Taking out a pen from his pocket, Nie Jiamin fixed his eyes on the medical record, his silent face obviously thinking about something.
There must be some differences between teachers from overseas and teachers in China. Xie Wanying watched Teacher Nie correcting her outpatient medical records. Unlike Teacher Tan, Teacher Tan hardly corrected her writing. The writing of outpatient medical records in China is relatively simple, and it is enough to reflect the main symptoms of the patient.
She is recognized as a person who is meticulous in her work, and what she writes usually exceeds the teacher's requirements.
Unexpectedly, after Teacher Nie picked up the pen, she quickly added a lot of things to the medical record she had written. For example, she wrote in the auscultation record that the breath sounds in the right lower lung disappeared. Teacher Nie added the child's lung inspection, lung percussion, and lung palpation, regardless of whether there were any abnormalities.
I've learned something. Xie Wanying remembered that a former colleague of hers seemed to have said that doctors abroad pay a lot of attention to documents because once overseas doctors get involved in a lawsuit, the law is stricter than in China. Writing down the normal physical signs of the patient is equivalent to the doctor doing a screening for the patient in this regard. Not writing it down may not be able to confirm whether the doctor did it himself, which means that the doctor is suspected of irresponsible misdiagnosis if the screening is not careful.
The situation in China is different from that in overseas countries because there are many patients in China. The number of patients that outpatient doctors in China see in a day is unimaginable for doctors in developed countries abroad. Because the population base in China is large, the number of patients is huge.
Doctors overseas seem to have no concept of shortening the consultation time for each patient in order to see all patients.
Looking at a sick child, Nie Jiamin looked slowly and pondered slowly.
No matter how slow the doctors are in the country, they dare not do what he does.
...
...
After all, he is an expert specially hired by the hospital.
Xie Wanying never dared to urge Teacher Nie to speed up, even if she wanted to remind Teacher Nie that there was a long queue of parents and children waiting behind him.
It is better to diagnose one disease correctly than to diagnose a lot of diseases carelessly and make the wrong diagnosis. I guess this is what Teacher Nie thinks.
In the end, Nie Jiamin's pen tip typed out the child's preliminary diagnosis: foreign body in the lower trachea of the right lung to be investigated.
As his Mandarin is not very good, Nie Jiamin asked the student to communicate with his family. He didn't seem to need to worry too much about this, because the student's performance just now made him feel relieved. However, he was a very meticulous person, so he needed to ask the student what his thinking was.
"When did you suspect that she had a foreign object in her trachea?" Nie Jiamin looked at her calmly and asked.
Xie Wanying recalled her thought process: "When the child came, she didn't cough, but her breathing was abnormal, so I began to suspect it. Her chest was asymmetrical when she rose and fell with breathing movements, and she bent to the right more obviously when she coughed, indicating that the right lung was blocked. The right lung bronchi are divided into ten sections, and the foreign body is stuck between the 6th and 5th sections. The foreign body may be small and has not completely blocked the trachea for the time being, but if it moves down to the thin bronchi in the 7th and 8th sections, it will be very dangerous."
Her sudden and detailed answers surprised Nie Jiamin: She could actually determine which section of the bronchus the foreign body was in? Wasn't it the same as her eyes or brain being able to see through an X-ray machine or CT machine?
"It depends on the patient's CT scan results." Xie Wanying added cautiously.
Continue read on readnovelmtl.com
