top student at medical school

Chapter 148 The Calm Patient (Please Subscribe)
The size and volume of Enshi Central Hospital are far smaller than those of Zhongnan Hospital, so the number of patients and their families in the inpatient department is naturally not large.

Even in the event of a major emergency, most patients and their families gather in the emergency department, and only a small number of patients are advised to go to the department on their own.

Most patients were treated in the emergency department by specialists or attending physicians. Those who couldn't be treated were taken to the operating room, and Fang Ziye had no way of knowing.

Although it contained a large amount of knowledge, Fang Ziye did not covet it.

What is meant to be yours will always come to you; what is not meant to be yours, you should not force it. Doing so will only make you extremely utilitarian. If you only need to give a little push or be a little bold to get the opportunity, Fang Ziye does not mind being shameless.

I wish that no one in the world would fall ill, so that the medicine on the shelves might gather dust.

But it's just a vision after all. No matter where the hospital is, there will always be endless tasks, patients to see, and a constant stream of patients waiting to be seen or already seen.

Of the four stages of birth, aging, sickness, and death, only sickness presents an opportunity; the others are merely matters of fate.

Despite the massive population, medical resources remain scarce, a phenomenon not unique to China.

As night fell, Fang Ziye, carrying over a hundred newly earned knowledge points, headed towards the residential area, not towards the emergency department.

Showing up at a location where there is an urgent need, without being in the appropriate capacity, is simply asking for trouble or causing disruption.

Upon reaching the door, Fang Ziye took out his ID card, gave his uncle's name, and found the key to his uncle's house.

In this respect, the property management of this community has done a good job. They have registered and noted each homeowner. For example, my aunt instructed that if Fang Ziye's people come to pick up the keys, they should give them to him.

"Thank you, Uncle, it's been so hard for you to help me pack for so long." Fang Ziye said his thanks before pushing the suitcase away.

However, the uncle seemed to have a strong impression of the name Fang Ziye. While seeing Fang Ziye out, he replied, "No, no, I know you, Fang Ziye. Your aunt praised you very much."

"They say you're the pride of your family and the pride of your team."

"If it were my nephew or cousin, I would praise them too. They're amazing."

"Children who are good at studying are all remarkable." Enshi is not a developed place. Although it can be considered a tourist city, studying is still the only shortcut to breaking through class barriers.

"Uncle, you're too kind."

"Oh, I see. I might be leaving and starting work quite early in the future, and sometimes when I'm rushing out, I might forget my access card and need you to open the door for me," Fang Ziye explained, turning his head slightly.

However, the security guard was also familiar with Fang Ziye's work.

She said confidently, "It's okay. I know you doctors are very busy. There are many nurses and doctors in our community who live here. They come back at all hours."

“For example, nurses have a peak time when they hand over their shifts at 12 o’clock. Around 2 or 3 o’clock, some surgeons finish their surgeries, which is a peak time when they come back. Around 3 or 4 o’clock, some emergency room doctors finish their emergency surgeries and come back, which is another peak time.”

"In another hour or two, I have to go to work again..."

"Forgetting to bring it is common; just knock on the glass."

The parking lot access and pedestrian access are not in the same location, which is probably to protect pedestrians. Also, each gate in the community requires an access card to enter, so the management is relatively good.

Fang Ziye didn't argue with him much. Instead, he carried his suitcase inside, found Unit 3, Building 3, swiped his access card again, took the elevator, and prepared to go to apartment 11021 on the eleventh floor.
"Wait a minute! Excuse me, wait a minute." Fang Ziye had just swiped his access card to enter, carrying his suitcase, when he saw the elevator doors were about to close and there were still people inside. Fang Ziye quickly called out.

I don't know how many households there are in the elevator, but there are only two, and the other one is on the 31st floor.

A hand reached out and looked outside.

He was a middle-aged man, not very tall, probably around 1.6 meters. He was slightly overweight, and at that moment he had a stern face, looking somewhat serious.

Fang Ziye quickly pushed the suitcase into the elevator, pressed the button for the 11th floor, and then said thank you, "Thank you, I'm sorry."

