A neurosurgeon is carefully examining a patient.

Examining a patient's brain condition requires more than just a pupil exam.

There are many specialized examination items in neurosurgery. It is not in line with the specialized examination process of neurosurgery to focus on only one examination item and examine the patient desperately. No neurosurgeon would do this.

Why did the two internists perform pupil examinations on the patient as the first task?

This has to do with the fact that in clinical practice, most medical staff, including nurses, want to check whether there is a problem with the patient's brain. The first thing they do is check the patient's state of consciousness.

However, is it easy to discern the state of consciousness of the elderly?

People say that old people are like children, and this is fully reflected here.

This old man is hard of hearing and can hardly hear what people say. You can shout at him, but he can't hear you.

So how do you judge whether he is conscious or not?

...

...

Another method is the orbital reflex test, which is commonly used in clinical practice. To be honest, the orbital reflex test is not easy to perform.

There are certain requirements for the force and accuracy of orbital compression, so not all clinical medical workers can meet the technical standards all at once.

If the technology is not up to standard and the family members see it and the news reports it, the family members will suspect that the medical staff is abusing the patient.

If you keep pressing the patient's eyelids, isn't that abuse?

It is indeed not done well and no major differences can be observed. It is like Dr. Li was unable to detect pupil abnormalities and could only use a flashlight to shine the light again and again, checking and doing it again.

How to perform the orbital pressure reflex test?

Use your thumb to compress the supraorbital foramen of one of the patient's eye sockets.

Dr. Yue Wentong asked two colleagues in internal medicine: "Which part of the patient did you press the orbital pressure on?"

"Eyes, above the eyes--" Dr. Li Qian'an replied.

"Tell me the specific anatomical location."

Doctor Li Qian'an was questioned again by Squad Leader Yue: Did I do the right thing tonight?

Doctor Liu put his hands over his face again.

It’s hard to describe the expression on squad leader Yue Wentong’s face. First of all, we can know that Song Mao’s disgust at the beginning of the show was based on this.

The saying in the medical circle that differences between different disciplines are like mountains is truly a bloody lesson.

It is easy to forget knowledge that is not your own specialty if you don't practice or review it. Besides, in general hospitals, everyone is used to calling the specialist next door, and the path dependence makes you lazy.

Only when they have learned a profound lesson will humans go back and pick up their textbooks to do relevant review work, and doctors are no exception.

This is an important reason why imperial patrols are arranged in hospitals.

You wait for the specialist to come. If the specialist is very busy, like all the thoracic surgeons are performing surgery on patients and cannot come, what should you do as the first doctor?

If even the most basic examinations cannot be done properly, misdiagnosis or missed diagnosis will definitely delay the patient's condition.

Doctor Yue Wentong became enlightened when he thought of this.

He originally thought that being a resident always meant informing everyone like Senior Brother Huang, but now it seems that he was obviously wrong.

As a resident, you should first set high standards for yourself, otherwise you will be wasting the precious opportunity given to you by the hospital to improve your abilities.

When he becomes the chief resident in the future, he will never ask Senior Brother Huang for advice, but will follow the example of Classmate Xie!

Hospital leader: You all think so, right~

The two internists watched carefully like elementary school students as Dr. Yue performed a seemingly simple orbital reflex and pupil examination on the patient.

This is a rare thing.