This Doctor is Great

Chapter 10: The first bright performance of the outpatient clinic

When Zhou Mo and others came to the outpatient building, they had already felt the 'hotness'.

It is more lively than the vegetable market in the morning.

The hall…

In the hallway...

All of them are densely packed.

But it's no wonder, after all, it is the Second Provincial Hospital (pseudonym), the second best hospital in the province, and there are naturally a lot of patients here.

"what…"

Zhou Mo suddenly saw a familiar person.

It was the tall and thin young man on the subway who he suspected was Marfan syndrome.

"Zhou Mo, what's wrong?" Huang Yiming asked curiously.

"Nothing..." Zhou Mo shook his head, he was a little happy, the tall and thin young man was his 'first patient'.

Soon, Zhou Mo and Huang Yiming followed Mr. Huang Li, passed through the dense crowd, and came to the No. 5 clinic.

Push door,

Go in.

"Okay~ The doctor is here!"

A group of patients could not wait to rush in immediately.

But Mr. Huang Li had a cold face: "Don't come in, wait for the call!"

In his solemn and majestic eyes, those patients who called him could only withdraw angrily.

Turn on the computer and make various preparations.

Teacher Huang Li sat beside the computer, then Zhou Mo and Huang Yiming sat behind them.

Click to call,

Soon, the first patient came in.

Male, about 50 years old.

"doctor!"

"Sit... Chen Dong, right? Where's the discomfort?"

Chen Dong frowned: "I don't know why recently, I often feel dizzy and chest tight..."

Dr. Huang Li: "Specifically, what does it feel like? Chest tightness..."

"It's just stuffy. I can't breathe. I feel a little suffocated when I go up and down the stairs. It's very hard..."

"And dizziness, do you have a headache?"

"Sometimes a little..."

"Do you have high blood pressure? Diabetes, high blood lipids... Do you have any of these? Do you have any medical history? Had surgery, had a serious illness or something, or continued to take medication..."

"I have high blood pressure...I don't have anything else. My health has always been good, and I have never had a serious illness...I usually take medicine for high blood pressure..."

"How long have you had high blood pressure? Is your medication stable?"

"I have high blood pressure for ten years, but it's not very serious. If I take medicine, I take it occasionally..."

"Did you take antihypertensive medicine in the morning? ... Xiaomo, take his blood pressure..."

"I didn't take antihypertensive drugs..."

Zhou Mo was taking measurements, while Mr. Huang Li was inquiring and entering medical records on the computer.

Soon, Zhou Mo finished measuring his blood pressure: "Teacher, the blood pressure is 130/93..."

Teacher Huang Li nodded and quickly entered the data into the system.

After quickly asking a lot of questions, Mr. Huang Li finally took the stethoscope and said, "I'll give you a heart and lung..."

I gave this patient a brief listen to the heart and lungs. There was no abnormality, no obvious murmur, and the rhythm was normal...

"You lie on the bed and do an electrocardiogram..."

If there is no problem with the stethoscope, the electrocardiogram is performed.

There is an electrocardiograph in the consultation room. After all, it is not very big, and the price is not expensive, only a dozen dollars.

"Da da da~~~"

Soon, a series of electrocardiograms were printed out...

"Hey...the electrocardiogram is fine..."

Teacher Huang Li was puzzled.

However, sometimes there is a problem with the heart, which may not be detected with an electrocardiogram, because an electrocardiogram is temporary after all.

If necessary, 24-hour Holter monitoring can be done…

The patient got up from the bed: "Doctor, I, have you found any reason?"

Huang Li shook his head: "Not yet, I'll give you a heart ultrasound, you'll have a checkup...and a blood draw to check for anemia..."

The patient nodded again and again: "Okay, okay..."

Wait!

The patient suddenly turned around and said, "Doctor, am I going to have a cardiac ultrasound now? Can I come back to you after the procedure is over?"

Teacher Huang shook his head: "The color echocardiography needs to be booked separately, so you have to make an appointment for the color echocardiography first. You may not be able to do it today. Check your mobile phone to see if there is any free number for the color echocardiography..."

"Ah? Then don't I want to register again next time?"

"yes."

"Your hospital is too dark!"

The patient said angrily.

"It's already very troublesome for me to make a call, and I have to make another trip to waste a few hours. Can't you finish it for me at one time?"

"very sorry…"

Teacher Huang Li showed a professional smile.

Immediately, the patient left in dissatisfaction with the form of the echocardiography.

"I made a trip in vain. I worked so hard to register and make a trip, but I didn't find anything. This doctor is too bad..."

Of course, the patient just scolded in a low voice, not loudly.

While calling for new patients, Mr. Huang Li asked Zhou Mo and Huang Yiming.

The assessment and teaching experience begin!

"Zhou Mo, tell me, what do you think about the patient's condition just now?"

Zhou Mo had just simulated a visit to the doctor in his heart, so he was not flustered at all, and spoke his thoughts fluently:

"First of all, the patient is relatively old, 55 years old, so the first thing I consider is whether the patient's heart and lungs have problems, such as pulmonary embolism, myocardial infarction, etc..."

"Chest tightness, dizziness, and feeling that you can't breathe, this should be because the blood pumping function of the heart disease has become weak, and then it can't pump enough blood to deliver oxygen to the whole body, including the brain. If there is not enough oxygen in the brain, you will naturally feel dizzy. already."

"It may also be coronary heart disease, myocardial ischemia..."

"There may also be problems with the lungs..."

"Then there is the direction of examination. UU reading www.uukanshu.com blood pressure measurement, stethoscope listening to the heart and lungs are the first and foremost, and cardiology examination is necessary, and then the more accurate is the electrocardiogram, which is the first choice, cheap, very practical, and can diagnose Most heart disease..."

"There is no problem with the stethoscope listening to the heart and lungs, and then there is no problem with the electrocardiogram, so the only way to check is: color Doppler ultrasound, because it is cheaper than CT, so color Doppler ultrasound is the first choice..."

"If the results of the echocardiogram come out and there is no problem, just take a CT, chest CT..."

"If you still can't find the problem, then try to consider other directions, such as endocrinology, let the patient go to the endocrinology department to see if it is hyperthyroidism, other hormonal factors, oh, it may also be anemia, etc..."

Zhou Mo's answer was very fluent.

Teacher Huang Li couldn't help being surprised.

Zhou Mo's first outpatient performance was dazzling!

He glanced at Zhou Mo:

[This guy, are you sure he is a newcomer without any experience? ]

[Too fluent! ]

[When I was training, I wasn't so good...]

Teacher Huang Li was amazed.

At this moment,

The second patient had come in and took his seat.

Zhou Mo was surprised.

Such a coincidence?