Emergency Department Observation of Medical Records

Zhao Bin didn't wait for Luo Mingyao's reply all afternoon, which made him somewhat uneasy.Luo Mingyao has always responded quickly, and he is a little accustomed to the state of Luo Mingyao waiting for his news on the phone.He couldn't help knocking on the empty water glass, reflecting that he always took Luo Mingyao's efforts for granted.

He sorted out his emotions and continued to work.

The next patient came soon. They were a young couple. The wife was holding her belly and her face was pale, and the husband was supporting her worriedly.Zhao Bin glanced at the patient's information, the girl was just 18 years old.

"Why not?" Zhao Bin asked the patient to sit down.

"Stomach hurts..." The patient's voice was a little crying, "The pain is unbearable..."

"How long has it been?" Zhao Bin motioned to the patient's family to help him bring the patient to the examination bed, and the two of them helped the girl to the bed and lay down together. "How long has the stomach ache?" Zhao Bin didn't hear the two people answer, and continued to ask, "A few days or a few hours?"

"A few hours," said the patient's husband, "almost three hours."

"Have you eaten anything unclean recently?" Zhao Bin asked.

"No," the patient's husband shook his head, "the same food as usual, she suddenly complained that her stomach hurts, and the pain was unbearable. We started to ask if it was a stomachache, just rub it, but she said more and more It hurts, it hurts unbearably."

"Did you have diarrhea? Nausea, vomiting, etc.? How's your stool going? Constipation or black stool?" Zhao Bin said while doing abdominal palpation with his hands.The patient's entire abdominal muscles were a little stiff due to the pain, and there was pain in the entire abdomen under light pressure.

The family members were very anxious: "Doctor, can you give her some painkillers first? You can see that she is in great pain."

Zhao Bin had a physical examination, but there were no characteristic abdominal signs. The patient's pain was very severe, but the common appendix, liver and gallbladder, and stomach examinations showed no obvious abnormalities.He selectively ignored the patient's request for pain relief, and continued to ask: "Are you in pain like this, do you feel cramps or constant pain? Also, did it suddenly appear today? There was no other discomfort at all before. ?”

The patient shook his head: "There was nothing bad before, but today it suddenly hurts..."

Zhao Bin sat back in front of the computer and saw the basic information of the patient again. The "age 18" made him suddenly think of something.He asked, "How's your menstruation going?"

The patient's family members scratched their heads and did not speak, both of them blushed. This question gave them great embarrassment.

"We see stomach pain..." the patient's family member said, "how to ask this question..."

"This question is very important." Zhao Bin said, "I am a doctor and I am very professional. There must be a reason for me to ask this question. How is your menstruation status? When was the last menstrual period? What month and date?"

"Remember, I can't remember..." Ninja said painfully as the patient lay on the examination bed.

"Have you been here this month? Have you been here last month? Early or late last month?" Zhao Bin asked a series of questions.

"I didn't come last month, it's been three months..." The patient shook his head.

Zhao Bin looked at the patient's family: "Do you know why you ask this? You haven't had your period for three months, do you know what it means?"

The patient's family members shook their heads: "What do you mean? Is it related to stomach pain?"

"There is no menstruation for three months, it is most likely that you are pregnant!" Zhao Bin has already started to yell irritably, the patient's ignorance is too time-consuming and energy-consuming at this time, "You two are married, and you have not had menstruation for three months , Don’t you have any basic common sense? You should go to the hospital to check if you are pregnant if you don’t come for a month, and do a full health checkup. It’s been three months, and now I have a stomachache, and it’s probably an ectopic pregnancy!”

The patient lying on the examination bed burst into tears.

"Does ectopic pregnancy cause stomach pain...? Why does pregnancy cause stomach pain?" The patient's family members were still a little dazed, completely out of the situation.

"An ectopic pregnancy is not a normal pregnancy!" Zhao Bin roared, "The child that was supposed to grow in the uterus grew outside, and it is likely to grow in the fallopian tubes. After a while, the fallopian tubes burst, ruptured and bled, The stomach will hurt! Now I won’t talk nonsense with you, I will immediately notify the obstetrics and gynecology department, and you should take the patient there quickly, get admitted to the hospital, and perform an operation!”

"Doctor, doctor..." The patient stood up from the bed, "No operation, no operation... My mother said that after the operation, I will never be able to conceive again... I will not do it!"

"If you don't do it, you will die." Zhao Bin glanced at her, then turned his head and continued to yell at the family members, "Do you understand? Surgery must be done. This is not a matter of protecting adults and children. This thing that grows outside the womb , It is impossible to survive and grow into a child, and he may die today if he does not undergo surgery!" He didn't want to tell his family any more, so he went out to find a nurse to inform the obstetrics and gynecology department, and then asked a person who could speak Tibetan to come in and communicate with the couple.

Soon a deputy chief physician from the obstetrics and gynecology department came to see the patient, who happened to be Tibetan, and quickly communicated with the couple. She also thought that the cause of the patient's abdominal pain was "ectopic pregnancy".The husband seemed to understand now, and quickly picked up his wife and went to the hospital.Before leaving, he thanked Zhao Bin: "Thank you, doctor! Thank you, doctor!" followed by a few words in Tibetan that he didn't understand.

The deputy chief sighed to Zhao Bin: "He didn't understand just now and said you were fierce. Girls still don't want to do it."

Zhao Bin shook his head: "I'm in a hurry, I didn't hold back my tone, I will pay attention in the future. I have been working in the emergency department of City C for 3 years, and I have not yet received treatment for ectopic pregnancy. In City C, what I hear the most is many people If you can’t get pregnant, you start preparing for pregnancy from the time you are trying to conceive, and you have to go for a check-up every month after you get pregnant. Unexpectedly, there are still people who don’t understand that you should pay attention if you don’t have a menstruation for a month.”

