When I'm on the night shift, all the department heads can't sleep.
Chapter 262 Place the flowers at the nurses' station first
Fang Hao's girlfriend placed two drinks on the bedside table.
She was still sweating on her forehead, her gaze shifting back and forth between Fang Hao's face and the IV needle on the back of his hand, before finally speaking.
"I waited for twenty minutes at the restaurant entrance. First you said there was traffic, then you said I was in the emergency room. I even fainted. How long were you planning to keep this a secret?"
Fang Hao, who was just urging to leave, is now leaning against the headboard and won't even touch his phone.
"I didn't want you to wait in vain again."
"If you don't tell the truth, then my waiting wasn't in vain! If I hadn't made it, were you planning to pull out the IV and go to the restaurant?"
The bedside nurse came over to change the IV fluids and moved the iced drink a little further away, reminding Fang Hao that he had just had diarrhea several times and his gastrointestinal tract had not yet recovered, so he could only drink small sips of warm water or oral rehydration salts for the time being.
His girlfriend then realized he had diarrhea. She looked down at the two drinks she had specially bought, unsure of where to put them.
"Let's leave it for now and decide what we can drink after the doctor's evaluation."
When Lin Ye returned from the third bed, Fang Hao was handing the test results to his girlfriend.
She pointed to the potassium level and asked, "3.1, will that affect my heart?"
"The electrocardiogram currently shows no dangerous changes."
"The main issues right now are dehydration and low potassium following diarrhea. The readings were a bit better when I was lying down, but I felt dizzy again and my heart rate went up as soon as I stood up. I can't walk yet."
"Do you need to be hospitalized?"
"First, replenish fluids and potassium, then assess the patient again. Only if they can drink water normally, have no more diarrhea or vomiting, and are not dizzy when they stand up, will we consider going back."
"We live together, so should we eat separately?"
"Go home and wash your hands thoroughly, and use separate utensils. If the diarrhea persists, or if you develop a fever or bloody stools, come back for a follow-up appointment."
"Then let's listen to the doctor. I can keep an eye on him when I get back."
Fang Hao reminded his girlfriend that the restaurant stopped holding tables at 6:30, which finally reignited her anger.
"You can barely stand, and you're already thinking about a seat. Do you think I'm short of a meal?"
"But... I already stood you up once last month."
"You were genuinely on duty last month, but this time you're sick. Am I being unreasonable again?"
Fang Hao was silent for a while, and when he spoke, he only asked what would happen to the deposit.
His girlfriend picked up her phone and went to the hallway to contact the restaurant, leaving him with the words, "If you can't get a refund, it's your fault."
Lin Ye confirmed the drip rate and asked Fang Hao if his stomach was still upset.
"I feel much better, and my stomach isn't twisted as badly as it was before."
"Call the nurse if you need to use the restroom, don't get down on your own. Also, pay attention to whether there is any blood, and don't drink too much water at once."
When Lin Ye left bed four, the blood transfusion for bed three had already been connected.
The gastroenterologist stayed by his bedside, and Nurse Zhu was explaining to him the blood pressure and the rebleeding situation.
The troponin level in the second patient was subsequently returned, and the value did not increase significantly.
Lin Ye placed the two electrocardiograms on the table and checked them with Ma Hao. There were still no new dangerous changes.
"The patient in bed 2 will remain under observation. I will write the time for the next reassessment on the handover page."
Ma Hao handed over the imaging results of the patient with renal colic.
"The stone wasn't large, and there was no obvious obstruction or infection. The pain didn't recur during the observation period."
Lin Ye took the report.
"Then continue to observe them, and reserve the resuscitation bed for the later emergency cases."
"Okay, I'll go back and talk to him."
On the handover page, Lin Ye first wrote down the blood transfusion, endoscopy arrangements, and risk of rebleeding for bed three, and then noted down the re-evaluation time for bed two.
Zheng Hang has been taken away by the ophthalmology department, and his packaging and emergency room records have been sent there with him.
When writing about Fang Hao, he only left one item: After the fluid resuscitation is completed, reassess the blood pressure and heart rate when standing.
