This doctor is great

Chapter 79 During the assessment, the difficult patient

The simulated consultation begins officially.

Huang Xinyi said to the sp patient (female): "What's wrong with you?"

SP patient (female): "It's like this, recently, my heartbeat has been fast..."

Huang Xinyi recorded "Heartbeat Fast" and asked: "Is there any more?"

"There is also the feeling of tightness in the chest... the kind that can't breathe..."

"How long."

"Over a week."

"Does it hurt?"

"A little... By the way, and, I passed out on the subway two days ago."

"Oh, ok... anything else?"

"Gone."

Huang Xinyi tapped on 'heartbeat fast', 'occasionally felt chest tightness and pain', 'fainted 2 days ago'

"Okay, let me ask you a few questions..."

"Okay okay..."

"Before I fainted, did you feel chest tightness and chest pain? Panic, rapid heartbeat, etc..."

At this time, Huang Xinyi has gradually withdrawn from the fear of Director Qi's "devil staring" behind him, and gradually focused on the sp patient.

Moreover, the train of thought began to become clearer.

Why do you ask 'did you feel chest tightness and chest pain before fainting? ', to diagnose the symptom of 'fainting', whether there is a pre-existing cause such as myocardial infarction.

The patient shook his head: "I just feel dizzy, then it gets dark, and then I don't feel anything..."

Huang Xinyi: "Did you go to the hospital?"

Patient: "No, I was busy with work at the time, and then I woke up and went to work when I was fine."

Huang Xinyi: "..."

I couldn't help complaining in my heart.

My God, is this the sp patient?It's so illogical.

If the real patient is so big-hearted, then I really admire it!

Huang Xinyi asked again: "When did you come to Yuejing? The last time."

When asked this question, Professor Qi couldn't help but nodded.

Not bad!

Because Huang Xinyi's field of vision has expanded from cardiology to general internal medicine.

When a patient faints, it is not necessarily a heart problem.

There may be anemia.

Or hypoglycemia...and others...

The Yuejing is one of the common causes of anemia!

Moreover, heart problems may be involved in endocrine disorders.

Professor Qi said in his heart: "Although I was a little flustered at the beginning, after entering the state, I still look more professional, not bad..."

The patient replied: "No. 1..."

"Is there anything to do with this My Yue Sutra?"

"The heart problem may be an endocrine problem, and it may also be anemia..."

"Are you pregnant? Married?"

"No."

"Is there a history of heart disease in the family?"

"No."

"History of allergies, past medical history, any surgery?"

"No."

"Did you take any medicine?"

"Healing Pill..."

"Suxiao Jiuxin Pill, right? How long have you been taking it?"

"It's been a week..."

Professor Qi nodded in satisfaction.

From medical history, diagnosis, key points... Huang Xinyi has achieved all these.

Huang Xinyi asked some more questions, then took out her stethoscope.

"Okay, let me listen to your heart and lungs..."

After listening,

"Your heart feels okay, and you haven't heard anything wrong. I'll take an electrocardiogram for you later..."

"Doctor, I'm worried about my illness, so I searched on the Internet to see if I have some serious illness."

Huang Xinyi: "..."

What doctors are most afraid of: Apple, Baidu, dogs...

Huang Xinyi: "Don't check the information on the Internet..."

SP patient: "But, I read the information on the Internet, what chest tightness, chest pain..."

Huang Xinyi hurriedly interrupted: "Don't, don't, the diagnosis on the Internet needs a foundation - you can only support it after you have done various related examinations, so don't trust the Internet..."

SP patient: "But the Jiuxin Pill I took was suggested on the Internet, and it works well..."

Huang Xinyi: "That's luck. You must take the doctor's order for any medicine you take. If it's not the doctor's order and you take it wrong, what should you do?"

Professor Qi watched from behind, and began to score in his heart.

Judging from this stage, Huang Xinyi firmly denied the patient's internet search behavior.

