Chapter 223

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because the number of interns is usually the most, that is to say, an attending doctor is arranged to teach, while the situation of assistant chief physician teaching is very rare.

As for the situation of the section director leading students to see students, in Annex I, it has never happened, let alone the chief of the Department.

Therefore, many people didn't believe it after it came out. However, several doctors on duty in the Department of internal medicine swore that director Zhang did bring an intern to the Department to see the patient. And it's not a ward round, it's simply taking interns to see patients.

Moreover, these doctors also said mysteriously: "this trainee's reputation is very famous in Annex 1 recently, that is, the one who used his own knife to do tracheotomy for the patient..."

What the doctors say is so vivid, and there are also doctors in several departments who say so. Naturally, no one is not convinced.

So the attached doctors and nurses are also curious. What kind of person is Xu Ze who can work? Zhang Reid, director of the Department of internal medicine, who has always been an eye-catching teacher, is really curious enough.

However, most of the people who know Xu Ze's real situation are directors of various departments of internal medicine. The impact of the original scramble for the topic is still there, which is related to the face of the internal medicine department. Naturally, they will not disclose Xu Ze's situation.

However, director Qu of the emergency department and a few doctors are the only ones who know the true situation of Xu Ze except those in the internal medicine department. At the beginning, Xu Ze worked in the emergency department with the name of a doctor in rotation department. But now Xu Ze is an intern who has not yet graduated from star University.

Who dares to disclose Xu Ze's details? Otherwise, if it is revealed that the emergency department even let a student who has not graduated from the Department of emergency medicine to be a Rotarian doctor, even director Qu will be in trouble.

Therefore, Xu Ze's First Affiliated to Xingda university is now very well known among the medical staff. Many people want to see what kind of holy boy Xu is. He can be so powerful, and even make Zhang Reid, director of internal medicine, so green eyed.

Even in the campus of star University, it was passed on by those students who saw Xu Ze teaching one-on-one with Zhang Reid.

However, it also caused quite a stir in the Clinical Medical College of Xingda. Especially for the senior students who are also on probation, they naturally know what treatment it is to be taught by the director of internal medicine of the first affiliated university of Xingda. At present, Xu Ze is more and more admired.

The person at the top of the storm list is really extraordinary. No matter where he goes, he will be extremely noticeable

Xu Ze, who was in the center of the storm, was not very clear about it, because he was following Zhang Reid in the internal medicine clinic of the outpatient building.

Zhang Reid, as the director of internal medicine of the First Affiliated Hospital of Xingcheng University, is very famous in Xingcheng district. He sits in the specialist outpatient department of cardiovascular internal medicine, and two afternoons every week. At this time, there will be a long line at the door of his clinic. Every day, there are hundreds of patients waiting for him to see a doctor or come back to see a doctor

At this time, Xu Ze was sitting on the side of the expert Comrade Zhang Reid, helping to see the patient. Of course, sitting there is not just a helper, taking blood pressure or something. These nurses who have their own door check them out one by one. What he has to do is to wait for Zhang Reid to read the patient's medical record, and then he will take a look at it. The United States said its name: Learning

First of all, Xu Ze was very puzzled that Zhang Reid could see more than 100 patients every afternoon. However, he soon understood why Zhang Reid had such a speed.

To a patient, Zhang Reid simply asked about the situation, and then a little targeted to listen, up to 10 seconds, and then will be related to the test sheet to the patient, let the patient to do the examination. If you go on to see the next patient, such efficiency is naturally extremely high.

However, since Xu Ze came to study by name, he would naturally take a look at it carefully. Whenever a patient had done an examination and brought the results, and Zhang Reid was doing an examination for another patient, Xu Ze would take a look at it first.

At this time, Xu Ze is holding a patient's examination report, frowning, the patient is a patient with chest pain, chest pain has appeared for two days, and the chest pain attack is very severe.

Zhang Reid has opened ECG and chest X-ray examination for patients. These examination reports of patients show that ECG has myocardial ischemia, and coronary heart disease is considered; while chest X-ray shows no abnormality.

But when Xu Ze looked at the patient's condition, he always felt something was wrong. Although the patient had chest pain, which was very similar to angina pectoris caused by acute ischemia, the patient's chest pain was continuous, sometimes light and heavy, and it was not like simple myocardial ischemia.

I also looked at the patient's blood pressure, which seemed to be normal.

