This doctor is very stable
Chapter 201 Diagnosis points, be patient and careful
Chapter 201 Diagnosis points, be patient and careful
Boss Gu felt helpless at this moment, but as a professional doctor and the director of a department, he knew that no matter what he thought in his heart, he couldn't show any expression on his face.
Because that can only mislead patients, for patients, any expression of the doctor can be the basis for their judgment.
Maybe as long as he shows a little intolerance to belittle, patients may judge him as unprofessional, not good at medicine, etc...
"Sister Huang, I am such a big expert, I have to have a basis for seeing a doctor, otherwise I will prescribe some medicine for you, you go to get some medicine and take it at home, then take a good rest as I said, and follow the rules If you finish taking the medicine and your physical condition has not improved, then we will conduct further examinations, how do you think?"
Huang Qiuyan kept staring at Gu Tianyi's eyes, saying that eyes are the windows to the soul, but she didn't decipher anything valuable from Gu Tianyi's eyes, she was calm and calm.
After thinking about it, Huang Qiuyan nodded and agreed, "That's fine!"
Gu Tian nodded and sat back in his seat, took out the prescription sheet and prescribed medicines for regulating blood energy and promoting digestion for her.
After handing over the medical card and prescription to send Huang Qiuyan away, Gu Tianyi immediately said: "Close the door better, let me tell you about this patient, take a notebook and write it down! It's an exam."
Seeing that the two people in the front row really took out the small diary.
Lin Ran was a little dumbfounded!
Where does he have a small notebook?
Fortunately, he sat at the back, so Boss Gu probably wouldn't be able to see him.
However, Boss Gu stood up directly at this moment, "It's Lin Ran's first day here, let me talk about the key points of the consultation first!"
In desperation, Lin Ran took out a pen, patted Qin Xiaoming in front of him, and took two blank sheets of paper.
"When seeing a doctor, first look at the face. The patient's face is slightly pale and the bags under the eyes are slightly heavy. This is a manifestation of lack of sleep."
"Secondly, looking at the throat and tongue, the patient complained of pain in the upper right abdomen. Looking at the sides of the tongue coating, there is no abnormality, but the tongue coating is thin and white. This is a typical symptom of Qi, blood, yin and yang imbalance."
"On auscultation, the bowel sounds were quiet and slow, but they did not exceed the normal value. It was judged as gastrointestinal discomfort."
"Finally, press the painful part to confirm that there is no focus of liver disease in the patient's abdomen..."
Boss Gu saw that the few people who were copying were quite serious, so he nodded in satisfaction, and when everyone stopped writing, he solemnly said: "Finally, the most important point, this patient is obviously overly suspicious, especially when he is accused by himself. Disease and other factors have been misleading, what should we do at this time?"
Boss Gu asked a question, and then he asked and answered by himself. He didn't mean to be a joke at all. Now is not the time for question and answer, but the time for seeing a doctor. You must pay attention to efficiency in seeing a doctor, otherwise the patients outside will not be able to wait.
"First of all, we have to deal with patients who are overly suspicious like this every day, and the latter patients will also be more or less suspicious. To deal with such patients, one must be patient, professional, calm, and calm. Bring your own preferences;
The second is to find a way to relieve the patient's anxiety, just like I prescribed medicine to the patient just now, and asked her to go back and recuperate first. Of course, this is just a way to divert the patient's anxiety. I do not encourage and certainly do not object to prescribing medicine. ;
However, patients should not be advised to do unnecessary supplementary examinations. Not to mention that it is a waste of money and waste of public resources. In the end, it is not good to ask patients to do meaningless examinations. "
Lin Ran and the others copied it, but Boss Gu finally added a sentence, "Practicing medicine is not easy. A doctor's reputation is accumulated over time, so start with small things and pay attention to medical ethics and style to become a doctor, understand?"
Lin Ran and the others nodded and replied, "Understood!"
It’s okay if you don’t understand!You always speak so clearly that you asked me to take notes.
"Okay..." Gu Tianyi smiled, and returned to his seat, "Just write it down. If you don't understand today, you can take it back and think about it. Now we continue to see the doctor, and Xiao Qin calls out..."
"Yes..." Qin Xiaoming responded, and with the same action just now, Lin Ran quietly pushed himself back two steps.
What Boss Gu said just now is definitely not wrong, and patients who are overly suspicious really need to be patient.
Facts have proved that if you don’t have enough patience, the patient will lose trust in you after some consultations, and the work you have done before will be in vain, which is useless!
As for the dozens of dollars earned, it is not worth mentioning at all!
Boss Gu, a department director, came to see the doctor for the registration fee of tens or hundreds of dollars?