The man's expression remained serious. He did not respond politely to Fang Ziye's words. He simply shook his head slightly, then blinked and looked to the other side.

Fang Ziye noticed that the man's right hand was wrapped in a white bandage and had a forearm sling hanging from it. He didn't know if it was a dislocation or just a minor abrasion, so after disinfecting it at the hospital, he sent him home.

When Fang Ziye looked him over, he didn't show much expression. Just then, a phone call came in, and he answered it with his left hand, holding it to his ear: "Hello."

"It's nothing, I just came out of the hospital and had my picture taken."

"Yes, it'll be fine after disinfecting it."

"Okay." His tone was brief, even a little cold.

His demeanor was frighteningly calm.

"Uncle, what's wrong with you?" Fang Ziye became more suspicious.

Because Fang Ziye had previously rotated through the emergency department. When Fang Ziye first joined the emergency department, the first thing his superiors told him was something rather harsh.

The second point is that crying and making a scene is fine, but it's just a little joke, as long as you're nice to it.

A little crying and fussing is fine, but you should still be polite.

Pay special attention to people who sit quietly without crying or making a fuss.

Because humans are not as sensitive to pain as most people can bear. Even if they can bear it, at least they should feel some discomfort.

Even the calmest person would at least grimace or furrow their brow, because it hurts like hell.

However, there is a type of person who is expressionless and taciturn. This is definitely not a personality trait. Such a personality trait is a normal reaction to pain that only very rare people can exhibit. The probability of such a person is almost negligible, and it is very difficult to encounter in reality.

In this situation, his calmness is a sign of illness.

It is possible that the head damaged the language or emotional center, causing him to become indifferent rather than silent.

"It's nothing, I was just accidentally bumped into in a car earlier."

"You've reached the 11th floor." He didn't smile, but simply pointed outside with his healthy hand, still expressionless.

Fang Ziye immediately became more cautious. Instead of going out, he said, "Maybe I pressed the wrong button. I'll go upstairs."

"Uncle, have you been to the hospital?" The more Fang Ziye looked at him, the more he felt that something was wrong.

"Just got back," he said.

"Then where are your medical records?" Fang Ziye clearly saw that he had no medical records.

"Huh? Medical record book." He finally showed some confusion.

"Are you there?" He looked around but couldn't find her.

"Why don't we go back and look for it again? The medical record book is still very important. We'll need it for reimbursement later. You can ask the insurance company for it. You don't even have an invoice." Fang Ziye's mind worked quickly, and he changed the subject in just a few seconds.

I absolutely did not mention to the patient that they might have brain damage; that would only upset them.

When communicating with such patients, it's more natural to directly offer payment and let them go home.

Incidentally, Fang Ziye can discover more clues while traveling alongside him.

This is an art of doing things, not medicine, but a way of dealing with things.

"Hey, I was just here." There was a slight increase in emotion in his tone.

Fang Ziye quickly said, "Why don't you go to the emergency department and look for it again, or call your family members and have them look for it too?"

"Although it might not cost much, it's still a good thing to be able to get reimbursed, especially since it's just a short walk away. Right?"

Fang Ziye was certain that after the patient returned home, there were probably no family members in the house. Otherwise, unless they were exceptionally close family members, he wouldn't feel comfortable letting the patient walk back alone from the hospital across the street.

Rather than simply being there for someone.

If he had gone home and his family had come, his body would probably be cold by then.

"That's true." The patient still didn't show much expression.

Fang Ziye then pressed the button for the first floor of the elevator and said...

"Uncle, don't you have any family members? Why don't you give them a call and ask them to help look for you?"

"You must have spent a lot of money on this, so finding it is a bonus. Get the invoices and things like that," Fang Ziye continued to suggest.

"They're on their way, they'll be coming from Feng County, it'll take them time," the man said, seemingly unaware that Fang Ziye hadn't gotten off the elevator.

The elevator doors opened, and Fang Ziye, still pushing his suitcase, walked alongside him out of the residential complex.

