Emergency Department Observation of Medical Records

In July, Luo Ming passed by in a daze, and received a lot of criticism in the neurosurgery department. The nurse in the operation scolded him bloody. Yao earnestly learned to do it well, and then the nurse agreed to let him into the operating room.Huang Bohuai did not feel that something was wrong until he was transferred to the Department of Hepatobiliary Surgery in August.

"What's the matter, Xiao Ming?" Huang Baihuai asked him in the dormitory, "Surgery surgery may be more hands-on, are you too nervous and not used to it?"

"It's a bit." Luo Mingyao's voice sounded calm, "When I came to the stage today, Teacher Wang said that I was obedient and willing to work, and asked me to sew a stitch. My knot was not right, so Teacher Wang drove me off. ..."

Huang Bohuai then forgot that Luo Mingyao had been in a bad state for a month, and began to care for his roommate academically: "Xiao Ming! How did we practice knotting in the dormitory back then! Aren't you good at practicing? Why did you get scared when you came on stage? As he spoke, he took out the surgical thread from the drawer that he didn't know when he would drag it back, "How does Teacher Wang want you to tie the knot? With bare hands or with instruments? Let's practice today! Don't be cowardly when you come on stage tomorrow, you are originally OK!"

"Yeah." Luo Mingyao's expression remained unchanged, he took his surgical thread, and began to practice knotting with him by hand.

But there are always new problems on the second and third day.I have tied the knot with bare hands, but I was criticized for knotting with a weapon, or the order of laying the towels was not correct.Huang Baihuai was very anxious for him.He used to think that Luo Mingyao came from a small county town, he was very unimpressive, he always looked like he had never seen the world, and he was timid when he went out to speak. Now there are so many problems in the last stage, which makes other teachers feel that it is the whole class. What should I do if the study atmosphere is not good?And what if you think they didn't come down to help each other?He didn't know that he had made up too much, so he felt good about himself and took Luo Mingyao to review the basics of surgery in the hospital's demonstration classroom at night.But he also began to notice that Luo Mingyao was absent-minded and had a good attitude every time, but he kept making small mistakes, which were just emphasized.He almost memorized those knowledge points, and Luo Mingyao still made mistakes.

"Can you be serious!" Huang Baihuai said angrily, "I've been reviewing with you for so long! You didn't study hard at all! You're going to piss me off! If you really don't want to study hard, I don't care about you anymore. You can do whatever you want!"

"I'm sorry." Luo Mingyao bowed his head and apologized.

"What's the use of apologizing!" Huang Baihuai choked even more panicked at his apology, "I just want you to behave better, you don't care at all..."

"Hey, are you reviewing here tonight?" A familiar face appeared at the door, it was Li Panqiu, the chief resident of the Cardiology Department, who came for consultation. "It's too hard work."

"Hey, Mr. Li, are you having a consultation?" Huang Baihuai immediately put on a smile, "The two of us are reviewing surgery, consolidating basic knowledge and skills."

"I don't think Ronaldinho's complexion is a little off? Why? Was he criticized?" Li Panqiu asked.

"He..." Huang Bohuai looked at Luo Mingyao, saw that he was silent, and defended him, "He is mainly nervous, just be proficient."

"I won't bother you anymore." Li Panqiu said, "Don't be too late, go back and rest early."

Seeing Li Panqiu leave, Huang Baihuai greeted Luo Mingyao again: "Xiao Ming, be more serious this time."

Li Panqiu went to the emergency room in a murderous spirit, asked about Zhao Bin's schedule, and knew that he was on the night shift today, so he hurried back to the emergency room at one o'clock.

"Look what evil you have done!" Li Panqiu scolded Zhao Bin, "At that time, I said that what you did was immoral. Look at what you have done to the child!"

"What's wrong?" Zhao Bin's heart skipped a beat, with anxiety that he didn't realize.

"I went to the liver and gallbladder for a consultation today. Teacher Wang complained to me that the current interns are not spiritual at all, and they make mistakes every time they go on stage." Li Panqiu said, "I asked him who he is taking now, maybe he knows him, and the result is Ronaldinho When I came out of their department, I saw him and Huang Bohuai, who was in the same group, reviewing in the demonstration classroom. It was past ten o'clock. Huang Bohuai scolded him for not paying attention at all. I went in and saw him. Say hello to the teacher respectfully, now I see that I don’t have any expression on my face, and I look blank. The state is completely wrong..." She frowned and looked at Zhao Bin, "What did you tell him?"

