Liu's Pharmacist Hall

妄语

1,

It was late at night, and when Liu Xiyan passed through the nurse's station from the office, he couldn't help yawning.The next night nurse, who had been on duty for more than two hours, was staring at the computer with wide-eyed eyes. Her eyes were bloodshot with colored contact lenses, her face was serious, and her fingers kept clicking on the mouse.Liu Xiyan couldn't help but feel a little guilty, and confessed: "I just received this and the fever may not go away so quickly. If the antipyretics don't work, give her an ice pack."

"Ah."

"Wake me up if you have any questions."

"Okay." The nurse raised her head, "You can rest for a while."

Liu Xiyan fell asleep when he returned to the duty room.He was having a dream. He dreamed that he was looking at himself in the mirror, and suddenly smiled strangely. He was terrified. He only heard the sound of beeps, and he woke up immediately. Sharp ringing.

It's the emergency department.The guiding nurse in the emergency department said that a female patient suddenly couldn't speak, so she immediately went to the ward to see him.

Liu Xiyan had a headache, and looked at his phone, it was three o'clock in the morning.Only slept for half an hour.

The hospital where Liu Xiyan works is a secondary hospital with a small number of staff. Internal medicine and emergency internal medicine are not divided into different departments, and there is no division of internal medicine. There are a total of 24 beds. They accept all kinds of headaches, brain fever, stroke and cough. It is a great blessing to be able to sleep for an hour or two after coming down.

You can meet all kinds of weird patients at night, isn't this another stroke?

Liu Xiyan put on his white coat and went to the office to wait for the patient. After waiting for more than ten minutes, no one came up. He called the emergency nurse, who told him that the patient had already gone up.

After 10 minutes, there were footsteps at the door, and when he saw the patient, he felt that he might have made a wrong judgment just now.

The female patient came in with a male family member. The female patient was only in her twenties, and her expression was quite anxious. As soon as she entered the door, she sat down on the chair in front of the desk, pointed her finger at her throat, and made ah ah It looked like it was making a sound, but there was no sound at all, only a whispering sound from the airflow.

The hands and feet move freely, and the facial expression is not rigid.

She was very anxious. Seeing that Liu Xiyan didn't ask questions, she directly pulled the male family members and said in a hissing voice, "Tell him what's going on!"

The male family member said: "She was watching TV at around eight o'clock, and she suddenly lost her voice when she was smiling. She thought it was a sore throat, so she ate some banlangen. In the middle of the night, she dreamed that she became dumb. She was frightened. Just come to see a doctor."

"Does your throat hurt? Do you have a runny nose?"

The female patient shook her head.

"Are the hands and feet moving well? No numbness or anything like that?"

She still shook her head.

Liu Xiyan saw that her throat was not red, listened to her lungs, and did a physical examination of the nervous system, but found nothing special.He wrote the medical records, so he said to the patient: "You may want to go to the ENT department to see if there is any problem with the vocal cords. The ENT department is on the fifth floor. You can go down now."

When Liu Xiyan was silently saying sorry to the ENT doctor on duty tonight, he suddenly heard a loud noise.He was shocked to find that the female patient smashed her bag on his desk, probably because there was metal inside, so the impact sound was very loud.She crossed her hips, pointed at him and started cursing—of course it was only the sound of air currents, so he couldn't hear what she was cursing.Because of her rich expression, Liu Xiyan also guessed most of it: What kind of shit hospital is it? Why is there no doctor in the emergency department, why do patients run around? Don't you know that my situation is urgent?You push patients around like this, do you believe I will complain to you?Believe it or not, see you in the newspaper tomorrow?I told you I recorded everything you said!

The male family member stayed silent and yawned impatiently.

Liu Xiyan waited for her to finish cursing, and then slowly told her: "Actually, your problem is not considered an emergency, and it is not life-threatening when you see it tomorrow morning. No hospital has an emergency department at night. If a patient comes, it is indeed a medical emergency." Triage to internal medicine or surgery first, and then ask specialists if you have any special problems. Sorry, our hospital is relatively small, there are not enough staff, and doctors have to manage the wards. I am sorry for letting patients run around. If you have any opinions, you can contact us Customer service center to complain."

The female patient began to tremble all over, and she almost pointed her finger on Liu Xiyan's nose. This time Liu Xiyan heard clearly: Why are you so irresponsible, a doctor!You didn't even give me an examination and told me to go to the ENT department!I don't have a sore throat at all, why should I see an ENT department?Let me tell you, just wait for the newspaper!

Liu Xiyan looked at his watch, it was four o'clock.He turned his head and said to the male family member: "If you plan to see the ENT department, I'll make a call now, and you can go down and see a doctor."

The male family member yawned again, stretched out his hand to pull the female patient, and said impatiently: "Go away! It's retribution if you can't speak, look at what you say all day long?"

Liu Xiyan dodged the bag that the patient threw towards him, watched the female patient being dragged away by the family, and stood up.He is tall and not weak in build. Generally, no patients dare to do anything to him. The female doctors in the department are more troublesome. They have to wear anti-wolf spray when they go to the emergency department at night.He called the ENT doctor to remind him. He was so tired that he fell asleep again as soon as he touched the pillow.

Fortunately, I slept from four o'clock until six o'clock. I received a call from the Department of Ophthalmology at six o'clock. Dr. Zhang said that there was no problem with the laryngoscopy on the female patient just now, so he asked Liu Xiyan if he needed a head CT. Or MRI to see if there are other problems.

Because the hospital is too small, neither CT nor MRI can be used for emergency treatment. Liu Xiyan asked Dr. Zhang how the patient's attitude was. Dr. Zhang smiled wryly: "I almost beat my head to pieces, and the examination was also very uncooperative."

"If you let her come up to me again, it's probably too much. I'll go down."

Dr. Zhang expressed uneasiness about this, and Liu Xiyan said: "I'll be fine for a while, the nurse will call me if something happens."

Doctors in the ward cannot leave their posts without authorization, but in fact, in case of emergency in the emergency department or other departments, the doctors in their departments must also go out because of insufficient staff.It's just that the doctor on duty had better not leave the ward unless it is absolutely necessary.

Liu Xiyan yawned and waited for the elevator, a haggard shadow appeared in the floor-to-ceiling windows, and he remembered the dream just now, no matter what, he felt that the smile was not his own, it was completely that guy's smile.

After he reached the fifth floor, he ignored the female patient and explained his illness to the yawning male family member, telling him the following things: First, the nervous system problem cannot be completely ruled out. , but the emergency time can’t do it, the fastest can be done at [-]:[-] in the morning; secondly, the hospital does not have a neurology and psychiatry department, after excluding the five sense organs, if she wants to get better treatment, she can choose to go to the neurology and psychiatry department of the higher-level hospital.

The yawning male family member pulled the female patient who didn't know what he was scolding, and said, "Forget it, let's go look elsewhere."

After the patient and his family left, Dr. Zhang shook his head and smiled wryly at Liu Xiyan. She was a petite female doctor. Because she was afraid, she called the nurse to come over to see the doctor.There is no permanent security guard in the ENT department. When the female patient hit someone, the nurse called the security guard, who arrived just now.

"Fortunately, her husband is a normal person."