Doctor’s Life Simulator

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After being forced to take a day off, Qin Lang finally returned to the First Hospital of Hecheng City.

It's just that when I passed the infectious disease department, I saw an uncle in his 50s outside the waiting area of ​​the outpatient clinic. He was holding a medical record card in his hand and hesitated there.

The uncle was still wearing a security outfit. He lowered his head, took out his wallet, and counted the money. There were about a dozen brand new RMB in the wallet, which he tied together and put it aside without moving.

In the other compartment of the wallet, there are a few crumpled banknotes, colorful, fifty and twenty.

He licked his dry lips, and put his wallet in his pocket.

He unfolded the medical record card again, touched his forehead, sighed, rolled up the medical record card and stuffed it into his pants pocket.

As a doctor, Qin Lang is naturally very clear that the patient has been treated, and now he should have paid for the medicine according to the doctor's prescription, but now he seems to be ready to leave directly.

Now that he met, Qin Lang thought about it and prepared to take care of it, and directly consumed 1 life simulation point to simulate a single case:

[You met Fu Guosheng, a patient at the door of the Infectious Diseases Department. Due to family pressure, he was shy, and the patient made a judgment and felt that he should have a minor problem. Just go to the pharmacy and buy some anti-inflammatory drugs. Because of the contempt and luck of the disease. Later, he died of septic shock, liver abscess, jaundice, heart failure, and acute renal failure due to staphylococcal sepsis. 】

[Summary of death: patient, Fu Guosheng, male, 52 years old, symptoms: no obvious induced fever occurred half a month ago, the highest was 39.8, accompanied by chills, chills, and fever, which mostly occurred at noon, cough, whitish mucus and sputum. Bloodshot, the amount is not much, a little force is felt, the food is satisfied, there is no rash, bleeding, ecchymosis. The patient suffered from edema of the lower extremities, pain in the joints of the limbs, and occasional numbness of the feet.

Doctor's diagnosis: Staphylococcus sepsis, using ceftazolin, cephalexin, cefuroxime, etc., combined with amikacin hanging acupuncture treatment. Otherwise, it will cause septic shock, liver abscess, jaundice, heart failure, acute renal failure, and will be life-threatening. 】

[Single case simulation is over, whether to retain the clinical experience of this case? 】

...

Looking at the simulation results, Qin Lang's face suddenly became solemn, and he followed behind Fu Guosheng. If he did not receive treatment according to the doctor's orders and chose to leave, he must be stopped.

Sure enough, Fu Guosheng did not choose to pay the fee, but walked directly outside the hospital.

"Wait a moment!"

Qin Lang directly stopped Fu Guosheng.

Fu Guosheng turned around and saw Qin Lang in a white coat, his eyes dodged for a moment, and he grabbed the medical record card in his trouser pocket with one hand.

"Why didn't you follow the doctor's orders to receive treatment!"

Because of the safety of the patient's life, Qin Lang chose to go straight in.

Fu Guosheng bit his lip, feeling a little guilty:

"Doctor, I saw it in a community hospital before. The community doctor prescribed me a fever-reducing medicine, and I just took the medicine. The high fever came back after it stopped for a few days. He asked me to come to a large hospital for a check-up. No, In fact, the medicines prescribed are similar. They are all anti-inflammatory and anti-fever medicines. I will not buy them at the hospital. I will go to the community pharmacy and prescribe some anti-fever medicines.”

"Medical record card, prescription!"

Qin Lang did not listen to his defense, but said it seriously.

In the hospital, there is the aura of a white coat. Although Qin Lang is still very young, he still asked Fu Guosheng to obediently take the medical record card and prescription from his trouser pocket and hand them to him.

Qin Lang turned around, and sure enough, the infection specialist's diagnosis was also sepsis, which needed to be treated by hanging acupuncture.

"Fu Guosheng, I can tell you seriously, you have staphylococcal sepsis. If you don't get acupuncture and medication in time to control the infection today, you will have septic shock tomorrow. It won't be so simple then. That is to be sent directly to the emergency room, and it will lead to death."

Qin Lang stared at Fu Guosheng's eyes, Fu Guosheng flashed a trace of fear, but he quickly turned strong and relaxed, not looking like he was intimidated by Qin Lang:

"Doctor, I've had a high fever for almost half a month, and I'll take some antipyretics. It's fine. I'll go and put some pressure on it myself. After the 16th, if it still doesn't work, I'll take the needle again."

Fu Guosheng insisted not to stay to accept the hanging needle.

Qin Lang thought of the picture of him counting the money before, and the treatment after the 16th. Generally speaking, many companies pay wages in the middle of the month, and he blurted out: "Are you not enough money?"

Fu Guosheng paused slightly, covered the pocket of his wallet, looked a little embarrassed, turned around and was about to run away.

Qin Lang took out 800 yuan directly from his wallet.

