426 Kicking the nose and the face (Foucs plus more ×2)
"Presumably stomach cramps." Zhai Yuhan whispered.
"See?" Ji Xiang insisted.
The two whispered, and the patient and the patient's family looked at the camera behind them and were a little confused, wondering why there was such a strange creature as a camera behind the doctor in this ward.
"Since you insist, just take a look and have the patient go back to the emergency department for a shot of 654-2." Zhai Yuhan was a little impatient, but he still said patiently to Ji Xiang.
She still gave Ji Xiang a certain amount of face, not because of the existence of a film crew, but because Ji Xiang helped solve a difficult patient.
Or maybe the brainless words said by Director Zheng in the MRI room made Zhai Yuhan feel a certain amount of influence.
Zhai Yuhan didn't understand Ji Xiang a little, maybe this young man wanted to "show" in front of the film crew.
Forget it, don't worry about him, Zhai Yuhan thought generously.
"Go to the pharmacy and Dr. Ji Xiang will check on you." Zhai Yuhan said, "It hurt just now, doesn't it hurt now?" ”
"Yes." The patient replied with some embarrassment.
"Take a look."
When he came to the pharmacy changer, Ji Xiang took the patient in, Zhai Yuhan was not at ease, so he followed him into the pharmacy and blocked the film crew from the door.
When it comes to physical examination, even if it's the stomach, you can't let the film crew in.
This is a matter of principle, and Zhai Yuhan will not back down. Fortunately, the film crew also had a plan in mind, and had no plans to follow up and shoot. Seeing her blocking the door, he also stood outside the door and waited.
Closing the door, Zhai Yuhan quietly watched Ji Xiang communicate with the patient and check the body.
The patient complains of pain near the stomach area an hour ago, the details of which are not clear, but it is no longer painful. On examination, there are no positive signs such as tenderness, rebound tenderness, or muscle tension.
"Do you feel anything other than pain?" Ji Xiang asked while washing his hands after the examination.
"Vomited once." The patient replied, "I feel much more relaxed after throwing up." I was also a little scared because of vomiting, so I found it myself. Sorry, doctor, sorry for the trouble. ”
The patient does not feel uncomfortable now, she thinks that she is just a little anxious to move, causing stomach discomfort, and she will vomit.
So the patient kept apologizing, as if he had done something wrong.
"What's spitting? I didn't hear you say that just now. Ji Xiang asked.
"Gastric juice, I haven't eaten yet." The patient said, "I had an evening appointment, and when I finished work, I didn't have enough time and ran a few steps." It may be that you are in too much of a hurry when you run, which causes some stomach discomfort. ”
"Go to the emergency department for observation." Seeing that Ji Xiang still wanted to ask, Zhai Yuhan directly interrupted his question, "If it still hurts, the doctor in the emergency department will deal with it." If it doesn't hurt, it's safest to observe for 2-3 hours. ”
"Okay." The patient nodded repeatedly.
"Do a B-ultrasound or CT?" Ji Xiang looked back at Zhai Yuhan and asked tentatively.
"I don't need it." Zhai Yuhan said categorically.
She felt that Ji Xiang's ability to climb along the pole was really not small, and she didn't see anything outside, and she already regarded herself as the doctor of the first affiliated hospital.
And he is also a resident boss of the same level as himself.
Zhai Yuhan consumed all his patience and firmly rejected Ji Xiang's proposal.
The main reason is that the patient no longer feels uncomfortable, and the physical examination is all negative signs.
If the patient spends money and has a test but no diagnosis, there is always a possibility that something will go wrong. The most important thing is that the patient should go to the gastroenterology department and go to the hepatobiliary surgery department by mistake. If you are not your own patient, you should not do much to do yourself.
Ji Xiang smiled and didn't insist, "Those two will listen to Teacher Zhai and go to the emergency department for observation." Be careful and observe for at least 3-6 hours. ”
"Thank you, thank you." The patient kept being polite and then left.
"Dr. Ji Xiang, similar patients have a negative physical examination, if more tests are done on the patient, it will cause dissatisfaction among the patient, the patient's family, and even complaints." Zhai Yuhan waited for the patient to leave and reasoned with Ji Xiang.
"Teacher Zhai, I always feel that patients have problems." Ji Xiang scratched his head and communicated with Zhai Yuhan.
"What's the problem?" Zhai Yuhan asked disdainfully.
"I can't tell, I heard the patient call for the doctor and went out, and I saw her bent over. But the moment she saw me, she seemed to be fine, straightened up and stood up, and the patient couldn't understand what was going on. ”
Zhai Yuhan almost didn't laugh out loud.
"Doctor Ji Xiang, don't you think that the patient will get better after seeing you?" Zhai Yuhan asked.
"It must have been a coincidence, but the patient suddenly stopped hurting......"
"Even if it is acute appendicitis, with a sudden perforation, the patient feels that the pain is reduced, but there will still be tenderness, rebound tenderness, and even muscle tension during the physical examination." Zhai Yuhan said.
"Yes, that's what I thought about too." Ji Xiang frowned and pondered.
Zhai Yuhan didn't know what Ji Xiang was thinking at all.
The patient has no problems and the history is simple, and there may be nausea and abdominal pain caused by the vagus reflex after brisk walking, and the symptoms disappear after spitting.
In Zhai Yuhan's opinion, patients can go home and drink some hot water to sleep, and they will be fine tomorrow morning.
Ji Xiang is eventful.
If there were no cameras and film crews, Zhai Yuhan would teach this young doctor a good lesson.
But under the camera, Zhai Yuhan was still patient, she didn't want to talk nonsense with Ji Xiang, so she turned around and went to eat.
The film crew thought they had seen an emergency room and could record some emergency first aid footage. It's a pity that everything feels regrettable.
Director Fan sighed, this section will definitely be pinched off, if you can come to an emergency, you can record the rescue of Doctor Zhai Yuhan Zhai and the interns, it is best that Zhai Yuhan scolds the interns with a hot temper during the rescue, how good it would be.
The breaking point of the show is here, but unfortunately I didn't encounter it.
Back at the doctor's office, Zhai Yuhan continued to eat. She barely swallowed a few bites of the raw rice, and saw Ji Xiang take out her mobile phone, "Teacher Zhai, I'll make a call." ”
"Call, to the family? Let's fight right here. Zhai Yuhan said.
"Uh......" Ji Xiang hesitated, he didn't call, he didn't go out, but put his phone away.
"After eating, you continue to familiarize yourself with the medical records, you have a look at several patients in our group, the boss will ask a lot of questions during the ward rounds tomorrow morning, if you can't answer it at that time, the boss will not have a seizure in front of the patient, but you will definitely be scolded when you come back."
"Still swearing?" Zhao Mengmeng asked timidly.
She didn't have a sense of presence, as if she was in a fugue.
"Of course, if you don't know your own patients, you say whether the senior doctor will be angry, you say it yourself." Zhai Yuhan's attitude has begun to be a little aggressive.