Sleepless Doctor

"Let's check it, but doctor, please be gentle." The man said with a sad expression, "It hurts badly."

"Well, lie down first, don't worry." Wei Dabao said, "I'll show you a look, and then take the medicine. B-ultrasound, the medical records are not brought, you should always bring the B-ultrasound report."

"Here." The woman took out a piece of paper from her bag and handed it to Wei Dabao.

Wei Dabao took a look. Generally speaking, the main objective symptom written on ultrasound is whether the gallbladder wall is thickened. The normal value of the gallbladder wall is generally 3mm. If the gallbladder wall is rough, thickened, and not smooth.

According to the B-ultrasound description, it was indeed cholecystitis. He put the B-ultrasound list aside, rubbed his hands like Wu Mian, and said, “I’ll tap and press, bear with me, and tell me wherever it hurts.”

The little nurse stood at the door, his eyes overflowing with contempt.

"Brother Bao, what are you doing here?" asked another nurse, pushing the IV cart back.

"I said I'm going to Jianxie Hospital, isn't it, it's swollen," the little nurse said.

"Huh? He's going to Jianxie Hospital?"

"Well, I just heard what Brother Bao said."

"Why is it inflated?"

"The patient brought the doctor's diagnosis to the point of order. Brother Bao must have a physical examination. You can tell, it seems to be better than the doctor's." The little nurse said sourly, "Yes, I will be from the Jianxie Hospital in the future. It’s a doctor, our TCM hospital can’t compare.”

"Haha, Brother Bao is not that kind of person. Haven't you noticed, Brother Bao, the patient who came to visit recently, has to have a physical examination."

"Cut, just show off."

Wei Dabao heard two nurses standing at the door muttering quietly. He was not angry, but rather happy.

Not being jealous is mediocre, buddy, that's it!

For routine physical examination, first press the hand twice on the stomach, and then touch the painful position described by the patient.

One is to prepare the patient, and the other is to look at the softness of other positions so as to have a judgment on the condition.

Wei Dabao put his hand on the patient's lower abdomen and asked, "Does it hurt here?"

"It doesn't hurt."

He changed his hand to the right lower abdomen again, and continued to ask.

Left lower abdomen, middle abdomen...

"pain……"

When Wei Dabao's hand was placed on the upper part of the abdomen, the patient suddenly cried out of pain.

"I'm lighter, it's okay." Wei Dabao didn't pay attention at first. The pain in that position should be involved pain? Is it pain caused by cholecystitis.

But when he moved his hand away? He was slightly startled.

"The position you just pressed hurts, how does it hurt?" Wei Dabao asked.

"It just hurts..." the patient described.

"..."

Will the patient answer this question very vaguely? Similar situations are often encountered in clinical practice? Wei Dabao has long been surprised.

It should be the pain involved, and then Wei Dabao checked the patient's upper abdomen? Murphy's point pain, a standard sign of cholecystitis.

That's right? How could the diagnosis of the University of Medical Sciences be wrong? Wei Dabao still felt a little compelling. It is a habit to examine the patient, and he is working hard to accumulate clinical experience.

"Look at what I said, just behave." The little nurse stood at the door and said, "It seems that he is better than others. Actually, he is not flattering? Kneeling all the way? Take Chief Wu..."

"It's disgusting to say." The other young nurse was upset, "Section Chief Wu doesn't take this set."

"Uh...this is also true."

Regarding Wu Mian, the two young nurses quickly reached an agreement and could not afford to dispute at all.

Wei Dabao ignored what they were talking about. This kind of thing is most common in basic hospitals like Chinese Medicine Hospital. Everyone is friendly when they are tall? Once anyone jumps out of this stagnant pool, they will definitely make irresponsible remarks.

Envy, jealousy and hate? Human nature is no big deal.

After checking the body? Asking about the medical history, and then giving the patient a receipt for observation? Antibiotics? Sent to the ward? Wei Dabao came back and sat down.

He felt a little unclear in his heart. After thinking about it for a long time, Wei Dabao didn't even figure out what that feeling was.

After an hour, Wei Dabao looked at the patient twice and found no abnormalities. Seeing that there were no patients, he took out his cigarette and stood outside the small corner of the emergency department, smoking a cigarette while catching his discomfort.

It was possible that the lower part of the mid-abdomen was painful, causing him to feel uneasy, Wei Dabao thought.

The patient's position is very tender, as if it can be explained by the involved pain.

Involved pain refers to the phenomenon of hyperesthesia or pain in a certain area of ​​the body surface when certain internal organs are diseased, which is called involvement pain. It is a type of pain, which is manifested in that the patient feels obvious pain somewhere on the body surface, and there is no actual injury in that place.

This is because the diseased visceral nerve fibers and the nerve fibers somewhere on the body surface meet in the same spinal cord, and the afferent nerve fibers from the viscera go up to the cerebral cortex through the spinal cord.

In addition to responding to visceral pain, it also affects the nerve fibers on the body surface of the same spinal cord, conducts and spreads to the corresponding body surface parts, and causes pain.

There is a detailed description of the involvement of pain in "Diagnostics". Wei Dabao compared it in detail and thought that he was over-concerned.

The patient should be fine, besides, there is a B-ultrasound report. After pinching out the smoke, Wei Dabao was finally sure that he was thinking too much.

Maybe it was because I was finally able to go to the Jianxie Hospital to make a lot of money, and I was happy in my heart, and this would have some weird feelings, Wei Dabao sneered.

But it was great to be able to go to Jianxie Hospital, he thought very happy. I just don't know when I can leave, it depends on the speed of Section Chief Wu.

But as long as Section Chief Wu said a word, he would definitely be able to transfer it.

Wei Dabao is very clear about the relationship between Section Chief Wu and District Chief Deng of the Development Zone. In this area, as long as he does not kill people and set fire to rob the bank, there is nothing that Section Chief Wu can't do.

When he got off work, Wei Dabao changed his clothes to go home.

To tell the family member that this happened, she might not be happy about what it was like. With an income of 100,000 a month, Lao Tzu has developed! Wei Dabao was happy in his heart, and his steps briskly.

In the corridor ~www.wuxiaspot.com~ the patient's family passed by holding an IV bottle with Wei Dabao.

"Are the points intact?" Wei Dabao asked smoothly.

"It's better," the man said, "every time, the doctor said that there is inflammation, but there are no stones, and surgery can be done or not."

He speaks much faster than before, obviously the pain is relieved and he feels comfortable.

"That's good." Wei Dabao smiled.

The patient entered the observation room, and Wei Dabao walked forward. But after a few steps, he backed away. I felt a little nervous, and the uncomfortable energy surged up like a tide.

"I will check again."

"Huh?" The man was startled.

"When you see it, you have to take a physical examination. We need to write a medical record." Wei Dabao said, "You said I don't have a physical examination when you leave the Chinese Medicine Hospital. How do you write the medical record? Is it better or worse? Right."

"Cut, I've never seen you check it."