Chapter 2948 It's Too Normal to Have Problems

"Examination of the bladder, how full is it?" Zheng Ren asked.

"Where is it? Bladder..." Reiko was a little surprised, she didn't understand what Zheng Ren said.

"Look, touch, and listen, elder sister. To judge urine retention, you need to percusse to clarify the boundary of the bladder." Su Yun said.

"Oh." Reiko replied embarrassedly immediately, and then thought for a long time, scratching her head in embarrassment, "I forgot."

Zheng Ren sighed inwardly, if this was the doctor under him, he would kick her to the community hospital to write medical records. Let Chang Yue wait for a few months before talking, otherwise he won't be a doctor if he doesn't even do such an important physical examination.

It was also at 912 that I got used to it. During the consultation in the hospital, what I said was nonsense. Whenever the resident who reported the medical history made a nonsense, he had to be scolded by the director and the professor who came to the consultation.

Since Yi Ren was sitting opposite, Su Yun was too embarrassed to spray this childish little doctor. He just smiled, full of ridicule and ridicule in his smile.

Reiko was obviously a little nervous, and she stammered a bit, "There are 3 radial incisions on the anal margin, with a lot of secretions, obvious edema, and skin defects in the anal canal. Congestion, edema..."

"Well, it shouldn't be about the surgery. Have you done any other tests?" Zheng Ren asked.

"It's done, everything is normal. Blood sugar, ions, kidney function, and urine routine." Reiko took out her mobile phone and showed Zheng Ren and Su Yun the test sheet.

There is indeed nothing wrong with the laboratory indicators, normal and clean, and the standard ones don't even have a plus or minus sign.

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

"It looks like there is a problem."

"You two, what's the matter?" Reiko fell into a state of confusion, why is there a problem with the normal test results?

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

"Boss, you are too polite." Su Yun said contemptuously, "Let's put it this way, I look at the date, it was yesterday's urine routine, and the patient has been catheterizing continuously for 3 days."

Reiko counted for 2 seconds and nodded.

"The urinary catheter will be irritated and rubbed in the urethra. Normally, occult blood should be ± in urine routine, so that's right." Su Yun said, "Red blood cells can be seen, but they have not reached the level of diagnosing urinary occult blood. This is normal. The laboratory test form for patients with urinary catheters, but the one you brought has no problems at all, it looks very serious."

"Speak well." Zheng Ren pondered while holding Reiko's cell phone, "Does the patient have any other symptoms?"

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

"Ha, does this happen in private hospitals?" Su Yun smiled, making it clear that he was watching the excitement.

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

"Apathy? Excitement?" Reiko was obviously confused by this clinical judgment.

In fact, this is also a relatively idealistic judgment standard. It is difficult to have quantitative data to calculate the patient's indifference. Here, the emphasis is on clinical skills and the control of various details of the patient.

Obviously, Yi Ren's classmate has nothing, and is still a rookie in clinical practice.

"Have you had a neurological examination?" Zheng Ren asked.

The answer was confused again, this time the girl's eyes became blurred.

Zheng Ren was also very helpless, thinking countless times, if this is a public hospital asking him to go to a consultation, if he asks three questions, the medical records will definitely hit her in the face.

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

"Familiar, we are all colleagues."

"Let the doctor on duty go for a physical examination." Su Yundao, "See if the patient's expression is indifferent or normal. If you don't know the criteria for judging, go to the book first. Then do an ECG to see if there is any decrease in myocardial stress and symptoms. Various arrhythmias and conduction blocks."

"I also need to ask about the exhaust situation." Zheng Ren added, "Is there a lack of exhaust, or there has been no exhaust for a long time. By the way, your glucose tolerance...is not right."

As Zheng Ren spoke, he hesitated for a moment, as if he had grasped the point of the problem.

"Boss, are you still considering that there is something wrong with the test?" Su Yun asked, "I just said that there is something wrong with the test sheet!"

"Yes." Zheng Ren nodded.

"Lingzi, the patient should be discharged from the hospital. Come to 912 and I'll find a bed for her." Su Yun looked at Lingzi, who was already in a state of confusion, and said.

He casually agreed to find a bed in 912, which is a big favor.

But Reiko didn't seem to understand the rules in these circles, she still hesitated, her eyes flickered, then she lowered her head and didn't say a word.

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

"One and a half years, six months to get the practicing certificate."

In many hospitals, it is more common to work without a license. In some public hospitals, no one is available, and they are frantically testing on the edge of the rules. Private hospitals can at least be used by individuals because of the low wages of undocumented people.

Zheng Ren actually didn't understand why there were very few thunderstorms in this wave of show operations.

He didn't think it was strange after seeing it too much, he frowned and asked, "Do you think it's possible for the ... error in the laboratory test?"

"Well……"

"Lingzi, you may have less time in clinical practice, but you have always heard of the words "human life is at stake." Zheng Ren said in a deep voice, "Every test value is very important, and it is not just a matter of just looking at it. If there is no problem, just throw it aside. Patients who have been wearing urinary catheters for a long time should have a problem with how good the urine occult blood is, but if you look at the test report, it is too clean."

"..." Reiko didn't speak.

"The other thing is that you said that the patient's condition is wrong. I don't think the patient has any complaints about you, but has entered into a bad situation." Zheng Ren said, "I don't know the specifics, if there is an error in the test sheet , a kidney failure, it’s too late to treat it.”

Reiko's face was a little pale, pale, and the blush didn't cover up the whiteness.

"Assuming that something really happened, or only the last inspection is true, all the blame is on the clinician. This blame is too big, are you sure you can handle it?"

"A few days ago we went to a hospital in Jinhai City for a medical appraisal. The doctor's license was revoked for life. It is hard to say the exact amount of compensation, and we didn't ask in detail."

"Boss, she refuses to say, why are you talking so much?" Su Yun said, "For laboratory tests, if you are interested, you can take it to a large public hospital and compare the values. I think I can find the problem immediately."