medical simulator
Chapter 139 Fierce confrontation!
Chapter 139 Intense confrontation! (Please subscribe!)
Zhou Cheng himself didn't believe in fate, but sometimes he had to believe it.
Before getting the simulator, Zhou Cheng didn't find many reasons why he couldn't be admitted to the graduate school.He worked hard enough, steady enough, and calm enough.
Otherwise, it will not be able to go online for three consecutive years.It's just that the professional foundation may be a little bit worse.
To say it was too bad, Zhou Cheng didn't think so.
After graduating from a bachelor's degree, among the people who are included in the regular training, how many people are really outstanding?
He was able to manage the bed without problems, assist the superior physicians in the operation without any mistakes, be on duty alone, and report to the superior physicians in a timely manner without complaints. Patients who he could handle could be sent away or admitted to the hospital.
Zhou Cheng thought that he was inferior to other ordinary residents and even postgraduates because he was not professionally qualified.
Of course, two weirdos like Luo Yun and Yang Yifeng still have to get rid of them.
Comparing himself with Du Yanjun, Zhou Cheng didn't think he was inferior to him professionally. In theory, Zhou Cheng didn't think he was inferior to Du Yanjun in terms of orthopedics and medical foundation.
But Du Yanjun could pass the exam, but he couldn't.
This is fate.
If Zhou Cheng didn't pass the exam this time, he really decided not to take the exam.
There is no need to be hard on the top.
Four years, entered the undergraduate course, quite satisfactory, graduated at the age of 23, which is also an ordinary age.After three years of regular training, Zhou Cheng reached 27.
If he takes the exam again next year, he will have to run 28 to 29 when he enters school.After graduating with a master's degree in three years, I am in my early 31s, close to 32 years old.
There are few four years in life that can be delayed.
Du Yanjun's expression changed after hearing this, his expression and heart gradually calmed down, and he said, "Brother Zhou Cheng, you will definitely be able to do it."
I just thought in my heart, if Zhou Cheng really passed the exam, then in the future, Zhou Cheng would really be missing in the hospital.
"Hopefully."
Zhou Cheng changed the subject: "Have you finished all your work? Is it too much? I have nothing else to do now. If you can't finish it, I can come to help."
Zhou Cheng didn't forget his identity, and it was Cai Dongfan and Yan Haihan's face to let him not be on duty and leave his bed alone, but in the hearts of Du Yanjun and others, he and Du Yanjun were on the same level.
No matter how unconventional the bed is, it's a bit too much, because Dr. Pang Dingkun didn't make such a spectacle.
Du Yanjun shook his head repeatedly: "No, brother Zhou Cheng, there are not too many patients and things in our group, although the turnover of patients is very fast."
"But compared to the other two groups, there was significantly less going on."
"It's Brother Quan. He said he would help me change my medicine and give me medical orders..." Du Yanjun stopped at this point, looked at Zhou Cheng, and seemed to understand Zhou Cheng's heart when he did such a thing. fluctuated.
Zhou Cheng smiled, and gave Du Yanjun a thumbs up: "That's right, we're a group of brothers, and our paths are quite uniform."
Du Yanjun was a little embarrassed, he was the first to bring up the atmosphere, no matter how reluctant he was now, he couldn't say much.I just hope that Zhang Zhengquan can figure it out quickly and don't compete with him for an opportunity.
Said to Zhou Cheng: "Brother Zhou Cheng, then you study, I'll go to lie down for a while, I won't disturb your rest..."
Noon, eleven o'clock.
Du Yanjun turned over from the bed and got out of bed, and said to Zhou Cheng: "Brother Zhou Cheng, my order has arrived, I'll go get it. Should I eat in the office or in the lounge?"
If Zhou Cheng didn't study in the lounge, it would be most appropriate to be in the lounge.
But the aftertaste of the food will affect the concentration, so Du Yanjun asked this question.
"Let's go to the office to eat."
"This morning, it seems that the department is quite stable. There is not a single emergency patient." Zhou Cheng smiled, feeling a little complacent.
It seems that when he is on duty, his luck is generally pretty good.
