Doctor Good and Evil City Tour
Chapter 37
Chapter 37
Chapter 39
I saw that the woman was about 30 years old, and the child in her arms was lying in her arms with an irritable face, coughing sharply from time to time, with deep fear in her eyes, and the age was estimated to be more than one year old.
After a glance, Liu Yishou asked a few questions calmly, nothing more than the main symptoms, duration, where he had seen it, and what medicine he had taken.
After listening to the woman, he took out his stethoscope and prepared to listen. The child probably cried out of fear.
Liu Yishou frowned and said in dissatisfaction, "Can't you coax a child? How can I check if I cry like this? If not, go out and come and see after coaxing!"
The woman hurriedly begged for mercy. Liu Yishou seemed to be very satisfied with this attitude, and said lightly after a grace, "Then hurry up! Don't waste my time!"
Li Fan frowned. He didn't like Liu Yishou's approach very much. Although the patient came to see a doctor, he couldn't treat him with this attitude!
Besides, pediatrics was called mute department in ancient times, they couldn't express it at all, so it was just one word during the examination, so move fast!
If the inspection was done before he didn't cry, there would be no such thing!
Fortunately, the child stopped crying after being coaxed by his mother. The woman looked at Liu Yishou expectantly. Liu Yishou nodded in satisfaction, then casually listened to his lungs, and finally looked at his throat with a cotton swab.
Li Fan took advantage of this time to stand up and take a look, and he had a clear view of the situation inside!
The throat is congested, the tonsils are small, there are no pus spots, the alae of the nose is inflamed, and the lips are slightly cyanotic!
Li Fan kept these in his heart, and slowly compared with what he learned from the book in his heart, and he came to his own judgment.
"Go and listen!" Liu Yishou also saw that Li Fan got up, so he didn't make things difficult for him, and asked him to listen, while he himself billed with the test report.
Li Fan was not polite when he heard the words. After nodding with the woman, he immediately picked up the stethoscope and listened.
Soon Li Fan finished listening, and listened to his heart by the way, and soon came to a judgment in his heart.
"There are a few vesicle sounds in both lungs, and the heart rate is 180 beats per minute. Combined with the signs just now, it is considered that the possibility of pneumonia in the child is high. It depends on how his body temperature and blood picture are!"
Then he checked the thermometer at 39 degrees, but Li Fan was worried, and asked if the child had any symptoms of food refusal, nausea, vomiting, or diarrhea.
Liu Yishou glanced at Li Fan in surprise, but he quickly resumed billing.
"Go check it out, come back and show me, and prescribe medicine then!"
When Liu Yishou opened seven or eight laboratory tests, the woman took them with a wry smile, thanked him a lot, and then left with the child in her arms.
When Li Fan saw this, his brows were furrowed even more. The blood test and chest X-ray were fine, and the electrocardiogram was fine too!But abdominal color ultrasound, liver function, and kidney function should not be necessary. Does he still consider other diseases?
As if seeing Li Fan's doubts, Liu Yishou put down his pen and leaned back, and said in an educational tone, "Xiao Li, the relationship between doctors and patients is not easy now. It is our responsibility to check them clearly, not to misdiagnose them!"
The corner of Li Fan's mouth twitched slightly when he heard this, which is a typical excuse for himself to check more often!But on the first day with him, Li Fan didn't have much to say, so he nodded in response.
Liu Yishou didn't speak, and turned to call the second patient!
The second patient was a young man who looked like a worker in a factory in the Science and Technology Park Development Zone!Clutching his stomach, he walked in with a painful face.
"Doctor, I'm in pain! I'm in pain!"
Liu Yishou asked him to lie down, and Li Fan watched from the side. Following Liu Yishou's inspection, Li Fan also took a general look.
According to the patient, the pain started at night, especially in the morning, and had nothing to do with eating. It was mainly on the right side of the waist, and the cramps were not relieved by rest.
On the other hand, the pressure pain on the right side of the abdomen was obvious, there was no slight rebound pain, but there was knock pain.
In addition, the patient had a history of stones in the past, Li Fan quickly preliminarily judged that this was a patient with stones and renal colic!
Sure enough, Liu Yishou also judged in the same way, and prescribed blood routine, urine routine, urinary ultrasound and kidney CT examination for him, and asked him to prescribe medicine after the examination!
Now it doesn't take Liu Yishou to tell Li Fan that the kidney CT is a dispensable thing, because the color Doppler ultrasound of the urinary system can already see clearly.
However, Liu Yishou seemed to be showing off something, and deliberately pretended to be deep and said, "If the patient can't see without urine, the kidney CT will be useful!"
Li Fan...
Although what Liu Yishou said was correct, Li Fan was sure that it was renal colic caused by urinary stones!
It should be dealt with right away, but after all, Liu Yishou took him with him, so it's not easy for him to write a prescription for him, and besides, he doesn't have the right to prescribe it yet!
