Chapter 122 The Doctor's Soul Writing Technique
Su Tang scanned the man's pale face, and her gaze subconsciously lingered on the middle-aged man's trouser leg that was scratched by unknown metal fragments. There was obviously an open wound of nearly five or six centimeters. Although the wound was relatively wide, it was not particularly deep and did not hurt any large blood vessels. Perhaps he had been in the heavy rain for a long time, and the outside of the wound had even been washed slightly white by the rain.
When the middle-aged man heard Su Tang's serious words, he was subconsciously stunned.
He instinctively moved his head down along Su Tang's line of sight and saw the scratch on his leg.
"Doctor, what are you talking about?" The middle-aged man took a few deep breaths, grinned, stretched his legs forward, and exposed the white wound to Su Tang's sight: "Doctor, it's not as serious as you say? It's just a scratch from some steel wire and iron sheets on the construction site... Who among us working on the construction site has never been injured?"
"Ahem... Only you doctors and nurses pay special attention to minor injuries like this." The middle-aged man laughed while coughing.
"You are always worried about this and that, worrying that a small wound will give you tetanus, or that a scratch by a cat or dog will give you rabies." The middle-aged man shook his head and waved his hands nonchalantly, saying, "But people often get injured on our construction site, and those with major wounds get shots, but my wound is not deep, so it doesn't matter whether I get a tetanus or not."
Su Tang withdrew her right hand from feeling the pulse, looked at the middle-aged man with a frown, and said, "Mr. Li, you are lucky that you have never encountered a tetanus patient on the construction site, but this does not mean that everyone can be so lucky every time. Once a patient has tetanus, the average mortality rate is about 20% to 30%."
"Today's typhoon is so strong, and your wound was cut at the construction site... If Mr. Li thinks the tetanus shot is too expensive, I can prescribe the cheapest tetanus shot for you, only 10 yuan per shot. But..." Su Tang sighed, looked at the middle-aged man and said seriously: "Mr. Li, for now, tetanus is still a small matter. The point I want to talk about is not tetanus."
In most cases nowadays in cities, the probability of seeing tetanus is very low, and the incubation period of tetanus is often about a week. However, the pulse observation of Mr. Li before us showed that this person obviously had a cold and fever that turned into pneumonia!
"You started to have a fever and joint pain four days ago, and your breathing is obviously more rapid. Look at your current condition, chills, high fever, cough, rapid breathing... and obvious string pulse." Su Tang said seriously: "You may not understand the string pulse... It means that the pulse is like a guitar string, straight and tight. Generally speaking, when this kind of pulse appears, the vast majority of cases either have problems with the liver and gallbladder, or it is phlegm and congestion or arteriosclerosis."
"Looking at your current condition, it's definitely not a liver or gallbladder problem or arteriosclerosis..." Su Tang pointed at the middle-aged man's chest and said, "You should be having chest pain now, right? I see you've been hunching over, and you don't seem to be feeling well... Combined with your pulse, you're most likely suffering from a cold and high fever that turned into pneumonia!"
Su Tang looked very serious and criticized the middle-aged man, "I know it's not easy for Mr. Li to work on the construction site. He may have lost a lot of personal property in this typhoon, so he wants to save some money. But pneumonia is not a small problem!"
Pneumonia is a serious respiratory disease with an acute onset and rapid progression. It is basically difficult to heal on its own without treatment. It is completely different from the common cold and fever.
Not to mention that Mr. Li’s pneumonia was originally caused by a cold and fever, not to mention that there is a typhoon outside at the moment. Mr. Li’s residence was just overturned by the typhoon. He stayed in the heavy rain for such a long time, caught a cold and then got caught in the rain. It is even more difficult to recover!
If not treated now, Mr. Li will most likely suffer from complications such as respiratory failure and heart failure.
Su Tang had a stern face and a serious tone, and in the eyes of ordinary people, pneumonia is indeed a relatively serious disease.
Therefore, Mr. Li and several workers looked at each other and their expressions became cautious.
Mr. Li scratched his head a little embarrassedly. His wet short hair was not dry yet. "Well, then, doctor, please prescribe some medicine for me... I'll just get an injection, just an injection..."
"I'll prescribe a treatment for you, but you have to take a tetanus first..." Su Tang glanced at Mr. Li and nodded, then quickly wrote down a prescription for an oral expectorant, antibacterial drugs for intravenous infusion, disinfection treatment for the injured leg, etc.
Compared with problems such as diabetes and coronary heart disease, conditions such as pneumonia are clearly more suitable for Western medicine treatment.
Su Tang handed the prescription to Mr. Li and asked him to go find the emergency nurse in the lobby: "Please ask them if they have any dry clothes to change into. Go and change into them quickly. It's not appropriate for you to keep wearing wet clothes in your condition."
Because of the typhoon, the houses of these people were blown away, and their ID cards, money, mobile phones, etc. were all buried in the typhoon rubble.
It is fine if you can remember your ID card, but if you can't, you can only do a simple registration of your name, age and gender to start treatment.
There were too many disaster victims, and doctors like Su Tang who were treating patients in the emergency room were unable to use the hospital computer to register on time. Therefore, the emergency nurses were given the simplest handwritten treatment orders and medical records.
