Chapter 876 【876】Surprised the Boss

Taking out a pen from his pocket, Nie Jiamin put his eyes on the medical record, his silent face was obviously thinking about something.

There must be some differences between overseas teachers and domestic teachers. Xie Wanying was observing the outpatient medical records that Teacher Nie had corrected for her. Unlike Teacher Tan, Teacher Tan hardly changes what she wrote. The writing of outpatient medical records in China is relatively simple, and it is enough to reflect the main symptoms of patients.

Speaking of which, it is recognized that she is careful in doing things, and her writing usually exceeds the requirements of the teacher.

Unexpectedly, after Teacher Nie picked up the pen, she swiped behind the medical records she wrote, writing like a god, and added a lot to it. For example, she wrote in the child's auscultation record that the breath sound of the right lower lung disappeared. Mr. Nie added that the lung inspection, lung percussion, and lung palpation of the child should be written regardless of whether there is any abnormality.

Been taught a lesson. Xie Wanying recalled that her colleague seemed to have said that foreign doctors pay more attention to documents because once overseas doctors start a lawsuit, the legal documents are stricter than domestic ones. Writing about the patient’s normal signs means that the doctor has checked the patient in this area. If you don’t write it down, you may not be able to verify whether the doctor has done it yourself.

The situation in China is different from overseas, because there are many patients in China. The number of patients seen by domestic outpatient doctors in a day is unimaginable for doctors in foreign developed countries. Whoever makes the domestic population base large, the number of patients is massive.

Overseas doctors do not seem to have the concept of shortening the consultation time for each patient in order to see all patients.

Looking at a patient, Nie Jiamin looked at it slowly, pondering slowly.

The slow-paced doctors in China did not dare to do what he did.

After all, they are experts specially hired by the hospital.

Xie Wanying never dared to urge Teacher Nie to speed up, even if she reminded the long queue of parents and children behind Teacher Nie.

It is better to spot a sick child than to scribble through a bunch of sick children and misjudge the sick child. It is estimated that Teacher Nie thought so in his heart.

In the end, Nie Jiamin's pen tapped the child's preliminary diagnosis: a foreign body in the lower trachea of ​​the right lung awaits investigation.

I am not good at Mandarin, so Nie Jiamin asked the students to communicate with their families. It seems that he doesn't need to worry too much about this, because seeing the student's performance just now, he is more at ease. However, after all, he is very meticulous in his work, so we need to ask the student how he thinks.

"When did you suspect that she had a foreign body in her trachea?" Nie Jiamin looked at her calmly and asked.

Xie Wanying recalled her own thinking process: "When the child did not cough, she began to suspect that her breathing was abnormal. Her chest was asymmetrical when her chest rose and fell with her breathing movement, and she bent more and more to the right when she coughed, indicating that the right lung It is blocked. The right lung bronchi is divided into ten segments. The foreign body is stuck between the mouths of the 6th and 5th positions. Those thin bronchi in the number position are very dangerous."

Her sudden series of detailed answers surprised Nie Jiamin: she could actually tell which segment of the bronchus the foreign object was in? Doesn't this mean that her eyes or brain are like X-ray machines or CT machines that can see through?

"It depends on the patient's CT scan results." Xie Wanying added cautiously.