【672】Characteristics outside the liver and gallbladder
Luo Yanfen's face turned red and she could only deny what she just said: "That's not what I just said -"
After saying that, she became anxious because everyone could tell that she had the upper hand. Then she looked at the three teachers and saw what was going on when they didn't stop.
Three teachers are watching the fire from across the bank, and it’s unpredictable~
"You have not spoken to Teacher Tan, you have not seen Teacher Tan's surgery, and you have not carried out Teacher Tan's medical orders. You have only been here half a day, do you think you can know what Teacher Tan thinks?" said the positive academic theory.
But for this newcomer, Luo Yanfen quickly found another way and tried to use her seniority to teach and guide the newcomers.
The other party moved around but I didn't move. Xie Wanying calmly told the other party: "This is a pre-operative discussion. The focus of my discussion is the patient's medical record, focusing on the examination report and the patient's current physical and mental status. The patient's attending doctor's thoughts are
It is implemented in the patient's medical record. I am not discussing Teacher Tan's personal psychological activities, I am discussing the patient's condition."
"But you just kept talking about what Teacher Tan thinks -"
"I didn't discuss other things he thought about. I only discussed his thoughts on shaping the surgical plan for this patient. Is that wrong?"
The other party can actually explain it like this!
Luo Yanfen was speechless, and then said: "How can you understand Teacher Tan's ideas for shaping the patient's surgery? You have never talked with the teacher."
"The medical instructions given by the teacher and the things we are told to pay attention to will be reflected in the patient's medical records. All medical students know this."
Hearing her words, Luo Yanfen unconsciously went to look through the medical records again, but found that the medical records were in the hands of Teacher Tan.
Go to the teacher and ask for the medical records to be read again? Are you slapping yourself in the face because you don’t remember the patient’s condition?
In the blink of an eye, she gave up the idea and did not believe that Xie Wanying could clearly remember what was written in the medical record.
A patient with a long-term illness like this has a lot of medical records and a lot of examination reports, which no one can remember clearly.
"Tell me what Teacher Tan wrote in the medical record?" Luo Yanfen pointed at her and asked.
Unexpectedly, Xie Wanying's words were clear and coherent, unhurried, and grasped the key points: "The patient was admitted to the hospital last Friday, and Teacher Tan immediately ordered blood-related tests. On Monday, Teacher Tan even considered calling
The hematology department came for consultation. Because the hemoglobin was 76 when he was admitted, after two days of blood transfusion, the patient's mental condition remained the same. It seems that the patient's body has adapted to chronic anemia."
"How do you know that Teacher Tan has considered asking the hematology department for consultation? We spend time with Teacher Tan every day and have never heard him mention this matter."
The other party came and went, only emphasizing that he had spent more time with Teacher Tan than she did with Xie Wanying.
Xie Wanying also thought: What are you doing with the teacher every day? You are a veteran but you can’t even understand the teacher’s medical instructions?
"It was written in the doctor's order that Teacher Tan wanted to perform an osteotomy on the patient but later canceled it. It can be seen that Teacher Tan's overall consideration is that the patient's blood problems will lead to high risks in the operation. If the patient has an open abdomen, there will be more bleeding and he is worried that the patient will not be able to stop the bleeding.
But all the blood tests were basically normal, so the bone puncture was canceled." Xie Wanying put forward another argument.
Did this newcomer even notice these details of the medical record? Luo Yanfen was sweating a little on her forehead. She couldn't deny it now, otherwise the teacher would think she didn't remember the patient's condition in detail.