"This is my doctor's workstation, junior brother, you used to rotate in the ward, right? Will the outpatient system be used?

"If not, I'll cover it up for you. ”

The male doctor directly regarded Zhang Tianyang as a little white budding newcomer, and he was ready to teach from the most basic things.

After all, judging from the virtues of the few interns he brought before, this group of interns who have just gotten out of clinical practice really don't understand anything.

Unexpectedly, Zhang Tianyang naturally took the mouse from his hand and nodded calmly, "I will." ”

"Huh?"

The male doctor subconsciously wanted to question, "Do you really know how to?" The intern I brought before also thought he would, but the result was ...... Hmmm......"

In the middle of his sentence, he suddenly stopped.

It's really because Zhang Tianyang is already familiar with the interface to the "medical list" and is ready to call the number.

I didn't say anything big, but I really know it......

The male doctor quickly threw away this stubble and began to assign tasks to Zhang Tianyang.

"Senior brother, you are like this, you first ask these patients who have not been treated, help me ask for medical history, write the chief complaint, current medical history, and past medical history. ”

"The chief complaint may not strictly adhere to the 20-word requirement, but it must be clear at a glance, and at a glance you can know what problem the patient is trying to solve. ”

"You know the history of the present illness, the past history of drug allergies must be asked, and the rest should be asked if you look at the symptoms. ”

The male doctor really didn't have much hope for Zhang Tianyang, an intern.

He was arrested just to be a hard laborer, to divide these "only physical strength" medical history work.

But when it comes to physical examinations, diagnoses, and medical orders that "require brain power", the male doctor has no hope at all.

"Other diagnoses, physical examinations, doctor's orders, etc., if you look at it quickly and have an idea, you can get it, but don't ask for it, it's better for me to come and see. ”

The male doctor explained his request in a few words and patted Zhang Tianyang on the shoulder.

"Your job is actually not complicated, the main thing is to help me save time, these patients will be counted after you have seen them, and then let them come to my side to line up to see. ”

"You may not have faced a situation where you need to see a patient for the first time before in the ward and emergency room, but don't be afraid, I have the specific diagnosis and so on. ”

The male doctor's meaning is actually obvious, and it is clear that "you come to help me do some physical work, you don't need to use your brain, and don't be afraid of making mistakes, I will do the work by myself."

The implication is actually a distrust of Zhang Tianyang's intern's business level.

Zhang Tianyang naturally heard it, but did not refute it.

After all, it's normal for interns to not understand anything, and they don't have experience.

If the senior doctor is really very relieved of the intern from the beginning, and can delegate authority to the intern to do anything, it is irresponsible.

So he just nodded, "Okay." ”

"Well, let's get started!"

The male doctor returned to his seat, wiped the fresh sweat from his forehead, picked up a bottle of mineral water hidden under the table, and filled half a bottle.

Ready for battle, the male doctor stretched out his hand to the patient who had been waiting next to him.

"Is that the patient? Come, medical card! Say, what's wrong!"

......

Here, Zhang Tianyang also took the diagnosis and treatment card from the patient standing next to him and began to ask for a consultation.

"What's wrong with you?"

"I have a sore throat. ”

The patient who replied was a nineteen-year-old boy who looked tired and pale, with messy hair and a hoarse voice when he spoke.

Zhang Tianyang's gaze swept over him, and all the characteristics were clear in his mind.

There are a lot of patients in the emergency department, and there are more than a dozen or twenty people queuing up at any time, and the male doctor asked for outside help because he was too busy.

Therefore, we can't wait for the patient to describe the onset of the disease in detail like in the dermatology department, we must take the initiative to attack, race against time, and hit it with one hit!

Zhang Tianyang combined the complaint in his mind and instantly analyzed several possibilities.

"I ask you to answer. How long has it been a sore throat?"

"Uh, 2 days?"

"Do you have a fever? How many degrees does it have for a few days?"

"Yes, I had a fever for two days, 38 degrees. ”

"Do you have a cough and phlegm?"

"I didn't have much cough, but I got up in the morning with phlegm. ”

"What color is the phlegm, yellow, white, viscous or thin?"

"It's yellow in the morning, it's sticky. ”

"Dizziness, headache, chest tightness, chest pain, do you have any pain?"

"There was a headache, it hurt. ”

"Is a headache like having a bowl of water in your head, you can't shake it, and it hurts when you spill the water?"

"Hey, it seems to be true!"

"Are your limbs weak and your waist sore?"

"Yes, doctor, how do you know?"

"Has anyone in the neighborhood recently caught a cold?"

"You know all about this?"

