Chapter 4108 [197] Awakening

The neurosurgeon carefully examines the patient.

There must be more than just a pupil examination to check the patient's brain condition.

There are many specialized examination items in neurosurgery. It is not in line with the neurosurgery examination process to only focus on one examination item and examine the patient desperately. No neurosurgeon would do that.

Why did the first project of two physicians in the past was to vigorously perform a pupil examination on the patient?

This means that in clinical practice, most medical staff, including nurses, want to check whether there is a problem with the patient's brain. The first step is to check the patient's state of consciousness.

However, is it easy to identify the state of consciousness of the elderly?

Folks say that the elderly are like children, which is vividly reflected here.

For example, this old man tonight has a deaf ear and can hardly hear what others say. If you call him loudly, he won't feel it.

How do you judge whether he is conscious or not?

Another method commonly used clinically is orbital reflex examination, which is also a good method. To be honest, orbital reflex examination is not easy to do.

There are certain requirements for the accuracy of orbital pressure, so not all clinical medical workers can meet the technical standards at once.

If the technology is not in place and seen by family members, as reported in news reports, family members will suspect that medical staff are abusing patients.

If you repeatedly try your best to suppress the patient's eyelids, what is it if it is not abuse?

It's really not done properly, and no big difference can be observed. For example, Dr. Li just couldn't detect pupil abnormalities, so he could only use a flashlight to look at it again and again, and check again and again.

How to perform the orbital reflex examination specifically?

Use your thumb to press the supraorbital foramen on one side of the patient's orbit.

Dr. Yue Wentong asked two internal medicine colleagues: "Where do you treat patients with orbital pressure?"

"Eye, above the eye -" Dr. Li Qian replied.

"Say specific anatomical location."

Dr. Li Qian, who was re-examined by Monitor Yue: Did I do the right thing tonight?

Dr. Liu covered his face with his hands again.

Monitor Yue Wentong's expression was hard to describe. First of all, we can know that Song Mao's blindness at the beginning was based on this.

What is said in the medical circle is that there are mountains between majors, and it is true that these are bloody lessons.

It is not easy to learn and forget your professional knowledge without practicing or reviewing it. Besides, in general hospitals, everyone is used to calling the specialist next door, and relying on the proper path makes them lazy.

Only after learning a profound lesson will humans go back and pick up the textbooks to do relevant review work, and doctors are no exception.

This is an important reason for arranging imperial patrols in hospitals.

You wait for the specialist to come. If the specialist is very busy, for example, all the people in the thoracic surgery department are unable to operate on the patients, what will you, the first-diagnosis doctor, do?

If even the most basic examinations are not done properly, and if diagnosis is misdiagnosed or missed, the patient's condition will definitely be delayed.

Doctor Yue Wentong became enlightened when he thought of this.

He originally thought that when he was in the hospital, he would always be like Senior Brother Huang spreading the news, but now it seems that he was obviously wrong.

As a hospital manager, you should first set high demands on yourself, otherwise it will be a waste of the precious opportunities that the hospital gives you to improve your abilities.

From now on, when he becomes the chief resident, he will never ask Senior Brother Huang for advice, but will follow the example of Classmate Xie!

Hospital leader: You all think so, right~

The two physicians, who looked like elementary school students, carefully observed Dr. Yue performing seemingly simple intraorbital reflex and pupil examinations on the patient.

This is a rare thing.