【My medical skills can add experience points】【】
"Dr. Zhou just mentioned that the family members of the female patient should also be tested for Helicobacter pylori. The suggestion is good, but in the actual diagnosis and treatment process, you must pay attention to the method. It is best to wait until the female patient is checked and confirmed. Helicobacter pylori infection, and then the female patient was diagnosed and given a treatment plan, which both the family members and the female patient accepted. At this time, I will find an opportunity to remind the family members.”
"If the family members feel disgusted after hearing this, don't say more. As doctors, we must first learn to protect ourselves. Some family members have a bad temper, and he may not accept your favor. Swearing is considered good. Throwing things There is nothing wrong with the doctor."
Director Shang, as a veteran, shared his beating experience with these young doctors.
When you go to see a doctor, if you observe carefully, you will find that the chair the doctor sits on is the kind of black leather chair that is stable and stable. But the patients and their families are seated on plastic round stools.
Many people think that this is discrimination against patients, but it is not.
In the past, some hospitals also provided patients with high-quality foreskin iron round stools. As a result, the family members used this iron chair to beat the doctor who was sitting in the clinic to a fracture.
The little nurse was even more frightened and hid under the table.
More than once this outrageous thing happened.
Afterwards, the family members will definitely be punished by law.
But the doctor was injured, which is a very big loss to the hospital. Especially some well-known doctors in a certain field, he was injured, and it was a work-related injury, so he couldn't work.
Not only does the reception work stop, but the patients under the care of the doctor, whether it is surgery or medication, have to be handed over to other doctors.
Change to a new doctor to take over those patients, who are not familiar with the condition of the disease, and it is good if they do not make mistakes.
This can lead to a reduction in the quality of treatment.
While the injured doctor was recovering from his injuries, the hospital had to pay him wages, as well as certain work-related compensation and condolences.
It can be seen how much the hospital suffered.
The key point is that today this doctor was beaten with a broken arm, and tomorrow that doctor was beaten with a broken brow bone and was seriously injured. Other doctors are also afraid when they come to consult!
This will definitely affect the quality of the doctor's diagnosis.
Finally, the hospital leaders thought of a way. Replace all the chairs for patients in the outpatient room with plastic stools.
In this way, even if they encounter family members who are violently flatulent, the doctor will only suffer minor injuries.
Later, this good method swept across the country and has developed into a standard configuration in outpatient clinics.
"Xiaoqiu, go open the door and let the next patient come in! Dr. Zhou's diagnosis ideas are very flexible, and he has profound knowledge of basic medicine. He can be used flexibly in clinical practice. You should learn from him."
Director Shang was full of praise for Zhou Can's performance.
What's more interesting is that Zhou Can is not allowed to be the "door boy" to welcome and send him off.
"Ah... yes!"
Qiu Chengyu was stunned for a moment, and then a dark look appeared on his face.
Everyone competes fairly based on their ability.
In the first round of the contest, Zhou Can directly killed him and turned him on his back. It can be said that he suffered a crushing defeat.
Director Shang didn't ask him to pick up and drop off patients, so who?
After the door of the consulting room opened, a thin 37-year-old woman came in with a middle-aged man who was much taller than her on her back.
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【My medical skills can add experience points】【】
The middle-aged man was sickly and thin.
Looks like malnutrition.
Generally, there are three types of malnutrition. One is to come out hungry. I usually eat a single food with no nutrition, no oil and water, and after a long time, my body will naturally become thinner.
The second type is malignant diseases such as tumors and leukemia in the body, resulting in a sharp drop in the patient's weight.
The crazy growth of cancer cells will consume a lot of body nutrients, which is an important reason for the rapid weight loss of the body. At the same time, it can also cause the patient to lose appetite, do not feel hungry, and do not want to eat.
The third is indigestion. After some patients have problems with their digestive tract, they will experience symptoms of indigestion. Either eat a full day for a full day, or the intestinal absorption capacity is weakened, and the food eaten can only absorb a small part of the nutrients.
Everything else is excreted.
This excretion does not only refer to excretion with stool, urine can also excrete a large amount of nutrients.
Such as the most common urinary protein symptoms.
"Can he sit?"
Zhou Can saw that this "female man" was gritting her teeth with difficulty and carrying the patient forward, so he hurried forward to help.
It's just a small act of kindness.
Director Shang didn't say anything after watching it, but when he looked at Zhou Can, his eyes clearly showed admiration. On the contrary, looking at Qiu Chengyu who opened the door for the patient, his eyes became a little colder.
The benevolence of doctors is the minimum quality of all doctors.
A doctor without a benevolent heart cannot become a qualified doctor.
"I can sit, but I can't walk because of my weak body."
The woman smiled gratefully at Zhou Can.
"Slow down, slow down!"
After Zhou Can helped catch the patient, he sat on the chair with support.
The patient was at least 1.85 meters tall, and the woman was no more than 1.6 meters tall. She walked all the way with the patient on her back, and the process must have been very difficult.
