It didn't take much effort, and Nurse Jiang came back with a lot of medicine on the lid of the cardboard box."
These people who were hospitalized in a car accident really dare to ask for it."
Li Min nodded and responded, "I also eliminated the requirements of the two of them."
However, they were discharged from the hospital a few days early, which was also saved.Excuse me, Sister Jiang. ”"You're welcome.Send it yourself. ”"Okay."
Li Min took the cardboard box, took out his notebook, pulled the medicine in the lid of the carton, checked it against it, and went to the ward with the lid of the carton."5 beds, your discharge with medicine."
Li Min put the lid of the carton on the bedside table and checked out the medicine that should be given to the five beds.Then take out your own notebook and check it with the patient."
The corn cream you want can't be prescribed in the discharge medication.In case you want to check it in the future, this corn cream also has to be counted as a self-paid part. ”The patient was stunned for a moment, "How much money is it, why can't it?"
”"Ahem."
Li Min persuaded with a smile: "Isn't that incompatible with the car accident?"
Look at the cough syrup, I'll bring it to you.Is the cough syrup the largest bottle, or is it a double serving?
This is much more expensive than corns. ”When the patient saw Li Min say this, he was slightly embarrassed but still stiffened: "Who let their bus be hit."
Hey, Dr.
Li, can I go home tonight?
”"Yes.""
What about the discharge procedures?""
I'll work the night shift tonight and get you the discharge process.You come to the hospital tomorrow afternoon, preferably the day after tomorrow.I'm off tomorrow after the night shift, and I'm usually out of Corey in the afternoon. ”"Well, I'll come back the day after tomorrow.Thank you in advance, Dr.
Lee. ”The patient began to pack up as he spoke."
While it's not dark on this day, you can also go to the bathhouse to take a good shower and go to bad luck.""
Then I won't keep your bed.There are also patients with extra beds in the hallway. ”"It's fine.You can use it.I don't want to be hospitalized anymore. ”The patient's excitement was contagious to those around her.Another patient in the same ward looked at the lid of the cardboard box that Li Min was holding, and greeted Li Min after two beds: "Doctor Li, have you got my discharge medicine?"
”Li Min put the lid of the cardboard box on her bedside table, "These are yours."
Let's get right. ”Li Minnian did the same, picked out one from the box and gave it to her, and finally told her: "Take medicine according to the instructions above."
If you can't call it, come to the hospital and ask. ”"Okay."
The patient pulls the medicine into a plastic bag."
That, that Dr.
Li."
She opened her mouth to stop Li Min, who turned around to leave: "Can I go home now?"
I'll come back to the hospital the day after tomorrow to see you. ”"Okay.But this bed is not reserved.Maybe I'll arrange for someone to stay tonight. ”The patient nodded repeatedly, "No reservations, no reservations."
I'll just leave and arrange for someone to stay. ”Li Min watched the two patients leave the ward with their hands and feet neatly, and went to the intensive care unit to see the female college student who had had her spleen removed from the car accident."
You're fine, I'm going to get you out of the custody unit.""
I'm sorry for you, Dr.
Li.Will you still care about me after that?
”"yes.You don't have to worry, there is also a system in the big ward, turn off the lights and go to bed at the end of the day, and there will not be too many visitors during the day.If all goes well, you'll be discharged from the hospital after eleven. ”In the end, it was a student studying away from home, and Li Min was reluctant to kick her out before 'eleven'.Even if the school's health room can be hospitalized, it may add a lot of psychological stress to the patient.The girl's face swelled with excited anticipation: "I can be discharged from the hospital after 'eleven'?"
Are you sure?
”"Really.If nothing unexpected happens. ”The girl's expression immediately turned gloomy, but she turned up and smiled, "How can there be so many accidents.Thank you, Dr.
Li.Then I'll move out tomorrow. ”The girl who accompanied her asked, "Dr.
Li, is there a new patient in this room?"
”"It's not.The intensive care unit was originally intended for critically ill and postoperative patients.In general, it is left vacant and kept for standby.After you move out, the hygienist will do a thorough disinfection and cleaning to meet the standards before you moved in, and then close the door and lock it. ”The two girls nodded in understanding, and Li Min smiled and went out.I went back to the ward just now, and saw that bed No. 5 and bed No. 8 were empty at the door, so I was relieved to go back to the nurse's office."
Sister Jiang, both of my patients are gone."
Nurse Jiang immediately said to a little nurse, "Go and see if the hygienist is still there, and ask her to clean up the two beds."
Change the bedding for the patient who had a splenectomy, and the one for breast cancer was only used tonight and didn't need to be changed. ”The little nurse said yes and went out.Li Min picked out the hospitalization medical records of the two people, wrote down the time of discharge, turned out the discharge summary prepared later, filled in the necessary items, took out the entire medical record and adjusted the order and handed it to Nurse Jiang."
The medical records of those two discharged from the hospital."
Nurse Jiang set out to check whether the medical order form in the discharge medical record was complete enough, and signed her name when it was accurate."
Which of your two patients has five beds and which one has eight beds?""
Let's live in five beds for splenectomy.Move her over first.The one with breast cancer will live at the door.Anyway, she will move after the operation.Leave her a screen to block the door. ”"Okay."
Li Min set up the hospital bed, implemented the breast cancer in his own bed, and went to the small space separated by the screen to ask for medical history."
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It's been more than a year since I found the induration on my chest."
The woman was holding her left chest with her hand, and her mood was a little low."
I found it during the Spring Festival."
The man corrected on the side.Women don't refute what men say wrong, they just keep their mouths shut and don't say anything.Li Min raised his eyes to look at him, and he snorted embarrassedly, "I didn't pay attention to it."
I just found out she had something growing there. ”"I see that the admission medical record records that she is a teacher, let her say it herself."
