Seeing that the man kept retching, Lin Yi frowned slightly.

The results of gastroscopy showed nothing more than chronic superficial gastritis with erosions.

As the saying goes, ten people have nine stomachs, which means that nine out of ten people have chronic superficial gastritis.

As long as gastroscopy is done, it usually indicates chronic superficial gastritis.

Like this man is slightly heavier, chronic superficial gastritis with erosions.

However, even if this chronic superficial gastritis is accompanied by erosion, it will not cause such a man to retching and nausea.

Chronic superficial gastritis is accompanied by erosions, usually abdominal pain and bloating after meals, and in some cases, nausea and retching, but it is definitely not like in men.

Besides, after the man had a gastroscopy in another hospital, he also gave him omeprazole, livzon delor and other drugs to protect his stomach.

But according to the man, there was no effect at all.

After taking the medicine, I was nauseous and retched even more, which is outrageous.

There are many diseases that cause nausea and vomiting, but not just stomach problems.

Moreover, this man is only a chronic superficial gastritis with erosions, which is not enough to cause persistent retching.

Sometimes malignant hypertension causes a sharp increase in blood pressure, causing an increase in intracranial pressure, and nausea and retching.

So Lin Yi measured his blood pressure, but his blood pressure was in the normal range, which ruled out the situation caused by malignant hypertension.

Lin Yi looked at the man's face, which was already a little pale because of the violent vomiting.

And this man was simply because of nausea and vomiting, and he only did a gastroscopy and a blood routine check in another hospital, and did not do other examinations.

Because of the poor treatment effect, I came to the central hospital.

"Doctor, what do you think I'm sick with? The last hospital said that I had chronic gastritis and erosion, and also prescribed me medicine to treat my stomach, but I took it

In the future, there is no effect, but it is aggravated, please ask the doctor to give me a good examination. ”

Lin Yi nodded and began to open the checklist on the computer.

He prescribed a CT scan of the abdomen and liver and kidney function tests for the man.

He was almost certain that something was wrong with the man.

When the results of the examination come out, I will be able to explain it to the man in detail.

I just don't know if he can accept it, the disease he got is probably not as simple as chronic gastritis.

But this patient, when he saw that Lin Yi had prescribed so many checklists, he frowned.

He said with some dissatisfaction: "Doctor, I just have chronic gastritis, and at most I am a little erosive." You even gave me so many checklists? You might as well prescribe me some good stomach medicine.

I'm just nauseous and retching right now, nothing else is uncomfortable. You should prescribe me less checklists and more good medicines. ”

The patient recognized that he himself was suffering from nausea and vomiting caused by chronic gastritis.

I didn't want to think about whether it was other reasons, but I came to Lin Yi to see a doctor, and I thought that there were too many examinations.

To be honest, Lin Yi had already realized what kind of illness he was.

But if he said it directly, without checking it as a basis, the man probably wouldn't believe it.

It would be even more irresponsible to prescribe him only some stomach medicine according to what he said.

On the contrary, it is tantamount to harming the patient.

In today's contradictory doctor-patient relationship, if Lin Yi has done fewer examinations, there is not enough evidence to prove this man's disease.

Once he is diagnosed, what kind of disease he is, I'm afraid Lin Yi won't be able to tell at that time.

Therefore, no matter what kind of patient or what kind of disease, there must be enough tests to diagnose the condition.

It's a responsibility to the doctor and a responsibility to the patient.

In today's hospitals, this is essential.

If a patient comes to a hospital and only says what symptoms he has and does not do any tests, he asks for medication.

Then the doctor who receives the treatment will definitely not do what he says.

If there is no clear examination and no clear condition, it is impossible for the doctor to blindly prescribe medicine.

The doctor listened to the patient, did not insist on the examination, but only prescribed medicine, and as a result, the patient had an accident.

The family will not be grateful to the doctor, but arrogantly come to the doctor to be responsible.

So now Lin Yi almost has a divine eye, but he will definitely not do things without following the rules and procedures, and without doing an inspection, he will casually prescribe medicine to this man.

He couldn't do it, and neither would the other doctors.

Lin Yi took the examination list and patiently said to the middle-aged man: "Let me tell you, your condition is not just nausea and vomiting caused by chronic gastritis from the results of gastroscopy.

