Chapter 2298 It's so Difficult to Ask Medical History
After taking the order to leave, Lin Yuan felt uneasy.
Where does the small thrombus in the blood vessel come from? There are many possible locations, the most common being carotid artery plaque shedding.
But the problem arises here, the patient is so young, where did the arterial plaque come from.
The probability is there, but it is too small to be considered for the time being.
Lin Yuan recalled the medical records written by the resident doctor named Zhong Min in Haicheng, and thought a lot about the medical records written by Sister Chang Yueyue, thinking about Boss Zheng's true intentions while walking.
This is a test for yourself! real test.
In the end, Lin Yuan still had a dewy face, and he could only blame everything on Boss Zheng's testing himself.
Dr. Mechal from Sweden is undergoing surgery, and Professor Rudolf Wagner will accompany him back to Europe to start the long work before the Nobel Prize.
A surgeon left, is Boss Zheng going to pass a test and let himself be the surgeon?
Thinking of this, Lin Yuan was a little excited.
But then she directly overturned her own thoughts - that's impossible!
Whether the operation is good or not has nothing to do with the writing of the medical records. Sister Yue has a good medical record and has never had surgery.
Suspicious Lin Yuan came to the Department of Neurology, there were many wards, and he searched for a long time before finding the ward where Yang Lixin was.
But he had already been sent for surgery, Lin Yuan felt a little worried.
What if we go back like this and can't complete the task assigned by Boss Zheng.
Although he has not been in the medical team for a long time, Lin Yuan already has a little fear of Boss Zheng.
This is caused by rolling at the technical level and has nothing to do with other things. So much so that Lin Yuan was in a nervous mood, wondering if he could hide by meowing at Boss Zheng twice.
But Boss Zheng is not his own father, so the possibility is unlikely, Lin Yuan still made a sober judgment.
She stood at the door of the ward and thought for a long time, and finally made up her mind to ask the patient's family members about the situation first.
When she touched the interventional operating room of the neurology department, she was very unfamiliar with it and needed to ask for directions. Lin Yuan felt that he was so homeless that he didn't even know the basic locations of the 912 departments.
However, Lin Yuan was not afraid of difficulties by nature, so he went directly to the door of the interventional operating room.
How to ask the patient's family members, she already has a plan.
"Yang Lixin's family!" Wearing white clothes, Lin Yuan shouted confidently in front of the patient's family members waiting for the operation.
"Doctor, what do you want from me?" A 24 or 5-year-old girl stood up timidly, looking a little scared.
Patients are most afraid of doctors shouting during surgery, but anyone with a little common sense knows this. The doctor called the family members, it must be that the operation did not go well and there was trouble.
Lin Yuan smiled and said, "Don't be afraid, I'm a doctor in the emergency department. I'm here to learn about the medical history, so I can write the medical record when I go back."
Hearing what Lin Yuan said, the girl calmed down a little.
She and two of Yang Lixin's colleagues came to a relatively secluded place with Lin Yuan, and Lin Yuan asked directly, "Tell me about your illness this time."
The girl glanced at Yang Lixin's colleague, but didn't speak immediately.
"Doctor, it's like this. Today I went to the bathroom, and I heard a bang inside before I entered the door. When I went in, I saw Xiao Yang fell to the ground." Yang Lixin's colleague said: "He couldn't speak clearly, which scared me. If it’s broken, immediately call 120 and send it to the hospital. The doctor said that if the delivery is delayed for a while, the person may be disabled.”
What is this? Lin Yuan was dissatisfied with this, and there was almost nothing of value.
Lin Yuan asked when he fell ill and how he was sent to the hospital, but he still didn't get any particularly valuable information.
"Has the patient suffered from illness before?" Lin Yuan asked.
"There was a time when the corner of the mouth was a little crooked, it happened a few months ago." Yang Lixin's girlfriend immediately said, "But Lixin didn't go to the hospital, he thought it was facial paralysis, he took some medicine, and he will be fine in a few days. "
oh? It happened before, but this is a point, Lin Yuan wrote it down.
The patient does not smoke or drink, but often stays up late. But usually in good health, rarely sick.
No history of high blood pressure, coronary heart disease, diabetes, no clear family history, no history of infectious diseases, no history of surgical trauma, Lin Yuan also asked about these.
That's all... Lin Yuan was a little helpless, she was really afraid that if she went back like this, she would be scolded by Boss Zheng.
Although Boss Zheng is very kind, it is different when he is on stage.
The hemostatic forceps knocked on my radial styloid process, which was a pain. The key is to be familiar with the anatomical structure, and it will not be damaged by others.
This time it involves a patient who needs emergency surgery. If I ask a little medical history and go back, will I be beaten to death?
Alas... Lin Yuan is a little sad.
She looked at the family members of the patient, "Apart from one crooked eye corner, is there anything else wrong with him?"
Yang Lixin's girlfriend didn't have much experience in the world, so she didn't think anything of it. But the two male colleagues felt that Lin Yuan was a bit strange, and she seemed to have other meanings.
"Doctor, is Xiao Yang okay?" A colleague said with a bitter face, "What if he becomes disabled at such a young age?"
"Uh..." Lin Yuan was stunned for a moment. She didn't dare to say that it was all right, and she couldn't say that there was something wrong. There would be no answer to this kind of thing.
Seeing her startled, several family members panicked even more.
Yang Lixin's girlfriend's eyes flickered, obviously frightened, she asked timidly: "Doctor, Lixin won't be paralyzed, right?"
"..." Lin Yuan really felt that he had little clinical experience this time.
She sighed and said, "I'm a doctor in the emergency department. I just came here to ask about the medical history, so I can write the medical records when I go back. If you want to know about the operation, you have to ask the neurologist after the operation is over."
Disappointment and hope intertwined in the eyes of several family members, which was extremely complicated.
"Is there anything else? Do you usually take any medicine?" Lin Yuan was ready to leave. She knew that she had not completed this test well, and she didn't know if Boss Zheng would scold others.
Probably not, maybe in the next operation, the hemostatic forceps will be more painful.
"Well... Lixin usually takes painkillers occasionally." Yang Lixin's girlfriend said, "He often suffers from migraines."
Migraine... Lin Yuan recorded this point blankly.
This disease is divided into 6 major categories and 15 subcategories, which can be mild or severe; it can be migraine induced by general neurological symptoms, it may be a precursor to epilepsy, or it may be... In short, it has no meaning for cerebral infarction.
Many patients have had migraines since they were young, but they never knew where they came from.
But this is still meaningless, Lin Yuan thought. Looking at it now, the most likely thing is the headache caused by the frequent episodes of small cavity stems.
She finally said goodbye to the patient's family members politely, and returned to the interventional department in a state of anxiety.