Emergency Department Observation of Medical Records
Chapter 15 Chief Complaint: Recurrent cough and hemoptysis for 5+ years, recurrence 2 days
There was no sound at the dinner table, and everyone looked at Luo Mingyao in surprise for a while.
Zhu Zhenzhen also guessed just now, but she didn't expect it to be true.At that time, she felt that Zhao Bin had a strong aura, and Xiao Ming had such a pitiful appearance. On the surface, Zhao Bin was very aggressive towards the interns, but in fact he took good care of Xiao Ming. She happened to know Luo Mingyao's sexuality, so she was a bit rotten. Human-based Lalang.But she was very conflicted when the two were together, especially when she heard that Zhao Bin and Luo Mingyao had broken up, and seeing Luo Mingyao in pain, she spurned Zhao Bin ten thousand times in her heart.Now Xiao Ming said that Teacher Zhao said that she would not separate, and her mind was full of question marks.There were many thoughts in her mind, but she didn't know how to express them.
"Luo Mingyao!" Huang Baihuai said with gritted teeth, "Did he use his teacher status to force you?"
"Ah?" Even Zhu Zhenzhen was a little dumbfounded, "Wait, Huang Baihuai, why do I feel a little strange?"
"He let Xiao Ming stay at home for a while, then dumped him a while later, and now he wants to stay together all of a sudden, who knows what's on his mind?" Huang Baihuai said indignantly, "This is not a joke. Is this kind of person willing to be with him? So Xiao Ming must be forced!"
Zhu Zhenzhen was so angry that she turned her head to look at Tang Yi: "Tangtang, tell me, look at that one over there, does he look like he was forced?"
Tang Yi had been holding back his laughter for a long time, and said, "I see Xiao Ming is very happy. Whenever I say it, I don't dare to laugh."
Zhu Zhenzhen patted the table: "Xiao Ming, although I think you are very happy, you must also like Teacher Zhao very much. But as I said before, are you sure you understand it? Teacher Zhao also understands it? I am I don't want you to confuse your feelings. And like before, I always feel that Teacher Zhao is unreliable."
Luo Mingyao hurriedly waved his hands to defend Zhao Bin: "Teacher Zhao is not like that. He was very kind to me. Before that, he pretended to be my relative, helped me choose a major, and helped me find a tutor. The reason why we broke up later was also because he had some considerations." , It’s just that I was very sad at that time, I thought he was just making excuses not to want me. But after a few months of separation, I think what he said, it is true that we are together, and it will have an impact on our respective futures.”
"It's also affecting now!" Huang Baihuai said, "Just having two men together is very influential! If others know that he is still your previous teacher..."
"Shut up, Huang Bohuai." Zhu Zhenzhen interrupted him angrily, "Strictly speaking, when the two of them were together, Teacher Zhao was no longer his teacher, and the teacher-student relationship has been terminated. But you didn't Wrong, the domestic environment is not open, don’t think that we are all medical students, it stands to reason that we should have a more equal vision, but you can see that there are living examples around you, and it’s uncomfortable to hear that homosexuality..."
"I didn't mean that..." Huang Baihuai wanted to explain.
"It's nothing, you didn't mean it," Zhu Zhenzhen said, "but Xiao Ming should be mentally prepared. Most people can accept homosexuality equally verbally, but the inner resistance is not completely changed in a day or two. In the hospital, It is a microcosm of society. We will never change because we have all studied physiology and psychology, and teachers have taught that homosexuality is normal. Most of the time, doctors only deal with patients professionally and without prejudice. But there is such a thing as homosexuality among my colleagues, I dare not say that everyone can treat it with peace of mind.”
"I'm mentally prepared for this." Luo Mingyao said.
"As long as you think about it, we will support you." Zhu Zhenzhen raised her white water and made a gesture of clinking glasses, "I wish you a long life and a happy union for a hundred years!"
All four people at the table raised their glasses and clinked their glasses to bless Luo Mingyao.
After drinking a cup, Huang Bohuai raised the cup again: "Xiao Ming, don't waste too much time on dating, and you still have to hurry up on the topic of the article."
Everyone else was disappointed.
Huang Bohuai ignored these complaints and continued: "Everyone is in love. I, a bachelor, wish you all the best in your next year and success in your studies!"
After everyone drank, Luo Mingyao also raised his glass and said, "Thank you, it's great to have you as friends."
