Back in 2002 as a doctor
Page 231
"I asked all the questions I should ask, and she answered fluently, and she didn't have any questions at all. The more important thing is that the menstrual period has just ended for 5 days, so ectopic pregnancy can be ruled out."
"What happened later?" Mr. Huang knew that the case mentioned by Zhou Congwen was definitely not that simple, so he asked.
"I was diagnosed with appendicitis at the time, and I was directly issued a hospital order. But I always felt that something was wrong. You know that feeling."
"I know that the medical history and physical examination signs mentioned by the patient are as typical as those described in the book. Generally, there are more or less problems with this kind." Mr. Huang has rich experience.
Chapter 0402
"How did you deal with it later?" Elder Huang asked.
Deng Ming looked at Zhou Congwen's side face and felt a strange feeling in his heart.He is clearly so young and ordinary, yet so confident.
The intertwining of these complex emotions made Deng Ming feel a little miraculous.
He also grew up step by step from a young doctor. Deng Ming knew how confused and confused he was when he was a young doctor.There are many things that I don't know the key at all, and I only gradually understand after experiencing it.
This is the legendary clinical experience.
but!
Zhou Congwen is not as ignorant as he was when he was young, but he is calm from the inside out.
This feeling was "read" from a young man, and Deng Ming felt that Zhou Congwen was quite weird.
"I was also a little confused at the time, I just felt something was wrong, and there was no other clear evidence." Zhou Congwen was still chatting with Mr. Huang, "Later, when the patient and the patient's family members came out of the clinic, I subconsciously asked - do you have regular periods? When was the last time?"
"As a result, the patient answered directly for a day without hesitation. I calculated that it was indeed quite regular."
Zhou Congwen recalled the events of his previous life, like a dream, and said softly, "Boss, do you know what I was thinking at that time?"
"It's too regular, but there are problems." Huang Lao said lightly, "The medical history is fake, and she remembered these on purpose, so the patient may have an ectopic pregnancy."
"Yes!" Zhou Congwen clenched his fist with his right hand and smashed it on his left hand, "It's because of your rich experience that I thought about it for half an hour before I thought of this possibility.
I quickly contacted the general surgeon, but they were already ready to go on stage. I had a B-ultrasound in the emergency department, and then I went to the gynecology department for consultation. Nothing happened. "
"You are still vigilant. Similar things are not uncommon in clinical practice." Huang Lao said with a smile, "Especially when a mother brings her [-] or [-]-year-old daughter to see a doctor, you should be more careful."
"Boss, I guess the doctors in the internal medicine clinic don't know how to ask for medical history."
Zhou Congwen said with a smile.
Mr. Huang nodded. Facing a strict mother, it was indeed quite difficult to ask about the medical history.
After waiting for a while, the mother took the patient for an examination, and Zhou Congwen walked in.
"Sister Cai, I'm busy."
"Xiao Zhou? Why are you here?"
"Emperor 912 Huang Lao came to have an operation and wants to visit our hospital. I will accompany you around and introduce you."
"..."
Although the physician didn't know Huang Lao's name, she still stood up and bowed respectfully to Huang Lao.
"Old Huang."
"Sit down, you are busy with your work." Huang Lao smiled.
"Sister Cai, what's wrong with the child just now?"
"Gastroenteritis, but there is no way to rule out ectopic pregnancy. At first, I ordered a urine pregnancy test, but my mother scolded me, saying that my child could not be pregnant." The physician said sadly.
"Just now I saw you asked about your medical history."
"Oh, I don't dare to say it directly, I don't dare to say it when I see the patient. I don't know what to do."
"Where's Ultrasound B?"
"The patient's family members will ask about the purpose of the inspection whenever I prescribe it. She seems to understand a little bit, so I dare not prescribe it casually."
Zhou Congwen smiled helplessly.
"Boss, things like basic hospitals are very troublesome. Unlike our 912, what can we do if we just open it? 99% of the family members of the patients dare not say a word of nonsense. If you are not convinced, just leave, and Xiehe is right next to you." Zhou Congwen smiled. Said.
"It's not as exaggerated as you said, you have to be reasonable." Huang Lao looked around the internal medicine consulting room with his hands behind his back.