"Well, it's nothing. I hope it will be a smooth 24 hours." Du Yanjun frowned slightly.
When I was on duty, it was unlucky to say such words, and I muttered in my heart narcissistically——Children's words are wuji, children's words are wuji.
……
After Zhang Zhengquan successfully filled his stomach, he felt really motivated.
However, when the three of them had dinner and returned to the lounge, Zhang Zhengquan looked at Zhou Cheng who was preparing for the postgraduate entrance examination, his eyes could not help but move, he seemed a little puzzled and guilty.
He also prepared for the postgraduate exam, but he didn't pass the exam the year he graduated from undergraduate, so he didn't think about it.
Now that Zhou Cheng is about to graduate from regular training, he will be able to find a job and earn money soon, but he hasn't forgotten about it.
This made Zhang Zhengquan quite ashamed...
Compared with Zhou Cheng, he doesn't seem to be a medical practitioner, at most he can only be regarded as a hobbyist.
Of course, Zhang Zhengquan didn't pretend to be positive. He came here for regular training because he didn't know what to do. To him, the job he could find after graduate school and the job he was looking for now were all the same concept.
He was looking for a job simply because he wanted to find something to do, nothing else.
He climbed onto the bed silently, and then he planned to watch the video for a while, but he was too embarrassed to watch it, so he covered the quilt and snored slightly after a while.
About three o'clock in the afternoon.
When the nurse on duty came in and knocked on the door, Du Yanjun, who had fallen asleep, had already woken up, but Zhang Zhengquan was still soundly asleep, so why would he want to get up to see the patient?
Du Yanjun squinted his eyes, wrinkled his forehead, glanced in Zhang Zhengquan's direction, rolled his eyes, and just reached out his hand to signal the nurse to keep his voice down, got out of bed, put on his shoes and went out.
About 10 minutes later, Du Yanjun walked back and explained to Zhou Cheng, "The femoral neck is fractured!"
Zhou Cheng, a patient with a fracture, can also undergo manipulative reduction. The reason why he did not come to call Zhou Cheng is because the femoral neck fracture is a special and unstable fracture that requires surgery to intervene.
Zhou Cheng nodded and continued with the questions.
……
Lunch time.
When Du Yanjun finished watching the third emergency patient, he came in and knocked on the door to ask Zhou Cheng to eat.
Zhang Zhengquan suddenly woke up from the upper bunk in the duty room, shook his head, and said sleepily, "Ah? What time is it?"
Then I took my mobile phone and looked, "It's past five o'clock, is there no patient all afternoon?"
Zhou Cheng stood up at this time, and asked angrily: "Quanzi, if you want to sleep, why don't you go home and sleep? There were three emergency visits in the afternoon, and the nurse on duty came three times, but you didn't wake up even once."
Zhang Zhengquan's behavior today was also really weird. He could go home and sleep well, but he had to squeeze in the duty room.
Although the snoring is not loud, it will affect the problem to some extent.
Zhou Cheng also wanted to sit in the duty room, but the lights had to be turned on again in order to prevent the housekeeper and head nurse from scolding him for wasting electricity in the department, so he stayed in the duty room.
Zhang Zhengquan was full of shyness and guilt at the moment, and said, "I'm sorry, Brother Yan Jun, I fell asleep too much right now."
After finishing speaking, he also lifted the quilt and got out of bed, then stepped on his shoes and went to the bathroom to rub his face, and went to rub his rice with extra excitement...
Du Yanjun looked at Zhang Zhengquan helplessly, but he was secretly happy.
Zhang Zhengquan was sleepy, but under the guidance of Zhou Cheng, he successfully performed the manual reset of the anterior dislocation of the shoulder joint for the first time in his life, and he felt pretty good.
It proves that my bad supplementation during this period is effective, and the manual reduction surgery for anterior shoulder dislocation is actually not that mysterious, but I have never touched it before!
So, after finishing the reset of dislocation, Du Yanjun immediately ordered three servings of De Tianshun's rice bowl!
This is considered a small celebration in the department.