What Fang Ziye needs to do now is take him to the emergency room, give the doctor there a brief explanation, and make sure he gets a brain MRI and a lumbar puncture. He doesn't need to worry about the rest.

What methods the emergency room doctors could use to keep him was not within Fang Ziye's consideration.

Because once someone realizes something like this, no one can ignore it. The man walked towards the hospital, speaking very little. He only answered reluctantly when Fang Ziye kept asking him questions, and he didn't seem to doubt why Fang Ziye was following him.

The security guard saw Fang Ziye put his luggage in the security room and asked curiously, "Young man, aren't you going back?"

"Brother, I have something to take care of at the hospital. I'll leave my luggage here for a bit; I forgot to take something." Fang Ziye didn't reveal his identity, afraid that the middle-aged man would think he was a doctor and deliberately lead him to the hospital to create a defensive atmosphere.

There is no need for this.

Once we get to the hospital, we'll identify ourselves to him. Since we're already there, he'll likely be more inclined to have another test done.

Fang Ziye even felt that if he were in the hospital, he would agree to whatever advice the doctor gave him, because his mind was only barely clear at the moment.

The security guard opened the gate and carefully looked at the middle-aged man next to Fang Ziye. He didn't think the man looked familiar, so he didn't greet him. Instead, he lowered his head and continued reading his novel.

Not far from the hospital, the middle-aged man's pace was gradually slowing down, and he looked more and more like a mature man, but Fang Ziye felt a little uneasy.

As he got closer, the streetlights made him notice that the middle-aged man's pupils had an issue. It might not be an emergency, but it needed to be addressed promptly.

However, whether it is an emergency intracranial hemorrhage requires further investigation.

Finally, just before arriving at the hospital, Fang Ziye persuaded him to call home and ask them to come to the hospital to help find the medical records and invoices.

After he finished speaking, he put his phone down, turned his head, and said thank you to Fang Ziye.

“It’s alright, Uncle. I’m fine anyway. We all live in Building 3, Unit 3, so we’ll be neighbors from now on,” Fang Ziye said as he led him into the emergency room.

"Uncle, wait here for me for a moment. I'll go find a doctor and nurse to help you find it. They should be more familiar with the area."

After Fang Ziye finished speaking and comforted him to sit down, he turned around and ran to the nurses' station. He grabbed a nurse, briefly explained his identity and situation, and then...

The nurse opposite was stunned.

Although Fang Ziye is somewhat handsome and doesn't seem to have exceptional medical skills, his status as a master's student at the Affiliated Zhongnan Hospital of Wuhan University in Hubei Province is still noteworthy and warrants some caution.

After Fang Ziye identified himself, the nurse quickly made a phone call and then decisively followed Fang Ziye to the man.

"Uncle, what's wrong? Are you feeling unwell?"

"I don't feel unwell anywhere. I think I should go back now. I've finished everything." He had already forgotten why he came to the emergency room in the first place.

Upon hearing this, the nurse glanced at Fang Ziye.

Fang Ziye was too lazy to explain to her.

In the distance, a doctor in a white coat called out, "Xiaoqi, who are you calling to see?"

Fang Ziye rushed over and said quickly, "Hello, teacher. I am from the orthopedics department. I was just about to go home when I encountered a patient who was lethargic and whose pupils were constricted to about 3mm. I haven't measured it specifically."

“We were in the same elevator when we saw him coming back from the hospital, but he didn’t have a medical record or receipt, and he looked unwell. I suspect he might have suffered a brain injury. Would you like to come over and help with a check-up?”

"You? Orthopedics." He turned and jogged quickly.

She watched Fang Ziye walking alongside her, as if Fang Ziye were a complete stranger.

"I just arrived. I just happened to run into you."

"There are a lot of car accident patients today, and I'm worried something might happen to him. What if his medical records and invoices are still at the hospital while he's at home and he's gone?" Fang Ziye briefly described.

The doctor's expression changed instantly upon hearing this.

They quickly approached him and had him sit down and reflect light onto the ground. At that moment, the white-coated man, whose age was hard to discern, suddenly changed his expression.

