No one thought that Ye Youran would actually pull all the major hospitals into the water.

This old man is a little difficult to retreat.

Before, he was convincing and said that Ye Youran was cheating.

This is equivalent to saying in disguise that the major hospitals and Ye Youran cheated together.

These hospitals are all large national hospitals!

If these hospitals ask for responsibility, even the old man Bao will be a little unbearable.

"Mr. Bao, I am the representative of the First Hospital of Beijing, and I am also the physician in charge and accompanying physician of Patient No. 1. ”

"Although I don't know how Ye Youran rookie diagnosed No. 1 with orthostatic hypotension, please explain whether I am suspected of cheating and motivated by the First Hospital of Beijing. ”

Below, a middle-aged man immediately stood up and asked Old Man Bao a question.

Although Mr. Bao's medical skills are very respectable.

However, the First Hospital of Beijing is a world-renowned hospital.

Every year, Chinese people come to the First Hospital of Beijing for medical treatment, and there is an endless stream of foreign friends.

The reputation of the First Hospital of Beijing is absolutely not questionable.

It's not something that ordinary people can question.

"I didn't say that your first hospital cheated, who can guarantee that Ye Youran did not obtain information from other channels, such as the transportation of medical records, or from other medical channels, such as hacking techniques?"

Old Man Bao is also a quick thinker.

Immediately I went back on my own.

Now the medical records of major hospitals are archived on the computers of their respective hospitals.

If Ye Youran uses hacking techniques.

I didn't get the information of patient No. 1.

Old man Bao's explanation made the representative of the first hospital sit down satisfied.

"Okay! Since Mr. Bao wants to hear my explanation, then I'll talk about it!"

Ye Youran reluctantly explained:

"Let's talk about orthostatic hypotension first, and it should be judged that this patient has hypotension by cutting the pulse, which should be nothing to doubt, and I believe that many Chinese medicine masters here can diagnose it as long as they are careful. ”

Traditional Chinese medicine also has a special technique for diagnosing hypotension.

Of course, empirically diagnosed hypotension is certainly not as accurate as a blood pressure monitor.

It is not possible to know the specific G-value of blood pressure.

Ye Youran continued:

"Traditional Chinese medicine pays attention to looking, hearing, asking, and seeing, and this 'ask' is actually a very knowledgeable thing. ”

"How to ask, from that aspect, it varies from person to person, and it also has to do with experience. ”

"After my consultation, I learned that patient No. 1 often has symptoms such as dizziness, dizziness, blurred vision, fatigue, and nausea when he gets up every morning or during a lunch break. This is typical of low blood pressure. ”

"Also, usually sitting and standing up for a long time will also have symptoms of dizziness, combined with the above three special time periods and positions, I diagnosed him with orthostatic hypotension. ”

Ye Youran's answer made many people at the scene nod secretly.

In fact, the word "consultation" is easy to understand, which is to ask the patient about his feelings and feelings.

But the knowledge in it deepened.

Many doctors diagnose hypotension by taking a pulse.

There was no more detailed questioning.

Even if it's a follow-up question, some other questions will be asked.

For example, how long has this been the case.

Or the usual question of whether there is a genetic history in the family!

Because I can't think of it, most doctors don't ask what kind of position will occur in this position.

Orthostatic hypotension may not be associated unless the patient is not hypotensive on a blood pressure monitor.

This can only be said that Ye Youran's consultation is very in-depth.

"This ...... This is a fool's errand, so let's talk about the diabetes of patient No. 3. ”

"This kind of early diabetes generally does not have too obvious symptoms, unless it is judged comprehensively by looking at the indicators on the test sheet. And how do you judge?"

Mr. Bao asked about the second case.

Early diabetic features are not obvious.

Many patients don't feel sick themselves.

It is also difficult for doctors in hospitals to diagnose.

Only a Western doctor's test sheet can tell the question most accurately.

"Quite simply, disease number three has rheumatism......"

Ye Youran was just about to explain.

Old Man Bao immediately disdained:

"What's the connection between rheumatism and diabetes? Don't tell me it's rheumatism medication that causes diabetes, as far as I know, all rheumatology medications don't cause drug-induced diabetes side effects. ”

Old Man Bao said with certainty.

Some diseases are actually difficult to treat.

For example, patients with high blood pressure.

Many antihypertensive drugs in people with high blood pressure have strong side effects.

Long-term use of antihypertensive drugs may cause drug-induced diabetes.

Therefore, doctors need to make a measurement when treating hypertension.

First of all, high blood pressure needs to be suppressed, and the amount and type of medication must be strictly controlled and measured.

If it is not well controlled, it will cause other complications.

But the drugs used to treat rheumatism have absolutely no effect on causing diabetes.

As long as you have a little medical knowledge, you will not confuse the two.

"Drugs for rheumatism are naturally unlikely to cause diabetes. But birth control pills can. ”

Ye Youran said with certainty:

"In order to diagnose the cause of rheumatism in patient No. 3, I asked her if she had had any experience of pregnancy and childbirth in the last few years. She told me no, her child was in his teens. ”

I asked her if she had any experience with ligation or major surgery. Everyone knows that when women give birth, their bodies are the weakest and the most susceptible to rheumatism. ”

"Or after surgery, the body is weak, and it may also cause wind evil to enter the body. ”

"But patient number 3 told me that no, that she had not been sterilized, and that she had been taking low-cost contraceptives for four years. ”

"Anyone who has studied the basics of pharmacology knows that estrogen or oral contraceptives containing estrogen can cause diabetes. ”

"Patient No. 3 didn't have medical knowledge and had been taking similar contraceptives for years, so I started to suspect that she had diabetes. ”

"After my consultation, it was confirmed that patient No. 3 had been drinking and urinating a lot recently, especially at night, and he usually got up to urinate twice. ”

"Also, her weight has lost a lot in the last month. But she didn't pay much attention to it, thinking it was normal weight loss caused by rheumatism treatment. ”

And the most suspicious thing is that in the past month, she has had soreness in her limbs, low back pain and weakness, menstrual irregularities, and frequent itching symptoms in her vulva. ”

She herself thought it was a gynecological disease, and deliberately went to the gynecology department. However, the gynaecological diagnosis is not a big deal. And this is precisely the symptom that occurs in prediabetes. ”

"Based on these symptoms, I was able to tell that she had diabetes. ”

After Ye Youran finished speaking, he looked at Old Man Bao and said:

"If Bao Lao still has doubts about my diagnosis, you can go and ask Patient No. 3 if my previous consultation was like this. ”

Ye Youran once again made everyone at the scene silent and dumbfounded.

There is also Ye Youran's consultation, which is simply a different way, and it is worth learning from everyone on the scene.

It's a textbook consultation!

Originally, I just wanted to ask about the cause of rheumatism.

Inadvertently, he asked about patient No. 3, who has been taking contraceptives all year round.

However, through the contraceptive pill, it is associated with drug-induced diabetes.

And after some questioning, he was diagnosed with diabetes.

This method and direction of consultation, even Old Man Bao couldn't help but admire it in his heart.

(End of chapter)