Although today is during the Lantern Festival, but is not the legal holiday, moreover is on Tuesday, the hospital of annual no resting naturally also opens the front door. 虽然今天是元宵节,但不是法定节假日,而且是星期二,全年无休的医院自然也是打开大门的。 The Nanxiang third People's Hospital, the ER was crowded, the patients and family members who came to receive a medical examination fully occupies the waiting to see the doctor hall, the electron called a number the system to make a sound unceasingly. 南乡市第三人民医院,急诊科人来人往,前来就诊的病人与家属们占满了候诊大厅,电子叫号系统不断响着。 In the hospital has a superstition, that is the medical personnel do not set up flag in the evening, said anything „tonight is not probably busy” „very idly tonight”, which administrative offices some people said that will then have an accident quickly, then overturns the heavens busily. 医院里有一个迷信,那就是医护人员不要在晚上立flag,说什么“今晚好像不忙啊”“今晚挺闲的”,哪个科室有人这么说了,接着很快就会出事,然后忙翻了天。 The overseas organization had done the experiment, sampled the different administrative offices in some different hospitals to set up two groups, the usual work load was basically equivalent, one was to set up the flag group, one was not the vertical flag group, the results show that sets up the flag group truly becomes busily , not clear this was what unusual strength makes it so. 曾经还有国外机构对此做过实验,抽选一些不同医院的不同科室设两个组,平时的工作量基本相当,一个是立flag组,一个是不立flag组,结果表明,立flag组确实会变得更忙一点,还不清楚这是什么异常力量使然。 However in ER, even if not set up this flag, the medical personnel is still busy at turning. 但是在急诊科,即使不立这种flag,医护人员们也是忙翻了。 Especially that side the emergency medical treatment pediatrics, from the evening to the present quick before dawn, has not basically stopped. 尤其是急诊儿科那边,从傍晚到现在快凌晨,基本上就没有停下来过。 „After giving an injection, observes.” Physicians-in-charge of a Liu Guolin duty just gave one to have a fever 38.3 degrees seven -year-old young boy to look to examine. “打针后再观察。”值班的主治医师之一刘国林刚刚给一个发烧38.3度的七岁小男孩看完诊。 Actually he did not suggest antipyretic injection, the child had a fever 38.3 degrees is only the low fever, this patient has not coughed, expectorate and other symptoms, the condition was not serious, this situation decreased temperature with the ice bag physics, takes antipyretic and analgesic, drank a water, generally can bring down a fever quickly. If cannot bring down a fever like this, but also aggravates to the high fever, when the time comes considered again the bringing down a fever needle is not late. 其实他是不建议打退烧针的,小孩子发烧38.3度只是低烧而已,这个病人也没有咳嗽、咳痰等症状,病情非常轻,这种情况用冰袋物理降温,吃点解热镇痛药,多喝点水,一般很快就会退烧的了。如果这样退不了烧,还加重到中到高烧,到时候再考虑退烧针不迟。 This bringing down a fever needle is not the treasure, the side effect were too many, having allergic shock and other symptoms are light, if serious even lethal. 这退烧针可不是什么宝贝,副作用太多了,出现过敏休克等症状还是轻的,严重的话甚至致死。 Although first completes the skin to try the general issue is not big, but any has the professionalism doctor, will not suggest to give an injection casually. 虽说先做好皮试一般问题不大,但任何有专业素养的医生,都不会建议随便打针。 However the parents of young boy are quite excited, many initiative request antipyretic injection, but also urged him a bit faster, do not delay child's condition. 但是小男孩的父母较为激动,多番主动要求打退烧针,还催促他快点,不要耽误了孩子的病情。 Stemming from the complex medical-patient relations environment, as well as got employed for several years the experience, Liu Guolin was suitable for their intent. 