Zhao Bin was troubled in his heart: "Why is this so? I sent a WeChat message and told him directly... Tell him not to come again. Otherwise, what should I do? If you want to stop it, you must stop it." He also wrinkled Brows, "It's been a month and..."

Li Panqiu didn't know how to deal with it.She looked at Zhao Bin in embarrassment and thought about Luo Mingyao's appearance.In the end, he shook his head straight: "Really, some things are the bottom line, Mr. Zhao, you can't touch..."

Zhao Bin didn't get angry with her, and wiped his face with his hand in annoyance, "Find a time, I'll talk to him face to face, talk about it, and enlighten him. It's my fault, I have to deal with the matter... "

"It's great to have such an awareness..." Li Panqiu left without looking back.

Luo Mingyao's expressionless face was lit up by a WeChat message.It was from Teacher Zhao Bin, who hadn't had any news for a long time.He read the article "Come to my house at six o'clock on Saturday afternoon, let's have a good talk", showing a smile under the covers.

Luo Mingyao was still the same as before, buying vegetables and waiting for him at Zhao Bin's door.Zhao Bin arrived home a little after six o'clock, saw him carrying the dishes, and said nothing.Open the door and go in, let him put the dishes away, and then pull him out.

"Go out to eat," he said.

Luo Mingyao followed silently.

Zhao Bin took him to a taxi to eat in a private room of a restaurant in the city.The dishes are exquisite and the taste is very good, but the two people eat the same taste.They ate in silence, and no one wanted to break the silence for a while.

"Luo Mingyao." After eating almost, Zhao Bin put down his chopsticks.

Luo Mingyao listened to his words, his whole body tensed up.

"Before, we had a relationship, and I was wrong about it." Zhao Bin said.

"Ms. Zhao...you..." Luo Mingyao was subconsciously about to speak up, but Zhao Bin waved his hand to signal him not to speak.

"I am your tutor. I teach you things and take you to the clinic. This is my job, and it is my responsibility and obligation to guide students." Zhao Bin said, "I am gay, and I once had a boyfriend. , but we broke up for a long time. After I inadvertently found out that you are also gay, I couldn't help but include you in the ranks of dating objects. It just so happens that you may be more satisfied with my teaching work, and have a certain degree of dependence and respect , took this feeling as a feeling of being tempted by me, so under my misleading, we had a relationship."

"Ms. Zhao, I'm not! I'm..." Luo Mingyao anxiously wanted to explain.

Zhao Bin shook his head: "Do you like me? I can't change my decision whether I like it or not. I can't respond to your feelings well. I can't let you continue to make mistakes. We can't maintain this relationship between us. Luo Mingyao ..."

He stopped.Luo Ming was standing opposite him, crying silently.He didn't say a word, didn't argue any more, his eyes were filled with deep despair, tears flowed silently from the corners of his eyes, that kind of shock was stronger than any crying sound.There have been all kinds of crying in his consulting room.Some wailed because of pain, some cried bitterly because of death, but none of them were more shocking than his tears, and the persistence erected in his heart almost completely collapsed.

They looked at each other in silence, neither willing to give in.Luo Mingyao looked at him stubbornly, his eyes were red and watery.

Terrible, too terrible... Zhao Bin swallowed.During the month of their relationship, Luo Mingyao looked at him many times at night.Stubbornly grabbing his shoulders, his eyes were red, and he refused to let go.Zhao Bin ignited a fire amidst the shock in his heart.He just wants to go over desperately right now, calling out to his lips, making his face blush, making him moan suppressedly, making him grab his clothes unconsciously... even at this moment ** have already responded.

He restrained his sudden desire, tried his best to calm his voice, and said, "You... don't cry..."

But Luo Mingyao couldn't stop at all.He tried to suppress his emotions and said, "Okay, teacher."

The string in Zhao Bin's mind broke as soon as he touched Luo Mingyao's words, and he said it almost without thinking: "It's okay to be a friend with benefits."

Luo Mingyao raised his head in a daze, but his brain didn't react. After he digested this sentence, he actually smiled and said, "Okay, teacher."

So Zhao Bin walked up without any psychological burden, squeezed his chin and kissed him, and heard Xiao Xiangzhong's voice again with satisfaction.

