41. Can you do it at all?
If you don't have a system, you can't see a patient, so you can't see a patient?
The sound was like a basin of cold water pouring from head to toe, and Xia Yiwei was wet.
How many doctors in the world are open?
No, not really.
There is no system, I am also a doctor, and I am still a licensed doctor.
I can take responsibility for my actions.
I also believe that I have the ability to treat patients.
Thinking, thinking, the corners of Xia Yiwei's mouth rose again.
It's not good-looking.
An Ran and Zeng Feng, who saw this scene, were really startled, and made sure that Xia Yiwei was sick, and they were still laughing in this situation, isn't this looking for a fight?
The two of them hurriedly winked at Xia Yiwei, signaling to stop laughing.
Xia Yiwei frowned and looked back, a punch the size of a sandbag stopped on the tip of his nose.
"Greh......" Xia Yiwei glared, "What are you doing here?"
"I still want to ask you what are you doing?" The middle-aged man straightened his waist and said indignantly: "Why are you still smirking there if you don't save my daughter-in-law?"
"Did I laugh?" Xia Yi was not puzzled, turned around and got a nod, and then turned back to explain: "That's my mistake, but please go out, if I have any rescue impropriety, someone will come to investigate." ”
That's the aura!
Seeing that the middle-aged man's momentum withered and left angrily after leaving a cruel word, An Ran's eyes shone brightly, that man he is back, and the man who dares to uphold the dignity of our medical staff is back.
"How much is the pulse oxygen, how much is the blood pressure, and what are the vital signs?" said Xia Yiwei, who took out a stethoscope and put it into the shirt of the woman who was breathing weakly.
"Uh...... That, I haven't tested it yet. Ran Ran looked innocent, and when he saw Xia Yiwei, who was holding a stethoscope in his ear, he glared at him, and said angrily: "You didn't give a verbal medical order." ”
"Didn't I say it?" Xia Yiwei turned his head and said while listening: "Breathing is steady, 14 breaths per minute, the breath sounds in both lungs are clear, no dry and wet rales are heard, the heart sounds are distant, the heart rate is 76 beats per minute, the rhythm is uniform, and no pathological murmurs are heard in the auscultation area of each valve." ”
"Why? It stands to reason that if the respiratory muscles are paralyzed, you won't be able to breathe steadily. Zeng Feng was puzzled.
"Pulse oxygen is 99%, blood pressure is 120/76mmHg. After Ran Ran finished reporting, his waist straightened, and asked, "Doctor Xia, what else do you need me to do?"
"The complexion is slightly pale, and the lips are not cyanotic, not like hypoxia. Xia Yi did not move in the direction of the patient's feet, "stop the oxygen, and measure the pulse oxygen again." ”
Turning off the oxygen supply switch, Ran Ran put the finger pulse oximeter on the patient's thumb, and after a while, the results came out, and the finger pulse oxygen was 98%.
"Hmm...... The difference between before and after is not very large, and the patient should not be hypoxic, but unfortunately our hospital cannot measure arterial blood oxygen. Enron had some regrets.
"There will be later. Xia Yiwei took out two cotton swabs and drew pathological signs on the patient's feet, "Negative Babinski's sign on both sides, muscle strength of limbs is grade 0, muscle tone is normal, bilateral pupil diameter is about 3ml, and direct and indirect sensitivity to light reflex ......"
"Teacher Xia, is it Gran Barry?" An Ran also thought of it, and Gillan-Barre was also called Gran Barry. Zeng Feng looked at Xia Yiwei with some excitement, and was a little disappointed when he heard Xia Yiwei say.
"The onset is too fast, and Gran Barry generally has an upper respiratory tract or gastrointestinal infection before coming to illness, does this patient have it?" Xia Yiwei looked at the two of them.
"I said, Mr. Xiaoxia, are you having selective amnesia? Just now, you didn't ask anything to the patient's family, and you were stunned for a long time, and you honestly told us if you have epilepsy?"
The patient had no respiratory muscle paralysis and his vital signs were stable, so An Ran was relieved to care about Xia Yiwei.
"Epilepsy? Do you know a lot?" Xia Yiwei sneered secretly, the seizure had an absence seizure, but he really didn't.
"I vaguely guessed what the disease was, but I won't tell you yet, I will draw all the blood that can be drawn, especially electrolytes, so that the laboratory can get the results quickly. ”
Xia Yiwei sold a pass, although the system said that the time would say the answer, but he was not allowed to take the diagnosis that was being considered by the system as the answer, and he could not take this risk.
Township hospitals can check blood routine without UsCRP, CRP, electrolytes, incomplete liver and kidney function, blood lipids, and blood glucose.
The electrocardiogram is also to be taken, Zeng Feng carried the electrocardiogram from the electrocardiogram color ultrasound room, and the results showed sinus heart rate.
"There's no problem!" An Ran handed the report from the machine to Xia Yiwei.
"There's nothing wrong with an ECG. Xia Yi did not indicate the time and name on the paper, "By the way, what is her name?"
"Haven't registered yet. Ran Ran pumped the blood of a patient who didn't resist at all.
"Feng, let the family register, all the examinations that should be opened are opened, and the chest X-ray is also added. Xia Yiwei emphasized that there is no medical eye that is reliable with the help of auxiliary examinations.
"Will she be able to stand up?" asked An Ran.
"It should be fine later. Xia Yiwei whispered behind the patient's back.
"What kind of illness is it?" An Ran also lowered his voice.
"Not sick. Xia Yiwei's voice was even quieter.
"Hey, two, pay attention to the image!" Ran Ran couldn't stand it anymore.
After a while, the middle-aged man walked in with the registration slip scolding, "What kind of doctor?
"The doctor won't eat? How can you give your wife a check-up if you don't register? How can you use medicine if you don't check!" An Ran is not happy, and hates this kind of patient's family the most, and it seems that it is a matter of course to give patients free medical treatment.
"What's your attitude as a little doctor, call you Doctor Gao out, I want to see how she brings you apprentices?"
"Doctor Gao, what Doctor Gao?" An Ran looked puzzled, he hadn't heard of a doctor surnamed Gao in the hospital for so long.
"The old doctor in internal medicine took half a year off. Xia Yiwei was concise, "That, brother, has your daughter-in-law had any colds or diarrhea and stomach aches in recent weeks, and has she been vaccinated?"
"Why are you asking this?...... No. ”
"How is she eating lately?"
"Eat more than I do. ”
"Has anything like this happened before?"
"I didn't ...... Nope?"
"Are you sure?"
"I said no, why don't you believe it?"
"So have there been any major changes in your family recently, such as whether any close relatives have had an accident?"
"I said, what's the matter with you doctors, Dr. Gao didn't see patients like you before, can you do it?"
"You'll know if I can do it later, as for you, tell me the results directly, don't say anything else, okay?" asked in detail about the root of the medical history and diagnosis, and Xia Yiwei didn't want to ask more.
"Yes! My son died in a car accident in three months. ”
"Well, that makes sense. Xia Yiwei nodded, and asked again: "Then has she vented her emotions recently, such as crying?"
"I haven't seen it, I have more than one son at home, what is there to cry about. The middle-aged man replied very simply, and didn't want to be asked again, so he asked: "I said that you asked so much, do you know what kind of disease my daughter-in-law has?"
"When the blood draw results come back, you go out first, and I will inform you as soon as the results are available. ”
"Okay!" said the middle-aged man who walked out of the room and took out his mobile phone, as if he was going to call someone.