I Can See Health

   Chapter 444 Weird Bronchial Asthma (Fourth)

   Respiratory department 1 ward, doctor's office.

  Lu Chen had changed into his white coat and stood in front of a middle-aged female doctor.

   "How many months have you been in the respiratory department?" Fan Yujing's voice was cold and her eyes were cold.

   "Two months." Lu Chen said lightly.

   "Then what did you do last month?" His voice was still cold, without any emotional fluctuations.

   "Go to Kyoto to attend a training class and ask for a month's leave."

   "It takes a month to participate in the training?" Fan Yujing gave Lu Chen a cold look, "I hope you won't have to deal with me in this way in the next month."

  Lu Chen frowned, this female doctor is so angry, could it be menopause?

   No wonder everyone said that Fan Yujing was not easy to get along with and had a weird temper.

   This initial first impression, Lu Chen dare not compliment.

   There are only two interns in Fan Yujing's group, and there are no other graduate students and regular trainees.

   It seems that everyone does not want to join this group.

  The two interns also didn't know the market situation, so they came to this group.

   At this time, Fan Yujing said again: "The beds managed by our group range from 21 to 36 beds."

   "Okay." Lu Chen nodded.

   "You can find out about the patient's condition now, and in ten minutes, we will go to the ward round." Fan Yujing said lightly.

   "All patients, ten minutes?" Lu Chen was startled.

   "What, is there a problem?" Fan Yujing said coldly, "If you think you can't do it, then just say it."

   "Okay, I see." Lu Chen nodded slightly.

   It seems that this tutor is not only cold, but also too strict.

  Ten minutes, it is impossible to fully understand the condition of all patients.

  Lu Chen can only pick the most important items to view.

   He found a free computer, and after sitting down, he began to look through the patient's medical records and examination reports.

At this time, another intern in the group sneaked up to Lu Chen's side and whispered, "Hey, brother, you don't have to take it seriously, just take a look at it. When I first came to the group, Fan Demon He told me the same."

  Fan Demon?

  Lu Chen couldn't help laughing, these people were quick to get nicknames.

   "Mr. Fan didn't ask any questions during his rounds?"

   "Ask!" The intern smiled, "I said I didn't know, and she never asked again."

   "Oh." Lu Chen nodded and looked at the boy, "What's your name?"

   "Wang Defa." The boy grinned.

  …

   Ten minutes later, Fan Yujing really returned to the doctor's office.

   "Let's go, start rounds."

After   , she left the office first.

  Lu Chen saw this, and followed her with the two interns.

   Fan Yujing's footsteps were very fast, and Lu Chen and others couldn't help but speed up a bit.

   came to bed 21.

  Fan Yujing did not directly ask the patient's condition, but looked at Lu Chen and said, "Report the medical history first."

  Lu Chen nodded slightly, this was an expected question.

   "A 64-year-old male patient was admitted to the hospital with cough and sputum for half a month..."

  Lu Chen explained the patient's important medical history and physical examination.

  Fan Yujing just nodded, the expression on her face was still cold.

   "What about the laboratory tests of the patient after admission?"

  Lu Chen thought for a while and said, "The blood count is high in white blood cells, the liver and kidney functions are normal, and the potassium ions in the electrolyte are low..."

  Lu Chen was about to continue, but Fan Yujing interrupted.

   "Have you reported the patient's laboratory tests like this?"

  Lu Chen was startled, "Teacher, did I say something wrong?"

   Fan Yujing said coldly: "The white blood cells are high, how much is it high? The potassium ion is low, how much is it low? What is the specific value?"

  Lu Chen paused, frowned and said slowly: "The number of white blood cells is about 12,000, and the potassium ion is 3.1mmol/L."

   Wang Defa thought Lu Chen was lying, and he couldn't help giving Lu Chen a thumbs up.

  Fan Yujing glanced at Lu Chen, then opened the test list in the patient's medical record.

   "Oops, it's going to be revealed now." Wang De said to himself.

   However, what he didn't expect was that Fan Yujing did not deny after reading the medical record, but continued to ask: "Apart from these abnormal indicators, what about the patient's renal function?"

