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¡¾876¡¿Surprised the boss

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    Taking out the pen from his pocket, Nie Jiamin placed his eyes on the medical record, his silent face 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 was correcting for her.  Unlike Teacher Tan, Teacher Tan almost never changes what she writes.  Domestic outpatient medical record writing is relatively simple, and it only needs to reflect the main symptoms of the patient.

    It is said that she is recognized as carefully doing things, and she usually writes more than the teacher's request.

    Unexpectedly, Teacher Nie picked up the pen and added a lot of words to the back of the medical record she wrote.  For example, she wrote on the child's auscultation record that the breath sounds in the right lower lung disappeared.  Teacher Nie added that children's lung inspection, lung percussion, and lung palpation should be written down regardless of whether there is any abnormality.

    Been taught a lesson.  Xie Wanying recalled that her colleagues once said that doctors abroad pay great attention to paperwork because once overseas doctors get into lawsuits, the legal system and paperwork are stricter than in China.  Writing down the patient's normal physical signs is equivalent to the doctor checking the patient in this regard. Failure to write down may not be able to verify whether the doctor himself has done so, which means the doctor is suspected of irresponsible misdiagnosis due to the lack of careful checking.

    The situation in China is different from that in overseas countries because there are many patients in China.  The number of patients that domestic outpatient doctors see in a day is unimaginable by doctors in foreign developed countries.  Because of the large population base in the country, the number of patients is huge.

    Overseas doctors don¡¯t seem to have the concept of shortening the consultation time for each patient in order to see all the patients.

    Looking at a child with the disease, Nie Jiamin looked at it slowly and thought about it slowly.

    No other doctor in China would 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 Teacher Nie of the long queue of parents and children.

    It is better to spot one sick child accurately than to look at a bunch of sick children and diagnose the wrong child.  This is probably what Teacher Nie thinks.

    Finally, Nie Jiamin¡¯s pen tip gave the child¡¯s preliminary diagnosis: a foreign body in the lower trachea of ??the right lung to be investigated.

    Since he was not very good at Mandarin, Nie Jiamin asked students to communicate with their families.  He didn't seem to need to worry too much about this, because looking at the student's performance just now, he was more reassured.  However, after all, he is very meticulous in his work, so we need to ask this student what his thoughts are.

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

    Xie Wanying recalled her thought process: "When the patient came without coughing, she began to suspect that her breathing was abnormal. Her chest was asymmetrical when it rose and fell with breathing movements, and she became more and more obvious to bend to the right when coughing, indicating that her right lung  It is blocked. The right lung bronchi is divided into ten segments. The foreign body is stuck between the mouth of positions 6 and 5. The foreign body may be small and does not completely block the trachea for the time being, but it will move down to positions 7 and 8.  Those thin bronchial tubes in position No. 1 are very dangerous."

    Her sudden series of detailed answers surprised Nie Jiamin: She could actually determine which bronchus the foreign body 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 examination results.¡± Xie Wanying added cautiously.  (Remember the website address: www.hlnovel.com
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