Chapter 317 What Are You Doing?
Lu Chen was shocked.
He immediately thought of the patient just now.
Could it be that he really jumped off the building?
But the emergency department is on the second floor, and it is impossible to jump from this height!
"Sister Zhou, what's the matter with the patient jumping off the building?"
There happened to be no patients at the moment, so Lu Chen walked to the door of the clinic and shouted to a nurse named Zhou at the nurse station.
"I heard that it was a patient in our emergency department who just secretly ran to the eighth floor, ran to the window, and shouted that he wanted to jump off the building!"
Hearing the explanation of Nurse Zhou, Lu Chen was stunned. It was really him!
"Fatty, is the depressed patient going to jump off the building?" Lu Chen quickly called Cheng Peng.
"Oh, yes!" Cheng Peng's breathless voice came from the phone, "This kid, while the nurse was not paying attention, just ran out of the emergency ward. When the nurse found out that he was missing, she heard someone shouting to jump off the building. When she went to the eighth floor, it was really this kid."
Lu Chen frowned: "The windows of the hospital are all closed, and the style of the windows is to prevent jumping off the building. How did he jump?"
Cheng Peng said: "He must have jumped out of the window in the ward, but there is a window sill on the eighth floor, and there is a small platform outside the window sill. He flipped out of the platform."
Lu Chen then smiled bitterly, "This guy is really tossing, he shouldn't dare to jump off the building?"
"Yes, I came to the eighth floor, he is standing on the platform now, shouting that he wants to jump off the building, but I see that he doesn't dare to jump at all." Cheng Peng said, "We have called the police, and the police will be here soon."
At this time, a patient came to the emergency room. Lu Chen said a few words and hung up the phone.
...
Recovering his mind, Lu Chen prepared to start his independent emergency night shift
It was a mess outside, but he couldn't leave his post.
Although it was only two hours, it was his first night shift alone, a completely independent night shift.
The diagnosis and treatment of all patients were decided by Lu Chen.
The first patient Lu Chen treated independently was an old man in a wheelchair.
Two family members followed him.
Lu Chen looked at the chest CT that the old man had brought from the county hospital and frowned: "You may need emergency admission. The lung infection is very serious. There is a history of emphysema and bronchiectasis."
The family members nodded quickly when they heard it.
"We transferred to Jinghua Second Hospital overnight just to be hospitalized."
Lu Chen immediately issued a hospitalization certificate for the old man.
"The respiratory department is in Building 1. Go straight ahead after entering the door. If you don't know the way, ask the security guard."
"Okay, thank you doctor." The family member nodded and pushed the wheelchair away.
Lu Chen admitted the first patient directly to the hospital.
If pneumonia in elderly patients like this is not treated in time, it is very likely to turn into severe pneumonia, which will be troublesome at that time.
Therefore, Lu Chen admitted the patient to the hospital without hesitation.
…
After about five minutes of calm, the second patient arrived.
This was a young man and woman in their twenties.
The man was handsome, and the woman was beautiful and tall.
The woman walked in front, furious.
The man followed closely behind the woman.
The two walked into the clinic without saying a word.
“Ahem, who is the patient? What’s wrong?” Lu Chen coughed lightly.
"It's me." The young woman sat in front of Lu Chen, "I feel pain in my chest."
"Which specific position, when did the pain start?" Lu Chen began to ask about the medical history, "Are there any other discomforts?"
"Here." The young woman pointed to the position under her xiphoid process, "It hurts for a long time. It used to be dull pain, but it hurts more tonight, so I came to the hospital."
The man next to her quickly added: "Doctor, please give my sister a full-body examination."
Lu Chen frowned and said: "It's an emergency room at night, and many examinations cannot be done. I can only do the examinations that can be done here."
"Okay, I'll do whatever examinations I can." The young man said, "Money is not a problem!"
"Don't rush to do the examination." Lu Chen said, "Let me listen first."
He picked up the stethoscope and prepared to listen to the young woman's heart, but found that the woman in front of him did not move.