Everyone laughed.Tang Yi also raised his cup and said, "Next year, I will come to accompany my Jia Zhenzhen on New Year's Day. From now on, everyone will start a family and start a business. Fight for the three of us to be good friends! We will get together every New Year's Day!"
"Okay~" Everyone raised their glasses together again.In the new year, Luo Mingyao has friends and a lover, and he feels that this year will be very happy.
Zhao Bin had another three-hour free clinic in the afternoon.Even more people come in the afternoon than in the morning.Probably when the sun comes out and the temperature rises, more people are willing to go out for activities.Among the people who came, there were more and more elderly people, and some of them were brought by family members in wheelchairs.
"Doctor, take a look at our elderly." A family of Tibetans came over with a sad face pushing a wheelchair.
"Why not?" Zhao Bin asked.
"Our old man has coughed a lot these days, and he coughed up a lot of blood," said the son.
"How many days have you been these days?" Zhao Bin said as he picked up the stethoscope first, warming it up and preparing for auscultation.
"It's been two days." The son thought for a while and said, "He also coughed before, and what he coughed was pus with a little blood in it. The day before yesterday, he started to cough up a lot of blood, and it was still a lump of lumps."
"How long has it been since he coughed up purulent sputum like this before, with blood in the purulent sputum?" Zhao Bin covered the stethoscope, placed it on the patient's chest, and began to auscultate the lungs.A thick moist rale came from the stethoscope, and the rale scattered throughout the lungs was like a pot of boiling water, squeezing out worrying sounds in the patient's breath.
At the same time, he also heard the patient's family members say: "For more than five years, I would cough every year after catching a cold, and what I coughed up was very yellow and yellow purulent sputum with blood in it."
"Haven't you seen a doctor before?" Zhao Bin heard almost, took off the stethoscope, and asked the patient's family.
"I've seen it," said the family member. "We have been taking Tibetan medicine. It will last for a while. Now taking this medicine, it doesn't work much anymore."
It is not convenient for Zhao Bin to comment on Tibetans’ dependence on Tibetan medicine and medicine, so he can only bypass these and say: “His situation is very troublesome. Our Western medicine treats this disease as long-term repeated cough, pus, sputum, and hemoptysis. His condition is called 'Bronchial Infection', this disease, he is characterized by these symptoms. I just heard about his lungs, and it is indeed a manifestation of this disease."
"Ah..." The family members were a little dazed, and they only cared about one question: "Can your doctor cure this disease?"
Zhao Bin shook his head: "Bronchial disease, there is no way to reverse it. This disease will only get worse in the later stage. You have also seen that the amount of hemoptysis has increased. What we are most worried about is the patient's hemoptysis once. When the amount is too large, suffocation may occur, and the patient may not be able to breathe for a while because of this mouthful of blood." He spread his hands, and the family members understood the following meaning. "Now you are going to be hospitalized, you know? At this stage of the disease, you can't delay any longer. I suggest that you still treat with regular western medicine, okay? Hemoptysis and aggravated purulent sputum are all induced. The most common one is upper lung infection. , In this case, we must actively treat pneumonia and control the infection in order to delay the further aggravation of the disease."
There are a few family members who don’t know much Chinese, and they should be still asking what’s going on, so they communicated in Tibetan again, and the doctor who translated also interjected a few words, and they were reluctant I followed the nurse next to me to go to the hospital.They have already entered the gate of the hospital, and for some unknown reason, they pushed the wheelchair out again.
Zhao Bin was a little stunned, and asked the nurse who had just returned, "Why did you come out again?"
The interpreter doctor shook his head: "This kind of thing is not uncommon here. They just thought that if it is a disease that cannot be cured, it means that they have made mistakes before, so there is no need to come to the hospital again."
Zhao Bin had never been impacted by such a big idea before. He looked blankly at the backs of a group of people who were drifting away, and felt mixed feelings in his heart for a while.
After dinner and back to the hotel in the evening, he had time to take out his phone and check the news.Then I looked through the circle of friends and saw Luo Mingyao sent a message: Happy first day of the new year.Attached is a photo of him eating grilled fish with Huang Bohuai, Zhu Zhenzhen, and Tang Yi using chopsticks.He looked at the photo, smiled slightly, and liked it below, then looked through the group news, saved the last group photo of today's free clinic, and also posted a circle of friends: The first day of the new year, very fulfilling.Then send a message to Luo Mingyao: "Did you go home after eating?"
