Forty-seven, Medical Record

  After the exam, all the sisters in the dormitory went home for summer vacation. Fanghua didn't rush to go home, a long summer vacation every day at home, and there were no entertainment projects, it was too boring, she decided to stay in the emergency department for a while longer.

  In the morning, I still ran, washed and had breakfast as usual, but after that, Fanghua didn't go to the classroom, instead she rode her bike to the emergency department. Along the way, she passed through the tree-lined avenue of the east and west campuses, although it was midsummer, the morning sunlight filtering through the trees did not feel scorching at all, and the cool breeze brought by cycling made people feel invigorated.

  Arriving at the emergency department, Fang Hua entered the nurse's duty room and changed into her work clothes from a locker assigned to her by the head nurse. Having mixed with them for a long time, she had basically become one of them. The nurses were especially affectionate towards Fang Hua because she also helped them with many things in their daily lives. Most doctors were male, and the lockers of the only two female doctors were also placed on the nurses' side, which was more convenient.

  After changing her clothes, Fanghua went out to help clean the doctor's office and rest room, just wiping the table, sweeping the floor, and turning on the water.

  At 7:40, Dr. Wang, who was on duty last night, walked out of the duty room wearing a vest and shorts, with his work clothes draped over him, yawning. He saw Fanghua sweeping the floor and said apologetically, "Xiao Lin, you're here so early! Trouble you to help me sweep the floor!"

  Fanghua stopped and said: "Nothing, Teacher Wang. You look so tired, didn't you stay up all night yesterday?"

  "Alright, I guess it's okay! It's just past 4 o'clock, at least I got two hours of sleep. Fine, I'll go write the shift handover first."

  The people on the day shift arrived one after another. Deputy Director Zhang of the emergency department also came. He saw Fang Hua still in a daze: "Little Lin, aren't you guys on holiday? Why didn't you go home?"

  "Fanghua said: 'It's summer vacation, but I think it's a good opportunity to spend more time in the emergency department and learn more things. And since we don't have classes during the day, I'd like to follow the teachers on night shifts too. Director Zhang, is that okay?'"

  Director Zhang smiled: "You're willing to help, we don't have any objections. By the way, where's Little Liang?"

  "Oh, it's not a holiday for him, he has an appointment with his high school classmates to play soccer in the daytime, but he still needs to come for internship at night."

  "It's a holiday, time to take a good rest and relax. Little Lin, don't overwork yourself either, take some time off to go back home and visit your parents."

  "Uh-huh, got it." Fanghua replied.

  Director Zhang was about to turn around and leave, but suddenly thought of something, turned his head and said: "It's just right that you're not in class now, I have something for you to help with, after the handover is completed, come to my office."

  In Director Zhang's office, he handed Fang Hua a piece of paper with several rows of English letters and some numbers. He pointed to the letters on the paper and said: "Help me borrow these English journals from the school library, photocopy these papers for me, you can photocopy them in the library, and leave the receipt for me. Also, take my ID card to the medical records room in the basement of the hospital building to borrow these medical records."

  She agreed as soon as she saw it was just a simple errand. She rode her bike back to the east campus of the school and spent less than an hour borrowing papers from the library before returning.

  Then she went to the inpatient department, and the medical records room was on the second floor of the basement. After entering the small door of the medical records room, it was a not-too-large room with a long table in the middle. Fang Hua explained her intention to the administrator and showed Director Zhang's ID card. Because Director Zhang borrowed a lot, the administrator asked her to follow him to take out the medical records.

  After pushing open the iron door behind the long table in the corner of the house, Fanghua was deeply shocked by the scene before her. The warehouse for storing medical records was a large hall, almost as big as an entire floor of the hospital! Several rows of tall bookshelves were neatly arranged from the entrance to the far end that could not be seen. The bookshelves were piled high with yellow medical record bags.

  Good heavens! There must be tens of thousands of medical records here!

  The administrator heard Fang Hua's sigh and laughed: "Classmate, think about it, our hospital has stored medical records from before liberation to now, there are almost over 10 million copies. The earliest medical records were all in English!"

  "Ah, if one could read all these medical records, they would have a thorough understanding of the development of modern Western medicine in China. However, that is impossible now!"

  "Yes, the medical records before liberation are all sealed up, you can't see them even if you want to. There are also some famous people's medical records that are specially kept. However, those are just a few with cultural value!"

  "Oh dear, if there's no hospitalization record number, it'll be a hassle to find!"

  On this point, the teacher of the case room is deeply moved: "Yes, classmate. So when you write a medical record, be careful when filling out the cover page. Especially the medical record number and so on, don't fill it in wrong!"

  Finally, Fang Hua successfully borrowed back her medical records. Director Zhang was quite satisfied with her efficiency.

  Fanghua asked Director Zhang: "Are you going to write a thesis?"

  Director Zhang said while flipping through the medical records: "Yes, this promotion requires an article! I want to see what can be written!"

  "I see you're looking for information on naloxone. Are you thinking of writing about its application in emergency medicine?"

  "Yes, Naloxone has been used more frequently in the past few years. Originally, we used it to rescue patients with alcohol poisoning and the effect was good. But using it to treat comatose or shocked patients also had a very good effect." Director Zhang didn't mind chatting with Fang Hua after all, she was just a student, no conflict of interest.

  Fang Hua also knew about this medicine, which had just been introduced for a short time and was found to have many other effects after years of clinical application, making it a versatile drug that still has much to be written about even ten or more years later.

  Fanghua volunteered to help Director Zhang sort out the case analysis materials. Director Zhang asked her, "Do you know how to sort them?"

