Chapter four hundred and eighteen: not losing at the starting line
Bai Ye took the couple to the doctor's office. After finding a place to sit down, he took out the ward round book that he had on him to record the daily patient conditions, and began to inquire about the condition.
In a hospital, you may not be able to give medical orders or prescribe medicines, but you must be able to write medical records.
Interns who can write cases are like doctors' personal little cotton padded jackets, and they are particularly popular. After all, doctors have to write and revise such long cases every day, and they are still tired?
Fortunately, times have improved now. Ten years ago, all cases were written by hand, and there were requirements for handwritten cases. There could be no smears or mistakes, and even sketches could not appear. The requirements were still very strict. Once a mistake was made,
, they all had to be torn up and rewritten.
Because the case is the process of diagnosis and treatment after the patient enters the hospital, once a medical dispute occurs, this will be used as evidence in court.
Moreover, hospitals and medical insurance centers will regularly check doctors’ cases.
Therefore, case writing is actually a very important thing.
Fortunately, with the development of science and technology and the popularization of computers, medical records no longer need to be written by hand. Computers can be used, and templates can even be created, which saves a lot of useless work.
A patient has just been admitted to the hospital and needs to complete the admission record and first course of illness within 24 hours.
When the woman followed Bai Ye in, her husband said to Bai Ye: "Dr. Bai, my dear, I'm sorry to bother you. I'm going to help buy some toilet paper or something. I didn't bring these things with me when I came to the hospital."
After finishing speaking, he said to the woman: "Honey, don't be anxious and cooperate with Dr. Bai."
After saying that, seeing that the woman ignored him, he smiled dryly, got up and went away.
After the woman sat down, she looked around with an unkind expression, and then looked at Bai Ye cautiously.
Although the woman looked so arrogant, Bai Ye could see loneliness and sadness in her eyes.
"Take off the mask, let me see what your condition is now." Bai Ye's voice was very calm, without any emotion.
The woman hesitated and took off the mask covering most of her face, revealing her face.
Bai Ye raised his eyes and looked at the woman seriously. To be honest, this woman was pretty good-looking. Although she was nearly fifty years old, she was really well-maintained. However, this was not the issue that Bai Ye was concerned about.
The left corner of the eye obviously droops outward and downward, while the corner of the mouth is indeed tilted to the right, making the whole person look very uncoordinated.
After Bai Ye looked at it carefully, he thought for a moment and concluded that the patient's current condition was probably caused by peripheral facial paralysis and acute facial neuritis, because if it is central facial paralysis, it generally does not have lesions on the eyes and eyebrows.
Further physical examination and auxiliary examinations are required to confirm the diagnosis.
Bai Ye said: "You don't have to worry or be afraid now. I have some understanding of your current situation. The possibility of pathological changes in your head is relatively small, and the possibility of acute facial neuritis is greater. Some specific examinations are needed.
, I hope you can cooperate with me."
When the woman heard what Bai Ye said, although her expression didn't change much, of course, it might be because her face was paralyzed and she couldn't move, she was obviously relieved.
Because once it has something to do with the brain, it's no longer a minor problem.
Perhaps it was because of Bai Ye's professionalism and good looks that the woman gained some trust.
Seeing that the woman agreed, Bai Ye breathed a sigh of relief. What he was most afraid of was that the patient would not cooperate.
"Cheer up...yes!"
The woman tried her best to blow up the air, but she couldn't. Air leaked from the left corner of her mouth.
Bai Ye continued: "You are showing your teeth, right..."
After testing his mouth, Bai Ye continued: "When you raise your eyebrows and squeeze your eyes, do you usually shed tears?"
………………
After testing the woman's condition, Bai Ye recorded it in a notebook. He had a slight understanding of the symptoms, and then followed the procedure.
The chief complaint was the first to ask: "When did this happen to you? Are there any other discomforts?..."
As a physician, the most important ability, or moral character, is patience.
Listening patiently to the patient's suffering is also a treatment method, called talking therapy. Some people also call it emotional therapy, which is to vent other people's emotions, and the most common emotions of patients are mainly sadness and anger.
So, in fact, this kind of treatment has already started from the moment you see the patient.
Don’t underestimate asking for medical history. After an experienced and qualified doctor asks the patient about the medical history, he can already get the patient to open up. The most important thing between doctor and patient is this open-hearted trust.
This is also one of the real reasons why the so-called illness does not require treatment.
When asking about the medical history, when Bai Ye asked about the birth history, the woman's tears actually flowed down. However, Bai Ye didn't see the woman crying. Bai Ye didn't bother him, but handed it from his pocket.
Pass a piece of paper.
She took a deep breath, washed her nose, and said: "I was pregnant with four children and gave birth to one, a son, an only child. I had three miscarriages."