When Zhang Zhengquan walked into the office, he smelled the fragrance, and immediately his salivary glands began to secrete crazily. He came up smiling and offered to help Zhou Cheng and Du Yanjun distribute the lunch boxes, opened the lid, and prepared the bowls and chopsticks.
Really, he was so positive that he secured his position as a younger brother.
After eating, Du Yanjun asked Zhang Zhengquan to go back to rest. It is not necessary to stay in the department all the time. Anyway, we still have to spend a weekend.
You can't be on duty alone, and the whole team will be dragged down.
Zhang Zhengquan was satisfied, with a slightly tangled and apologetic expression on his face, he said, "Brother Yan Jun, I'm so sorry, I missed you for two meals and didn't do anything."
Du Yanjun didn't take Zhang Zhengquan's words seriously. Zhang Zhengquan's fingernails are enough to fight for ten or eight years.
He knew Zhang Zhengquan's true identity, and the daily income in Yu'e Bao was probably enough for them to eat casually.
Just said: "They are all brothers in the group, don't care about these details."
Then he looked at Zhou Cheng: "Brother Zhou Cheng, why don't you go back and rest too?"
Zhou Cheng shook his head and said, "Forget it, I think it's pretty good in the department."
No matter what, I am still a resident doctor, and this is what I do. Since Director Yan and Cai Dongfan trust him to pick up the job of the general on-duty, then he must not be treated like Luo Yun.
Luo Yun is the superior, and it is only right and proper to go home at night.
Besides, don't you get the money back.
After taking the money, the nature has changed more or less. No matter how bad it is, you have to be worthy of the money that was sent to you.
Now that he is so poor that he needs to ask his family for money, Zhou Cheng is quite looking forward to the salary that will be paid this month.
Then he said to Zhang Zhengquan: "Quanzi, you don't need to come for the rounds tomorrow morning, your patient, Yan Jun and I can take care of it for you, so as not to make an extra trip."
Hearing this, Zhang Zhengquan looked over in great embarrassment: "This? Isn't it a bit bad? Brother Zhou Cheng, you have worked so hard on duty."
In fact, what I instinctively thought was, damn it, this obviously cut off my way to have breakfast tomorrow!
But I can't go too far.
"It's okay, there's not much to do anyway, let's have a good weekend, next week, Teacher Luo Yun and Teacher Cai Dongfan will be in the outpatient clinic to treat patients, and the number of patients will not be small." Zhou Cheng said.
Both Zhang Zhengquan and Du Yanjun opened their mouths slightly, and said in surprise, "Is Teacher Luo going to the outpatient clinic too?"
Currently, the three directors and Deputy Director Dong Qiansheng are eligible to sit in the outpatient clinic. Although Zheng Xuanlin and Luo Yun are the attending physicians, they haven't been scheduled for outpatient clinics yet!
On the other day of the working day, it was all done by the retired old director of the Second Department of Orthopedics.
In the past, Yan Haihan's group had the largest number of patients because there were two people in their group attending the outpatient clinic to treat patients.
"Well, it's tomorrow! So take a good rest this weekend." Zhou Cheng nodded back.
Another reason why he didn't want to go back was that he would still have to go to the outpatient clinic with Luo Yun tomorrow anyway, so it's better to have one thing less than one more thing.
This made Zhang Zhengquan no longer want to spend money, nodded and walked outside the department.
However, when Du Yanjun heard this, his mind became active.
After Zhang Zhengquan left, he saw Zhou Cheng was addicted to reading and doing questions, he sneaked into the office, then sent a message to Luo Yun and started asking questions.
"Ms. Luo, are you going to the outpatient clinic tomorrow? Do you need help?" Du Yanjun knew the benefits of following the outpatient clinic.
Cai Dongfan has outpatient clinics twice a week, both in the afternoon.
As long as Du Yanjun is not on duty, as Cai Dongfan's only disciple, he must come every time.
In the outpatient clinic, following Cai Dongfan, Du Yanjun learned a lot of private things that he couldn't learn during the ward rounds.