Soon Luo Mingyao replied: "I have already returned to the dormitory for the lunch gathering."
Zhao Bin called him: "What are you doing in the dormitory? Are you missing me again?"
There was a pause there for a moment, and Luo Mingyao's voice was a little annoyed: "I'm reading literature!" Obviously, this sentence brought back the "good memories" in the early morning.
Zhao Bin couldn't help laughing: "I'm not teasing you today, just chatting with you."
"Yeah." Luo Mingyao said softly, "Are you tired from the free clinic today?"
"It's okay." Zhao Bin said, "It's a little cold in the morning, but it'll be fine when the sun comes out."
"Are there many patients?" Luo Mingyao asked.
"Many..." Zhao Bin talked about some patients in Tibet.The two asked each other about their daily life in this way and talked for almost an hour.
"I just told them about you and me being together." Luo Mingyao said, "It won't affect you, right? They are all my good friends, and I don't think they will talk nonsense."
"It's okay," Zhao Bin said, "There will always be a day when things are said, sooner or later. It's a good thing that you have friends you trust."
"Well," Luo Mingyao's tone seemed to be relieved, "Zhu Zhenzhen also told me that I should care more about you. She asked me today when your birthday is, and I don't know..." His tone was a little aggrieved and a little annoyed , "She said Valentine's Day, birthdays, Tanabata love, lovers should give gifts..."
Zhao Bin was amused by the joyful and shy tone when he said "lover", and said happily: "My birthday is March 3, and I am waiting for you to give me a gift! When is your birthday? "
"September, September [-]th!" Luo Mingyao also said happily.
After hanging up the phone, Zhao Bin's mood slowly sank from being happy.He belatedly thought that in September, shortly after Luo Mingyao's birthday, he told him to break up again.At that time, he thought, I was doing it for the good of two people.Thinking now, he was just an excuse for his indifference.He ignored all Luo Mingyao's efforts.He didn't do anything, he just watched Luo Mingyao stumble after him indifferently, and then pushed him away again and again.He had never been brave enough to love Luo Mingyao, so he made the decision to break up.After fully understanding his feelings, he no longer imagines obstacles, no longer imagines what is a better choice, as long as they are together, there seems to be no insurmountable difficulty.Why, he didn't understand this earlier, which caused him to suffer so much... But now, he is so far away from him, what can he do for him?
Zhu Zhenzhen also guessed just now, but she didn't expect it to be true.At that time, she felt that Zhao Bin had a strong aura, and Xiao Ming had such a pitiful appearance. On the surface, Zhao Bin was very aggressive towards the interns, but in fact he took good care of Xiao Ming. She happened to know Luo Mingyao's sexuality, so she was a bit rotten. Human-based Lalang.But she was very conflicted when the two were together, especially when she heard that Zhao Bin and Luo Mingyao had broken up, and seeing Luo Mingyao in pain, she spurned Zhao Bin ten thousand times in her heart.Now Xiao Ming said that Teacher Zhao said that she would not separate, and her mind was full of question marks.There were many thoughts in her mind, but she didn't know how to express them.
"Luo Mingyao!" Huang Baihuai said with gritted teeth, "Did he use his teacher status to force you?"
"Ah?" Even Zhu Zhenzhen was a little dumbfounded, "Wait, Huang Baihuai, why do I feel a little strange?"
"He let Xiao Ming stay at home for a while, then dumped him a while later, and now he wants to stay together all of a sudden, who knows what's on his mind?" Huang Baihuai said indignantly, "This is not a joke. Is this kind of person willing to be with him? So Xiao Ming must be forced!"
Zhu Zhenzhen was so angry that she turned her head to look at Tang Yi: "Tangtang, tell me, look at that one over there, does he look like he was forced?"
Tang Yi had been holding back his laughter for a long time, and said, "I see Xiao Ming is very happy. Whenever I say it, I don't dare to laugh."
Zhu Zhenzhen patted the table: "Xiao Ming, although I think you are very happy, you must also like Teacher Zhao very much. But as I said before, are you sure you understand it? Teacher Zhao also understands it? I am I don't want you to confuse your feelings. And like before, I always feel that Teacher Zhao is unreliable."
Luo Mingyao hurriedly waved his hands to defend Zhao Bin: "Teacher Zhao is not like that. He was very kind to me. Before that, he pretended to be my relative, helped me choose a major, and helped me find a tutor. The reason why we broke up later was also because he had some considerations." , It’s just that I was very sad at that time, I thought he was just making excuses not to want me. But after a few months of separation, I think what he said, it is true that we are together, and it will have an impact on our respective futures.”