出于复杂的医患关系环境,以及就业几年来的经验教训,刘国林顺了他们的意。 „Oh.” When this led the child to go out of the emergency room to the parents, Liu Guolin shook the head sighs, „guardian bear.” “唉。”等这对父母带着孩子走出急诊室了,刘国林摇头一叹,“熊家长。” Their doctors will often have this kind of complaint in private, some people patients and family members had oneself position, rather believes oneself did not have the non- expertise of reason, or looked toward the online search, did not believe the doctor, some even doctor, when the enemy regarded. 他们医生私下经常都会有这类抱怨,有些国人患者及其家属太有自己的主张了,宁愿相信自己没来由的不专业知识,或者往网上搜索看了一下,也不相信医生,有的甚至把医生当敌人看待。 Said that what to see a doctor expensively, sales commission, actually did not understand is responsible for the medicine pricing and purchase who is, that is their doctors can decide? 说看病贵、回扣什么的,却根本不了解负责药物定价和采购的都是什么人,那是他们医生能说了算的吗？ Their doctors have these people of conscience to do, most is when uses one medicine to the patient, imports the technique of production and curative effect of medicine and domestic-made medicine is completely same, is not the advanced medicine, but imports medicine 100, domestic-made medicine 30, prescribed the domestic-made medicine to the patient at this time. 他们医生有良知的那些人能做的,最多就是在给病人使用一种药物的时候,进口药和国产药的生产工艺、疗效是完全一样的,也不是什么先进药物,但进口药100块,国产药30块,这种时候给病人开国产药。 But this will make the administrative offices income be short, own bonus was also short, some branch directors will be discontented, said that next time will open the import. 但这样会让科室收入少了,自己的奖金也少了,有些科主任还会不满,说下次开进口的。 For two reasons, the earning is only one of them. 原因有二,营收只是其中之一。 Another reason is, once has an accident, the patient family member will often scold, don't you need to import the medicine? What do you do? Did you take the domestic-made medicine sales commission? 另一个原因是,一旦出了事,病人家属往往会骂,你怎么不用进口药？你搞什么？你是不是拿了国产药的回扣？ Doctor who therefore if in the end the accident sentiment, is a scapegoat, no matter you do have the conscience. 所以到头来如果出了什么事情,背锅的还是医生,不管你有没有良知。 The pediatrics, the pediatrics, the child is usually very especially difficult to talk clearly own sickness feeling, each child is his parents' one's favorite, does not make a tearful scene the parents can also be calm, if wailing painfully, the parents are very easy to lose...... the pediatrics environment to be very complex sanely. 儿科,特别是儿科,小孩子通常都很难说得清楚自己的病感,每位孩子又是其父母的心头肉,不哭闹的时候父母们还能冷静,要是痛苦地哀嚎着,父母们就很容易失去理智……儿科环境十分复杂。 After Liu Guolin undergraduate course graduates, came out to make the doctor five years, from the beginning will also explain and even argue strongly based on reason to the parents, is often good by the present, you must give an injection that to give an injection...... he also to know oneself by the socialization, must turn into itself once the repugnant that person, but sometimes, really did not have the means...... 刘国林本科毕业后出来做医生五年了,从一开始还会给父母们解释、甚至据理力争,到现在往往是好吧,你要打针那就打针吧……他也知道自己在被社会化,要变成自己曾经讨厌的那种人,但有的时候,真是没有办法…… He is not Gu Jun, is not the secret bureau personnel, but a young doctor who has no right no potential, must first take care of oneself. 他又不是顾俊,不是什么天机局人员,只是一个无权无势的小医生而已,先得把自己照顾好。 Since that time was slapped a palm of the hand by the excited mother, Liu Guolin does not want to stir up trouble again...... 