449 Is the patient lying?

"Mr. Liu, is there any latest news to convey?"

As soon as he returned to the emergency center, Wang Chao ran over.

"Then there must be, it's still fresh first-hand news. Do you want to tell you secretly, what are you bribing me?" asked Liu Banxia with a smile.

"Uh...... , What level of intensity is the severity of the news according to the level of pain?" Wang Chao hesitated.

"The level of childbirth. Liu Banxia remained silent.

"Dry, add the chicken thighs. Wang Chao's eyes were shining.

Liu Banxia leaned into his ear and muttered a few words.

Wang Chao's eyes slowly lost their brightness, and the eyes that looked at Liu Banxia also became resentful.

The interns who secretly paid attention to this side were left to cover their mouths, needless to say, Mr. Wang was fooled by Mr. Liu again.

"Miao Rui, go and call Dr. Wang in your heart, Dr. Chen outside your heart, Dr. Chen in pediatrics, and Sister Li. Liu Banxia said.

Miao Rui nodded, and ran to call someone.

"There is a small situation that delays everyone's time for a few minutes. After everyone came over, Liu Banxia said.

"At present, it seems that the health insurance problem is easy to go wrong, and some people will use it fraudulently. We should pay more attention to this point when receiving treatment, especially those patients who are admitted to the hospital, if they are verified by the medical insurance bureau, we will not look good. ”

"That's it, and I took away a chicken leg. How do you check it?" Wang Chao said with a wry smile.

"This is really a headache, not only for us, but also for the inpatient department. Liu Banxia said.

"There is no other good way, take a look at it carefully when you register, and ask more when we receive the consultation. If I had to tell the difference, it would be hard for me to see it. ”

"When I received the consultation, I was most concerned about the condition, where I had time to see who looked like. Male patients can talk a little, but female patients may have other ideas. ”

"By the way, I have to say a word about this. The service attitude should be as good as possible, at present, there is no problem on our side, and the inpatient department has found several cases of poor service attitude, playing with mobile phones, and cutting in line. ”

"But there is also one thing, we can do our part, and that is success. Don't get used to it if you encounter unreasonable people, how can you have so much time to bother with them?"

"Just like the situation that Sister Li encountered last time, I don't know if it is rumored that it will really be said that our nurse made the old lady diarrhea. No one thinks about how nonsense this is, and when it is preached, it is said that it is something that will attract the attention of others. ”

"But in the future, when you encounter a similar situation, don't rush up alone, just look for me. Otherwise, what do you want me to do, I haven't been afraid of anyone about fighting. ”

Everyone laughed when they heard him, and that was true. He did not work hard in the original emergency department and emergency center, and now the medical department will have a headache when it encounters complaints about him.

"It's the New Year soon, I won't say anything superfluous, I know that everyone will be very hard. Go back and quickly count the menu, work has to work, eat and drink, Wang Chao don't forget to add chicken legs to me. Liu Banxia continued.

Wang Chao was even more depressed, this chicken leg was a little cheap, and he couldn't refute it.

The matter of medical insurance is indeed very serious, if you miss a lot, you will be disqualified from the designated point. But this matter is really not worth a chicken leg, so he has to be cautious in the future.

The simple little meeting was over, and the big guys dispersed.

However, Wang Huan did not rush away, "You came back just in time, you just received a 16-year-old patient with abdominal pain and back pain." During the physical examination, the abdomen was soft, and McCepha's dot and Murphy's disease were also checked, and an ultrasound was done, and there was no problem. ”

"Now I'm sending it for a CT scan of the abdomen to see if there is anything that the ultrasound didn't detect. But I'm a little unsure now, whether it's because his father won't let him play the cram school he enrolled in. ”

"I'm usually fine, but when I have to go to cram school, I have a stomachache. The physical examination is still normal, and now this situation has to be talked to you. ”

"Let's wait and see the CT results, it's really uncertain. Liu Banxia said.

"Just like the patient I picked up from orthopedics last time, isn't he median arcuate ligament compression syndrome, and that's not very easy to notice. ”

Wang Huan nodded, "I also asked when I was examined, although it was pain in the upper abdomen, but it was not the xiphoid process, but around the navel." ”

"Father and son, just like the mother and daughter last time, also quarreled a few times when I received the doctor. However, I didn't suspect that the child was dealing with the object, that is, he didn't study well and didn't want to go to cram school, and the tuition fee for that cram school was quite expensive. ”

"I think it's a lot more profitable to run a cram school now than we are to be doctors, and it's a lot of money to just take a class. Liu Banxia said.

"What about your daughter? Did you also sign up for an English class? Are you in such a hurry when you are only in the second year of junior high school? ”

"It's a little late, we have to start with the baby. Wang Huan said with a wry smile.

