medical road with you

Chapter 20 Old Friends
Hurrying to go to surgery, rushing to write medical records, all day long, non-stop, finally, the one-month internship in gynecology is over.
Gynecology, the most tiring department in Lu Ping's internship.
When women really work, they are really better than men.
Fortunately, there is no need for surgery in the next department.
Gastroenterology.
The most common patients in gastroenterology are patients with chronic gastritis, peptic ulcer, and pancreatitis.
In gastroenterology, almost every patient will use a drug, proton pump inhibitor, also known as PPI, as for omeprazole, pantoprazole, or rabeprazole, it depends on whose drug Powered by.
That day, Lu Ping was on the night shift. At three o'clock in the night, the teacher, Dr. Gao, woke Lu Ping up: "A new patient was transferred from the emergency department. It might be pancreatitis. Go and see it."

Lu Ping groped to put on his white coat, buttoned up two buttons, and left the duty room.
The nurse on duty gave the medical records to Lu Ping, and Lu Ping glanced at it, "Yan Wei, this name seems a little familiar.
After a while, a young man with red hair pushed a young man with dyed yellow hair in.
The yellow-haired man was sitting in a wheelchair, clutching his stomach, curled up into a ball, closed his eyes, and kept moaning.
"What's wrong with the patient?" Lu Ping asked the red-haired man directly. The yellow-haired man seemed to have difficulty answering the question.
"We were playing the team book, and he suddenly said that his stomach hurts. I thought it would be better for him to take a shit, but who knows, he came more and more, and then he couldn't take it anymore, so I sent him to the hospital."

Lu Ping looked up at the clock, it was past three o'clock, and it was past three o'clock at night, and these people were still playing games in the Internet cafe, no wonder they got sick.
The gastrointestinal system is the system that is most easily ignored by the body, and things like staying up late in an emergency can easily cause damage to it.
"How long has it been?" Lu Ping asked angrily.
"It's almost two hours."

"Where does it hurt?" Lu Ping said and pressed on Huangmao's stomach.
First press the lower left abdomen, Huangmao snorted a little, then went to the upper left abdomen, under the xiphoid process, and upper right abdomen, no matter where you pressed, Huangmao would hum. Finally, Lu Ping pressed hard on the lower right abdomen, and Huangmao still hummed .
There was slight tenderness in the whole abdomen, Lu Ping frowned, and pressed around the navel.
"Oh, oh, oh." Huang Mao cried out immediately.
It looks like pancreatitis.
"Did he drink alcohol before the onset?" Lu Ping tried to ask about the trigger.
"Drinking?" The red-haired man shook his head: "We have been typing for eight hours without eating, how can we drink?"

"You guys played the game for eight hours straight without eating a bite?" Lu Ping asked in surprise.
"Yes." The red-haired man nodded indifferently.
"I think you really don't want to die." Lu Ping couldn't help admonishing the red-haired man: "If you stay up late and play games for a long time without eating, you are prone to acute intestinal necrosis and acute gastric perforation. Be careful, you put your own life in it."

"I see, doctor." The red-haired man scratched his head embarrassingly.
After thinking about it, Lu Ping asked again: "Then what about him, did he eat something before his stomach hurts?"

The red-haired man slapped his head and remembered: "Yeah, Wei-brother, he said he was so hungry that he bought a chicken leg and gnawed it. I wanted to take a bite, but he didn't want to give it to me."

"It's no wonder." Lu Ping gave the two young men a hard look.
Extremely hungry, and suddenly eating greasy food, if he does not suffer from acute pancreatitis, he will be sorry for acute pancreatitis.
"Did you do any tests in the emergency room?"

The redhead handed over a checklist.
The blood amylase was 200U/L, which was slightly elevated, and the patient's onset was less than four hours later, which is very consistent with the manifestations of acute pancreatitis.
"Okay, go to the hospital bed quickly, the nurse will give him medicine in a while."