"It's also affecting now!" Huang Baihuai said, "Just having two men together is very influential! If others know that he is still your previous teacher..."
"Shut up, Huang Bohuai." Zhu Zhenzhen interrupted him angrily, "Strictly speaking, when the two of them were together, Teacher Zhao was no longer his teacher, and the teacher-student relationship has been terminated. But you didn't Wrong, the domestic environment is not open, don’t think that we are all medical students, it stands to reason that we should have a more equal vision, but you can see that there are living examples around you, and it’s uncomfortable to hear that homosexuality..."
"I didn't mean that..." Huang Baihuai wanted to explain.
"It's nothing, you didn't mean it," Zhu Zhenzhen said, "but Xiao Ming should be mentally prepared. Most people can accept homosexuality equally verbally, but the inner resistance is not completely changed in a day or two. In the hospital, It is a microcosm of society. We will never change because we have all studied physiology and psychology, and teachers have taught that homosexuality is normal. Most of the time, doctors only deal with patients professionally and without prejudice. But there is such a thing as homosexuality among my colleagues, I dare not say that everyone can treat it with peace of mind.”
"I'm mentally prepared for this." Luo Mingyao said.
"As long as you think about it, we will support you." Zhu Zhenzhen raised her white water and made a gesture of clinking glasses, "I wish you a long life and a happy union for a hundred years!"
All four people at the table raised their glasses and clinked their glasses to bless Luo Mingyao.
After drinking a cup, Huang Bohuai raised the cup again: "Xiao Ming, don't waste too much time on dating, and you still have to hurry up on the topic of the article."
Everyone else was disappointed.
Huang Bohuai ignored these complaints and continued: "Everyone is in love. I, a bachelor, wish you all the best in your next year and success in your studies!"
After everyone drank, Luo Mingyao also raised his glass and said, "Thank you, it's great to have you as friends."
Everyone laughed.Tang Yi also raised his cup and said, "Next year, I will come to accompany my Jia Zhenzhen on New Year's Day. From now on, everyone will start a family and start a business. Fight for the three of us to be good friends! We will get together every New Year's Day!"
"Okay~" Everyone raised their glasses together again.In the new year, Luo Mingyao has friends and a lover, and he feels that this year will be very happy.
Zhao Bin had another three-hour free clinic in the afternoon.Even more people come in the afternoon than in the morning.Probably when the sun comes out and the temperature rises, more people are willing to go out for activities.Among the people who came, there were more and more elderly people, and some of them were brought by family members in wheelchairs.
"Doctor, take a look at our elderly." A family of Tibetans came over with a sad face pushing a wheelchair.
"Why not?" Zhao Bin asked.
"Our old man has coughed a lot these days, and he coughed up a lot of blood," said the son.
"How many days have you been these days?" Zhao Bin said as he picked up the stethoscope first, warming it up and preparing for auscultation.
"It's been two days." The son thought for a while and said, "He also coughed before, and what he coughed was pus with a little blood in it. The day before yesterday, he started to cough up a lot of blood, and it was still a lump of lumps."
"How long has it been since he coughed up purulent sputum like this before, with blood in the purulent sputum?" Zhao Bin covered the stethoscope, placed it on the patient's chest, and began to auscultate the lungs.A thick moist rale came from the stethoscope, and the rale scattered throughout the lungs was like a pot of boiling water, squeezing out worrying sounds in the patient's breath.
At the same time, he also heard the patient's family members say: "For more than five years, I would cough every year after catching a cold, and what I coughed up was very yellow and yellow purulent sputum with blood in it."
"Haven't you seen a doctor before?" Zhao Bin heard almost, took off the stethoscope, and asked the patient's family.
"I've seen it," said the family member. "We have been taking Tibetan medicine. It will last for a while. Now taking this medicine, it doesn't work much anymore."
It is not convenient for Zhao Bin to comment on Tibetans’ dependence on Tibetan medicine and medicine, so he can only bypass these and say: “His situation is very troublesome. Our Western medicine treats this disease as long-term repeated cough, pus, sputum, and hemoptysis. His condition is called 'Bronchial Infection', this disease, he is characterized by these symptoms. I just heard about his lungs, and it is indeed a manifestation of this disease."