The deputy high said with emotion: "The rich can't give birth, and the poor can't stop giving birth. I went to the obstetrics and gynecology meeting last year, and someone summed it up at the meeting." Finished. , The department is preparing for emergency surgery.

Luo Mingyao followed Qian Kangming to choose the wine. The quality and price were all considered for him. It cost more than 200, and it was very decent to give it to the teacher.Qian Kangming asked him to add some money, and handed it over to the people in the villa to help pack it, so that it would look decent after it was done.

Luo Mingyao joyfully hugged the things in his arms, just like hugging a baby.Qian Kangming looked at him, felt itchy, and couldn't help but raised his hand to touch his head.

Luo Mingyao came back to his senses, and thanked him with a bow: "Thank you Senior Brother Qian, I'll treat you to dinner tonight." You can't wait for such a big favor.

Qian Kangming smiled complacently: "Okay. Let's eat here. I know there is a farm restaurant here, and the taste is very good."

After eating, Qian Kangming introduced him to the dishes here and compared the tastes of different places.He spoke very well, but Luo Mingyao just bought a gift for Zhao Bin, and he always wanted to tell Zhao Bin that he wanted to turn on his mobile phone to send messages several times, but felt that others were helping, so he was still talking to himself , I shouldn't look at my phone while eating, it's too impolite, so I never turned on my phone to take a look.It wasn't until after dinner that Qian Kangming sent him back to school that he checked Zhao Bin's earlier messages.

"What's wrong?" Seeing his serious face, Qian Kangming couldn't help asking.

"My friend sent me a text message saying that I will see a patient in the afternoon." Luo Mingyao replied, adding another word in his mind: "Boyfriend".

"Discuss academics, so serious." Qian Kangming said.

"There is nothing academic..." Luo Mingyao was embarrassed by what he said, "Clinical medical records, sharing it can be regarded as increasing clinical experience."

"That's true," Qian Kangming nodded, "When I was in the clinic, I also liked to share with my colleagues and classmates the patients I had seen, the strange ones, the difficult ones, the complicated ones, the tortuous ones, listen to other people's experiences, and learn about them yourself. There will always be inspiration when we meet in the future.”

Speaking of this, Luo Mingyao was too embarrassed to take too much time to reply to the message.So he put the phone away and continued to chat with Qian Kangming.

It's past nine o'clock when I get back to school.He got out of Qian Kangming's car and picked up his cell phone to reply to Zhao Bin's message.

Not long after the news was sent out, Zhao Bin called.

"Why didn't you see the news so late?" Zhao Bin's tone was still a little angry, he paused, and then slowed down his voice, "Are you busy with experiments today? Are you tired?"

Luo Mingyao was a little anxious when he heard his first sentence of displeasure, and hurriedly explained: "It's not an experiment, I, I'm going to buy you a birthday present..." At this point, he braked quickly, and there would be no surprises after saying it...

Zhao Bin's laughter came from the phone: "So hard, what did you buy?"

Luo Mingyao hugged the wine in his hand, wanted to tell him, but also wanted to keep it as a surprise for him, hesitated, and didn't speak for a long time.

Zhao Bin laughed again, with a rare softness in his tone, coquettishly: "Tell me, I might not be able to sleep tonight."

Luo Mingyao immediately talked about it, from whom he asked, what suggestions he made, to today's whole experience.

Zhao Bin listened with a faint sense of crisis in his heart. Who is so kind to Luo Mingyao? "Is that the friend who used to drive you back to school?" he asked.

Luo Mingyao tilted his head and thought for a while. It was Xu Maohua who often sent him back to school. Qian Kangming sent him off once today, so he replied: "No. This is also a member of the company. He usually does drug clinical trials, and he is still in charge of us. Hospital experiments."

Zhao Bin caught the key word: "It also belongs to the company? What company?"

"A company that makes metformin domestically." Luo Mingyao answered honestly.

"People from the company..." Zhao Bin sounded relieved.

"What's wrong, Teacher Zhao?" Luo Mingyao asked him.

"It's nothing." Zhao Bin laughed on the other end, "However, if you buy wine, you may not be able to send it to Tibet by express delivery. In places like Xinjiang and Tibet, express delivery cannot deliver liquids."

"Ah..." Luo Mingyao sighed in disappointment, the excitement in his heart dissipated without a trace, and said sadly: "I'm sorry, Mr. Zhao, I didn't check these things in advance. What should I do?"

"It's okay," Zhao Bin comforted him in a low voice, "The wine tastes better the longer you drink it. You put it in the dormitory, and when I come back, we'll have a good meal together, and then we'll have a drink." His voice was warm and heavy in a dormitory of one person, and he described to him the romantic scene eight months later, "I want to decorate the house, lay out carpets, buy some beautiful vases, put flowers, and then Light candles, let's drink together..." He laughed again, and his voice became deep and seductive: "After drinking, we will sit on the sofa..."

Luo Mingyao was blushing, but couldn't help but want to hear him continue.Listening to his voice not only made him happy, but also seemed to make him feel doubly lonely and missed.Before Zhao Bin spoke out, he interrupted and said softly: "Mr. Zhao, I miss you so much..."

Zhao Bin stopped, and his heart was full of longing.The stars and the moon on the plateau are so bright, he looked into the distance in the room, Luo Mingyao was like the flawless stars and moon, shining pure and delicate in his heart. "I miss you too." He said softly.

Volume Three