I think there are other causes, so you'll have to do a test to be sure, otherwise I wouldn't be able to prescribe you medication. ”

"Besides, even if I prescribe you medicine for your stomach, it's all you've taken, isn't it ineffective? If I really listen to you today and prescribe you some medicine to treat your stomach, it will still have no effect when you go back.

On the contrary, it will delay your condition, so I advise you not to delay time here, hurry up and do the examination as I said, and after clarifying the condition, we will do a detailed treatment plan. ”

After Lin Yi's detailed explanation, although the man was still a little reluctant, he still took the checklist and went out for an examination.

Patients like this do not do what the doctor tells them to do, but come on their own terms.

Lin Yi is in the emergency department, how can he meet seven or eight people a day.

In general, they will accept it after a patient explanation.

There are only a few cases of arrogance and unreasonableness, and they will make a big fuss in the consultation room, but the result is often dragged away by the security guards.

After he left, Lin Yi sat down in the consultation room for a few more minutes, and then hurriedly walked in from outside the door A man about thirty years old.

He clutched his stomach and bent over, looking more painful.

"Doctor, my stomach hurts, can you prescribe me some laxatives and let me pull it?"

Lin Yi frowned slightly when he heard the man's request.

I feel that there is something strange about this patient.

According to common sense, when ordinary patients come to see a doctor, they will definitely talk about their condition and how it appeared.

Then let the doctor check what your disease is, and then treat the symptoms!

But this man, come up and let the laxatives be prescribed!

There's something wrong with him!

The young man looked at Lin Yi silently, and begged again: "Doctor, please prescribe me some laxatives, I am only constipated for a few days, and I have no stool, prescribe me some laxatives, and I will be fine as soon as I have diarrhea." ”

The man's words made Lin Yi even more suspicious.

First of all, constipation is just that the stool can't be solved.

At most, it is bloating, but it does not cause abdominal pain.

Moreover, laxatives are available in pharmacies outside.

So, why did this man come to the hospital?

Lin Yi looked at the man's expression of pain and didn't seem to pretend, but he didn't talk about his condition, and only asked for laxatives.

This makes people have to doubt his motives.

Patients like this are allowed to prescribe medicine when they come up, and they do not talk about their condition or are allowed to be examined.

It was impossible for Lin Yi to prescribe medicine to him.

It's like the young couple a while ago, holding a child to let go of the fever medicine and not let them look at it.

If Lin Yi hadn't been careful at that time, he might have fallen for the young couple.

Fortunately, Lin Yi adhered to his principles, did not let him see the child, and resolutely did not prescribe medicine, so he escaped the catastrophe.

And now this man comes to the clinic and does not see a doctor and only allows him to prescribe laxatives, which must be something abnormal.

Lin Yi said: "You have to tell me the details of your illness." ”

"When did you start having stomach aches?"

"Did you have any nausea and vomiting? Do you have any previous medical history? ”

"I have to check your condition clearly and make a clear diagnosis before I can give you medication.

If I don't know what your illness is, I just prescribe medicine to you, it is not responsible to you, and it is a dereliction of duty for me. ”

And the man still didn't give up, he held his stomach tightly with his right hand, beads of sweat appeared on his face, and he still begged Lin Yi.

"Doctor, I had a stomachache half an hour ago, I haven't had a bowel movement for a few days, it must be caused by constipation, you just prescribe me some laxatives."

Lin Yi shook his head.

"I'm sorry, I can't do this request of yours, I can't prescribe medicine without a clear diagnosis, this is the principle of being a doctor."

"If you just buy laxatives, then there are a lot of laxatives in the pharmacy outside, you can buy them casually, there is no need to come to the hospital to register to buy laxatives."

"If you insist that I prescribe you laxatives and don't let me find out the cause. Then please go to the pharmacy outside and buy it, I can refund your registration fee. ”

The man saw that Lin Yi was not moved at all, and his stomach hurt badly, so he had no choice but to be examined.

Lin Yi asked the man to lie on the examination table.

A physical examination was done and it was found that he had obvious tenderness in his left lower abdomen, but there was no rebound tenderness.

Abdominal distension is also not obvious, and the tenderness in the left lower quadrant is more limited.

