Chapter 11: The Frightened Li Fan
"Tanglou, as I said just now, the cases in the emergency department are relatively complicated. I will personally screen them and make arrangements for your participation. As for casually diagnosing patients without my consent, it is not okay."
Li Fan didn't deliberately rely on his old age and let an intern come to see the doctor. He was worried. If something went wrong, he would be mainly responsible.
Moreover, operational skills such as suturing can be learned through hard practice in school, but diagnosis is extremely comprehensive and requires experience and experience. Naturally, he does not believe that Tanglou can do it.
Zhang Nannan was also convinced. She glanced at Tanglou and joked: "Do you think our Xiao Xu is young and beautiful and want to show off in front of her? Don't worry, Xiao Xu is a nymphomaniac. He can stun her with just one face."
No need to rely on talent!"
Tanglou: "..."
This kind of funny jokes in the hospital are really normal, especially for a head nurse who has experienced many battles under various greasy old doctors, and the jokes are even more frequent.
"Sister Zhang!"
Xu Lanlan's face turned red all of a sudden, and she was a little afraid to look at Tang Lou's face.
"The patient's methemoglobin concentration is high, and the initial diagnosis is carbon monoxide poisoning. It should be the charcoal hot pot used. People nowadays really have no common sense in life." Li Fan looked at the case, recalled Zhang Nannan's discussion, and immediately
Saw the reason.
A little proud, the general puffed out his belly in front of Tanglou and said: "Zhang Nannan, give the patient hyperbaric oxygen therapy for one hour."
Seeing Li Fan handing back the checklist, Xu Lanlan couldn't help but ask:
"Is this good?"
"Okay. Isn't it fast and accurate? This doctor can cure the disease with his medicine! His appearance can't compete with us, but we middle-aged people are full of talents." Li Fan patted his general belly like Zhang Nannan proudly.
, looked at Tanglou again, "Tanglou, in the words of you young people, this is called Ji Cao Wu Liu. From now on, you can follow me and learn slowly. This kind of routine diagnosis can be done at a glance."
"It's so annoying!" Zhang Nannan covered her face, she was really defeated by Li Fan.
"Doctor Li, but Tanglou just said that there is nitrous acid poisoning." Xu Lanlan questioned.
"Nitrite poisoning? Impossible. This is simple acute alcohol poisoning plus carbon monoxide poisoning. How can there be nitrite poisoning?" Li Fan was very confident in his judgment. Such a small case was not easy to catch, and nitrite was also
That's ridiculous.
"But..." Xu Lanlan was still a little unconvinced.
"Silly girl, Dr. Tang is trying to trick you." Zhang Nannan touched Xu Lanlan's head and looked at Tang Lou meaningfully, "Little slick, it seems there is no such thing as Miss Huo Huo. You are not allowed to do this in the medical field in the future.
Kind of a joke.”
Zhang Nannan warned Tanglou sternly.
"I'm not talking nonsense. The patient is really suffering from nitrite poisoning. If you don't believe me, just look at his urine routine..."
Tanglou was also anxious, after all, the patient's health was urgent, so he blurted out.
"Poop on your head."
Zhang Nannan has a straightforward personality, and she directly hit Tang Lou on the head.
"And you, Xiao Xu, where is your brain? We just did a blood test. Where can I find a urine test?"
Tanglou was speechless for a moment. He only looked at the diagnosis given by the system, but forgot that in reality, he did not do any urine routine at all.
"Xiao Tang, don't do this again."
Li Fan was also amused. This guy was talking nonsense and had a serious expression. He almost suspected that he had missed the urine routine.
"Okay, now that you are assigned to the emergency department, I will be considered your master from now on. Now follow me to the office. I will arrange a seat for you and explain the rules of our department."
Li Fan was not a mean person. After all, he was young and frivolous, and he had done such embarrassing things before.
"Head nurse, when I was in school, there was a case exactly like his. He ate a small charcoal hot pot at home and ended up with carbon monoxide poisoning and nitrite poisoning. Don't be afraid of ten thousand, just be afraid of the worst. Why don't you do a urine routine?
Try it."
Tanglou continued to hold on.
Zhang Nannan frowned and looked at Tang Lou, who had a serious face. For some reason, he saw a doctor's responsibility and persistence in his eyes.
"Dr. Li, why don't you make one just to be on the safe side?"
"Since you're not worried, then make one. However, the chance of nitrite poisoning is too small. Just like Xiao Tang's previous case, it's too absurd." Li Fan has a very moderate personality. After looking at Tanglou's insistence,
, then educate him with facts.
I still have authority in the emergency department!
"That's great, Dr. Li, I'll go to the office with you."
Tanglou looked at Li Fan gratefully. He was very lucky for such a soft-spoken leader.
"Xiao Xu, I'm sorry to trouble you. We'll also arrange hyperbaric oxygen treatment."
"OK."
...
...
An hour later, Xu Lanlan hurried into the office: "Doctor Li, Dr. Li, the patient has woken up."
In the office, Li Fan was sitting in front of the computer, while Tang Lou was in his seat, waiting anxiously.
Hearing Xu Lanlan's feedback, Li Fan was very proud and stretched his voice in the direction of the tenement building: "Then the patient is okay?"
"No, after the treatment according to your arrangement, the patient's consciousness is better than before, but he still feels dizzy and chest tight, and his limbs are still weak. Sister Zhang has continued to wake up, replenish fluids, nourish brain cells and other symptomatic support treatments."
Xu Lanlan described it in detail.
"It's not scientific. Logically speaking, it should be restored."
"Dingling bell~"
Li Fan's phone rang, and he answered it with a serious face. Zhang Nannan's urgent voice came from the phone:
"Dr. Li, the patient is confused again, has shortness of breath, and is accompanied by generalized cyanosis!"
"What!" Li Fan looked at Tanglou subconsciously, "No way, what a coincidence!"
If Tanglou hadn't reminded him before, he wouldn't have thought of nitrite poisoning, but after mentioning it, the obvious symptoms were completely consistent.
"Did the urine routine come out?" Li Fan was also anxious. If the treatment was delayed, his life might be in danger.
"It's out, I'll send it over right away."
Zhang Nannan hung up the phone.
After a while, the sound of Tata's footsteps came closer and closer.
"Dr. Li, test sheet!"
Li Fan took the test form and was stunned when he saw the data on it.
"...Nitrite (++), nothing unusual..."
"Quickly, complete the intravenous injection of 1% methylene blue 1~2 mg/KG + 50% glucose solution 40 mL within 15 minutes, and add 4 g of vitamin C to 1000 mL of 10% glucose for intravenous infusion. Continue the high pressure
Oxygen therapy.”
When she heard the familiar reagent, Xu Lanlan's eyes suddenly lit up. She was even happier than if she had been wronged, and she secretly gave a thumbs up to the tenement building!
"Okay."
The little girl clicked, shook off Bu Dian and rushed out.
Zhang Nannan also glanced at the Tanglou in surprise and hurried to implement the plan.
"Huh~"
Chapter completed!