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【188】Patient characteristics of neurosurgery

The patient laughed when he heard what he said.

Joking and making the patient happy, Cao Yong then examined the male patient in his forties and warned him where necessary: ​​"After you are discharged from the hospital, you need to go to the rehabilitation department and continue to carry out rehabilitation training."

"I know, Dr. Cao. It's best not to see you again, right?" the patient asked with a smile.

"You need to take your medicine well and monitor your blood pressure at home. Don't do it like this." Cao Yong was nagging the patient like a mother at this time.

Who says that the surgeon will be fine after the operation? The patient needs to continue to do follow-up work. It is like a mother taking care of her child.

The patient has almost recovered and can be discharged from the hospital. The bed needs to be freed up to admit new patients. Huang Zhilei wrote it down on the note, and then told the people below to write a discharge medical record and issue a discharge medical order when discharged. During this period,

Cao Yong laughed and chatted with the patient for a few more words.

Seeing his handsome smiling face, Xie Wanying seemed to understand why he loved to smile.

Because laughing can bring joy to patients. Unlike other departments, there are too many patients in brain surgery who need later psychological adjustment. In the future, these patients will have to face a dysfunctional body for the rest of their lives. Therefore, depression in brain surgery patients

The most patients.

After talking to Patient No. 22, Cao Yong led his people to Patient No. 23 and No. 24. He was conscious after the operation but was lying in bed unable to walk.

On the first day of ward rounds after returning to the department, Cao Yong personally conducted a physical examination on the patient, so he felt more at ease.

The physical examination of neurosurgery has the characteristics of neurosurgery. To put it simply, the brain is treated, and brain-related functions must be examined. For example, it is necessary to check how the patient is speaking, eating, and whether there is pain in the head or face.

Can the limbs move, do they feel, etc. These are popular explanations, but there are actually a lot of professional terms.

To detect limb dysfunction, there are muscle strength tests, checking the patient's mental state, conscious state scores, memory tests, etc. Smell, vision, hearing, etc. may seem to be matters of the ENT department, but in fact they are involved in certain neurosurgical diseases.

Need to check.

It is common for patients with hemiplegia to stick out their tongue and turn it to one side. The patient's swallowing action is related to whether the patient can eat by himself. Those who have difficulty swallowing must have a gastric tube inserted, otherwise they are afraid of suffocation.

Detailed examinations in all aspects are very important. A single oversight may lead to the death of the patient. Although these patients are inpatients, the comprehensive examinations that should be done have been done long ago. Now the ward rounds are equivalent to re-examinations, which are relatively simple, but they still need to pay attention to the patients.

The progression and outcome of the disease.

The superior doctor should be responsible for teaching. If you have some free time today, you can ask the medical students below to come up to do a physical examination on the patient, and ask the medical students questions. When the medical students answer the questions, the following can discuss a few sentences.

Today, Xie Wanying was responsible for carrying the medical records behind her senior brother. She carried a total of eleven medical records when she and her senior brother came out of the ward.

It should be that Senior Brother Huang intended to train her. Carrying medical records during ward rounds was a job that was originally done by medical students. However, usually medical records would be carried by several people. Xie Wanying thought that Senior Brother Huang probably came here like this back then.

A person was trained to hold more than a dozen medical records, so she was trained in the same way.

Medical students hold medical records in order to facilitate the superior doctors to have them in hand when they need to check the medical records during ward rounds. Therefore, Xie Wanying must adjust the order of the medical records before and after the superior doctors check each hospital bed, so that the superior doctors do not have to look for them anytime and anywhere.

, and took the top medical record book from her hand, which was the one she wanted.

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