"Here is 800 yuan, enough for you to take the medicine. You take it and go to pay for the treatment."

Qin Lang looked at Fu Guosheng seriously, and added seriously: "If you don't get treatment, you will die! If you don't have enough money in the future, you can borrow it from me again. I'm in the emergency department, Qin Lang."

Qin Lang showed him the sign on his chest.

At this time, Qin Lang's phone rang. Naturally, it was Director Pang who called. The delegation from the provincial capital was coming soon, so he had to go to the office to prepare.

Qin Lang hung up the phone, put the money in Fu Guosheng's hand, led him to the payment window, and took care of him again: "Quickly pay for the treatment. I have something else to do. I must hurry up and hang up the needle. Take medicine."

Originally, Qin Lang wanted to wait until he was infused with fluids before leaving, but the time didn't wait for anyone, so he rushed to the emergency department office with great strides.

Director Pang and Liu Peichun all arrived early.

Director Pang smiled when he saw Qin Lang's arrival: "Qin Lang, come, the delegation from the provincial capital will arrive soon. Liu Peichun is in charge of arranging the venue. You and I will go to Director Zhuang's office first. There are some things that Director Zhuang has to explain. ."

Watching Qin Lang and Director Pang walk out of the office, Liu Peichun was naturally envious.

...

Zhuang Tong was in the office, holding the post-operative data of the erat completed by statistics, and was naturally very satisfied.

Of the 61 patients, only 1 patient found the formation of abscess around the appendix 3 days after operation, which was classified as a complication (1.63%), and the remaining 60 patients were successfully treated (98.3%).

Overall, it is very satisfactory.

"I asked you to come here, after waiting for the provincial capital delegation to come, in addition to reporting the results of the week, it is to discuss whether to directly perform an erat and a suspended gasless laparoscopic appendectomy on site. "

Zhuang Tong looked at the two of them, and from his heart he naturally hoped that the two would be able to perform surgery directly, but after all, people from the province came to observe directly, so the psychological pressure on the doctor was naturally not that great. Therefore, he also sought the opinions of Qin Lang and Director Pang.

"Do, of course."

Director Pang replied directly that this was an opportunity that the Municipal First Hospital had been preparing for so long.

Qin Lang also nodded. For him, there is no such thing as nervousness. Moreover, his task has not been completed, and there is still a suspended laparoscopic appendectomy that has not been completed.

"Then let's assign the technique, Director Pang, you can do the hanging technique, Qin Langerat."

Director Zhuang suggested that, after all, the Director of Effectiveness questioned Qin Lang's inability to complete the erat. Although there was a video, it was definitely not as shocking as the on-site operation.

"I do pendants."

Qin Lang didn't care about Director Cheng, and completing the task was the key.

Zhuang Tong frowned slightly, a little puzzled. Qin Lang, such a smart person, doesn't know the deep meaning of his arrangement.

Or does he think that the suspension type was proposed by him, and it is more suitable to complete it by himself?

While Zhuang Tong was frowning, Director Pang said directly, "Actually, I suggest that Qin Lang do both of them."

Of course Director Pang did not shirk his responsibility, but gave Qin Lang the opportunity to show his face.

Zhuang Tong looked at Director Pang, and naturally understood his painstaking efforts. These two operations were stressful, but they were also a once-in-a-lifetime stage to be shown in front of the top leaders in the medical circle in Zhejiang Province.

"Okay, then let Qin Lang do it all."

Zhuang Tong pushed the boat smoothly, this was indeed the best decision, but at the expense of Director Pang's interests.

However, Director Pang has no regrets.

After the discussion, the three of them walked to the large conference room at the same time, waiting for the arrival of the delegation.

However, as he was walking, Qin Lang thought of Fu Guosheng and had some worries in his heart.

Almost to the door of the conference room, Qin Lang finally stopped.

"What's the matter, Qin Lang?"

Director Pang saw Qin Lang who was worried.

"I met a patient with sepsis in the infectious disease department just now, but I didn't have enough money, so I didn't choose treatment. Instead, I planned to go to the pharmacy to buy some antipyretics. I persuaded me to stop him, but in order to rush over for the meeting, I'm not sure if he has any medicine. Didn't get the needles as I said...so a little worried."

Qin Lang said it one by one.

"The delegation will come in a while. If you are not worried, go to see it. It is life-threatening if sepsis is not treated in time. We are not launching the acute abdomen subject to benefit more patients. If it is for this meeting, I will miss a Life is not putting the cart before the horse."

As a deputy chief physician of the emergency department, Director Pang naturally has strong professional ethics and good medical ethics.

"Look at what I'm doing, don't hurry up!"

Zhuang Tong also glared at the side, the so-called people are divided into groups and things are gathered together!

"Wait."

Just as Qin Lang was about to leave, he turned around when Zhuang Tong took out another thousand yuan from his wallet: "Go and come back quickly, you will be the protagonist in a while!"

