I can see health

Chapter 444 Weird Bronchial Asthma (Fourth)

The first ward of the respiratory department, the doctor's office.

Lu Chen had already changed into his white coat and stood in front of a middle-aged female doctor.

"How many months have you been rotating in the respiratory department?" Fan Yujing's voice was cold and her eyes were piercing.

"Two months." Lu Chen said calmly.

"Then what did you do last month?" The voice was still cold, without any emotional fluctuations.

"Go to Kyoto to attend a training class and ask for a month's leave."

"It takes a month to participate in the training?" Fan Yujing gave Lu Chen a cold look, "I hope you won't use this method to deal with me in the next month."

Lu Chen frowned, this female doctor is so angry, could it be menopause?

No wonder everyone said that Fan Yujing was difficult to get along with and had a weird temper.

This initial first impression, Lu Chen did not dare to compliment.

There are only two interns in Fan Yujing's group, and there are no other graduate students or regular trainees.

It seems that everyone doesn't want to be in this group.

The two interns also didn't know the market, so they came to this group.

At this time, Fan Yujing said again: "The beds managed by our group range from 21 beds to 36 beds."

"Okay." Lu Chen nodded.

"Get to know the patient's condition right now, and we'll go to the ward round in 10 minutes." Fan Yujing said lightly.

"All patients, 10 minutes?" Lu Chen was taken aback.

"Why, is there a problem?" Fan Yujing said coldly, "If you think you can't do it, then just say it."

"Okay, I see." Lu Chen nodded slightly.

It seems that this mentor is not only cold, but also too strict.

It is impossible to fully understand the condition of all patients in 10 minutes.

Lu Chen can only select the most important items to check.

He found a free computer, and after sitting down, he began to look through the patient's medical records and examination reports.

At this time, another intern in the group sneaked up to Lu Chen's side and whispered, "Hey, brother, you don't have to take it seriously, just take a look. When I first came to the group, Fan Motou He told me so too."

Fan devil?
Lu Chen couldn't help but smile, these people are pretty quick at nicknames.

"Teacher Fan didn't ask any questions during his ward rounds?"

"I asked!" The intern chuckled, "I said I didn't know, and she never asked again."

"Oh." Lu Chen nodded and looked at the boy, "What's your name?"

"Wang Defa." The boy grinned.

……

Ten minutes later, Fan Yujing returned to the doctor's office.

"Let's go, start rounds."

After speaking, she left the office first.

Seeing this, Lu Chen followed behind her with two interns.

Fan Yujing's footsteps were fast, and Lu Chen and the others couldn't help but speed up their pace a little.

Come to bed 21.

Fan Yujing did not directly ask about the patient's condition, but looked at Lu Chen and said, "Report the medical history first."

Lu Chen nodded slightly, this was an expected question.

"A 64-year-old male patient was admitted to the hospital with cough and sputum for half a month..."

Lu Chen explained the patient's important medical history and physical examination.

Fan Yujing just nodded, the expression on her face was still cold.

"What about the laboratory tests after the patient was admitted?"

Lu Chen thought for a while and said, "The white blood cells in the blood routine are high, the liver and kidney functions are normal, and the potassium ions in the electrolytes are low..."

Lu Chen was about to continue talking, but Fan Yujing interrupted.

"Have you reported the patient's laboratory test like this?"

Lu Chen was startled, "Teacher, did I say something wrong?"

Fan Yujing said coldly: "White blood cells are high, by how much? Potassium ions are low, by how much? What is the specific value?"

Lu Chen paused, frowned and said slowly, "White blood cells are about 1, and potassium ions are 2mmol/L."

Wang Defa thought that Lu Chen was lying, so he gave Lu Chen a thumbs up in his heart.

Fan Yujing glanced at Lu Chen, and then opened the test sheet in the patient's medical record.

"Oops, I'm going to reveal my secrets now." Wang De said heartily.

However, what he didn't expect was that after reading the medical records, Fan Yujing didn't deny it, but continued to ask: "Apart from these abnormal indicators, what about the patient's kidney function?"