Luo Yun is talking with his mother at his mother's place right now.However, Luo Yun's mother heard Luo Yun's cell phone ringing, and hurriedly said: "Xiaoyun, go back and rest quickly, everything is fine here, you don't have to come over every two days to accompany me."
"This place is so far away from your work place, you run back and forth, tossing!" With a bald head, hairless, wrinkled, and thin face, a pair of eyes looked at Luo Yun full of distress and pride.
She is Luo Yun's mother, Zheng Hui, who is currently undergoing palliative treatment for gastric cancer, that is, undergoing chemotherapy to prolong her life.
Zheng Hui felt that she was really not worthy of the word virtuous. Ever since she was diagnosed with stomach cancer, Luo Yun not only quit her studies for Ph.D. Nested in Eighth Hospital.
Her heart was full of guilt.
In addition, in the past few years, Luo Yun will come here to stay here for one or two nights every one or two days, sometimes early, at three or four o'clock, to accompany him for dinner, and on weekends to accompany him all day.
Sometimes it was late, even after ten o'clock.
But every morning, she can see her son, get up at five o'clock, and then cross the Xiangjiang River to go to work in the star area.
Zheng Hui saw it in his eyes and felt pain in his heart. He persuaded Luo Yun many times, but Luo Yun ignored her and just stayed with her.
Zheng Hui hopes that her son will be with her. She knows that the rest of her life is not long, and she is satisfied if she can see Luo Yun one more time. He takes care of the child, cooks for him, provides him with a warm home, and then closes his eyes.
But ah, things go against people's wishes.
My own illness has almost used up the family's little savings. Luo Yun has many blind dates. After hearing about her, they all avoid her. Now, Luo Yun is in his 30s and has not yet grown up. home!
The house was also sold by Luo Yun to continue his life, and now there is only a broken car left.
Fortunately, it was his and his father's old house, because she insisted on putting his father's shrine at home, so Luo Yun kept it.
Zheng Hui felt guilty!
"It's okay, Mom. I'm not busy at work. Our director is also very kind to me. If there is anything, he will help."
"Today is the weekend, let's watch TV together." Luo Yun replied to Du Yanjun with one hand while tuning the TV channel for his mother.
"Tomorrow, I will call Zhou Chenglai to help. You are on duty, go back and rest early."
Zheng Hui looked at her son's smiling face helplessly, and two lines of tears came out of the corners of her eyes.
Luo Yun hurriedly put down his phone, wiped her tears, and said, "Mom, it's okay, I'm still young, so I can't be tired from such little things. My life now is more leisurely than when I was studying."
"You also know that when you called me at eleven or twelve o'clock, I was still in the operating room sometimes." Luo Yun comforted his mother.
Cover the phone down.
After a while, Luo Yun and Zheng Hui opened the old photo album together...
……
When Du Yanjun saw Luo Yun's reply, his expression flickered, and he replied with some disappointment: "Oh, yes, Teacher Luo."
However, after returning to Luo Yun, Du Yanjun said again: "Then when you need help next time, Mr. Luo, please tell me."
Still a little reluctant to give up.
After replying, Du Yanjun wondered if he was too greedy. He could follow Cai Dongfan's outpatient clinic, but now he has to go to Hun Luoyun's outpatient clinic.
It seemed so, so Du Yanjun withdrew the information again, and then sat upright in front of the computer and started typing today's medical records.
……
The next day, early in the morning.
At [-]:[-], Luo Yun rushed to the department early.
Xiang Haibin had already arrived, and Luo Yun immediately said: "Today I have an outpatient clinic, at eight o'clock, we will do a round of the ward early, and then Du Yanjun, Haibin, you two will deal with the follow-up doctor's orders and dressing changes for the patients in the department. You can go back to get off work."
"Let's start the rounds."
The time of the outpatient clinic is eight o'clock. In addition to going to the outpatient clinic, Luo Yun still has to walk around the weekend rounds.
This is also his duty!
Although it is possible to ask Cai Dongfan to bring people around for ward rounds, but ah, Cai Dongfan is the chief physician after all, and he has been doing ward rounds on weekends for many years. It would be a bit inappropriate to let Cai Dongfan do the ward rounds now. up.
