Emergency Department Observation of Medical Records
Chapter 7 Chief Complaint: Black stool for 1+ months
When eating at night, Luo Mingyao realized that there was a big gap between himself and others.When we met in the afternoon, he was wearing a white coat, which was regarded as work clothes. He couldn't see anything, and the meeting was in a hurry and he didn't pay attention.Now that he was out for dinner, he saw that Xu Maohua was wearing a well-fitting shirt, with stiff trousers underneath, a pair of shiny leather shoes, his hair was also treated with hairspray, and he smelled of men's perfume.As for him, the T-shirt, jeans, and sneakers were bought when he was a junior in college. He is busy this year and has no time to buy a new suit, let alone a hairstyle that he never thought about and a perfume that he never thought about.
He looked at Xu Maohua up and down, and couldn't help saying: "Xu Maohua, you look so amazing!"
Xu Maohua couldn't help laughing, handed the menu to the waiter, poured tea for him, and said, "What's so amazing about this. These outfits are not worn just to come to the hospital to meet the chief director. I wish I could be more casual."
"It's not about what to wear." Luo Mingyao said, "It's about how the whole person looks, and I feel very knowledgeable and capable!" He also doesn't praise people, and he blushed when he said these few words.There was sincere admiration in his eyes.
Xu Maohua looked at him like this, but felt a little emotional: "I envy you even more. You have been staying in school all the time, and you have not been tortured by the big dye vat of society. Xiao Ming, you are still the same as before. Do you know that before we all Calling you a 'nerd' behind your back?"
Luo Mingyao shook his head blankly: "I'm not staying either..."
Xu Maohua was amused by him and laughed loudly: "Look, you are not staying still, hahahaha!" After laughing for a while, he restrained his smile, feeling a little sad: "When I first came out of society, I looked down on such an idiot as you. I'm very blunt, I can't play at all, and it's meaningless to make jokes. Over the years, I have dealt with many kinds of people, some are front-line clinicians, some are department leaders or hospital leaders, as well as pharmacies and medical insurance offices. Now I am very special If you like nerds, you don’t need to be the same as doing business, bargaining, talking about benefits, etc. You can just talk to him about academics and statistics, and it’s enough to take out what you’ve learned and analyze it with him, and you don’t need to talk around For other things, going around is just a little more money."
Luo Mingyao half-understood what he was talking about. Except for diagnosis and treatment, he didn't have much contact with clinical matters.This study class is his first contact with manufacturer representatives.A small graduate student like him has no access to the benefit center, not to mention that the drug commission has been severely cracked down by the health department in the past few years, and the shadow of the drug agent is usually invisible.He still doesn't understand the twists and turns of the gray income in the hospital.However, Xu Maohua said earlier that clinical practice is not easy, maybe he should also say that through comparison, Xu Maohua feels that his work is good?
So he tried to say: "Clinical work is indeed too hard. Look at me, I haven't entered the graduate school yet, and I have already started running the laboratory and doing odd jobs for the boss. Everyone else is on a graduation trip, and we have already started to go to work."
Xu Maohua smiled slightly: "It's really not easy. My senior, he was a graduate student in the medical school of F University, and he worked in the hospital for several years. He felt that clinical work was too tiring, so he resigned and became a research consultant for our company. , Later, he felt that sitting in the office and laboratory was boring, so he came out to do sales. It turned out that he had a good clinical foundation before, and he came out to give lectures to department bosses. Yes. He also thinks that both he and I came out of medical school, and he values me very much, so this time you hold a study class, let me listen to whatever the director has to say."
"I'm a graduate student, wouldn't it be a pity not to do clinical work?" Luo Mingyao couldn't help but say.
"I asked him that before," Xu Maohua said, "He said it's not a pity, he thinks he is suitable for this job, and he runs around every day with great energy. The value of a person is in every aspect of every industry, and what he has learned The clinical knowledge was not wasted in the end. In fact, many medical students do not take the clinical path in the end, and you have many choices after you come out of the clinic.”
