Vol 2 Chapter 1362: Come, let you see

  Chapter 1362 Come, let you see
"Come on, do a physical examination!" Zhang Fan hasn't been struggling with this problem all the time. He is very clear about this problem. After the rounds are over, the department will not go through the medical history of the past five years. I went through the two-year medical history.
  Medical history, in the early stage, is a record of medical staff's medical activities such as the occurrence, development, and outcome of the patient’s disease, examination, diagnosis, and treatment. When it is simple, the medical history is very exciting.
  The doctor will write his own guesses or self-views on the future development of the disease. A medical record is the depth of a doctor’s understanding of the disease. Later, medical records took on a new role and became the legal basis for disputes.
  Then the medical records are nothing to read, they are the same, full of possibilities, maybe, not seen, doctors don’t write their own opinions, and even the treatment can wait for the superior doctor and family members to sign it.
  So, the current medical record is just to look at the examination pasted on it. As for the others, they are tightly integrated, and you can’t see anything useful.
  The patient is a young man, thin, and suitable for ordinary people. Wearing it on his body, it is like a generous monk robe, but the blue and white color makes him feel like a T-Bag in prison escape.
  The cheekbones are raised, the eye sockets are deep, the eyes are open, and there are more white eyes than black eyes. Obviously malnourished.
   "Why are you uncomfortable?" Zhang Fan asked as he began a physical examination.
   "It's a stomachache! I don't want to eat." Zhang Fan nodded his head, cooperated with both hands, four-finger turned the knife, and began to touch with his fingers counterclockwise.
   "Does it hurt?"
   "It doesn't hurt!"
   drove down in a circle, from left to right, without any pain points.
  Zhang Fan looked up at the patient's expression, no pain, and then looked at the bedside doctor.
It means that there is no pain in the whole abdomen. Your der actually wrote that appendicitis is suspected, and you also invited the general surgery doctor for a consultation. You want the general surgery doctor to perform the operation. How did you learn this diagnosis? The biochemistry teacher gave it to you. Did you take the diagnostic class?
"He has paroxysmal pain. When it is not painful, there is no abnormality. When it is painful, he is in a passive position. When the general surgery doctor came, he was well, and the general surgery doctor left and he started to hurt again. All right!"
  The doctor of the tube bed pouted, with a grieved expression. To be honest, the director of the department is afraid of Zhang Fan, but the little doctor is not afraid of Zhang Fan. Not only is not afraid of Zhang Fan, but also has the ability to not ask me.
The profession of a doctor is very strange. If you want to be a part-time officer in the hospital, he is very easy to manage, and you don’t need to manage it. He will work hard and actively move closer to the organization, fearing that he will not ask for it. There is merit but no demerit.
  Anyway, I’m a little doctor. I don’t get close to you. Don’t worry about me. Just give the old lady the salary bonus and tidy up the salary. It’s not uncommon for your wardens, or your guards with a knife.
  Furthermore, Zhang Fan, a surgeon, is a young, young doctor in internal medicine, but he is actually quite unconvinced. No matter how awesome your surgery is, it's also a surgical series, and it's a series that doesn't understand anything.
  Really, it’s not an exaggeration at all. There is obviously this kind of experience in medical treatment. Surgeons suppress physicians in terms of income, and physicians will always be better than surgeons in spirit.
  But to be honest, the gastroenterology department of internal medicine is a bit similar to the general surgery department of surgery. The disease is complicated and the diagnosis is difficult. This department is not easy to do.
  In detail, this thing is too difficult. First of all, the feedback of abdominal pain was not accurate. For example, a patient who was in a coma was sent to the hospital first. The doctor said that there was no organic change in the brain and the respiratory failure. This is a matter of the respiratory department.
  Then the patient came to the respiratory department, and the doctor in the respiratory medicine department took a look and said, "Hurry up and transfer to the gastroenterology department. This is a willingness to brain disease."
  After being sent to the Gastroenterology Department, the doctor said: "Quickly, check first." The family members were upset and scolded the doctor in the Gastroenterology Department. If you don’t do anything, you have to have a checkup. Why did you become a doctor?
  Digesting is also quite aggrieved.
  Gastroenterology and general surgery are very similar. General surgery can also have an exploratory laparotomy, while gastroenterology can only see the doctor's skills.
  It's hard to guess people's heart and belly, and disease is the same. Moreover, the tissues and organs of the abdomen, if you think about it carefully, they are a little bit like Yan Laoxi back then. They are self-contained. Usually they seem to be quite honest and listen to the orders of superiors, but when this thing reaches a critical moment, it will not listen to the orders of the brain.
   Not only does not listen to the orders of the brain, but may also send soldiers to turn the brain first. For example, in patients with hepatic coma, this is the ammonia in the liver that turns the brain up and down. This is not what it is to send soldiers.
  Zhang Fan looked at the grievance of the tube bed doctor with a complaining face, looked at the slightly embarrassed director of the gastroenterology department, and smiled lightly.
  Not much talk, technical units, trying to persuade each other verbally, are often wishful thinking, unless they lie down with the identity of the female doctor, but Zhang Fan will not be like this, too lack of technical content.
