I Can See Health

Chapter 172: Really an intern?

Jinghua Second Hospital.

Emergency department ward.

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

This shocked Ning Siyang.

This junior brother is all-powerful...

Can do anything!

He drew out the blood that the nurse couldn't draw out as soon as he got his hands on it.

Some elderly people have severe prostatic hyperplasia and cannot insert a urinary catheter. Once he got started, he inserted it very smoothly!

And in Lu Chen's system panel.

Proficiency in various skills is rising rapidly.

Oxygen 100%.

Suction 100%.

Catheterization 100%.

About twenty minutes passed.

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

"Junior brother, I'm taking care of you here. You go and see the patients in the observation room." Wang Xiaodong said, "There are still many patients there who have not been treated, and we can't spare anyone here for the time being."

Most doctors in the emergency department are rescuing seriously ill patients, so that patients with mild symptoms in the emergency observation room have not been cared for.

It doesn't matter for a while, but after a long time, it will cause trouble.

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

"Okay." Lu Chen nodded.

He was unable to intervene in most severe cases of resuscitation and could only perform catheterization and blood gas extraction.

Even if he can do many clinical operations, he is not qualified to do them, and superior doctors will not let him do them.

Emergency observation room.

There are at least four patients sitting on each hospital bed.

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

What's more, they sit directly on the ground.

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

This allows him to screen out seriously ill patients as quickly as possible and provide timely treatment.

Whenever he sees a patient with a health value below 60, Lu Chen will immediately transfer the patient to the emergency ward.

There are no patients with health points above 80, and there cannot be any.

There are some patients with health points between 70-80.

However, this patient's condition is stable and does not need to be taken care of for the time being.

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

Some patients may recover slowly, but others may get worse and worse until their health points fall below 60.

"What's wrong with you?"

In front of Lu Chen's eyes was a young man half lying on the bed with 63 health points.

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

Cheng Lin had his eyes closed the whole time. He opened his eyes when he heard the voice. When he saw it was a doctor, he whispered: "It's okay, I just feel a little dizzy."

"Dizziness?" Lu Chen frowned, "How did you get injured?"

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

"I was still far away from the scene of the incident, but I was about to ride a bicycle when a stone suddenly flew towards me. I dodged it and accidentally fell down."

"Falled?" Lu Chen raised an eyebrow, "You didn't hurt your head, did you?"

"No." Cheng Lin shook his head and pointed to his lower right abdomen, "It was the handlebar that hit my stomach. My stomach hurt a little at first, but it's better now and doesn't hurt anymore. But I just don't know why. After entering the hospital , I just kept feeling a little dizzy.”

"Stomach pain, and then dizziness?" Lu Chen was a little confused, "Here, lie down on your back, and I'll show you."

Cheng Lin nodded, followed Lu Chen's words, and lay flat on the hospital bed.

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

There were no wounds on his head, chest, or abdomen.

There was just a small bruise under the ribs on the right side of the chest, probably from the impact of the handlebar.

Otherwise, the rest of the physical examination was negative.

"Doctor, when can I be discharged from the hospital?" Cheng Lin said, "If it's just dizziness, I feel nothing. I should be fine if I go back and take a nap."

Lu Chen shook his head and said, "You still have to observe for the time being, and you may need to do a CT scan of the head and entire abdomen."

"Do you still need a CT scan?" Cheng Lin hesitated, "Is this necessary? I feel like I'm fine now and there's nothing serious. I still have some urgent things to do."

"It is necessary that we rule out whether there is damage to your internal organs." Lu Chen explained, "Many internal organ injuries are delayed."

The patient's health value is 63, and he must not be allowed to go home.

"Let me take your blood pressure first."

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

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

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

"Blood pressure is something that needs to be measured routinely." Lu Chen said, and then quickly put a cuff on Cheng Lin.

The electronic blood pressure monitor quickly displayed the blood pressure value and heart rate of 98 beats/minute.

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

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

This BMI is almost reaching the standard of obesity.

