Doctor of Healing

Chapter 445 Asking Medical History

A middle-aged male patient came in with his family members and Zhai Yuhan. They were not the patients waiting at the door.

"Sit down." Director Yang leaned on the chair and looked at the patient and his family with a professional smile.

Facing the camera, the patient was obviously restrained and nervous, even though Zhai Yuhan had explained to him alone before and had psychological construction.

"Doctor Zhao, come and ask about your medical history." Director Yang said.

Zhao Mengmeng immediately fell into a confused mode again, like a little elk lost in the jungle, so nervous that he panicked.

She didn't ask about her medical history, and all her knowledge was obtained in writing. She knew she couldn't do it from the first day she entered the clinic.

Adding the buff of the camera and her own embarrassment in the program broadcast last night made Zhao Mengmeng even more at a loss.

Originally, she was prepared, but when the tension came up, her mind went blank.

After a few seconds of silence, Zhao Mengmeng didn't speak, neither did Director Yang, and Ji Xiang kept his mouth shut obediently, respecting Director Yang's arrangement.

"Um...how long have you been sick?" Zhao Mengmeng asked stammeringly.

She was even more nervous than the patient, which stunned the patient for a moment.

"I started to have abdominal pain two years ago, but it was not severe. One year ago..."

The patient was diagnosed with gallbladder stones and was going to be operated on tomorrow's operation day. Someone had asked these questions a long time ago, but he answered them very quickly.

It seems that the patient is more knowledgeable and professional than Zhao Mengmeng.

Zhao Mengmeng asked intermittently for 3 minutes, completely disorganized, making Director Yang frown.

"Past history, you didn't ask about past history." Director Yang said.

"Oh oh oh." Zhao Mengmeng quickly responded, "Have you had any illnesses in the past?"

……

……

In the comment room, the guests had playful smiles on their faces.

After a few days of contact and one episode of the program, the guests all knew that Zhao Mengmeng was a top student, but it was limited to a top student.

Theoretical knowledge may be the better one, but it cannot be used clinically at all.

In just one episode, the guests who are not medical practitioners believe in the old saying more and more - the older the doctor, the more valuable he is.

Clinical experience is the most precious thing for doctors.

Even old surgeons who can't hold a scalpel steady.

"Zhao Mengmeng still lacks experience."

"It usually takes at least one year for a doctor who has just come to the clinic to barely take on the clinical work." Professor Shen explained, "As for the speed, it depends on the individual's understanding and whether the doctor himself is caring."

"Mr. Shen, it's really difficult to be a doctor." A guest said with emotion, "Last season, I saw that the interns in law firms can do a lot of basic work. But in the hospital, the doctors who just came to the clinic seem to be unable to do anything. "

He looked at Zhao Mengmeng, who was in a daze and was about to cry, and felt pity in his heart.

"Medicine is very complicated. To be honest, I think I am only at the level of a primary school student." Professor Shen said sincerely, "As for Zhao Mengmeng, it still needs time to grow up."

……

……

After a few more minutes, Zhao Mengmeng was at a loss for words.

What is written in the book and asking the patient's medical history on the spot are two routines, and there is no need to go together.

"Ji Xiang, come here." Director Yang didn't make things difficult for Zhao Mengmeng, and asked Ji Xiang to start the consultation.

What Ji Xiang did was very routine. While asking questions, he made records on paper.

After 3 minutes, Ji Xiang finished asking and began to report.

Director Yang nodded frequently.

Obviously, Jixiang once again proved that his level has far exceeded the stage of interns. He asked about medical history and reported medical history in detail, just like a veteran doctor.

"Jixiang said very well. The patient's diagnosis is clear. He is gallbladder stones. He is going to be operated on tomorrow." Director Yang finally made a summary, "The problem is whether our prior preparations are sufficient."

"For example, the patient has a history of hyperthyroidism in the past, and he took drugs to control it before the operation. He was fasted before the operation, and the patient did not need to take medicine.

If it is not explained, the patient has stopped the drug for a few days, the thyroid function is disordered after the operation, and insomnia, irritability, fever, etc. occur. It will be very difficult if the patient does not know the history of hyperthyroidism. "

"At that time, patients and their families will most likely not think of hyperthyroidism, and neither will doctors. They will only think it is postoperative infection."

Director Yang has obviously experienced similar cases, and he speaks logically.

These are all clinical experiences, which come out step by step.

Experience can be passed on from one doctor to other doctors, so that more patients will not become "experience". This is the meaning of the guidance work of superior doctors.

Although Ji Xiang asked about his past history, he listened very seriously, not as confused as Zhao Mengmeng.

"Okay, let's go back." Director Yang stood up and sent the patient out, comforting the patient while walking, "It's just a minor operation, you can go to the ground the next day after the operation, don't be nervous, it will lead to endocrine disorders and add variables to the recovery. Drugs Eat on time, tell you not to eat or drink, but taking medicine and drinking a sip of water does not count.”

"Thank you, thank you." The patient kept thanking.

The scene was fun.

Director Yang sent the patient with gallbladder stones to the door, and had already waited for nearly two middle-aged male patients to come up with the film.

"director."

Director Yang hesitated for a moment, then said in a deep voice, "Come in."

He turned around and said to Director Fan, "Director Fan, this is a very difficult patient, not suitable."

"Director Yang, you are busy with your work, so we will record it. Whether it can be broadcast depends on your opinion. If you say no, we will definitely cut it."

Director Fan's words satisfied Director Yang. Medical care is very complicated and involves all aspects, especially the patient's privacy and medical ethics issues when dealing with a patient who has no cure.

If you put it on the Internet casually, even if you do the right thing, you will be sprayed to death by the trolls.

Director Yang came back with the patient, and he said, "The patient knows the situation himself. He is in the late stage of liver cancer. Two years ago, he underwent an operation to remove the left and caudate lobes of the liver. Now there is a tumor of about 2cm in the right lobe of the liver. Who will ask?" Ask about your medical history."

"Director Yang, can I come?" Ji Xiang asked.

"Okay." Director Yang said, "This is Dr. Ji Xiang, let him take the medical history first."

Ji Xiang didn't ask the question directly, but reached out to take the film bag in the patient's hand and walked to the film reader.

Arranged in chronological order, Ji Xiang first took a look at the last film, and then carefully read the films one by one in chronological order from morning to night.

……

……

In the comment room, a guest was puzzled.

"Mr. Shen, didn't you ask about the medical history?"

"The film is also a part of the patient's medical history. First understand the patient's course of disease and get twice the result with half the effort when asking about the medical history." Professor Shen explained, "This is a very sophisticated approach, but there is a premise."

"What premise?"

"Doctors have to be able to understand films."

(End of this chapter)