Li Min interrupted the man.The man pouted and nodded awkwardly: "Okay, let her say it herself." ”"I took a little anti-inflammatory medicine from the school clinic and it didn't go away for almost a week.I went to the hospital near my home to see, and it was said that there were nodules in the □□ and breast hyperplasia, so I took 'Breast Fetish Elimination' to eat.I haven't had any effect after eating it for more than half a year.Yesterday, I went to take a bath with my second daughter, and found that the nipples/heads were bleeding here......
"The woman is all gone, and the cheerfulness in front of the children is gone, and instead she is full of worries about her own illness, and I can't talk about it anymore."
And the man went on to speak for the woman."
Today, I will take her to the Chinese medicine hospital again, which suspects breast cancer and wants to keep us hospitalized for surgery.Where did I dare to look at them again, I went to the hospital affiliated to the medical university.There were so many people who went to the medical university that it was our turn in the afternoon.But people say that there is no bed for cancer, and you can only be hospitalized after 'eleven'.It may be scheduled until mid-October.Don't they all say that cancer should be removed early to survive?
No, we had to go through the provincial courtyard here.Let's see if there's a bed here. ”Li Min immediately understood the family's dedication to the bed."
Dr.
Li, how long will it take for surgery?
Can you do it before 'eleven'?
”Li Min smiled and comforted the anxious couple: "Blood will be drawn tomorrow morning, and all the preoperative examinations will be done tomorrow."
Some results can be released on the same day.If you can't come out, I'll urge you the day after tomorrow.When all of this is complete, I will ask the director to determine whether surgery is needed for you, and if so, the director will arrange it as soon as possible. ”The couple smiled and began to answer Li Min's questions with peace of mind.Li Min started with personal medical history, family history, menstrual history, childbirth history, lactation history, and when asked about menopause, the woman has always been shy but remembers very clearly, and the answer is very detailed and accurate."
This summer is still coming in June.It's only about half of what it was in May, but July, August and September are gone.The next few months were the same, very regular. ”Sure enough, he is a teacher, and he answers questions in an orderly manner.Li Min asked all the medical history and said to the woman, "You go to the dressing room with me and go for a physical examination."
Although there is a screen in this area, it is still not very good in the corridor.Family members don't have to come with them. ”Li Min couldn't imagine that this thin woman had such a plump □□.The left side of the □□ has a distinct, slightly raised orange peel appearance on the inside of the left side, and the nipples/heads have been pulled out of position.Sure enough, it's not too early.Li Min carefully felt the single induration under the finger belly, the size of about 4 or 5 cm, no tenderness, the skin on the surface lacked the brilliance of normal skin compared with the other side, and the boundary between the induration and the periphery was not clear and difficult to push.Several lymph nodes the size of peanuts were felt up and down the collarbone.The texture is hard, still moving, and there is no tenderness.The enlarged lymph nodes were not felt in the armpits.It took Li Min about a quarter of an hour to give her a comprehensive physical examination."
Doctor Li, am I okay?"
The patient didn't even have the strength to hold up in front of her man."
You get dressed first, it's not good to arrange surgery if you catch a cold."
Li Min waited for her to get dressed, and then said to her: "You are an elementary school teacher, if you don't understand what I say, ask questions immediately." ”"Okay."
Li Min said to her in a steady tone: "After early detection and early resection of breast cancer, the five-year survival rate of patients is relatively high.However, the specific staging depends on the results of pathological examination.Pathological examination is to take the surgically cut lump and take it under a microscope to see what is really going on with the cells.Can you understand what I'm saying?
”The woman smiled: "Doctor Li, I am not so scared when you say that." ”She wiped the tears that were about to be left in the corners of her eyes, but the tears reappeared with her smile."
Although my children are all working, my two daughters and sons are not married.My partner has never done laundry in his life, and he can't even cook noodles.What if something happens to me, but what can they do with the three of them!
”Her tears finally poured down like a flood that broke through the causeway.The woman was silent at first, but then her voice gradually increased, and she even broke down and cried bitterly.The pent-up fear was visible in the cry.Li Min stepped forward to help the woman sitting on the examination table and gently patted her back to reassure.It is no wonder that male doctors are required to be accompanied by a female nurse when examining female patients.It is really easy for patients to cry like this, and it is really impossible to explain.When the patient's emotions were controlled, Li Min was still patting her back to soothe."
Do you feel a little more comfortable crying?"
The woman looked up embarrassedly, "Thank you, Dr.
Li."
I wanted to cry early this morning, but they were always around me......
I, I don't want to scare the kids either. ”I can't find a place to cry!
It's so hard to be a mother for this!
Li Min patted her thin back and comforted her softly: "It's okay, no one comes to this dressing room at night."
But after we cried this time, we had to pack up our mood and challenge cancer.A positive, optimistic and cheerful mood helps to defeat the disease of cancer. ”The woman choked and sobbed a few more times before slowly turning around and getting out of bed to put on her shoes."
Thank you, Doctor Li, I listened to you."
She followed Li Min to wash her face.Li Min rubbed his hands full of soap foam, and at the same time worried about the woman: the three lymph nodes in the left armpit were very suspicious that the lymph had metastasized.Outpatient because this gives a "mid-to-late?"
”Questionable diagnosis?
※※※※※※※※※※※※※※※※※※※※ are tall and thin, □□ plump, like meat food, less exercise, early menarche, late menopause, and breast cancer is easy to patronize.Personally, I summarized the personality characteristics of the cancer patients I have seen, and I think that those who are especially cheerful on the outside, but they are aggrieved in their hearts and hide a lot of unspeakable things.Accumulated a lot......
It is the "tumor cells" that provoke the uncontrolled replication of () the distance is a little far