I'm really an intern

Chapter 140 Please start your show

"This is my doctor's workstation. Junior brother, you used to rotate in the ward, right? Can the outpatient system be used? Call the number to check the past medical records and the like?"

"If not, let me cover it up for you."

The male doctor directly regarded Zhang Tianyang as Xiaobai Mengxin, and he was ready to teach him the most basic things.

After all, judging from the virtues of the few interns he had brought before, this group of interns who had just graduated from the clinic really didn't understand anything.

Unexpectedly, Zhang Tianyang took the mouse from him naturally, nodded calmly, "I will."

"Ok?"

The male doctor subconsciously wanted to question, "You really know how to do it? The interns I brought up before also thought they would do it, but it turns out..."

In the middle of speaking, he suddenly stopped.

It's really because Zhang Tianyang has already adjusted the interface to the "diagnosis list" with ease, and is ready to call the number.

It turns out that I didn't talk big, I really know it.

The male doctor quickly discarded this stubble and began to assign tasks to Zhang Tianyang.

"Junior Brother, if you do this, first call these patients who have not seen a doctor, and help me ask about the medical history, write the chief complaint, history of present illness, and past history."

"The main complaint does not need to strictly abide by the 20-character requirement, but it must be clear at a glance, and one can tell what problem the patient is trying to solve when he comes here."

"You know the history of present illness, you must ask about the past history of drug allergies, and you should ask about other symptoms according to your symptoms."

The male doctor really didn't have much hope for Zhang Tianyang, an intern.

The purpose of arresting him is to be a hard worker, and to assign these "only physical strength" tasks of asking medical history.

When it comes to physical examination, diagnosis, and doctor's orders that "require mental power", male doctors have no hope at all.

"Other diagnostic and physical examination orders, etc., if you have an idea, you can get it, but it is not required. It is best for me to come and see it."

After explaining his request in a few words, the male doctor patted Zhang Tianyang on the shoulder.

"Your work is actually not complicated. The main thing is to save me time. After you have seen these patients, you will number them, and then ask them to come over and queue up for me."

"Before you were in the ward and emergency room, you may not have faced a situation where you need to diagnose a patient for the first time, but don't be afraid, I have specific diagnoses and the like."

The meaning of the male doctor is actually very obvious. It is clear that "you come and help me with some physical work. You don't need to use your brain, and don't be afraid of making mistakes. I will do the brain work myself."

The implication is actually distrust of Zhang Tianyang, the intern's professional level.

Zhang Tianyang naturally heard it, but did not refute.

After all, it's normal for an intern to know nothing, without experience.

It would be irresponsible for the superior doctors to really feel at ease with the interns from the very beginning and let the interns do everything.

So he just nodded, "OK."

"Then, let's start!"

The male doctor returned to his seat, wiped off the sweat that was oozing from his forehead, picked up a bottle of mineral water hidden under the table, and poured half of it.

Ready to fight, the male doctor stretched out his hand to the patient who had been waiting beside him.

"Is the patient you? Come, the medical card! Tell me, what's wrong!"

Here, Zhang Tianyang also took the medical card from the patient standing beside him, and started to ask a doctor.

"What's wrong with you?"

"I have a sore throat."

The patient who answered was a 19-year-old boy. He looked a little tired and pale, his hair was messy, and his voice was hoarse when he spoke.

Zhang Tianyang's eyes swept over him, and all the characteristics were clear in his heart.

There are a lot of patients in the emergency department, and there are more than ten or twenty people queuing up at the back at any time. The male doctor asked for foreign help because he was too busy.

So we can't wait for the patient to describe the disease process in detail like in the dermatology department, we must take the initiative to fight against time and hit the mark!

Combined with the main complaint in his mind, Zhang Tianyang instantly analyzed several possibilities.

"I'll ask you an answer. How long has your throat been sore?"

"Uh, 2 days?"

"Do you have a fever? How many days has the fever been?"

"Yes, I have had a fever for two days, maybe 38 degrees."

"Is there any cough and sputum?"

"I don't have much cough, but I have phlegm in the morning."

"What color is the phlegm? Yellow or white? Thick or thin?"

"It's yellow in the morning, maybe sticky."

"Dizziness, headache, chest tightness and chest pain?"

"I have a headache, it hurts."

"Is a headache like the feeling of having a bowl of water in your head that you can't shake, and it hurts when you spill the water?"

"Hey, it seems to be true!"

"Is there weakness in the limbs and weakness in the waist?"

"Yes! Doctor, how do you know?"

"Has anyone nearby caught a cold recently?"

