MTL - Live Surgical Broadcast

"Where is the filling of the bladder?" Zheng Ren asked.

"What position? Bladder ..." Lingzi was a little surprised, she didn't understand what Zheng Ren meant to say.

"Seeing and hearing, big sister. Judging the retention of urine, it is necessary to percuss the boundary of the bladder." Su Yundao.

"Oh oh." Reiko immediately shouted an embarrassment, then thought for a long time, embarrassed scratching her head, "I forgot."

Zheng Ren sighed. If it was her doctor, she kicked her to the community hospital to write a medical record. Let Chang Yue talk for a few months first, otherwise, she would not even do such an important examination and be a doctor.

It was also used to in 912. During the consultation in the hospital, it was all about dry goods. The inpatient who reported the medical history always had a nonsense, and he had to be cursed by the director and professor who came to the consultation.

Because the Iraqi people were sitting opposite, Su Yun was embarrassed to spray the childish doctor. He just smiled, his smile full of scorn and ridicule.

Lingzi was obviously a little nervous and stuttered. "Three radial incisions on the **** margin, with more secretions, obvious edema, and **** canal skin defects. Microscopic examination: the ligature at 3, 7, 11 points did not fall off, and the surrounding tissues. Congestion, edema ... "

"Well, it shouldn't be a problem with the surgery. Did you do other tests?" Zheng Ren asked.

"Done, everything is normal. Blood sugar, ions, renal function, urine routine." Lingzi took out her cell phone and showed the test sheet to Zheng Ren and Su Yun.

Looking at the test indicators, there is no problem. It is normal and clean. The standard does not even have a plus or minus sign.

Su Yun frowned. "It shouldn't be."

"It looks a bit problematic."

"Two, what's wrong?" Reiko was caught in a state of aggression, and normal test returns, why was there a problem?

"Oh, it's nothing, just that the test sheet looks too clean and uncomfortable." Zheng Ren smiled. "It's okay, I think about it."

"Boss, you are very polite." Su Yun said contemptuously. "Let's say that, the date is yesterday's urine routine. The patient has been using the catheter for 3 days."

Lingzi calculated for 2 seconds and nodded.

"The urinary tract has irritation and friction in the urethra. Normally, the occult blood in the urine routine should be ±, so that is correct." Su Yundao, "I can see red blood cells, but it has not reached the level of diagnosis of occult blood. This is normal. The test sheet of the urinary tube patient, but you have no problem with this, it looks bad. "

"Speak well." Zheng Ren groaned holding Lingzi's cell phone. "Do the patients have any other symptoms?"

"She doesn't want to talk to me." Lingzi said anxiously. "Every time I go to the ward to see her, she closes her eyes and says that we cut off the bladder."

"Ha, is this also happening in private hospitals?" Su Yun laughed, making it clear that he was watching the lively.

"Uh, no, what's the patient's expression? Indifferent or excited?" Zheng Ren asked.

"Indifferent? Excitement?" Reiko clearly did not understand this clinical judgment.

In fact, this is also a relatively idealistic judgment standard. It is difficult for a patient's expression to be indifferent to calculate with quantified data. What is studied here is clinical knowledge and control of various details of the patient.

Obviously, this classmate of Yiren has nothing, and it belongs to a clinical rookie.

"Did you have a neurological examination?" Zheng Ren asked.

The answer is again confused, this time the girl's eyes are blurred.

Zheng Ren was also very helpless, thinking countless times, if this is a public hospital looking for a consultation with himself, if he asks three questions, the medical record will surely hit her face.

"Are the doctors on duty at the hospital familiar?" Su Yun asked.

"Familiar, all colleagues."

"Let the doctor on duty check the body." Su Yundao, "See if the patient's expression is indifferent or normal. If you don't know the evaluation criteria, check the book first. Then pull an ECG to see if there is any decrease in myocardial stress and appearance Various arrhythmias and conduction blocks. "

"Also ask about the exhaust." Zheng Ren added, "Is there a little exhaust, or no exhaust for a long time. Yes, your sugar tolerance ... is not right."

Zheng Ren said, hesitating for a moment, and seemed to catch the point of the problem.

"Boss, are you still thinking about the test?" Su Yun asked, "I just said that the test list was wrong!"

"Um." Zheng Ren nodded.

"Lingzi, let the patient be discharged. Come to 912, and I'll find her a bed." Su Yun said looking at Lingzi, who was already out of control.

Casually promised to find a bed in 912, this kind of friendship is a big deal.

But Lingzi didn't seem to understand the rules in these circles. She still hesitated, her eyes flickered, and then she lowered her head without saying a word.

Zheng Ren saw this situation and knew immediately that his guess was correct. He smiled, Wen said, "How long have you been in the clinic?"

"1 year and a half, get a license for 6 months. UU reading www.uukanshu.com"

Many hospitals are often hired without a license, and some public hospitals are really unavailable. Private hospitals are unpaid because they pay less and at least they can be used for personal use.

Zheng Ren actually didn't understand why there were few thunderstorms in this operation.

It's not strange to see more. He frowned and asked, "The test ... error, do you think it is possible?"

"Uh……"

"Lingzi, you may have less exposure to clinical time, but you have always heard the word Guan Tian." Zheng Ren Shensheng said, "Each test value is important, not just a glance regardless of whether Throw it aside without problems. Patients with long-term urinary catheters should have a better problem with urinary occult blood, but if you look at the test sheet, it's too clean. "

"..." Reiko didn't speak.

"Then there is that you say that the patient's condition is wrong. I don't think the patient has an opinion on you, but that it has entered into a very bad situation." Zheng Rendao, "I don't know the specifics, if there is an error in the test sheet , A kidney failure, it's too late to get treatment. "

Lingzi's face was a little white, pale, and her blush didn't cover that white.

"Assuming that something really happened, or that only the last check was true, all the pots were backed by the clinician. This pot is too big. Are you sure you can carry it?"

"The other day we just went to a hospital in Jinhai City for a medical evaluation. The doctor's license was revoked for life. The specific amount of compensation is hard to say, and we didn't ask about it."

"Boss, she refused to say, what are you talking about so much?" Su Yundao, "For laboratory tests, if you are interested, you can take a look at a large public hospital, and compare the values, I guess I can find the problem immediately."