"English is a pull item, next year will be the third year of junior high school, if you want to get into a good high school, you don't have some good work? Even if you go to study at your own expense, if you don't have an advantage subject, no one wants us how much money you spend. ”

"Sometimes I feel sorry for my daughter, her eyes are already short-sighted, and I have been paying attention to this. But what's the way to feel distressed? It is related to her future life. ”

"Your sister-in-law and I are so big in energy, I don't want her to take care of the two of us in the future, she can live a more comfortable life, then it is better than anything else. ”

"It's enough to choke and be comfortable, it's all a generation's anticipation. At that time, she will have to worry about the child as much as you do now, where to go comfortably. Liu Banxia said with a smile.

Wang Huan was stunned for a moment, and shook his head helplessly.

It's really such a thing, it's all a heart that can't be.

Unless there is no pressure on life like Liu Banxia and Qiao Qiao, the child can be more comfortable.

For example, some people say that children can still get good grades without making up classes, that is because other people's children are smart, and our children can't reach that height for the time being.

So even if you feel very sorry for the child in this matter, you have to go on unswervingly. It's even harder in the third year of high school, and the high school entrance examination is at most a warm-up.

"By the way, in a few days, there will be additional positions on the internal medicine side, and you and Brother Hui won't have to work so hard at that time. Liu Banxia said.

"Actually, it's nothing, the current task is not so big, and many of them have been diverted by your interns. It's just that there is some punctuality, but I am not particularly tired. Wang Huan said.

At this time, the father and son walked back, holding the CT film in their hands.

The CT film was inserted into the viewing lamp, and after watching it, Liu Banxia frowned. The examination was negative and there were no problems.

"And this report of a stool, a urine test, a blood test. The patient's father said.

Wang Huan took it and looked at it carefully and handed it to Liu Banxia, who frowned even more tightly after reading it. All the test results are negative, and judging from the test results, it is really not healthy.

Liu Banxia glanced at the patient, a quiet young man, wearing glasses, no matter how he looked, he didn't look like a person who lied and said that he had a stomachache in order to avoid making up classes.

"Doctor, he's faking illness, isn't he? Now there's nothing going on, it doesn't hurt at all. I wasted money on the hospital for an examination, and I felt uncomfortable if I didn't lose my family's money. The patient's father spoke.

The patient twisted his head to the side and made no rebuttal.

Wang Huan glanced at Liu Banxia, he still had to make up his mind about this matter. In his judgment, there was no other way to do it.

Unless you get another angiogram, that's a bit far-fetched. There are no clear indications for the current symptoms, and there is not even a place to suspect.

"How long has this intermittent pain been there?" asked Liu Banxia.

"It's been more than half a month, and it hurts for a while every day. The patient said.

"Even if you went to cram school, you didn't go to cram school and never saw you hurt. Don't you want to say earlier, the money is paid, people don't go, is the family's money blown by the wind?" said the patient's father.

"You take your breath first, I think the young man is very steady, not like a lying child. It's okay to do well in the class?" asked Liu Banxia.

"Hey...... If he can't understand anything, I don't care about his mother, why don't you live? It's because of his good studies, he can rank in the top five in the class, and the worst is in the top eight, so even if it costs more money, the two of us have to provide for it. The patient's father said.

"In the future, we can't let our children complain about our inability to be parents, we had the opportunity to be admitted to a good university, but it was delayed because of the poverty of our family. ”

"It's not that I'm worried about the money, it's just that the money for this cram school has been spent in vain. As soon as I got to class, my stomach hurt, and having the money to buy him meat, clothes, and shoes is better than throwing it away for nothing. ”

Hearing his words, the patient took off his glasses and began to wipe his tears.

Liu Banxia gave Wang Huan a look, and now he has to separate the father and son, otherwise there will be interference in the next diagnosis.

"Feel aggrieved, right?"

After Wang Huan took the patient's father aside, Liu Banxia took out a tissue and handed it to the child.

The child wiped his tears and snot and nodded.

"Pity the hearts of parents all over the world, they are all for the good of their children, sometimes they just don't know what to say or express. Liu Banxia said.

"Do you usually have regular abdominal pain? Every day, it hurts around that time, and the kind of pain that comes all of a sudden?"

The child frowned, "It's not so regular, sometimes it's early and sometimes it's late." At first, it didn't hurt very much, but then it hurt more and more, and I could sweat when it hurt the most. It's over, and it suddenly doesn't hurt anymore after this while. ”

Task Release: Are Patients Lying?

Open-ended task: The patient presents a condition as if he or she is lying, leaving the host's discretion to make its own judgment. Task rewards will be awarded based on the diagnosis results

Looking at the tasks that came out, Liu Banxia also had a headache, because now he couldn't judge what the child's situation was.