Chapter 123
Su Tang and Lu Mei were talking in the lobby of the emergency department, near the nurses' station. However, this position was very close to Director Xue who was standing next to the nurses' station and directing the overall situation!
Therefore, Director Xue immediately saw Lu Mei and Su Tang talking to each other in a low voice.
Seeing Lu Mei's serious face, Director Xue frowned instinctively and took two steps forward to ask, "What's wrong? What happened?"
Director Xue subconsciously scanned Su Tang's face. Could it be that Dr. Su, whom the dean had high hopes for, did something wrong?
Although the Sixth Hospital is not the best hospital in Shenzhen, it is really large in area. Even though it is not as large as the 700 acres of the "largest hospital in the country" in the neighboring province, the Sixth Hospital has an area of nearly 100 acres, and there are five regular inpatient buildings alone.
In addition, independent buildings have been built for the emergency department, outpatient clinic, physical examination center, etc.
The hospital is so large, with thousands of employees, and everyone is so busy at work every day. Unless something big happens in the hospital, no one would deliberately find out about the conditions of doctors in other departments without asking carefully.
Therefore, Director Xue only knew that this Doctor Su had previously performed acupuncture to stop bleeding on Deputy Director Jiang who was suffering from an ectopic pregnancy, and that the dean valued this Doctor Su very much. He also heard that the Doctor was still treating Mr. Wei... He didn't know anything else.
"If you two have any problems, tell us now and I will find someone else to handle it..." When Director Xue asked this question, he had already started thinking about it in his heart.
This Dr. Su must be an expert in Chinese medicine, acupuncture, hemostasis and treatment of neurological diseases.
However, the patients we encounter during this typhoon are often those with trauma and respiratory diseases such as colds and fevers...
Especially for this group of patients at the construction site, the most important focus of treatment at present is definitely external injuries!
During typhoons, patients' wounds are exposed and soaked by dirty rainwater, making them most susceptible to infection.
Even if some wounds are not deep and do not require sutures, you still have to be careful about infection and pus formation.
As the saying goes, every profession has its specialties. A doctor who is able to stop bleeding with acupuncture and treat neurological diseases may not necessarily be particularly good at treating external injuries.
While Director Xue was calculating in his heart, he continued, "If there is a patient with severe trauma who needs stitches, Doctor Wang should be free in about ten minutes..."
"Director Xue, that's not the problem."
Lu Mei handed Li Tian's medical records and treatment form to Director Xue and frowned, "Look at the patient's diagnosis and treatment prescribed by Doctor Su... She didn't do any tests, and I'm worried about giving people IVs and injections... Pneumonia is not a cold or fever, it's already considered a more serious disease in normal times."
In recent years, medical disputes have been reported in the media from time to time. The emergency department is a high-risk department. In addition, in order to reduce the occurrence of misdiagnosis, etc.
Under normal circumstances.
The rules for seeing a doctor in the emergency department are that seriously ill patients are sent directly to the intensive care unit, while ordinary patients will follow a set of medical procedures including seeing a doctor, taking tests, getting medicine, and receiving injections and infusions.
Today's typhoon caused a sharp increase in the number of patients in the emergency department, and it was not convenient to register, but this does not mean that patients can directly skip the "testing" process. They have encountered typhoons before, and those patients also needed to do routine tests before injections and infusions...
Director Xue looked at Lu Mei and then at Su Tang, and realized that he had misunderstood. Then he cleared his throat and said: "Dr. Su, the requirements of our department may be different from those of the general internal medicine department. No matter what patient , you must get tested first when you come, even if you are a severely ill patient, you must first rescue and then fill in the test results.”
"Sorry... I didn't pay much attention to this." Su Tang was a little embarrassed and scratched her head.
This is the first time that Su Tang has participated in a large-scale rescue operation in the emergency department.