For a person with this body type, blood pressure should be on the high side, 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. His blood pressure is usually in the normal high range, although it has not reached the standard of hypertension, and it may develop into hypertension at any time.

"What is 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 pre-employment physical examination, it seemed to be around."

Lu Chen nodded.

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

Then it is even more necessary to do the CT scan of the head and the whole abdomen!

"I will write you a CT examination order later, and you must go."

"Ah? This..." Cheng Lin hesitated.

Will the government reimburse for this emergency?

If it is not reimbursed, then he will suffer a lot!

He was just fired and encountered this kind of thing again. It is really tragic.

Seeing the patient hesitate, 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, I must do it!" Lu Chen said firmly.

His tone was unquestionable.

Cheng Lin hesitated for a moment, and finally relented.

"Okay, then I'll do it."

...

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

"The patient currently does not rule out damage to the abdominal organs. I think it is still necessary to complete the abdominal CT."

Wang Xiaodong listened to the medical history report.

"Well, it is indeed necessary, then you go and arrange a CT for him."

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

"Junior brother, wait a minute." Wang Xiaodong stopped Lu Chen, "Whatever examinations those patients need, you can arrange them according to your own needs, and you don't need to report to me."

After this period of getting along, Wang Xiaodong has already trusted Lu Chen's ability very much.

Lu Chen was stunned, then smiled and said, "Okay."

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

Otherwise, he would have to come back to report every time he saw a patient, which was a waste of time.

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

"Doctor, come and see me, I feel uncomfortable in my chest, am I injured by the shock?" When passing by a bed, a middle-aged woman stopped him and took off her coat.

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

This patient should not be considered a patient.

However, although her life value showed 76, Lu Chen still had to check it out in person.

This system is a system after all. What if there is a bug?

He can't rely entirely on the system to judge the condition.

"Auntie, let me take a look at you."

Lu Chen came to the bedside, and after a series of examinations such as measuring blood pressure and physical examination, he smiled and said: "Auntie, you are fine, maybe you were just frightened."

"Doctor, then you said I don't need to do a CT scan?" The woman said nervously.

Lu Chen shook his head slightly: "I just checked, you didn't have any injuries anywhere, your blood pressure and electrocardiogram are normal, you may have been frightened, so you don't need to do a CT scan for the time being."

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

"This, no matter which hospital the doctor is from, no matter which level of doctor, dare not guarantee this to the patient!" Lu Chen was quite helpless.

"That's it, I think it's safer to do a CT scan, just give me a full-body CT scan and check it for me." The woman said, "I just heard that the government will reimburse all the medical expenses this time."

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

"Of course you don't know. Let's do all the tests that should be done for me, such as the MRI of the head, the ultrasound of the liver, gallbladder and spleen... Do these tests for me first."

Lu Chen was stunned. Good guy, this is ready to bet on wool.

"Auntie, what if, in case, the money is not reimbursed, then you..."

The middle-aged woman was slightly stunned, and a trace of hesitation flashed in her eyes: "What you said seems to make sense, then I will wait and see, and I will come to you when I want to do it."

Lu Chen: "..."

After dealing with this middle-aged woman, Lu Chen continued to look for patients with a life value of 60-70.

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

Without having to report the condition to Wang Xiaodong, Lu Chen's speed of seeing patients was obviously much 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 Hospital, including masters and doctors.

At this time, he was followed by more than a dozen graduate students who came to support.

"This accident has a great impact. Our Jinghua Second Hospital is the closest to the accident site, so some of the patients were sent to us at the beginning." Xiao Zhongjiang said to the students behind him, "The emergency department is short of staff, so we temporarily transferred you here to help take care of some patients with mild symptoms and accompany patients who need to go out for examinations."

The students following behind him nodded one after another.

Most of them are second-year graduate students.

Many third-year graduate students are busy with graduation thesis and have no time to come.

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

Xiao Zhongjiang led everyone to the emergency department.

He found Director Dai Bin immediately.

"Director Dai, this group of students is at your disposal."