Luo Mingyao nodded: "That's true."
The two of them ate again, talked about some past events in high school, talked about the current situation of their classmates, and talked about their experience of working for a year.Xu Maohua was not as eloquent as he is now, and Luo Mingyao and him also had a general friendship.But today after a meal, Xu Maohua and Luo Mingyao were almost like brothers.
After dinner, Xu Maohua said to send him back to school.Luo Mingyao was happily chatting with him, and he didn't refuse, so he took him to school together.He didn't know that Zhao Bin happened to have dinner next to the hospital and was about to go home.
Zhao Bin stood by the side of the road, watching Luo Mingyao walking with a strange young man.Luo Mingyao was very happy chatting with that stranger. He couldn't help but wonder, did Luo Mingyao ever do this when he was with him?When Luo Mingyao talked to him, he was always a little cautious, like a primary school student meeting his teacher.When talking about his own affairs, Luo Mingyao looked like a subordinate reporting to him.In many cases, they are not equal.Li Panqiu is right, he should avoid this bottom line from the very beginning.Instead of being like now, my heart is full of pain and regret, I want to see him but I am afraid, I want to approach him but I have to avoid him.
He looked at the backs of the two people walking together. Under the street lamp, the two shadows were entangled and overlapped each other. He felt a burning pain in his heart. He wanted to go over impulsively to pull the stranger away, but there was no such thing do stand.In the noisy street, people come and go, he and he are just acquainted passers-by, and he can do nothing but watch him go away.
Luo Mingyao turned his head, always feeling that someone was looking at him from behind, but he didn't see anyone when he turned his head.
"What's wrong?" Xu Maohua asked him.
"It's okay," Luo Mingyao continued walking with him, "You said the entertainment committee member is married?"
"Yes, she got married last year. She brought her husband to our classmate reunion last year. I forgot to tell you just now that I was talking to you about boys. Her husband seems to be a second-generation official. ..." Xu Maohua said.The two chatted happily and walked back to school.
Back at the dormitory, Huang Baihuai hadn't come back yet.He has been busy collecting patient data recently, and he comes back very late every night.Luo Mingyao first sent him a WeChat message, asking when he would be back, then took his thermos, and went downstairs to the water room to fetch hot water for him.Huang Baihuai didn't come back until after twelve o'clock in the evening several times, which was long past the time of the school bathroom, so he could only take a cold shower in the dormitory shivering.Luo Mingyao hasn't been so sleepless yet, he has prepared hot water for him in the past few days, so that he will like to turn it into warm water when taking a bath, so as not to catch cold and get sick.
Huang Bohuai came back around twelve o'clock.Luo Mingyao was still awake, reading a few articles recommended by the boss on the bed.
"Sleeping so late again." Huang Bohuai said, "It was said that your postgraduate entrance examination disrupted your schedule, but now it's been so long, and you still haven't adjusted your schedule properly."
Luo Mingyao smiled, and pointed to the hot water: "The hot water has been called back for you, take a shower and go to bed early."
"Thank you, Xiao Ming!" Huang Bohuai shouted in surprise, and rushed to the toilet to take a shower.After a while, Huang Baihuai came out of the shower, wiped his hair and said, "Xiao Ming, I have a thought now." At this point, he stopped as if waiting for someone to ask.
"Huh?" Luo Mingyao responded casually.
"I want to go out and rent a house." Huang Bohuai said.
"Yeah." Luo Mingyao responded.
"School is too inconvenient." Seeing that Luo Mingyao didn't react as expected, Huang Bohuai continued, "I told my father, and he also agreed for me to go out and rent a house. It's a better condition. But he thinks I can’t go out and live alone, it’s too extravagant to live alone. Renting a house outside the school still costs about 1500-2000 a month, and a house of 1500 is very bad. My brother said that a house of 2000 is fine. He felt that he was too used to me, so I told him that I could find someone to share the rent, and he said yes. Xiao Ming, what do you think?"