She originally thought that the nurse in front of her, Lu, thought that she was young, had a low professional title, and was not competent enough, so she did not believe her diagnosis. She was thinking whether to argue with her or ask Li Tian to get a check-up right now and get the test results and X-rays to prove that her conclusion was correct.
But now it seems...
On the one hand, the other party thought she was too young and didn't believe her. On the other hand, the other party was more worried that the patient would be misdiagnosed in the emergency department and that he would be held accountable by his superiors later.
Although Su Tang felt that with her own abilities, she would never make such a mistake, nor would she cause other colleagues to be held accountable.
But many people in the emergency department saw her for the first time today, and she was not a celebrity in the hospital with a reputation guarantee...
Even though he had treated Wei Yan, Xie's father and others in the past few months, and had served as an "operation assistant" for many surgical directors and deputy directors, the former needed to be kept confidential, and not many people in the hospital knew about it, and Wei Yan and Wei Feng were not fully recovered. The latter were mostly known to the doctors in the surgical building.
The emergency department building is several hundred meters away from the internal medicine building and the surgical building, and is separated by the physical examination center and the medical technology building.
Lu Mei is a nurse, so she would never care about what surgeries were performed in the operating room of the surgical building for no reason.
Neither party knew or understood each other, and it was their first meeting. Besides, that was the rule of the emergency department, so it was normal for the other party to come to see her.
But the words were not very nice, and it sounded like I was looking for trouble.
Su Tang blinked, a hint of helplessness flashed across her eyes: "I'm sorry, Nurse Lu, I'll ask Li Tian to add the test results and X-rays later..."
…………
In a department, you must try your best to follow the rules and regulations of the department.
Therefore, the patients who came to see Su Tang for treatment were basically prescribed the most basic tests, except for a few who really did not need to undergo tests.
For example, the patient in front of him was about 30 years old, had a short crew cut, and had no injuries except for being a little wet. However, the man looked at Su Tang with a bitter face and said, "Doctor, it's terrible! I tell you, this typhoon is terrible! I was living well in the room, but the typhoon directly blew off my roof and blew me against the wall. Then I couldn't hear from my left ear! Now I can only hear a little bit from the right! It's blurry, as if there are two walls outside."
Su Tang frowned, thought for a moment, let go of her right hand that was feeling the other person's pulse, and took out a flashlight: "...lift your ears up so I can see."
The man in front of him had a strong pulse, and except for some scratches on his palms and arms, he seemed fine. But he said he lost his hearing after being hit against the wall, which made Su Tang a little confused.
However, Su Tang was confused, and the man was even more confused. He looked up in confusion, his mouth opened so wide that an egg could almost fit in it: "Eight ears? I don't have eight ears..."
Su Tang’s expression froze: “…………”
It's really like I can't hear anything and it's unclear at the same time.
Su Tang sighed, took out a pen and paper with an expressionless face, and quickly wrote down - 'Lift your ears up and show them to me.'
But before he finished writing these 11 words, the worker standing behind the man yelled at him and gestured, "The doctor wants you to lift up your left ear for her to see!"
Su Tang Wuli: “……?” No, in addition to the left ear, the right ear should also be checked.
This time, perhaps because the worker's voice was particularly loud and happened to be in the man's right ear, the man's eyes immediately turned red and he burst into tears: "Left ear? Okay, okay... Doctor, please give me a good look!"
The man was in pain and heartbroken. When he thought about the possibility of becoming deaf in the future, his tears started to flow. He almost burst into tears: "I just got married not long ago. I have elderly and young people at home. If I become deaf, then my future will be ruined. You have to take a good look at me!"
The man tilted his neck high, with his ears completely exposed to Su Tang's sight.
Pinching her ears and turning on the flashlight, Su Tang carefully examined the man.
Generally speaking, sudden hearing loss and deafness are mostly caused by viral infection, inflammation, edema, etc., or by medication, abnormal autoimmune system, etc.
There are also cases of deafness caused by impact trauma, but generally there are obvious symptoms, such as bleeding, ruptured eardrum, etc.
