This doctor is great

Chapter 10 The first outstanding performance in the outpatient clinic

When Zhou Mo and others came to the outpatient building, they already felt the 'heat'.

It is more lively than the vegetable market in the morning.

hall……

in the hallway...

It's full of dense people.

But it's no wonder, after all, it is the Second Provincial Hospital (pseudonym), the second most powerful hospital in the province, so there are naturally a lot of patients here.

"what……"

Zhou Mo suddenly saw a familiar person.

It was the tall and thin young man on the subway whom he suspected to have Marfan syndrome.

"Zhou Mo, what's the matter?" Huang Yiming asked curiously.

"It's nothing..." Zhou Mo shook his head, he was a little happy, the tall and thin young man was his 'first patient'.

Soon, Zhou Mo and Huang Yiming followed Mr. Huang Li, passed through the dense crowd, and came to the No. 5 clinic.

Push door,

Go in.

"Okay~~ The doctor is here!"

A group of patients can't wait to rush in immediately.

But Teacher Huang Li said with a cold face, "Don't come in, wait for your number to be called!"

Under his serious and majestic gaze, those patients who had registered with him could only withdraw angrily.

Turn on the computer and get ready.

Teacher Huang Li sat next to the computer, and Zhou Mo and Huang Yiming sat behind him.

Click to call,

Soon, the first patient walked in.

Male, about 50 years old.

"doctor!"

"Sit...Chen Dong, right? What's wrong?"

Chen Dong frowned: "I don't know why recently, but I often feel dizzy and have chest tightness..."

Dr. Huang Li: "Tell me specifically, how does it feel? Chest tightness..."

"It's stuffy, I can't breathe, I feel a little suffocated when I go up and down the stairs, it's very hard..."

"I still have dizziness, will I have a headache?"

"Sometimes a little..."

"Do you have high blood pressure? Diabetes, hyperlipidemia... Do you have any of these? Do you have any medical history before? Have you had surgery, had a serious illness or something, or continued to take medication..."

"I have high blood pressure... nothing else, I have always been in good health, and I have never had any serious illnesses... I just take medicine for high blood pressure..."

"How long have you had high blood pressure? Is it stable with medication?"

"I have had high blood pressure for ten years, but it's not very severe. If I take medicine, I take it occasionally..."

"Did you take antihypertensive medicine in the morning?...Xiao Mo, measure his blood pressure..."

"I didn't take antihypertensive drugs..."

Zhou Mo was taking measurements, and Teacher Huang Li was asking the doctor while typing the medical records on the computer.

Soon, Zhou Mo finished measuring his blood pressure: "Teacher, the blood pressure is 130/93..."

Teacher Huang Li nodded and quickly entered the data into the system.

After asking a lot of questions quickly, Teacher Huang Li finally held a stethoscope and said, "Let me listen to your heart and lungs..."

I simply listened to the patient's heart and lungs, there was no abnormality, no obvious noise, and the rhythm was normal...

"You lie on the bed and take an electrocardiogram..."

If there is no problem with the stethoscope, then get an EKG.

There is an electrocardiogram machine in the consulting room. After all, it is not very big, and the price is not expensive, only a dozen yuan.

“Da da da~~~”

Soon, a series of electrocardiograms were printed out...

"Hey...the electrocardiogram is fine..."

Teacher Huang Li was puzzled.

However, sometimes there is a problem with the heart, which may not be detected by the electrocardiogram, because the electrocardiogram is temporary after all.

If necessary, 24-hour dynamic electrocardiogram monitoring can be done...

The patient got up from the bed: "Doctor, for me, have you found any reason?"

Huang Li shook his head: "Not yet, I'll give you a color ultrasound of the heart, you go for an examination... and a blood test, check if it's anemia..."

The patient nodded again and again: "Okay, okay..."

Wait!

The patient turned around suddenly: "Doctor, should I go for a color ultrasound of the heart now? Can I come back to you when I'm done?"

Teacher Huang shook his head: "The cardiac ultrasound needs to be booked separately, so you have to make an appointment first. You may not be able to do it today. Check your mobile phone to see if there is any empty number for the cardiac ultrasound..."

"Ah? Then don't I want to register next time?"

"Yes."

"Your hospital is too dark!"

The patient said angrily.

"It's already very troublesome for me to register, and I have to make another trip to waste a few hours. Can't you finish it for me at once?"

"terribly sorry……"

Teacher Huang Li showed a professional smile.

Soon, the patient took the heart color Doppler ultrasound sheet and left unhappily.

"It was a waste of a trip. I worked so hard to register and ran, but I didn't find anything. This doctor is too bad..."

Of course, it was only the patient who cursed in a low voice, not loudly.

Teacher Huang Li asked Zhou Mo and Huang Yiming while calling a new patient.

Assessment and imparting experience begins!
"Zhou Mo, tell me, what do you think about the patient's condition just now?"

Zhou Mo had already simulated seeing a doctor by himself just now, so he didn't panic at all about it, and expressed his thoughts fluently:

"First of all, the patient is relatively old, 55 years old, so my first consideration is whether the patient's heart and lungs have problems, such as pulmonary embolism, myocardial infarction, etc..."

"Chest tightness, dizziness, feeling out of breath, this feeling should be that the pumping function of the heart disease has weakened, and then cannot pump enough blood to deliver oxygen to the whole body, including the brain. The brain is not enough oxygen, so naturally dizziness gone."

"It may also be coronary heart disease, myocardial ischemia..."

"There may also be problems with the lungs..."

"Then there is the direction of examination. Blood pressure measurement and stethoscope listening to the heart and lungs are the most important. Cardiology examinations are necessary, and the more accurate electrocardiogram is the first choice. It is cheap and highly practical. It can diagnose most heart diseases... "

"There is no problem listening to the heart and lungs with the stethoscope, and the electrocardiogram is fine, so the only way to check further is: cardiac color Doppler ultrasound, because it is cheaper than CT, so color doppler ultrasound is the first choice..."

"If there is no problem with the results of the color ultrasound of the heart, let's go for CT, chest CT..."

"If you still can't find the problem, then try to consider other directions, such as endocrinology, and ask the patient to go to the endocrinology department to see if it is hyperthyroidism, other hormonal factors, oh, it may also be anemia, etc..."

Zhou Mo's answer was very fluent.

Teacher Huang Li couldn't help being surprised.

Zhou Mo's first outpatient performance was outstanding! !
He took a look at Zhou Mo:
[This guy, are you sure he is a rookie with no experience? ]
[So fluent! ]
[When I was training in the past, I was not so good...]
Teacher Huang Li was amazed.

At this moment,
The second patient had already walked in and took his seat.

Zhou Mo was surprised.

Such a coincidence?
Ma Fang youth?

He actually hung up the number of Teacher Huang Li.

"Doctor, what a coincidence..." The Ma Fang youth looked at Zhou Mo in surprise.

"Yeah, what a coincidence..." Zhou Mo smiled.

"You guys know each other?" Teacher Huang Li glanced at the young man curiously, subconsciously thinking that the patient was Zhou Mo's chicken.

Zhou Mo shook his head and said: It's not my chicken...

.

(End of this chapter)