"She has a cold, right?" The child's mother, who was always anxious, kept talking, "Please give her some cold medicine. I won't take her to the clinic to get medicine. I have to go home and prepare dinner for the whole family."
It has to be admitted that the chattering of family members around really affects the doctor's concentration when treating the patient.
Nie Jiamin frowned.
The teacher was interrupted while treating the patient, so Xie Wanying immediately asked the family to inquire about the patient's basic information: "Sister, what is your daughter's name, and how old is she this year?"
After she successfully diverted her attention, the child's mother finally stopped mumbling and turned around to answer, "My daughter's name is Wang Lulu, and she is five years old."
"Does she have a history of drug allergies? For example, has she ever taken penicillin? Has any doctor told you that she is allergic to penicillin?" Since the child was too young to answer these professional questions, Xie Wanying questioned the family members.
"No." Lulu's mother shook her head. "My daughter has had an injection in the clinic before. How long do you want to keep her here? If I took her to the clinic, they would have given her the medicine long ago."
As she was talking, Lulu's mother became annoyed again. She saw that the patients queuing in other channels had been seen one after another, but her daughter had been looking at them for a long time without any response.
Xie Wanying seemed not to hear her complaints. No, she had to let the family members follow the doctor's thinking and focus on the child's condition. She asked, "When did Lulu get the injection?"
...
...
"It must have been quite a while ago that she had the injection," said Lulu's mother.
Her answer was inconsistent with the doctor's question. Fortunately, as a doctor, we are used to this phenomenon. Xie Wanying carefully recorded the patient's history of drug allergies and asked the family about the child's medical history: "How many days has she had this symptom?"
"symptom?"
"cough."
"She's had a cough for a few days, and it's getting worse."
"Did you pant at first?"
"pant?"
"You see her coughing like this, with a stuffy feeling in her chest, coughing violently, with her fingers grabbing at her clothes, and she can hardly cry." Xie Wanying described in a very vivid and specific way the possible manifestations of a child when he or she is ill.
When dealing with questions from family members, especially those who are anxious, doctors must be more patient and careful in guiding them to recall the past. This is something that only experienced doctors can do.
Even He Guangyou and Qiu Ruiyun were surprised. She had been in the hepatobiliary surgery department for a month and had never been on outpatient duty. Her rounds were usually short, so they had no idea that she had such a good performance in consultation.
After Xie Wanying's guiding questioning, Lulu's mother remembered some special behaviors of her daughter at home: "She is like this sometimes at home. So, I think she has a serious cold and I took her to see a doctor."
"Does your nose run a lot?" Xie Wanying continued writing on the medical record.
“Sometimes more.”
"Bleeding?"
"She likes to pick her nose with her fingers until blood comes out. I often criticize her for that," said Lulu's mother.
Nie Jiamin finished auscultating the child, turned his head, and nodded to the student, apparently approving of the student's inquiry into the child's medical history.
After receiving the teacher's signal, Xie Wanying waited for the teacher to return to her seat and handed the written patient medical records to the teacher for review.
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