As the saying goes: Don’t sleep for a day and don’t wake up for ten days.

With the intensity of doctors and nurses on duty, they are in a state of lack of sleep for more than 80%. Under work pressure, basically everyone can passively learn the skills of dozing off. If they can take some time off, they will lie on the table and take a nap.

How to fall asleep quickly, how to sleep lightly, and how to wake up immediately after waking up.

Generally, this kind of sleepiness does not require an alarm clock, so people will naturally wake them up. For emergency treatment, nothing is easier to make people wake up than the phone ring. Especially after lunch, my brain is on the verge of downtime. At this time, a phone ring can make people wake up completely.

Bee Lingling ~

With just one sound, Xiaomei's head left the soft pad on the table. After recovering from waking up within two seconds, she quickly picked up the phone: "Hey, Danyang Hospital emergency department, please tell me."

"Oh, it's Xiaomei."

Xiaomei:?

She took away the receiver in surprise and looked at it for a while as if she had seen a ghost.

I worked in the emergency room for a long time, and I received at least hundreds of emergency calls. It was the first time I started with her own name. I heard the sound a little familiar, so I should be an old acquaintance. I couldn't remember who it was for a while.

But acquaintances call her cell phone and send text messages. Who would call the emergency nurse table directly if she is fine?

"Who are you looking for?"

"It's me, Qi Jing."

In just one short sentence, Xiaomei recalled the days when she was called around. Calculate the time, it was indeed more than half a month, and it was almost time to come back. Although this guy had less fun in the emergency room after leaving, it was not worth mentioning compared to the troubles he had after he came back.

"How do you call the nurse's desk? What if the ambulance comes?"

"I just got off the plane and am now in the ambulance. The patient will arrive in about twenty minutes." Qi Jing looked at the first aid form written by the doctor, nodded to him, and then asked, "Whose morning shift is it today?"

"Chen Xiao and Qin Xuefeng, deputy director of the Department of Cardiology."

"Damn, Qin Xuefeng in my heart? He has come to the emergency room, too?" Qi Jing was very excited when he heard the name, and his voice tone was also raised several degrees.

"Why are you so excited?" Xiaomei was puzzled.

"He has only been down for a few days, you will understand after staying for a long time." Qi Jing sighed and asked, "Where is Zhang Jieyi?"

"Deputy Director Zhang has returned to his department this week." Xiaomei took out the paper and pen and asked, "Tell me about the patient, what is the patient's condition? I can let Chen Xiao prepare as soon as possible, so that he will save you from being instructed by you."

"Yueenan, male, 32 years old, suddenly had a high fever of 39.5℃ seven hours ago, with chills and chills, and muscle pain throughout the body." Qi Jing looked at the electrocardiogram monitoring and continued, "Blood pressure 120/80, heart rate 95, breathing 20."

"Okay, I've recorded it all." Xiaomei wrote down the data on the paper, "What else do you have to do, let's talk about it together."

"Let Chen Xiao prepare a checklist related to infection."

Qi Jing thought of the judgment of gallbladder astrocytic disease he had done before. Although the patient's stomach no longer hurts now, the pain in the upper right abdomen before actually exists. It is necessary to rule it out. "Let's check the heart color ultrasound, liver and gallbladder b ultrasound, barium meal, oh by the way, let him call the infectious department for consultation."

......

Ji Qing was not here, and Chen Xiao became a veritable coach. There are no patients now, so he told the two new junior interns in front of him that they encountered some interesting things they encountered in the emergency department.

"I remember there was a patient with stomachache in the past. A colleague of mine told the intern that he would call 654-2 first, and then this guy actually picked up the phone and called the extension number of 6542, which really made us laugh to death..."

"Later, he ran helplessly and said that there was no number 6542... and it would be a pain in his stomach if he thought about it."

"This guy is so funny."

As a senior hospitalized in the Department of Gastroenterology, this old trick has been used by Chen Xiao many times, and each time it can make the new intern laugh.

