I Can See Health: Chapter 176 Really an intern?

  Chapter 176 Is he really an intern?

   Jinghua Second Hospital.

   Emergency Department Ward.

  Lu Chen is like a firefighter, rushing to various emergency wards, helping patients with catheterization, sputum suction, blood gas extraction, and even bronchial intubation.

   This shocked Ning Siyang.

   This apprentice is almighty right...

   Can do anything!

   The blood that the nurse couldn't draw out, he drew it out as soon as he got started.

  Some elderly people have severe prostatic hyperplasia, and the urinary catheter cannot be inserted. As soon as he gets started, he inserts it very smoothly!

   And Lu Chen's system panel.

   The proficiency of various skills is rising rapidly.

   Oxygen 100%.

   Suction 100%.

   Catheterization 100%.

  …

  …

   About twenty minutes passed.

  The condition of the two critically ill patients under Lu Chen's care has temporarily stabilized.

   "Junior Brother, I'll take care of you here, you can go and see the patients in the observation room." Wang Xiaodong said, "There are still many patients who have not been treated, and we can't vacate anyone here for the time being."

   Most of the doctors in the emergency department are rescuing critically ill patients, so that the mild patients in the emergency observation room have not been taken care of.

  It’s okay for a while, but it’s going to be trouble after a long time.

   More importantly, no one can guarantee that there are no hidden severe patients among these mild patients!

   "Okay." Lu Chen nodded.

   For most of the critically ill rescues, he could not get involved at all, so he could only go for catheterization and blood gas extraction.

  Many clinical operations, even if he can do it, he is not qualified to do it, and the superior doctor will not let him do it.

  …

   Emergency observation room.

   At least four patients sit on each hospital bed.

  There were patients who moved a chair and sat in the corridor.

   What's more, sit directly on the ground.

  Lu Chen walked into the observation room. The first thing he did was not to look at the patients, but to observe the health on each patient's head.

   This allows him to screen critically ill patients as quickly as possible and give them timely treatment.

   As long as he sees a person whose HP is lower than 60, Lu Chen will immediately transfer the patient to the emergency ward.

   Patients with HP above 80, there is no and there is no possibility.

   There are some patients with HP between 70-80.

   But this kind of patient is in stable condition and need not be managed for the time being.

  Lu Chen is more concerned about the patients in the 60-70 HP range.

   Some patients may recover slowly, but some patients may get heavier and heavier until their health falls below 60.

   "What's wrong with you?"

   In front of Lu Chen, there was a young man half lying on the bed, with 63 health.

   Currently in the emergency observation room, the patient with the lowest life value.

  Cheng Lin kept his eyes closed, opened his eyes when he heard the voice, and when he saw it was a doctor, he whispered, "It's okay, just a little dizzy."

   "Dizzy?" Lu Chen frowned, "How did you get hurt?"

   The young man in front of him, on the surface, Lu Chen didn't see any wounds.

   "I was still far from where the incident happened, but I was about to ride a bicycle when a stone suddenly flew over. I ducked and fell down accidentally."

   "Falled?" Lu Chen raised his brows, "Did you hurt your head?"

"No." Cheng Lin shook his head and pointed to his lower right abdomen, "It was the handlebar that hit my stomach here. At first, my stomach hurt a little bit, but now it's better and no longer hurts. But I don't know why, after entering the hospital. , I've been feeling a little dizzy."

   "Stomach pain and then dizziness?" Lu Chen was a little puzzled, "Come on, lie down and I'll show you."

  Cheng Lin nodded and did as Lu Chen said, lying flat on the hospital bed.

  Lu Chen began to perform a physical examination on Cheng Lin.

   No wounds were seen on his head, chest or abdomen.

   There is only a small bruise under the right sternum, which should be the impact of the handlebar.

  Other than that, all other physical examinations were negative.

   "Doctor, when will I be discharged from the hospital?" Cheng Lin said, "If it's just dizzy, I don't feel anything, I should go back and get some sleep."

  Lu Chen shook his head and said, "You still have to observe for the time being, maybe a CT of the head and full abdomen."