自从那次被个激动的母亲掴了一巴掌,刘国林就不想再惹事了…… Moreover what on him is the evening class, he got off work to zero point, does not think that is stirring up trouble at this moment. 而且他上的是晚班,到零点他就下班了,更不想在此刻惹事。 At this time, Liu Guolin just the taking off mask, took up the insulated cup to drink water, the next patient came, pair of 30 over parental heavyhearted regions five and six -year-old little girl is entering the emergency room. 这时候,刘国林刚刚揭下口罩,拿起保温杯喝了一口水,下一位患者就进来了,一对三十出头的父母忧心忡忡地带着个五、六岁的小女孩走进急诊室。 „Called Dr. Liu a bit faster.” The mother pushed the little girl, the little girl called the sound very much politely: „Dr. ox is good.” “快点叫刘医生。”那妈妈推推小女孩,小女孩很有礼貌地叫了声:“牛医生好。” „Good, good evening.” Liu Guolin looked the medical record that the little girl father handed over, this child is 6 years old, without the big medical history, this time is not the cold, has a fever, abdominal pain and other common young child acute diseases, now looked that the appearance of patient is also very normal, does not cry not to call the pain not noisily, Liu Guolin asked to examine, was this? “好,晚上好。”刘国林看起了小女孩父亲递来的病历,这孩子六岁,没有大病史,这次也不是感冒、发烧、腹痛等常见小儿急症,现在看患者的样子也很正常,不哭不闹不叫痛,刘国林就问起诊来,这是怎么了？ The mother painstakingly the face, the tone is quite being excited: „Dr. Liu, tonight how my daughter does not know, always the winking eye, sometimes wrinkles to wrinkle the nose, looks that is not right, what is strangest, I just coaxed her to sleep, she exudes a strange sound...... I unable to study suddenly, that sound is very strange......” 那母亲苦着脸,语气颇是激动:“刘医生,我女儿今晚不知道怎么的,老是眨眼睛,有时候又皱口皱鼻的,看着就不对劲,但是最奇怪的是,我刚刚哄下她睡觉,她突然发出一种怪声……我学不出来,那声音很怪……” „We were scared.” The father is also very tense, „that sound is not mischievous can send, what issue does Dr. Liu you have a look is?” “我们都吓着了。”那父亲也是十分紧张,“那种声音不是调皮就能发出来的,刘医生你看看是什么问题？” „, Un.” Liu Guolin nods to respond, looks at the little girl normal complexion, illuminated with the flashlight illuminated her eye, looked at her mouth and throat. “哦,嗯。”刘国林点头应着,瞧了瞧小女孩正常的面色,拿电筒照了照她的眼睛,又看了看她的口腔和喉咙。 The mouth does not have the unusual form, the tonsil does not have the inflammation, the eye is normal to the photoreaction, all are normal. 口腔没有异状,扁桃体没有发炎,眼睛对光反应正常,一切都正常。 Liu Guolin has the initial judgment, this should be that parental nerve hypertension Black Dragon/mishap case: The children do not have the matter, but acts difficult, or a little skin flesh wound, the parents being flustered, leads the child toward the hospital the crowded emergency medical treatment. 刘国林心里已有了初步判断,这应该又是那种父母神经过度紧张的乌龙病例:小孩子没事情,只是闹别扭,或者只是有一点皮外伤,就把父母给急坏了,带着孩子就往医院来挤急诊。 But these words he naturally cannot say, but continues to interrogate, the girl mother said that her winking eye symptom is appears today, was very frequent by the evening, but also exuded that strange sound, temporarily has only sent out one time. 但这些话他自然不会说出来,而是继续问诊,女孩妈妈说她眨眼睛这种症状是今天才出现的,到了晚上特别频繁,还发出了那种怪声,暂时只发出过一次。 „Little miss, your mother said that you today old winking eye, how, was uncomfortable?” “小姑娘,你妈妈说你今天老眨眼睛,怎么了,不舒服吗？” Liu Guolin asked to the 6-year-old young patient, listened to be gentler by own sound tone, otherwise this ages some patients will not coordinate. 刘国林向6岁的小患者问道,让自己的声音语气听着温柔一些,不然这个年龄段有些患者是不会配合的。 „......” Little girl is a little not shy, shakes the head, „I want to wink.” “唔……”小女孩有点羞怯,摇摇头,“我就是想眨。” „Don't you want to wink now?” Liu Guolin smiles asks, since they came to the present also 3 minutes, the little girl specially many have not blinked. “那你现在不想眨吗？”刘国林微笑地问道,从他们进来到现在也有三分钟了,小女孩没有特别多地眨眼。 „I do not want to wink now.” Little girl nod. “我现在不想眨。”小女孩点头。 „Then...... like flexure itchy?” Liu Guolin thinks, „itchy time thinks flexure, not itchy time did not need flexure.” “那么……是不是像挠痒痒那样？”刘国林想了想,“痒的时候就想挠,不痒的时候就不需要挠了。” „Un!” The little girls agree with this view. Her parents look at each other in blank dismay, is still very anxious, does not understand that this means anything. “嗯！”小女孩同意这种说法。她的父母面面相觑,依然十分紧张,不明白这意味着什么。 „That sound that you make, is this?” Liu Guolin also asked, „like sneezing such, you wants to hit, therefore made the sound.” “那你发出的那种声音,也是这样吗？”刘国林又问,“就像打喷嚏那样,你想打,所以就发出声音了。” The little girls nod. 小女孩又是点点头。 „Can you bear?” Liu Guolin asked that „thinks the winking eye and wants to make the sound time, can bear?” “那你能忍住吗？”刘国林问道,“想眨眼睛和想发出声音的时候,能忍住吗？” „Does not know that......” little girl this shook the head, saw the parents, „I do not want such...... I do not know.” “不知道……”小女孩这回摇头了,看了看父母,“我没想那样的啊……我不知道。” Asked these examines, Liu Guolin had determined basically the own beforehand judgment, takes the fountain pen, toward medical record on liao several. 问了这一番诊,刘国林已经基本确定自己之前的判断,拿起钢笔,往病历本上潦了几笔。 This child is all right, is disgruntled to frighten the parents. He looked, felt that father is quite calm, makes that mother take care of the child first to go out, is organizing the excuse, must pay attention to say the diagnosis at the same time is not violent to annoy the opposite party. 这孩子没事,闹情绪吓唬父母的吧。他看了看,感觉那父亲比较冷静,就让那母亲带着小孩先出去,再组织着说辞,要注意说出诊断结果的同时不激惹到对方。 „Child should be all right.” Liu Guolin said slowly, has the improper symptom to stop, „in this ages, the child is will seek the parents to pay attention through this method, you pay attention to her mood, going back make her rest well......” “孩子应该没什么事。”刘国林慢慢地说,一有不妥的苗头就会停下,“在她这个年龄段,孩童是会通过这种手段博取父母注意的,你们注意一下她的情绪,回去让她好好休息……” „Dr. Liu!” The father is excited immediately, even was more excited than mother, the country character face somewhat became flushed, „was not this issue! My daughter is usually very clever, our family/home is very harmonious, she will not make this irritability, moreover that sound is really strange, does not seem like the voice of person...... Dr. Liu, currently does not have that what supernatural force, can this be that matter......” “刘医生！”那父亲却顿时激动起来,甚至比刚才的母亲还要激动,国字脸有些涨红了,“不是这种问题！我女儿平时很乖的,我们家很和睦,她不会闹这种别扭,而且那种声音真的非常怪,根本就不像是人的声音……刘医生,现在不是有那个什么超自然力量吗,这会不会就是那种事情……” Liu Guolin whispered, I was not the doctor of secret bureau, even the supernatural force I could not look. 刘国林心里嘀咕,我又不是天机局的医生,就算是超自然力量我也看不出来啊。 But he really feels is not, the little miss is so healthy, this parents care chaotically. 但他真的觉得不是,小姑娘那么健康,这父母关心则乱而已。 „.” Liu Guolin looked at medical record patient name, Guo Qinying. “呃。”刘国林看了看病历本的患者名字,郭沁颖。 „Mr. Guo, should not be first anxious, I had not said that your child is acting difficult, she possibly is joked with you, but looked at you to be anxious, does not dare saying that feared that was blamed by you. Now first observes again, do not blame her, if continues also to have that symptom, when the time comes has a look again.” “郭先生,你先别急,我没说你孩子就是在闹别扭,她可能就是本来跟你们开个玩笑,但看你们急了,就不敢说出来,怕被你们责怪。