If the right lower quadrant is tender, then acute appendicitis should be considered.

But the man was left lower quadrant tender, and there was no obvious flatulence.

And the symptoms of abdominal pain are obviously very serious, and the sweat beads on the man's face seeped a layer during the examination for a while.

Clearly, he was in great pain.

And at this time, Lin Yi's passive ability was not activated.

He can only consider several possibilities such as acute gastroenteritis, urinary stones, and intestinal spasms based on the man's symptoms.

However, further examination is needed to be sure.

Regardless of Lin Yi's passive ability, whether it is automatically activated or not, whether he can directly see what kind of disease the man has.

However, necessary examinations are absolutely indispensable.

Because of the current medical environment, it is not allowed to prescribe drugs to patients without any examination.

Nothing is fine, once an accident happens, and you don't have any evidence of examination, and you prescribe medicine to the patient, then the doctor will be legally responsible.

Lin Yi prescribed an abdominal CT for the man, as well as abdominal color ultrasound and related blood routine examinations, and asked the man to go to the emergency CT.

There is a CT in the emergency department, which is specially opened for emergency patients, which can be checked at any time, and the results can be released at any time, without queuing.

If it is upstairs outpatient clinic those specialist professors, prescribe the results of the examination.

For example, CT and MRI examinations all need to be checked on the basement floor.

Under normal circumstances, the results of these large tests will not be available on the same day, and the next day will be the earliest.

Because of the particularity of the emergency department, the hospital has specially placed a CT in the emergency department to serve emergency patients.

And some patients who often come to the hospital know about this convenience. , they don't have to go upstairs to find those experts and professors.

I came to the emergency department for a quick result.

As long as this man has a CT scan, Lin Yi will soon see the CT results on the computer, which is also convenient for diagnosis and treatment of patients.

And the man knew that if he didn't check it, Lin Yi would definitely not treat him, or he knew in his heart that his condition had to be checked.

So he didn't resist, so he took the medical card and went to the CT room for examination.

Not long after the man with abdominal pain left, a young man of twenty-five or sixteen years old entered the consultation room.

This man is not tall, probably less than 1.7 meters.

The eye sockets are deep, the cheeks are thin, and he looks very thin and sick.

He walked into the consultation room and said directly to Lin Yi: "Doctor, I have cancer, I can't stand the pain, please prescribe me a demerol to relieve the pain." ”

Hey! It's a strange day!

Two patients in a row, without mentioning their condition, directly let the medicine go.

And this young man is even more outrageous, and when he comes up, he will prescribe poisonous anesthetics.

Demerol is a restricted drug!

It is a potent analgesic, but it also belongs to a controlled class of narcotic drugs.

Lin Yi's current title of resident physician can't prescribe this medicine at all.

Because the hospital will not give junior doctors the right to authorize poison and anesthetics.

And this young man in his twenties came up and asked himself to prescribe Durandine, and also said that he had cancer.

But he didn't have a certificate of cancer in his hand, which made Lin Yi even more suspicious.

Because some patients with advanced cancer do need to take analgesics to relieve pain.

But they usually have medical records, anesthesia cards at the hospital.

Only by taking the medical records and anesthesia card can you come to the hospital to prescribe those powerful analgesics.

But the man in front of him didn't have anything in his hand, and he was about to open Du Lendin when he came up.

The patient in front of him is most likely an addict!

It's worth it!

Coming to prescribe restricted drugs in broad daylight, this person is quite bold!

This Du Lengding, don't say that he is not qualified and can't open it, even if he is qualified, Lin Yi will definitely not open it for him.

However, Lin Yi didn't want to provoke this kind of person.

After all, these people are addicted to everything and do anything.

After thinking about it, Lin Yi said: "I'm sorry, the medicine you said, I don't have enough level, I can't prescribe it." ”

When the man heard that Lin Yi couldn't prescribe this medicine, he was a little anxious.

"Where can I prescribe this medicine?"

"If you want to prescribe this drug, you have to have the medical records of the hospital and the diagnosis certificate, and then go to those old experts to prescribe it."

Lin Yi didn't hide the man, he told the truth.

His qualifications really can't prescribe this medicine, and there is no need to hide it.

What if he guessed wrong?

This man is not an addict, but a real patient, doesn't that hurt him?