   "Do you still want to do CT?" Cheng Lin hesitated, "Is this necessary? I feel like I'm already well, and it's not a big problem. I still have some urgent things to do."

   "It is very necessary, we have to rule out whether your internal organs are damaged." Lu Chen explained, "Many internal organ damages are delayed."

   The patient's HP is 63, and he must not be put back home.

   "I'll take your blood pressure first."

   Nurses are very busy. Most of the patients in the emergency observation room have not done any examinations, and they have not even had time to measure their blood pressure.

   After searching at the nurse station for a long time, Lu Chen finally found an electronic blood pressure monitor.

   "Doctor, I don't usually have high blood pressure." Cheng Lin said.

   "Blood pressure needs to be measured routinely." Lu Chen said, and quickly tied a cuff to Cheng Lin.

   On the electronic sphygmomanometer, the blood pressure value was quickly displayed: 108/64mmHg, heart rate 98 beats/min.

   "Look, let me tell you, my blood pressure is not high." Cheng Lin smiled.

  Lu Chen looked at Cheng Lin's body shape. He was about 1.7 meters tall, but his weight should be close to 160 pounds.

   This BMI is about to reach the standard of obesity.

   People with this body type should have high blood pressure, not just this low.

   For example, Cheng Peng in the eighth area of ​​the heart, he is about the same size as the patient in front of him, and his blood pressure is usually 130-140/80mmHg.

  Although it has not yet reached the standard of high blood pressure, it is already in the high normal range and may develop into high blood pressure at any time.

   "What's your normal blood pressure range?" Lu Chen put away the sphygmomanometer.

  Cheng Lin thought for a while and said, "I don't usually measure blood pressure, but during the entrance examination, it seemed to be around 130/80mmH."

  Lu Chen nodded.

   Now it seems that the patient's current blood pressure is still low compared to the usual blood pressure.

   Then the CT of the head and the whole abdomen is even more necessary!

   "I'll give you a CT scan later, be sure to do it."

   "Ah? This..." Cheng Lin hesitated.

   Is the government reimbursed for this emergency?

   If he doesn't reimburse him, he will suffer a lot!

   I just got fired, and it's so sad to have this kind of thing happen again.

   Seeing the patient's hesitation, Lu Chen frowned: "Don't want to do it?"

  Cheng Lin shook his head and looked at the young doctor in front of him.

   "Doctor, do I have to do it?"

   "Yes, it must be done!" Lu Chen said decisively.

   His tone was unmistakable.

  Cheng Lin hesitated for a moment, and finally let go.

   "Okay, then I'll do it."

  …

  Lu Chen first returned to the emergency ward and reported Cheng Lin's condition to Wang Xiaodong.

   "At present, the patient does not exclude the injury of abdominal organs, and I think it is still necessary to improve the abdominal CT."

  Wang Xiaodong listened to the medical history report.

   "Well, it is really necessary, then you can arrange a CT for him."

   "Okay." Lu Chen nodded and prepared to leave.

   "Junior brother, wait a moment." Wang Xiaodong stopped Lu Chen, "What kind of examinations those patients need to do, you can arrange it, don't use it to report to me."

   After getting along for this period of time, Wang Xiaodong already trusts Lu Chen's ability very much.

  Lu Chen was taken aback for a moment, then smiled: "Okay."

  With Wang Xiaodong's approval, it would be more convenient for him.

  Otherwise, every time he sees a patient, he has to report back, which is a waste of time.

   Next, Lu Chen returned to the emergency observation room and continued to look for patients with 60-70 HP.

   "Doctor, come and see me, my heart is not feeling well, have I been injured by the shock?" When passing by a hospital bed, a middle-aged woman stopped him and said she had already taken off her coat.

  Lu Chen stopped and saw that the HP on her head was 76.

  This patient should not be considered a patient.

   However, although her health value is displayed as 76, Lu Chen still has to check it out in person.

  This system is a system after all, what if there is a card bug?

   He also cannot rely entirely on the system to judge his condition.

   "Auntie, let me show you."

