When I'm on the night shift, all the department heads can't sleep.
Chapter 214: Did that black dot burst out?
When Lin Ye swiped his card to enter the doctor's office, Ma Hao had half a steamed bun in his mouth and was busy stuffing a pen into the breast pocket of his white coat.
The soy milk was pressing down on the breakfast paper bag, and a black pen that wasn't properly secured slipped down the hem of the shirt.
Lin Ye reached out and took the bun: "Eat the bun in your hand first."
Ma Hao swallowed the steamed bun and reached out to take the pen: "I put it away just now, but somehow it slipped."
The call for shift change came from the nurses' station. He immediately tightened the lid of the soy milk cup, put the remaining buns back into the paper bag, and followed Lin Ye out of the office.
After the morning shift handover was completed, Zhou Min quickly assigned the shift tasks to the general treatment area.
As soon as Lin Ye settled down at the workstation, Qin Hai poked his head out of the consultation room and waved to Ma Hao.
"Bring in the medical record number and form."
Ma Hao responded, pulled a transparent folder from the side pocket of his backpack, and went into the consultation room.
Ma Hao closed the door halfway and was about to recount what happened in bed number seven that night when Qin Hai raised his hand to stop him: "Don't talk about it yet. Let me look at the records in the medical history myself first."
Qin Hai opened the hospital's medical records for that evening in the hospital's internal system.
I went through the entire process, from the initial admission record to the patient's discharge signature page, checking each medical order, nursing record, and consultation opinion from the urology department.
The mouse wheel scrolled and stopped intermittently. Ma Hao stood quietly to one side of the desk, wanting to add details several times, but he held back each time.
Qin Hai stopped the page on the last page: "The records match, there's no need to repeat what happened. I only have one question for you."
Ma Hao subconsciously straightened up a bit.
"What should you do if you are called for help from both medical and emergency departments at the same time?"
"I immediately found someone to take over the patients I was treating, clearly marked any unreturned test results and follow-up appointment times, and only after the handover was completed did I head off to another location."
"What if there are no other medical personnel on site to handle the handover?"
"Then I will absolutely not leave my post without permission. I will report to you immediately so that you can assign other personnel to rush to the emergency area." Ma Hao answered crisply and decisively, "You can't handle two things at once, otherwise no one will take care of the patients on both sides in the end."
Qin Hai quietly observed him for two seconds, then picked up the pen on the table: "Not bad. Now not only are the documents filled out completely and in accordance with regulations, but the whole matter has also been followed up from beginning to end."
He unfolded the assessment form submitted by Ma Hao and signed his name and the date in the first blank column.
Ma Hao finally loosened his grip on the edge of his pocket.
"This case assessment is considered passed." Qin Hai pushed the form back in front of him. "Every subsequent treatment will be carried out according to this standard."
Ma Hao took the document: "I've got it, Teacher Qin."
Qin Hai closed the medical record interface on the computer: "Put away the data and go out to see patients."
"it is good."
Ma Hao put the form back into the transparent document bag and zipped it up.
When Lin Ye walked out of the consultation room, there was a patient sitting in front of him, so he went back to his workstation first.
Only after the patient left the examination room with the test results did Lin Ye turn to look at him.
"Has it been approved?"
"This case has passed the assessment."
Lin Ye took out the Coke he had promised yesterday from the side pocket of his backpack and casually pushed it to him.
Ma Hao continued, "I didn't expect you to still remember this."
Zhou Min returned from the treatment area and placed a new triage form on Ma Hao's desk: "The patient in consultation room number two has arrived."
Ma Hao placed the cola on the corner of the table, put the file bag into the drawer, and called for someone to enter the consultation room.
The clinic quickly became busy again throughout the morning. Lin Ye and Ma Hao each guarded a workstation, one seeing patients and the other waiting for test results, separated only by half a partition.
Around noon, a young man in his twenties entered through the door.
The man was dressed in gray-blue overalls, his shoulders and trouser legs covered in fine silver-gray metallic powder, and a pair of transparent goggles casually hung in front of his neck.
He kept his right eye covered with his palm, tears streaming down his face, soaking his entire right sleeve.
"Doctor, just prescribe any bottle of eye drops."
The man slowly moved his palm away, his right eye barely able to open a tiny slit. "I got sand in my eye while I was working, and I rinsed it out with water, but I still can't open it."
My phone kept vibrating in my pocket, and the screen displayed "Class Monitor".
He glanced at the screen and immediately pressed the hang-up button.
The phone rang again after only a few seconds of silence.
The man had no choice but to hold the phone to his left ear to answer the call.
"Still in the hospital, they haven't even started treatment yet."
The voice on the other end of the receiver was loud, clearly audible even across half the examination table: "How are your eyes? The safety officer needs to register and report this. Just answer the doctor's questions truthfully; there's no need to rush back to the factory."