"I..." Luo Mingyao was confused by his sudden question, "I can't, my family will definitely not agree with so much money..."
Huang Bohuai sighed in disappointment: "Okay then, I'll ask other people. In fact, it's good to be a roommate with you. You are so good at taking care of people. If I don't be a roommate with you, I don't think I'll be a roommate with you." People can't get through."
Luo Mingyao didn't respond to him again.It just occurred to him that sooner or later he and Huang Baihuai would part ways and find their own place to live and develop themselves.In the future, he and Huang Bohuai may meet occasionally.What about him and Zhao Bin?It has been almost half a year since we separated from Zhao Bin.He almost forgot about the beautiful entertainment committee member in high school, how long will he forget about Zhao Bin?He was overwhelmed by the thought.He turned over on the bed and wrapped himself in the deep darkness and sweltering heat with the quilt.
At the end of August, Huang Baihuai was still planning to rent a house.He awarded a first-class scholarship for graduate students at the school, with a monthly scholarship of 1500.Based on this, he persuaded his family to let him go out and rent a house.He soon found a relatively satisfactory house next to the hospital.In September, Huang Baihuai dragged the box and moved out.
Luo Mingyao was completely alone in the dormitory.Luo Mingyao stood at the door with some sense of loss, suddenly feeling at a loss as to where to go.One day he will no longer be just a student, one day he will start his own life like this.At that time, he will no longer bear the title of student; at that time, can he pursue Teacher Zhao again?
Thinking about this, he put the computer on his back and went to the department to work overtime.
Zhao Bin's September was not smooth.In the afternoon, he was going to attend the attending physician's declaration defense.He has adjusted his shift and will work on the night shift today. After the morning shift, he is going to wait in the hospital conference room.
But toward noon, the number of patients became more numerous.While receiving patients, he was thinking about how much time he would have to eat later, and he was inevitably a little impatient.
He dealt with the last patient a little hastily.
"Why not?" Zhao Bin asked.He no longer paid attention to keeping his appearance gentle, and now his brows were frowning.
The patient was an old man, and he spoke slowly: "I...I've defecated for the past few days, and my eyes don't look right... Our family said that if there is something wrong, let me come to a big hospital for treatment. I see Your outpatient clinic is scheduled until next week, so you can only go to the emergency room to see it."
There are many people who come to the emergency department every day because they can't register in the outpatient clinic. Every time they see such a patient, the emergency doctor is somewhat speechless. "What happened to the stool?" Zhao Bin asked.
"The poop... the poop is black," said the old man. "It's been a month... I don't think it's anything. Maybe it's because I took the traditional Chinese medicine, the color is a bit dark. Then it stopped, and it still has black stools this week. My family members said..."
"Okay, okay," Zhao Bin interrupted him, "Did you defecate the black stool, is it loose or dry? Do you have any other symptoms? Such as stomach pain, bloating, nausea, vomiting, acid regurgitation?"
"These... none of these." The old man still said slowly, "I just don't have any other feelings, so I don't think it's necessary to read it. It's because my family thinks that I should go to a big hospital for a good checkup... ..."
"Master," Zhao Bin didn't want to wait for him to speak slowly, "you really need to check. Black stool is to see if there is blood in the stool. I will prescribe a stool routine for you, and you go to check if there is blood in the stool. Take I'll see how to deal with it after the result. Okay?"
"Hey... okay..." the old man said, "I'll follow the doctor's arrangement..."
The old man reached out tremblingly to get the checklist issued by Zhao Bin. Zhao Bin was already very impatient. He looked at his mobile phone. It was a few minutes after twelve o'clock. He put the checklist on the table in front of the patient. He pointed, then got up and left.