"Ah..." The family members were a little dazed, and they only cared about one question: "Can your doctor cure this disease?"
Zhao Bin shook his head: "Bronchial disease, there is no way to reverse it. This disease will only get worse in the later stage. You have also seen that the amount of hemoptysis has increased. What we are most worried about is the patient's hemoptysis once. When the amount is too large, suffocation may occur, and the patient may not be able to breathe for a while because of this mouthful of blood." He spread his hands, and the family members understood the following meaning. "Now you are going to be hospitalized, you know? At this stage of the disease, you can't delay any longer. I suggest that you still treat with regular western medicine, okay? Hemoptysis and aggravated purulent sputum are all induced. The most common one is upper lung infection. , In this case, we must actively treat pneumonia and control the infection in order to delay the further aggravation of the disease."
There are a few family members who don’t know much Chinese, and they should be still asking what’s going on, so they communicated in Tibetan again, and the doctor who translated also interjected a few words, and they were reluctant I followed the nurse next to me to go to the hospital.They have already entered the gate of the hospital, and for some unknown reason, they pushed the wheelchair out again.
Zhao Bin was a little stunned, and asked the nurse who had just returned, "Why did you come out again?"
The interpreter doctor shook his head: "This kind of thing is not uncommon here. They just thought that if it is a disease that cannot be cured, it means that they have made mistakes before, so there is no need to come to the hospital again."
Zhao Bin had never been impacted by such a big idea before. He looked blankly at the backs of a group of people who were drifting away, and felt mixed feelings in his heart for a while.
After dinner and back to the hotel in the evening, he had time to take out his phone and check the news.Then I looked through the circle of friends and saw Luo Mingyao sent a message: Happy first day of the new year.Attached is a photo of him eating grilled fish with Huang Bohuai, Zhu Zhenzhen, and Tang Yi using chopsticks.He looked at the photo, smiled slightly, and liked it below, then looked through the group news, saved the last group photo of today's free clinic, and also posted a circle of friends: The first day of the new year, very fulfilling.Then send a message to Luo Mingyao: "Did you go home after eating?"
Soon Luo Mingyao replied: "I have already returned to the dormitory for the lunch gathering."
Zhao Bin called him: "What are you doing in the dormitory? Are you missing me again?"
There was a pause there for a moment, and Luo Mingyao's voice was a little annoyed: "I'm reading literature!" Obviously, this sentence brought back the "good memories" in the early morning.
Zhao Bin couldn't help laughing: "I'm not teasing you today, just chatting with you."
"Yeah." Luo Mingyao said softly, "Are you tired from the free clinic today?"
"It's okay." Zhao Bin said, "It's a little cold in the morning, but it'll be fine when the sun comes out."
"Are there many patients?" Luo Mingyao asked.
"Many..." Zhao Bin talked about some patients in Tibet.The two asked each other about their daily life in this way and talked for almost an hour.
"I just told them about you and me being together." Luo Mingyao said, "It won't affect you, right? They are all my good friends, and I don't think they will talk nonsense."
"It's okay," Zhao Bin said, "There will always be a day when things are said, sooner or later. It's a good thing that you have friends you trust."
"Well," Luo Mingyao's tone seemed to be relieved, "Zhu Zhenzhen also told me that I should care more about you. She asked me today when your birthday is, and I don't know..." His tone was a little aggrieved and a little annoyed , "She said Valentine's Day, birthdays, Tanabata love, lovers should give gifts..."
Zhao Bin was amused by the joyful and shy tone when he said "lover", and said happily: "My birthday is March 3, and I am waiting for you to give me a gift! When is your birthday? "
"September, September [-]th!" Luo Mingyao also said happily.
After hanging up the phone, Zhao Bin's mood slowly sank from being happy.He belatedly thought that in September, shortly after Luo Mingyao's birthday, he told him to break up again.At that time, he thought, I was doing it for the good of two people.Thinking now, he was just an excuse for his indifference.He ignored all Luo Mingyao's efforts.He didn't do anything, he just watched Luo Mingyao stumble after him indifferently, and then pushed him away again and again.He had never been brave enough to love Luo Mingyao, so he made the decision to break up.After fully understanding his feelings, he no longer imagines obstacles, no longer imagines what is a better choice, as long as they are together, there seems to be no insurmountable difficulty.Why, he didn't understand this earlier, which caused him to suffer so much... But now, he is so far away from him, what can he do for him?
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