Soon, while waiting for the third patient, the first patient came back from the examination. Liu Yishou looked at the test results and threw it to Li Fan, and then asked him to prescribe the medicine together!
Li Fan saw that the blood count was high, the white blood cells were [-], and the neutrophil ratio was [-]. The chest X-ray suggested that pneumonia was suspected, the electrocardiogram showed paroxysmal tachycardia, and other tests showed no problems.
After thinking for a while, Li Fan picked up a pen and wrote a diagnosis of pneumonia in children on the prescription. As for the medication, it was an anti-inflammatory drug for children, an antiviral oral solution, and antipyretic suppositories!
And when he saw Liu Yishou's prescription, he blinked in disbelief.
Nima, the infusion, used high-grade antibiotics and Chinese patent antiviral antipyretics, and then prescribed a bunch of oral medicines. Is this intended to be treated as a serious illness?
After Liu Yishou finished prescribing, he put down his pen, raised his eyes to look at Li Fan's prescription, sneered, and handed his prescription to the woman to ask her to get the medicine. After the patient left, he didn't call the number immediately, and used He looked at Li Fan with mocking eyes.
"Xiao Li, that's right, you are very talented in studying medicine, and your basic knowledge is also good!"
Hearing Liu Yishou's praise, Li Fan was not only not happy, but frowned. He thought Liu Yishou would not praise him like this, sure enough!
"However, although your medicine is suitable for the symptoms, it is too mild! What is the patient doing in the emergency department? He just wants to get better soon. You estimate that he will recover in a few days! How can others trust our hospital in the future? What if he sees it here? Three days, the fourth day is enough to go to the clinic to have a look, what will they say about our hospital? Quack doctors? Even a little pneumonia is not good?"
Liu Yishou spoke more and more vigorously, smashing down the ground, causing the nurse outside to quickly close the door, but she looked at Li Fan with a hint of sympathy.
Li Fan's expression was calm, but his hands were just holding the pen. He didn't expect Liu Yishou to go crazy in this situation. Maybe Wei Qiang asked him to do this, embarrassing him?Can't help but leave?Or talk back to the superior doctor or even hit the superior doctor and be notified and expelled by the whole hospital?
Liu Yishou looked at Li Fan coldly. He very much hoped that Li Fan would resist him. Of course, it would be best if he could do it, although he was a little afraid that the tall Li Fan would attack him hard.
But when he thought of Wei Qiang's promise of the position of department director, he became more courageous.
"Hehe, Director Liu, what you said is really good, what kind words! But it doesn't..."
(End of this chapter)
Chapter 39
I saw that the woman was about 30 years old, and the child in her arms was lying in her arms with an irritable face, coughing sharply from time to time, with deep fear in her eyes, and the age was estimated to be more than one year old.
After a glance, Liu Yishou asked a few questions calmly, nothing more than the main symptoms, duration, where he had seen it, and what medicine he had taken.
After listening to the woman, he took out his stethoscope and prepared to listen. The child probably cried out of fear.
Liu Yishou frowned and said in dissatisfaction, "Can't you coax a child? How can I check if I cry like this? If not, go out and come and see after coaxing!"
The woman hurriedly begged for mercy. Liu Yishou seemed to be very satisfied with this attitude, and said lightly after a grace, "Then hurry up! Don't waste my time!"
Li Fan frowned. He didn't like Liu Yishou's approach very much. Although the patient came to see a doctor, he couldn't treat him with this attitude!
Besides, pediatrics was called mute department in ancient times, they couldn't express it at all, so it was just one word during the examination, so move fast!
If the inspection was done before he didn't cry, there would be no such thing!
Fortunately, the child stopped crying after being coaxed by his mother. The woman looked at Liu Yishou expectantly. Liu Yishou nodded in satisfaction, then casually listened to his lungs, and finally looked at his throat with a cotton swab.
Li Fan took advantage of this time to stand up and take a look, and he had a clear view of the situation inside!
The throat is congested, the tonsils are small, there are no pus spots, the alae of the nose is inflamed, and the lips are slightly cyanotic!
Li Fan kept these in his heart, and slowly compared with what he learned from the book in his heart, and he came to his own judgment.
"Go and listen!" Liu Yishou also saw that Li Fan got up, so he didn't make things difficult for him, and asked him to listen, while he himself billed with the test report.
Li Fan was not polite when he heard the words. After nodding with the woman, he immediately picked up the stethoscope and listened.
Soon Li Fan finished listening, and listened to his heart by the way, and soon came to a judgment in his heart.
"There are a few vesicle sounds in both lungs, and the heart rate is 180 beats per minute. Combined with the signs just now, it is considered that the possibility of pneumonia in the child is high. It depends on how his body temperature and blood picture are!"
Then he checked the thermometer at 39 degrees, but Li Fan was worried, and asked if the child had any symptoms of food refusal, nausea, vomiting, or diarrhea.
Liu Yishou glanced at Li Fan in surprise, but he quickly resumed billing.