Zhao Bin was still a little nervous. He had no confidence at all in applying for the appointment this time, but the current situation of his life forced him to move forward.He was worried and went to the hospital conference room half an hour in advance to wait.The meeting room opened at two o'clock, and all the subjects from various departments came to participate in the attending defense, ranging from those who had worked for three years to ten years.Many of them were acquaintances, and everyone greeted politely.Everyone was going round and round to inquire about the volume of each other's current articles.Zhao Bin felt chills when he heard that. Several well-known scientific research madmen have already won the Youth Fund and the National Nature Reserve.He looked at the people participating in the defense, thinking about the number of attending physicians that the hospital was planning to hire this year, and realized that it was completely impossible for him to hire attending physicians this year.
He looked at Xu Maohua up and down, and couldn't help saying: "Xu Maohua, you look so amazing!"
Xu Maohua couldn't help laughing, handed the menu to the waiter, poured tea for him, and said, "What's so amazing about this. These outfits are not worn just to come to the hospital to meet the chief director. I wish I could be more casual."
"It's not about what to wear." Luo Mingyao said, "It's about how the whole person looks, and I feel very knowledgeable and capable!" He also doesn't praise people, and he blushed when he said these few words.There was sincere admiration in his eyes.
Xu Maohua looked at him like this, but felt a little emotional: "I envy you even more. You have been staying in school all the time, and you have not been tortured by the big dye vat of society. Xiao Ming, you are still the same as before. Do you know that before we all Calling you a 'nerd' behind your back?"
Luo Mingyao shook his head blankly: "I'm not staying either..."
Xu Maohua was amused by him and laughed loudly: "Look, you are not staying still, hahahaha!" After laughing for a while, he restrained his smile, feeling a little sad: "When I first came out of society, I looked down on such an idiot as you. I'm very blunt, I can't play at all, and it's meaningless to make jokes. Over the years, I have dealt with many kinds of people, some are front-line clinicians, some are department leaders or hospital leaders, as well as pharmacies and medical insurance offices. Now I am very special If you like nerds, you don’t need to be the same as doing business, bargaining, talking about benefits, etc. You can just talk to him about academics and statistics, and it’s enough to take out what you’ve learned and analyze it with him, and you don’t need to talk around For other things, going around is just a little more money."
Luo Mingyao half-understood what he was talking about. Except for diagnosis and treatment, he didn't have much contact with clinical matters.This study class is his first contact with manufacturer representatives.A small graduate student like him has no access to the benefit center, not to mention that the drug commission has been severely cracked down by the health department in the past few years, and the shadow of the drug agent is usually invisible.He still doesn't understand the twists and turns of the gray income in the hospital.However, Xu Maohua said earlier that clinical practice is not easy, maybe he should also say that through comparison, Xu Maohua feels that his work is good?
So he tried to say: "Clinical work is indeed too hard. Look at me, I haven't entered the graduate school yet, and I have already started running the laboratory and doing odd jobs for the boss. Everyone else is on a graduation trip, and we have already started to go to work."
Xu Maohua smiled slightly: "It's really not easy. My senior, he was a graduate student in the medical school of F University, and he worked in the hospital for several years. He felt that clinical work was too tiring, so he resigned and became a research consultant for our company. , Later, he felt that sitting in the office and laboratory was boring, so he came out to do sales. It turned out that he had a good clinical foundation before, and he came out to give lectures to department bosses. Yes. He also thinks that both he and I came out of medical school, and he values me very much, so this time you hold a study class, let me listen to whatever the director has to say."
"I'm a graduate student, wouldn't it be a pity not to do clinical work?" Luo Mingyao couldn't help but say.
"I asked him that before," Xu Maohua said, "He said it's not a pity, he thinks he is suitable for this job, and he runs around every day with great energy. The value of a person is in every aspect of every industry, and what he has learned The clinical knowledge was not wasted in the end. In fact, many medical students do not take the clinical path in the end, and you have many choices after you come out of the clinic.”
Luo Mingyao nodded: "That's true."
The two of them ate again, talked about some past events in high school, talked about the current situation of their classmates, and talked about their experience of working for a year.Xu Maohua was not as eloquent as he is now, and Luo Mingyao and him also had a general friendship.But today after a meal, Xu Maohua and Luo Mingyao were almost like brothers.