"okay."

Qin Lang quickly ran to the infectious disease department to check the patient's treatment records.

After an investigation, there was no record of the patient's treatment.

Qin Lang's heart sank, but he quickly calmed down and went to check the patient's medical information, and soon found the personal information left by the patient.

However, the mobile phone number left behind did not get through.

How to do?

Qin Lang looked at the address left by the patient, checked the time, and finally decided to rush to the patient's home to take a look.

Qin Lang drove his Audi A8 on the road, and soon arrived at the address left by the patient.

It is a very old community. When you walk into it, the numbers of some houses are still painted in red paint circles with numbers written inside.

The camphor trees in the community have a history of several decades, and the canopy is very huge, resulting in very poor lighting in the entire community, and the dilapidated wall skin has a gloomy feeling.

The road in the community can only pass one car in a single line. After Qin Lang drove for a while, it was blocked on the road.

Qin Lang got out of the car directly, followed the numbers on the house, and went around several forks before finding Fu Guosheng's house.

After knocking for a while, no one opened the door.

It was the neighbor next door, a woman in her thirties who came out. Because Qin Lang rushed out in a hurry, he was wearing a white coat and a badge.

"You are from the health center, you don't seem to have seen it before?"

"I am a doctor from the First Hospital of Hecheng City, and I came to find Fu Guosheng. He came to our hospital today to see a doctor. He found out that he needed to take an injection and take medicine, but he ran away without following the doctor's order. The phone he left behind could not be reached, so I had to look for him according to his address. I must find him today and take him for treatment, otherwise the consequences will be disastrous."

After Qin Lang finished speaking, the woman was obviously very surprised. On the one hand, she felt that there were still such good doctors, and she rushed over from the city hospital, on the other hand, she felt pity for her neighbors.

"Fu Guosheng was a security guard in our community, and he was also a poor man. He used to have children and daughters, but then there was a car accident. The eldest son and his wife died on the spot, leaving only a young daughter. Now the youngest daughter is only nineteen years old. , just started freshman year. I heard that he has been having a high fever a few days ago, and he was given some antipyretics at the community hospital to suppress it. "

"The old man saves money for his young daughter to go to school. My father lives in the countryside and has land. Every time I go home, I will deliberately bring back some vegetables or something, and I will also give him some. It has to be divided into several meals. I think he must be disgusted by the high cost of medicine, so he can't bear it. The money saved will be sent to his daughter. "

The woman said sadly.

Qin Lang's mind naturally flashed the untouched money in Fu Guosheng's wallet. It seemed that he was going to pay her daughter's living expenses. The hearts of parents in the world.

"Like this, I'll add your prestige. If Fu Guosheng comes back later, I must persuade him to see a doctor. If the money is not enough, I can help him pay in advance. I must take medicine today, otherwise there is a real possibility of septic shock. dead person's."

Qin Lang repeated the seriousness.

The woman nodded again and again: "Doctor Qin, don't worry, I'll take care of him and take him to see a doctor as soon as I see him. Don't worry. It's really rare to have a doctor like you now. Doctor Qin, I'll take care of him. Thank you Fu Guosheng. Thank you for all the patients who are fortunate enough to be treated by you.”

The woman looked at Qin Lang's clean and handsome face with a serious and serious attitude, as well as the medical ethics that cared about the patient in awe.

"Then I'll trouble you. Fu Guosheng will come back in a while, and he will definitely give me the news. Here is a thousand yuan. You can help me transfer it to him. If it's not enough, come find me again. Hang the needle. Let him heal with confidence."

Qin Lang put down the money, checked the time again, and hurried downstairs.

After Qin Lang left, the neighbor woman still couldn't calm down for a long time. Such a doctor really made her feel warm and respectful.

The woman directly sent the thousand yuan from Qin Lang and the previously secretly photographed picture of Qin Lang's chest working card to the circle of friends with a text: "The doctor from the city's first hospital, advance money and personally go to the door to ask the patient to hang the needle. Can you believe the cure? Three moving and crying expressions~www.readwn.com~ Soon under the woman's circle of friends, many people left comments and likes.

"Wow, it's really warming me. Doctor Qin Lang, it's great!"

"I wish the patient a speedy recovery, thank you Dr. Qin!"

"Qin Lang! I know, you guys have read Wang Xinxin's Weibo, and there was an effective vlogger who criticized Dr. Qin for being a packaged little fresh meat. I even gave him a thumbs up. It turns out that Dr. Qin is such a person. .I'm going to send you a matter for him to clarify!"

Soon this person asked the woman about the cause and effect, and then uploaded a screenshot of the chat record together with the woman's circle of friends and replied to the previous Weibo post by Wang Xinxin.

When Qin Lang finished explaining and rushed to the first hospital of the city, the delegation from the provincial capital had already arrived for a while.

ps: Thank you for your 500 coins reward, happy~

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