When Fang Hao's girlfriend returned after canceling her restaurant reservation, she had a glass of warm water in her hand.
"The restaurant is only willing to refund half of the deposit."
She removed the straw and handed the cup to Fang Hao.
I'll take care of the rest.
"You ordered it in the first place, do you really expect me to make you pay for it? Don't worry about that meal today, let's go back and have some porridge."
When the second bag of IV fluid was almost empty, the nurse by the bedside came over and asked, "Did you go to the toilet afterwards?"
"No, I didn't vomit. I was fine after drinking the water."
After taking oral potassium supplements, Fang Hao sat by the bed for two minutes, then looked up and asked.
"Can I stand up again now?"
"Do you feel dizzy, have heart palpitations, or feel nauseous while sitting?"
"No, none of them."
"Then lie back down and lie flat for five minutes. Once the baseline data is stable, we'll stand up again."
Five minutes later, the bedside nurse reported the blood pressure as 116.72 and the heart rate as 88.
Lin Ye told Fang Hao to stand up, and his girlfriend held his arm to help him stand up slowly.
One minute later, the nurse called out the numbers again.
"11270, heart rate 94."
Are you feeling dizzy?
"No." Fang Hao tried to loosen his grip on his girlfriend's hand. "This time, my footing is steady."
After nearly three minutes, the nurse completed the final retest, and the values showed no significant change.
Fang Hao took a few more steps by the bed. Although he turned around slowly, he no longer looked for support, nor did he feel dizzy, panicked, or nauseous.
"This time it's fine." Lin Ye asked him to sit down again. "Stay a little longer. You can still drink water, and if you don't feel any new discomfort, let her accompany you back."
Fang Hao looked at his girlfriend, who was putting the two no longer-iced drinks back into the bag.
"Don't look at me, the doctor said I can only walk when I'm able to."
After a while, Lin Ye returned from the second bed. Fang Hao was still sitting calmly, having already drunk most of the warm water.
After confirming that he had stopped having diarrhea and vomiting and that he was no longer dizzy when he got up, Lin Ye explained the precautions for leaving the hospital to him in person.
"Go back and continue taking oral rehydration salts, eat light meals, and have your electrolytes checked again tomorrow or the day after. If you have a high fever, bloody stools, persistent vomiting, worsening abdominal pain, or faint again, don't wait, come straight back."
"Where should I go for the follow-up examination?"
"You can go to the outpatient clinic or the community health center; just bring today's test results."
"I'll go with him tomorrow."
Fang Hao put on his shoes, stood up, paused for a moment to make sure he wasn't dizzy before walking outside.
As he passed the nurses' station, his gaze lingered on a few bouquets of flowers on the inside of the counter, and he slowed his pace.
"Baby, are we really not eating today?"
His girlfriend handed him the bag containing the drinks.
"Go back and have some porridge. If you still want to celebrate the holiday, then you'll have to do the dishes."
The two walked out of the emergency room one after the other.
Before the shift ended, another bouquet of flowers appeared at the nurses' station.
The packaging paper had delivery tags attached, but the nurses on duty didn't have time to unpack them and temporarily placed them next to the computer.
Ma Hao came over from the observation area, put a stack of medical records on the table, and gestured with his chin toward the flowers.
"People's Qixi Festival gifts have all been delivered to the emergency room."
Lin Ye checked the handover log: "You can also order a bouquet."
"Who should I give it to?"
"Nurse's Station".
Ma Hao clicked his tongue and said, "Dr. Lin, there's a reason you're single."
The nurse who was organizing the medical orders next to her laughed out loud, and then quickly answered the phone again.
Lin Ye ignored Ma Hao and put the record of the third bed at the top.
The attending physician happened to walk over and asked which bed in the emergency room should be used first.
"Three beds first."
Lin Ye opened the record.
"He has upper gastrointestinal bleeding and has already started receiving blood transfusions. The gastroenterology department is arranging an endoscopy. Let's first discuss the most likely course of events."
(Happy Qixi Festival everyone! Love you all. Sending you little flowers!)
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