After dinner, Xu Maohua said to send him back to school.Luo Mingyao was happily chatting with him, and he didn't refuse, so he took him to school together.He didn't know that Zhao Bin happened to have dinner next to the hospital and was about to go home.
Zhao Bin stood by the side of the road, watching Luo Mingyao walking with a strange young man.Luo Mingyao was very happy chatting with that stranger. He couldn't help but wonder, did Luo Mingyao ever do this when he was with him?When Luo Mingyao talked to him, he was always a little cautious, like a primary school student meeting his teacher.When talking about his own affairs, Luo Mingyao looked like a subordinate reporting to him.In many cases, they are not equal.Li Panqiu is right, he should avoid this bottom line from the very beginning.Instead of being like now, my heart is full of pain and regret, I want to see him but I am afraid, I want to approach him but I have to avoid him.
He looked at the backs of the two people walking together. Under the street lamp, the two shadows were entangled and overlapped each other. He felt a burning pain in his heart. He wanted to go over impulsively to pull the stranger away, but there was no such thing do stand.In the noisy street, people come and go, he and he are just acquainted passers-by, and he can do nothing but watch him go away.
Luo Mingyao turned his head, always feeling that someone was looking at him from behind, but he didn't see anyone when he turned his head.
"What's wrong?" Xu Maohua asked him.
"It's okay," Luo Mingyao continued walking with him, "You said the entertainment committee member is married?"
"Yes, she got married last year. She brought her husband to our classmate reunion last year. I forgot to tell you just now that I was talking to you about boys. Her husband seems to be a second-generation official. ..." Xu Maohua said.The two chatted happily and walked back to school.
Back at the dormitory, Huang Baihuai hadn't come back yet.He has been busy collecting patient data recently, and he comes back very late every night.Luo Mingyao first sent him a WeChat message, asking when he would be back, then took his thermos, and went downstairs to the water room to fetch hot water for him.Huang Baihuai didn't come back until after twelve o'clock in the evening several times, which was long past the time of the school bathroom, so he could only take a cold shower in the dormitory shivering.Luo Mingyao hasn't been so sleepless yet, he has prepared hot water for him in the past few days, so that he will like to turn it into warm water when taking a bath, so as not to catch cold and get sick.
Huang Bohuai came back around twelve o'clock.Luo Mingyao was still awake, reading a few articles recommended by the boss on the bed.
"Sleeping so late again." Huang Bohuai said, "It was said that your postgraduate entrance examination disrupted your schedule, but now it's been so long, and you still haven't adjusted your schedule properly."
Luo Mingyao smiled, and pointed to the hot water: "The hot water has been called back for you, take a shower and go to bed early."
"Thank you, Xiao Ming!" Huang Bohuai shouted in surprise, and rushed to the toilet to take a shower.After a while, Huang Baihuai came out of the shower, wiped his hair and said, "Xiao Ming, I have a thought now." At this point, he stopped as if waiting for someone to ask.
"Huh?" Luo Mingyao responded casually.
"I want to go out and rent a house." Huang Bohuai said.
"Yeah." Luo Mingyao responded.
"School is too inconvenient." Seeing that Luo Mingyao didn't react as expected, Huang Bohuai continued, "I told my father, and he also agreed for me to go out and rent a house. It's a better condition. But he thinks I can’t go out and live alone, it’s too extravagant to live alone. Renting a house outside the school still costs about 1500-2000 a month, and a house of 1500 is very bad. My brother said that a house of 2000 is fine. He felt that he was too used to me, so I told him that I could find someone to share the rent, and he said yes. Xiao Ming, what do you think?"
"I..." Luo Mingyao was confused by his sudden question, "I can't, my family will definitely not agree with so much money..."
Huang Bohuai sighed in disappointment: "Okay then, I'll ask other people. In fact, it's good to be a roommate with you. You are so good at taking care of people. If I don't be a roommate with you, I don't think I'll be a roommate with you." People can't get through."
