Challenge book?

Xia Yiwei opened the challenge book handed over by Lin Han.

The signature is Lin Chuan.

"Let's go, round the room!" said Xia Yiwei, the corners of his mouth turned up slightly, and he put away the challenge book.

"Didn't you check the room in the morning?" Zeng Feng was unconvinced.

"That's also called ward rounds?" Xia Yiwei had taught them internal medicine rounds when he first came, and he described them in four words - a quick look.

I see you can still find out the flowers? Lin Chuan followed behind Xia Yiwei, his waist as straight as an aspen.

Came to a ward, facing the first patient, Zeng Feng was silent, Xia Yiwei looked at the simple and crude medical history, then looked at the examination report, and then asked the medical history in detail, and finally looked at the infusion card - cefuroxime bid, Yan Xuning, potassium chloride sodium chloride 250ml.

"Doctor Zeng, what do you think of this patient's diagnosis?" Xia Yiwei put away the medical record card and stared at Zeng Feng.

"Isn't it written on the medical record card? A cold is also called an acute upper respiratory tract infection. Zeng Feng avoided Xia Yiwei's chilling eyes and said.

"I don't need you to remind me, I know that a cold is also called an acute upper respiratory tract infection, and I am asking you about the patient's current diagnosis, not the admission diagnosis. ”

"The current diagnosis? It's a cold!"

"Cold?" hehe...... Xia Yiwei lowered his head and sneered, then raised his head and said: "Have you ever seen a cold that has a 10-day course outside the hospital, and it is not good after 5 days of infusion?

"Colds are generally viral infections that last for a week and are self-limiting. Zeng Feng couldn't answer the first question, but the last two questions were fine, "I know you want to say that the blood picture is not high, and you shouldn't use antibiotics if you don't consider bacterial infection, but everyone uses it like this." ”

"Huh...... You're so smart. Xia Yiwei sneered again, everyone uses you like this, and you follow the trend, "The use of antibiotics to treat non-bacterial infections is called misuse of antibiotics, but I don't want to talk about this problem now, I want to talk about another problem, it is called misdiagnosis?"

"Misdiagnosis? Isn't he getting a cold?" Zeng Feng couldn't believe his ears, but in fact, he didn't believe himself even more. He plucked up his courage: "Doctor Xia, I know that you have just taken office, and you want to kill chickens and monkeys, but you don't need to buckle such a big hat!"

"Yes or no, don't you know if you accompany your eldest brother to the county hospital for a check-up?" Xia Yiwei didn't bother to explain, saying that a thousand things and ten thousand are better than seeing is believing.

"What kind of examination?" Zeng Feng was angry, and said in front of the patient that he had misdiagnosed, even if your Doctor Xia had the ability to pierce the sky, it would be excessive, "If it is really a misdiagnosis, I will pay for it?"

"Allergen screening!" Xia Yiwei deliberately misdiagnosed in front of the patient, it was not painful or long-term, and the most important thing was that he didn't have so much time to spend on intriguing with his colleagues now, and he preferred to go straight to the knife than to capture Meng Shou seven times.

Could it be allergic...... No, it won't! Zeng Feng refused to believe it.

"Big brother, Dr. Zeng will accompany you to the dermatology department of the county hospital for a check-up, and he will pay for it, and by the way, I will prescribe the medicine over there, and when you come back, you will be discharged from the hospital and go home to take medicine for treatment." Xia Yiwei rang the call bell as he spoke.

"Oh, by the way, big brother, Dr. Zeng paid for the examination, but you have to pay for the medicine of more than 3,000 yuan. ”

"More than 3,000 yuan for medicine! Doctor Zeng, what does Dr. Xia mean? I'm just a cold, there's no need. "The patient is anxious when he hears that it is more than 3,000 yuan, and it will not cost him so much to stay in the township health center for a month.

