Chapter 39 Seeing a Doctor

I saw that the woman was about thirty years old, and the child in her arms was lying in her arms with an irritable face, coughing sharply from time to time, with a thick fear in her eyes, and it was estimated that she was more than a year old.

Liu Yishou glanced at it and asked a few questions lightly, which were nothing more than the main symptoms, duration, where I had seen it, what medicine I had taken, and so on.

After listening to the woman, he took out his stethoscope and prepared to listen, but the child was probably so frightened that he cried.

Liu Yishou frowned and said dissatisfiedly: "Can't you coax a child?" How can I check if I cry like this? If it doesn't work, you can go out and come back and see it later! ”

When the woman heard this, she hurriedly begged for mercy, Liu Yishou seemed to be very satisfied with this attitude, and said lightly after giving a sigh of gratitude, "Then hurry up!" Don't waste my time! ”

Li Fan frowned, he didn't like Liu Yishou's approach very much, although the patient came to seek treatment, but he couldn't treat it with this attitude!

Besides, pediatrics was called dumb in ancient times, and they couldn't express it in the first place, and it was a word when they were examined, and they acted quickly!

If he hadn't checked it before he cried, it wouldn't have been like this!

Fortunately, Xiao'er stopped crying after being coaxed by his mother, and the woman looked at Liu Yishou expectantly, Liu Yishou nodded with satisfaction, and then listened casually to his lungs, and finally looked at his throat with a cotton swab.

Li Fan took advantage of this time to stand up and take a look, and the situation inside was clear at a glance!

The pharynx is congested, the tonsils are not large, there are no pus-spots, the nasal wings are agitated, and the lips are slightly cyanosis!

Li Fan silently remembered these in his heart, and he slowly compared what he learned from the book in his heart, and he had his own judgment.

"You go and hear it!" Liu Yishou also saw that Li Fan got up, so he didn't embarrass him, and asked him to listen, while he himself took the test sheet to bill.

Li Fan was not polite when he heard this, and after nodding to the woman, he immediately picked up the stethoscope and sounded.

Soon Li Fan listened to it, and by the way, he also listened to his heart, and quickly made a judgment in his heart.

"A small amount of vesicles in both lungs, a heart rate of 180 beats per minute, combined with the signs just now, considering the possibility of pediatric pneumonia, it depends on his body temperature and blood picture!"

Then check the thermometer 39 degrees, but Li Fan was not at ease, and asked the child if he had any symptoms of refusal to eat, nausea, vomiting, and diarrhea, and stopped talking after learning that there was none.

Liu Yishou glanced at Li Fan with some surprise, but he quickly continued to open orders.

"Go check it out, come back and show me, and prescribe medicine when the time comes!"

After Liu Yishou opened seven or eight test sheets, the woman took them with a wry smile, and then thanked him well before leaving with the child in her arms.

Seeing this, Li Fan's brows tightened even more, even if the blood routine and chest X-ray were counted, the electrocardiogram would also work! But abdominal color ultrasound, liver function, and kidney function should not be necessary, is he still considering other diseases?

As if seeing Li Fan's doubts, Liu Yishou put down his pen and leaned back, and said in an educational tone, "Xiao Li, the doctor-patient relationship is not easy now, it is our responsibility to check them clearly, don't misdiagnose them!" ”

The corners of Li Fan's mouth twitched slightly when he heard this, this is typical to make excuses for himself to come to check more! But on the first day with him, Li Fan didn't say much, so he nodded and answered.

Liu Yishou didn't speak, turned his head and called the second patient!

The second patient is a young man who looks like a factory worker in the Science Park Development Zone! Holding his stomach and a pained face, he walked in.

"Doctor, I hurt! I hurt to death! ”

Liu Yishou asked him to lie down, Li Fan observed beside him, and with Liu Yishou's inspection, Li Fan also took a look.

According to the patient, the pain begins at night, it is especially obvious in the morning, it has nothing to do with eating, it is mainly on the right side of the waist, colic, and it is not relieved by rest.

The tenderness on the right side of the abdomen is obvious, there is no slight rebound tenderness, and there is buckle pain.

Coupled with the patient's previous history of stones, Li Fan quickly preliminarily judged that this was a case of stone and kidney colic!

Sure enough, Liu Yishou also judged in this way, and prescribed a blood routine, urine routine, urinary color ultrasound and kidney CT examination for him, and asked him to come back and prescribe medicine!

Now you don't need Liu Yishou to say that Li Fan understands, that kidney CT is a dispensable thing, because the color ultrasound of the urinary system can already be seen clearly.

However, Liu Yishou seemed to be trying to show something, and deliberately pretended to be deep and said, "In case the patient can't see without urine, kidney CT will be useful!" ”

Li Fan...

Although what Liu Yishou said was not wrong, Li Fan was already sure that it was kidney colic caused by urinary stones!

It should be able to deal with it immediately, but after all, it was Liu Yishou who took him, and he couldn't prescribe it on his behalf, besides, he didn't have the right to prescribe yet!

Soon, when waiting for the third patient number, the first patient number came back, and Liu Yishou took a look at the test sheet and threw it to Li Fan, and then said that he would follow him to prescribe medicine together!

Li Fan saw that the blood picture was high, the white blood cells were 16,000, the neutrophil ratio was 80, the chest X-ray showed that pneumonia was considered, the electrocardiogram showed paroxysmal tachycardia, and there was no problem with other examinations.

Li Fan thought about it, picked up the pen and placed a diagnosis of pediatric pneumonia on the prescription, and the medication was a pediatric anti-inflammatory drug, an antiviral oral liquid and an antipyretic suppository!

And when he saw Liu Yishou's prescription, he blinked in disbelief.

Nima, infusion, with advanced antibiotics and Chinese patent antiviral antipyretics, and then a bunch of oral drugs were prescribed, is this going to be treated as a serious illness?

After Liu Yishou finished opening, he put down the pen, raised his eyes and looked at Li Fan's prescription, and after laughing, he handed his prescription to the woman and asked her to get the medicine.

"Xiao Li, yes, you are very talented in studying medicine, and your basic knowledge is also good!"

Hearing Liu Yishou's praise, Li Fan was not only not happy, but frowned, he felt that Liu Yishou would not praise him with such a big belly, sure enough!

"However, although your medicine is symptomatic, it is too light! What does a patient do when he comes to the emergency department? I just want to be optimistic quickly, you estimate that he will be better in a few days! How will others trust our hospital in the future? What if he visits the clinic for three days and goes to the clinic on the fourth day, what will they say about our hospital? Quacks? Can't you see a little pneumonia? ”

The more Liu Yishou spoke, the more energetic he became, and smashed down the sky, causing the nurses outside to quickly close the door, but she looked at Li Fan with a trace of sympathy.

Li Fan's expression was flat, but his hands were just holding the pen, he didn't expect Liu Yishou to be mad in this situation, this is probably Wei Qiang asked him to do this, embarrassed him? Can't help but leave? Or is it that the senior doctor even beat the senior doctor and was notified and fired by the whole hospital?

Liu Yishou looked at Li Fan coldly, he really hoped that Li Fan would resist him, of course, it was best to do it, although he was a little afraid that the tall Li Fan would make a heavy move.

However, thinking of Wei Qiang's promise of the position of section director, he became bolder.

"Hehe, Director Liu, what you said is so good, what a golden and jade good words! And yet it doesn't..."