Emergency Department Observation of Medical Records

In October, after the National Day, the weather changes drastically.There are a few days when the sun is warm and the autumn air is crisp one day before, then there will be strong winds and leaves falling all over the city one day later, and the autumn tiger may strike/heat up rapidly the next day.Such weather has added a lot of patients with upper respiratory tract infection to the emergency department, and Zhao Bin himself developed symptoms of fever and sore throat.

However, as an emergency doctor, there is no need for him to take a vacation for this minor illness. That night, he drank some ibuprofen, lowered his body temperature to 37.5°C, and went to work groggy.

"How many days have you had a fever and sore throat?" Zhao Bin asked, his voice muffled under the mask, and the patient couldn't tell that his voice was hoarse and nasal.

The patient opposite also replied in a hoarse voice: "More than two days."

"Are there any other symptoms?" Zhao Bin asked him, "Stuffy nose, runny nose, cough, expectoration?"

The other side shook his head vigorously.

Zhao Bin took out the flashlight and tongue depressor: "Open your mouth, ah...the tonsils on both sides are swollen, with pus spots." He threw the tongue depressor into the yellow garbage bag as he spoke, and washed his hands with quick-drying hand sanitizer.

"I suggest you draw blood." Zhao Bin sat back in front of the computer and said.

"Blood drawn again!" The patient complained unhappily, "every time I come to the hospital, a small problem is to draw blood and check! You can see that the tonsils are inflamed. What kind of check is there? Every time, there is no serious checkup. I spent hundreds of dollars, but in the end I just took a few pills and it was fine!"

Zhao Bin was sick today, he was really in a bad mood, and his energy was low. He didn't try to maintain his professional smile, and his voice was very indifferent. He just tried to explain patiently: "The blood test is just a routine blood test. Look at your blood picture. If the white blood cells have Significantly elevated, it is recommended to use antibiotics, if there is no increase in white blood cells, antibiotics may not be used.”

"I don't understand that much!" said the patient, "Just take some good medicine that works, and it doesn't need to be so troublesome at all."

Zhao Bin had a severe sore throat, and he didn't want to argue, so he nodded helplessly and prescribed medicine.Soon a prescription was placed in front of the patient.The other party took the prescription and whispered something unpleasant and left.

This kind of thing can happen several times a day. Zhao Bin didn't have the energy to get angry with the patient today. He coughed a few times under the mask, took off the mask, took a sip of water, and swallowed it with pain.

The mobile phone was placed on the table, obediently keeping quiet.In fact, Zhao Bin has not contacted Luo Mingyao in the past half a month. This is what he told others after he signed up for him before. He will not delay his exam. I hope he can prepare well for the postgraduate entrance examination and stay in the affiliated hospital of C University to study endocrinology. major.But now he was sick for two days, and when he was most uncomfortable, he missed Luo Mingyao terribly.I hope he can make a fuss and come to ask him how he is, I hope he can come to see me in fear, I hope he can chatter and ask about his health... He opened his phone, looked at the WeChat interface, made sure there was no new news, and looked at it again It was already three o'clock in the morning, and he couldn't help laughing at himself. He was expecting someone to send him a message at three o'clock in the morning?

He put down his phone and went on to see the next patient.

At eight o'clock in the morning, when Zhao Bin got off work, Luo Mingyao and his roommate Huang Baihuai had already occupied a seat in the self-study room and started the morning review.In mid-October, they began to join the "off-the-job review" team. After applying to the department's science and education secretary, they gave up the rest of the internship and went back to school to review for the postgraduate entrance examination.

According to the school's regulations, this is not allowed. Internship is a very important part of the training of medical students.The internship rotation table arranged by the school is full of time, and different departments are scheduled to rotate every month. One month less is one less internship time for a department.Some departments strictly implement the requirements of the school and check the attendance of interns.But in the past few years, the pressure of the postgraduate entrance examination has been increasing, and the hospital departments have also understood the helplessness of the students, and have begun to relax and make concessions in this regard.The postgraduate and eight-year internships must be on-the-job, and attendance is strictly required; the five-year internship departments no longer intentionally make things difficult, just fill out the internship rotation booklet.There is usually a set of assessments in the department. After the examination papers are completed and the handwritten medical records are handed in, the secretary of science and education will release the person.

Luo Mingyao tried his best not to think about Zhao Bin.He thought that Zhao Bin asked him to study hard and stay in the affiliated hospital of C University because he wanted to maintain a longer relationship with him, and he could not live up to Zhao Bin's expectations.

But... Mr. Zhao has no news at all for half a month... It's been too long.Will he... Will he... feel uncomfortable...?He couldn't help but blush thinking.Teacher Zhao has a bad temper, and sometimes it is good for him to vent his mind and body...Of course, he also misses Teacher Zhao a little... Every time he spends the night, he feels very comfortable.

Huang Baihuai had a big head on his back and was about to raise his head to take a sip of water when he suddenly saw Luo Mingyao was distracted and his face was blushing for no reason.

"Xiao Ming." He patted his book and called him in a low voice, "You're distracted!"

