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Chapter 67 How to handle follow-ups

After this just now, Lu Bu's son already trusted Zhou Yewu very much.

After all, the trust of doctors and patients continues to deepen in diagnosis and treatment!

Just Zhou Yewu's accurate treatment of scalds just now was beyond the one in charge nurse. How could he not accept it?

In hospitals, age is never a condition for diagnosing medical skills. Only the real comfort of the patient can reflect the level of medical skills!

"Before tetanus antitoxin injection, you need to do a routine skin test. If it is negative, you can continue the injection." A layer of cold cream condensed into the corner of Zhou Yewu's eyes.

This is a fucking test, it's really troublesome. I'm sorry, this old man.

Zhou Yewu shook his head, and he was about to feel pity for the patient in bed 22.

After Yang went over to attend an emergency consultation, he ran back to Zhou Yewu, "Brother Xiaowu, the consultation is over. Have you finished taking care of the scalds here?"

Zhou Yewu looked at Lu Bu's expression. The old man was as calm as water, and it seemed that the scalding pain was enough to bear.

"I'm waiting for the tetanus vaccine here. I won't use other medicines for the time being. I'll apply antibiotic ointment after the injection." He said slowly.

Anyway, he always dealt with the burns according to the guidelines, so there must be no problem!

It wasn't long before Yang Guo's internship, and it was the first time he met a scald patient. While watching Zhou Yewu deal with it, he secretly took his cell phone to take pictures of the red and swollen skin on Lu Bu's body.

This is what teachers in college often ask students who have just gone to the clinic. When they see patients with skin diseases and trauma, take more photos and analyze more!

"Brother Xiaowu, do you think we usually have to be disfigured when we get scalded? The water temperature... tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk tsk

If it is just a scald, it's okay. The key is that Lu Bi's nonsense is really a paranoid disease of being killed?

The subsequent treatment gave Zhou Yewu a headache!

"If it is a second-degree wound, it will usually heal within two weeks. If it is not infected, it will usually leave scars. Next, we will take turns changing the dressings for 22 beds every two days, and use an ointment with another antibiotic." Zhou Yewu's face suddenly changed a little when he talked about the dressing changes.

This is not right...

He is going to Wuhan with Chen Riyuan next week!

The next dressing change should be completed independently by Yang Guo.

Before Zhou Yewu could speak, Yang Guo stared at him and said, "You and Director Chen will leave next week. What should I do? I can't check the rounds independently like you, I don't have the ability to do this!"

Interns check in independently...

This is simply terrifying.

Yang Guo's face suddenly became ugly, as if he was standing on the edge of a cliff, and taking another step would make him a deep abyss.

Zhou Yewu smiled meaningfully: "Don't worry, Xu Lu should take over Director Chen's patient next week, but I think it's not scary to conduct independent rounds. Only when you follow Xu Lu will you know what despair is..."

As soon as he finished speaking, he suddenly felt something was wrong!

Turn around and take a look.

"Sister Lu..."

My god, he actually forgot this!

Zhou Yewu actually forgot that Xu Lu had just come in and had not left the ward yet!

Xu Lu had a strange expression and said with a smile: "Don't you want this meal card anymore? You actually said bad things about me behind your back?"

Zhou Yewu said timidly: "I'm wrong, I'm wrong, write a review right away."

But, is this not bad things behind the scenes?

Didn’t you say it in front of you?

Xu Lu glanced at Yang Guo, smiled gently, and walked out of the ward.

She thought to herself that she was really so terrified to this junior brother Zhou? Unconsciously, she sighed softly.

...

"Brother Xiaowu, then do I have anything to pay attention to when dealing with the patient next?" Yang Guo was an intern after all, so he asked directly in front of the patient.

As for internships, there are many people who don’t know how to do it, so I don’t care much about it!

"Next, observe the changes in the wound and use scald ointment as appropriate. Because it is more penetrating, it is recommended to use it on deeper wounds."

"Then during this two- or three-week recovery period, be careful not to let the wound get water. If the affected area is on the feet, one week after seeking medical treatment, it is recommended that the patient raise his foot and reduce walking, so that it will not hurt. If the wound is painful, you can use some pain medication or a little ice to reduce the temperature at the wound to reduce the degree of pain."

Zhou Yewu shared his experience in dealing with scalds with Yang Guo without reservation.

"You want to harm me!" Lu Bu suddenly started screaming at the top of his throat.

Although the people watching the fun outside the door were dispersed by the nurses and nurses passing by, the patients and families who were already living in this room witnessed this scene directly, and were so scared that they were afraid to act rashly!

Zhou Yewu looked at the 22-bed patient who was dressed in a typical Chinese style again, and suddenly had an ominous premonition.

He suddenly remembered similar examples he had seen in medical forums recently...

There are two points that may have to be highly suspected: acute drug poisoning and acute stroke.

In addition to these two highly suspicious possibilities, there is another disease that needs attention, namely aortic dissection, especially carotid dissection.

This is also a common problem for doctors. They don’t think about it in a good direction every time. After all, no one can bear the responsibility for an accident in a patient.

However, many times, we should rather believe in the existence of it than in the absence of it.

Because, once misdiagnosis occurs, it is a test of life and death for patients.

Zhou Yewu called Lu Bu's son and asked, "How are you eating in bed 22 recently?"

Middle-aged man: "My father has been suffering from diarrhea recently and actually rarely eats."

Zhou Yewu lowered his head and said softly, "Yeah", first of all, acute drug poisoning was completely eliminated, because the elderly have rarely eaten due to diarrhea in recent days, and have not eaten special foods such as medicinal wine, health products, etc.

He looked at the electrocardiogram monitoring that was already bound to the old man, and then the acute stroke was also denied because the old man's vital signs were stable, and the pathological signs were also negative when the body was just checked, and the muscle strength and muscle tone were completely normal.

Of course, it is impossible to make a complete positive judgment based on these medical history and physical examinations alone. Some examinations still need to be improved, such as arterial blood qi analysis, head ct, etc.

Zhou Yewu then walked outside the ward and prepared to order the doctor in the mobile RV.

At this time, the old man in bed 22 came from outside the door: "I don't believe you, you can shout **!"

When Zhou Yewu heard the old man crying repeatedly, his heart was even shaken.

Is this really just an emergency mental disorder?

Could it be that I was over-thinking?
Chapter completed!
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