"Do you have a history of drug allergies or food allergies?"

"Nope. ”

"Do you have any genetic diseases in your family? high blood pressure and high blood sugar or anything like that?"

"Nope. ”

One question after another, like a cannon, did not give the patient the slightest time to ramble, and all went straight to the point.

Just asked, the little brother's eyes widened in surprise, feeling that every symptom Zhang Tianyang asked was his own.

After the intensive questioning, Zhang Tianyang had a judgment.

casually pulled a mask from the cabinet and handed it to the little brother, concisely, "Put it on." ”

"Is there anything else you'd like to say?"

The little brother originally wanted to talk to the doctor about how uncomfortable he was, but now that he thinks about it, all the key points have been asked by Zhang Tianyang!

The bunch of words that I originally prepared have now turned into a few short answers, and there are no omissions!

This doctor is amazing!

Faced with the little brother's surprised expression, Zhang Tianyang stopped talking and began to type the main complaint, current medical history and past history on the screen.

After typing, he handed the medical card to the little brother, took out a pen and wrote the words "temperature measurement" on his registration list.

"Go to the outside triage desk and find the nurses with two body temperatures, and then ask them to write a temperature bar, hold the temperature bar and wait for the next one to come in. ”

"Oh, okay. ”

The little brother felt that his medical subordination had never been so good, so he took the things and obediently went out to take his temperature.

Zhang Tianyang looked at the still empty place on the screen, tilted his head to look at the senior brother who was still struggling with the first patient opposite, hesitated for a second, and decisively typed the keyboard.

Diagnosis: influenza.

Doctor's order: pharyngeal dipstick virus quantification.

After thinking about it, he added a bracket after the current medical history, knocking down "If the pharyngeal test strip is positive for the influenza virus, give oseltamivir 1 tablet orally 1/day".

Click Save in the upper left corner, go back to the list of appointments, click on the number, and then call the next patient.

"What's wrong with you?"

......

Five minutes later, the male doctor finally dealt with the two patients he had not seen for the first time without Zhang Tianyang, and was ready to start enjoying the patients that his junior brother had "handled" again.

"Come, sit down. ”

beckoned the little brother to sit down, and the male doctor clicked on the medical record.

"Huh?"

I have written a lot of medical history, and I have a history of present illness and a past history, and the diagnosis and doctor's orders have been made?

Isn't that nonsense!

Didn't you just say that it's best to make the diagnosis and doctor's advice yourself?

There was a slight anger in his heart, and the male doctor forcibly suppressed his emotions and fixed his eyes.

"Huh, this is a very good question!"

The medical history is detailed, the main points are clear, and the writing is standardized.

Not only is it clear at a glance, but it is also pleasing to the eye?

Looking at the diagnosis again, influenza, that is, viral influenza.

This diagnosis doesn't seem bad, huh?

According to this little brother's medical history, it seems that this should be the diagnosis!

Look at the doctor's order again, swallow test strip.

There is also a note at the back of the present medical history, oseltamivir, an antiviral drug, and the dosage are correct.

Isn't this exactly what I was going to prescribe?

This intern is very heartfelt!

The anger that had just risen had long since dissipated, and the mood suddenly became happy, and the male doctor asked the little brother casually.

"Did you just take your temperature?"

The little brother agreed instantly.

"Ah, measured, the doctor on the other side asked me to go to the nurse to measure it, the temperature list is here, give!"

After receiving the temperature sheet handed by the little brother, the male doctor felt that his comfort had risen to the top and bottom.

I even remember to take my temperature!

Everything is laid out for you.

It's comfortable!

The male doctor was in a happy mood, did not change a word about Zhang Tianyang's medical records, diagnosis and medical instructions, and sent the little brother to do the pharyngeal test strip with a smile, and came to him after the results came out later.

"It's so comfortable. ”

The male doctor sighed in his busy schedule, and then sighed.

"Unfortunately, this is probably the only one patient who is like this. ”

After all, viral influenza is a disease that is very easy to experience, and it is actually normal for Zhang Tianyang to be able to diagnose and administer medicine smoothly.

Who hasn't caught a cold a few times?

When the next patient is not a cold, or even a common disease, it is estimated that this intern will not be able to roar!

After all, he's just an intern!

Can't ask too much of him either!

The male doctor's inner theater was interpreted multiple times in an instant, but he was not slow in his hands, and he had already called the next patient.

"What's wrong with you?"

While inquiring about the consultation, he took the patient's medical card and put it on the sensor, and the male doctor casually swept the handwritten complaints and medical history and medical history.

"Huh?"

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Stealing incense