This side is the oldest building of the Third Hospital. It was built as a health center when it was first built, and it looks a little dilapidated after a long time.
"Boss, let's go."
"Xiao Zhou, to test you, can you ask the actual situation." Huang Lao said lightly.
Zhou Congwen frowned and glanced at the physician.
Internal Medicine Dr. Cai didn't understand what the two were talking about. She was exhausted after asking the medical history just now, and her mind couldn't turn.
"Sister Cai, can I ask the patient when he comes back later?" Zhou Congwen asked with a smile.
"Huh? Can you ask?" The physician took a breath and started calling the next patient in.
"Try it."
"That's fine, anyway, I'm busy here, please Mr. Huang to check for me."
Dr. Cai said very politely.
Mr. Huang was sitting on the chair in front of the table opposite Dr. Cai, with his hands in front of him and his thumbs crossed.
His fingers were already deformed, and his body was a little bent.But sitting there naturally has an aura of Ziyuan Tingyuezhi, which makes people feel inexplicable respect.
Watching Dr. Cai receiving the diagnosis, Mr. Huang didn't say a word, just smiled at the corner of his mouth, and didn't know what he thought of.
About 20 minutes later, Dr. Cai was busy, and the mother and daughter who had just gone out for a checkup came back.
"Doctor, the emergency blood test results are back." The patient's mother said angrily.
Huang Lao beckoned, "Let me take a look."
The patient's family was stunned for a moment, but Mr. Huang had nothing to say about his professional temperament. She obediently handed over the test sheet to Mr. Huang.
Zhou Congwen glanced at the girl just now, and asked, "What grade are you in?"
"High school senior."
"Are you busy with homework?"
"Busy, the college entrance examination will be next year." Zhou Congwen made the first judgment as the girl clutched her belly. It looked like she had an internal disease.
"Have you ever been in pain?" Zhou Congwen continued to ask.
"It didn't hurt, the first time."
"The test sheet looks fine, and the monocytes are slightly higher." Zhou Congwen leaned over to take a look, "Which university do you want to apply for the college entrance examination?"
Zhou Congwen spoke casually, as if he was chatting with old friends.The girl looked at Mr. Huang and said enviously, "I want to apply for medical school."
"why?"
"I have been watching "The Story of the Emergency Room", and I feel that the doctor is very powerful."
Zhou Congwen smiled. He looked at the test sheet and asked in a more casual tone, "Have you hit base yet?"
"..."
Mr. Huang and the patient's mother were taken aback for a moment, and Deng Ming, who was standing aside, was also puzzled, what was Zhou Congwen talking about?
The girl was a little shy, but still said, "Yes."
"How many bases?"
"Third base."
"Oh, that's okay, I think it's gastroenteritis." Zhou Congwen said, "Doctor Cai, please wait and see overnight, it shouldn't be a big problem."
Mr. Huang did a physical examination on the young patient, but did not refute Zhou Congwen's point of view, and left the consulting room after speaking with Dr. Cai.
"Xiao Zhou, what's your code word?" Elder Huang asked after leaving the house.
"It's a hint in an American drama. If I ask it casually, if the girl can answer it, there should be nothing wrong." Zhou Congwen has been watching the little patient go out. Although he asked about the medical history, he still observes with his eyes; judges and analyzes the patient with his brain Is it true.
Chapter 0403 Lowering the threshold just to make people compete with you?
"What does hitting mean? Baseball?" Deng Ming asked curiously.
"Do you have a boyfriend?" Zhou Congwen smiled, "First base, second base, third base, and fourth base are the four levels of intimacy. If you don't reach fourth base, there will be no risk of ectopic pregnancy."
"Why don't you think patients will lie to you?" Deng Ming was a little unconvinced when he heard "black words" when he asked about his medical history for the first time.
"Young people need to communicate with each other. These things can be said to the doctor, but her mother is there, so I can't say it. If all the black words are adulterated, it will be meaningless." Zhou Congwen smiled, " And I can see her expression and actions, it doesn't look like she is lying."
"I'll go back and check." Huang Lao wrote it down.
