"Is it convenient to ask some questions about your symptoms and medical history now?" Zhou Can asked the patient for his opinion.

The nursing nurse quickly measured her physical signs and took notes.

"It's convenient! If you have any questions, just ask!"

The female patient readily agreed.

But from the way she frowns from time to time, it can be seen that her body is feeling uncomfortable now.

When many patients feel uncomfortable, their attitude towards medical care becomes very bad.

For someone like her, who is obviously suffering from physical pain and discomfort, but still maintains a gentle and polite attitude towards others. This is a kind of cultivation that is engraved in the bones.

"What do you do?"

"My main job is as a lawyer, and my deputy job is as a legal consultant for some enterprises and companies."

She turns out to be a lawyer, so no wonder she looks like an elite among white-collar beauties.

The income of lawyers is also considerable.

A well-known lawyer who handles all kinds of cases.

"Is there any pain in your abdomen?"

"One thing is not particularly obvious. It is that this area always feels a bit bloated."

She pointed to the area of ​​her abdomen near her liver.

Zhou Can asked while taking notes of the consultation.

Clinic doctors are sometimes very tight on time and need to deal with many outpatients a day, so they do not question patients too carefully. Some doctors, when encountering some common diseases, will not talk to patients for more than three minutes.

Usually, a brief physical examination is done, and then a bunch of tests are prescribed.

It often takes a day for patients to queue up and complete all the tests and examinations. It is lucky to be able to get the test results before the doctor gets off work.

Big hospitals are a bit trickier on this point.

If the patient cannot get the test results on the same day, and when he gets the test results the next day and goes to see the doctor, the nurse will often ask the patient to register again.

"When did you start feeling unwell?"

Zhou Can continued to ask.

Cirrhosis of the liver does not develop in a day or two, but requires a long course of development.

Our human body’s immune system and protective mechanisms are very sound.

When a disease occurs in our body, the body will send out a distress signal as soon as possible.

Pain is the most important part of the protective mechanism.

Many people don't understand how pain occurs. In fact, in most cases, pain occurs when a large number of cells release a large number of chemicals before they die and are captured by nerve endings.

Basically, the risk level can be judged based on the degree of pain.

Severe pain carries the highest risk level.

Mild pain is safer.

"It's been about two or three months. I can't remember exactly when it started. I just know that I have no appetite for anything these days. I used to love braised carp. My husband started eating it more than a month ago.

On my birthday, I specially made a plate of braised carp for me. But after just two bites, I felt sick and wanted to vomit. At that time, he thought the fish smell was too strong and it was not cooked well."

She tried to remember when the illness occurred.

A sudden change in taste is actually a sign that you need to be particularly vigilant.

A sudden loss of sense of smell, sudden blurring of vision, double vision, and sudden change in taste may all be signs of a serious illness.

Zhou Can then carefully asked her whether she had any past medical history, underlying diseases, family history of liver cancer, allergies, etc.

After asking about the situation, I returned to the office with the patient’s examination data. The first thing I did was write a medical record.

In many cases, medical records are not written all at once, but are gradually improved.

Some medical practitioners have too many patients to manage and are pressed for time, so they will think of some ways to cope. For example, they can directly download some application templates and fill in the basic information, and others will be automatically generated.

With a few modifications, the medical record task was completed.

No matter how many patients we manage, we are not afraid of this method. However, its disadvantages are also extremely obvious.

Medical records are almost the same, and they will definitely not be very satisfactory during random checks.

Moreover, the standardized training students themselves have not received training.

If you don’t learn skills during the training stage, you will have to learn everything from scratch after you start practicing medicine. This will cause a serious decline in the quality of medical care.

Zhou Can writes medical records and course of illness and is never lazy.

Instead, write seriously.

Tuya Hospital has never heard of any department where the superior doctors would be stupid enough to squeeze the most out of the trainees, forcing them to use templates to complete medical records and other tasks.

The hospital management will not allow this to happen.

Because in the long run, it will be harmful to the training of new doctors but not beneficial.

It also increases the risk of medical accidents.

A regular trainee is responsible for 40 or 50 beds. It's a shame if the quality can be guaranteed.

He was sitting in the office, writing medical records, and thinking about the real cause of the patient's illness.

At present, the patient's main symptoms are abdominal distension, accompanied by mild abdominal pain, and liver cirrhosis.

Judging from the examination results, there was no obvious abdominal fluid collection.

There are not many causes of liver cirrhosis.

Zhou Can couldn't help but pick up the patient's liver function test results again to check.

Aspartate aminotransferase and alanine aminotransferase increased to varying degrees.

The increase in these two indicators first indicates that there is a problem with the liver.

He picked up the film and checked it again. Compared with normal people, the liver was swollen to a certain extent.

However, this information was still not enough for him to successfully diagnose the patient's cause.

At this time, Zhou Can suddenly realized that he should ask the patient if he had diarrhea.

When I ran to the ward, it was lunch time.

The family members bought fast food for the patient to eat.

It was somewhat inappropriate to ask her if she had diarrhea at this time.

"Hey, Doctor Zhou, have you eaten? Do you have something to ask me?"

The patient was indeed a lawyer, and she could tell at a glance that Zhou Can came to the ward to ask her something.

"I haven't eaten yet, and I'm going to finish writing your medical records before going to eat. Suddenly I remembered that I still need to know some information from you, so I came directly. You eat first, and I will come back to ask you after eating.

Same."

Zhou Can didn't dare to ask her about her bowel movements while she was eating.

It's so disgusting.

She had poor appetite to begin with.

Turning around and walking out of the ward, his eyes naturally looked at the 77 beds of patients under his management.

This poor gastric cancer patient was lying on the bed, seemingly crying silently.

"Chen Xiaohong, does your body hurt a lot?"

Zhou Can asked with concern.

He despises the suffering in the world the most, especially some disadvantaged groups, which makes people feel particularly sad and distressed.

"No!"

She bit her lip and quickly wiped away her tears secretly.

But when he looked at Zhou Can, his eyes were red and tears were still wet.

After being diagnosed with gastric cancer, she probably cried secretly many times. Her eyes were very red and swollen.

"How do you eat? If you don't have family members to accompany you, you can order a fast food or go to our hospital cafeteria to eat by yourself."

Zhou Can is sure that she didn't eat lunch.

The lips were dry and colorless.

If you are already so sick, what will you do if you don't eat anymore?

This will only aggravate the condition.

"I'm not hungry! You don't have to worry about me!"

She said a little weakly.
To be continued...