Doctor: Picking Up Attributes in the Hospital-Chapter 472 - 386: The Cheap Sister-in-law Came for a Checkup

Chapter 472: Chapter 386: The Cheap Sister-in-law Came for a Checkup

Besides, maybe she was just overthinking a little.

The next day.

8:40 in the morning.

At this time, Zhao Heng had already finished the morning meeting in the office and started making rounds.

Now when Zhao Heng makes rounds, he asks more questions than before. Of course, the progress of the interns, resident physicians, and trainee doctors has also improved a lot.

After all, with Ruan Liuzheng as an example, these interns, residents, and trainees are very motivated in their studies, knowing there is hope.

After making the rounds, Zhao Heng returned to the deputy director’s office. Just as he sat down, two people entered the office.

Zhao Heng saw that it was the sisters Xu Man Ni and Xu Hongdou.

Why is Xu Hongdou here?

Zhao Heng felt a bit strange.

"Brother-in-law, is this your office? Pretty nice!"

"Oh? There’s even a coffee machine here?"

As soon as Xu Hongdou entered the office, she looked around curiously.

"Brother-in-law, can I use this coffee machine? I stayed up late last night, and I’m feeling a bit sleepy now."

After pausing, Xu Hongdou looked at Zhao Heng and asked.

Even though her personality is straightforward, this was someone else’s office, and with their belongings, it’s still polite to ask.

"The coffee beans are in the cabinet."

Zhao Heng nodded slightly.

There’s a rare childlike innocence about Xu Hongdou, giving a very natural vibe, which is rare among adults. Only people who have been well-protected since childhood can give such an impression.

So, Zhao Heng had a pretty good impression of this young sister-in-law.

"Did you stay up all night again last night?"

Xu Man Ni stepped forward. Seeing Zhao Heng’s slightly tired look and red eyes, she couldn’t help but feel a bit concerned.

"I didn’t stay up the whole night; I slept at four."

Zhao Heng smiled slightly.

"How come you two sisters have time to come here?"

After a pause, Zhao Heng asked again.

"Hongdou has been feeling a bit of chest tightness these past two days, so I brought her over for you to check."

Xu Man Ni said.

Now Zhao Heng’s skill level can be said to have the essence of all the Eastern Hospital’s disciplines converged. Although it seems incredible, it’s widely recognized, and Xu Man Ni naturally knows this, so she directly brought Xu Hongdou to see Zhao Heng.

"Chest tightness? Sit down and tell me."

Zhao Heng was a bit surprised. Xu Hongdou, at most around twenty-six or twenty-seven years old, having chest tightness seemed a bit early.

Chest tightness is a common subjective feeling in clinical settings. Although children and young people can also experience it, it’s generally more common among middle-aged and elderly people.

There are many causes of chest tightness. Based on different reasons, it can be divided into functional and pathological chest tightness.

Functional chest tightness is caused by non-disease factors, such as short-term chest tightness during intense emotional fluctuations.

Pathological chest tightness is caused by body illnesses, with heart or lung diseases being capable of causing it.

"Hongdou, come sit and talk."

"You’re feeling chest tightness, so don’t drink coffee for now."

Seeing Xu Hongdou taking out the coffee beans from the cabinet and preparing to make coffee, Xu Man Ni said somewhat helplessly. 𝐟𝐫𝕖𝗲𝘄𝚎𝗯𝕟𝐨𝕧𝐞𝚕.𝕔𝕠𝐦

Certain people with particular constitutions can experience palpitations after drinking coffee.

Caffeine is the main component of coffee, which stimulates the sympathetic nerve and excites the central nervous system. Sensitive individuals may experience short-term palpitations and increased heart rate after drinking coffee.

Since Xu Hongdou feels chest tightness, it’s quite possible related to heart rhythm, so she should definitely not drink coffee.

Moreover, manually ground coffee contains a higher level of caffeine.

"Brother-in-law, can’t I really drink it?"