  This won't be difficult for Fang Hua. She had also been to a top hospital in Beijing for further study and helped the teachers in her department with research projects, so she naturally knew some procedures.

  She casually mentioned a few points to Director Zhang: First, draft a case analysis form, listing the items that need attention when reading medical records, such as age, sex, hospital number, severity of illness, treatment plan, medication dosage, treatment effect, side effects, examination and testing, etc. Make multiple copies of the analysis form, and every time a copy of the medical record is borrowed, register it on the form one by one. Finally, analyze and statistically process all the forms.

  Director Zhang was delighted with Fanghua's rigorous and scientific thinking, and immediately promised to let her help, and agreed to put her name on the paper afterwards.

  The two of them quickly came up with an analysis table and Fang Hua had one hundred copies printed out that afternoon, which was basically enough for a case study of a new drug.

  While Fanghua took advantage of the quiet period in the emergency department to work as a medical record analyst.

  In the evening, Liang Jiahui also arrived. Seeing a stack of medical records on Fanghua's desk, he curiously asked her what she was doing. Fanghua explained to him.

  Liang Jiahui also tried to read a medical record, but found that there were many terms he couldn't understand, especially the contents of laboratory tests and examinations. Moreover, at that time, many medical records were not standardized, with many doctors writing in illegible handwriting and interspersing English abbreviations, which made him even more bewildered.

  He was very depressed, but Lin Fanghua could browse those medical records with ease and without difficulty.

  Fanghua deliberately laughed at him: "This is the difference between people! Can't help it!" In fact, he was very proud of himself for bullying others with his knowledge of over a decade, but felt embarrassed to admit it.

  Liang Jiahui couldn't help much, but he didn't force himself either. However, when he had nothing to do, he would still take out a copy of the medical records and glance at it from time to time. Fang Hua asked him what he was looking at, and he said: "If you don't understand for now, that's okay! Just keep looking, and slowly but surely, you'll get it later!"

  To save time, Fang Hua simply slept in the nurse's duty room at night, anyway there were many empty beds inside, and there was a fan, which was cooler than the dormitory.

  More than ten days have passed, Fanghua has sorted out more than a dozen case files and used the statistical function of the Casio scientific calculator bought by her father to do some simple statistical analysis before submitting the materials to Director Zhang.

  Director Zhang was very pleased after reading it and quickly wrote a draft of the paper based on these materials and submitted it.

  The abundance of medical records from the affiliated hospital has inspired me to write a paper. With just some organization, there is a wealth of content worth analyzing and writing about.

  She told Director Zhang her thoughts, and Director Zhang didn't oppose it, saying she could choose the topic herself and he would guide her.

  Which topic to choose? It's better to choose topics related to emergency medicine for now, the topic should have some novelty, but the analysis and operation can't be too complicated. After all, I'm just a student, it's not suitable to do too complex analysis.

  All day long, Fang Hua was so preoccupied with this matter that she didn't even have time to eat, and it was Liang Jiahui who helped her bring back food from the hospital cafeteria. The two of them usually took turns going to get food anyway.

  Fang Hua ate while talking to Liang Jiahui about his plans, asking him to help think of a topic. Liang Jiahui didn't understand how to choose, so he listed one by one the cases he had seen and was interested in after coming to the emergency department.

  He first mentioned traumatic injury, but Fang Hua vetoed it as being too broad and seemingly simple yet complex to analyze. Then he mentioned organophosphate poisoning, which is the most common cause of death among people who drink pesticides to commit suicide. Fang Hua thought for a moment and said that this disease was too common and had many cases, making the workload large. Finally, he remembered a case from two days ago where a family of seven got nitrite poisoning from eating homemade pickled vegetables.

  Fang Hua thought for a moment, this disease is not uncommon, but not too many, and not too complicated, quite suitable. She happily patted Liang Jiahui's shoulder heavily: "Okay, old Liang! Finally got some inspiration! I think this topic is okay! By the way, are you interested in doing it with me?"

  Liang Jiahui smiled: "I thought you asked me for ideas, which means I'm included too? Am I overthinking?"

  Fang Hua smiled: "No way! Alright, let's get started! First, check the emergency department's records!"

  The two of them checked the records of patients with this type of poisoning who had been treated in the emergency department over the past five years that night, and wrote down the medical record numbers of all hospitalized patients. Then, Fang Hua made an analysis table with ease. The next day, the two of them went to check the medical records and make notes separately. Both were efficient in their work, and within a week, they had compiled a case analysis of 66 cases of nitrite poisoning.

  The first draft of the thesis was written by hand over three nights. I really miss computers and Word, this is Fanghua's complaint when her hands were sore from writing.

  Director Zhang helped them revise it, put forward some opinions, and Fang Hua rewrote it again after which the draft was almost finalized. The first author signed her own name, Liang Jiahui was the second author, and Director Zhang was the third author and responsible author. Director Zhang suggested that they submit it to the school's academic journal. Although the level of the journal is high, for articles written by authors from their own college with accurate and detailed information, it is not difficult to publish.

  After this period of exhaustion, Fanghua also felt a bit tired. After submitting her thesis, she said goodbye to the emergency department and went home for summer vacation.

  Thank you to book friend 090919085921754 for the reward! Also, thank you to the unknown book friend who voted for the update ticket! I'm not quite clear about this ticket, and I don't know if my word count of 3400+ today met the requirements. Just to clarify, I don't have any stored drafts, I write new content every night and publish updates around noon the next day. I'll try my best to ensure daily updates without interruption, but if there's anything that requires additional effort, I'm afraid I won't be able to keep up, please forgive me!