This is an experience, really do not know how to write, and it has been confused with my heart, long, lingering, not short not long in my career in medical practice, this should be the only one not a disease category of patients, and because her reasons for chest pain really is special! A great sense of really need to say!
Immediately to zero almost midnight, and only at this time, the emergency department to appear a little rare quiet weather, looked at the table, from 20:00 succession, and now, busy for about 3 hours, and along with the final diagnosis of a patient to leave the room, can finally rest, and I yawn, stretch, hey, take more than 3 hours, "Psoas Muscle" can not stand, and now I know, not only the Chinese football team has Psoas Muscle, the doctorand some! Messy desk tidy diagnostic cases, diagnostic room door open, you can sleep, I think!Characteristics of emergency department re-embodiment of the working together, the door was pushed open, another to the patient, and I "is to sit down", take the eyes, one old and one little one is beautiful, one is the former beauty ! One daughter, one mother!Should be!"Doctor, I have chest pain, very!"
"How long the pain? Been hurt, or break it hurt? Chest pain when there is no sense ah? With previous high blood pressure? Take any medicine when the pain did not ah? Electrocardiogram done before?" I sat There, did not see patients, outpatients register in his hand, ready to register, I admit, after several hours of high mental, is now a bit tired out! Machinery could not help thinking it."Ah! I am just to work, just had finished 26th birthday, should not have high blood pressure, right?" Beauty began to speak.Ah! I have a clatter when, almost fell off his chair, wrong person, chest pain, a small beautiful! Patient communication in the first round, I defeated it the first time in the doctor-patient communication is very important, in order to obtain the trust of patients so that patients psyche recognized you, you give him half of the right medicine right againgrasp. The first impression is important, though not love at first sight so contagious, but so full that you were a doctor, not the vet! I want to inspire the spirit of it!I re-examine the mother and daughter! There should be 50 years old mother, it is speculated that the young may be more, because in addition to a little corner of the eye, I did not even obvious on her face wrinkles, even on cosmetics is no research, just rough to know: this thing should paint the walls before the use of Pihui are similar to those used against uneven defective! Daughter, not to mention, and had a beautiful flower that is just the same age, the diagnosis of silence at midnight in the morning room, can only be described as beautiful, and even a doctor, not se a wolf! Heart in addition to the differential diagnosis of chest pain, no more beautiful words to describe!"Ha ha! Not also mean, I made a mistake, you sit down! Talk about how I hurt?" I try to ease the awkward atmosphere! And her mother standing beside her! This degree of ease the tensions. I touched the pulse, very smooth, do not feel and the appearance of premature beats."Is not always hurt, that is, from time to time when the left side of chest pain for a while, a month, and initially did not care, because I had played a month ago, badminton! I think it is sprained, but not always Well, one night when the pain turned to powerful special! "Beauty said."The pain and breathing and posture are not related to ah? Recent period of cold is not ah?" My interrogation started. I think I first have ruled out angina.Beautiful deep breath several times replied: "It seems there is no affiliation, nor does a cold." I untied the clothes the patient, picked up the stethoscope! Stethoscope benefits are twofold: First, only a doctor can hear the sound can be understood, which is your ear to the voice of patients is not heard. Second: indirect contact with patients, allowing physicians to become a high ideological level Zuohuaibuluan of intellectuals, not rogue!This is a good thing ah, a lot of disease is diagnosed by this.Of