Obviously not, if you charge more for an operation, you will have four or five thousand for the consultation, so why spend a whole day in the outpatient clinic!
Outside, as soon as Huang Qiuyan walked out of the consulting room, the old sister who accompanied her to see the doctor asked, "How is it? Do you see any problems?"
Huang Qiuyan shook her head, "The doctor prescribed me medicine and told me to take medicine first when I go back. You said I should believe it? I always feel uneasy!"
"Then why don't you ask the doctor to write a note to do a laboratory test and take a film!"
"I was about to talk about it just now, but the doctor said that my blood qi and yin and yang were not in balance, and asked me to take medicine first."
"I advise you to check it out. Have you seen the old Wang next door? He always said that his stomach hurts, but after checking the middle stage of liver cancer, everyone is gone now."
Just when Huang Qiuyan was hesitating, Qin Xiaoming yelled, and a not-so-young old man walked in with a smile accompanied by his daughter.
Thinking back again, the doctor looked at the prescription in his hand with a calm expression just now.
Finally Huang Qiuyan sighed, and said: "Forget it, let's go get the medicine! Take the medicine for a few days first, and if it doesn't work, we'll come to him."
Money, to be honest, for the locals living in Tianhe District, there is really no shortage of this check money!
"Okay! Then let's go back first, take the medicine first, and have a look first, so as not to be drawn another big tube of blood."
…………
…………
Qin Xiaoming had just finished calling the number when an old man with gray hair and slightly sallow skin, who looked to be in his 60s, walked in, and her daughter let go and walked behind him...
As soon as Gu Tian raised his head, he immediately said, "Uncle, please sit down first."
At this time, Lin Ran clearly caught the strangeness in Boss Gu's eyes, and then carefully observed the patient's complexion. There was no blood, and the skin was sallow...
When the old man sat down, Gu Tian looked at his 20-year-old daughter and asked, "Did you bring your medical card?"
"Bring it..."
Li Xiaoyu nodded, her father has three seniors, and she often comes to the hospital, how can she not have a medical card?
After receiving the medical card, Gu Tianyi put it directly on the card reader.
Name: Li Dafei
Sex: Male
Age: 56
Birthplace: Yangcheng...Yuexiu
Medical history: hypertension, diabetes, hyperlipidemia...
…………
The difference between actual age and observed age is not small!
Moreover, the body constitution is poor, and there are three highs. If such a patient is diagnosed with other diseases, it is an intractable disease!
(End of this chapter)
Boss Gu felt helpless at this moment, but as a professional doctor and the director of a department, he knew that no matter what he thought in his heart, he couldn't show any expression on his face.
Because that can only mislead patients, for patients, any expression of the doctor can be the basis for their judgment.
Maybe as long as he shows a little intolerance to belittle, patients may judge him as unprofessional, not good at medicine, etc...
"Sister Huang, I am such a big expert, I have to have a basis for seeing a doctor, otherwise I will prescribe some medicine for you, you go to get some medicine and take it at home, then take a good rest as I said, and follow the rules If you finish taking the medicine and your physical condition has not improved, then we will conduct further examinations, how do you think?"
Huang Qiuyan kept staring at Gu Tianyi's eyes, saying that eyes are the windows to the soul, but she didn't decipher anything valuable from Gu Tianyi's eyes, she was calm and calm.
After thinking about it, Huang Qiuyan nodded and agreed, "That's fine!"
Gu Tian nodded and sat back in his seat, took out the prescription sheet and prescribed medicines for regulating blood energy and promoting digestion for her.
After handing over the medical card and prescription to send Huang Qiuyan away, Gu Tianyi immediately said: "Close the door better, let me tell you about this patient, take a notebook and write it down! It's an exam."
Seeing that the two people in the front row really took out the small diary.
Lin Ran was a little dumbfounded!
Where does he have a small notebook?
Fortunately, he sat at the back, so Boss Gu probably wouldn't be able to see him.
However, Boss Gu stood up directly at this moment, "It's Lin Ran's first day here, let me talk about the key points of the consultation first!"
In desperation, Lin Ran took out a pen, patted Qin Xiaoming in front of him, and took two blank sheets of paper.
"When seeing a doctor, first look at the face. The patient's face is slightly pale and the bags under the eyes are slightly heavy. This is a manifestation of lack of sleep."
"Secondly, looking at the throat and tongue, the patient complained of pain in the upper right abdomen. Looking at the sides of the tongue coating, there is no abnormality, but the tongue coating is thin and white. This is a typical symptom of Qi, blood, yin and yang imbalance."
"On auscultation, the bowel sounds were quiet and slow, but they did not exceed the normal value. It was judged as gastrointestinal discomfort."
"Finally, press the painful part to confirm that there is no focus of liver disease in the patient's abdomen..."