"Go check it out, come back and show me, and prescribe medicine then!"
When Liu Yishou opened seven or eight laboratory tests, the woman took them with a wry smile, thanked him a lot, and then left with the child in her arms.
When Li Fan saw this, his brows were furrowed even more. The blood test and chest X-ray were fine, and the electrocardiogram was fine too!But abdominal color ultrasound, liver function, and kidney function should not be necessary. Does he still consider other diseases?
As if seeing Li Fan's doubts, Liu Yishou put down his pen and leaned back, and said in an educational tone, "Xiao Li, the relationship between doctors and patients is not easy now. It is our responsibility to check them clearly, not to misdiagnose them!"
The corner of Li Fan's mouth twitched slightly when he heard this, which is a typical excuse for himself to check more often!But on the first day with him, Li Fan didn't have much to say, so he nodded in response.
Liu Yishou didn't speak, and turned to call the second patient!
The second patient was a young man who looked like a worker in a factory in the Science and Technology Park Development Zone!Clutching his stomach, he walked in with a painful face.
"Doctor, I'm in pain! I'm in pain!"
Liu Yishou asked him to lie down, and Li Fan watched from the side. Following Liu Yishou's inspection, Li Fan also took a general look.
According to the patient, the pain started at night, especially in the morning, and had nothing to do with eating. It was mainly on the right side of the waist, and the cramps were not relieved by rest.
On the other hand, the pressure pain on the right side of the abdomen was obvious, there was no slight rebound pain, but there was knock pain.
In addition, the patient had a history of stones in the past, Li Fan quickly preliminarily judged that this was a patient with stones and renal colic!
Sure enough, Liu Yishou also judged in the same way, and prescribed blood routine, urine routine, urinary ultrasound and kidney CT examination for him, and asked him to prescribe medicine after the examination!
Now it doesn't take Liu Yishou to tell Li Fan that the kidney CT is a dispensable thing, because the color Doppler ultrasound of the urinary system can already see clearly.
However, Liu Yishou seemed to be showing off something, and deliberately pretended to be deep and said, "If the patient can't see without urine, the kidney CT will be useful!"
Li Fan...
Although what Liu Yishou said was correct, Li Fan was sure that it was renal colic caused by urinary stones!
It should be dealt with right away, but after all, Liu Yishou took him with him, so it's not easy for him to write a prescription for him, and besides, he doesn't have the right to prescribe it yet!
Soon, while waiting for the third patient, the first patient came back from the examination. Liu Yishou looked at the test results and threw it to Li Fan, and then asked him to prescribe the medicine together!
Li Fan saw that the blood count was high, the white blood cells were [-], and the neutrophil ratio was [-]. The chest X-ray suggested that pneumonia was suspected, the electrocardiogram showed paroxysmal tachycardia, and other tests showed no problems.
After thinking for a while, Li Fan picked up a pen and wrote a diagnosis of pneumonia in children on the prescription. As for the medication, it was an anti-inflammatory drug for children, an antiviral oral solution, and antipyretic suppositories!
And when he saw Liu Yishou's prescription, he blinked in disbelief.
Nima, the infusion, used high-grade antibiotics and Chinese patent antiviral antipyretics, and then prescribed a bunch of oral medicines. Is this intended to be treated as a serious illness?
After Liu Yishou finished prescribing, he put down his pen, raised his eyes to look at Li Fan's prescription, sneered, and handed his prescription to the woman to ask her to get the medicine. After the patient left, he didn't call the number immediately, and used He looked at Li Fan with mocking eyes.
"Xiao Li, that's right, you are very talented in studying medicine, and your basic knowledge is also good!"
Hearing Liu Yishou's praise, Li Fan was not only not happy, but frowned. He thought Liu Yishou would not praise him like this, sure enough!
"However, although your medicine is suitable for the symptoms, it is too mild! What is the patient doing in the emergency department? He just wants to get better soon. You estimate that he will recover in a few days! How can others trust our hospital in the future? What if he sees it here? Three days, the fourth day is enough to go to the clinic to have a look, what will they say about our hospital? Quack doctors? Even a little pneumonia is not good?"
Liu Yishou spoke more and more vigorously, smashing down the ground, causing the nurse outside to quickly close the door, but she looked at Li Fan with a hint of sympathy.
Li Fan's expression was calm, but his hands were just holding the pen. He didn't expect Liu Yishou to go crazy in this situation. Maybe Wei Qiang asked him to do this, embarrassing him?Can't help but leave?Or talk back to the superior doctor or even hit the superior doctor and be notified and expelled by the whole hospital?
Liu Yishou looked at Li Fan coldly. He very much hoped that Li Fan would resist him. Of course, it would be best if he could do it, although he was a little afraid that the tall Li Fan would attack him hard.
But when he thought of Wei Qiang's promise of the position of department director, he became more courageous.
"Hehe, Director Liu, what you said is really good, what kind words! But it doesn't..."
(End of this chapter)
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