  Lu Chen came to the bedside. After a series of examinations such as blood pressure measurement and physical examination, he smiled and said, "Auntie, you're fine, maybe you're scared."

   "Doctor, then you said I don't need a CT?" the woman said nervously.

  Lu Chen shook his head slightly: "I checked just now. You are not injured anywhere. Your blood pressure and electrocardiogram are normal. You may have been frightened, so you don't need to do CT examination for the time being."

   "Then can you guarantee that I'm all right?" the middle-aged woman asked.

   "This, no matter what kind of hospital doctors, doctors of any level, dare not guarantee this to patients!" Lu Chen was quite helpless.

"That's okay. I think it's better to get a CT insurance. You can prescribe a full-body CT for me and check it out for me." The woman said, "I heard news just now that the medical expenses this time, The government is fully reimbursed.”

   "Auntie, I really don't know about reimbursement." Lu Chen said.

   "Of course you don't know. Well, you have already checked everything that should be checked, such as an MRI of the head, ultrasound of the liver, gallbladder and spleen... You should do these tests for me first."

  Lu Chen's face was startled, my dear, this is the preparation for the mattress.

   "Auntie, I said in case, if the reimbursement is not made by then, then you..."

   The middle-aged woman was stunned for a moment, and there was a hint of hesitation in her eyes: "What you said seems to make sense, then I'll wait and see, and I'll come to you when the meeting is done."

  Lu Chen: "…"

   After solving this middle-aged woman, Lu Chen continued to look for patients with 60-70 HP.

   He found three more one after another, and after a simple consultation and physical examination, he asked them to do the corresponding examinations.

  There is no need to report the condition to Wang Xiaodong, Lu Chen's speed of seeing patients is significantly faster.

  …

   Outside the emergency department building of Jinghua Second Hospital.

  Xiao Zhongjiang, counselor of the graduate department.

  He manages all graduate students of Jinghua Second Academy, including masters and doctorates.

   At this time, more than a dozen graduate students came to support him behind him.

"This accident has a great impact. Our Jinghua No. 2 Hospital is the closest to the accident site, so some patients were sent to us at first." Xiao Zhongjiang said to the students behind him, "The emergency department is not enough, so I temporarily transferred you here. Help take care of some patients with mild symptoms, and also need to accompany patients to go out for examinations."

   The students who followed behind nodded one after another.

   Most of them are graduate students.

Many students of   Graduate III are busy with their graduation thesis and have no time to come.

   "I won't let you come in vain. Everyone will get extra points for the scholarship selection at the end of the year. In addition, today's support will also give everyone an on-duty allowance."

  Xiao Zhongjiang led everyone to the emergency department.

  He found Director Dai Bin right away.

   "Director Dai, my wave of students is at your disposal."

   "Mr. Xiao, you are here!"

  Dai Bin is really busy, the nursing team asked him to borrow someone, and the various doctor teams also asked him to ask for help.

   Before, he thought that Director Lu, the director of this department, had a good job, but now it seems that it is really a hot potato.

   Director Lu was in Kyoto, and gave him this broken stall.

"All the students come with me, and I will assign tasks to you." Xiao Zhongjiang brought all the students to the emergency ward, "two students from the nursing group, one from Wang Peng's group, and two from Xia Yingzheng's group, and then Teacher Dong Yuan's team will go to two...the remaining five people, listen to Teacher Wang Xiaodong's dispatch and go to the emergency room for observation."

   "Okay, teacher."

  People are assigned to each medical group.

  Wang Xiaodong stood in front of five students, three men and two women.

   "Mister brothers and sisters, you are in charge of the patients in the observation room, so the task is a little more difficult than others." Wang Xiaodong said, "You come with me first."

  Wang Xiaodong brought five students to the emergency observation room.

  Lu Chen is taking an old lady's blood pressure.

   "Junior Brother Lu, come here."

   "Okay, it's coming soon."

  Lu Chen quickly finished his blood pressure measurement and came to Wang Xiaodong.

   "Junior Brother Lu, these five classmates will follow you first and let them help them deal with the patients in the emergency observation room." Wang Xiaodong said, "Call me anytime if you have anything."