   "The kidney function is normal." Lu Chen said softly.

   "I'm talking about specific values!" Fan Yujing frowned, "Is it normal values?"

  Lu Chen was stunned when he heard the words. A normal indicator should also be recorded as a value?

   Isn't this embarrassing?

   There are so many blood test indexes for each patient. It is understandable to write down abnormal indexes, which will help clinical diagnosis and treatment.

   Do you still need to write down normal indicators, ten brains are not enough!

   "Don't know?" Fan Yujing raised her eyebrows.

   "I don't know." Lu Chen nodded.

   "You don't even remember such an important indicator?" Fan Yujing said coldly.

  Lu Chen didn't refute, this kind of tempered teacher, the more you argue with her, the more vigorous she may be, she just replied lightly: "Teacher, I will pay attention next time."

  Fan Yujing took a deep look at Lu Chen, no longer asked questions, but performed a lung auscultation examination for the patient.

  …

   Wang Defa is right, as long as he answers the question incorrectly or does not answer the question, then Fan Yujing will not ask any more questions.

   During the next rounds.

  Fan Yujing did not ask a single question, but simply checked the patient.

  Lu Chen followed behind Fan Yujing and found that she was not only indifferent to the students, but also had a similar attitude towards each patient, with an inhumane taste.

   "Okay, today's rounds are over, everyone will go back and write down the course of the disease." Fan Yujing glanced at Lu Chen before leaving.

   This was the first time that Lu Chen had met such a personal teacher, and returned to the ward in desperation.

   But he just sat down and turned on the computer medical record system.

  Fan Yujing's voice came over again, "Come on the patient, in bed 30, you go to see first, I'll come over later."

  Lu Chen looked around, there was no one around, Fan Motou should be talking to him, right?

   "Don't look, it's you, go!"

   Hearing Fan Yujing's words, Lu Chen reluctantly stood up and walked outside the doctor's office.

  …

   Came to bed number 30.

   A middle-aged couple in plain clothes sat on the hospital bed.

   "Excuse me, who is the patient?" Lu Chen whispered.

   "I am." The middle-aged woman, about forty years old, said slightly cautiously.

   "Auntie, I'm your doctor." Lu Chen introduced himself, "I'll ask you about your specific condition first."

   At this time, the health value on the patient's head is displayed as 68 (-).

   "Okay, you can ask, I'll tell you everything I know." The middle-aged woman spoke Mandarin with her feet curled.

   Then, Lu Chen started collecting medical history.

   Female patient, 43 years old, surnamed Wang, occupational cleaner.

   He visited a doctor because of “cough and expectoration, accompanied by wheezing for 5 days”. He had a history of bronchial asthma with intermittent attacks and no regular treatment.

   After asking about his medical history, Lu Chen started a physical examination.

   Cardiology is mainly heart auscultation, and the most important thing in respiratory department is the lungs. (All need to be checked, with different emphases.)

  Lu Chen found that before his stethoscope was close to his lungs, he could hear the patient's obvious wheezing.

   When auscultation is placed in the lung auscultation area, a typical wheezing sound can be heard.

   "Is this a bronchial asthma attack?" Lu Chen frowned.

   At this time, Aunt Wang took out her medical records in the outer hospital.

   "Doctor, I have been treated at the Central Hospital for a week, but the cough and phlegm have not been cured. I heard that you have a good respiratory department here, so I came here."

  Auntie Wang lives in Jinghua Central Hospital, the same hospital where Min Xiaobo lives.

  Lu Chen was quite puzzled. The Central Hospital is also the top tertiary hospital in the province. Could it be that it can't cure a bronchial asthma?

   Then, he opened the medical record with doubts.

   On the medical record, it was recorded that the diagnosis was "acute exacerbation of bronchial asthma, complicated by pulmonary infection".

   After giving anti-infection, antispasmodic and antiasthmatic symptomatic and supportive treatment, but the treatment effect was not very good, the patient requested to be discharged.

  Lu Chen noticed that the patient's doctor's order was indeed a drug for the treatment of bronchial asthma and lung infection.

   If he was asked to come for treatment, it would be nothing more than these drugs.

   But why would it not work?

   (end of this chapter)