Chapter 418: Not Losing at the Starting Line (Ask for Subscription)

Bai Ye took the couple to the doctor's office, and after finding a place to sit down, he took out the ward round book containing his body to record the daily patient's condition, and began to inquire about the condition.

In the hospital, you don't have to give medical orders or prescribe medications, but you must be able to write medical records.

Interns who can write cases are like doctors' close-fitting padded jackets, which are particularly welcome, after all, such a long case makes the doctor write every day and change every day.

Fortunately, the current era is good, put it ten years ago, all of them are handwritten cases, and there are requirements for handwritten cases, there can be no smearing and mistakes, sketching and drawing can not even appear, the requirements are still very strict, once the writing is wrong, it is necessary to tear up and rewrite.

Because the case is the process of diagnosis and treatment after the patient enters the hospital, once a medical dispute occurs, this is evidence in court.

In addition, hospitals and health insurance centers regularly check doctors' cases.

Therefore, the writing of medical records is actually a very important thing.

Fortunately, with the development of science and technology and the popularization of computers, cases can be used without handwriting, and even templates can be built, which saves too much useless work.

A patient who has just been admitted to the hospital needs to complete the admission record and write the first course of illness within 24 hours.

When the woman followed Bai Ye in, her husband said to Bai Ye: "Doctor Bai, my lover is bothering you, I'll go help buy some toilet paper or something, I didn't bring these things when I came to the hospital." ”

After finishing speaking, he said to the woman: "Wife, don't worry, cooperate with Dr. Bai." ”

After speaking, seeing that the woman didn't pay attention to herself, she smiled dryly and got up and went inside.

After the woman sat down, she glanced around with an unkind face, and then looked at Bai Ye cautiously.

Although the woman looked like this, Bai Ye saw loneliness and sadness in her eyes.

"Take off your mask, and I'll see what you're up to. Bai Ye's voice was very calm, and he couldn't hear any emotion.

The woman hesitated for a moment and took off the mask that covered most of her face, revealing her face.

Bai Ye raised his eyes and looked at the woman seriously, to be honest, this woman looks quite marked, although she is nearly fifty years old, she is really well maintained, but Bai Ye is not concerned about this problem.

The corners of the left eye are obviously drooping outward, while the corners of the mouth are indeed biased to the right, and the whole person looks very incongruous.

After Bai Ye took a closer look, he thought for a moment, the patient's current condition was likely to be a peripheral facial paralysis, caused by acute facial neuritis, because if it was a central facial paralysis, there were generally no lesions of the eyes and eyebrows.

Further physical examinations and ancillary tests are needed to confirm the diagnosis.

Bai Ye said: "You don't have to worry or be scared now, I also have some understanding of your current situation, the possibility of lesions in your head is relatively small, and the possibility of acute facial neuritis is a little greater." I still need some checks, I hope you can cooperate with me. ”

When the woman heard Bai Ye say this, although her complexion did not change much, of course, it may be because her face was paralyzed and she couldn't move, but she was obviously relieved.

Because once it is related to the head, this is not a trivial problem.

Maybe it's because Bai Ye's professionalism is still handsome, which makes the woman feel a little trusting.

Seeing that the woman agreed, Bai Ye breathed a sigh of relief, and what he was most afraid of was that the patient would not cooperate.

"You puff up...... That's right!"

The woman puffed hard, but she couldn't puff up, and the left corner of her mouth kept leaking.

Bai Ye continued: "You bared your teeth, right ......"

After testing his mouth, Bai Ye continued: "Do you raise your eyebrows, squeeze your eyes, and usually shed tears?"

………………

After testing the woman's situation, Bai Ye recorded it in the notebook, which can be regarded as having a little understanding of the symptoms, and the next thing is to follow the process.

The chief complainant was the first to ask, "When did this happen to you, and was there anything else uncomfortable?......

As an internist, one of the most important abilities, or qualities, is patience.

Patiently listening to the patient's suffering, this is also a kind of treatment, called confiding therapy, also called emotional therapy, which is to vent the emotions of others, and the patient's most common emotions are mainly sadness and anger.

So, in fact, this treatment starts from the moment you see the patient.

Don't underestimate the medical history, after an experienced and skilled doctor asks the medical history, the patient can already open his heart, and the most important thing between doctors and patients is this open trust.

This is also one of the real reasons why the so-called illness is not contraindicated.

When Bai Ye asked about the birth history, the woman's tears were pouring down, but Bai Ye didn't see the woman crying, Bai Ye didn't bother, but handed a piece of paper from his pocket.

