Chapter 274 I Had a Major Surgery, an Appendectomy!
All right?
Listening to Xia Zhengchang's sigh.
Chen Mu's condition was not so good.
He felt helpless and didn't know how to complain.
The patient was sick.
The patient said that he was just sick and it was okay.
Chen Mu: "..."
He sat there in silence for half a minute.
He didn't know what to say.
After adjusting his helpless mood.
Chen Mu turned his head and looked at the group of white coats behind him.
At that moment.
Someone took the initiative to step forward and take the patient's pulse.
The intern who studied modern medicine came forward eagerly and asked the patient: "Excuse me, after you woke up, you had shortness of breath. Is there any way to relieve it yourself?"
The intern's voice hadn't fallen yet.
The patient's family members who followed him couldn't help frowning.
He said in a bad tone: "We are here to find a doctor to seek relief."
The intern was stunned.
Subconsciously.
He looked helplessly at Chen Mu beside him.
Seeing this scene.
Chen Mu also sighed unconsciously.
The current situation of the intern is actually quite common.
Doctors see patients.
Many times, it is not just seeing patients, but also dealing with patients and their families.
This group of people is of all kinds.
Some have good tempers, and some have bad tempers.
For an intern who has not yet stepped into society, the words that the patient's family members are saying now may be a bit outrageous.
But for clinical doctors.
They are used to seeing all kinds of weird things, and the situation of the patient's family members can even be considered as having a good temper.
The intern was dumbfounded when he saw it.
Chen Mu just sat there with a smile, and had no intention of speaking up.
In the end, the intern looked at the patient's family and explained seriously: "Family members of the patient, the relief method I mentioned may not be the same as the relief method you mentioned."
The patient's family members continued to frown.
This time, the intern remembered it, and before the patient's family members spoke, he spoke quickly: "The relief method you mentioned may be the doctor prescribing medicine and treatment for the patient."
He knew it very well. If the patient's family had been given enough time to guess, the words he had just said might not have been misinterpreted by the other party.
"What I mean by relief is a change of posture."
Hearing the intern's explanation.
The patient's family was also stunned.
Even though she thought she was highly educated, she still didn't quite understand what the intern meant.
On the contrary, Xia Zhengchang.
He nodded excitedly, "The young doctor is good, and you can guess this. I do have a way to relieve the difficulty in breathing."
Hmm?
The patient's family looked at Xia Zhengchang in disbelief.
Xia Zhengchang continued with a smile: "Many nights, I woke up at night and sat up to relieve the difficulty in breathing."
The intern was relieved when he saw that the communication was going smoothly.
His expression became more and more serious.
He continued to ask: "Is the situation getting worse now? Will there be difficulty breathing after lying down?"
Xia Zhengchang: "Divine doctor, you are really a divine doctor!"
The intern was a little embarrassed.
Then.
He turned his head and looked at Chen Mu again.
Meeting his gaze, Chen Mu rolled his eyes, "What are you looking at me for? You are the one who is examining the patient now, keep asking!"
"Oh oh..." The intern was a little depressed.
Turning his head to look at the patient: "Have you had a physical examination in the past year? How is your heart or lungs?"
-
"I am really impressed. This intern came out to ask questions on his own. Why does he always go to see Dr. Chen?"
"I can see from the expressions of the patient's family that they are already a little dissatisfied."
"What is there to be dissatisfied about? Didn't Dr. Chen clearly say before coming that patients are here to practice with Dr. Chen? If they can't solve the problem, they will ask for help from the interns' mentors."
"Some patients' conditions are not so serious and don't need an expert number at all, so naturally it is impossible for everyone to see their teachers online..."
" Let me explain. I frequently visit Dr. Chen because I want to confirm whether my consultation steps are correct. "
"Consultation steps? Haha... That's totally wrong..."
"..."
-
Xia Zhengchang shook his head: "My daughter graduated from college a few years ago, and I happened to be unemployed. I counted my bank savings. Although it's not much, it's enough for retirement."
"I retired myself, paid for flexible employment, and stopped working."
Uh...
The intern was stunned, "Patient, I'm not asking about your work situation, but whether you have had a physical examination in the past year."