Boss Gu saw that the few people who were copying were quite serious, so he nodded in satisfaction, and when everyone stopped writing, he solemnly said: "Finally, the most important point, this patient is obviously overly suspicious, especially when he is accused by himself. Disease and other factors have been misleading, what should we do at this time?"
Boss Gu asked a question, and then he asked and answered by himself. He didn't mean to be a joke at all. Now is not the time for question and answer, but the time for seeing a doctor. You must pay attention to efficiency in seeing a doctor, otherwise the patients outside will not be able to wait.
"First of all, we have to deal with patients who are overly suspicious like this every day, and the latter patients will also be more or less suspicious. To deal with such patients, one must be patient, professional, calm, and calm. Bring your own preferences;
The second is to find a way to relieve the patient's anxiety, just like I prescribed medicine to the patient just now, and asked her to go back and recuperate first. Of course, this is just a way to divert the patient's anxiety. I do not encourage and certainly do not object to prescribing medicine. ;
However, patients should not be advised to do unnecessary supplementary examinations. Not to mention that it is a waste of money and waste of public resources. In the end, it is not good to ask patients to do meaningless examinations. "
Lin Ran and the others copied it, but Boss Gu finally added a sentence, "Practicing medicine is not easy. A doctor's reputation is accumulated over time, so start with small things and pay attention to medical ethics and style to become a doctor, understand?"
Lin Ran and the others nodded and replied, "Understood!"
It’s okay if you don’t understand!You always speak so clearly that you asked me to take notes.
"Okay..." Gu Tianyi smiled, and returned to his seat, "Just write it down. If you don't understand today, you can take it back and think about it. Now we continue to see the doctor, and Xiao Qin calls out..."
"Yes..." Qin Xiaoming responded, and with the same action just now, Lin Ran quietly pushed himself back two steps.
What Boss Gu said just now is definitely not wrong, and patients who are overly suspicious really need to be patient.
Facts have proved that if you don’t have enough patience, the patient will lose trust in you after some consultations, and the work you have done before will be in vain, which is useless!
As for the dozens of dollars earned, it is not worth mentioning at all!
Boss Gu, a department director, came to see the doctor for the registration fee of tens or hundreds of dollars?
Obviously not, if you charge more for an operation, you will have four or five thousand for the consultation, so why spend a whole day in the outpatient clinic!
Outside, as soon as Huang Qiuyan walked out of the consulting room, the old sister who accompanied her to see the doctor asked, "How is it? Do you see any problems?"
Huang Qiuyan shook her head, "The doctor prescribed me medicine and told me to take medicine first when I go back. You said I should believe it? I always feel uneasy!"
"Then why don't you ask the doctor to write a note to do a laboratory test and take a film!"
"I was about to talk about it just now, but the doctor said that my blood qi and yin and yang were not in balance, and asked me to take medicine first."
"I advise you to check it out. Have you seen the old Wang next door? He always said that his stomach hurts, but after checking the middle stage of liver cancer, everyone is gone now."
Just when Huang Qiuyan was hesitating, Qin Xiaoming yelled, and a not-so-young old man walked in with a smile accompanied by his daughter.
Thinking back again, the doctor looked at the prescription in his hand with a calm expression just now.
Finally Huang Qiuyan sighed, and said: "Forget it, let's go get the medicine! Take the medicine for a few days first, and if it doesn't work, we'll come to him."
Money, to be honest, for the locals living in Tianhe District, there is really no shortage of this check money!
"Okay! Then let's go back first, take the medicine first, and have a look first, so as not to be drawn another big tube of blood."
…………
…………
Qin Xiaoming had just finished calling the number when an old man with gray hair and slightly sallow skin, who looked to be in his 60s, walked in, and her daughter let go and walked behind him...
As soon as Gu Tian raised his head, he immediately said, "Uncle, please sit down first."
At this time, Lin Ran clearly caught the strangeness in Boss Gu's eyes, and then carefully observed the patient's complexion. There was no blood, and the skin was sallow...
When the old man sat down, Gu Tian looked at his 20-year-old daughter and asked, "Did you bring your medical card?"
"Bring it..."
Li Xiaoyu nodded, her father has three seniors, and she often comes to the hospital, how can she not have a medical card?
After receiving the medical card, Gu Tianyi put it directly on the card reader.
Name: Li Dafei
Sex: Male
Age: 56
Birthplace: Yangcheng...Yuexiu
Medical history: hypertension, diabetes, hyperlipidemia...
…………
The difference between actual age and observed age is not small!
Moreover, the body constitution is poor, and there are three highs. If such a patient is diagnosed with other diseases, it is an intractable disease!
(End of this chapter)
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