Come on, Dr. Wu

Chapter 402 Coming one after another
Wu Xiaofu looked at the expressions of the crowd and knew what they were thinking.

With a smile on his face, he spoke slowly.

"Oh, you have done it before, that's great, then we don't need to take the driving test."

Ah!
Listening to Wu Xiaofu's words, the eight people felt like a thousand horses galloping. What? He was just teasing them. Their mood was hung up. What a scumbag, they thought to themselves. They felt that Wu Xiaofu was just a scumbag who was playing with their feelings.

But when you think about Wu Xiaofu's usual performance, it's not that difficult to accept.

After all, in all these assessments, when has Wu Xiaofu ever played according to the routine? It's always like this.

Well, habit becomes nature, maybe that's it.

"Boss, what is the test? Just give us a quick one."

Jiang Bei spoke up, they were all very familiar with each other, so Jiang Bei dared to ask, not to mention that it was in a joking tone.

"You have all been in the emergency department for a week now. You have learned all the knowledge you need to learn and have also participated in some basic work. The entire emergency department has become your battlefield, and today, the emergency department will once again become your examination venue."

The entire emergency department!
The eight people couldn't help but tremble in their hearts, and they had some bad premonitions in their hearts. They always felt that they were going to fall into the pit again. The entire emergency department, they could control the ambulance, after all, it was just an ambulance, a simple operating room, and an outpatient clinic, they could also control it.

But this is the entire emergency department, they really have no control over the situation.

It is obvious that Wu Xiaofu doesn't care whether they can grasp it or not, and he has already started to announce the assessment content.

"Next, the emergency department will arrange four general emergency clinics for you, and the triage nurses will divert patients to you. Your job today is to deal with these patients. We will give you grades based on your performance."

Is that so?
Cheng Shi and others' mood suddenly dropped to the bottom. They didn't think that they were just sitting in for consultation. They had been in the emergency room for a week. They knew too well how difficult the job that Wu Xiaofu arranged for them was.

Making a preliminary diagnosis in the clinic is only the first step, and the subsequent examinations, operations, treatments and even rescue are the big things.

The patients who come to the emergency department are basically critically ill patients. Although they have been in the emergency department for a week, they have never sat in for consultation. They just follow the attending doctors. When a patient comes, they listen to the attending doctors to accompany the patient for examination, or examine the patient, perform operations, etc.

There were few people participating in rescuing patients, but now, they are directly asked to do something. It's fatal.

However, the exam questions have been decided and the papers have been handed out, so it is not up to them whether to do it or not.

What else can I do? Come on.

The clinic was already ready for them. The eight of them looked at each other, encouraged each other with their eyes, and then went straight to their own clinics.

The clinics are numbered, from one to eight, according to their current rankings. For example, Xun Qi is in clinic number one, Cheng Shi is in clinic number two, and so on.

The triage nurses will conduct diversion, starting from clinic number one and heading to the other eight clinics.

Wu Xiaofu and his colleagues will evaluate the performance of the eight people based on the number of consultations they have received, the quality of consultations, and so on.

The assessment began and the eight people were in place at nine in the morning.

The end time was three o'clock in the afternoon, a total of six hours, no more, no less, which was also taken into consideration. Although the eight people had been in the emergency room for a week and had already felt the intensity of the emergency room, they had all been working under the attending physicians before, so they did not have to take too much responsibility or think about everything in all aspects.

But now it is different, now they need to think about everything by themselves, facing complicated patients, the pressure they have to face is extremely great. Six hours is a responsibility to themselves and to the patients.

Of course, Wu Xiaofu and the others would not joke about the patient's life safety.

They will strictly control the outpatient triage.

The extremely serious or critical patients will not be assigned to the eight people, because they certainly cannot handle them, or they cannot give them the best diagnosis and treatment. These patients all need to be saved, so it is not clear whether they are suitable to be included in the assessment.

The patients who can be placed on the eight-person unit are all ordinary patients or patients in moderately critical conditions.

