The process of doctors consulting patients is generally one-on-one service.

It is impossible to fill a small clinic with patients.

The patients waiting outside the clinic all knew the rules and did not rush in. They all waited politely outside the clinic.

"Doctor, please check on my daughter! She has been complaining about bloating in her stomach recently, and her appetite is much less than before. Sometimes she even complains of stomachache."

The family member is a middle-aged woman in her forties who came for treatment with her eighteen-year-old daughter.

Generally speaking, young people are in good health.

Her occurrence of these abnormal conditions indicates that there may be something wrong with her body.

"Have you had any examinations at other hospitals?"

"No! We just came here because of your reputation. Grandma Wang from the same community always praised your superb medical skills. My colleagues also said that they cured their stomach pain for many years with you. I have such a child in my family, and I am very special

I'm afraid she may have some problems, so please be more careful."

Family members come here because of the reputation.

Famous doctors basically accumulate fame little by little, and after curing patients, word of mouth spreads the word.

Coupled with the hospital's publicity and his excellent skills in this field, he was able to erect a famous doctor plaque.

The whole process is full of hardships.

"Girl, under what circumstances does the bloating occur? For example, do you feel bloated only after eating, or is it irregular bloating?"

Director Shang asked the patient amiably.

The little girl of eighteen or nineteen looked quite shy.

"Well... sometimes I feel bloated, and I feel bloated all the time. Sometimes it can even last from morning to afternoon, or from afternoon to evening."

Director Shang continued to ask while taking notes.

"Your mother said that you eat less than before. Is it because you have lost your appetite, or did you eat snacks behind your back?"

"No, no, I don't eat snacks very much now. I used to eat a lot. Now when it's time to eat, I feel very hungry, but I can't eat more than a few mouthfuls of food before I feel full. By the way, I feel like bloating.

Most of the time it’s after eating. Sometimes I feel nauseous and belching for no reason, which is really uncomfortable.”

She described some of her symptoms.

Director Shang nodded.

"Luo Jingyi, check her blood pressure, temperature, pulse and other physical signs."

The more doctors you have, the better.

Multiple people can be arranged to work at the same time and the efficiency will be higher.

"Girl, do you feel bloated now?"

Director Shang continued to consult the patient.

"Well, a little bit."

"Which part?"

"Here, this is it."

Soon, the physical signs were measured. The basic physical examination and consultation were also completed.

Zhou Can saw the physical examination column and Director Shang gave an evaluation of malnutrition.

This girl is indeed quite thin.

I believe that those aunts whose average weight exceeds 130 kilograms will be very envious of the little girl's slender figure.

"Okay, the patient's symptoms, basic signs, medical history and other information have basically been collected. Can you four tell us what examinations should be performed on the patient next?"

Director Shang was obviously asking about the three researchers and Zhou Can.

As for the attending physician Huang Xinggui, he had a faint smile on his face and looked confident. He must have thought about what examinations the patient should do.

"I think I should have a gastroscopy!"

Qiu Chengyu was the first to express his opinion.

I thought this man was a silent man, but it seems that is not the case.

"I think it's better to do a stomach CT examination first. It can check whether there are tumors in the stomach. The duodenum should also be checked."

Xie Lin's imagination was a little too wide, and her duodenum was involved.

This is also the most common mistake that most medical students who lack practical experience make. As long as one or two symptoms match, ignore the others and just apply them to those diseases.

The more experienced the doctor is, the fewer examinations he needs to do.

They will directly exclude some diseases with similar symptoms but low probability of occurrence based on the patient's comprehensive information and symptoms.

After seeing more patients, with the same abdominal distension and pain, the doctor only needs to press the patient's abdomen, and then ask about the patient's symptoms and duration. According to the patient's age, gender, work, daily habits, etc.

information and screen out several diseases that are most likely to be close to each other.

Then prescribe targeted inspections.

In this way, the patient can successfully find the lesion in the shortest time and with the fewest examinations.

"I think we should do a blood routine first, and then do further tests based on the results."

Luo Jingyi is the kind of quiet and talented woman. The first test she prescribes is a routine blood test. This is also the most common test the hospital does for patients. Almost all inpatients must have a routine blood test.

Some hospitals are worried about something happening and require more in-patient examinations.

It often even causes dissatisfaction among patients and their families, who feel that the hospital is earning examination fees in disguise.

Director Shang listened to the three research opinions and smiled without saying a word.

He looked up at Zhou Can, who had been silent.

"What's Dr. Zhou's opinion?"

Compared with the three graduate students who lacked practical experience, Zhou Can seemed much calmer.

"Well... from the perspective of saving time for the patient and allowing the patient to receive effective treatment in the shortest possible time, I will prescribe three examinations: routine bleeding, Helicobacter pylori testing, and gastroscopy."

Zhou Can gave his own opinion.

There are up to three inspection items issued.

Compared with the petty fuss of three graduate students, the examination he prescribed was more in line with a mature doctor.

"Haha, it seems that Dr. Zhou has not only developed strong skills in surgery and patient management. His consultation skills are also far beyond those of ordinary residents."

Director Shang smiled and praised Zang Can.

The attending physician Huang Xinggui also looked at Zhou Can again.

This extremely young graduate student seems to have abilities far beyond those of ordinary doctors.

Not to mention these three graduate students, even among the senior residents under Director Shang, probably none of them can beat Zhou Can.

"Xie Lin, write the application according to the examination prescribed by Dr. Zhou, and prescribe these three examinations to the patient."

Director Shang gave instructions to Xie Lin.

When the family members heard this, they showed hesitation on their faces.

In the end, I couldn't hold it back and said, "Director Shang, we are here specifically for your name, and we are also registered as a special expert with a few hundred yuan. You can't let these novice doctors treat my daughter! They are nothing.

Experience, I can understand learning to treat diseases with you. But you can’t let them do it!”

She is just a daughter, and she is worried that these young doctors will not treat her well.

If her condition is delayed, who should she go to?

She was never willing to take such a risk.

I spent several hundred yuan and put in a lot of effort to get a special expert account. What I got was the diagnosis and treatment services of a trainee doctor, and no one would agree to it.

"It's not that I follow the diagnosis and treatment ideas of these young doctors, but the three examination items prescribed by Dr. Zhou coincide with the examination items I prescribed. That's why I praise his medical skills.

I have achieved quite a lot.”

Director Shang smiled and patiently explained to the family members.

"Haha, that's it! Sorry, sorry, I misunderstood you."

After listening to Director Shang's explanation, the family members' worries disappeared and they immediately showed apologetic smiles.

She couldn't help but look at Zhou Can.

Her daughter was also quietly sizing up Dr. Zhou, whose level was higher than other young doctors.

Zhou Can looked indifferent.

For him, he has received too many compliments. The vice president and dean have all praised him highly.

After hearing so many compliments, he is almost immune now.

But it sounds pretty happy to hear it.
Chapter completed!