"Xiaoqi, get a cart and call the neurology and neurosurgery staff over."

"Brother, do as you please." He looked at Fang Ziye, not having time to explain further, and helped the patient, who was almost unconscious and just followed him, slowly move him to another place.

He did not seek help from Fang Ziye.

In a hospital, even a department head can stay out of trouble if they're not wearing a white coat or on duty, let alone someone as young as Fang Ziye.

Only when everyone performs their duties can things be peaceful and well.

Fang Ziye watched the two figures disappear into the distance, a slight smile curving his lips into a gentle arc.

Silently looking at the huge amount of knowledge points (62 points) he gained, he knew that he had made the right choice coming here.

Diseases don't necessarily have to be categorized by severity. The more life-threatening a disease is, the more knowledge you gain from diagnosing and treating it, which may contribute to your overall contribution.

This patient may not have a complicated illness, but diagnosis and awareness are the top priorities.

Fang Ziye has already revealed his identity and the direction of his suspicions. All that remains is for the emergency room doctors to go through the admission process.

This is not a challenge for a well-established emergency department and hospital.

If this is difficult, then there's no need for this hospital to continue operating...

Fang Ziye turned around and finally left the emergency department again.

Looking at the time again, it was already 7:20 pm, meaning that Fang Ziye's round trip took half an hour.

But to meet is fate.

Looking at the bright lights outside, Fang Ziye's gaze and feelings were completely different when he entered the community this time.

This is the benefit of knowledge, awareness, and expertise. If one knew nothing and hadn't kept the emergency room doctor's words in mind, then Fang Ziye wouldn't have gone to all this trouble.

Fang Ziye is not a professional neurologist, so he cannot give accurate diagnoses and physical examination results, nor did he do so, for fear that his physical examination results would not be professional enough and would overshadow the diagnoses and physical examinations of professionals.

Leaving blank space is an art in itself.

"You're back?" the security guard asked.

"You're back, Uncle," Fang Ziye replied with a smile.

"Hey, where's the person who went out with you? Isn't he coming back?" The security guard looked up and said, "You said you'd be back soon, so I didn't bring your luggage inside."

"He's back too," Fang Ziye said with a smile, pushing his luggage as he strode towards Unit 3.

Fang Ziye's suspense was slightly unsettling, causing the security guards inside to tense up for no apparent reason.

But then he smiled.

Young people like to joke around, I can understand that.

He then went back to reading novels.

Fang Ziye finally boarded the elevator smoothly and arrived at his 'rented' apartment. Upon entering, he first turned on the power valve and then the lights.

After glancing around, Fang Ziye realized he hadn't prepared slippers for himself, so he decided to go out and buy some more later.

After entering the room, Fang Ziye tidied his clothes a bit and put them in the closet in the guest room. Then he sat on the bed and chatted with Luo Tingzhu, who had just finished breakfast and was planning to go to the laboratory.

"Senior brother, you went to help out, right? I sent you a message but you didn't reply," Luo Tingzhu asked.

"Yeah, I just got back."

"I also encountered a textbook-level patient..." Fang Ziye then recounted what had just happened.

"Oh? Really? Do you know his name?"

“This is a very typical case. We can collect and summarize his test results from the hospital for future study purposes.” Luo Tingzhu was very curious.

I've only ever heard about this kind of thing in teachers and textbooks; I've never actually seen it.

"Okay, I'll send it to you once I've organized it."

"Oh, by the way, what do you usually eat for breakfast?" Fang Ziye asked.

"Get up early and cook some noodles. There's nothing else to eat."

“A senior sister said that there is a steamed bun shop about twelve miles away from here, which is quite authentic, but it’s too far away…” Luo Tingzhu replied.

"So it's still the same taste as back home?" Fang Ziye took off his shoes, let his legs dangle on the bed, and said with a smile.

"Yes, that's right. But I'm planning to drive to the next city with my senior sister this weekend to eat spicy hot pot. It's about 200 kilometers away..." Luo Tingzhu smiled as she shared her upcoming food-hunting trip with Fang Ziye.

(End of this chapter)