I Can See Health

  Chapter 273 If I don't see a doctor, I will ask

  Lu Chen didn't speak. After Li Yao asked about her condition, she took her blood pressure.

   "Teacher, the blood pressure in the right hand is 180/80mmHg."

   The smile on Auntie's face did not change, "Look, I said, it's usually a little tall."

  Lu Chen pouted.

   Is this still a bit high?

  Auntie's heart is so big!

  Lu Chen turned his head and glanced at Li Yao, only to see her expression unchanged: "Auntie, I believe the doctor here must have told you about the dangers of high blood pressure and diabetes..."

   Li Yao was interrupted by her aunt before she could finish her words.

   "I know, the doctor from the small hospital in the county said that if the high blood pressure is not controlled, there may be a stroke, and if the diabetes is not controlled, the limb may be amputated!"

  Lu Chen thought to himself, this aunt is not stupid.

  These complications, she is very clear.

   "Then why don't you take medicine?" Li Yao frowned.

   "Didn't I tell you as soon as I walked in the door?" The aunt asked back, "I'm addicted to taking medicine! You can't take this medicine, and you can't take insulin!"

  Lu Chen was just about to hear how Li Yao communicated with the patient, but Li Yao came directly.

"Auntie, then I can only prescribe medicine for you and give you insulin injections, and there is no other way. If you believe me, I will prescribe medicine for you. If you don't believe me, then you don't need to look to me. already."

  Auntie was taken aback for a while, "Professor Li, you...do you have any other way to lower blood pressure?"

   "No." Li Yao said decisively, "Your blood pressure is so high that it can only be controlled by taking medicine."

"Then I can't take medicine!" The aunt shook her head resolutely, "The old man next door to our house, he has high blood pressure all the year round, and he didn't take medicine, but now he lives very well. On the contrary, the old man on the other side takes antihypertensive medicine every day, and now he My kidneys are broken, and I have cancer!"

Li Yao frowned: "Auntie, you should go and see how many elderly people suffer from stroke every year without taking medicine for high blood pressure, and some even suffer from dissection. A disease that can cause sudden death at any time under control.”

   "Let me tell you this. I've seen many old ladies like you who are stubborn and don't take medicine. Some people have strokes, some people have coronary heart disease, and some people have high blood pressure and uremia."

   "Why go to the ICU to solve something that can be solved by taking a few pills a day?"

   Aunty stared at Li Yao after listening to her words.

   "Ah, this...this..." Auntie swallowed.

   If it was a doctor from a county hospital in front of her, she would have started to fight.

   Isn't this cursing yourself?

   But sitting opposite is a great professor from Jinghua.

  Auntie held back and did not swear.

  Li Yao chased after the victory and said, "Auntie, if your blood pressure and blood sugar are not well controlled, let alone stroke, what kind of myocardial infarction, heart failure, diabetic nephropathy, uremia, everything will come."

  Auntie was shocked when she heard the words: "Professor, you, don't scare me!"

   "Auntie, I'm done. Please go back, I'll see the next patient."

  Li Yao's attitude is extremely tough.

   Aunt hesitated for a while, but finally got up and walked slowly towards the door.

  …

   Looking at the back of Auntie leaving, Li Yao turned her head and said to Lu Chen, "If I were a doctor at the county hospital, this patient would probably have already quarreled with me."

  Lu Chen nodded in agreement.

   Li Yao's attitude just now, not to mention bad, may be indifferent in the eyes of the public.

Li Yao continued: "For this kind of patient, the doctor of the county hospital must have explained to her many times that there is no harm in not taking medicine. She must not believe it, so she hung up my number today. I will communicate with her calmly. , she may still not believe it."

   "However, if my attitude was a little firmer, or even a little less human, she might have believed me more."

  Lu Chen frowned, "Teacher, could this be the reason why many doctors have weird temperaments, but there are so many patients who come to see them?"

"You can't say that." Li Yao smiled, "The premise of everything is to cure the patient. As for our attitude at work, it varies from person to person. However, sometimes the attitude is too easy-going, which may Decrease your prestige in the minds of patients, and their medical compliance will become worse! What's more, they think your attitude is good because of poor skills..."

  Lu Chen nodded.

  Doctor-patient communication is a big question.

  Some people have said that in clinical work, medical technology only accounts for one-third, and the remaining seven is entirely dependent on doctor-patient communication.

  Although there are some exaggerated ingredients in it, it also illustrates the importance of communication from the side.

   Next second patient.

   This is a middle-aged man with frequent chest pains.

   After inquiring about the medical history and physical examination, Li Yao suggested that the patient choose coronary CTA or coronary angiography.

   After confirming whether there is coronary heart disease, you can do another gastroscopy.

   After the patient got a satisfactory answer, he left.

   The third patient.

   This person has nothing serious, just came to consult some medical conditions.

   However, after Li Yao received him, the patient asked Li Yao for a call directly.

   also has a posture that he will not leave without a phone call.

   "Professor Li, give me your mobile phone number or WeChat, I won't have to come next time."

   "Professor Li, as long as I'm not feeling well, I'll call you."

  “…”

  Lu Chen thought Li Yao would refuse.

   Unexpectedly, Mr. Li Yao actually gave WeChat to the patient and added WeChat in person.

   After the patient added Li Yao as a friend, he left with satisfaction.

   "Teacher, you are..." Lu Chen's eyes were full of puzzlement.

   Doesn’t this become a private family doctor?

  Li Yao smiled: "I have two mobile phone numbers and two WeChat IDs. This WeChat ID is for some patients or family members. I will check it in my spare time. When I get off work, my cell phone will be turned off."

  Lu Chen suddenly realized that it was Teacher Li Yao's wit!

   In this free clinic activity, Lu Chen did not see any incurable diseases.

  Li Yao explained that most of the difficult patients had already gone to Jinghua, but they would not stay in the county hospital unless their family members gave up.

  …

   Just when the 30th issue was about to be read, the first aunt who "doesn't take medicine for high blood pressure" made a carbine.

  Lu Chen thought she had changed her mind and was going to prescribe medicine.

  Unexpectedly, she led her son, a middle-aged man in his forties, into the outpatient room in a hurry.

   "Professor Li, you can help my son take a look by the way."

   "He doesn't see a doctor, he just wants you to read the report!"

  Lu Chen knew at a glance that this middle-aged man was not registered.

  Although this is a free clinic, there is a quota limit.

  Otherwise, everyone will come to the clinic to see it again, and it will be endless.

   "Have you registered?" Li Yao said.

   The middle-aged man did not answer directly, but emphasized again: "Professor, I don't see a doctor, I just leave after asking a question."

   (end of this chapter)