This Doctor is Great
Chapter 75: Difficult patients
The mock consultation has officially started.
Huang Xinyi said to the SP patient (female), "What's wrong with you?"
sp patient (female): "It's like this, recently, my heartbeat has been feeling very fast..."
Huang Xinyi asked, "Is there any more?"
"And the feeling of tightness in the chest...the kind of breathless..."
"How long."
"It's been over a week."
"Does it hurt?"
"One point... By the way, also, I fainted on the subway two days ago."
"Oh, okay... Is there anything else?"
"Gone."
Huang Xinyi tapped "rapid heartbeat", "occasionally felt chest tightness and chest pain", "fainted 2 days ago"
"Okay, let me ask you a few questions..."
"Okay, okay..."
"Before you fainted, did you feel chest tightness and pain in your chest? Heart palpitations, rapid heartbeat, etc..."
At this time, Huang Xinyi had gradually withdrawn from the fear of Director Qi's 'devil staring' behind him, and gradually focused his attention on the SP patient.
Moreover, the thinking has begun to become clear.
Why do you ask, 'Before you fainted, did you feel chest tightness and pain? ’, in order to diagnose the symptom of ‘fainting’ and whether there is a pre-existing cause such as myocardial infarction.
The patient shook his head: "I just felt dizzy, then it went dark, and then I didn't feel anything..."
Huang Xinyi: "Did you go to the hospital?"
Patient: "No, I was busy with work at the time, and then I went to work after I woke up and was fine."
Huang Xinyi: "..."
I couldn't help but complain in my heart.
My God, is this the sp patient? So illogical.
If the real patient is so big-hearted, that's really admirable!
Huang Xinyi asked again, "When did your Yuejing come? The last time."
When asked this question, Professor Qi couldn't help but nodded.
good!
Because Huang Xinyi's vision has expanded from cardiology to major internal medicine.
When a patient faints, it is not necessarily a heart problem.
Possibly anemia.
or hypoglycemia...and other...
And Yuejing is one of the common causes of anemia!
Moreover, heart problems may involve endocrine disorders.
Professor Qi said in his heart: "Although I was a little flustered at the beginning, but after entering the state, it still looks more professional, not bad..."
The patient replied, "No. 1..."
"Does this My Yuejing have anything to do with it?"
"Heart problems may be endocrine problems, and there may also be anemia..."
"Are you pregnant? Are you married?"
"No."
"Is there a history of heart disease at home?"
"No."
"History of allergies, past medical records, any surgery?"
"No."
"Did you take any medicine?"
"Heart-saving pill..."
"Quick-acting heart-saving pills, right? How long have you been taking it?"
"It's been a week..."
Professor Qi nodded in satisfaction.
From the medical history, diagnosis, key points... Huang Xinyi has achieved all these.
Huang Xinyi asked some more questions, then took out the stethoscope.
"Okay, let me listen to your heart and lungs..."
After listening,
"Your heart feels okay, I didn't hear anything wrong, I'll do an electrocardiogram for you later..."
"Doctor, I'm worried about my illness, so I searched the Internet to see if I have any serious illness."
Huang Xinyi: "..."
What doctors are most afraid of: apples, Baidu, dogs...
Huang Xinyi: "Don't look up information on the Internet..."
Patient sp: "But, I read the information on the Internet, what kind of chest tightness, chest pain..."
Huang Xinyi hurriedly interrupted: "Don't, don't, no, online diagnosis requires a foundation - you can only support it after you have done various related tests, so you don't trust online..."
Patient sp: "But the Jiuxin Pill I took was suggested on the Internet, and it worked well..."
Huang Xinyi: "That's luck. What medicine you take must be prescribed by a doctor. If it is not prescribed by a doctor, what should you do if you take the wrong medicine?"
Professor Qi watched from behind, and began to grade in his heart.
From this stage, Huang Xinyi firmly denied the patient's behavior about online search.
This is a great job.
Next, open the inspection.
Basic blood routine, electrocardiogram, echocardiography…
The sp patient goes out for an examination…
1 second later,
The patient came in: "Doctor, I have finished the examination..."
Huang Xinyi: "..."
There is a groove, I want to vomit, but I can't.
Huang Xinyi looked at the blood routine, electrocardiogram, and echocardiography... and found that there was nothing wrong.
Huang Xinyi: "I saw your examination, there is nothing wrong..."
Patient sp: "You didn't see anything wrong with me, did you? Impossible?"
Huang Xinyi: "But your results show that you have no problem."
Patient sp: "No, you are so young, it must be because your medical skills are not high enough. Look (take out your mobile phone), you look at the Internet and say that many young people now die suddenly because of chest pain and tightness..."
Huang Xinyi: "..."
coming!
The harassment is coming!
She recalled her teacher's teaching to her. When facing patients, she should not hesitate. She must show the professionalism and majesty of doctors and not be led astray by patients.
"Don't believe what's on the Internet... Look, I checked you an echocardiogram. If there is no problem with the structure of the heart and blood flow, it means that there is no problem with your heart... If you are worried, I will get you a dynamic electrocardiogram. , you are carrying the instrument, it will detect your 24 ECG changes 24 hours a day..."
Well, it's a bunch of professional explanations.
Then the patient began to ask repeatedly:
"The last time I fainted, I had someone to save me. I'm afraid that next time I fainted when no one was there, wouldn't I be dead?"
"There are so many young people who died suddenly on the Internet, will I do the same?"
"Also, is there any medicine that can help me? My heart is beating very fast."
"Doctor, will I die?"
"Doctor, I think you are too young, I want to see an older doctor..."
"Doctor..." X6
…
"Doctor..." X10
Huang Xinyi: "..."
Almost broke the defense!
Fortunately, she stabilized. She firmly remembered the teacher's teaching: you must show the professionalism of a doctor to stabilize the patient, and not let the patient question you.
Huang Xinyi, let's start...
"You have to believe that I am a professional. I have studied medicine for 11 years, and I have received a good enough education to help you diagnose..."
"You're nervous now, which will affect your heartbeat. You have to relax and take a deep breath..."
"Don't worry, UU Reading www.uukanshu.com trust me..."
After a lot of comfort, the sp patient finally nodded.
Professor Qi also nodded. At this later stage, Huang Xinyi really did well.
"Thank you doctor..."
Then he left the clinic.
sp, it's over!
Huang Xinyi's emotions were withdrawn from the patient, and then her heart began to get nervous. She glanced at Professor Qi and thought: Have you failed the exam this time?
Professor Qi said with a 'black face': "Okay, your session is over... Go out and call Huang Yiming in."
Huang Xinyi almost cried.
Did I fail the exam?
Why does the director have a dark face?
…
The doctor's conference room, watching the whole process, almost laughed like crazy.
"Hahaha~~ Director is here to scare the little guy again."
"The same thing happened to Ji Pei last time. There was a little girl who was scared and cried by Director Qi..."
"Huang Xinyi performed well this time..."
"It is indeed possible."
Scored one after another...
…
Zhou Mo's meeting room here,
A group of people waited nervously.
bang~~
Huang Xinyi pushed the door and came in.
"came back!"
"Xinyi, how is it? Is it difficult?"
Everyone asked curiously.
Huang Xinyi took a long breath and said with lingering fears, "Do you know that Professor Qi was right behind me, less than 1 meter away, staring at my diagnosis, scaring me to death..."
hiss~~~
Everyone sucked in the cold air.
Huang Xinyi: "And that patient, it's hard to deal with, Doctor Baidu..."
hiss~~~~
Everyone took in the cold air again.
.
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