Chapter 269 I Don’t Treat Illnesses, I Just Ask

Lu Chen didn't say anything. After Li Yao asked about her condition, he took the aunt's blood pressure.

"Teacher, the blood pressure on my right hand is 180/80mmhg."

The smile on the aunt's face did not change, "Look, I told you, it's usually a bit high."

Lu Chen curled his lips.

Is this still a bit high?

Auntie has such a big heart!

Lu Chen turned to look at Li Yao and saw that her expression remained unchanged: "Auntie, I believe the doctor here must have told you about the dangers of high blood pressure and diabetes..."

Before Li Yao finished speaking, she was interrupted by her aunt.

"I know, the doctor at this small county hospital said that if high blood pressure is not controlled, you may have a stroke, and if diabetes is not controlled, you may need amputation!"

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

She is very aware of these complications.

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

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

Lu Chen was just about to hear how Li Yao communicated with patients, but he didn't expect Li Yao to speak directly.

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

The aunt was stunned for a while as she listened, "Professor Li, you... don't have any other ways to lower your blood pressure?"

"No." Li Yao said firmly, "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, "Old Wang next door to us, he has high blood pressure all year round and doesn't take medicine, and he is living well now. On the contrary, Lao Zhang, who is opposite, takes antihypertensive medicine every day, and now he My kidneys are damaged and I have cancer!”

Li Yao frowned: "Auntie, you should go and see how many elderly people who don't take medicine for high blood pressure suffer from stroke every year, and some even get dissection. You may not know what dissection is. It's a kind of high blood pressure disorder. If you keep the disease under control, you may die suddenly at any time.”

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

"Why do you have to stay in the ICU to solve a problem that can be solved by just taking a few pills every day?"

The aunt stared, after listening to Li Yao's words.

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

If she had been a doctor from a county hospital in front of her, she would have started to argue.

Isn't this a curse on myself?

But sitting opposite him was a great professor from Beijing.

The aunt held back and did not say bad words.

Li Yao took advantage of the victory and pursued her: "Auntie, if you don't control your blood pressure and blood sugar well, you will suffer from everything from stroke to myocardial infarction, heart failure, diabetic nephropathy, uremia, etc."

When the aunt heard this, she was shocked: "Professor, don't scare me!"

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

Li Yao's attitude is extremely tough.

The aunt hesitated for a moment, but finally stood up and walked slowly towards the door.

…

Looking at the aunt's leaving figure, Li Yao turned to Lu Chen and said, "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, let alone bad, may seem indifferent to the public.

Li Yao continued: "For this kind of patient, the doctor at the county hospital must have told her many times about the harm of not taking medicine. She must not believe it, so she called me today. I will communicate with her calmly again , she may still not believe it.”

"But if I were a little firmer, or even a little unkind, she might believe me more."

Lu Chen frowned, "Teacher, is this the reason why many doctors have weird tempers, but there is an endless stream of patients coming 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 if the attitude is too easy-going, it may Your prestige in the eyes of patients will be reduced, and their medical compliance will become worse! What's more, they think your attitude is good because of your poor skills..."

Lu Chen nodded.

Doctor-patient communication is a major subject.

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

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

Next patient.

This is a middle-aged man who suffers from frequent chest pains.

After asking about the medical history and physical examination, Li Yao recommended that the patient undergo elective coronary CTA or coronary angiography.

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

After the patient received a satisfactory answer, he left.

The third patient.

There is nothing serious wrong with this person, he just came to consult about some medical conditions.

However, after Li Yao treated him, the patient directly asked Li Yao for his phone number.

He also acted like he wouldn't leave until he got a phone call.

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

"Professor Li, as long as I feel uncomfortable, I will call you."

"..."

Lu Chen thought Li Yao would refuse.

I didn’t expect that Teacher Li Yao actually gave the patient her WeChat and added her WeChat in person.

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

“Teacher, what are you doing…” Lu Chen’s eyes were full of confusion.

Doesn’t this make me a private family doctor?

Li Yao smiled and said, “I have two mobile phone numbers and two WeChat accounts. These WeChat accounts are added to some patients or their families. I check them in my spare time. When I get off work, my phone will be turned off.”

Lu Chen suddenly realized that Teacher Li Yao was smart!

Lu Chen didn’t see any difficult and complicated diseases in this free clinic.

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

…

Just when the thirty numbers were about to be seen, the first auntie who “didn’t take medicine for high blood pressure” made a comeback.

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

Unexpectedly, she led her son, a 40-year-old middle-aged man, into the outpatient department in a hurry.

"Professor Li, please help my son by the way."

"He doesn't see patients, he just wants you to see the report!"

Lu Chen knew at a glance that the middle-aged man had not registered.

Although this is a free clinic, there are also limited places.

Otherwise, if everyone comes to the outpatient clinic, 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 patients, I just ask a question and leave."

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