Chapter 4108 [197] Enlightenment
The neurosurgeon is carefully examining the patient.
To check the patient's brain, it must be more than just pupil examination.
There are many specialized examination items in neurosurgery, and it is not in line with the specialized examination process of neurosurgery to focus on only one examination item and desperately examine patients. No neurosurgeon can do that.
Why did the first project of the two physicians before was to do a pupillary examination for the patient.
It should be said that clinically, most medical staff, including nurses, want to check whether there is a problem with the patient's brain. The first thing is to check the patient's state of consciousness.
However, is the state of consciousness of the elderly easy to discern?
Folks say that the elderly are like children, which is fully reflected here.
For example, tonight, this elderly man has deaf ears and can hardly hear other people's words. You shouted at him, he didn't feel it.
So how do you judge whether he is conscious or not?
Another method, orbital depressive reflex examination, which is commonly used in clinical practice, is also a good method. To be honest, it is not easy to check the orbital depressive reflex.
There are certain requirements for the strength and accuracy of orbital indentation, so not all clinical medical workers can meet the technical standards at once.
The technology is not in place, and if the family members see it, and the news reports say it, the family members will suspect that the medical staff is abusing the patient.
You repeatedly pressing the patient's eyelids desperately is not abuse, what is it?
It is really not done properly, and no big difference can be observed. For example, Dr. Gang Li can't check for abnormal pupils, so he can only use a flashlight to take pictures again and again, check and do it again.
How to do the specific operation of orbital depressive reflex examination?
Press the supraorbital foramen of the patient's side orbit with the thumb.
Dr. Yue Wentong asked two colleagues in internal medicine: "Where is your patient with orbital pressure?"
"Eye, above the eye—" Dr. Li Qi'an replied.
"Tell me the specific anatomical location."
Dr. Liu covered his face with his hands again.
Squad leader Yue Wen’s expression was indescribable. First of all, we can know that Song Maoyi’s opening is based on this.
In the medical circle, it is true that the professions are separated by mountains. It is a **** lesson.
It’s not your own professional knowledge, it’s easy to learn and forget without practicing or reviewing. Besides, in the general hospital, everyone is used to calling the specialist next door, and proper path dependence makes themselves lazy.
Only when a profound lesson has been learned, humans will go back and pick up textbooks to do related review work, and doctors are no exception.
This is an important reason for the arrangement of imperial patrols in the hospital.
You wait for the specialist doctor to come. If the specialist doctor is so busy that all the thoracic surgeons are operating on patients and cannot come, what will you do as the first doctor?
Even the most basic examinations are not done properly, misjudgment or missed diagnosis, the patient's condition will definitely be delayed.
Dr. Yue Wentong thought of this because he was enlightened.
He originally thought that when he was in the hospital, he would always be like Senior Brother Huang spreading the news everywhere, but now it seems that he was obviously wrong.
Being a resident should first set high demands on yourself, otherwise it will be a waste of the precious opportunity that the hospital gives you to improve your abilities.
In the future, when he becomes the chief resident, he will never ask Brother Huang for advice, and he must follow the example of classmate Xie!
Hospital leader: You all think so, right~
Two physicians, such as primary school students, carefully observed that Dr. Yue performed the seemingly simple orbital depressive reflex and pupillary examination on the patient.
This is a rare thing.
(end of this chapter)