Although the man is very thin, but with such a tall frame, he must weigh more than 100 catties.
"thank you!"
The woman thanked Zhou Can.
"You're welcome. What's wrong with him?"
Zhou Can found that the patient's eyes were not bright, and his hair might be shaved into a short cut for hygiene reasons. The cheekbones on the face, the collarbone on the neck, and the wrist joints on the hands are all prominent.
Dull and yellowish skin.
This is a typical yellow and hungry.
The patient's heavy breathing could be faintly heard.
It's like a donkey pulling a mill, exhausted.
The patient was carried in by the woman, without taking a step. Just sitting made him feel so tired, which meant that his body was on the verge of collapse.
Zhou Can couldn't help feeling a little worried when he saw the patient's condition was so bad.
"I don't know what the disease is? I always vomit after eating, and my food intake keeps decreasing. I took my husband to see many large and small hospitals, both Chinese and Western medicine. He also took a lot of medicine. His My weight has dropped from more than 170 jin to the current 100 jin. A lot of examinations have been done, but the cause of the disease can’t be found.”
The woman handed the two large white plastic bags to Zhou Can.
I saw various inspection reports and films inside.
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【My medical skills can add experience points】【】
"This is Director Shang, my tutor, please ask him to take a look!"
After Zhou Can took it, he naturally introduced Director Shang's identity, and at the same time put the information bag on Director Shang's desk.
It seems to be just a simple response, but it is a test of a person's emotional intelligence.
Zhou Can's performance is undoubtedly excellent.
Such an introduction can not only show his respect for Director Shang, but also avoid embarrassment for all parties.
Director Shang picked up a bag to check the inspection report inside.
"Ah, you have done a lot of inspections! I see that you have done a lot of repeated inspections."
"No way! Many hospitals don't recognize the test results of other hospitals, so we have to do it again in their hospital. There are more hospitals that see doctors, and more and more tests are done. Just MRI has been done. three times."
When the woman mentioned this matter, she was also full of bitterness.
Doing these checks over and over again will not only take a lot of time to line up and wait, but also cost a lot of money.
MRI examination, even if it is only the worst 0.5T, costs three or four hundred for one time. Some hospitals even received more than five hundred. More advanced MRI examinations are more expensive, ranging from one thousand to two thousand.
Doctors in some hospitals are dogmatic in doing things.
In order to generate income for the department and to complete the performance, we know that the radiation of MRI and CT examinations is very large. Doing too much is harmful to the body. Patients are always asked to repeat these tests.
It's really wicked.
"How long has he been ill?"
Director Shang asked about the patient's medical history while checking various inspection reports.
"It may have been more than a year since the onset of the disease. Once, my husband got very drunk because of work and entertainment, and was driven home by his colleagues in the company. He was usually drunk like this, but when he woke up Nothing happened. But that time, after he sobered up, he vomited all over the floor the next day after eating breakfast. At that time, I thought it was a normal reaction after he was drunk, so I didn't pay much attention..."
According to her, the patient was drunk a year ago because of work and entertainment. After sobering up, he began to eat and vomit since then.
And the vomiting process is also very strange.
At the beginning, it was not fixed to throw up every time I ate.
Sometimes I vomit, sometimes nothing at all, that's normal.
At first, they thought that what they ate was too greasy and the taste was too strong.
However, after many experiments and observations, it was found that the time of vomiting has little to do with the type of food eaten.
When I want to vomit, I vomit no matter what I eat.
It's okay to eat anything normally.
The onset is also irregular. At the beginning, only once in ten days and a half month will I vomit suddenly. Up to now, I vomit almost every day. Vomiting when drinking water.
"Have you had a gastroscopy?"
Attending physician Huang Xinggui asked the family members.
In the current state of the patient, it is difficult to even catch his breath, and it is obvious that he cannot communicate normally.
"I've done it! Both ordinary gastroscope and capsule gastroscope have been done. The results of the examination are all in the bag. Do you need me to find them out and show you?" The woman looked very humble when she spoke.
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【My medical skills can add experience points】【】
In her heart, as long as she can cure her husband's illness and let her crawl on the ground, she is willing.
I have to say that it is the greatest luck in this life for this patient to meet such a good wife.
It also made several young doctors believe in love.
"No, no, you can just support him. Don't let him fall to the ground, the stool has no armrests." Huang Xinggui waved his hands repeatedly. He took out all the inspection reports, payment slips, and photocopied medical records from the bag by himself.
Inpatient medical records generally need to be kept in the hospital for filing.
When the patient is discharged from the hospital, they can choose to make copies by themselves.
Some hospitals even operate in the same way for the test results. Patients need to check the results, and they need to take the initiative to ask the hospital and copy them.
As for some patients who say on the Internet that a certain hospital does not provide medical records or test results, this is basically impossible as long as they are treated in a regular hospital. It must be that the patient did not figure it out, or did not apply for a copy.
