Emergency Department Observation of Medical Records

Zhao Bin spoke on behalf of the medical staff of the Tibetan aid team at the commendation meeting for the aid to Tibet in mid-October.

The commendation meeting was held for the whole hospital. Since the dean and directors of each department were required to attend, each department arranged people to go to the venue to make up the numbers.Interns and graduate students who did not go to clinical practice were all sent over as strong men.Luo Mingyao was probably the only one who voluntarily participated.

Zhao Bin's speech was very exciting, without too many political slogans, and he collected a lot of photos, including those of Lhasa City People's Hospital, Shuanghu County Hospital, township health centers below Shuanghu County, and Tibetan residences.He briefly talked about the environment in Tibet, the medical treatment and living conditions in various places, and talked about the altitude sickness, cold, and strong ultraviolet rays he experienced when he was in Tibet.Then the medical records were displayed one by one, the patients with sudden hypertensive death who they could not save, the patients with pulmonary embolism who he neglected, the patients with chronic obstructive pulmonary disease they successfully diagnosed and treated, and the little girl with asthma at home.

"The Tibet I imagined is completely different from the Tibet I actually work in." Zhao Bin said, "It may be a holy place for those who have never been there, or for those who travel for a short time, but for patients, it may be a sacred place." I would describe it as hell. Every patient comes to me, it is a challenge. Here, in our top ten hospitals in the country, we have advanced inspection equipment, where we can only rely on our own experience If you don't ask a question, you may miss an important clue; if you don't think about a possibility, you will delay the diagnosis and treatment of the disease. When I went, I was full of pride, but when I came back, I was humbled and powerless. We can do There are really too few. I have blamed myself, regretted, and lost. But the disease does not allow you to stop, and life will not wait for you to wake up. So far, I have not even thought about it. What to do, I didn’t want to understand the meaning of the profession of a doctor. The only thing I know is that every patient needs to be listened to, paid attention to, and checked with all our patience. Do my best and don’t regret it. Now that you have chosen to be a fighter, you should continue to fight tenaciously. Seeing the smiling faces of these patients who have been successfully treated, all the hard work is worth it.”

The people in the venue applauded enthusiastically for his words.Luo Ming looked at the man on the stage, applauded him earnestly and excitedly, and was extremely proud of him.

In addition to making a representative speech this time, Zhao Bin was also commended by an outstanding team member with an extra reward of 1000 yuan.After receiving the reward, he invited Luo Mingyao to have dinner with him that day, and said that he would take him shopping together.

Before eating, Zhao Bin took him to IKEA to shop for furniture, and asked him if he had a favorite sofa.

Luo Mingyao was at a loss: "Do you want to change the sofa?" He looked at it seriously, and finally pointed to a 1400 double sofa and said that the color is nice.

Zhao Bin went over to sit on the sofa, and beckoned him over: "Try it?"

Luo Mingyao looked around. Fortunately, it was a weekday and there were not many people. He walked over awkwardly. Zhao Bin looked amused, and pulled the person down to sit next to him.

"How?" he asked.

"It seems to be okay..." Luo Mingyao poked the cushion underneath with his hand, "It's quite comfortable."

"Don't you think the backrest is a bit short?" Zhao Bin leaned back, the backrest of the sofa only reached his shoulders.He let his body slide down a little more, and continued: "Lie down and feel it? It's deep enough. In fact, it's okay to sleep at this height, but I think you need an extra cushion on your waist."

Luo Mingyao followed his movements and slid down a little to lie down.

Zhao Bin quietly held his hand with a smug smile. "That's it." Zhao Bin finally said.

So he paid the bill and made an appointment for delivery. Luo Mingyao looked at the address he wrote down, which was not the street next to the hospital, and asked, "Where is this going to be delivered?"

Zhao Bin kept writing, just smiled and said, "I'll take you there later."

After having dinner near IKEA, Zhao Bin took him to the newly bought house.Open the door, turn on the light, and the voices of two people echoed in the empty room.

"Ms. Zhao, you bought the house?" Luo Ming guessed it on the way, and couldn't help being happy for him.

Zhao Bin pointed to the living room: "Put the sofa here. You have a good eye, and the color is just right." He walked over and put his arms around Luo Mingyao's shoulders and said, "I chose to receive the goods during the day after tomorrow. From now on, we will sit here and watch TV together The house is small, I have prepared a dining table and a desk, and it will be placed here at that time. At that time, you will help choose the dining table.”

Luo Mingyao couldn't help laughing: "Let's put a vase on the table and put some flowers in it."

Zhao Bin hugged him and rubbed his head: "Why, rose wine was very comfortable last time?"

Luo Mingyao blushed, struggled away, and didn't want to talk to him.

Zhao Bin let him run to the side, and continued: "In the living room, apart from the double sofa and TV, I don't plan to put too many things. I want to make the other walls into bookshelves, which can be used for books and decorations. "

It took Luo Mingyao a long time to get over his shyness, and followed him into the bedroom again. "Here," said Zhao Bin, "the wardrobe should be enough for the two of us."

"Me, the two of us?" Luo Mingyao stammered and asked.

"Well, the two of us." Zhao Bin hugged him, "From now on, this is our home. Do you like it?"

Luo Ming looked at him from a distance, unable to speak, but suddenly put his arms around Zhao Bin's neck, leaned over and kissed Zhao Bin's lips.

Zhao Bin stroked Luo Mingyao's back contentedly, and the two of them entangled their breasts and rubbed each other.

"Ms. Zhao," Luo Mingyao struggled out of his arms, raised his head and said to him, "You must buy a shoe cabinet at the entrance."