Before Xia Zhengchang spoke.
Chen Mu behind him sighed again, "The patient means that he hasn't had a physical examination in recent years, not just this year."
Chen Mu said here.
The patient nodded frantically over there.
And the intern who was doing the consultation was dumbfounded.
Looking at Chen Mu in confusion: "Doctor Chen, how did you judge this?"
Chen Mu: "Generally speaking, the company organizes physical examinations for working people every year. After you asked, he took the initiative to say that he was unemployed. The underlying meaning is that there is no free physical examination in the company now, so he has not had a physical examination in recent years."
Many patients are like this.
Strong desire to share.
When facing the doctor's questions, he will not answer directly, but explain his physical condition while answering.
After a short two days of getting along.
Chen Mu can see that the two groups of interns sent by Haicheng University of Traditional Chinese Medicine and Haicheng Medical University are very good.
If you really want to say that these guys have any fatal shortcomings.
It's not that they haven't seen enough strange cases.
But they have no experience in getting along with patients.
For example, the intern who is examining Xia Zhengchang in front of him just committed a taboo for clinical doctors.
Lack of confidence!
If a doctor is not sure whether his consultation process is correct during the consultation process.
Why should the patient believe that the diagnosis you give is correct?
Even if you really have some ability and cure the patient's disease.
After returning home.
When a patient coughs, he will think about whether he has met a quack doctor.
So.
For many interns who have just started their careers, it is not just about seeing patients. How to deal with patients and how to gain their trust are all the knowledge they need to learn in clinical practice.
If there is no suitable solution.
Then pretend to be a little cooler, so that the patient realizes that the doctor in front of him does not like nonsense, which is conducive to both parties to directly enter the formal stage of the consultation.
"So that's it..."
Listening to Chen Mu's words, the intern suddenly realized.
I also learned something new from Dr. Chen today!
"Medical history..."
"Medical history..."
When doing exercises on weekdays, interns have always been top-notch in school.
But when they really face patients.
Inexplicably.
Wrapped in a nervous mood, I didn't know how to ask the next question several times.
The patient's family was a little anxious at first.
Chen Mu clicked on the page of the mobile phone at the back.
After a reminder, the school had clearly stated that it was the intern who was doing the consultation, and he would check it.
It was just such a simple little hint.
The patient's family members actually calmed down.
She remembered.
Doctor Chen said in the school group that her father's condition, which can be examined slowly, is not life-threatening.
Since her father is not in danger of life.
What's wrong with asking the young doctor to ask a few more questions?
Thinking of this.
The patient's family members not only calmed down.
They even ran to the side to check their phones and did not continue to supervise the progress of the intern's examination of their father.
Seeing his schoolmates stuck.
The white coats behind him whispered anxiously.
"Medical history..."
"Medical history, brother..."
Didn't you see that the guys who study Chinese medicine in the next school have changed their eyes when they look at them? !
"Oh, patient, do you have any medical history?"
Xia Zhengchang cooperated very well and counted with his hands, "I had a major operation a few years ago."
Hearing this,
The white coat's expression suddenly became serious, "What major surgery?"
Xia Zhengchang: "Appendectomy."
White coat: "????"
-
"Hahaha!!! This intern doctor who is consulting is simply my face replacement, that's right!"
"Haicheng University really doesn't keep idle people. This uncle is really a god. Appendectomy is really a big operation! Hahaha!!!"
"Who will save this poor intern? I feel like he's about to break apart!"
"I guessed it a long time ago. It's not normal for someone who doesn't go to the hospital when he's sick and invites a magician at home to say something like this?"
"Although, I really want to know why the uncle lost his job. Maybe his boss is tired too..."
"..."
-
"Appendectomy, major surgery?!"
The expression on the white coat's face began to crack.
Xia Zhengchang nodded confidently: "Yes! This is of course a major operation!"
"Before I was pushed into the operating room, my daughter signed a "Surgery Informed Consent Form", which was scary."
"The worst possibility is that I will die on the operating table. It's a matter of life and death. Isn't it a major operation?"
White coats: "..."