Today's children are different from their generation. They can't suffer too much and will always stuff letters into the dean's mailbox. This little joke is one of the two ways he can get closer to the interns, and the other is more direct, treating guests to a boxed lunch.

In comparison, the joke is cheaper, but this time, the 654-2 meme seems to have failed.

A tall and thin boy with black-framed glasses in front of him had no intention of laughing, but frowned and said, "If I had said before that 6542 is a drug, there would be no misunderstanding."

"Gao Jian!" The girl winked at him, "Why are you..."

"What's wrong?" Gao Jian couldn't understand her hint and quickly explained, "I'm right. Many students come to internships with a blank sheet of paper. It's normal for them to not understand this common name. If the doctor said that an anisolamine hydrochloride hydrochloride was used to relieve spasm and relieve pain, then it would be a problem for the intern if he didn't understand."

ha?

The girl had a black line on her face: Is the intern level in your mouth too high? Why do I only know 6542, what kind of messy anisolamine is? Am I not worthy of being an intern?

"Who will report the commercial scientific name of the drug without any trouble?" Chen Xiao smiled awkwardly: "This is just a joke, just listen."

"Teacher Chen, I still want to hear some strange cases in urgent need of the situation." Gao Jian said, "This is much more interesting than a joke."

The girl was helpless. When she was grouping, she knew that she had met a weirdo. But she didn't expect that he was really a guy with full IQ and zero EQ. She wanted to describe it as a fool, but thinking about the other person's grades were much better than her.

If this person is a fool, what is he?

"The case should be told when the ambulance is delivered. The old cases have been confirmed, so it's meaningless."

Chen Xiao did not prepare any cases at all, and the patients under observation have been diagnosed, and the therapeutic drugs they use every day were copied from them. Moreover, with Gao Jian's strength, the effects of each drug have been in his mind for a long time, so there is really nothing to talk about.

But Gao Jian didn't want to give up easily.

He took out a notebook, looked through a few pages and asked, "I heard that a patient with five coronary arteries was blocked by a few months ago. He also had a simple chest pain when he came. I really want to know how to consider such a patient and how to differentiate and diagnose it?"

Chen Xiao shook his head gently: "I was not here at that time. I heard that I was taken over by the cardiology department after two hours in the emergency room. You can go and ask Teacher Qin Xuefeng."

Thinking of Qin Xuefeng, Gao Jian was a little scared and said helplessly: "Teacher Qin said he didn't know either. The patient didn't go into the heart ward at all. He just walked in the interventional room and was taken away from his chest."

"That's right, pericardial defects are indeed treated externally."

Gao Jian went through the thoracic surgery department to find the patient's medical history during his internship in surgery. However, the thick history and diagnosis only have one sentence in the first course of the disease: transcardiology coronary angiography, and the heart insufficiency caused by large-area pericardial deficiency is highly suspected.

Too perfunctory and too simple!

After asking several doctors, they all said that the diagnosis had been made clear after being sent, and the two directors inside and outside the heart were sent together. Who would dare to question the diagnosis process? Finally, opening the chest and entering was not bad at all. At that time, it was too late to care about Xiong Yong's skills, and no one asked about the diagnosis.

"Teacher Chen, don't you find it strange?"

Gao Jian put on his glasses and looked at the key points he recorded: "A rare disease of pericardial defects still shows irrelevant typical symptoms of myocardial infarction. The patient entered the emergency department at 1:00 in the afternoon and was sent to the thoracic surgery department at around 4:00. He was diagnosed so quickly?"

"How to do the examination in the middle cardiology department and how to identify it step by step, it's blank!"

"You remember it's quite detailed." Chen Xiao smiled and said, "Since you have to ask about the diagnosis process, you have to find another person."

"who?"

"A senior who is older than you, now a big celebrity under Director Wang." Chen Xiao said with a smile, "You won't know each other, right? I heard that many people in your class are quite obsessed with him."

Gao Jian is with books every day and has no idea who he is talking about.

However, the girl sitting next to him knew very well, and immediately replied with a smile: "Senior Qi, he is Senior Qi Jing, the son of Dean Qi. The dengue fever in June is the credit of Senior Qi!"