"Teacher Xiao, you are finally here!"

Dai Bin was so busy that the nursing team asked him to borrow people, and the various medical teams also asked him for help.

Before, he thought Director Lu's job as head of the department was easy, but now it seems that he is really a hot potato.

Director Lu was in Kyoto, so he gave this broken stall to him.

"All students, come with me. I will assign tasks to you." Xiao Zhongjiang led all the students to the emergency ward. "Two students will go to the nursing team, one person will go to teacher Wang Peng's team, two people will go to teacher Xia Yingzheng's team, and then Teacher Dong Yuan’s team will go to the two...and the remaining five people, please follow Teacher Wang Xiaodong’s instructions and go to the emergency observation room.”

"Okay, teacher."

Everyone was assigned to various medical groups.

There were five students standing in front of Wang Xiaodong, three men and two women.

"Junior brothers and sisters, you are responsible for the patients in the observation room, so your task is more difficult than others." Wang Xiaodong said, "Follow me first."

Wang Xiaodong took five students to the emergency observation room.

Lu Chen was measuring the blood pressure of an old lady.

"Junior Brother Lu, come here."

"Okay, coming soon."

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

"Junior Brother Lu, these five classmates will follow you first and ask them to help them deal with the patients in the emergency observation room." Wang Xiaodong said, "If you need anything, feel free to contact me."

"Okay, senior brother." Lu Chen nodded.

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

"That's good, otherwise he will keep having ventricular fibrillation and he will have problems sooner or later." Lu Chen said happily.

At this moment, the system popped up a prompt.

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

Lu Chen glanced at it but didn't care.

"Okay, I'll leave first." Wang Xiaodong patted Lu Chen on the shoulder.

He was relatively reassured about Lu Chen.

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

Are these all interns in front of me?

The five students who came to support were also confused.

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

They wanted to see Lu Chen's name tag, but found that he did not wear a name tag on the front of his white coat.

"Okay, let's do this for now." Lu Chen coughed lightly, "Each of us manages patients in an area, performs electrocardiograms, measures blood pressure, and records medical history. If the patient feels uncomfortable, tell me immediately. "

"Okay, senior brother."

One of the girls named Chi Jia nodded immediately.

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

Lu Chen understood clearly.

"It seems 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 suddenly became much lighter.

Everyone began to work separately to examine all the patients.

About seven minutes later, Cheng Lin came back from a CT scan of his abdomen and head.

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

After Chi Jia learned about Cheng Lin's condition, she immediately turned on the computer and viewed the images in the imaging system.

"Doctor, is there something wrong with my test results?" Cheng Lin couldn't wait to come to Chi Jia and asked.

"There is no problem with the head CT, and there should be no problem with the abdominal CT." Chi Jia quickly browsed the images, "But we still have to wait for the report from the CT room. We are not professional."

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

But after hearing Chi Jia's words, he felt a little more relaxed.

Although my stomach started to hurt again, I endured it and it passed.

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

"Junior sister, what are the results of this patient's abdominal CT?"

Chi Jia immediately stood up and said: "The CT room has not yet produced the results, but I saw the images and it feels fine. There is nothing abnormal."

Lu Chen frowned. Was the result okay?

He looked towards Cheng Lin, only to find that the health value on his head had changed!

His health value was 63 before, but now it is 60!

"Junior sister, go and measure this patient's blood pressure." Lu Chen's heart tightened.

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

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

Head CT...no problem. UU reading www.uukanshu.net

Abdominal CT, at first glance, looked normal.

Could it be that he was wrong, it was a system bug, and was he really not wrong?

Lu Chen calmed down and carefully looked through every aspect of the abdominal CT images.

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

He suddenly noticed that when looking at the fourth slice of 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 hard to see if you don't look carefully.

"Senior brother, the patient's blood pressure is not very high, only his upper limbs are symmetrical." Chi Jia had already finished measuring his blood pressure.

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

Something went wrong, something went terribly wrong! \u003c/div\u003e

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