I Can See Health

Remember [new] in one second! Respiratory ward, doctor's office.

Lu Chen had already changed into his white coat and was standing in front of a middle-aged female doctor.

"How many months have you been rotating in the respiratory department?" Fan Yujing's voice was cold and her eyes were sharp.

"Two months." Lu Chen said calmly.

"Then what did you do last month?" The voice was still cold, without any emotion.

"Go to Kyoto to attend a training class and take a month off."

"Participate?" Fan Yujing glanced at Lu Chen coldly, "I hope you won't use this method to deal with me in the next month."

Lu Chen frowned. This female doctor was so angry. Could it be that she was menopausal?

No wonder everyone says Fan Yujing is difficult to get along with and has a weird temper.

Lu Chen didn't dare to compliment this first impression.

There are only two interns in the group, and there are no other graduate students or regular trainees.

It seems that no one wants to join this group.

Two interns also didn't know the market, so they came to this group.

At this time, Fan Yujing spoke again: "The hospital beds managed by our team range from 21 to 36 beds."

"Okay." Lu Chen nodded.

"You should understand the patient's condition now. In ten minutes, we will go for ward rounds." Fan Yujing said calmly.

"All patients, ten minutes?" Lu Chen was startled.

"What, is there a problem?" Fan Yujing said coldly.

"Okay, I understand." Lu Chen nodded slightly.

It seems that this instructor is not only cold, but also too strict.

In ten minutes, it is impossible to fully understand the condition of all patients.

Lu Chen could only choose the most important items to check.

He found a free computer, sat down, and began to look through patient medical records and examination reports.

At this time, another intern in the team sneaked up to Lu Chen and whispered: "Hey, senior brother, you don't have to take it seriously, just take a look. When I first came to the team, Fan Motou He told me the same thing."

Fan Demon? Lu Chen couldn't help but smile. These people were quite quick to come up with nicknames.

"Teacher Fan didn't ask any questions during the ward rounds?"

"I asked!" the intern chuckled, "I said I didn't know, and he never asked again."

"Oh." Lu Chen nodded and looked at the boy, "What's your name?"

"Wang Defa." The boy grinned.

…

Ten minutes later, Fan Yujing returned to the doctor's office.

"Let's go, let's start the rounds."

After saying that, she took the lead in leaving the office.

Seeing this, Lu Chen followed her with the two interns.

Fan Yujing's steps were very fast, and Lu Chen and others couldn't help but speed up their steps.

Came to bed 21.

Fan Yujing did not directly ask about the patient's condition. Instead, she looked at Lu Chen and said, "Report the medical history first."

Lu Chen nodded slightly, this was an expected question.

"The male patient is 64 years old and was admitted to the hospital with cough and sputum for half a month..."

Lu Chen went through the patient's important medical history and physical examination.

Fan Yujing just nodded, the expression on her face was still cold.

“What about the laboratory tests after the patient is admitted?”

Lu Chen thought for a while and said: "The white blood cells in the blood test are high, the liver and kidney functions are normal, and the potassium ions in the electrolytes are low..."

Lu Chen was about to continue speaking, but Fan Yujing interrupted.

"Is this how you report on a patient's laboratory tests?"

Lu Chen was stunned, "Teacher, what did I say wrong?"

Fan Yujing said coldly: "The white blood cells are high, how much higher? The potassium ions are low, how much lower? What is the specific value?"

Lu Chen paused, frowned and said slowly: "The white blood cells are about 12,000, and the potassium ion is 3.1mmol/l."

Wang Defa on the side thought Lu Chen was making nonsense, and couldn't help but give Lu Chen a thumbs up in his heart.

Fan Yujing glanced at Lu Chen, and then opened the laboratory test sheet in the patient's medical record.

"Oops, now the secret is going to be revealed." Wang De said heartily.

However, what he didn't expect was that after reading the medical records, Fan Yujing did not deny it, but continued to ask: "Besides these abnormal indicators, what about the patient's renal function?"