"Oh, it's him..."

When talking about dengue fever, Gao Jian had some impression. At that time, he was taken to do mosquito repellent and disinfection work. Although he was a little unhappy, he was in order to isolate the infection route and was obliged as a medical student.

"Where is Senior Qi? I haven't seen him for two days."

"At the end of August, I went to the United States to attend a seminar. On the way back, I heard that it was today's plane, so I should be getting off the plane."

"The United States... is so good..." The topic came to Qi Jing. The girl changed her role as the supporting actor just now and started talking. "Zhong Xiaoxi knows that it's the one in Class 3. She stayed in Senior Qi for a month and was completely different."

"Not that, I've seen it twice, no difference."

"Oh, boys are slow, they have to rely on their sixth sense." The girl didn't know where to refer to to represent the sixth sense, so she could only click on her forehead. "A girl who was originally quite stupid and honest actually became dark after a month."

"I don't believe it."

"Forget it if you don't believe it..."

At this time, Xiaomei turned into the emergency internal medicine clinic: "Chen Xiao, there is a car coming in twenty minutes."

Chen Xiao finally breathed a sigh of relief when he heard that there was a car coming. Once Gao Jian was mobilized, the pressure on his teacher would be much less: "What's the patient's situation?"

"A 32-year-old man is very feverish and afraid of chills." Xiaomei read the recording paper in her hand. "The vital signs are quite stable. The doctor in the car asked you to find an infectious department to have a diagnosis first."

"Before the person comes, go for a consultation?" Chen Xiao laughed twice: "Whether to consult or not is not something their emergency center should care about."

Xiaomei didn't explain much, but smiled secretly and continued: "The other party also wants you to prescribe the list of liver and gallbladder B-ultrasound, heart color ultrasound, chest X-ray and abdominal barium meal x-ray. Oh, by the way, you can't even pull down the infection-related ones."

"Hey, this is a bit too much........."

Chen Xiao is not a fool either. The more he listens, the more he becomes, the more he becomes, the stranger he always feels that he has seen this kind of a slightly commanding tone. This is a kind of oppressive feeling that can deprive everyone of time when he opens his mouth. As soon as his mind starts to turn around, the other party has long been thinking about the next possible situation and can't keep up with his thinking.

It seems that this happened several times before.

"Twenty minutes later? So far?" Chen Xiao's first thought of the airport, and then looked at his watch, "It's not that Qi Jing is back, right?"

Xiaomei nodded.

"Haha, I said Cao Cao was here, this brat is back. I didn't expect to bring the patient from the airport, which should be quite interesting." Chen Xiao hurriedly took out several inspection sheets from the drawer according to his requirements and distributed them to the two interns. "The names are empty, and the diagnosis is written in 'High fever and chills to be checked'."

"Teacher Chen, how do you know it's interesting?" Gao Jian obviously had different opinions. "From the examination, what is suspected is upper abdominal pain, gastrointestinal barium meal and liver and gallbladder B ultrasound. I think it may be very serious cholecystitis or gastrointestinal ulcer."

"Don't guess it. If it were that simple, he wouldn't ask me to prepare for a test, but to report the diagnosis directly on the phone. None of the patients he could see was simple, prepare for a long-term battle."

Chen Xiao thought about it and said to them again: "After writing the order, go and take Director Wang's black book twice, and you have to remember them all!"

"But you said just now that you don't have to hurry."

"Isn't this a comfortable emergency department recently? Director Wang has relaxed his demands on you." Chen Xiao took the black notebook seriously and turned a page. "Now the situation has changed, the night shift god of death must have flew back, and the card wall is about to be full again."

Twenty-five minutes later, the ambulance stopped at the door of the emergency room.

Qi Jing, wearing a black T-shirt and jeans, jumped out of the car first and helped pull out the stretcher car. When he met Chen Xiao, he said, "The patient's vital signs are very good. I'll send him to do liver and gallbladder B-ultrasound first and find out what the problem is."

"Do you have upper abdominal pain?" Chen Xiao asked.
To be continued...