There was nothing wrong with the handwritten treatment order and medical record. The handwriting on the treatment order written by Su Tang was clear and very easy to recognize, so there would be no possibility of misidentification. However, Lu Mei, who received the pneumonia treatment order, frowned subconsciously, looked up at the middle-aged man in front of her, then looked at the medical record handed over by the other party, and Su Tang who was sitting at the No. 13 clinic table and continuing to see patients.
Lu Mei is 35 years old and is the head nurse of the emergency department. She has worked in the emergency department for more than ten years. During this period, she has seen hundreds of pneumonia patients in the emergency department, if not thousands. However, she has never seen a young doctor so bold as to diagnose pneumonia and prescribe medicine without doing routine blood tests or X-rays!
If this was a director or deputy director of a hospital, she wouldn't say anything, because they have so many years of experience and abilities...
But the Dr. Su in front of him is just a resident doctor!
The lowest-ranking doctors in the entire hospital, except for interns! These junior doctors usually follow their seniors in the emergency department and do odd jobs! Even when doing a slightly more complicated muscle suture, they have to be watched by the attending physician to avoid mistakes.
But the one in front of me was different. He did something big without saying anything or doing any inspection.
Lu Mei looked unhappy, but she couldn't say anything more in front of the middle-aged man.
After all, no matter how bad this Dr. Su is, he is still a doctor of their Sixth Hospital... If there is any problem in the treatment, others will not say anything about this Dr. Su, but will only say that their Sixth Hospital is bad! The Sixth Hospital's emergency department is extremely bad!
Lu Mei took a deep breath and forced a smile at Mr. Li: "Mr. Li Tian, right? We have two sets of dry clothes in the inpatient department. Why don't I get the clothes for Mr. Li first? After Mr. Li has changed, I will take you to the injection room for skin tests, tetanus, and treatment of leg injuries. Is that okay with you?"
"Okay, okay, thank you." Li Tian didn't hear the hidden meaning in Lu Mei's words.
Hearing that there were dry clothes to change into, the middle-aged man nodded happily. He had caught a cold, had pneumonia, and was still running a fever, so he was wet all over. Even though the nurse gave him a blanket when he entered the room, he still felt cold all over and uncomfortable.
Lu Mei didn't dare to waste time, and quickly asked the intern to bring a set of clean patient clothes to Li Tian. She then ran to table 13, patted Su Tang's arm, and said seriously: "Doctor Su, please come over here... I can't see a few words clearly on this treatment prescription. I'm worried that I might have made a mistake in the medication. Can you come over and explain it to me?"
Su Tang: “…………???”
Su Tang was a little confused.
Huh? Ahhh? ?
No way! She had practiced calligraphy for decades and pen calligraphy for more than ten years, but her handwriting had deteriorated to the point where the nurse couldn't recognize it? ?
Various hotly debated topics on the Internet flashed through my mind, including the doctor's version of soul writing, which had been criticized by countless netizens.
Su Tang feels a little guilty...
Although it is soul writing for netizens, for doctors it is just the simplest abbreviation of the Latin name of the drug and a simple prescription abbreviation.
For example, NS stands for normal saline, and TAT stands for tetanus...
Su Tang thought carefully about the prescription she had just written. It was such a clear and simple Latin abbreviation, so she should recognize it, right?
"Could it be that the Sixth Hospital's emergency department has been using computerized treatment orders for a long time? The nurses don't remember the Latin abbreviations of these drugs? This is quite possible..." Su Tang blinked and speculated secretly, but he instinctively followed Lu Mei and stood up, subconsciously walking to the corner.
In the past, doctors often used Latin abbreviations in treatment sheets for the convenience of seeing patients and efficient writing.
But with the development of technology today, especially large tertiary hospitals like the Sixth Hospital, they have already entered the era of computerized offices.
Except for the handwritten medical records given to patients, all the treatment orders received, whether in the hospital pharmacy or the injection and infusion rooms, are computerized treatment orders with complete Chinese drug names.
On the computer treatment form, except for the most basic drug usage, dosage, and route of administration, which also use abbreviations, everything else is written in Chinese characters.
However, unexpectedly, just as Su Tang was pulled to the corner by Lu Mei, Lu Mei's serious, low and somewhat severe voice reached Su Tang's ears!
Lu Mei said sternly, "Doctor Su, I don't know what your previous teacher told you. But your approach to this patient is clearly wrong! According to the usual procedure, you should at least do a blood test and X-ray. Otherwise, what if you make a wrong judgment and it's not pneumonia? What should you do?"
"There are so many diseases similar to pneumonia, such as tuberculosis, lung tumor, lung abscess... I can easily count seven or eight of them with my fingers!"
"These are all respiratory diseases with similar symptoms. You don't have any test reports or imaging reports... so your own judgment is correct?"
Lu Mei frowned and looked at Su Tang, and finally sighed deeply: "I know that there are a few young doctors like you every year who think they can diagnose and treat patients without auxiliary means like expert professors... But if you want to achieve that, you have to practice for at least another ten or twenty years, right? Otherwise, once something goes wrong, your life will be over!"