Luo Mingyao didn't respond to him again.It just occurred to him that sooner or later he and Huang Baihuai would part ways and find their own place to live and develop themselves.In the future, he and Huang Bohuai may meet occasionally.What about him and Zhao Bin?It has been almost half a year since we separated from Zhao Bin.He almost forgot about the beautiful entertainment committee member in high school, how long will he forget about Zhao Bin?He was overwhelmed by the thought.He turned over on the bed and wrapped himself in the deep darkness and sweltering heat with the quilt.
At the end of August, Huang Baihuai was still planning to rent a house.He awarded a first-class scholarship for graduate students at the school, with a monthly scholarship of 1500.Based on this, he persuaded his family to let him go out and rent a house.He soon found a relatively satisfactory house next to the hospital.In September, Huang Baihuai dragged the box and moved out.
Luo Mingyao was completely alone in the dormitory.Luo Mingyao stood at the door with some sense of loss, suddenly feeling at a loss as to where to go.One day he will no longer be just a student, one day he will start his own life like this.At that time, he will no longer bear the title of student; at that time, can he pursue Teacher Zhao again?
Thinking about this, he put the computer on his back and went to the department to work overtime.
Zhao Bin's September was not smooth.In the afternoon, he was going to attend the attending physician's declaration defense.He has adjusted his shift and will work on the night shift today. After the morning shift, he is going to wait in the hospital conference room.
But toward noon, the number of patients became more numerous.While receiving patients, he was thinking about how much time he would have to eat later, and he was inevitably a little impatient.
He dealt with the last patient a little hastily.
"Why not?" Zhao Bin asked.He no longer paid attention to keeping his appearance gentle, and now his brows were frowning.
The patient was an old man, and he spoke slowly: "I...I've defecated for the past few days, and my eyes don't look right... Our family said that if there is something wrong, let me come to a big hospital for treatment. I see Your outpatient clinic is scheduled until next week, so you can only go to the emergency room to see it."
There are many people who come to the emergency department every day because they can't register in the outpatient clinic. Every time they see such a patient, the emergency doctor is somewhat speechless. "What happened to the stool?" Zhao Bin asked.
"The poop... the poop is black," said the old man. "It's been a month... I don't think it's anything. Maybe it's because I took the traditional Chinese medicine, the color is a bit dark. Then it stopped, and it still has black stools this week. My family members said..."
"Okay, okay," Zhao Bin interrupted him, "Did you defecate the black stool, is it loose or dry? Do you have any other symptoms? Such as stomach pain, bloating, nausea, vomiting, acid regurgitation?"
"These... none of these." The old man still said slowly, "I just don't have any other feelings, so I don't think it's necessary to read it. It's because my family thinks that I should go to a big hospital for a good checkup... ..."
"Master," Zhao Bin didn't want to wait for him to speak slowly, "you really need to check. Black stool is to see if there is blood in the stool. I will prescribe a stool routine for you, and you go to check if there is blood in the stool. Take I'll see how to deal with it after the result. Okay?"
"Hey... okay..." the old man said, "I'll follow the doctor's arrangement..."
The old man reached out tremblingly to get the checklist issued by Zhao Bin. Zhao Bin was already very impatient. He looked at his mobile phone. It was a few minutes after twelve o'clock. He put the checklist on the table in front of the patient. He pointed, then got up and left.
Zhao Bin was still a little nervous. He had no confidence at all in applying for the appointment this time, but the current situation of his life forced him to move forward.He was worried and went to the hospital conference room half an hour in advance to wait.The meeting room opened at two o'clock, and all the subjects from various departments came to participate in the attending defense, ranging from those who had worked for three years to ten years.Many of them were acquaintances, and everyone greeted politely.Everyone was going round and round to inquire about the volume of each other's current articles.Zhao Bin felt chills when he heard that. Several well-known scientific research madmen have already won the Youth Fund and the National Nature Reserve.He looked at the people participating in the defense, thinking about the number of attending physicians that the hospital was planning to hire this year, and realized that it was completely impossible for him to hire attending physicians this year.
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