Their lives seem to be back on track.Luo Mingyao performed well in the later stage of surgery. He is very diligent and willing to work. He does not complain of suffering or tiredness. He has been on the stage a few times. After getting used to it, he occasionally sutures and knots as a second assistant. There is nothing wrong with spirituality, and people don't seem to be dumb anymore.Zhao Bin's state is not subject to these disturbances.He made a rule for Luo Mingyao, to be a buddy with benefits means that unless he asks, you can no longer come to his house to cook and cook. Everyone takes what they need to comfort each other, and no one should give too much.Bringing meals is also prohibited, and private chats cannot be too frequent, only talking about work and study.He is busy with work, not a person with a lot of needs, and the number of stays is not much.In order to help Luo Mingyao cover up at school, he gave him a statistical form and asked him to collect some data in a serious manner.

When he was on the day shift on Sunday morning, Zhou Lu came to complain to him, saying that the interns are now asking to go to the clinic to review for the postgraduate entrance examination.Zhao Bin's heart moved, and he asked her if these students were about to start choosing majors now.

"Pre-registration at the end of September, when you pre-register, you have to choose a major." Zhou Lu said, "I started off-duty review in October at that time, and they can't think of it now. The secretary of science and education told me, and I told me how to do it. It is decided that this matter must be reported to the director. The director agrees that they will not come, that’s fine, anyway, the interns don’t do any work, so what are you afraid of? Come on the rules."

Zhao Bin let out an "um" and lowered his head in thought.

"What are you thinking, brother?" Zhou Lu asked him.

"What major is popular now?" Zhao Bin asked.

"Our hospital is a supernatural hospital." Zhou Lu said, "Many boys choose a supernatural person. The eight-year students from the eight-year school have started to go to the outpatient clinic with Director Tang in their fifth year. It is said that in order to compete for Director Tang's students, there are There are a lot of palace fights, hahaha, I will gossip with my eighth-year students later."

Zhao Bin glanced at her, looking silly.

At this time, the sound of an ambulance returning came from outside, and both of them stood up to watch.

An elderly woman with impaired consciousness was lifted out of the ambulance, and she was pushed into the emergency room after getting off the stretcher.Both Zhao Bin and Zhou Lu hurried over to see the patient.

As soon as she entered the door, Zhou Lu didn't hold her breath: "This smell..." The whole room smelled of rotten fruit, mixed with the smell of wine and sour fermentation

Zhao Bin directly commanded: "It refers to blood sugar, which means to measure blood sugar immediately. The family members hurriedly talk about the onset. How long has the diabetes been? Is the blood sugar controlled well recently?"

The family member is the patient's daughter, who kept poking her head at the door to come in, tears streaming down her face. "Diabetes has been diagnosed for more than four years. We usually don't live together. The medicine prescribed by her in the hospital, she takes it for a while and then doesn't take it. She always likes to go out and listen to what others say. Chinese medicine, I told her a folk prescription for diabetes, so I didn’t take the medicine from the hospital, I hurried to find her today and asked her to take the medicine again, but she suddenly passed out!”

"Okay, okay, don't cry." Zhao Bin waved his hand and asked the nurse to take him out to comfort him. When Zhao Houwang was not in the consulting room, he couldn't restrain his momentum again. "The weight is about 50 kilograms, and the glucose is 250. Add 25 units of insulin, ready to drop the blood sugar first. Dual channels, the other side is ready for rehydration. How much blood sugar?"

"Can't measure..." The intern nurse bent over to look at the numbers on the blood glucose meter.I was so anxious that my head was sweating.

"Then draw blood as soon as possible. It's too heavy. The smell is ketoacidosis." Zhao Bin said while doing other medical examinations. .Blood drawing, emergency routine checks, liver and kidney function, blood sugar, blood ketones, electrolytes, blood gas analysis. Zhou Lu, call endocrinology for me, I will explain to my family first and give the doctor's order."

Zhou Lu has already picked up her mobile phone to contact the endocrine consultation.

Zhao Bin then ordered inside: "The insulin group should be dripped quickly, 50ml/hour, which means that the blood sugar should be tested once an hour. If it can't be tested, blood will be drawn for laboratory testing, and the speed will be adjusted according to the blood sugar level. Another channel For rehydration, add 1000ml of sugar water in equal proportions first."

Walking to the door, the family members just came back from the formalities. Zhao Bin asked her to come to the consultation room to ask about the condition in detail: "Don't get excited, the condition is really serious now, family members need to calm down at this time, you know? You still have a lot to do , Are there any other children in the family? Have you notified them?" Stabilizing the family members, he opened the outpatient clinic to observe the case, and began to ask about the disease, "I have been diabetic for four years, and I usually drink, eat, urinate, and lose weight. Where was it first diagnosed? How high was the blood sugar test? What medicine were given to you?..."