Luo Mingyao quickly patted his face to get his attention back.After memorizing the same crashing tricarboxylic acid cycle, my mind was confused by the ATP that I can't remember how many, and I couldn't help but continue to wander.Teacher Zhao, will you... want to alienate him again... will you... talk about breaking up again?

He took out his phone and watched the conversation with Zhao Bin on WeChat.The last one is the precautions related to the postgraduate entrance examination that Zhao Bin sent him in detail.So many, so many useful things.Teacher Zhao is quite concerned about himself, he thought a little happily.He felt relieved, and continued to read the next chapter of biochemistry, fat metabolism.

There was no news from Zhao Bin for several months, and Luo Mingyao didn't dare to think about it any more.The pressure of the exam is increasing. Apart from his own future, he also knows that if he can't stay in the affiliated hospital of C University to continue his studies, he will have less interaction with Zhao Bin. Pushed away by Zhao Bin, abandoned.For the time being, he put aside the current unfounded distracting thoughts and prepared to review seriously.

After the exam was over, Zhao Bin still didn't send a message.

After the results came out, Luo Mingyao sent a message to Zhao Bin, telling him that he had passed the school's admission score.

Zhao Bin quickly responded to the message, telling him to hurry up and come to the school to meet his tutor.

Luo Mingyao happily... ran two laps downstairs of his house.Although he can't wait to go back to school immediately, but after the postgraduate entrance examination, it will be winter vacation. Like other students, he went home early to rest.Luo's parents didn't know that he was happy that Zhao Bin was finally willing to take care of him again. They thought he was excited that he had passed the exam, and they were so excited that they would go to the town to invite some good neighbors to dinner.

Luo Mingyao quickly calmed down and persuaded his parents: "No, no, mom and dad, this is different from the college entrance examination. There will be an interview later, and the admission letter will be issued only after the interview. It is not that you are admitted after passing the exam. "

"That's it..." Father Luo scratched his head, and suddenly felt that he was a little too happy.He and Luo's mother are middle school teachers in the county. They are known to many people in the county and are quite respected. At the beginning, his son got into C University and was the best in the county. It’s been [-] years and I haven’t read it. People in the county don’t know that it takes so many years to study medicine. Many people’s children will graduate this year and start sending money home. People who used to be jealous of his family are now talking about his children. A good test does not necessarily mean a good job.When he heard that his child was admitted to graduate school, didn’t he just want to shut them up quickly... This county has never heard of anyone being admitted to graduate school, and even a middle school teacher like him didn’t know. too much the same...

"Don't go out to eat," Luo's mother didn't feel disappointed, "Mom will cook something delicious for you, and I'll serve some of your favorite dishes tonight!" She still doesn't know what the old man thinks?In the future, these people may have to go to big cities to see a doctor, and some of them will beg her family for a good son!

"Okay, mom!" Luo Mingyao didn't know what his parents were planning, so he hurried to the kitchen, "I also want to learn to cook, and I have to cook by myself when I go out to live, so I need to learn more."

"Hey, yes!" Both Luo's father and Luo's mother nodded, "Boys have to suffer when they go out, and they have to be able to take care of their own lives. Don't eat out all day, it's a waste of money!"

Luo Mingyao is not planning to learn to cook for his own life, he is thinking about the love book that countless people have proved throughout the ages: If you want to keep a man's heart, you must keep a man's stomach.Mr. Zhao only wants a friend with benefits now, but what if Mr. Zhao is happy and tempted if he cooks well?Moreover, the work in the emergency department is indeed too tiring, and the schedule is not regular. It will be an all-night shift in a few days. ;Let him like his own food and his own people.

When Zhao Bin was writing a fund application at home, he received Luo Mingyao's WeChat. He was so excited that he wanted to drag Luo Mingyao to the hospital immediately, and asked Mr. Zhou Hongbin to make an appointment with this mentor, but Luo Mingyao didn't reply for a long time news.He shut down the computer angrily.He didn't know that the student was so disobedient!

It took about an hour before he received the message, and Luo Mingyao replied to him: "I'm sorry, Mr. Zhao, I'm going home for winter vacation now."

Zhao Bin replied to the message on his mobile phone, and the screen he pressed with his finger was going to be worn out, so angry. "Come back quickly when the Spring Festival is late, go to the tutor early, and settle the matter. Don't relax and prepare for the retest."

The news hadn't been sent yet, but another message was sent over there, which was a picture: a steaming dish, placed in the sunlight of the window, the surface of the ribs was fried, it looked golden and crispy, just looking at it made people feel sick Increased appetite.The following is a text message sent by Luo Mingyao: "I learned to cook new dishes from my mother. I will make them for you when I come back."

Zhao Bin was stunned for a while, then slowly deleted the text on his mobile phone, and sent a message "Have a good rest during the winter vacation".Then I looked through the address book, found the number of the boss of endocrinology in the group of the emergency department, and sent a message to add friends.Later, let's ask through the boss of the department.I'm hungry too, let's have some crispy pork ribs for lunch...