"You know all about this?"

"Do you have a history of drug allergies or food allergies?"

"No."

"Is there any genetic disease in the family? Are there any high blood pressure and high blood sugar?"

"No."

One question after another, like a cannonball, without giving the patient any time to ramble, all went straight to the point.

He just asked the question, but the little brother's eyes widened in surprise, feeling that every symptom Zhang Tianyang asked was his own.

After the intensive questioning, Zhang Tianyang came to a conclusion.

He casually pulled a mask from the cabinet and handed it to the little brother, saying concisely, "Put it on."

"Any other symptoms or anything else you want to talk about?"

The little brother wanted to tell the doctor how uncomfortable he was, but now that he thought about it, Zhang Tianyang had already asked all the key points!

The bunch of words I had prepared turned out to be a few short answers, and nothing was missed!

This doctor is amazing!

Facing the surprised expression of his younger brother, Zhang Tianyang stopped talking, and began typing the main complaint, history of present illness and past history on the screen.

After typing, he handed the medical card to his younger brother, took out a pen and wrote the words "temperature measurement" on his registration form.

"Go to the triage table outside and ask the nurses to take their temperature, and then ask them to write a temperature strip, and then come in directly with the temperature strip."

"Oh, alright."

The little brother felt that his medical obedience had never been so good, so he took the things and obediently went out to take his temperature.

Zhang Tianyang looked at the empty space on the screen, tilted his head to look at the senior brother who was still struggling with the first patient, hesitated for a second, and decisively typed on the keyboard.

Diagnosis: influenza.

Doctor's order: Pharyngeal test strip virus quantification.

After thinking about it, I added a bracket after the history of present illness and typed "If the throat test paper is positive for influenza virus, give oseltamivir 1 tablet 2/day orally".

Click Save in the upper left corner, go back to the consultation list and click Pass, and then call the next patient.

"What's wrong with you?"

Five minutes later, the male doctor finally treated the two patients who had not been treated by Zhang Tianyang for the first time, and was about to enjoy the patients who had been "treated" by his junior.

"Come on, sit down."

Greeting the little brother to sit down, the male doctor clicked on the medical records.

"what?"

I have written a lot of medical history, including present medical history and past medical history, and all the diagnosis and doctor's orders have been made?

Isn't this bullshit!

Didn't I just say that it is best to make the diagnosis and doctor's order by yourself?

With a slight anger in his heart, the male doctor suppressed his emotions and took a closer look.

"Huh? This medical history is very good!"

The medical history is detailed, the main points are clear, and the writing is standardized.

Not only is it clear at a glance, but also a bit pleasing to the eye?

Look at the diagnosis again, influenza, which is viral cold.

The diagnosis doesn't seem to be bad, does it?

According to this little brother's medical history, it seems that this diagnosis should be it!

Look at the doctor's order again, swallow the test strip.

There are also notes behind the history of present illness, oseltamivir, antiviral drugs, and the usage and dosage are correct.

Isn't this exactly the doctor's order I was going to prescribe!

This intern won my heart!

The anger that had just risen had long since dissipated, and the mood suddenly became cheerful. The male doctor asked the little brother casually.

"Did you take your temperature just now?"

The younger brother agreed instantly.

"Ah, I've measured it. The doctor opposite asked me to go to the nurse to measure it. Here's the temperature sheet. Here it is!"

After receiving the temperature sheet from the younger brother, the male doctor felt that his sense of comfort had risen to the top.

You even remember things like taking your temperature!

Everything is clearly arranged for you.

comfortable!

The male doctor was in a happy mood, and he didn't change a single word about Zhang Tianyang's medical records, diagnosis, and doctor's orders. He sent his little brother to do a throat test with a smile, and came back to him after the results came out.

"It's such a comfortable feeling."

The male doctor sighed in his busy schedule, and then sighed.

"Unfortunately, it is estimated that this is the only patient."

After all, viral cold is a disease that is very easy to experience, and Zhang Tianyang's ability to diagnose and administer the medicine smoothly is actually quite normal.

After a long illness becomes a doctor, who hasn't had a few colds?

When the next patient doesn't have a cold, or even a common disease, the intern probably won't be able to yell!

After all, he's just an intern!

You can't ask too much of him!

The male doctor's inner theater performed multiple interpretations in an instant, but his hands were not slow, and he had already called the next patient.

"What's wrong with you?"

While asking a doctor, he took the patient's medical card and placed it on the sensor. The male doctor casually scanned the written complaint and medical history.

"what?"

(End of this chapter)