Looking at the patient's pale face, Xu Ze frowned. After thinking about it, he was still worried. Then he took a blood pressure meter and measured the patient's blood pressure.The blood pressure of the patient's left arm was basically the same as the blood pressure recorded by the nurse on the medical record, both of which were 11070mmhg, which belonged to normal. However, after the measurement, Xu Ze always felt that it was wrong, and then moved his mind, but he asked the patient to extend his right arm and measure it again.

This patient is always looking at Zhang reed there, waiting for Zhang reed to see a doctor for himself, but he is extremely impatient that Xu Ze always checks here. However, limited to Zhang Reid, a patient on hand has not finished watching, and his turn has not yet been turned. He has to bear to let Xu Ze examine him.

He helped the impatient patient to smooth his sleeve up, and then carefully checked it again. Hearing his blood pressure this time, Xu Ze could not help but raise his eyebrows The blood pressure of the patient's right arm was significantly different from that of his left arm. The blood pressure of his right arm was only 9050 mmHg, and the pulse pressure difference was 20 mmHg.

Thinking of the pulse pressure difference, Xu Ze's heart flashed. He seemed to feel that there was a big problem in the middle. However, he could not remember any disease with this sign, but it seemed that there was light and heavy. He was not sure

At this time, Zhang Reid just finished seeing the patient in his hand, and the patient Xu Ze was looking at had been impatient for a long time. It can be seen that Zhang Reid has dealt with the patient, and it is his turn. At the moment, he grabs the medical record book and examination results in xuze's hand, and sits down with Zhang Reid, warmly saying, "director Zhang My results have come out, please help me to see... "

Xu Ze looked at the patient who was sitting at Zhang Reed's side, but he didn't know what the problem was. So I had to watch Zhang reed examine the patient to see if he could see anything wrong.

Zhang Reid took over the patient's medical record and test results, quickly flipped through it, then listened to the patient, nodded his head and said, "you should be coronary heart disease, myocardial ischemia Now you still have chest pain, so I suggest that you should be hospitalized... "

"What a coronary heart disease..." The patient was stunned. After thinking about it, he said to Zhang Reed: "director Zhang It's really inconvenient to live here. I wonder if you could prescribe some medicine for me, and I'll go back to our place for treatment. I wonder if it's ok? "

Zhang Reid was not surprised by the patient's request. After all, many patients came to the First Affiliated Hospital of Xingda from other places and several subordinate counties. After confirming the disease, nearly 56% of the patients did not want to be treated in the First Affiliated Hospital of Xingda, but wanted to go back to the local area.

Zhang Reid is very experienced. He nodded at the moment and said, "your disease is still quite serious. It's better to treat it in our hospital and do some relevant examinations It's OK to go back to your local area for treatment, but relatively speaking, it's not that kind of insurance... "

The patient thought about it for a moment, and then continued to insist: "director Zhang, I still want to go back to our place for treatment. The people's hospital nearby is more convenient. As long as the diagnosis is clear, we can go there for treatment. I think there should be no problem..."

"Well It's up to you... " For such a patient, Zhang Reid would not be forced to do so. He wrote a few notes in the medical record book and handed it to the patient to let him go to see the next patient.

The patient took the medical record book, and after thanking Zhang Reid for a few words, he planned to leave. At this time, after thinking for a long time, Xu Ze finally remembered the patient's situation, which was in line with the performance of a very serious disease. Zhang read just looked at the blood pressure measured by the nurse on the medical record. He should not have noticed the pulse pressure difference between the blood pressure of the patient's arms.

Thinking of this, Xu Ze immediately rushed to the patient who stood up and was about to leave, and said, "you still wait..."

Hearing Xu Ze's cry, the patient was stunned. He was examined by Xu Ze for a long time, but he was already impatient with Xu Ze. Now he was stopped by the boy. However, he looked at Xu Ze with some impatience and said, "doctor, what else can I do for you?"

Seeing that the patient had stopped, Xu Ze hastened to Zhang Reed's ear and said, "director Zhang, there is a pulse pressure difference between the patient's hands The blood pressure in his right arm is only 9050mmhg. I think he may have other problems... "

"Twenty difference?" Zhang Reid frowned, then said with a smile: "coronary heart disease, some people will have a little pulse pressure difference, this is normal..."

"But Listening to Zhang Reid's words, Xu Ze was a little relieved. There was such a situation, but he was still a little uneasy. After thinking about it, he quickly looked at the heart of the patient who was standing in front of him. At the same time, he ordered to the automatic response system: "start the color B-mode ultrasound, carry out the cardiac ultrasound examination..."

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