She took a deep breath, washed her nose, and said, "I am pregnant with four children, and I have given birth to one, a son, an only child. Abortion...... Three. ”

After Bai Ye said sorry, he took the woman to her ward, which was also a three-bed, the bed vacated by the man who had just been discharged from the hospital.

The beds in the encephalopathy department are full all day and night, and there are not many opportunities to have empty beds.

Bai Ye said: "Eldest sister, you have a good understanding of the situation, and the possibility of acute facial neuritis is greater, I will open the examination list first, and when the eldest brother comes back, I will take you to do the skull MRI, and we will know the results when they come out, right?"

It seems that when the man is not around, the woman is not as alert as just now, she said slowly: "Okay, thank you, Dr. Bai, I ......"

Seeing the woman like this, Bai Ye smiled slightly: "This is what I should do, by the way, there are some basic information you have to tell me." ”

"Your ID number, phone number, work unit, home address, and your husband's contact information, these are all to be filled in on the homepage of admission to facilitate follow-up and investigation in the later stage. ”

The woman was stunned for a moment, then said: "My name is Qin Yuezhen, I am 49 years old this year, and my profession is ...... Civil servant, working at the Kyoto City Public Security Bureau, phone number ......"

Bai Ye knew that the woman's name was Qin Yuezhen, but he didn't expect her to be a policeman.

After Bai Ye asked all the information, when he was about to turn around and leave, the woman's husband was already standing at the door, and when he saw that his wife and Bai Ye had already started to talk, and he looked obedient, he was suddenly shocked.

You must know that since my wife got sick, her mood has been very unstable in the past two days, it is difficult to see such a scene, and she is also curious for a while, what did this Bai Ye do?

In order to let the woman get the results as soon as possible, Bai Ye wrote an "urgent investigation" on the skull MRI checklist, so that the radiology department could give a report very early.

After giving the checklist to Qin Yuezhen, the two hurriedly went to the MRI room, and Bai Ye returned to the ward to establish the hospitalization record and the first course of the disease, and then gave the doctor's order, but the specific treatment plan and medicine had to wait for the test results to come back.

Wang Wenliang sat opposite Bai Ye, saw where Bai Ye gave the doctor's order, and asked in a low voice: "Xiao Ye, what's wrong with that woman?" ”

Bai Ye smiled: "Don't be so gossipy. ”

Wang Wenliang smiled: "I'm not gossiping, with my years of clinical experience, I tell you, this kind of woman is not easy to mess with, and ...... Very picky, very high expectations for treatment, and extremely uncooperative with your treatment, and even, if you have a bit of background, you may also come up with a background to pressure you, and even have to transfer to the hospital, ask an expert to consult or something!"

"I look at this woman, the director should not be on our fourteenth floor, he should be sent to the fifteenth floor psychiatric department, where she belongs, and, that woman, the Omega constellation watch on her hand, about 100,000, the bag is Prada, and it has to be tens of thousands, you listen to my brother's words, this woman, you still stay away, you can cure it, if you can't treat it, let it be given to someone else, don't talk about you, I can't cure it!"

Wang Wenliang said this is not nonsense, but to tell the truth, there are not a few such patients, and they have caused trouble for doctors.

Shi Na, the young female doctor next to Wang Wenliang, smiled: "Brother Wang, don't forget one thing, the patient is a woman, and Xiao Ye is a handsome guy, this study shows that after a woman sees a handsome guy, she will change a lot, and her attitude will turn 180 degrees, an idle and boring research institute in the United States published a paper, that is, aesthetics helps to prolong life and regulate emotions, so ah, don't judge the general situation......"

There are no outsiders in the ward, and everyone is joking to relieve the boredom and sleepiness caused by writing medical records.

The atmosphere of the internal medicine department of the hospital is far less active than that of the surgical department, and the atmosphere of the surgical department, whether it is an outpatient clinic, a ward, or even the operating table, is undoubted.

However, the encephalopathy department may be due to the fact that there are more mentally ill patients, and this group of doctors knows a truth very well, and they do not explode in depression, but go crazy in depression......

When Wang Wenliang heard this, he was speechless, and he suddenly felt that Bai Ye's appearance really shook his appearance status in the encephalopathy department......

Thinking of this, Wang Wenliang couldn't help but scratch his head, just ...... When he put down his hand, he suddenly noticed that there were a few more hairs in his hand!

Suddenly, Wang Wenliang's distressed tears almost flowed out, and a few of his precious hairs fell out again...... Suddenly, an inexplicable sadness just frowned...... It's on my mind again...... If it goes on like this, the cliff will be bald in the future!

He looked up, just saw Bai Ye's forehead through the top edge of the computer, saw the black and bright hair, and the tight hairline, and sighed.

Others are losing at the starting line, and they are ...... It's a loss on the hairline!