Chapter 60 Medical Records

“…… That's all for me, do you have any opinions? ”

In the study on the second floor, John calmly sat on the chair in the center, talked to Thomas and the other three, and spent just ten minutes to give a rough idea of his thoughts.

Of course, the necessary reservations still have to be made.

After all, the three of them just made a statement, even if John is no longer ignorant, he must keep the key things, and on the other hand, he also understands one thing, since it is said that everyone works together to conduct research, even if he is the leader, he can't do all the work, only let others do the same, and always give each other a little room to play.

He needs collaborators, not followers.

After listening to him, Paul? Zach pondered for a moment and then asked thoughtfully, "John, so you now believe that the cause of the pain in your right lower abdomen is due to your appendix?" ”

"No, no, of course not, I think you misunderstood."

John immediately shook his head and said with a smile: "I can't guarantee that the cause of the pain in the right lower abdomen must be a problem with the appendix, after all, we all know that there are many things in the right lower abdomen of human beings, and no one can guarantee what is wrong!" However, based on so many medical records and papers I have reviewed, the appendix is probably the most likely site, and it is ......"

"And what?"

Robert? Prince was in a hurry, and when he saw that John was hesitant when he said this, he immediately asked.

"And I've examined a lot of patients with pain in the right lower quadrant."

John raised his eyebrows, and said calmly: "The last three months." I found at least forty patients with right lower quadrant pain at Charlotte Hospital and examined them in detail. If you look at all this information together, I think the chance of having problems with the appendix is relatively high! ”

No matter what era there are people with stomach pain, as the best hospital in Berlin, Charlotte Hospital has almost the strictest concentration of people with abdominal pain in the whole of Berlin. However, to John's regret, the stomach ache of this era was sometimes very threatening, and six of the thirty-seven patients he found died in agony......

"Is there a detailed record?"

This time, Robert was even more anxious after hearing this, and directly interrupted John.

"Yes."

After a moment's hesitation, John's brow furrowed slightly, and then quickly relaxed. I got up and walked to the front of the bookcase. After opening the bookcase. John hesitated for a second or two, for there were two stacks of papers, one of which was about two hundred pages, but the other was five or six hundred pages!

John ended up choosing the thinner stack. Moved down and placed in front of Robert. He said with a smile: "Here are the medical records of one hundred and sixteen patients with pain in the right lower abdomen. Thirty-seven of them were personally consulted or examined by me, and the rest were all patients who had previously been admitted to Charlotte Hospital......"

"Wow, Wow......"

John was still talking. Robert and Paul couldn't wait to look through it.

If they first came here because they trusted Thomas, and because of John's papers, now their interest has really been aroused by what John just said.

One hundred and sixteen patients with pain in the right lower abdomen, in addition to the medical records collected from other doctors, the detailed medical history, symptoms, and physical examination of each patient were recorded one by one, such a huge workload is really amazing, and listening to the meaning of John's words just now, these materials are collected and sorted out in strict accordance with the designed content framework, which is quite a rare novelty for them, so both of them invariably looked through the thirty-seven medical records that John himself examined.

To put it bluntly, the doctors of this era are still in a very early stage of research, and they still don't know how to design and plan in advance, and they don't know the importance of collecting complete information. Therefore, the qiē made by John is so fresh and interesting to Paul, and of course it is more of a "so powerful" feeling!

However, Thomas was not immediately by their side to see the case data.

Both of his eyes were focused on John's body at this time, because just the moment John frowned, he felt a strange aura from this young companion. And it was this breath that made Thomas's heart jump suddenly, and his mood became inexplicably nervous, like ......

Sitting across from him was Professor Bergman!

"Hoo ......"

As if to remove the tension in his body, Thomas exhaled softly and asked in a deep voice, "John, these things...... Is that the information you usually collect from other doctors? ”

"Sneaky?"

After hearing Thomas's question, John suddenly had a black line on his head.

During this time, in order to collect these materials, John really took great pains, in addition to finding those doctors who might treat patients with right lower abdominal pain, begging grandpa to ask them to let him copy the medical records, he also wandered around other doctors whenever he had time, and when he encountered patients with similar symptoms, he would secretly stop each other after seeing a doctor, and use one or two marks to tempt the other party to find a small room to do a detailed examination again!