现在先再观察,你们也不要怪她,如果继续还出现那种症状,到时候再看看。” „But......” Mr. Guo is anxious, „, but that strange sound very scary...... seems like really repeating two characters, like summoning anything.” “可是……”郭先生还是焦虑,“可是那种怪声真的很吓人……像是在重复着两个字,像在呼唤着什么。” Liu Guolin listens really a little to smile, the imaginations of some guardians are specially rich, especially since the secret bureau has appeared on the market, some guardians can go to be the screenwriter simply, the child coughs to cough feared that is the new legionnaires'disease, the child has a dream to rub a tooth saying that a sleep-talking feared is hits evilly. 刘国林听着真的有点想笑,有些家长的想象力就是特别丰富,尤其自从天机局面世以来,有些家长简直可以去当编剧了,小孩子咳个嗽就怕是新军团病,小孩子做梦磨个牙说个梦话又怕是撞邪。 Some child specially fine ghosts, for does not go to school, to evade to scold and other reasons, sometimes will compile itself to fall ill, belly pain anything, some arranged specially false, traded does not have the parents' meeting to believe before, but now, must bring hospital noisy. 偏偏有些孩子特别精鬼,为了不去上学、为了逃避责骂等的各种原因,有时候会编造自己生病,肚子痛什么的,有的编得特别假,换在以前没有家长会相信,但是现在,又得带来医院闹一场。 The work of their these primary care doctors, were really are getting more and more difficult to be done. 他们这些基层医生的工作,真是越来越难做了啊。 „Mr. Guo, or can you hit that secret warning hot line? If is really the matter in supernatural force, I do not have the means.” “郭先生,要不你可以打那个天机报警热线？因为如果真的是超自然力量方面的事情,那我也没办法。” Liu Guolin will not say that this definitely has nothing to do with the supernatural force, the seniors taught, he himself also had to experience, the doctor cannot such speak. 刘国林也不会说这肯定与超自然力量无关,前辈们教了,他自己也有经验了,医生不能那样说话。 What judged that front must add a possibility, perhaps, consideration, should...... this be doctor the say/way of speech. 什么判断前面都得加个可能、也许、或者、考虑、应该……这是医生的说话之道。 „......” Mr. Guo flexure head, but also a little starts to speak but hesitates. “哦……”郭先生挠着脑袋,还有点欲言又止。 This Mr. Guo is understands the person who fortunately affair, has not continued noisily, but took the medical record itself/Ben to go out like this. 还好这位郭先生算是明白事理的人,并没有继续闹,而是这样带上病历本出去了。 Liu Guolin looks at the person to judge that not wrong, that Mrs. Guo listened to the husband to say, entered the emergency room, what requesting him to prescribe the antiphlogistic, to hit needle, what at least also made? Liu Guolin is really incapable of complaining, in good condition prescribes what antiphlogistic. 刘国林的看人判断还是没有错的,那位郭太太听丈夫说了之后又走进急诊室来,要求他是不是开点消炎药、打个针什么的,起码也做点什么吧？刘国林真的无力吐槽,好端端的开什么消炎药。 Finally, Mrs. Guo was urged by the husband. 最后,郭太太还是被丈夫劝出去了。 This couple leads the daughter to continue to stay in the waiting to see the doctor hall to observe the daughter situation, but young Qinying truly without continue have the symptom, they would have no to make anything. 这对夫妇带着女儿继续留在候诊大厅观察女儿情况,但小沁颖确实没继续出现症状,他们也就没做什么。 The time to zero point, Liu Guolin gave the connection night the colleague of class the work on hand, the white coat takes off/escapes, returns to the dormitory in hospital to sleep. 时间到了零点,刘国林把手头工作交给接通宵夜班的同事,白大褂一脱,就回医院的宿舍睡觉去。 The robot tile strength said 机器人瓦力说 Second, asked the monthly ticket, sought the subscription! 第二更,求月票,求订阅！