This Doctor is Great

Chapter 178 Outpatient Clinic, Li Dongmei's Comparison

CT diagnosis of the brain of the patient Wang Dan, with sparganosis.

Then Wang Dan can only take medicine to kill insects in the Department of Gastroenterology.

Then he was sent to neurosurgery for surgery to remove the sparganosis.

soon,

The neurosurgery doctor came for consultation and determined that a craniotomy was needed.

Standing in front of bed 79, Zhou Mo said to the patient Wang Dan: "Today and tomorrow, two more days of deworming medicine..."

"Then starting tomorrow, I will fast for water and food, and then transfer to neurosurgery department for craniotomy..."

Patient Wang Dan's face turned pale, panicked: "Doctor, do you really need to have a craniotomy?"

That's the head off!

It's scary to think about it.

Zhou Mo comforted: "Don't worry, the technology of our Provincial Second Hospital is still good, you have to trust our doctors..."

At this time, the boyfriend next to him couldn't help asking curiously.

"Doctor Zhou, I would like to ask, you have to fast for water and food before the operation...why is that?"

Zhou Mo explained: "It's mainly patients who are afraid of anesthesia, throat reflex, coughing reflex, and finally the food and gastric juice in the stomach are accidentally inhaled into the lungs, causing suffocation..."

However, if you encounter emergency surgery.

Then you can't think about it so much, go directly to the operating table, and let's talk about the rescue. Water fasting does not exist naturally. "

After Zhou Mo finished giving instructions, he left the ward,

Just a few steps away, I heard Wang Dan, a female patient behind me, yelling at her boyfriend:

"Water and food will be fasted tomorrow, I want to eat more, until the surgery the day after tomorrow... By the way, I want to eat raw fish!"

"Huh? Do you still eat raw fish?"

"What are you afraid of? Anyway, I'm taking deworming medicine now, and I won't take it again in the future, just take this opportunity now..."

"no!"

"?? Why did you stop me? Don't you love me?"

"..."

"Say, don't you love me anymore?!"

Outside the door, the corners of Zhou Mo's mouth twitched, and he left quickly.

...

In the afternoon, when Zhou Mo was conducting his rounds before get off work,

Then I saw the patient Wang Dan crying alone on the hospital bed, wiping away his tears with a tissue.

With the other hand, typing on the mobile phone, and wrote the next sentence in Moments:

"Whoa, that scumbag actually broke up with me when I was about to have an operation..."

Not long after she posted it on Moments, many friends responded to her.

"You were hospitalized? Why?"

"What happened? What's wrong?"

"Let me tell you, men are unreliable."

"Every time we women resist everything alone..."

Zhou Mo walked in,

I saw the patient Wang Dan crying.

Zhou Mo was curious: "What's wrong? Where's your boyfriend?"

Wang Dan cursed angrily: "He broke up with me, scumbag!"

Zhou Mo was surprised.

separate?

Wow, nice job!

Zhou Mo: "Then you call and ask your parents to come and take care of you. You will definitely be weaker after taking the deworming medicine now... and you need to sign for surgery..."

After checking the room, go back to the duty room to write the doctor's order.

"Ding dong..."

Teacher Zhang Luojia sent a message to Zhou Mo: "I'm free tomorrow, follow me to the outpatient clinic? Afternoon."

Zhou Mo was suddenly excited: "Okay!"

...

The next day, Friday.

morning,

Patient Wang Dan began to fast from water and food, and then transferred to the neurosurgery department.

79 beds are empty again.

The 80-bed cirrhotic aunt sighed to Zhou Mo: "Doctor Zhou, that little girl is finally gone, and I can finally be clean."

Zhou Mo smiled and said nothing.

...

Afternoon, 2:00

Zhou Mo followed Teacher Zhang Luojia to the outpatient clinic again.

Besides Zhou Mo, there is another one, Li Dongmei.

Li Dongmei seemed a little excited, because this was her first visit to the outpatient department of gastroenterology.

Li Dongmei asked nervously: "Zhou Mo, is there anything I need to pay attention to later?"

Zhou Mo: "Pay attention? No?"

Zhang Luojia glanced at Li Dongmei: "Speak less and listen more."

Li Dongmei hurriedly said, "Yes, teacher!"

When I came to the outpatient clinic, the corridor outside the clinic was already full of people.

Walk into the consulting room and turn on the computer.

Zhang Luojia: "Zhou Mo, come here... I'll sit behind and watch..."

The last outpatient clinic was also operated in the same way. Zhou Mo performed well, so Zhang Luojia was also happy and relaxed this time. After all, he has been busy recently, and the thesis is at a critical time, so he is very tired.

Li Dongmei was behind, dumbfounded, I'll go, and this kind of treatment? Can you face the patient? Zhou Mo 666!

It just made her cry! !

However, Li Dongmei also knows her own affairs. Once she goes up, she will definitely reveal her secrets. Her lack of experience will make her panic when dealing with patients. When she turns back to ask the teacher frequently, it will not only disappoint the teacher, but also make the patient feel disrespected. .

Zhou Mo sat in front.

call machine.

The first patient, came in.

"Please Li*mei to see a doctor in the No. 4 clinic..."

...

The first patient: Li Bingmei, female, 14 years old, a middle school student.

Parents came with them.

"Doctor, help my daughter. She has a stomachache these days, and she is vomiting again, and her stomach is also very distended."

The parents looked nervous.

At this time, Li Dongmei was imitating in her mind.

If I sat in Zhou Mo's position, how would I react?

How would you inquire about the patient's condition?

At this time, Zhou Mo began to ask:

"How long has it been in pain?"

"The pain lasted for a day or two, and it was so severe this morning that I almost couldn't straighten my back."

First of all, heart disease should be ruled out.

However, the patient had vomiting, which was obviously not consistent with heart disease, so it was temporarily ruled out.

"When did you come to Yuejing?"

Girls, when they encounter this kind of pain, they usually have to ask Yuejing.

Li Bingmei, a girl, hesitated and blushed.

Zhou Mo smiled: "It's okay, I'm a doctor, I need to understand your situation as much as possible, so as not to misdiagnose... nothing to be ashamed of."

The girl finally blushed: "15 days ago."

Zhou Mo nodded, which means it's not dysmenorrhea.

in addition,

Any young woman who suffers from abdominal pain must be alert to gynecological diseases.

Such as pain j, ectopic pregnancy, ovarian pedicle torsion...

etc!

To be ruled out first.

"Can you describe your condition in detail?"

"It's just that my stomach is so distended that I feel like throwing up whether I'm eating or drinking water..."

"Have you eaten any different food before? Did you eat your stomach?" Zhou Mo asked.

At this time, the mother interjected: "None, the child is on winter vacation and eats at home. They are all cooked by me. There is nothing special. They are all daily dishes. I also pay attention to them. I will throw out the expired food directly." , Throw it away."

Zhou Mo nodded.

"Have you had a bowel movement these days?"

"I have today, but I have diarrhea..." Li Bingmei was a little embarrassed.

"Did you fart?"

Fart, this is to rule out intestinal obstruction.

If the intestine is obstructed, the gas will naturally be blocked and you will not be able to fart (high probability).

"have……"

"Do you have diabetes?"

"No."

After asking a few more questions, Zhou Mo looked at Teacher Zhang Luojia.

"Does the teacher have anything to add?"

"No."