Do your job well.
……
After checking the room, Luo Yun asked Zhou Cheng to go to the outpatient clinic first, and after telling Zhou Cheng the specific outpatient clinic, he sat in the department for a while.After all, as a senior doctor, he still needs to supervise the doctor's orders in the department.
Although this kind of thing can be done in the outpatient clinic, after all, it is better to watch in person.
After Zhou Cheng entered the outpatient room according to the consultation room number Luo Yun said, he discovered it by accident.
On the table in the consulting room, there were three bottles of mineral water.
Then a white coat was there, and arranged various checklists, including MRI checklists, X-ray checklists, CT checklists, neuroelectromyography checklists, and PET-CT checklists...
The man lowered his head, his hair fluttered up and down occasionally, and he didn't know what he was doing.
Could it be that I went to the wrong consultation room, and exited to see the consultation room number of the next outpatient clinic.
It is 312!
That's right.
When I walked in again, I found that the person who sorted out the checklist appeared, and it was a big black face without a mask——
Zhang Zhengquan.
Zhou Cheng blinked, thinking he had misread: "..."
Zhang Zhengquan hurriedly said with a silly smile: "Brother Zhou Cheng, you are here. I thought that there was no one to help Mr. Luo's outpatient clinic, so I thought of coming over to help."
He didn't say that he actually came here for dinner, so it took a lot of work to find out the exact clinic number of Luo Yun's outpatient clinic.
Moreover, in order to be able to eat, Zhang Zhengquan came to tidy up in advance, so that Luo Yun would not be able to drive him away. After doing something, there must be something to eat at noon.
Zhou Chengcheng said: "After the rounds this morning, Teacher Luo Yun asked me to come to the outpatient clinic first. If I knew you were here, I probably wouldn't have called me."
Zhang Zhengquan hurriedly said: "I also forgot to tell Teacher Luo, brother Zhou Cheng, there aren't many things to do in the department today, right? Brother Yan Jun and the others still have a lot of things to do?"
If Luo Yun was the only one, then Zhang Zhengquan would eat without psychological pressure, and Luo Yun must have never thought of this.
Today is on the 15th, salary will be paid after NO.99, and there is still [-] yuan left. If you don’t think about it, you may not be able to stand it!Zhang Zhengquan thought in his heart, of course, if there are many things in the department, he will still go back to the department.
"Not many! There are almost two people, Yan Jun and Haibin."
Just as he was talking, Luo Yun came in from the outside, and said, "Zhou Cheng, go to the computer at the opposite door, and ask a few patients to have a look first, and then."
Before he finished speaking, Luo Yun realized something was wrong, hey.
Why is there an extra black face like Zhang Zhengquan in the outpatient clinic?
When the words came to his lips, he stopped abruptly.
Zhang Zhengquan squeezed a smile at Luo Yun, and explained: "Mr. Luo, I originally planned to come to help, but I didn't expect Brother Zhou Cheng to come. There is someone here to help. I'd better go back."
Zhang Zhengquan could tell that when Luo Yun called Zhou Cheng today, it was definitely more than simply asking Zhou Cheng to help.
There must be other things.
Since Luo Yun brought Zhou Cheng into the alleys many times, it is probably not easy to say these things publicly, so if he comes here by himself, will he disturb the arrangement between Luo Yun and Zhou Cheng?
From the words just now, Zhang Zhengquan could tell that Luo Yun wanted Zhou Cheng to see the outpatient clinic alone.
I rely on...
Let Zhupei go to the outpatient clinic alone, this must be said.
Luo Yun gave Zhou Cheng a complicated look. Zhou Cheng's face was innocent, as if he was definitely not called by me.
He said: "You are all here, let's watch it together. Xiao Zhou, go and call the patients outside to line up at the door in an orderly manner."
"Tell the patient, I only look at the serial number in the queue, and I don't show anyone who jumps in the queue! As long as there are people who jump in the queue, if you find out, you will go straight to the last one of the day."
okay.
Zhou Cheng went out, and after repeating what Luo Yun had said, a large group of patients crowded at the door immediately dispersed and queued up according to the serial number.