Holding the medical records, Lu Ping returned to the office, and Dr. Gao was already giving the patient medical orders.
"Mr. Gao, the patient ate a chicken leg while being extremely hungry. She suffered from persistent abdominal pain. The most obvious pain was around the umbilical cord. The blood amylase was slightly elevated, which is very consistent with the manifestations of acute pancreatitis."

"Okay, I see."

Dr. Gao is very satisfied with this Lu Ping, otherwise he wouldn't feel at ease to let her go to see the doctor by himself.
Bang bang bang, Dr. Gao issued several doctor's orders: fasting, intravenous infusion of pantoprazole, and pumping of octreotide.
Octreotide, an expensive drug, has special effects on acute pancreatitis.
After giving the doctor's order, Dr. Gao said to Lu Ping: "Go to sleep first, and make up the admission record and course record tomorrow morning."

Lu Ping went back to the duty room, but lay down for a while, couldn't fall asleep, so he simply went to the office again.
It's her job early, and it's her job later, so it's better to finish it sooner.
In 10 minutes, Lu Ping finished writing the admission record and the first trip.
Thinking about the tenderness in the patient's entire abdomen, Lu Ping decided to see the patient. Medical treatment is enough for mild to moderate acute pancreatitis patients, but if it develops into severe pancreatitis, surgical treatment is required to remove necrotic tissue. Timely treatment can be life-threatening.
Walking to bed No. [-], the red-haired man was lying on the side of the bed, and the yellow-haired man was lying on the bed, both of them had fallen asleep.
It seems that the symptoms have been relieved a lot, and it should not become severe. However, just in case, Lu Ping stretched out his hand and tried the yellow-haired forehead.
Fever, if a patient with pancreatitis has a fever, that's not a good thing.
Fortunately, the forehead is cold.
Lu Ping withdrew his hand.
"Lu Ping, it's you!" The yellow-haired man opened his eyes.
Looking at the face in front of him, Lu Ping felt a little familiar, but he just couldn't remember it.
"It's me, Yan Wei, the Yan Wei who took you to fight World of Warcraft!"

Warcraft, Yan Wei, Lu Ping remembered: "So it was you."

"It's me." Yan Wei looked Lu Ping up and down: "I didn't expect you to become a doctor."

Lu Ping smiled: "Yes."

"Now, are you still playing World of Warcraft?" Yan Wei asked.
Even though Lu Ping is a girl, she is very good at playing Warcraft. Moreover, the little girl likes to be a tank, leading the whole team to charge into battle.
"No more." Lu Ping shook his head.
After fighting with Tianhai that time, Lu Ping never logged into the World of Warcraft account again, it has been almost five years.
"It's a pity, your operation is so good, and our guild just needs a tank. If you come, you are welcome."

Lu Ping looked at Yan Wei, there was a needle inserted in the back of his hand, an electronic pump, and a bag of salt water were being delivered to his blood. Now that he looked like this, he was still thinking about World of Warcraft.
"I advise you not to beat so desperately. Look, this time you can get into the hospital. If you don't pay attention, you might really get yourself into it."

Yan Wei has his own insistence: "We are the largest guild in Azeroth, and the first kill must not be passed on to others."

Lu Ping understands that kind of enthusiasm, that feeling of surging heart. However, it is only a virtual world after all.
"Yan Wei, World of Warcraft is just a game after all, it can be used for leisure and entertainment, but don't let it dominate your life."

Yan Wei looked down at the back of his hand covered with tape, and wanted to argue again, but he didn't know what to say.
"Okay, you have a good rest."

Lu Ping turned to leave, but Yan Wei suddenly stopped her again: "Lu Ping."

"What's wrong?"

"Back then, I shouldn't have scolded you, sorry."

Lu Ping smiled: "It's been so many years, I've forgotten it long ago."

When we got back to the duty room, it was past four o'clock, and it was still pitch black, but Lu Ping had no sleepiness at all.
Yan Wei, Warcraft, a pile of past events from many years ago came to the fore.
(End of this chapter)