"Are you here to study?" Squad Leader Yue has become more patient after a year.
Facing Squad Leader Yue, Mi Wenlin and Mi Siran felt a little guilty and nodded slowly.
"Who do you want to learn from?" Zhang Desheng raised his eyebrows and asked them.
Let's take a look at the senior sister. The two junior brothers and sisters were not stupid, and they knew they were wrong after being scolded. Then they figured out who had put them in the wrong hands. After following, they stood on tiptoe and looked at the senior sister.
The stethoscope in the senior sister's pocket was particularly conspicuous in their eyes. The reason was that the rookies who had just entered the clinic always thought that wearing a stethoscope was very cool, and taking it out to demonstrate their superb skills as doctors. But the senior sister was not like that. She did not use the stethoscope when she did not need it, and placed it in the pocket of her white coat so that it would not move.
Stethoscopes are rarely used in gynecological examinations. Gynecology is a surgical department. Surgery rarely uses stethoscopes except for cardiology. Xie Wanying and other surgical teachers are almost developing the habit of leaving their stethoscopes alone and letting them gather dust.
Instructing the patient to relax her abdomen, Xie Wanying gently pushed away the patient's abdominal fat with her fingers to feel the lump underneath. It was palpable. As shown on the ultrasound report, the lump was not very large.
People around her looked at her fingers, which were so gentle and flexible.
Mi Wenlin and Mi Siran opened their eyes wide, feeling as if they had opened the door to a new world.
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...
"What's wrong, doctor? She has diarrhea, doctor." The family members would not understand what the doctor said if it was not a digestive tract disease. They only knew that if the patient had diarrhea, the doctor should help the patient solve the diarrhea problem first.
It’s not that doctors don’t solve the diarrhea problem. It’s just that in the eyes of doctors, patients’ symptoms are primary and secondary. This patient’s diarrhea symptoms obviously don’t need to be solved urgently because he didn’t become dehydrated and didn’t have diarrhea constantly.
In fact, the patient's diarrhea was intermittent, so the emergency internal medicine doctor on duty at the first visit doubted whether a colonoscopy was necessary, otherwise it would be difficult to figure out what was going on with this not-too-severe diarrhea.
There are digestive tract symptoms such as diarrhea caused by gynecological diseases, which are unknown to many laymen and easily overlooked by some doctors.
Xie Wanying explained to the family again: "The location of her pelvic mass happened to press on her rectum and vagina, causing diarrhea. So it's not enteritis."
"We've gone to the gynecology department, and the doctor said there's no big problem. But look, my stomach hurts and I have diarrhea. What do you think we should do?" The family members say this because they are afraid that the doctor will send the patient away because he can't find any major problems, and the patient will continue to suffer when he returns home.
It is easy to make people impatient when family members keep urging you to deal with the problem first.
Lin Hao sighed. This was the reason why he and the squad leader were at a loss after receiving the medical report. If it was just a pelvic inflammatory mass, an anti-inflammatory injection could be given. But the patient currently had no acute symptoms such as fever, so it would be better to wait until tomorrow to make an appointment with a specialist.
Once antibiotic treatment is confirmed, there must be a course of treatment. Your emergency doctor will prescribe a medicine first, but it is impossible to get better with just one dose. On the contrary, it may be inconsistent with the diagnosis and treatment plan of an experienced gynecologist, which is equivalent to a useless injection and a delay.
The doctor has made every possible effort for the patient, and the patient and family members may not understand what he or she is anxious about, and some of them may even quarrel.
"Don't worry, she must be hospitalized in this condition." Xie Wanying assured the family.
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