Without waiting for Zeng Feng to speak, Xia Yiwei said: "You'll know when you go, as for whether you buy medicine or not, it's up to you." ”

Xia Yiwei didn't want to explain more, money is not an issue that doctors should pay too much attention to, and the truth will be revealed when everything goes. It just so happened that nurse Liu Jie came and asked her to pull out the needle for the patient, and he walked to the patient in the next bed.

Let's go, I'll see what you have to say later! Zeng Feng snorted at Xia Yiwei's cold back, and then called the cold brother to go to the county hospital.

The time to get busy flies, and before you know it, it is noon, during which Xia Yiwei sent a few cold patients home to take medicine, and adjusted the medication for the inpatients.

Liu Jie looked at the almost empty ward and felt very uncomfortable, not worried about her own income, but worried that Xia Yi would definitely give someone a handle if she didn't go on like this, after all, everyone really wanted to eat.

No, I have to persuade him! Thinking about it, Liu Jie came to the doctor's office, and as soon as she entered the door, she was stunned by the scene in front of her.

She saw that Zeng Feng's eyes were full of emotion, Brother Yiwei on the left, and Teacher Xia on the right, Zeng Feng's respectful attitude was that he had never appeared in the face of the attending physician Gao Xiaohong, and it was like two people.

Liu Jie put away the novelty in her heart, walked to Xia Yiwei's side and said, "Doctor Xia, I have something I want to tell you. ”

"Xiao Liu, don't you see that Dr. Xia is telling the patient the precautions for going home? If you have something to say, oh, by the way, the patient is about to be discharged from the hospital, and the doctor has given the order, so you can review it over there." ”

"Going to be discharged again? 6 of them are out today. Liu Jie was speechless.

"Isn't it just 6! trivial!" Zeng Feng replied disappreciatively, and then shouted: "What? 6, plus him is 7, a total of 10 patients ......"

"Is there anything wrong?" Xia Yiwei felt that his eardrums were about to burst, and turned his head to look at Zeng Feng.

"No, no problem, with Dr. Xia, what are you afraid of without a patient? Xiao Liu, hurry, go quickly. Zeng Feng said and pushed.

"Okay, okay, I'll go, I don't need you to push!" The ghost was confused, Liu Jie glanced at Zeng Feng, and then walked to the nurse's office next door.

"Remember, this is desensitization therapy, you must change all the bedding at home when you go back, except for taking medicine on time......" Xia Yiwei instructed the cold patient.

"Yes, yes, then thank you Dr. Xia!" The cold patient thanked him, turned his back and muttered: "It turned out to be allergic rhinitis, what broke the hospital, I said it was not a cold, and I was hospitalized so many times." ”

The patient's complaint was heard by the two, Xia Yiwei sighed, and said speechlessly: "Actually, you don't need to buy him desensitization drugs, you also heard it, people's hearts are like that, everything depends on the result." ”

"It's okay, just buy a lesson, and I really didn't diagnose it! Don't talk about this, Doctor Xia, I'm younger than you, you can just call me Zeng Feng." Zeng Feng was completely convinced of Xia Yiwei, and he could see that the cold patient was allergic rhinitis with the naked eye, which was much stronger than Gao Xiaohong.

"Ah Feng, they are all brothers, we call them doctors when there are people, and you can call me brother when there is no one. Xia Yiwei smiled.

This smile made Zeng Feng feel like a spring breeze, but he hadn't seen Xia Yi show a smile before this, especially when he didn't smile during the rounds, which made people shudder.

Zeng Feng was no longer restrained, and said with a smile: "Brother, how did you see at a glance that the patient was not a cold, but allergic rhinitis?"

"Consultation!" Xia Yi didn't spit out two words, which made Zeng Feng think for a while before he continued: "Consultation is the first thing to see a doctor, our ancestors in the past, there were no laboratory tests, no imaging tests, no genetic tests...... They don't heal the sick and save people in the same way. ”

"Well, I know! Brother, let's talk about it specifically!" Zeng Feng urged.

Seeing Zeng Feng's eagerness, Xia Yiwei shook his head secretly, and he didn't know if he really listened or ......