After hearing Xu Man Ni’s words, Xu Hongdou couldn’t help but ask Zhao Heng.

"Since there’s chest tightness, let’s check first, so don’t drink it yet."

Zhao Heng nodded.

"Oh, alright then."

Xu Hongdou said with a bit of disappointment.

Soon, Xu Hongdou sat down, and Zhao Heng began to formally inquire about her condition.

"How long has the chest tightness been? How long does it last each time?"

Zhao Heng looked at Xu Hongdou, noticing she seemed slightly pale, and started asking about her condition.

"It’s only been the past week. It’s just a bit of chest tightness, difficulty breathing, happening briefly each time, and then it’s fine."

Xu Hongdou thought for a moment and said.

She’s actually not as calm as she seems, given her young age and already experiencing issues of chest tightness that usually appear in the middle-aged and elderly.

Moreover, she did a little search on Baidu and got scared by the results, so she sought out Xu Man Ni to bring her to see Zhao Heng, who was said to be incredibly skilled.

"Have you ever had pneumonia before?"

Zhao Heng decided to rule out post-pneumonia effects first. Many who had pneumonia but didn’t completely recover are left with sequelae affecting lung function, which frequently leads to chest tightness and shortness of breath.

"No."

Xu Man Ni shook her head.

"Are you still experiencing chest tightness now?"

Zhao Heng asked again.

"Yes, a little."

Xu Hongdou nodded.

Zhao Heng took out a stethoscope, deciding to listen to Xu Hongdou’s lungs and heart first. Although imaging examinations for the lungs and heart could be done, Zhao Heng preferred to conduct detailed physical examinations first.

A well-conducted physical examination is significant in diagnosis; some doctors can’t improve simply because they depend too much on instrument checks.

Whether it’s a CT or MRI, radiologists provide a diagnostic image, and some doctors overly rely on it, treating based completely on these diagnosis images.

This approach is not advisable, as radiologist diagnostics aren’t 100% accurate.

Many issues detected through physical examination might not be visible through imaging.

Seeing Zhao Heng was about to use the stethoscope on her, Xu Hongdou blushed slightly but said nothing because it was a standard procedure.

Zhao Heng didn’t take notice of these minor details, and after picking up the stethoscope and finding the correct location, he began the examination.

The first to be checked was the heart, specifically the mitral valve listening area at the point where the heartbeat is strongest, which is the left fifth intercostal space.

So how to locate this fifth rib?

The fifth rib generally lies around two standard points.

Both Zhao Heng and Xu Man Ni, as medical professionals, didn’t think much of this standard medical procedure involving the stethoscope.

However, Xu Hongdou, as an ordinary person, felt slightly embarrassed at this moment.

During the checkup, the stethoscope unavoidably contacts standard points, and Zhao Heng was holding the stethoscope.

Thus, unavoidably, a slight touch might occur.

Subsequently, Zhao Heng listened to both the five heart areas and the six lung positions.

"How is it? Brother-in-law, is there anything wrong with me?"

Seeing Zhao Heng stop his actions and slightly frown, Xu Hongdou asked nervously.

"There’s nothing wrong with the heart and lung auscultation."

Zhao Heng shook his head slightly.

"If there’s no problem, could it be that you’re just too tired lately? Is the chest tightness and shortness of breath due to fatigue?"

Xu Man Ni suggested.

"Tired? I haven’t been doing anything lately."

Xu Hongdou couldn’t help but say.

"Should we perform a check-up?"

Xu Man Ni asked for Zhao Heng’s opinion.

"Auscultation shows no issues, not even a bit of noise, so there’s no need for further checks."

Zhao Heng shook his head slightly.

At this moment, Zhao Heng noticed that after sitting down for just a short while, Xu Hongdou began sweating.

Even though it was midsummer, the air conditioning in Zhao Heng’s office was sufficiently strong, so sweating so quickly seemed unusual.

Thinking of Xu Hongdou’s chest tightness and shortness of breath, Zhao Heng had a suspicion in mind.