But Su Tang looked at it, then looked at it carefully, and then shone the flashlight behind the man's right ear...
Su Tang: “…………”
Su Tang sat back in her seat with an expressionless face, and said helplessly: "Mr. Liu, you have too much earwax, just find an ear pick and clean it out later."
She said that her pulse diagnosis should be correct, as it was such a strong pulse without any stagnation, and the other person's skin was a healthy wheat color and very smooth. How could he look like he was seriously ill or had severe hearing loss?
"What? I'm dying?!" The flat-headed man's face turned pale, his pupils widened in fear, and he was shaking all over, holding his chest with his hands in pain. "I just accidentally bumped into the wall during the typhoon. How can I die in a moment?"
In just a few breaths, the man with the flat head scared himself and almost turned pale and died on the spot!
Su Tang: “…………”
Others around: “…………”
No, you really just need to pick out some earwax...
Su Tang looked at the flat-headed man's coworker and said dryly, "Sir, maybe... I still need to trouble you to explain it to Mr. Liu. Also, the temperature will drop sharply with the typhoon coming, so remember to keep warm and don't catch a cold."
"...Okay, okay." The worker hesitated in the same dry voice.
I always feel that he is about to develop the bad habit of blushing when others are embarrassed.
Only the man with the flat head was still immersed in his sorrow, completely unable to extricate himself and unable to breathe.
Lu Mei glanced in the direction of Su Tang, then quickly looked away and helped an elderly man who had his right arm dislocated by the typhoon to the orthopedic clinic. However, probably because the work in the emergency department was so intense during this period, Lu Mei was so busy that she didn't have a break.
It was clearly a typhoon and the temperature dropped drastically, but beads of sweat appeared on Lu Mei's forehead, and the sweat kept sliding down her forehead.
The old lady with the dislocated arm was very old, and her legs and feet were inconvenient. She also wanted to get treatment as soon as possible because her arm was too painful. The old lady instinctively put half of her body on Lu Mei, hoping that with Lu Mei's strength, she could take her to the orthopedic clinic as soon as possible.
But it was this half force that made the sweat on Lu Mei's forehead flow faster.
From the emergency room, to the orthopedic clinic in the emergency room, you need to pass by the No. 13 clinic table...
So when Su Tang had just seen off the flat-headed man and was about to see the next patient, she looked up and saw Lu Mei, sweating profusely, supporting an old lady passing by her.
Su Tang subconsciously turned her head and looked at Lu Mei's back, her brows slightly furrowed unconsciously.
"What's wrong?" Su Tang turned her head to look back. The movement was so large that Pan Yuhao, who was watching beside her, immediately came to his senses and asked in surprise: "Isn't that the nurse who talked to you just now?"
"...She seems a little bit off." Su Tang frowned and said uncertainly: "I saw that she was sweating all over. She seemed to be in a bad state."
Lu Mei had light makeup on her face, so she couldn't see the other person's complexion clearly, but the sweat on the other person's face had already wet the hair around her ears.
Now that he had noticed it, he couldn't just ignore it. Su Tang pondered for a moment, explained a few words to the patient Pan Yuhao, stood up and trotted to catch up with Lu Mei.
"Grandma, let me help you... My colleague seems to be feeling uncomfortable." Su Tang caught up with Lu Mei, and was immediately blinded by the large amount of sweat on the other's forehead.
The old lady, who had been groaning in pain with her eyes half closed and shouting "ouch", turned around and found that something was wrong with Lu Mei. The old lady with a dislocated arm was also in so much pain that her brows were wrinkled and her face was pale. Sweat and water were mixed into a ball, and her hair and clothes were wet. She looked very bad.