Of course, there were also a few whispers:
What's the big deal, isn't it just an attending doctor, such a big rule.
Make yourself look like a famous professor Yes.
I haven't watched it yet.
It seemed that some people in the crowd felt that Luo Yun's display was too ugly, so they simply didn't watch it.
There are actually quite a few numbers on weekends.
Because most office workers only have time on weekends, and they have to ask for leave on weekdays, which is difficult to get approved.
Today's number is actually fully booked.
Zhou Cheng ignored it and just brought the first patient and his family inside.
A female patient about 50 years old came in. She frowned, walked slowly, and then walked to the yellow stool opposite the computer.
Luo Yun arranged for Zhang Zhengquan to be the person who wrote and asked medical records: "Hi, what's wrong with you?"
There is no way, Zhang Zhengquan has come all the time, and it would be too inappropriate to drive him away directly.
Zhou Cheng had other arrangements, so he could only give Zhang Zhengquan some things to do.
The patient immediately replied, "Dr. Luo, my right arm hurts very badly. Especially when I get up in the morning or comb my hair."
"As soon as I lift it up, I feel unbearable."
Zhang Zhengquan still has a little background, and asked again: "How long has it been? Have you been injured? Was it this painful at the beginning or is it getting more and more painful?"
"It's getting more and more painful! I've never been injured before! Oh, I've been in pain for more than half a year, and I can't even touch it here, especially in the past few days, it hurts so much when I touch it." The patient said while using The left hand moved the right hand.
Immediately, the pain made her eyebrows almost jump out.
"Zhengquan, you have a physical examination." Luo Yun said after hearing the words.
Outpatient clinics are different from wards, and you cannot chat with patients for too long.
Today Luo Yun has a total of 05 accounts, and the working hours are only from 30 to 450 o'clock, and from [-] o'clock to [-]:[-], a total of seven and a half hours, a total of [-] minutes.
On average, each patient only has four and a half minutes. To complete everything, time must be saved.
"Ah?" Zhang Zhengquan was startled when he heard this.
"Physical examination, what?" Luo Yun had already entered the state at this moment, and ordered Zhang Zhengquan.
This is an outpatient clinic, you intend to help, do you want to do something?What are you doing here?
Zhang Zhengquan immediately stood up trembling.
Zhou Cheng walked to Zhang Zhengquan's position and began to write the medical records.
The writing of the medical records of outpatients is as important as the physical examination. The writing of the medical records is a very important certificate, which proves that you have given the patient opinions or suggestions, while the physical examination is to assist in the diagnosis.
Zhang Zhengquan's foundation is still not too bad, and humanistic care should be put in place immediately——
He rubbed his hands together and said, "Auntie, I'm going to give you a physical examination. It may hurt a little, but I won't use too much force. Please be patient."
The person who came with her was her husband, and said: "It's okay, doctor, you are welcome, you are professionals, and we are not afraid of you messing things up."
Before even touching Zhang Zhengquan's hand, the patient immediately cried out ouch!
Zhang Zhengquan was so frightened that he immediately withdrew his hands, not daring to move anymore.
Looking innocently at the patient and family members: "I, I haven't encountered this yet."
The patient's husband immediately said: "The doctor's hand hasn't arrived yet, are you starting to hurt again?"
The patient was very wronged and said: "It really hurts! It hurts!"
Luo Yun frowned, signaling Zhang Zhengquan to continue.
Zhang Zhengquan continued to stretch his hand forward tremblingly, not daring to use any more strength.It seems to be stroking to the patient's shoulder, moving back and forth, left and right.
"Pain, pain, pain!" The patient kept avoiding his hand, as if Zhang Zhengquan's hand was poisonous, and it hurt wherever he touched it.
Luo Yun continued to frown, but Zhang Zhengquan's hands trembled more and more.
Do we need to continue the physical examination? He glanced at Luo Yun, Luo Yun was expressionless at the moment, his brows were tightly frowned, and he didn't speak.
Zhang Zhengquan's back was sweating!