They will also be told in advance that this is just an ordinary emergency number, and the registration fee charged will only be based on the standards for ordinary numbers, not the emergency registration fee.

You should know that the registration fee for the emergency department has always been the highest in the hospital. Under the same title, it is basically twice or even more than that of other departments, especially at noon and in the evening, it will be even higher.

For some patients, if they just want to find out what is wrong with their bodies and need a check-up but don't want to wait in line, choosing Xun Qi and others would undoubtedly be a good choice.

The assessment begins.

The diversion also officially began.

"Hello, what's wrong?"

Opposite the triage nurse was a young woman, who came over holding her stomach, looking pale and in pain, and had difficulty walking. When asked by the triage nurse, the patient quickly said, "My stomach hurts, my period has come, and I can't bear it at home."

Well, it meets the assessment criteria. The triage nurse directly sent the patient to Xun Qi’s Clinic No. 1.

At this time, Xun Qi was in the clinic, trying hard to calm down. He was even looking forward to what the first patient he would meet would be like, whether it would be too difficult, and whether he could handle it perfectly.

What came to his mind was all the knowledge he had learned in his daily life. He had even started various drills on how to deal with the critically ill patients who came over.

However, a knock on the door soon interrupted his thoughts and the patient arrived.

"Hello, doctor."

The young patient was quite polite. Seeing the girl holding her stomach in pain, Xun Qi's heart tightened. Stomachache, gynecological problem? Or pancreatitis? Cholecystitis? Appendicitis? Or gastroenteritis?
Various possibilities popped up in my mind, and my deepest prayer was that the patient did not have gynecological problems, because this was her weak point. If so, I was afraid the treatment would not be perfect.

"Please sit down. What are you doing?"

In outpatient consultations, the doctor must have the initiative, but it also depends on the situation. Just ask the first question, then let the patient speak, and then you can choose the appropriate entry point from the patient's words to take the initiative.

After all, some patients are really talkative, but they always fail to get to the point and tend to repeat themselves. Of course, the point they repeat may be what they are most worried about. They repeat it just to make the doctor pay attention, but which point is the most important is actually up to the doctor to judge.

Time in the emergency room is very precious, and there is not much time to chat with patients. Therefore, when encountering such patients, you must quickly take the right to speak and start taking the lead.

Hearing Xun Qi's question, the young woman looked at Xun Qi, feeling a little embarrassed. This doctor was too young and so handsome. How could she ask such a private question? What if he needed to examine her again later?

But the pain soon made the patient no longer have time to think, and he quickly said, "My period hurts so much that I can't stand it. Doctor, is there any way to stop the pain?"

My period hurts!
call!
It was just a false alarm. Xun Qi took a deep breath. This was relatively easy to solve. He had seen many emergency cases in the room, so Xun Qi knew how to solve it.

"How many days have you had your period? Is your period regular? Do you have your period..."

Xun Qi began a series of interviews. Menstrual pain is very common, but as a doctor, he must judge whether the patient is really just suffering from menstrual pain or has other illnesses that are hidden under the menstrual pain. The patient certainly cannot feel it, but the doctor must make his own judgment.

Never misdiagnose patients. The first thing doctors should remember is that you cannot just treat patients based on what illness they tell you they have. This can easily lead to problems.

The most common symptom of many gynecological diseases is irregular menstruation.

Gynecological diseases are becoming more and more common nowadays. This is the first patient Xun Qi is facing, so he cannot be careless.

Moreover, he found it hard to believe that the first patient he saw was so simple.

However, after some questioning, it turned out that everything about the girl was normal, except for the pain from her period.

Thinking of this, Xun Qi also relaxed.

"Well, I'll prescribe some painkillers for you. Take them when you feel pain, but remember not to abuse them. Do you understand?"

"Ah, don't you want to check it?"

"Check? Check for what?"

The girl blushed when she heard this, "No, nothing, doctor, please prescribe some medicine."

Xun Qi didn't take it seriously and prescribed medicine directly.