  Technical people are those who do not see the coffin and do not shed tears. You can't suppress her technically, and you can't overwhelm her with technology. She will always her mouth and say: this is it? I have seen a bigger one!
  So, Zhang Fan smiled lightly, as if saying: It’s time to show real technology.
   "Bring your legs together, bend your knees, take a deep breath, breathe out, spit out clean air, just like that, do it again."
  The young and thin patient was squeezed by Zhang Fan's hands like a doll.
   "What is it for? Increase the amount of exercise, cause symptoms?" The tube bed doctor glanced at his director slightly incomprehensibly.
  The director gave her a blank look, as if to say: "I don't know how to learn!"
  Of course, Ren Li, Yan Xiaoyu and Ouyang all understand.
  Zhang Fan needs a deep abdominal examination.
  When CT, nuclear magnetic, and DR are rampant in the medical world, let alone the deep physical examination, even ordinary physical examinations are almost lonely.
  In-depth physical examination, now almost few people can see it, because this thing is not only difficult to operate, but also prone to accidents.
  With advanced equipment, who is going to take the risk?
  So, let alone the patient, some young doctors have also heard of it, but never met.
Ordinary examinations are very delicate. Four fingers, with their fingertips across the skin, are lying together, like a girl between a couple who said to take a bath, then seduce the boy, pouting with four fingers lightly. Swipe across the boy's eight abdominal muscle masses.
  Well, it must be more style and style.
  In-depth examination is more crude. To put it vulgarly, it is a man with a cheeky man who has not seen the opposite for more than a decade, and then suddenly he is given the opposite sex.
   Put your hands together!
  Fold your hands together, just like artificial respiration, and then in the patient's abdominal cavity, there are deep undulations, and the patient who does not have much muscle fat, the abdomen is like a watermelon that is squashed and bulged.
  It makes people scared to look at it, for fear that if one is not careful, the patient's stomach will be crushed.
   "Suck, take a deep breath! Suck, hurry, vomit, vomit desperately, hurry!" Those who don't know thought what Nima was doing.
  The skinny patient, the eyeballs pressed by Zhang Fan are about to bulge out, it's really not an exaggeration at all. Not only the eyeballs are coming out, but even the tongue is about to be pressed out, and the patient is a little frightened. If not for so many doctors around him, he definitely thought Zhang Fan was going to murder him.
  It’s really difficult to press your hands to a depth of about ten centimeters across your belly and touch your organs. Don’t think that you’ll be able to read a novel, and then experiment with your girlfriend on the bed at night.
  Don’t check your physical examination and you didn’t get it right, but it’s not good to let your girlfriend pull a bed. Making a pool of stool is the lightest. If it is not done, it will kill people. If you encounter a substantial organ, it will be bleeding, and if you encounter a hollow organ, it will be a rupture and infection.
  Zhang Fan’s in-depth physical examination, during the initial stage of exertion, he should sink quickly and vigorously with the moment the patient exhales, and when he is near the organs, he must quickly retract.
How to say it, it's like a high-speed bull, galloping violently. I thought it would smash the woman in front of the bull, but when he arrived in front of him, the bull braked quickly and kissed the woman's lips lightly. Of women can't even feel kissing anymore!
  This is the requirement, and Zhang Fan not only has to touch the organs, but also feel abnormalities in the organs. Therefore, this kind of physical examination is too difficult.
  One volt together,
  One volt together,
  The patient's expression of horror made his eyes crack open.
   Then, under Zhang Fan's deep pressure more than a dozen times, the patient finally shouted: "This is this, this is this, this is the pain!"
  The sweat of Zhang Fan's head, this thing is a personal effort.
  When the patient yelled out, Zhang Fan stopped the action for the first time, determined the position, and then made a nail mark on the skin.
  The female doctors who are in charge of the bed are silly, not only the female doctor who is in charge of the bed, but even Yan Xiaoyu is silly.
  Really, it has been rare for people to use this type of physical examination for many years, but I finally saw it today, and it is still so amazing.
  Yan Xiaoyu looks at technology, and the female doctor in bed is like watching a small film for the first time. It is not why the female one is not wearing clothes, but whether the male one is full of gas.
  Too Nima is amazing.
  Between one and a half, she even worried that the patient’s liver would be crushed by Zhang Fan.
  
Neither CT nor MRI can find the lesion, but it was found by physical examination!
Yan Xiaoyu muttered to himself.
   "Can you be diagnosed now?" Zhang Fan asked the tube bed doctor. The tube bed doctor was never convinced and changed.
  Like a little white rabbit seeing a big tiger, they all began to tactfully, "Dean, the dean seems to have colonic diverticulitis!"
Forehead! Zhang Fan couldn't say anything.
"After three days in the hospital, there was no way to diagnose. Not only did I not think about it, but I also evaded the disease number, Director Li, is this all right? Today, I checked out the disease. If there is another one that cannot be diagnosed tomorrow, do I have to check it out? Body?
   Am I going to be the director? "
  Zhang Fan didn’t talk about the bed doctor, but for the director, he couldn’t let it go.
  The director’s sweat is splattered, and it’s like he did the same operation just now!
  (End of this chapter)