Since 1981 Health School

Chen Qi didn't speak, but quietly observed the patient's condition.

Traditional Chinese Medicine pays attention to "seeing, hearing and asking"

Western medicine also has its own set of physical examinations, that is, "visual touch, touch, listening and smelling". This is the basic skill of a clinician, and it is also the medical knowledge that is emphasized in the student days.

"Vision" is the first, the reason is very simple, the first sensory organ that the patient comes into contact with you for the first time is through the eyes, through vision you can see the patient's overall state, face, gait, etc. There will be a general judgment first.

It's a pity that doctors seldom use this set of basic skills proficiently after working.

And there is a strange phenomenon, the more experienced the doctor is, the more he likes to do the physical examination carefully by himself, so that he knows what he knows.

On the contrary, young doctors prefer to use instruments instead of physical examinations, and they are too lazy to move. The diagnosis and treatment bed is already covered with dust, which often leads to many missed diagnoses and misdiagnoses.

There is another place where clinicians are criticized. Can doctors not see a doctor without the machine?

Western medicine pays attention to "evidence", so auxiliary examination is essential, whether it is required by law, diagnosis and treatment norms, or the condition of the disease, auxiliary examination is necessary.

So what if there are no such auxiliary inspections?

What if you were in a field hospital? Or there is no testing equipment like Huangtan Health Center, so you still can't cure the disease?

Take the acute abdomen in front of me as an example. There is no emergency department in the fourth hospital at night, so there is no corresponding auxiliary department on duty, no blood test, no X-ray, no B-ultrasound, so what should I do?

Chen Qi felt a little tired when he saw the messy appearance of the surgeons in the Fourth Hospital.

This is not only because the physical examination is not standardized, but also there are problems with the way of diagnosis.

So he could bear it no longer, and stepped forward,

"Come on, come on, you are all optimistic. Now I will do a complete physical examination according to the requirements in the textbook. You should look carefully and find out what is wrong with it."

When the surgeons heard that the vice president wanted to do it in person, they quickly stood aside obediently and were very obedient.

Zhao Qiaoer's parents were standing beside her at this time, but their brows were tightly frowned.

My daughter is a big girl, although it is inevitable for doctors to have physical contact when seeing a doctor, but a large group of old men touch her body after you touch it, and you press it after I press it, what does this sound like?

Originally, it’s okay for a veteran doctor to come for an examination, but now suddenly a young man wants to come for an abdominal examination, a fresh graduate, right?

What the hell is this check? Still want to eat sick tofu?

The old couple wanted to speak a few times, but held back several times, their eyes were already a bit unkind.

Chen Qi foolishly didn't notice the murderous eyes of the family members, and was still doing the physical examination seriously while thinking about what went wrong.

After he finished the examination, he became thoughtful, and then asked the surrounding surgeons without thinking.

"Do you think the patient looks good?"

Not to mention that the doctors were confused, even Zhao Qiaoer's parents were full of questions, wondering if this doctor wanted to play hooligans?

This is 1984, only one year has passed, and the stinky hooligans have revived so quickly? Also mixed into the team of doctors?

The patient's family members can ignore it, but this is a question from the vice president, and the surgeons have to answer whether they want to or not, so they all scratch their heads in embarrassment:

"Uh, it looks good..."

"Yes, it's pretty..."

Zhao Qiaoer is 18 years old this year, exactly the age like a flower like a jade. She should be convex and concave. Although the abdominal pain makes her pale, it makes me feel more pitiful. To be honest, she is definitely a beauty.

Chen Qi changed the subject again and asked, "Yang Tihao, what did you find in your physical examination just now? Why did you think it was appendicitis?"

Yang Tihao talked eloquently: "Vice Chen, it's because the patient has tenderness all over the abdomen, and a mass can be touched in the lower right abdomen, so I diagnosed it as appendicitis."

Zhao Qiaoer's parents breathed a sigh of relief when they heard it, and said again and again: "It's fine if it's appendicitis, it's fine if it's appendicitis."

Chen Qi asked: "Then there is shifting dullness on percussion, how can this be explained?"

Mobile dullness, which generally means that there is fluid in the abdomen, either ascites or blood. Appendicitis is obviously unlikely to have dullness.

Yang Tihao thought for a long time, but couldn't figure out why, so he could only retreat resentfully.

At this time, surgeon Zhang Xingshun asked:

"Moving dullness may also be caused by fluid accumulation in pelvic inflammatory disease, and it can also explain symptoms such as abdominal pain."

Chen Qi asked rhetorically: "During the consultation just now, the patient himself said that there was a small amount of bleeding in the tract. Is this the case with pelvic inflammatory disease?"

Can pelvic inflammatory disease cause internal bleeding? How did this group of rough surgeons know? It's useless to ask.

Sure enough, Zhang Xingshun's eyes were a little confused, he was trying his best to recall the knowledge in the book, and he probably wanted to turn the page right away.