   "Okay, Senior Brother." Lu Chen nodded.

Wang Xiaodong was about to leave when he suddenly turned around and said: "By the way, the patient with ventricular fibrillation just now, your diagnosis is correct. Mr. Li from the Department of Cardiology came for consultation and diagnosed acute myocardial infarction. Considering that it was caused by acute stress, go to CCU's."

   "That's good, otherwise he'll be in ventricular fibrillation all the time, and sooner or later there will be a problem." Lu Chen said happily.

   At this moment, the system pops up a prompt.

   "Congratulations, the system upgrade completion rate has risen to 9%!"

  Lu Chen glanced at it and didn't care.

   "Okay, then I'll go first." Wang Xiaodong patted Lu Chen's shoulder.

   He was more assured of Lu Chen.

  …

  Lu Chen looked at the five students in front of him, with some doubts in his heart. Senior brother asked them to follow him.

   Are all these trainees in front of you?

   The five students who came to support were also puzzled.

   Is this very young doctor in front of me a new doctor in the emergency department?

   They wanted to see Lu Chen's badge, but found that he didn't have a badge in front of his white coat.

"Okay, let's do this first." Lu Chen coughed lightly, "Everyone manages patients in one area, takes electrocardiograms, measures blood pressure, and records the medical history. If the patient feels uncomfortable, tell me immediately. "

   "Okay, brother."

   One of the girls named Chi Jia nodded immediately.

   Seeing Chi Jia calling out Senior Brother, several others also agreed.

  Lu Chen knew it in his heart.

   "It seems that they are really interns."

There are more than 40 patients in the observation room, and each person is assigned to manage seven or eight patients.

   Lu Chen's burden was suddenly much lighter.

  The crowd began to work separately, examining everyone's patients.

  …

   About seven minutes later, Cheng Lin came back from the abdominal and head CT.

   He happened to be in the area in charge of Chi Jia.

   After Chi Jia learned about Cheng Lin's condition, he immediately turned on the computer and watched the images in the video system.

   "Doctor, is there something wrong with my test results?" Cheng Lin couldn't wait to ask Chi Jia's side.

   "There is no problem with the head CT, and this abdominal CT... should be fine." Chi Jia quickly glanced at the images, "But we still have to wait for the CT room to issue a report. We are not professional."

   "Oh, okay, then I'll wait." Cheng Lin nodded.

   But when he heard Chi Jia's words, he felt a little more relaxed.

  Although my stomach started to hurt again, but forbearance passed.

   Lu Chen had just bandaged an old lady's wound when she noticed that Cheng Lin was back.

   "Sister, what is the result of this patient's abdominal CT?"

  Chi Jia immediately stood up and said, "The CT room hasn't gotten the results yet, but I looked at the images and felt fine, nothing unusual."

  Lu Chen frowned. Is the result okay?

   He looked at Cheng Lin, but found that the health value on his head had changed!

   His health was 63 before, but now it has become 60!

   "Junior sister, you go to take this patient's blood pressure." Lu Chen's heart tightened.

   Although Chi Jia felt a little strange, she obediently went to get a blood pressure monitor.

  Lu Chen quickly sat in front of the computer, turned on the imaging system, and began to view Cheng Lin's CT images.

  Head CT...no problem.

   Abdominal CT, at first glance, there is no problem.

   Could it be that he is wrong, the system is bug, does he really have no problem?

  Lu Chen sank his heart and carefully looked at every layer of the abdominal CT image.

   At this time, Lu Chen didn't answer, and stared at the image.

   He suddenly noticed that when looking at the fourth slice of the abdominal CT, there seemed to be a low density shadow in the liver area.

   The area of ​​this low-density shadow is very small, and it’s really not easy to see if you don’t look carefully.

   "Senior brother, the patient's blood pressure is not very high, only 92/58mmHg, and the upper extremities are symmetrical." Chi Jia has finished measuring his blood pressure.

   "Oops, blood pressure has dropped!" Lu Chen's heart sank.

   There is a problem, a big problem!

   Brothers and sisters, how many words should a chapter have?

  

  

   (end of this chapter)