This information is the result of his daily running to other doctors.

In fact, not only that, but in order to get some other counts, such as whether the number of white blood cells was increased, etc., John even bribed them at the price of five marks per person, convincing them to let John take a few milliliters of blood at work or on weekends, and then take it under the microscope and make detailed records!

These are the things that other doctors in this day and age don't do.

Fortunately, most of the people who come to the hospital in this era are poor people, and five marks is a very tempting number for them. After paying a lot of money, John finally achieved his goal.

Of course, if you do too much of this kind of thing, naturally don't expect people to find out.

On several occasions, it was because John had stopped someone else's patient for an examination that the attending physician was furious and almost went to Professor Bergman. It was only later, with the publication of his two articles in The Lancet and German Medicine, that when Johann went to ask for medical records and even stopped patients for examinations, the other doctors turned a blind eye and let him go.

However, the reputation of "meddling" has completely fallen.

As a time-traveler, John already felt a great loss of identity because of this incident, and today Thomas couldn't help but think of the scene of the argument with those doctors again......

Thomas also knew he had said the wrong thing. Hurriedly held back a smile and set his eyes on the stack of materials on the table.

Thomas, who had just started flipping through it, was quickly drawn to the wealth of information. I didn't notice that Paul and Robert next to me had slowly changed from the initial eagerness and anticipation after looking through some of them, and slowly turned into serious and dignified!

It's definitely a stunning medical record!

The content is detailed and terrible!

In just one part of the physical examination, John recorded in detail general conditions such as body temperature, pulse, number of breaths, and blood pressure. Even height and weight were recorded. And in the back, I checked the skin and mucous membranes, superficial lymph nodes, head features, neck, chest, and abdomen! And when it comes to the specific parts, the details are difficult to understand. For example, in the case of a nose, his examination is even so detailed that he has to determine whether the patient's nose is abnormal and whether the nasal septum is centered. Whether the nasal flars are agitated, whether there is discharge and bleeding, whether the nasal cavity is patency, and whether the nasolabial folds are symmetrical from time to time......

"Is it necessary to write in such detail?"

When he saw the fourth medical record, Paul finally couldn't hold back the curiosity in his heart anymore and looked up and asked.

For the doctors of this era, it is a matter of course for patients to check where they are unwell, and John's examination is so detailed that it seems to them that it is a bit unbelievable! A patient with a stomachache, what are you checking his head for?

"I think it's necessary!"

John smiled slightly, and said lightly: "As a physician, I think one of the greatest treasures in his life is the case data that he has in hand, and it is difficult for you to guarantee when you will need to use them again in the future, or find anything in between, so if you write in more detail, the more useful it may be in the future!" ”

He didn't explain it in detail, because it was difficult to explain it to them.

"Really?"

Thomas and Robert also raised their heads at this time, and their puzzled eyes fell on John at the same time.

"I believe so."

Without hesitation, John nodded vigorously.

He is not exaggerating at all.

For ordinary people, medical records are a tool to record their illness journey, but for a physician, medical records carry more than just their work experience.

Experience, lessons and knowledge!

A lot of knowledge in the field of medicine is summed up from the medical records of countless patients.

In his previous life, John once heard a story about the three treasures of Union Medical College, the library, the professors and the medical records, among which the medical records that have been properly preserved since the establishment of the hospital can be said to be the pride of the Union. Once, a medical student from the United States came to Xiehe for an exchange, and he was very excited to see so many well-preserved case data, so he spent a long time researching, and finally sorted out two high-quality papers before returning to China!

This incident left a deep impression on John.

So from the day he decided to become a physician again, John had already made up his mind to build a large and complete medical record database, at least he or the patients handled by his hospital must leave a detailed and responsible medical record data, and he would also strive to teach this principle to his colleagues and future students, and then leave an inexhaustible wealth to future generations of physicians......

"Wow!"

"Wow!"

……

After lowering his head again, Thomas and the other three silently continued to look through the case information on the table, and directly opposite them, John was enjoying the hot coffee that had just been brewed, and his thoughts had flown to April in the near future...... (To be continued......)

PS: I'm sorry, the weekend update will be late, and the second chapter is not guaranteed.