"Are you sending her to the orthopedics department? You take a rest here, I'll take your family there..." Su Tang sighed, glanced at Lu Mei, and hurriedly helped the old lady to hand her over to the doctor in the orthopedics clinic. Then she ran out of the clinic quickly, only to see Lu Mei sitting on a public chair in the aisle of the emergency department, her face pale and sweating. Two other nurses who noticed something was wrong came over to show concern, and one of them even stood up and planned to find a familiar doctor in the emergency department.
Su Tang glanced at the nurse's back as she left, then returned her gaze to Lu Mei, half-knelt down and said solemnly, "Put out your hand, I'll take your pulse... You look like you have a weak constitution... Have you ever felt unwell before, or do you have any medical history? Or did you miss dinner this afternoon?"
Lu Mei's hands and feet were cold, she was sweating profusely, and her breathing was rapid. She couldn't answer quickly for a while. Instead, the nurse beside Lu Mei quickly said, "Lu Mei is still breastfeeding. She just gave birth two months ago. Because she is an elderly mother, her physical condition has not been very good..."
The young nurse sighed: "If it weren't for the typhoon period, the whole department would be too busy... The head nurse originally only let Lu Mei work the day shift."
The day shift for emergency department nurses refers to the day shift in which they sit in front of the computer at the emergency department nurse station to handle chores on weekdays. It is usually used by the head nurse of their department to take care of pregnant women and staff who are unwell and need to rest.
The emergency department is not like the general internal medicine department. Whether it is the day shift with infusion or the night shift, etc., it is very hard, urgent and busy on weekdays. Many times, going to work is like going to war.
Su Tang listened to the nurse's introduction while carefully checking Lu Mei's pulse.
Lu Mei's pulse was weak and sluggish, and it was obvious that she was suffering from a deficiency of blood. In addition, her hands were cold and she was sweating profusely. Su Tang stretched out her hand and pinched the joints, hands, feet and other parts of the female Messi: "Are you feeling numb and sore in these places? You are usually very afraid of the cold, but you feel sore when it's cold?"
"…………" Lu Mei looked at Su Tang without saying a word, but there was a hint of surprise in her eyes.
Apparently Su Tang had described her current situation correctly.
Su Tang nodded, looked at Lu Mei deeply, and continued: "Your pulse is weak and sluggish, and your blood and qi are insufficient. These are symptoms of liver blood deficiency and invasion of wind evil. You can think carefully, have you felt uncomfortable when you get home at night when the wind blows these days? And you sweat particularly easily..."
"Yes." She had just lost her temper with the doctor in front of her, Dr. Su, but he came to see her the next moment. He was also the first doctor to notice that she was not feeling well. Lu Mei felt a little embarrassed and grateful, but she nodded subconsciously in response.
"You have a typical case of postpartum rheumatism, also known as postpartum sickness. Postpartum rheumatism usually occurs two months after giving birth... You may not have paid much attention to it recently, so you haven't paid attention to this aspect..."
Su Tang saw Lu Mei's embarrassed expression, but she didn't care much. Instead, she smiled and teased her: "Postpartum wind not only makes the body weak and afraid of wind, but also makes the joints painful and numb... but also makes the mood unstable, and easily becomes irritable and loses temper."
Su Tang's attitude was frank, but Lu Mei's cheeks were burning with anger and she felt more and more embarrassed. She opened her mouth and wanted to say sorry. She shouldn't have said such harsh words before, but when she moved her lips, Lu Mei couldn't speak.
Sometimes adults are like this. The three words "I'm sorry" are so heavy that they make people unable to speak.
But before Lu Mei could muster up the courage to speak again, she saw the girl in a white coat and high ponytail winking at her playfully, revealing two sweet dimples and smiling: "Don't worry, these are just symptoms of blood deficiency and wind evil invasion. Take good care of yourself and rest for a few days, and you should be fine after a while. I will write you two conditioning prescriptions. When the storm is over, go home and boil them and take them. You will soon be able to replenish blood and yin and get rid of wind evil."
