Take out a pen from your pocket, Nie Jiamin's eyes placed on the medical record, and his silent face was obviously thinking about something.
There must be some differences between overseas teachers and domestic teachers. Xie Wanying observed the outpatient medical records that Teacher Nie corrected for her. Unlike Teacher Tan, Teacher Tan hardly changed what she wrote. The domestic outpatient medical records writing books are relatively simple, and it is enough to reflect the patients' main symptoms.
It is said that she is recognized as doing things carefully, and she usually writes more than the teacher’s requirements.
Unexpectedly, after Teacher Nie picked up the pen, he wrote the medical record, and added a lot of papers. For example, she wrote the breathing sound of the lower right lung on the child's auscultation record. Teacher Nie added the child's lung visual diagnosis, lung percussion, and lung palpation. Whether there are any abnormalities or not, they must be written.
After being taught, Xie Wanying remembered that her colleagues seemed to say that foreign doctors pay great attention to documents because once overseas doctors sue, legal card documents are stricter than in China. Writing about normal signs of patients is equivalent to the doctor doing this for the patient. If they do not write, it may not be able to confirm whether the doctor has done it himself. It means that the doctor is not careful in the investigation and the doctor is suspected of irresponsible missed diagnosis.
The domestic situation is different from overseas, because there are many patients in China. The number of domestic outpatient doctors who have to see patients in a day is unimaginable for doctors from developed countries abroad. Whoever makes the domestic population base large, the number of patients follows a massive number.
Overseas doctors do not seem to have the concept of shortening the time for the treatment of all patients after seeing them.
Look at a child, Nie Jiamin slowly looked at it and thought about it slowly.
Doctors who are slow-paced in China dare not do this like him.
They are experts specially hired by the hospital.
Xie Wanying never dared to urge Teacher Nie to speed up, even if she reminded Teacher Nie to queue up in a long queue behind her parents and children.
It is better to see a child with a lot of children and see them wrongly. I guess Teacher Nie thought so.
Finally, Nie Jiamin's pen tip knocked off the child's initial diagnosis: foreign body in the lower trachea of ​​the right lung is to be examined.
He was not good at Mandarin, so Nie Jiamin asked the students to communicate with his family. He didn't seem to have to worry too much about this, because he felt relieved by the student's performance just now. However, he was very meticulous in his work, so he needed to ask what the student thought about.
"When did you suspect that she has a foreign body in the trachea?" Nie Jiamin looked at her calmly and asked.
Xie Wanying recalled her thought process: "When the child came, he had abnormal breathing, and began to doubt. Her chest was asymmetrical when it was accompanied by respiratory movements, and she bent to the right side more and more obviously when she coughed, indicating that the right lung was blocked. The right lung bronchus is divided into ten sections, and the foreign body is about the 6th position and the fifth position. The foreign body may be smaller and the trachea has not been completely blocked for the time being, but moving down to the thin bronchus of the seventh position and eightth position is very dangerous."
Her sudden series of detailed answers surprised Nie Jiamin: She could actually determine which section of the foreign object was in? Isn’t this equivalent to her eyes or brain like an X-ray or CT machine that can see through?
Chapter completed!