This, well done.

Next, is to open the inspection.

Basic blood routine, electrocardiogram, echocardiography...

The sp patient went out for a checkup...

After 1 seconds,

The sp patient came in: "Doctor, I finished the examination..."

Huang Xinyi: "..."

There is a kind of trough, I want to vomit, but I can't vomit.

Huang Xinyi looked at the routine blood test, electrocardiogram, and echocardiogram... and found that there was nothing wrong with it.

Huang Xinyi: "I saw your inspection, there is nothing wrong..."

SP patient: "You don't see what's wrong with me, do you? Impossible?"

Huang Xinyi: "But your results show that there is nothing wrong with you."

SP patient: "No, you are so young, it must be because your medical skills are not high enough, you see (take out your mobile phone), you look at the Internet and say that many young people are suffering from chest pain and tightness, and then suddenly died..."

Huang Xinyi: "..."

coming!

Here comes the trouble!

She recalled what her teacher taught her, that when facing patients, one should not hesitate, one must show the professionalism and majesty of a doctor, and one should not be led astray by patients.

"Don't believe what's on the Internet...Look, I checked an echocardiogram for you. If there is no problem with the structure of the heart and blood flow, it means that there is nothing wrong with your heart...If you are worried, I will get you one Dynamic electrocardiogram, you carry the instrument on your back, it will detect your 24-hour ECG changes..."

Come on, a bunch of professional explanations.

Then the patient began to repeatedly ask:

"The last time I fainted, I had someone to save me. I'm afraid that the next time I fainted without anyone, wouldn't I be dead?"

"So many young people who died suddenly were reported online, will I do the same?"

"Also, is there any medicine that can help me? My heartbeat is very fast."

"Doctor, will I die?"

"Doctor, I think you are too young, I want to see an older doctor..."

"Doctor..." X6
...

"Doctor..." X10
Huang Xinyi: "..."

Almost broke the defense!
Fortunately, she was stable, and she firmly remembered the teacher's teaching: You must show your doctor's professionalism to stabilize the patient and not let the patient question you.

Huang Xinyi let's get started...

"You have to believe that I am a professional. I have studied medicine for 11 years. I have a good enough education to help you diagnose..."

"You are in a tense mood now, which will affect your heartbeat. You have to calm down and take a deep breath..."

"Don't worry, trust me..."

After a lot of reassurance, the sp patient finally nodded.

Professor Qi also nodded. At this later stage, Huang Xinyi did perform well.

"Thank you doctor..."

Then left the consulting room.

sp, over!
Huang Xinyi's emotions were withdrawn from the patients, and then she became nervous. She glanced at Professor Qi and thought: Did I fail the exam this time?

Professor Qi's face was black: "Okay, your work is over... go out and call Huang Yiming in."

Huang Xinyi almost burst into tears.

Did I fail the exam?
Why is the director so dark?
……

The doctor's conference room, seeing the whole process, almost laughed crazy.

"Hahaha~~ The director is here to scare the little guy again."

"Last time, Guipei was like this too. There was a little girl who was scared to tears by Director Qi..."

"Huang Xinyi performed well this time..."

"Indeed."

Score one after another...

……

In Zhou Mo's conference room,
A group of people waited nervously.

bang~~
Huang Xinyi pushed the door open and came in.

"came back!"

"Xinyi, how is it? Is it difficult?"

Everyone asked curiously.

Huang Xinyi took a long breath and said with lingering fear: "Do you know that Professor Qi is behind me, less than 1 meter away, staring at me for diagnosis, scaring me to death..."

hiss~~~
All gasped.

Huang Xinyi: "There is still that patient, who is difficult to deal with, Dr. Baidu..."

hiss~~~~
Take another breath of air.

.

　The next chapter is the main character, the sp part won't be too long, the next chapter may end...

　　Also, the blue pen I wrote is not a true blue pen, but actually a blue-black pen.

　　
　
(End of this chapter)