course, I listen across the underwear, this time I did not hear, do not question my stethoscope, listen back, or hear, but my binoculars senior stethoscope Oh! Usually I can only put it around your neck, into the pocket is not loaded, and many of the sounds of nature is heard through it! Is it broken? Not ah, how so hard ah! Stethoscope probe touched as if I was not the chest, such as steel ah! I actually found the back of underwear in the back of actually pulling a rope, not crooked like ah! Not a bra!"What you wear ah? Thoracic injury it? Can not take it away ah?" I asked."This is modeling underwear, you can, but up more trouble off it!"I immediately called nurses, to observe the beauty taken to a deserted room, off! After 5 minutes, the beauty here, underwear in my hand, again auscultation, heart and lungs were normal, chest palpation: precordial fifth, sixth rib was tender, the sternum without tenderness, once again called to nurse, depending on the dual diagnosis lateral side of the chest wall has indentations, no redness, rash, purpura! Check finished! Once again, I picked up the pieces of underwear, really thick, very light, very hard! I do not know what materials to use made of, no flexibility! Concave shape has caused, is another abnormal size, no matter how good looks, wear this, it is estimated the back to see are beautiful, she is good! True Type ah!"When did you start wearing the clothes, ah," I asked."A month ago, very expensive, I spent half a month's wages just to buy the" Beauty said."I already know how it happens, girl! But for security during the period, you have to do two checks, electrocardiograms and chest perspective. And so back, I'm telling you what kind of treatment!" I give her written examination single, while a single perspective on the state to focus on the situation to see the ribs and pleura!Beauty looked at me suspiciously, but still agreed, "I in the end is how ah? Doctor!" "Oh! Can not tell you, after checking, said." I said with a smile.After 10 minutes, test results are back, normal ECG, chest X-ray normal! I looked at the results, said: "You see, your test results are normal, according to the medical situation, your chest pain is due to the underwear you wear caused by plastic, this dress is no flexibility. Limits the chest muscles normal movement! wear a long time, muscles strained. This is the reason for your chest pain! Do not wear this thing, and over time will be better. ""No, how could that other people do not wear things?" Beauty asked."May you wear your body is not in line with it, this I do not understand, I am not a woman, Oh, this is the case, I do not give you a prescription, but ask you to take off the plastic underwear week, when the time if you have chest pain, and you come to me. "finish, I put the phone to her department, so she circumstances feel free to contact me."Well, I will try," the mother and daughter looked away, has o'clock in the morning, really tired. Need a break!Three days later, still my afternoon classes, beauty call, well, not hurt it! My diagnosis is correct, asked her not to wear after the plastic has worn out, the answer is to buy a fit to wear! I broke already! "Women who have capacity for Yue," the law can only be one herself, could in fact but a lot! Left!
Immediately to zero almost midnight, and only at this time, the emergency department to appear a little rare quiet weather, looked at the table, from 20:00 succession, and now, busy for about 3 hours, and along with the final diagnosis of a patient to leave the room, can finally rest, and I yawn, stretch, hey, take more than 3 hours, "Psoas Muscle" can not stand, and now I know, not only the Chinese football team has Psoas Muscle, the doctorand some! Messy desk tidy diagnostic cases, diagnostic room door open, you can sleep, I think!Characteristics of emergency department re-embodiment of the working together, the door was pushed open, another to the patient, and I "is to sit down", take the eyes, one old and one little one is beautiful, one is the former beauty ! One daughter, one mother!Should be!"Doctor, I have chest pain, very!"