During lunch, the boss of endocrinology approved his friend application, and he quickly sent a message to ask people: "Mr. Zhou Hongbin of your department, are you recruiting this year?"

The general reply from the endocrinology hospital: "Oh, these days, are all the department chiefs, postgraduates, and doctoral students sending news to you? I have several people asking, but they are all interns. Are you asking your relatives?"

"Yes." Zhao Bin replied with a guilty conscience, "How is Teacher Zhou?"

"Teacher Zhou is very kind, but to be honest, there are not many topics, and the students' papers have not been published." The boss of the endocrinology department replied, "The number of people reporting to him in recent years is very small. How many points are your relatives? As long as you pass It shouldn't be a problem."

"It's passed, I must have come to inquire after it has passed." Zhao Bin replied, "Thank you."

"You're welcome." Endocrinology replied, "I'm the new boss of Endocrinology this year, and I need Brother Zhao to teach me a lot in the future."

"You're welcome." Zhao Bin said politely to the other side, "Our department handles a lot of rough things, and the follow-up treatment of patients still needs your guidance."

"Yeah, let's take care of each other in the future!" The boss of endocrinology replied, "Ms. Zhou Hongbin is really nice. I wish your relatives the best of luck!"

Putting down his phone, he fell into a lot of worries again.He did worry a little too much about Luo Mingyao.From helping him formulate the direction of graduate students to helping him find a supervisor now, he has intervened too much, but he doesn't want to regress at all, he just wants to help him smooth out his graduate affairs.It is impossible for an ordinary teacher to do so much for his students, and many people will doubt it.Luo Mingyao will study in the Affiliated Hospital of C University for three years, or even longer; he has only worked in the hospital for the third year, and this year he still has to consider the promotion of attending.If the relationship between him and Luo Mingyao gets out, homosexuality, teachers and students... are all rhetoric that may ruin their future.He really can't continue to associate with Luo Mingyao like this.But...he turned back to read the message from Luo Mingyao, such a sincere love made his heart throb...it was hard for him to let go...

He still has a retest later, don't interfere with his review now.He thought so, and put things aside again.

The school closed at the end of February, and as soon as Luo Mingyao came back, Zhao Bin rushed him to the endocrinology department.

Chief Physician Zhou Hongbin is a good old man with a gentle temper. He did a few projects when he was young. After publishing a few articles, he was very good at that time. I don't have any momentum anymore, I have only one subject in hand for the past two years, and I have no combat effectiveness at all in front of a group of energetic young doctoral supervisors in the Department of Endocrinology.Now graduate students and doctoral students choose their supervisors, who doesn't look at the number of topics the boss has, and must guarantee graduation.There are indeed not many people who choose Mr. Zhou, and his students are basically assigned.

It is indeed rare for Luo Mingyao to take the initiative to look for it.What's more, teachers from other departments in the hospital brought them here.

"Did Xiao Luo practice in our department?" Teacher Zhou finished checking the room and took them to talk in the demonstration classroom. "When did you come? I look familiar."

"I have been an intern. I was an intern in the Department of Endocrinology in February last year." Luo Ming sat upright and answered fluently.Zhao Bin asked him these questions in advance, and sent a message to ask him to prepare a few questions to answer, so as to ensure that he would not stutter and show stage fright on the spot.

"Our endocrinology internship is still hard work," Mr. Zhou said with a smile, "When the interns come, they measure their blood sugar. They push the cart from floor to floor to measure their blood sugar one by one. When an hour is up, they start the next round of blood sugar tests."

"Measuring blood sugar is a simple operation, which interns should master." This is also in Zhao Bin's interview test center, and Luo Mingyao quickly answered.

"You're quite down-to-earth and willing to work." Zhou Hongbin nodded, "When you actually came, I heard from the teacher who taught you that you were down-to-earth and suffered a lot. You have been away for several months, and I still listen to her talking .Last year, you were the interns of your first class. You are probably the one who has been praised the longest in our department."

Luo Mingyao was criticized everywhere during his internship, but he didn't expect that he would be praised by Endocrinology himself. He was flattered for a while, and his face turned red.

Zhou Hongbin was amused by his shy appearance after being praised, he praised a few more words, encouraged him a few more words, and finally said something accurate: "The child is very good, as long as you don't have any major problems in the re-examination, I'm sure I won't." Problem."

Zhao Bin hurriedly pulled Luo Mingyao up to thank him.

Zhou Hongbin was amused and asked him, "What kind of relative is this, Zhao Bin?"

Zhao Bin was also prepared for this: "It's not a relative. The family knows each other. I didn't know it when I took him with me. Later, my family called me to find out. It happened that I also thought this student was very good when I took him with him. , please help me now."

Zhao Bin wanted to invite Zhou Hongbin to dinner again, but Zhou Hongbin declined.It is not reasonable to say that things have not been decided and it is not easy to eat, and there is no reason for students to spend money as a student teacher in the future.The matter was finally finalized, Zhao Bin happily took Luo Mingyao and thanked him and left the endocrinology department.