It's really hard to get a meal today.
In fact, Zhang Zhengquan didn't know how to check, but just touched his elbow a little, ready to check the patient's activity.
But it seemed that when he touched it, the pain immediately intensified!The patient stood up immediately.
"No, I can't move!" The patient immediately stretched out his hand to stop him, and tightly grabbed Zhang Zhengquan's hand.
Zhang Zhengquan immediately retracted his hand.
Innocently said: "I didn't move, don't pinch me so hard."
Zhou Cheng frowned when he saw this scene.
After glancing at Luo Yun, he took the initiative to stand up.
Zhang Zhengquan's inspection just now was aimless and unsystematic.
This is not acceptable, and without waiting for Luo Yun to explain, he took the initiative to go up and ask: "Are you in pain here too?"
Pointing to the place Zhang Zhengquan touched just now, that is, the elbow.
"It hurts, it hurts badly. Hiss!" The patient immediately shrank away reflexively, then took a deep breath, and bumped his elbow heavily on his husband's elbow.
"Don't touch it!" Then he tightly protected his elbow with the palm of his healthy side.
Seeing this scene, Zhou Cheng immediately noticed something was wrong.
I can't touch it, you can touch it well with your hands, our doctor's hands are poisonous, right?
He glanced at Luo Yun again.
Luo Yun then asked: "Do you have such pain? Have you ever had a similar situation before?"
The middle-aged woman shook her head and said, "No, I haven't. I'm in good health. As far as I can remember, I haven't been hospitalized except for giving birth, and I rarely have minor colds."
"Doctor, what's the matter with me? Can you prescribe me some medicine? Do you want to have an examination? Can you not have an examination?"
"Examinations are very expensive!" She seemed a little worried and hesitant.
Luo Yun nodded, then shook his head and said, "I can prescribe some medicine to relieve your pain!"
"Pain is uncomfortable and requires symptomatic treatment."
"But besides treating the symptoms, we still need to find out the cause of the disease, so we still need to prescribe some tests for you. Our doctors and your eyes are all mortal eyes, and no one has perspective."
"I can't see what's inside."
"But fortunately, the current technology is advanced enough, we can borrow a few pairs of see-through eyes for you to see directly inside."
"I don't think you came to our hospital with your husband for our doctor to guess a disease for you and prescribe some medicine for you to go back. Right?"
"Your hand pain is the problem. To solve the pain, in addition to pain relief, you must find the root cause and solve the root cause."
"As for things like inspections."
"It's like when we travel to the United States, everyone's first reaction now is to fly conveniently and quickly!"
"If someone insists that you can only take a plane? Can't you walk and swim by relying on a map and a compass? Then I will definitely say that you can get there. It's just not necessary. Do you think it makes sense?"
Luo Yun got into his own state very quickly, and what he said was very thoughtful, quite professional and suitable for daily life.
While speaking, he glanced at Zhou Cheng's two cubs intentionally or unintentionally, and after seeing the stunned expressions of the two clearly, he secretly rejoiced——
If the tiger doesn't show its power, do you still treat me as a sick cat?
Hearing this, the husband of the middle-aged woman smiled: "Doctor, you really know how to joke, how can anyone walk and swim to the United States now?"
"I see what you mean, check we do, we do."
Then he explained to his wife: "Do you want to walk to the country of America?"
He figured it out, getting checked was like flying.For more convenience and precision.
"Get a shoulder joint MR scan, X-ray right shoulder joint oblique, blood routine, erythrocyte sedimentation rate and CRP, and a nerve electromyogram. Remember to check for uric acid!" Luo Yun listened, and immediately said to Zhou Chengdao.
Zhou Cheng nodded when he heard the words, and immediately replied, "Quanzi, I will prescribe a doctor's order for you to write the checklist!"
He was shocked in his heart, good guy, what Luo Yun said just now opened Zhou Cheng's horizons!
It turns out that curing diseases and saving lives is not just simple diagnosis and surgery.
Such effortless effort to persuade the patient to have an examination, and he was very happy, is truly remarkable.
This is called kung fu!