"Um... Doctor, should I take off my clothes?" The woman blushed.
"Um... No, I'll just listen through the clothes." Lu Chen was stunned.
For young female patients like this, although there are family members around, Lu Chen still tries to avoid direct physical contact most of the time.
Lu Chen took the stethoscope and listened to the patient through the clothes.
Although the sound of the stethoscope was a little unclear, Lu Chen listened for a while and thought there should be no big problem.
The patient's life value was also 76, and this chest pain was definitely not a big problem.
"It sounds good, go do an electrocardiogram." Lu Chen still followed the regular procedures and asked the patient to complete the electrocardiogram examination.
The electrocardiogram examination cannot be omitted.
Especially for patients with chest pain, no matter what age, it is very necessary to check the electrocardiogram.
"Just do an electrocardiogram?" The man next to him took the examination form opened by Lu Chen and asked in confusion, "Are there no other examinations, such as ultrasound, CT, etc.?"
"Not necessary for the time being." Lu Chen said.
The man wanted to ask something else, but the young woman interrupted him and said, "Then listen to the doctor, I'll do an electrocardiogram first and see the results first."
After saying that, the two people left the consulting room.
Lu Chen didn't take this woman seriously.
Generally speaking, when young people complain of chest pain, it is unlikely to be a heart disease, but it is most likely a gastrointestinal disease.
When elderly people say they have stomach discomfort, they must think of heart disease.
…
Two patients with fevers came to the emergency room one after another. Lu Chen quickly dealt with them.
The value of gratitude is also rising steadily.
"Doctor, I've finished the electrocardiogram."
After a while, the female patient with chest pain came back.
Her boyfriend followed behind him.
Lu Chen took a look at the electrocardiogram.
Sinus rhythm, approximately normal electrocardiogram.
Nothing unusual!
"The electrocardiogram results are normal." Lu Chen looked up at the young woman.
"Why do you have chest pain?" The man on the side immediately said, "I asked you to check whether you have missed some tests. Check the blood and do a chest CT."
Just as Lu Chen was about to explain, the young woman suddenly said: "Huang Cong, are you a doctor? I'm here to see a doctor, and you're the one gesticulating? Can you let the doctor finish his sentence?"
The man was suddenly speechless.
"You go outside and buy me a bottle of water." The young woman said again.
"good."
The man nodded, then turned and walked out of the consulting room.
"Doctor, he's gone, just tell me." The young woman smiled at Lu Chen.
Lu Chen nodded: "At your age, heart disease is unlikely. It may be gastrointestinal disease. But from your description just now, digestive tract disease is not likely."
"Then why do I have chest pain?" the woman asked doubtfully.
"First of all, women's chest pain is likely to be related to mental factors, such as cardiac dysfunction, intercostal neuralgia, or costochondritis, etc." Lu Chen explained.
The woman was stunned and suddenly said: "Hey, doctor, you said that, I remembered it, I seem to have something growing here, a bulge."
The woman pointed to the location under her sword.
Lu Chen frowned and said, "Did you grow something?"
He had not performed a physical examination on the patient just now.
"Pull your clothes up a little and let me see what they are." Lu Chen said.
"Yes." The young woman did not refuse this time.
She lay on the examination table and pulled her clothes up to expose the skin on her abdomen.
Although the woman in front of him was pretty and fair-skinned, Lu Chen didn't have any distracting thoughts at all.
In Lu Chen's sight, there was indeed a raised mass under the patient's xiphoid process.
The mass is not big, but it can still be clearly seen when lying on the supine position.
"Doctor, UU reading www.uukanshu.net, have you seen it?" the young woman said.
"I saw it." Lu Chen nodded, "I want to check this mass, don't be nervous."
"Um."
Lu Chen pressed the parcel.
"Does it hurt?"
"A little bit, but not great."
"Have you had this lump before?"
The woman nodded, "Well, many years."
Just as Lu Chen was checking, the door of the consulting room was suddenly pushed open.
The patient's brother walked into the ward with two bottles of water.
Then his eyes widened, "You...what are you doing?"