"Well," Zhao Bin said lazily, "you can put another vase on the shoe cabinet, and you can change a bunch of flowers every day. I didn't expect you to like flowers so much."

Luo Mingyao couldn't help but hit him: "You, stop talking..."

Zhao Bin's chest trembled and he let out a chuckle.That voice made Luo Mingyao's ears itch from laughing. He blushed again and lay down in his arms.

"The table is still a good-looking log color, matching the color of the wooden floor." Luo Mingyao thought for a while and then said, "Buy a white porcelain vase. One tablecloth for eating and one for work."

"It's up to you to choose." Zhao Bin bowed his head and kissed his hair, "I just want to sit next to you in the future, and when I eat, I open my mouth and you feed me a mouthful." After thinking about it, he smiled again stand up. "When we get home from get off work, can we walk together, at night, those who go to bed early and those who go to bed late, chat for a while, and say good night."

Luo Mingyao gave a low "um" in his arms, feeling a little sleepy.

Zhao Bin was also sleepy, and his breathing gradually slowed down. Before going to bed, he felt the person in his arms move slightly, and whispered in his ear, "Good night, Mr. Zhao."

He smiled lightly and fell into a deep sleep.

Although the two people are connected in mind now, they don't actually spend much time together.The emergency department is the busiest department. When Zhao Bin is busy, he rarely sees people all day.Luo Mingyao also has to go to the laboratory, run drug experiments, go to the boss's clinic and do chores, and he can have a meal together in a week.

So busy, the time has come to the end of the year.Huang Bohuai excitedly came to ask Luo Mingyao to attend the Audio-Technica New Year's party.After Luo Mingyao agreed, he received a call from Zhu Zhenzhen, telling him that Huang Baihuai had successfully left the singles this year, and he was in such a hurry to organize a party to show off his girlfriend.By the way, Zhu Zhenzhen cared about the relationship between Luo Mingyao and Zhao Bin, and when she learned that the relationship between the two was stable, she strongly asked Luo Mingyao to bring Zhao Bin to the party.

"This..." Luo Mingyao was a little embarrassed, "It's not very good..."

"What's wrong?" Zhu Zhenzhen said, "Since we are together, the circle of friends of both parties should also blend in. You see, Tangtang and I are ready, and I will introduce you to each other."

Luo Mingyao was still a little hesitant. Before Zhu Zhenzhen hung up the phone, she said, "At least ask Mr. Zhao if he would like to come, not just because you think it's bad. But if he doesn't, I don't think he's sincere enough to be with you. Together!"

Zhao Bin didn't know that he was going to accept the test at this time.In fact, he and Luo Mingyao haven't had time to meet each other this week, so they only made an appointment on WeChat at Zhao Bin's house for New Year's Eve.In the afternoon, he was seeing patients.

"Why not?" he asked the young man in front of him.There was a gentle smile in the eyes exposed above the mask.

The young man put his hands on his chest and said, "I have chest pain and tightness, and I can't breathe."

"How long has it been?" Zhao Bin asked.

"It started yesterday, yesterday afternoon," said the patient.

"What were you doing at that time?" Zhao Bin asked him while entering the medical records.

"I was playing the trumpet at that time." The patient said, "I am in the school brass band. We have been rehearsing for the school's New Year's Gala performance these days. During the rehearsal yesterday afternoon, I suddenly felt very painful. I endured it, but blowing is I can’t continue blowing, and it hurts when I inhale. I thought it would be better to rest for a day, but today it’s even more uncomfortable, and my breathing is affected.”

Zhao Bin almost had an idea, and continued to ask a few questions: "Did you blow it hard at that time? Didn't it hit your chest?"

"Yes, when I blew a long note, I suddenly felt pain." The patient said, "I didn't bump into it, and I didn't fall down."

"Which location hurts?" Zhao Bin asked.

The patient pointed and felt pain in the entire left chest.

"Apart from chest pain, do you have any other symptoms?" Zhao Bin asked, "Cough? Palpitations?"

The patient shook his head and indicated that these symptoms were absent.

Zhao Bin got up and led the patient to lie down on the examination bed for his physical examination.The patient unbuttoned his shirt, exposing his chest.The inspection did not find any major problems. Zhao Bin put his hands on the chest, felt the breath movement and language tremor, percussed his chest on both sides, and then listened to the breath sounds on both sides.The patient's left breathing movement, speech tremor, and breath sounds all weakened, and the left lung percussion also made a drum sound. Basically, it is definitely a pneumothorax, and the degree of compression of the left lung tissue is definitely not low.

Zhao Bin explained his illness and gave him an examination: "Has there been a similar situation before?" He finally asked.

"No..." The patient said with some discomfort, "Doctor, what should I do about this...?"

"Don't be nervous." Zhao Bin said, "Pneumothorax is a common disease in our emergency department, especially for young people like you, who are thin and tall, and many people may appear without any trigger. This time, you probably blow it up hard." Induced. You took a picture, we can see the degree of pneumothorax, whether there are other accompanying infections, etc., just do a puncture and expel the air. Thoracentesis is a very simple operation, which is considered our I have practiced the basic skills of a physician. You don’t need to go to the operating room. You will be in our observation ward later and find a bed to do the operation. But there is one thing, after the puncture, you have to stay in our emergency department for observation until your lungs are reexamined. You can only leave when you have fully recovered. You should go for observation first, this disease requires less exercise and more rest, and the nurse will send you for an examination later."

The patient went to stay for observation, and while waiting for the results of the patient's examination, he saw a few more patients.When the patient came back with the test results and was about to have a puncture, Luo Mingyao came to the emergency department to look for him.