This Doctor is Great

"Yes, starting today, come to the emergency department for regular training...Where do you go to gather?" Zhou Mo smiled handsomely.

"Go in, turn left, go to the innermost place, there is an office with writing on the door."

"Thanks."

Zhou Mo followed the instructions and came all the way to the conference room of the emergency department.

Emergency Department,

It is divided into 3 districts: red, yellow and green.

The red zone is for patients who are dying and must be rescued immediately.

The yellow zone is for very serious patients who need to be treated as soon as possible.

The green zone is not so serious.

All of these are evaluated and triaged by the triage desk and triage doctors.

In China, most of the divisions are based on experience.

In the lighthouse country, there is also a score table to evaluate and score the patient's condition, and finally determine which division to put according to the score (?).

Zhou Mo came to the door of the meeting room,

take a deep breath,

Push the door and go in.

walk into,

Zhou Mo glanced at it, and there were 6 medical students sitting inside.

When Zhou Mo opened the door and entered, several medical students were trembling like frightened birds.

When he saw Zhou Mo, he breathed a sigh of relief.

Obviously, they were all taken aback by the tense atmosphere in the emergency department.

"morning!"

Zhou Mo came to the emergency department for at least 20 consultations, and he was very comfortable with the stress of the emergency department, with a relaxed expression on his face.

"Morning." X6

Everyone responded stiffly, still nervous.

At this moment,

Bang~~

The door was opened.

An attending doctor in his 30s walked in with a serious look on his face.

The six medical students were startled and shrank in their chairs.

"Hi teacher." X6

"Hello, teacher." Zhou Mo said.

Attending doctor Liang Rongshan: "My name is Liang Rongshan, this time I will be your teacher for this week... In the next week, you will get used to the emergency department now, and then you will be assigned to other doctors..."

"Of course, if the progress is fast, you can get points earlier."

when you say this,

Liang Rongshan looked at Zhou Mo.

He is Chen Dong's senior brother, and Chen Dong told him more than once that Zhou Mo's clinical talent is very high, which made Liang Rongshan couldn't help being curious.

"Okay, now you guys introduce yourself!"

Others are still hesitating,

Zhou Mo has already started: "My name is Zhou Mo. I took turns in the Department of Cardiology first, and then went to the Department of Gastroenterology. The Emergency Department is the third department."

With Zhou Mo's beginning, the other 6 medical students introduced themselves one after another.

"Okay, everyone, come with me to the emergency room."

Liang Rongshan stood up.

"ah??"

"Hiss~~"

"Is it so fast? Don't you need to train?"

The 6 medical students all felt a little panicked.

Didn't prepare anything, just started?

Zhou Mo got up first and followed Liang Rongshan out of the conference room. The other medical students quickly got up and followed out together.

soon,

Came to the emergency room.

In the first emergency room, an old man was brought in from the outside.

Male, about 70 years old,

"what's the situation?"

"Hematemesis, blood in the stool..."

"Zhou Mo, come and show them a sample."

Liang Rongshan said to Zhou Mo.

6 medical students: "!!!!!!"

He glanced at Zhou Mo in surprise.

what's going on?

Why does Zhou Mo seem to be favored by the teacher this week?

"OK."

Zhou Mo did his part, and hurried to the hospital bed.

First, look at the ECG monitor to see the patient's vital signs.

Blood pressure, normal.

Heart rate, normal.

Oxygen saturation was normal.

"Hi Uncle, can you hear me?"

"I can hear you……"

"When did you start seeing blood in your stool?"

"The day before yesterday, yesterday, today..."

"how many times?"

"once a day."

"You said there is blood, is it red blood?"

"That's for sure, is it blood besides red? What you are asking is nonsense."

Zhou Mo: "..."

Regardless of his age, this uncle is quite vigorous.

Zhou Mo continued to ask: "The red one is bloody? Or is it with poop?"

Uncle: "Blood water..."

Zhou Mo nodded: "Do you usually have a stomachache?"

Abe shook his head: "No."

Zhou Mo: "Do you have a disease such as high blood pressure? Have you had any surgery?"

Arbor: "I have high blood pressure, diabetes, and had a stroke before..."

Zhou Mo: "Are you taking any medicine?"

Abor: "Take antihypertensive drugs, insulin, and a drug called war*lin... (anticoagulant drug, to prevent stroke)"

Zhou Mo: "Have you ever vomited?"

Abe: "No."

Zhou Mo: "Okay..."

Then he gave Arbor a physical examination.

Press the abdomen, there is no tenderness, the abdomen is soft.

When Zhou Mo saw this, it was almost done, and he turned to Liang Rongshan and said, "Teacher, I'm done asking."

Teacher Liang Rongshan: "What are you thinking about?"

Zhou Mo: "Bleeding in the lower gastrointestinal tract, I think there is blood, it may be rectal bleeding, or colonic bleeding, it is unlikely to be small intestinal bleeding. The cause of bleeding is considered to be caused by taking anticoagulant drugs."

Teacher Liang Rongshan nodded: "Okay, you go to write the doctor's order, then have a conversation, talk to the family members and sign."

Zhou Mo: "Okay."

I found a computer, and started to modify the will template, and it was finished soon. Then I wrote the informed consent form and printed it.

Zhou Mo was very quick and finished quickly.

Then find the family.

"Who is XXX's family?"

"I..." X2

Soon the two sons of the old man raised their hands.

"follow me."

Zhou Mo found a place with few people. The emergency department was too complicated and chaotic, and there was no place to talk, so he had to find a place with few people.

Zhou Mo quickly explained the condition, and then said the treatment plan.

"The current situation of the elderly, considering the lower gastrointestinal bleeding, the blood pressure is not low, the state is stable, and the bleeding is considered to be not much for the time being. Blood has been drawn for routine blood tests to see if there is anemia. We first consider stopping warfarin and see If it still bleeds next time, if it still bleeds, I need to do a colonoscopy to see the situation... First, stay in the emergency department for 12 hours to see the next stool..."

"Okay okay."

Signature of the patient's family.

The next step is to wait for the results of the blood test to see if there is anemia. If there is anemia, the blood should be supplemented.

If the anemia is severe, it needs to be evaluated, and if it is very serious, a colonoscopy should be done as soon as possible. If the colonoscopy does not find the cause, then CT angiography should be used.

In addition, he was sent to a hospital bed in the yellow zone for observation in the hospital.

In addition, doctors from the Department of Gastroenterology and Neurology (for stroke) should be contacted to have a look.

So far,

The patient Abel,

Disposal completed.

Throughout the whole process, Zhou Mo's speed was quite fast, decisive, and basically without hesitation.

"Not bad."

Teacher Liang can be regarded as a strict teacher, but seeing Zhou Mo's performance, he couldn't help expressing his satisfaction.

Other medical students watched the whole thing.

I feel that during this period of time, I may become a salted fish who can only shout 666.

.