The "Surgery Informed Consent Form" mentioned by this uncle is most likely a standard contract of the hospital.
Although appendicitis surgery is a minor operation.
The mortality rate can be said to be almost zero, but sometimes, accidents will happen.
For example.
Some patients are about to have surgery, and suddenly they find that the patient is allergic to anesthesia, etc.
But according to the patient's own understanding.
As long as there is a risk of life, it is a major operation.
There seems to be nothing wrong with this logic? !
After sorting out his helpless mood, the white coat who was consulting continued to ask questions.
"Appendicitis does not count, and diseases such as colds and fevers do not count."
"Excuse me, do you have any other medical history?"
Xia Zhengchang shook his head: "That shouldn't be the case. I have been healthy since I was a child."
The white coat nodded, and his expression was much colder than at the beginning.
For some reason, seeing the doctor in front of him become aloof.
Xia Zhengchang's expression also seemed to become a little more serious.
White coat: "Are there three highs? The three highs I mean are high blood sugar, high blood lipids, and high blood pressure."
Xia Zhengchang shook his head: "I have tested my high blood pressure at the clinic at the entrance of the community, and there is no high blood pressure."
"As for the high blood sugar and high blood lipids you mentioned, doctor, maybe there are none?!"
The white coat sighed, "Tomorrow morning, go to a tertiary hospital or a community hospital on an empty stomach to have a blood test."
"Check for high blood sugar and high blood lipids."
Seeing Xia Zhengchang nodded.
The white coat continued to speak: "Do you have a history of diabetes and coronary heart disease?"
Xia Zhengchang shook his head: "I don't think so..."
White coat: "Do you have a history of hepatitis or tuberculosis?"
Xia Zhengchang was not sure: "I don't think so?"
The white coat wrote a few words on his notebook.
He said: "Go for a blood test and electrocardiogram first, and then take a lung CT. I'll see the results."
After the white coat finished speaking.
The patient's family subconsciously went to see Chen Mu.
Chen Mu smiled and nodded, "I'll give you a checkup sheet now, just follow what the doctor said, and wait for the results to come out."
"Okay, okay, Doctor Chen."
Take the checkup sheet.
Xia Zhengchang followed the volunteer who led the way to get the checkup.
At the same time.
A young head popped in at the door of the school clinic, "Doctor Chen, can you come out for a consultation?"
-
Five minutes later.
Downstairs of an apartment building.
Looking at this male dormitory, Chen Mu sighed again.
This is the nth time he has come to the apartment in these days.
I can only say...
The apartment is really full of talents.
The boy who came for help was still wearing a military training uniform.
Along the way, he repeatedly emphasized to Chen Mu: "Doctor Chen, if our instructor asks you to verify the reason for my lateness, you must help me explain it to the instructor."
"I'm here to help my roommate call the doctor!"
Chen Mu pointed helplessly at the live camera next to him, "You can send your clip to your instructor."
"Netizens all over the country can help you prove that you were late for military training because you enjoy helping others."
The words "enjoy helping others" simply pleased the young college student.
Even though he had been mentally prepared.
But when Chen Mu saw the patient himself, he was still stunned.
The boys' dormitory of Haicheng University is a very standard bed with a desk below.
There are guardrails on the side of the upper bunk.
To prevent students from falling down when they sleep.
But at this moment.
In the boys' dormitory.
On the bed on the right side of the window.
A boy's head is stuck in the guardrail?
It may be that the head is pushed down, which will cause congestion in the head.
Except for the one who came to Chen Mu for help.
The patient's other roommate was standing on a chair, playing with his mobile phone with one hand and holding the patient's head with the other hand.
Chen Mu: "..."
After going up to give the patient a basic examination, Chen Mu sighed: "I think you don't need a school doctor, but a firefighter."
"You need to cut the guardrail of the bed so that his head can be taken out."
Speaking of this.
Chen Mu, who couldn't suppress his curiosity, still asked: "Classmate, can I ask, how did your head get stuck?"
The patient looked at Chen Mu while crying: "Doctor Chen, can you help me write a sick leave note for military training?"
"I may miss military training this afternoon... woo woo..."