There are actually different degrees of menstrual pain. Most girls don't feel any pain during their periods, but some girls may experience menstrual pain due to their physical constitution, being too thin and having blood circulation disorders, or other reasons.

Don’t worry about mild pain, patients can usually endure it at this level.

However, many girls cannot bear moderate or above pain, and some even faint from the pain. Doctors recommend not to endure such pain and to take medicine directly, just like this patient.

Since you've come to the hospital, it's obviously unbearable pain and you can just take medicine.

But the necessary reminders still need to be given, "Go to the payment counter to pay, then go to the emergency pharmacy to get medicine. Remember, after you go back, don't eat cold food, keep warm, and drink plenty of hot water..."

Drink more hot water, what a familiar phrase. The long-distance boyfriend seemed to have said this yesterday and was scolded by her. I didn’t expect that this handsome male doctor would also say this now. But why do the same words sound so different when spoken by different people?

This sentence feels so warm to me today, warmer than drinking hot water.

In addition, Xun Qi did not forget the most important thing, which is follow-up in case of discomfort.

This is a sentence that every outpatient doctor must mention in the medical instructions, because the patient now seems to only have menstrual pain, but if the menstrual period is over and the patient still has menstrual pain, then something is not right. Also, if the symptoms suddenly worsen or change during this process, then it means that the condition may not be that simple.

Then you should come back soon.

After listening to Xun Qi's words, the girl nodded hurriedly. Xun Qi didn't need to say anything, she was not an old person anymore and was still very concerned about her life, so she would not joke about it.

Even if Xun Qi didn't say anything, if she still felt unwell, she would have to come to the hospital and find Xun Qi.

Triage office.

While Xun Qi was seeing patients, other patients also came to Cheng Shi's clinic one after another.

You have to know that the emergency department of the First Affiliated Hospital is not like those small hospitals. It can be said that it lacks everything except patients. The patients in the emergency department can be said to be one after another. With so many patients, even the original doctors in the emergency department can't see them all. That's right, even if you come to the emergency department, you still have to wait in line.

It’s just that particularly critically ill patients can jump the queue.

But if you don’t want to queue, or queue less, that’s also possible, especially today. Cheng Shi and his friends are just the right people.

There are emergency doctors everywhere, the only difference is that their professional titles are lower. Many people still don't care. They have already arrived at the emergency room, so who would care about these things? Therefore, patients are quickly diverted one by one.

Cheng Shi's patients are almost not much slower than Xun Qi's.

However, Xun Qi's patient was a little girl, while Cheng Shi's patient was an old man. He fell off his bicycle and it was not clear what happened, but his entire left lower limb was in pain and he could not move. When he came in, he was pushed in on a stretcher.

Cheng Shi looked at this old man as if he were facing a formidable enemy.

This is not just a patient, but also a test question. After asking about the old man's condition and examining him, Cheng Shi felt relieved only after he found that he only had pain in his left lower limb and could not move, and had no neurological symptoms or other organ damage.

If it was just a simple fracture, it would be simple.

For Cheng Shi and his colleagues who have been working in the emergency room for a week, fracture examination is a basic skill. They cannot be sure of the accuracy, but a rough assessment is acceptable.

As doctors in the emergency department, they only need to determine the location and type of the patient's fracture or injury, and then write an examination list accordingly.

After the examination, you can naturally know the patient's condition clearly.

If you want to have peace of mind, you can even give the old man a complete checkup from head to toe. There is no such thing as over-medical treatment or medical insurance checks in the emergency room.

After all, he is so old and he was injured. It would be inappropriate to check him any more.

However, this is an exam. Of course, even if it is not an exam, Cheng Shi cannot do this. It costs too much money. Precision medicine is still necessary.

Right tibia and fibula fracture, intertrochanteric fracture!

After the examination, Cheng Shi made a judgment in his mind and quickly wrote out an examination form and asked the patient to go for the examination.

Just as this patient left, the next one came in. Cheng Shi, who had been feeling relatively relaxed, suddenly felt stressed. He had a premonition that he would not even have free time from now until the end of the exam.

(End of this chapter)