Zhou Can didn't bother to get those inspection materials to check.
His identity is Gui Peisheng, and he has just received the initial approval and appreciation from Director Shang, so he can only do what a student should do.
After the superior doctor finished checking it, it would be no problem to take it over and have a look.
He stood behind Huang Xinggui and Director Shang, and when they checked the inspection report, he could follow along.
Luo Jingyin also leaned over, stood with Zhou Can, and watched the patient's examination report.
This intractable disease is also the easiest to ditch the interest of medical students like them.
Everyone wants to know what the cause of the patient is?
After learning so many years of medical knowledge, no doctor wants to apply it in practice.
Successfully diagnosing a patient's disease with what they have learned can give them a sense of accomplishment and pride.
"The gastroscope looks quite normal, Dr. Zhou, you say so!"
Luo Jingyin brushed the messy hair on the left side with her hands, and after all, it was behind the ears, revealing a delicate and fair face.
Zhou Can didn't expect that the shy and quiet girl would take the initiative to talk to her.
After being stunned for a moment, he said, "Dr. Luo has seen it, and said it is normal, it must be right!"
"Isn't it a lack of self-confidence? I don't have much practical experience. I can only be sure if my judgment is correct after I ask you for advice." She explained in a low voice.
"Hey, I'm also half-baked, let's listen to what the teachers have to say later!"
After Zhou Can showed her hands, her status in the heart of a graduate student rose sharply.
Obviously I can see the inspection results accurately, but I have to ask Zhou Can to confirm my opinion before I can be sure.
"Jing Yin, you are very accurate. The gastroscopy did not reveal any abnormalities."
Qiu Chengyu also joined in.
However, Zhou Can noticed a small detail. When Qiu Chengyu leaned towards Luo Jingyin, she subconsciously avoided Zhou Can.
A girl's thoughts are usually not written on her face.
It is reflected in their actions.
This small move showed that Luo Jingyin did not call Qiu Chengyu.
"oh!"
She responded lightly.
Director Shang and attending physician Huang Xinggui checked the examinations done by the patients one by one, as well as various treatment records and medication results.
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【My medical skills can add experience points】【】
The patient had been hospitalized, and in more than one hospital.
But without exception, all ended in failure.
Later, he may not be able to bear the financial burden, so he went home for treatment.
When Director Shang picked up an MRI film to check, Qiu Chengyu came a little closer, leaning his head towards Luo Jingyin.
Her body was about to touch Zhou Can, and it was inevitable.
Her beautiful eyebrows were slightly frowned, because she was shy and introverted, she obviously didn't want to be so close to Qiu Chengyu, but she was too embarrassed to resist.
Zhou Can can't see this kind of sloppy and shameless man who leans on girls the most.
If the other girl agrees, it's a mutual agreement.
What kind of thing is this?
Isn't that workplace harassment?
"Doctor Qiu, I think your eyesight is not very good. If you can't see clearly, you can stand beside me!" Zhou Can asked her to make a rescue.
When Qiu Chengyu heard that he could stand on Luo Jingyin's right, he was happy and quickly agreed.
Immediately walked over.
"Doctor Luo, please go over there."
Zhou Can motioned Luo Jingyin to move over to where Xie Lin was sitting.
Then, he stood between Qiu Chengyu and Luo Jingyin, separating them. UU reading www. uukanshu.com
At first, Qiu Chengyu felt very happy, but when he saw Zhou Can do this, his face immediately turned a little ugly.
Luo Jingyin smiled shyly at Zhou Can.
A girl's mind is usually very delicate and sensitive, she must know that Zhou Can is helping her resolve the invisible harassment brought by Qiu Chengyu.
In the workplace, regardless of whether it is a male colleague or a male leader, harassment of a female colleague is mostly the beginning of this tentative "inadvertent" behavior.
Many times, women can only suffer in silence.
Because they did not do some excessive things clearly, we are all colleagues, taking into account the influence and work, we can only bear it.
It took nearly 20 minutes for the two superior doctors to read all the patient's examination data and treatment process.
Huang Xinggui's brows were furrowed, secretly identifying the cause of the patient.
Director Shang's face was slightly serious, and his eyes showed that he was thinking deeply.
"Doctor Zhou, your diagnostic ability is so powerful, can you tell what kind of disease it is?"
Luo Jingyin asked in a low voice.
She seems to trust Zhou Can very much, and she also has a sense of unreasonable affection.
"What's so great about me, the first two times I just happened to meet each other. It's a coincidence, you know!"
Neither of the two superior doctors had commented yet.
How dare Zhou Can express his diagnostic opinion so easily!
Besides, the cause of this patient is extremely strange, and Zhou Can is not a miracle doctor. At least for now, it is far from reaching that level. How can he diagnose what kind of disease it is so happily?
Even if he followed Mr. Liu to diagnose those difficult and miscellaneous diseases in the general surgery department, he still failed to diagnose many diseases.
(/novel/)