"She has a cold, right?" The child's mother, who has always had anxiety, kept talking to the side, "You should quickly prescribe her some cold medicine. I won't take her to the health room to get medicine. I have to rush back.
We prepare meals for the whole family.”
I have to admit that the chattering of family members around me greatly affects the doctor's thoughts when treating patients.
Nie Jiamin's eyebrows furrowed.
The teacher was disturbed while seeing a patient. Xie Wanying immediately asked the family members to ask for basic information about the child: "Sister, what is your daughter's name and how old is she this year?"
After she successfully diverted her attention, the child's mother finally stopped mumbling and turned around to answer: "My daughter's name is Wang Lulu and she is five years old this year."
"Does she have a history of drug allergy? For example, has she ever received penicillin? Has a doctor told you that she is allergic to penicillin?" Since the child was too young to answer these professional questions, Xie Wanying asked the family members.
"No." Lulu's mother shook her head, "My daughter has had injections in the clinic before. How long are you going to keep her under supervision? If I had taken her to the clinic, they would have already prescribed the medicine."
As she talked, Lulu's mother became irritable again, watching the patients queuing up in other channels one after another, but her daughter read nothing for a long time.
Xie Wanying didn't seem to hear the complaints behind her. No, the family members must follow the doctor's thinking and focus on the sick child's condition, and asked: "When did Lulu get the injection?"
"It should have been a long time since she got the injection," Lulu's mother said.
Her answer was incompatible with the question the doctor wanted to ask. Fortunately, doctors are accustomed to this phenomenon. Xie Wanying carefully recorded the patient's history of drug allergy in the medical records, and then asked the family members about the patient's drug allergy.
Child’s history of illness: “How many days has she had these symptoms?”
"symptom?"
"cough."
"She has been coughing for a few days and it is getting worse and worse."
"Did you gasp for breath at first?"
"pant?"
"Even if you see her coughing like this, she seems to be holding something back in her chest, coughing violently, making movements like grabbing her clothes with her fingers, and then she can't even cry." Xie Wanying vividly and specifically described the possible symptoms of children getting sick.
When asking family members, especially those who are anxious, doctors must be more patient and careful in guiding them to recall. This can only be done by experienced doctors.
At this time, even He Guangyou and Qiu Ruiyun were surprised. She had been coming to the Hepatobiliary Surgery Clinic for a month, and she had never been to the outpatient clinic with anyone. The usual ward rounds were short. They really didn't know that she was already unfamiliar with the consultation.
Already.
After Xie Wanying’s introductory questions, Lulu’s mother remembered some of her daughter’s special circumstances at home: “She is like this sometimes at home. So, I thought she had a serious cold and took her to see a doctor.”
"Is your nose running a lot?" Xie Wanying continued writing in the medical record.
"Sometimes more."
"Bleeding?"
"She likes to pick her nose with her fingers until a little blood comes out. I often criticize her," Lulu's mother said.
After Nie Jiamin finished auscultating the child, he turned his face sideways, as if he recognized the process of the student just asking about the child's medical history, so he nodded to the student.
After receiving the teacher's signal, Xie Wanying waited for the teacher to return to her seat and handed the patient's medical record to the teacher for review.
