

My mind went blank.

Surprised expressions appeared on the faces of the patients who visited the clinic, and the patients behind were getting more and more impatient.

How come you don't even remember this?obviously...

Yan Ke couldn't help becoming irritable, and looked down at the patient's previous medical records.But his last visit to the doctor was several years ago, and there was no illness related to gastrointestinal flu...

"...Teacher Yan?" Ling Lu looked at him puzzled.

Remember quickly.The deer is watching too.

Come to think of it, think of it...

A worried look flashed across Ling Lu's face.He thought for a while, and asked softly, "Mr. Yan, do you still use plan No. 3?"

Yan Ke raised his head in a daze.Ling Lu has already started typing, and the Huoxiangzhengqi Soft Capsules are prescribed in the prescription.

By the way, Huoxiang is righteous!Gastrointestinal cold with Huoxiang plus levocransol!

"...Yes, I still use this set." When Yan Ke was speaking, Ling Lu had already started Zuo Ke and Lan Suo.Yan Ke was very grateful in his heart, but he didn't dare to show it in front of the patient, so he could only pretend that nothing happened.

Yan Ke took a deep breath, and was about to take the next medical record when Ling Lu suddenly got up and said to the patients: "Everyone, go out and wait a while, the doctor is going to have lunch. Continue to read it in a quarter of an hour, sorry."

Yan Ke glanced at the wall clock, it was only eleven o'clock, he couldn't help being taken aback.Ling Lu has already driven all the patients out and closed the door of the consulting room.

"It's not time yet..."

"Teacher Yan, are you feeling unwell?" Ling Lu was full of worry, and raised his hand, as if he wanted to touch his forehead, but he retracted it as soon as he stretched it out, and handed out a tissue instead, "There is a lot of blood on your head." Sweating."

Yan Ke took the paper in embarrassment: "Just now, my brain went down for a while, and I was a little anxious."

Ling Lu said: "Why don't I call Teacher Yu over and let him see the rest of the patients?"

"There is no need to mobilize people for such a trivial matter, not to mention that he is off the night shift today."

Ling Lu sighed: "Then you can rest for a while. I'm going to buy food. What do you want to eat?"

Yan Ke shook his head: "The cafeteria is too crowded at the moment, and a quarter of an hour is too late."

Ling Lu took out the bread he bought this morning: "Do you want to eat this?"

Yan Ke smiled: "Eat, I'm not hungry."

"No, you have a bad stomach. Have you forgotten the last time you vomited blood?" Ling Lu was very firm.

Yan Ke glanced at the numbering system: "There are still fifty or sixty numbers that I haven't read. Otherwise, I'll eat the bread, and you can go eat when you see 11:30 later, and I'll look at the rest."

Ling Lu refused without hesitation: "No. I don't trust you."

Yan Ke said helplessly: "This doesn't work, that doesn't work, so what do you say?"

Ling Lu thought for a while, broke open the bread, took out a small half, and handed the big half together with the wrapping paper to Yan Ke.

"Half for one person?" Yan Ke laughed out loud, "Isn't it enough for both of you to eat?"

"Eat something first, let's read it quickly, and then go eat together." Ling Lu put the little half in his mouth, picked up Yan Ke's water glass, "I'll pour water."

Turning around, her face turned red.

Ling Lu squatted in front of the water dispenser, watching Yan Ke's water cup steaming, for some reason, he couldn't help but want to laugh.

Share the only bread with him...

It's like a fairy tale.Poor, two little beggars who depend on each other?

When he returned to the consulting room and saw Yan Ke eating bread and laughing, he suddenly felt...

Tooth decay.

So sweet.

At the same time, in City B, a certain cemetery.

It is said to be a cemetery here, but in fact it is not much better than a mass grave.The tombstones are arranged haphazardly, and weeds are overgrown on the stone steps.There is a small earthen hut at the foot of the hill, probably where the tomb guards lived. At this time, the door is closed, and it is not known whether there is anyone inside.

"That's it?" Zhang Xingduan frowned as he looked at the tombstone.The owner of the tombstone is Shen Linlin, who died 16 years ago.He calculated that the girl was probably only 17 years old when she died.

It looks like this tomb has not been visited for a long time.The inscriptions on the tombstone have long faded, and thick dust has accumulated on the urn.

"I haven't been here since the burial." Yu Cheng squatted in front of the tombstone, and wiped the photo on the tombstone with a wet towel. "It seems that her parents are too."

Zhang Xingduan watched from a distance with his arms folded, he didn't want to touch this unlucky thing at all.After a while, Yu Cheng wiped the photo clean, raised his head and said, "Come and see."

Only then did Zhang Xingduan reluctantly come over.The black and white photo was blurry, but it still looked a bit like the girl in the porn.He felt very uncomfortable, straightened up immediately, took two steps back and said: "Okay, okay, I saw it."

Yu Cheng patiently dusted off the urn, and calmly said: "Actually, you can send someone to continue to investigate. Although the incident of her jumping from the building has been suppressed, there must be records inside the Yuezhi Academy. Also, after entering the Academy Before, she was an outstanding graduate of our junior high school, you can check the alumni list - oh, I forgot to tell you, she and I are in the same junior high school."

Zhang Xingduan was a little surprised: "You know each other since junior high school?"

Yu Chengdao: "They are all from the same town. I don't know her, but she is familiar. She is a year older than me. She graduated from junior high school and went to a key high school in the city. When we meet again, she will be in the academy."

Zhang Xingduan clicked his tongue: "When we meet again, I'm already an Internet addicted girl."

Yu Cheng smiled: "She has no Internet addiction, she just writes novels on the Internet. Her parents think she is not doing her job properly."

Zhang Xingduan originally wanted to ask "What about you", but the desolate and dilapidated environment here really made him lose interest.So he dragged Yu Cheng back to the car in a hurry, and was about to return to City A, when he suddenly turned his head and said, "It's all here, why don't you go see your parents?"

Yu Cheng said, "No need. They will contact me."

This sentence is very subtle.Zhang Xingduan savored the deep meaning in it carefully, and suddenly felt a joy of anticipation in his heart.

"Are you still living in Yan Ke's apartment?" Zhang Xingduan asked.

"Ah."

"Move out."

Yu Cheng glanced at him, and Zhang Xingduan added with a smile, "Go to my house."

Note 1: CRP: C-reactive protein.It is an acute phase protein synthesized by liver cells when the body is subjected to inflammatory stimuli such as microbial invasion or tissue damage.

Note 2: bid is twice a day, tid is three times a day, prn is taken when necessary.By the way, once a day is qd, and once a night is qn.