"How long the pain? Been hurt, or break it hurt? Chest pain when there is no sense ah? With previous high blood pressure? Take any medicine when the pain did not ah? Electrocardiogram done before?" I sat There, did not see patients, outpatients register in his hand, ready to register, I admit, after several hours of high mental, is now a bit tired out! Machinery could not help thinking it."Ah! I am just to work, just had finished 26th birthday, should not have high blood pressure, right?" Beauty began to speak.Ah! I have a clatter when, almost fell off his chair, wrong person, chest pain, a small beautiful! Patient communication in the first round, I defeated it the first time in the doctor-patient communication is very important, in order to obtain the trust of patients so that patients psyche recognized you, you give him half of the right medicine right againgrasp. The first impression is important, though not love at first sight so contagious, but so full that you were a doctor, not the vet! I want to inspire the spirit of it!I re-examine the mother and daughter! There should be 50 years old mother, it is speculated that the young may be more, because in addition to a little corner of the eye, I did not even obvious on her face wrinkles, even on cosmetics is no research, just rough to know: this thing should paint the walls before the use of Pihui are similar to those used against uneven defective! Daughter, not to mention, and had a beautiful flower that is just the same age, the diagnosis of silence at midnight in the morning room, can only be described as beautiful, and even a doctor, not se a wolf! Heart in addition to the differential diagnosis of chest pain, no more beautiful words to describe!"Ha ha! Not also mean, I made a mistake, you sit down! Talk about how I hurt?" I try to ease the awkward atmosphere! And her mother standing beside her! This degree of ease the tensions. I touched the pulse, very smooth, do not feel and the appearance of premature beats."Is not always hurt, that is, from time to time when the left side of chest pain for a while, a month, and initially did not care, because I had played a month ago, badminton! I think it is sprained, but not always Well, one night when the pain turned to powerful special! "Beauty said."The pain and breathing and posture are not related to ah? Recent period of cold is not ah?" My interrogation started. I think I first have ruled out angina.Beautiful deep breath several times replied: "It seems there is no affiliation, nor does a cold." I untied the clothes the patient, picked up the stethoscope! Stethoscope benefits are twofold: First, only a doctor can hear the sound can be understood, which is your ear to the voice of patients is not heard. Second: indirect contact with patients, allowing physicians to become a high ideological level Zuohuaibuluan of intellectuals, not rogue!This is a good thing ah, a lot of disease is diagnosed by this.Of course, I listen across the underwear, this time I did not hear, do not question my stethoscope, listen back, or hear, but my binoculars senior stethoscope Oh! Usually I can only put it around your neck, into the pocket is not loaded, and many of the sounds of nature is heard through it! Is it broken? Not ah, how so hard ah! Stethoscope probe touched as if I was not the chest, such as steel ah! I actually found the back of underwear in the back of actually pulling a rope, not crooked like ah! Not a bra!"What you wear ah? Thoracic injury it? Can not take it away ah?" I asked."This is modeling underwear, you can, but up more trouble off it!"I immediately called nurses, to observe the beauty taken to a deserted room, off! After 5 minutes, the beauty here, underwear in my hand, again auscultation, heart and lungs were normal, chest palpation: precordial fifth, sixth rib was tender, the sternum without tenderness, once again called to nurse, depending on the dual diagnosis lateral side of the chest wall has indentations, no redness, rash, purpura! Check finished! Once again, I picked up the pieces of underwear, really thick, very light, very hard! I do not know what materials to use made of, no flexibility! Concave shape has caused, is another abnormal size, no matter how good looks, wear this, it is estimated the back to see are beautiful, she is good! True Type ah!"When did you start wearing the clothes, ah," I asked."A month ago, very expensive, I spent half a month's wages just to buy the" Beauty said."I already know how it happens, girl! But for security during the period, you have to do two checks, electrocardiograms and chest perspective. And so back, I'm telling you what kind of treatment!" I give her written examination single, while a single perspective on the state to focus on the situation to see the ribs and pleura!Beauty looked at me suspiciously, but still agreed, "I in the end is how ah? Doctor!" "Oh! Can not tell you, after checking, said." I said with a smile.After 10 minutes, test results are back, normal ECG, chest X-ray normal! I looked at the results, said: "You see, your test results are normal, according to the medical situation, your chest pain is due to the underwear you wear caused by plastic, this dress is no flexibility. Limits the chest muscles normal movement! wear a long time, muscles strained. This is the reason for your chest pain! Do not wear this thing, and over time will be better. ""No, how could that other people do not wear things?" Beauty asked."May you wear your body is not in line with it, this I do not understand, I am not a woman, Oh, this is the case, I do not give you a prescription, but ask you to take off the plastic underwear week, when the time if you have chest pain, and you come to me. "finish, I put the phone to her department, so she circumstances feel free to contact me."Well, I will try," the mother and daughter looked away, has o'clock in the morning, really tired. Need a break!Three days later, still my afternoon classes, beauty call, well, not hurt it! My diagnosis is correct, asked her not to wear after the plastic has worn out, the answer is to buy a fit to wear! I broke already! "Women who have capacity for Yue," the law can only be one herself, could in fact but a lot! Left!