Director Bian was standing by the side, obviously hearing something was wrong. If there was bleeding from the vagina and abdominal pain, then the obstetrics and gynecological diseases must be considered first, but he didn't say a word. This is Vice President Chen's teaching time.

Chen Qi looked at Zhao Qiaoer, and asked again without thinking: "Are you married?"

In an instant, Zhao Qiaoer's face turned even paler, and she shook her head desperately, "No, I, I don't!"

The dissatisfaction of Zhao Qiaoer's parents was about to reach its peak, and she thought that the doctor would ignore her faults, and would ask her daughter if she was pretty, or if she was married, what was she doing?

Fancy her?

You really want to fall in love with it. It is not impossible to find a doctor to be your son-in-law. The question is, now that my daughter is in pain, should I see a doctor first? Have a priority?

Chen Qi didn't know what the family next door thought, so he asked another question:

"When was your last period?"

"Doctor~~~"

Zhao Qiao'er's mother couldn't bear it anymore. Menstruation is a girl's extreme privacy. What kind of doctor is asking such weird and shameless questions?

"Doctor, just now several other doctors also said that my daughter may have appendicitis or pelvic inflammatory disease. What do I think about my daughter's menstruation, whether my daughter looks good or not, it seems that it has nothing to do with seeing a doctor, right?

I think you are also young, new here, just started working? You have to learn skills, and I can bear to touch my daughter, but now you molested my daughter again and again, my wife wants to ask, what is your reasoning? "

Director Bian burst out laughing when he heard this, and quickly covered his mouth.

The other young surgeons also turned their heads away, but the twitching of their shoulders showed that they were holding back their laughter.

Chen Qi was also embarrassed, "Ma'am, I'm a doctor, and the doctor still needs to ask clearly, whether it's appendicitis or pelvic inflammatory disease is not certain."

The old lady was about to say something just now, but was stopped by the old man: "Don't talk, let the doctor check it first."

The old lady shook the old man's hand, looked at Chen Qi dissatisfied, and finally rolled her eyes.

Chen Qi was also speechless. If he wanted to blame it, he could only blame himself for being too young. The 22-year-old vice president had to be believed.

Zhao Qiaoer replied in a murmured voice: "It was the 5th of last month..."

oh~~~~~

Now the surgeons realized that something was wrong. It was already September 25th, and the menstruation was delayed for more than 20 days, so something could be explained.

The problem is that this girl clearly said that she is not married, what's going on?

At this time, some smarter surgeons suddenly understood why Vice President Chen asked them whether the patient was good-looking or not.

How could the leader molested other girls for no reason? Every word the leader said has connotations. Who said that girls can only get pregnant if they get married? Pretty girls are more likely to be seduced.

But if it was related to pregnancy, it would be a shocking scandal! ! !

In the 1980s, it was still conservative, especially in small cities and places like Vietnam, where a woman's reputation was very important, and everyone around her would make fun of her when she was unmarried and pregnant, not to mention that Zhao Qiaoer didn't even have a fiancé in name.

The doctors of the Fourth Hospital had already faintly felt that the outcome of this matter might be worse.

Zhao Qiaoer's parents didn't realize the seriousness of the matter, but felt uncomfortable being looked at by the strange eyes of several doctors.

Director Bian asked softly, "Vice Chen, what do you say? Did you really win the bid?"

Chen Qi nodded lightly: "Menorrhea, obvious cervical pain, and a lump that can only be touched behind the right side of the uterus, I am afraid it is not as simple as a precursor, it is probably the most serious situation."

Director Bian gasped: "You mean, heterotopia?"

Not to mention that Director Bian gasped, the doctors in the first surgery department next to him also felt scalp numb when they heard about ectopic pregnancy, which is also the legendary "ectopic pregnancy".

In Vietnam, the mortality rate is almost 80% of the disease, and it is the number one cause of death among pregnant women, far surpassing dystocia.

Moreover, only the People’s Hospital and the Second Hospital in the Vietnam-Central region have successful rescue records. So far, the Fourth Hospital’s success rate in rescuing ectopic pregnancy is still 0.

All of a sudden, the doctors became tense, and many of them broke out in cold sweat.

The patient's mother felt strongly dissatisfied once again when the two doctors began to play charades about aura and abnormality.

The old lady felt that the doctors around her had strange eyes and speech, and she had a feeling that they were going to murder me. This feeling made her very insecure.

"Doctor, what's wrong with my daughter? Can your fourth hospital treat her?"

Chen Qi hesitated for a while, and decided to tell the truth:

"The patient's condition is very dangerous. We suspect that it is an ectopic pregnancy. There is already a small amount of bleeding, so we want to do a posterior fornix puncture immediately. If we can extract non-coagulated blood, it will be very close."

"Don't give me these things I don't understand, I'll just ask you, what is a person, and what is a person?"

Seeing the poor attitude of the patient's family members, there was a little doctor next to him, so he went straight back in annoyance:

"It's an ectopic pregnancy, and it's in my stomach!"

"what???"