The man glanced at the goggles hanging around his neck: "I haven't finished the investigation yet, I'll tell you later."
"Get your eyes checked first, then I'll talk to the factory. Don't wander off if the doctor tells you not to."
After hanging up the phone, the man held it in his hand, still afraid to open his right eye.
Lin Ye pulled out a chair: "Sit down first, and don't touch your eyes again. How long has the foreign object been in your eye?"
"More than half an hour ago."
"When you flushed it, did you get a good look at the foreign object that came out?"
"It was a small black dot that fell into the sink."
The man subconsciously raised his hand to rub his eyelids, but Lin Ye stopped him just as his fingertips touched them.
"The foreign object has definitely been expelled; I saw it with my own eyes."
"I understand." Lin Ye handed him a tissue. "What were you doing when the foreign object got in your eye?"
The man took the tissue, only daring to dab the tears that had streamed down his face under the corner of his eye.
"Use an angle grinder to cut aluminum strips."
Lin Ye's gaze fell on the goggles on his chest: "How long after you took off the goggles did the accident happen?"
"I hadn't been removing it for long. I thought I only had two more cuts left to finish, and I planned to clean the lens after I was done. I didn't expect that the second cut would send the lens flying into my eye."
"Has the angle grinder disc cracked? Are there any flying debris or fragments ejected from the aluminum strip?"
"The film wasn't broken. There was some splash when I cut into it, and my eye started hurting immediately."
"What did you use to rinse it?"
"I bent down and rinsed it with the tap water in the workshop for several minutes, and then the black spot came out with the water." The man gestured to the side of his right eye, but didn't dare to touch it again. "I still felt uncomfortable afterward, and my eyes would water whenever I saw bright light."
Did you rub your eye when the foreign object first got in it?
"I rubbed it a couple of times at first, but it hurt more and more, so my coworker dragged me to rinse it."
"Did your right eye become blurry immediately, or did the blurriness only begin after the procedure?"
The man thought for a moment: "It's not that I can't see. When I first came in, my eyes were full of tears. After rinsing them off and opening them again, I felt like there was a layer of fog on the right side. It hurts the most when I blink."
Do you wear contact lenses daily?
"I never wear it."
"Do you see things differently in each eye? Do you wear glasses?"
"He sees everything clearly and doesn't wear glasses."
Lin Ye first looked around and at the eyelid margin. There were still a few silver-gray flakes stuck to the right eyelash. Under the current light, no conspicuous foreign objects could be seen.
He crossed out "reported that the foreign object had been expelled" on the triage form and added "angle grinder cutting, high-speed entry, persistent photophobia and tearing" after it.
He stood up and pointed to the eye chart outside the examination area: "Test your vision first, left and right eyes separately. Don't press your right eye with your hand."
Jiang Wen had just pushed the treatment cart back to the nurses' station when she heard Lin Ye call her. She turned around and took out her blindfold.
After the man stood on the yellow line, his left eye quickly recognized the path.
When he switched to his right eye, he blinked a few times, and then hesitated as he read on.
"Left eye 1.0, right eye 0.8," Jiang Wen reported the values to Lin Ye. "My right eye is constantly tearing up."
Hearing the discrepancies between the two messages, the man ignored the text message on his phone and asked, "Is there something else inside?"
"It's too early to draw a conclusion."
Lin Ye told him to sit down again.
"Don't go back to the factory yet, and don't buy eye drops and apply them randomly. This isn't just ordinary dust blowing into your eyes; we need to see the surface and inside of your eyeball clearly."
"That black spot has already been exposed, but there might still be more?"
"Just because you see one foreign object being expelled doesn't mean that was the only flying debris. Debris from an angle grinder travels at extremely high speeds, so it's necessary to check for any deep eye injuries."
The man took off the goggles from his chest, folded the temples and placed them on his knees, his left hand still pressing on the frame.
Lin Ye then asked if any men had suddenly experienced dark shadows, double vision, nausea, or vomiting, and the men all shook their heads.
He told the other person to look ahead and shone a flashlight on them from the side.
The conjunctiva of his right eye was already red, and the pupil had no obvious abnormalities in shape and could still contract when exposed to light. However, as soon as a bright light swept over it, the man immediately turned his head away, and tears started flowing again.
The man looked down at the goggles on his knees, picked up his phone, and sent a message to his squad leader: "Checking in progress."
Just as Lin Ye entered his vision data and the complete course of his injury into the electronic medical record, a system prompt suddenly popped up in the corner of his field of vision.
[Risk Gap: History of high-speed foreign object contact; integrity of the eyeball wall cannot be ruled out]
Lin Ye saved and closed the medical record entry interface, stood up and called out to the treatment area, "Teacher Zhou, could you please come over here? The patient had a foreign object in his right eye while using an angle grinder. He tried to flush it himself, but he is still experiencing photophobia and tearing, and his right eye vision has decreased to 0.8."
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