Chapter 876: 【876】Surprised the boss
Chapter 876 [876] Surprised the boss
took out a pen from his pocket, Nie Jiamin put his eyes on the medical record, and his silent face was obviously thinking about something.
There must be some differences between teachers from overseas and domestic teachers. Xie Wanying observed the outpatient medical records that Teacher Nie corrected her. Unlike Mr. Tan, Mr. Tan hardly changed what she wrote. The domestic outpatient medical record is relatively simple, and it is enough to reflect the main symptoms of the patient.
Speaking of which, she is known to be careful in her work, and her writing is usually beyond the teacher's requirements.
Unexpectedly, after Teacher Nie picked up the pen, she wrote a lot after the medical records she had written, writing like a god. For example, she wrote on the patient's auscultation record that the breath sounds in the right lower lung disappeared. Mr. Nie supplemented the child's lung inspection, lung percussion, and palpation of the lungs, whether there was any abnormality or not.
Been taught a lesson. Xie Wanying recalled that her colleague seemed to have said before, saying that foreign doctors pay more attention to documents because once overseas doctors are involved in a lawsuit, the legal card documents are stricter than those in China. Writing about the patient's normal physical signs means that the doctor has done the investigation for the patient. If you don't write it, you may not be able to confirm whether the doctor has done it himself.
The domestic situation is different from overseas, because there are many domestic patients. The number of domestic outpatient doctors who see patients a day is unimaginable for doctors in foreign developed countries. Whoever makes the domestic population base larger, the number of patients will be massive.
Overseas doctors seem to have no concept of shortening the consultation time of each patient in order to see all patients.
Looking at a child, Nie Jiamin looked at it slowly, and thought about it slowly.
The slow-paced doctor in China did not dare to do it like him.
People are experts specially hired by the hospital.
Xie Wanying absolutely did not dare to urge Teacher Nie to speed up, even if she reminded the parents and children of the long queue behind Teacher Nie.
Spotting a sick child is better than scribbling a bunch of sick children and seeing them wrong. It is estimated that Teacher Nie thought so.
In the end, Nie Jiamin's pen head knocked down the initial diagnosis of the child: foreign body in the lower trachea of the right lung to be investigated.
I am not good at Mandarin, so Nie Jiamin asked students to communicate with their families. He doesn't seem to need to worry too much about this, because seeing this student's performance just now makes him feel more at ease. However, in the end, he is very meticulous in his work, and we need to ask the student what he thinks.
"When did you suspect that she had a foreign body in her trachea?" Nie Jiamin looked at her calmly and asked.
Xie Wanying recalled her thought process: "When the child came without coughing, the breathing was abnormal and began to be suspicious. Her chest was asymmetrical when the breathing movement rose and fell, and when she coughed, it became more and more obvious to bend to the right, indicating that the right lung Blocked. The right lung bronchus is divided into ten segments, and the foreign body is about stuck in the interoral segment of position 6 and position 5. The foreign body may be small, and the trachea is not completely blocked for the time being, but it moves down to position 7 and 8. Those thin bronchi are in great danger."
Her sudden series of detailed answers surprised Nie Jiamin inwardly: She could actually tell which bronchus the foreign body was in? Isn't that the equivalent of her eyes or brain like an X-ray or CT machine that can see through?
"It depends on the patient's CT examination results." Xie Wanying added cautiously.
(end of this chapter)