Zhou Congwen laughed, the boss really wanted to know anything he didn't understand, and was full of curiosity about the world.In this regard, he is no different from the young man.
Unlike Zhu Jun, he was lifeless.
Zhou Congwen took Huang Lao to the third hospital. The area of the third hospital was small, and the number of patients was incomparable with 912, but Huang Lao still watched with gusto.
It took a full one and a half hours to go around in a circle. Although Mr. Huang was in high spirits, he could tell that he was a little tired.
Zhou Congwen didn't wait for Deng Ming's urging, and went back to the car while chatting with the boss.
"The changes in local hospitals are really big now." Mr. Huang said after getting into the car, "CT and MRI are available."
"Boss, your requirements are really low."
"Hehe." Huang Lao closed his eyes and smiled, "Do you know what we did when we encountered trauma and suspected cerebral hemorrhage?"
"Guess?"
"Yes, it's just a guess." Huang Lao smiled, "If the damn case mentioned in the afternoon didn't have an MRI, even if it was a 1.0 MRI like your hospital's, it would be absolutely impossible to diagnose it."
"That's pretty cool, if you say so."
"Development is the last word. There are not many things that can be done without equipment." Mr. Huang patted Zhou Congwen with his deformed hand.
These hands have undergone tens of thousands of operations, so that the fingers are deformed by the hemostat.
He didn't speak, and Zhou Congwen couldn't feel full of expectations, so the car fell silent.
After sending Huang Lao to the hotel, Zhou Congwen and Liu Xiaobie left.
"Zhou Congwen, will you use your locator for surgery tomorrow?" Liu Xiaobie asked.
"People's Hospital won't do it. The boss and Director Deng are performing surgery on stage, so it's very difficult for accidents to happen."
"It's still useless after all." Liu Xiaobie lay on the steering wheel, looking sideways at Zhou Congwen.A strand of soft hair drooped, it seemed a little itchy, Liu Xiaobie shook her head slightly, Zhou Congwen raised his hand to smooth her hair.
"Who said that?" Zhou Congwen smiled slightly, "Even if the boss is extremely capable, how many surgeries can he perform in a year. Not every surgeon has the ability of the boss for how many patients there are in the whole country."
"So you are trying every means to lower the threshold and find someone to compete with you?" Liu Xiaobie curled his lips, "Isn't this a disease? There are always high walls and deep barriers, only you open the door."
"This is treating diseases, not doing business. Of course, the higher the threshold for doing business, the better. It doesn't matter if the threshold is artificially created. But for the matter of curing diseases and saving lives, I feel that the lower the threshold, the better." Zhou Congwen said sincerely .
"Tch, you are very noble. You are not your boss..."
"It's all the same, it doesn't matter." Zhou Congwen said lightly, "So what if the threshold is lowered? Look at Zhu Jun from the People's Hospital. You don't even want to see it, let alone use it."
"That's right, I think you're pretty good when you say that."
Seeing that Zhou Congwen seemed a little tired, Liu Xiaobie said something along with him very rarely.
"Amazing? How can you say I'm amazing? It's quite amazing, one of the best in the country." Zhou Congwen said immediately.
"..." Liu Xiaobie gave Zhou Congwen a vicious look.
"Surgeons, in addition to drilling, they are still competing for talent, but in the end, they are competing for life.
There are many talented young people in the country, but not many people who really have that fate go to the end.Things like positioning devices are to give them a way to survive, and making fewer mistakes is victory. "
"Hahaha, if Huang Lao said this, I think it would be logical. But if you say it, why do I feel that you are playing tricks on the tiger?"
Zhou Congwen smiled and didn't argue with Liu Xiaobie about it.
"go home."
"Are you going to rest when you go back?"
"Of course not, I still have to grind and sew eggs. My current level is not enough, and I can't write a willow character. It's not that I can't write it, but I can't write it on the inner membrane of the egg with a big splash of ink. It's not good-looking." , not worthy of you who are so charming."
"I'll go..." Liu Xiaobie's eyes widened, and he looked at Zhou Congwen as if he was looking at a monster, "Have you eaten sugar? Or have you got diabetes, why do you spray me with urine alkali and urine sugar plus signs when you talk? "
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