My medical path

Chapter 103 The Wind Has Changed
Monday morning is Chen Bo's regular outpatient hours.

With the experience of last week, Chen Bo knows that he is no longer a person who counts the hairs of his feet when he goes out to the clinic.

So he made adequate preparations.

I eat one more steamed bun for breakfast than usual, and the cup is not filled with boiled water, but tea.

Chen Bo laughed at himself. In a few years, there might be more than just tea in his cup.

Standard equipment for middle-aged men:
Goji berries are soaked in tea, and calcium tablets are used for milk.

When Chen Bo walked to the nurse's triage desk with the cup, he felt that the attitude of the little nurses at the triage desk was different.

"Morning, Doctor Chen!"

The little nurse said enthusiastically.

What Chen Bo didn't know was that the little nurse went home to reflect and summarize after being greeted by several family members who changed her number last week.

She found that the main reason why she was bared was because the wind direction changed, and then she didn't know the wind direction.

When the patient asked which doctor was better, she naturally recommended Deputy Director He with a higher professional title, but the patient didn't buy it at all.

This time she learned how to behave, as long as the patient asked, she would say that Dr. Chen is better.

Hey, the effect is really obvious. This time, not only did she not receive greetings from her family members, but she also saved five yuan in the registration fee because of her opinion, and was praised by several patients.

So the little nurse is in a good mood now, and looking at Chen Bo feels particularly pleasing to the eye.

"morning!"

Chen Bo nodded and responded.

Walking to the door of the clinic, Chen Bo saw that there were more than a dozen patients waiting outside the clinic.

At this time, Deputy Director He also just arrived. He exchanged glances with Chen Bo, nodded, and went into the consulting room without saying a word.

Turning on the computer, Chen Bo habitually glanced at the number of registered people.

"Hey, young and old, there are twelve..."

In other words, most of the patients at the door were waiting for him.

Chen Bo nodded in satisfaction, his reputation in the hospital has slowly increased.

On the other side of the consulting room, Deputy Director He secretly complained, because he saw the number of registered people, it was still the same as last time, three!

While Deputy Director He was depressed, he was already thinking about whether it was time for him to see a younger doctor.

I am a deputy director of a department who receives leapfrog blows here every week, and sooner or later my heart can't stand it...

Chen Bo sat down, took a sip of tea, and called the first patient.

This is a middle-aged man in his 40s, Li Debao, not tall, but with a more obvious beer belly.

Chen Bo could clearly see him when he walked in, walking with a limp.

"Please sit down first!"

Chen Bo motioned Li Debao to sit on the chair in front of him, and then asked:
"What's wrong with you, why do you walk like this?"

"My butt hurts..."

Li Debao pointed to the position of his hip and continued:
"It hurts like this when I walk."

"How long has this been with you?"

"Almost a year."

"Haven't you ever fallen?"

"No."

"Besides the pain in this position, is there any other discomfort?"

"The knee here also hurts, and the waist is sometimes a little uncomfortable..."

Li Debao pointed to his knee on the same side and then to his waist.

"Have you ever had any other illnesses, or taken any medicine?"

"No, it's just the occasional fever and cold."

"Then do you usually drink?"

"Drink, I like to drink two sips..."

When Li Debao mentioned this, he became energetic:

"If you don't drink two or three taels per meal, everything you eat will be tasteless!"

"What do you usually drink?"

"Mi Er (meaning rice wine)."

"Middle-aged man, hip and knee pain, alcoholism..."

Chen Bo went through the patient's information and made a preliminary judgment in his mind.

"Lie down and let me check."

Chen Bo pointed to the examination bed.

After the patient lay down, Chen Bo continued to instruct him on activities:
"Bend your feet, okay, straighten...open your feet..."

"There is no problem with flexion and extension, but abduction is limited..."

Seeing the patient's activities, Chen Bo pondered for a while, then he checked the adductor muscle with his hands, it was tight!
There is no problem with the straight leg raising test, but the 4-figure test cannot detect...

Chen Bo moved Li Debao's hip again.

"Well, the hip grinding test is positive, and the knee problem is not serious..."

After completing this set of inspections, Chen Bo's guess just now was basically confirmed. A familiar term appeared in Chen Bo's mind——

Femoral head necrosis!
"The knee joint also hurts, probably caused by hip-knee syndrome..."

Chen Bo basically had a judgment.

Turning on the smart system scan, Chen Bo looked at it in detail from the waist, to the hip, and then to the knee.

"There's really nothing wrong with my waist, but it's probably because of long-term hip pain, a little compensatory side bending..."

"The knee is really fine..."

Chen Bo focused his attention on the hip joint. Under the system scan, Li Debao's right hip joint was clearly revealed.

As expected, it was indeed necrosis of the femoral head, and the femoral head had already collapsed...

Thoughtful, Chen Bo also scanned the patient's left hip joint.

Although there are no symptoms on the left side, the possibility of early necrosis cannot be ruled out.

It really is!
Chen Bo clearly saw the signal change of the patient's left hip joint in the system scan, which is the manifestation of early femoral head necrosis.

"You can get up"

Chen Bo said while washing his hands:

"I think you have necrosis of the femoral head. You need to have an MRI."

"Necrosis of the femoral head? What kind of disease is this? Doctor, don't scare me..."

"This is the femoral head"

Chen Bo picked up a model and explained to Li Debao:

"Your disease is that a part of the bone in the head is broken. It hurts at the beginning, but gradually, if the bones inside can't support it, the head will become flat, that is, it will collapse..."

"Then what caused me to do this?"

After listening to Chen Bo's explanation, Li Debao's heart was already half cold, and he asked anxiously.

"Besides trauma, there are two most common causes of your disease, one is hormones, the other is drinking..."

"So many people drink, why do I have this disease?"

Li Debao was confused.

"This has a lot to do with personal tolerance. What we often see is mainly caused by drinking this kind of rice wine..."

Chen Bo patiently explained:
"Maybe you don't know the way of the rice wine business very well. The wine you steamed yourself is generally not a big problem. Most of the impurities are not purified, and it is easy to get on..."

"The quality of the rice wine sold outside cannot be guaranteed. Because of the cost, the rice wine must be diluted with water before selling. What should I do if the taste becomes weak after the water is added? Add some DDW (for fear of harmony) and the like to go in and taste immediately. It's different..."

"It turned out to be so?"

After hearing what Chen Bo said, Li Debao was taken aback.

"I actually drank pesticides for so long? Thanks to myself, I still think it's delicious..."

Li Debao was full of remorse and annoyance.

(End of this chapter)