A middle-aged male patient came in with the patient's family and Zhai Yuhan, who were not patients waiting at the door.

"Sit down." Director Yang leaned back in his chair and looked at the patient and his family with a professional smile.

Facing the camera, the patient was obviously very restrained and nervous, even if Zhai Yuhan had explained to him alone before, and he had psychological construction.

"Doctor Zhao, you come to ask for a medical history." Director Yang said.

Zhao Mengmeng immediately fell into a confused mode again, like a little elk lost in the jungle, nervous to the point of panic.

She didn't ask about the medical history, all the knowledge was on paper, and she knew she couldn't do it on the first day she entered the clinic.

Coupled with the buff of the camera and his own embarrassment in the show broadcast last night, this made Zhao Mengmeng even more overwhelmed.

Originally, she was prepared, but the tension came up, and her mind went blank.

After being silent for a few seconds, Zhao Mengmeng didn't speak, Director Yang didn't speak, and Ji Xiang closed his mouth obediently, respecting Director Yang's arrangement.

"That...... How long have you been unwell? Zhao Mengmeng stammered and asked.

She was even more nervous than the patient, and the patient was stunned for a moment.

"I started having abdominal pain two years ago, but it wasn't serious, and I ...... a year ago"

The patient was diagnosed with gallstones and was preparing for surgery tomorrow, these words had already been asked, and he answered them quickly.

It seems that the patient is more knowledgeable and professional than Zhao Mengmeng.

Zhao Mengmeng asked intermittently for three minutes, completely unsystematic, and frowned at Director Yang.

"Past history, you didn't ask about past history." Director Yang said.

"Oooh." Zhao Mengmeng hurriedly responded, "Did you have any illnesses in the past?" ”

……

……

In the comment room, the guests all had playful smiles on their faces.

After a few days of contact and an episode of the show, the guests all knew that Zhao Mengmeng belonged to Xueba, but it was limited to Xueba.

She may be the better one in terms of theoretical knowledge, but she can't be used in clinical practice at all.

In just one episode of the show, the guests who are not medical mouths are more and more convinced of the old saying - the older the doctor, the more valuable he is.

Clinical experience is the most valuable thing for doctors.

Even an old surgeon who can't hold a scalpel steadily.

"Zhao Mengmeng still lacks experience."

"Under normal circumstances, it will take at least one year for this kind of doctor to take on clinical work." Professor Shen explained, "As for the speed, it depends on the individual's understanding and whether the doctor himself is attentive. ”

"Teacher Shen, it's really hard to be a doctor." One guest said, "Last season, I saw that interns in law firms can do a lot of basic work. But in the hospital, the doctors who just came to the clinic didn't seem to be able to do anything. ”

He looked at Zhao Mengmeng, who was stunned and was about to cry, and felt pity.

"Medicine is complicated, and to be honest, I thought I was only a schoolboy." Professor Shen said sincerely, "As for Zhao Mengmeng, it still takes time to grow. ”

Let's try it soon, everyone. 】

……

……

In a few minutes, Zhao Mengmeng was already out of words.

What is written in the book and the patient's medical history is two routines, and there is no need to go together at all.

"Ji Xiang, you come." Director Yang didn't embarrass Zhao Mengmeng too much, and asked Ji Xiang to start the consultation.

Ji Xiang did a very routine job, asking questions while making notes on paper.

Three minutes later, Ji Xiang finished asking and began to report.

Director Yang frequently bowed his head.

Obviously, Ji Xiang once again proved that his level has far exceeded the stage of intern, asking for medical history, reporting medical history in detail, and the style of an old doctor.

"Ji Xiang said very well, the patient has a clear diagnosis, and he is preparing for surgery tomorrow for gallstones." Director Yang finally made a summary, "The question is whether our preparation in advance is sufficient. ”

"For example, if the patient has a history of hyperthyroidism, take medication to control it before surgery. Before the operation, the patient does not need to take medication.

If it is not explained, the patient will stop the drug for a few days, and the thyroid dysfunction will occur, such as insomnia, irritability, fever, etc., and it will be very difficult if he does not know that he has a history of hyperthyroidism. ”

"At that time, patients and their families will most likely not think about hyperthyroidism, and doctors will not think about it, but will only think that it is a postoperative infection."

Director Yang has obviously experienced similar examples, and he is the first to speak.

These are all clinical experiences, which come out step by step.

Experience can be passed from one doctor to another, so that more patients don't become "experience", and that's where the mentoring of senior doctors comes in.

Although Ji Xiang asked about the past history, he listened very carefully, not like Zhao Mengmeng who was confused.

"Okay, let's go back." Director Yang stood up to send the patient out, comforting the patient as he walked, "It's a small operation, you can go to the ground the next day after surgery, don't be nervous, it will lead to endocrine disorders and add variables to recovery." Take the medicine on time, telling you that you can't eat and drink water, but taking the medicine and drinking a small sip of water doesn't count. ”

"Thank you, thank you." The patient kept saying thanks.

The scene was full of joy.

Director Yang sent the patient with gallstones to the door, and he had been waiting for nearly two middle-aged male patients to come up with the film.

"Director."

Director Yang hesitated for a moment and said in a deep voice, "Come in." ”

He turned around and said to Director Fan, "Director Fan, this is a very tricky patient, not suitable. ”

"Director Yang, you are busy with you, we will record it, whether it can be broadcast depends on your opinion. You say no, we'll cut it out. ”

Director Yang's words satisfied Director Yang, medical treatment is complex and involves all aspects, especially patient privacy and medical ethics when facing a patient who has no cure.

If you casually put it on the Internet, even if you do it right, you will be sprayed to death by the trolls.

Director Yang came back with the patient, he said, "The patient knows the situation himself, it is an advanced stage of liver cancer, and he had an operation 2 years ago to cut off the left lobe and caudal lobe of the liver, and now there is a tumor of about 10cm in the right lobe of the liver, which of you will ask about the medical history." ”

"Director Yang, shall I come?" Ji Xiang asked.

"Okay." Director Yang said, "This is Dr. Ji Xiang, and he will ask about the medical history first. ”

Ji Xiang didn't ask the question directly, but reached out and took the film bag in the patient's hand and walked to the film reader.

Arranged in chronological order, Ji Xiang first picked up the last film and took a look, and then carefully read the films one by one from morning to night in chronological order.

……

……

In the review room, a guest was puzzled.

"Teacher Shen, didn't you ask about your medical history?"

"The film is also part of the patient's medical history, and the patient's course is understood first, and the result is twice as effective when asking about the medical history." Professor Shen explained, "This is a very old-fashioned approach, but there is a premise. ”

"What premise?"

"The doctor has to be able to read the film."