"What's going on?"

The male doctor was a little surprised, why did the second patient give a good diagnosis and medical advice in addition to the complaint and course of the disease?

Is it another viral flu?

The male doctor looked up and glanced at the patient's face.

It's not like a viral flu!

After carefully looking at the complaint and the course of the disease, he nodded.

"Sure enough, it's not a viral flu, it looks like it's bacterial. ”

The chief complaint and medical history are still very complete, and the diagnosis of "upper respiratory tract infection" is made, and the doctor prescribes two items of blood routine and infection.

The two items of infection, including PCT and CRP, are test indicators for bacterial infection, and they are prescribed in a timely manner.

No problem!

The male doctor quickly asked the patient again after picking the key points, and then gave the patient a physical examination.

Like the previous patient, the male doctor did not change a word about Zhang Tianyang's medical records and medical instructions, and called the patient for examination.

After quickly treating the two patients, the male doctor only felt refreshed.

Compared with the entanglement of the first two patients, these two patients are simply refreshing when they deal with them!

Especially in the face of these two patients, the feeling of reaching out for food and opening his mouth made him extremely upset!

A casual glance at the time in the lower right corner of the screen revealed that less than two minutes had passed.

In two minutes, I saw two patients, not only did I get the diagnosis and doctor's instructions for the course of the complaint, but also the time for physical examination!

If it only took so much time to see all the patients, there wouldn't be such a long queue outside.

The male doctor sighed secretly in the interval between calling the next patient over, and then shook his head again.

After all, it is impossible to have several colds in a row, and if you encounter other diseases, it is estimated that the junior brother will not do so well. ”

Muttering, the male doctor took the new patient's medical card and placed it on the sensor.

"Sure enough, this is a patient with abdominal pain. ”

Abdominal pain still needs to be differentiated, and there are many possible diseases, ranging from acute gastroenteritis to acute myocardial infarction.

Compared with the common cold, it is not a level of difficulty in diagnosis.

I don't know why, when I finally saw a patient who might not be able to scream, the male doctor subconsciously breathed a sigh of relief.

I looked at the chief complaint, "Sudden abdominal pain, diarrhea, vomiting for 3 hours." ”

I looked at the patient again and found that he was clutching his stomach, and his whole face was wrinkled into a flower in pain.

For patients with acute abdominal pain and severe attacks, even if the doctor below has already consulted them, the senior doctors will often ask them again.

It's really because of the inexperience of the junior doctors, the senior doctors are afraid that they will miss the question, or they don't ask at all, so they take it for granted and write down the symptoms.

So he didn't carefully read the large paragraph written by Zhang Tianyang at all, but quickly sorted out his thoughts and began to inquire in person.

The patient is obviously still in pain, and when he speaks, his abdomen will be touched, especially painful.

Therefore, he asks a patient to answer a sentence, and he can answer a word and never say two words.

Finally, he asked about the scope, nature, triggering and alleviating factors of the pain, and the male doctor wanted to continue to inquire in depth, but the patient stopped doing it.

"Bang!"

Perhaps because it was too much pain, his hand on the table turned into a smash, and he finally endured the pain to squeeze a complete sentence out of his mouth.

"Your question, the doctor just asked, all asked. Don't, toss, hurry, prescribe medicine. ”

Have you asked them all?

The male doctor was stunned for a moment, seeing that the patient was really uncomfortable, so he could only give up his idea of asking for specific consultations one by one, and opened the current medical history written by Zhang Tianyang.

At this glance, he was a little stunned.

"Why are all the points being asked again?"

"And this order ...... It's very comfortable to look at!"

When many interns ask for medical records and write medical records, they only know to write down all the positive symptoms in one go.

As for which symptom comes first and which comes later, they don't care.

Write which one comes to mind, and everything will be fine if there is nothing left out anyway.

Looking at the entire medical record, you can only see that he asked a lot of symptoms, but you can't see why he asked these symptoms in a scattered manner.

However, in reality, experienced doctors write medical histories in a certain order.

By looking at the symptoms and signs he described, you can see his diagnostic thinking.

Several positive symptoms are grouped together to indicate that there is a high probability of a certain disease.

Several negative symptoms are grouped together to indicate that the possibility of a certain disease can be largely ruled out.

And the current medical history written by Zhang Tianyang gives the male doctor the feeling of a sense of logic that comes to his face.

Looking at the whole thing, he could clearly see Zhang Tianyang's thinking during the consultation.

From acute myocardial infarction, to acute appendicitis, to cholecystitis, pancreatitis, and then to acute gastroenteritis, the diagnosis was finally determined by the method of elimination.

The diagnosis was "acute gastroenteritis", and at the end of the present medical history, Zhang Tianyang summarized that "consider acute gastroenteritis caused by norovirus infection." ”

A very reasonable guess, and the most likely one.

The male doctor gave up the struggle and resigned himself to the patient's physical examination.

Like the previous two patients, this patient's diagnosis and instructions remained unchanged.

Looking at the time again, because he repeated the examination and physical examination, it consumed a full two minutes.

In the past two minutes, Zhang Tianyang has sent a new patient to wait in line next to him, and the second patient has also finished the consultation and is knocking on the medical record, and is expected to join the queue in more than ten seconds.

"Why can the junior brother ask so quickly, judge so quickly, and not make mistakes?"

The male doctor didn't have time to think about it.

Subconsciously, he began to speed up and opened the information of the fourth patient.

This is a patient with a sudden rash all over his body, and after glancing at the medical records, Zhang Tianyang wrote in great detail.

After picking the key points and quickly asking a few questions, the male doctor quickly entered the physical examination.

In the end, unexpectedly, and seemingly reasonable, he once again did not change a word about Zhang Tianyang's diagnosis and doctor's instructions, and called the patient to pay for the medicine.

The fifth patient, fever.

The male doctor did a physical examination, and the diagnosis was not changed.

The sixth patient, dizzy.

The male doctor did a physical examination, and the diagnosis was not changed.

The seventh patient...... The eighth patient.......

Thirteenth Patient ......

From the initial surprise and euphoria, to the shock and doubt later, and then to the final numbness and unfazedness.

Who am I and where am I?

Who is the attending and who is the intern?

The male doctor only felt that the world had lost its color, and time had lost its flow.

He didn't ask for the medical history, he didn't make the diagnosis, and he didn't prescribe the doctor's order.

The sense of accomplishment of accurately judging the condition does not belong to him, nor does the satisfaction of the patient's condition being relieved after treatment.

When the thrill of saving lives as an emergency physician is gone, all that remains is pure work and physical exertion.

His body was still repetitive of mechanical labor.

But the mind sometimes goes to the point of self-doubt.

What went wrong?

God knows, he originally borrowed an intern to come here to relieve his fatigue.

But why, do you feel more tired now?

When you call this junior brother over to help, isn't there only one hour left before you can get off work?

How many patients can I see in an hour? Fifteen, twenty?

How many of the 15 patients have you seen now?

When will I get off work......

()

Stealing incense