"Kidney function is normal." Lu Chen said softly.

"I'm talking about specific values!" Fan Yujing frowned.

When Lu Chen heard this, he was stunned. Normal indicators also need to record values?

Isn't this embarrassing?

There are so many blood test indicators for each patient. It is understandable that recording abnormal indicators will help clinical diagnosis and treatment.

Do you still have to write down normal indicators? Ten brains are not enough!

"Don't know?" Fan Yujing raised her eyebrows.

"I don't know." Lu Chen nodded.

"Why don't you write down such an important indicator?" Fan Yujing said coldly.

Lu Chen did not refute. For a teacher with such a temper, the more you argue with her, the more energetic she might become. He just said lightly: "Teacher, I will pay attention next time."

Fan Yujing looked deeply at Lu Chen and stopped asking questions. Instead, she performed a lung auscultation examination on the patient.

…

Wang Defa is right. As long as he answers the question incorrectly or does not answer the question, Fan Yujing will not ask any more questions.

During the next ward rounds.

Fan Yujing didn't ask a single question, but simply examined the patient.

Lu Chen followed Fan Yujing and found that she was not only indifferent to the students, but also had a similar attitude towards every patient, with a bit of inhumanity.

"Okay, today's ward rounds are over. Let's go back and write down the medical records." Fan Yujing glanced at Lu Chen and then left.

This was the first time for Lu Chen to meet such a unique teacher, and he returned to the ward in desperation.

But I just sat down and opened the medical record system.

Fan Yujing's voice came over, "The patient is here. He is in bed 30. You go and see him first. I will come over later."

Lu Chen looked around and saw that there was no one else around. Devil Fan was probably talking to him, right?

"It's you, don't look at others."

After hearing Fan Yujing's words, Lu Chen stood up helplessly and walked out of the doctor's office.

…

Came to bed No. 30.

Sitting on the hospital bed was a middle-aged couple dressed simply.

"Excuse me, who is the patient?" Lu Chen asked softly.

"I am." The middle-aged woman, about forty years old, said a little cautiously.

"Auntie, I am your emergency doctor." Lu Chen introduced himself, "Let me ask you about your specific condition first."

At this time, the health value on the patient's head shows 68 (-).

"Okay, you ask, I'll tell you everything I know." The middle-aged woman spoke Mandarin with a stilted tongue.

Afterwards, Lu Chen started collecting medical history.

The patient is a 43-year-old female, surnamed Wang, a professional cleaner.

He went to the hospital because of "coughing and sputum accompanied by wheezing for 5 days". He had a history of bronchial asthma with intermittent attacks and no formal treatment.

After asking about the medical history, Lu Chen began a physical examination.

Cardiology is mainly about heart auscultation, while respiratory medicine is about the lungs.

Lu Chen found that before his stethoscope was even close to his lungs, he could hear the patient gasping obviously.

When auscultation is placed on the lung auscultation area, a typical wheezing sound can be heard.

"Is this a bronchial asthma attack?" Lu Chen frowned. UU Reading www.uukanshu.netｔ

At this time, Aunt Wang took out her medical records from another hospital.

"Doctor, I have been treated at the central hospital for a week, but my cough and sputum production have not improved. I heard that your respiratory department is good, so I came here."

Aunt Wang was admitted to Jinghua Central Hospital, the same hospital where Min Xiaobo was admitted.

Lu Chen was quite confused. The Central Hospital was also the top tertiary hospital in the province. Could it be that it couldn't cure a person with bronchial asthma?

Then, he opened the medical records.

In the medical record, the diagnosis was recorded as "acute attack of bronchial asthma combined with pulmonary infection."

After being given anti-infection, antispasmodic and antiasthmatic symptomatic supportive treatment, but the treatment effect was not very good, the patient requested to be discharged.

Lu Chen noticed that the patient's doctor's order was indeed for the treatment of bronchial asthma and lung infection.

If he was asked to come for diagnosis and treatment, it would be nothing more than these drugs.

But why does it have no effect?