Lu Mei: “…”
Lu Mei was a little embarrassed. She saw that Dr. Su was very calm and didn't care about what happened before. She also heard that his tone was very sincere. He even wrote down two prescriptions for her and told her to take good care of herself and rest. She would be fine after a while.
Lu Mei became more and more guilty and wilted.
Well, think about it carefully, isn't it normal for a doctor who has just come to the emergency department to help not to know the hidden rules and procedures of the emergency department?
Why did she suddenly want to go and reprimand the other person?
Just say, "The emergency department stipulates that every patient who comes to see a doctor must undergo basic examinations." Isn't that enough?
Su Tang didn't know what Lu Mei was thinking at the moment. She wrote the prescription while reminding Lu Mei: "You can't be exposed to the wind because of your confinement disease. You'd better wear more clothes every day these days... In addition, after the typhoon passes, if you have time, you can come to the general internal medicine clinic to see me. I will cup you..."
Su Tang thought for a moment and then explained, "Acupuncture is also OK, but I suggest you do the cupping first and then the acupuncture, otherwise the effect may be greatly reduced."
Cupping can balance yin and yang and dredge the meridians. Cupping is especially effective for postpartum women who suffer from qi and blood deficiency and invasion of wind evil.
Unfortunately, she didn't have the tools at hand, and there were patients waiting in the emergency room, so it wasn't suitable for treatment and she could only make an appointment later.
Su Tang was treating Lu Mei, and Director Xue also saw the situation. He saw that Su Tang could still smile brightly at Lu Mei, and also saw that she was talking about postpartum wind in a very knowledgeable way.
Director Xue opened the scoring sheet that the dean had handed him yesterday, thought about it, and added one point after Su Tang's name.
Director Xue would secretly observe the performance of these young doctors who came to the emergency department to help during the typhoon and give them scores and evaluations.
Good medical skills, strong team spirit, good at communicating with patients, caring for patients, and understanding...
Each of these items is the scoring criteria given by Director Xue to the young doctors this time. It is also the judging criteria for the 16-member national competition team selected by the senior management of the Sixth Hospital.
Su Tang had no idea that Director Xue was secretly giving her a grade. After examining Lu Mei, she told her to take a break or go back to do some easier work. She saw another nurse in the emergency department bring hot water to Lu Mei.
Su Tang then hurried back to the clinic and continued to see patients. During this time, a clever nurse helped to take the patients waiting in front of Su Tang's clinic to other doctors, which not only saved these patients from waiting for a long time, but also gave Su Tang a break.
…………
From the time Su Tang entered the emergency department until now, he has been there for more than six hours, and it is now past 11 o'clock in the evening.
However, during this period, police, ambulances and firefighters brought in many patients and their families, and some people came to the hospital because they were feeling unwell and crossed the flood.
“Hula hula hula…”
As the fire truck calls rang outside the door, there was the sound of typhoons and heavy rain, and the crackling sound of raindrops hitting the outside of the house.
Firefighters, wearing orange fire raincoats but still soaked by the heavy rain, brought in a new batch of disaster victims.
A woman in her thirties, holding her forehead, was supported by someone and walked inside. The woman's face was pale, her teeth were clenched, and her brows were furrowed.
Seeing the woman like this, two nurses in the emergency room rushed forward, asking about the patient's condition while supporting her.
"Our wife has a migraine and was caught in the rain. We hope to find a doctor as soon as possible!" A middle-aged driver followed the woman and quickly explained to several nurses.
Zhou Hai was frowning, secretly lamenting that his luck had been bad in recent years.
Mr. Song from their family was in a coma after a car accident four years ago and became a vegetable. The listed company he had was originally in good hands, but in the end, it all went to the CEO's brother Song Zhehao who just came from abroad and did nothing...
At least their wives had some businesses that could support their daily expenses. But today, when the typhoon hit, the largest store owned by the wife had its French windows blown off by the typhoon. The glass in the store fell to the ground below and shattered all over the floor. Most of the things were destroyed! I don’t know how much money the wife has lost this time!