"Kidney function is normal." Lu Chen said softly.

"I'm talking about specific values!" Fan Yujing frowned, "Is it normal values?"

Lu Chen was taken aback when he heard the words, the normal indicators have to be counted?
Isn't this embarrassing?
There are so many blood test indicators for each patient, it is understandable that writing down the abnormal indicators is helpful for clinical diagnosis and treatment.

Do you still have to write down the normal indicators, ten brains are not enough!

"I don't know?" Fan Yujing raised her eyebrows.

"I don't know." Lu Chen nodded.

"You don't even write down such an important indicator?" Fan Yujing said coldly.

Lu Chen didn't refute. With this kind of tempered teacher, the more you argue with her, the more excited she might be. He just replied lightly, "Teacher, I will pay attention next time."

Fan Yujing took a deep look at Lu Chen, and stopped asking questions, but performed a lung auscultation examination on the patient.

……

Wang Defa was right, as long as she answered wrongly or did not answer the question, Fan Yujing would not ask any more questions.

During the next ward round.

Fan Yujing didn't ask a single question, but simply checked the patient.

Lu Chen followed behind Fan Yujing, and found that she was not only indifferent to the students, but also treated each patient in a similar manner, with a tinge of inhumanity.

"Okay, today's ward round is over, everyone go back and write the medical record." Fan Yujing glanced at Lu Chen, and then left.

It was the first time for Lu Chen to meet such a personal tutor, and he returned to the ward in desperation.

But he just sat down and turned on the computer medical record system.

Fan Yujing's voice came again, "Here's the patient, in bed 30, you go and see first, I'll come over later."

Lu Chen looked around, but there was no one else around. Fan Motou should be talking to him, right?
"Don't look, it's you, go!"

Hearing Fan Yujing's words, Lu Chen stood up helplessly and walked out of the doctor's office.

……

Come to bed number 30.

A middle-aged couple in plain clothes sat on the hospital bed.

"Excuse me, who is the patient?" Lu Chen asked softly.

"I am." The middle-aged woman, about 40 years old, said a little cautiously.

"Auntie, I am your doctor." Lu Chen introduced himself, "Let me ask about your specific condition first."

At this time, the life value on the patient's head is displayed as 68 (-).

"Okay, you can ask, and I will tell you everything I know." The middle-aged woman spoke Mandarin with a sloppy tongue.

Afterwards, Lu Chen began to collect medical history.

The patient is female, 43 years old, surnamed Wang, a professional cleaner.

He went to see a doctor because of "cough and sputum, accompanied by wheezing for 5 days". He had a history of bronchial asthma in the past, with intermittent attacks and no formal treatment.

After asking about the medical history, Lu Chen began the physical examination.

Cardiology is mainly auscultation of the heart, and the most important thing in respiratory department is the lungs. (Both need to be checked, with different emphases.)
Lu Chen found that before his stethoscope was close to his lungs, he could hear the patient's breathing obviously.

A typical wheezing sound can be heard when auscultating the area of ​​the lungs.

"Is this an asthma attack?" Lu Chen frowned.

At this time, Aunt Wang took out her medical records from the outer hospital.

"Doctor, I have been treated at the Central Hospital for a week, but my cough and sputum have not recovered. I heard that your respiratory department is good, so I came here."

Aunt Wang lives in Jinghua Central Hospital, which is exactly the hospital where Min Xiaobo is.

Lu Chen was quite puzzled. The Central Hospital is also the top tertiary hospital in the province. Could it be that it can't cure a bronchial asthma?

Then, he opened the medical records with doubts.

In the medical records, it was recorded that the diagnosis was "acute attack of bronchial asthma combined with lung infection".

After giving anti-infection, antispasmodic and antiasthma symptomatic supportive treatment, but the treatment effect was not very good, the patient requested to be discharged from the hospital.

Lu Chen noticed that the patient's doctor's order was indeed medicine for bronchial asthma and lung infection.

If you let him come for diagnosis and treatment, it will be nothing more than these drugs.

But why would it have no effect?
(End of this chapter)