After Bai Ye said sorry, he took the woman to her ward, which also had three beds. The bed was vacated by the man who had just been discharged.
The beds in the encephalology department are full all day long, and there are few chances of an empty bed. In many cases, one person has not yet been discharged from the hospital, and the next person has already occupied the bed.
Bai Ye said: "Sister, I have a pretty good understanding of your situation. Acute facial neuritis is more likely. I will issue the examination list first. I will wait for the elder brother to come back later and take you to do the MRI of the head.
Once it’s done, we’ll be confident when the results come out, right?”
It seemed that when the man was not around, the woman was not as alert as before. She said slowly: "Okay, thank you, Doctor Bai, I..."
Seeing the woman like this, Bai Ye smiled slightly: "This is what I should do. By the way, there is some basic information you have to tell me."
"Your ID number, phone number, workplace, home address, and your husband's contact information must be filled in on the admission homepage to facilitate later follow-up and investigation."
The woman was stunned for a moment and then said: "My name is Qin Yuezhen. I am 49 years old. My profession is...a civil servant. I work at the Kyoto City Public Security Bureau. My phone number..."
Bai Ye knew that the woman's name was Qin Yuezhen, but he didn't expect that she was actually a police officer.
After Bai Ye asked for all the information, when he was about to turn around and leave, the woman's husband was already standing at the door. When he saw his wife and Bai Ye starting to talk, and with an obedient look, he was immediately frightened.
You must know that my wife has been very unstable in the past two days since she fell ill. It is difficult to see such a scene. For a moment, she became curious, what did this Bai Ye do?
In order to let the woman get the results as soon as possible, Bai Ye wrote an "urgent check" on the cranial MRI examination form. In this way, the radiology department could give a report very early.
After giving the examination sheet to Qin Yuezhen, the two hurried to the MRI room, while Bai Ye returned to the ward to establish the hospitalization record and the first course of the disease, and then gave the doctor's orders, but the specific treatment plan and drugs were required.
Wait for the inspection results report to come back.
Wang Wenliang was sitting opposite Bai Ye. When he saw where Bai Ye was giving medical orders, he asked in a low voice: "Xiao Ye, what's wrong with that woman? She looked like everyone owed her two hundred yuan."
Bai Ye smiled: "Don't be such a gossip."
Wang Wenliang smiled coquettishly: "I'm not a gossip. Based on my many years of clinical experience, I tell you that this kind of woman is not easy to mess with, and... she is very picky, has very high expectations for treatment, and is extremely uncooperative with your treatment.
, even, if you have some background, they may use their background to suppress you, and even transfer to the hospital, ask for expert consultation and so on!"
"I think this woman, the director, shouldn't be sent to our 14th floor. She should be sent to the psychiatry department on the 15th floor. That's where she belongs. Also, that woman, the Omega constellation watch she is wearing,
It’s around 100,000, and even a Prada bag costs tens of thousands. Just listen to my brother’s words, you should stay away from this woman. If she can be cured, give it to someone else. If she can’t be cured, just give it to someone else. Don’t talk to me anymore.
It can’t be cured!”
What Wang Wenliang said was not nonsense, but the truth. There were many such patients, and they often caused trouble to doctors.
Shi Na, the young female doctor next to Wang Wenliang, smiled: "Brother Wang, don't forget one thing. The patient is a woman, and Xiaoye is a handsome guy. This study shows that women will change a lot after seeing handsome guys.
, the attitude will turn 180 degrees. A paper published by a boredom research institute in the United States shows that aesthetics can help prolong life and regulate emotions, so don’t judge based on general conditions..."
There were no outsiders in the ward, and everyone was joking to relieve the boredom and sleepiness caused by writing medical records.
The atmosphere in the internal medicine department of the hospital is far less lively than that in the surgical department. However, the atmosphere in the surgery department, whether in the outpatient department or in the ward, or even on the operating table, is unquestionable. Even during the operation, an erotic joke will occasionally be played to adjust the tense, suppressive and bloody surgical atmosphere.
However, the reason for the large number of mental patients in the encephalology department is that these doctors know one thing very well. If you don't explode in depression, you will go crazy in depression...
When Wang Wenliang heard this, he was speechless. He suddenly felt that Bai Ye's appearance had really shaken his reputation in the encephalology department...
Thinking of this, Wang Wenliang couldn't help scratching his head, but... when he put down his hand, he suddenly found a few more hairs in his hand!
Suddenly, Wang Wenliang almost shed tears of distress. A few more of his precious hair fell out... Suddenly, an inexplicable sadness came over his brows... and came to his heart... If he continues like this, he will be bald in the future!
He raised his head and saw Bai Ye's forehead through the upper edge of the computer. He saw the shiny black hair and the tight hairline, and sighed.
Others lose at the starting line, but I... lose at the hairline!