Luo Yun is the attending doctor, and he has not talked with patients in the department for a long time. Therefore, this is the first time Zhou Cheng has seen Luo Yun communicate with patients in person.
After Luo Yun finished giving his instructions, he asked casually, "Apart from shoulder and elbow joint pain, have you ever had any pain?"
"Yes, occasionally. But it's not as painful as it is now. Sometimes it hurts on the face, and sometimes it hurts on the back." The patient seemed to have remembered something, and replied.
Hearing this, Luo Yun suddenly stood up and covered the checklist Zhang Zhengquan was writing with his hands.
Zhang Zhengquan quickly raised his head with a confused look on his face.
On Zhou Cheng's side, he hurriedly stopped the action of prescribing the doctor's order, and the light in his eyes was about to shine through.
"Then do you usually have more pain on the left side or the right side? I think you should have more pain on the left side?" Luo Yun asked suddenly, and at the same time he felt happy.
Good guy, I met a big fish!
Today's first patient turned out to be a rare disease.
Here it comes.
Zhou Cheng, you wait.
Hearing this, the patient thought for a while, then touched his left shoulder with his right hand, which was unable to move at all before, and said, "Doctor, you are right, my side is in severe pain. Ugh!"
Immediately, the patient's left hand could no longer move!
And the right hand began to caress the left shoulder protectively!
You know, her right elbow was untouchable before.
Zhou Cheng touched it, and she retracted her hand and almost bumped into her husband.
Seeing this, everyone in Zhang Zhengquan was dumbfounded, even the patient's husband was stunned!
He didn't know what was going on, and he was not a professional, so he didn't know what Luo Yun meant when he asked.
But now?
There was a trace of horror in his eyes.
Facing the unknown and inexplicable fear, he looked at Luo Yun in a panic.
Luo Yun pursed his lips, and said calmly, "Let's do an MRI and EMG of the head first!"
"Family, take the patient out to rest first, and then come in to get the checklist. She must be a little tired."
The patient's family immediately nodded, and naturally realized that Luo Yun had dismissed his wife, and must have something to say to him alone...
After the middle-aged man went out, he quickly pushed the door open and walked in. After approaching, he immediately lowered his voice and said, "Doctor, what's going on with my wife? Why did she suddenly come?"
"She won't?" The middle-aged man's face changed drastically, he was inexplicably horrified, and then pointed to his head.
If he hadn't seen it with his own eyes, he couldn't believe it. Luo Yun seemed to know magic, and he could make his wife's left and right hands shift the pain!
Zhang Zhengquan also turned his head to look at Luo Yun, his eyes full of horror.
Luo Yun was silent for a while, and the corners of his eyes kept wandering around Zhou Cheng, but he was still talking to the middle-aged man: "Has she been injured recently? Or has she undergone surgery or a relatively large stimulus?"
"As you saw just now, she can move her left and right hands freely. And the pain has shifted."
"This means that her pain may not be organic, and it does not exist objectively in the arm."
"And exactly where you want it to be."
When Luo Yun was talking, he found out.
Zhou Cheng, what's going on?
Don't you feel surprised?
Why is he not surprised?
so calm?
Are you supposed to be calm?
"This? This, this, this?"
"She didn't? I'm sure she was hurt. As for the big stimulus?"
"It shouldn't be. Nothing happened to us recently." The middle-aged man recalled a circle, but he couldn't find a point that fit Luo Yun's story.
"Then doctor, what should we do now? Do we still need to have an examination?" the middle-aged man asked.
"I suggest that we don't do the specialist examination first, you should take her to the neurology department for a proper examination. In this regard, our orthopedics department is really powerless." Luo Yun said to him apologetically.
"If the patient still has pain after they have ruled out the symptoms of the relevant department, come to us again. I won't prescribe the examination for you." Luo Yun still cautiously left a way out for his department.
"Okay! That's the only way to go." The middle-aged man said helplessly, knocked his head, and walked out.
After he left, Luo Yun didn't rush to call for the next patient, but looked at Zhou Cheng and Zhang Zhengquan.
"This patient is quite interesting. Can any of you talk about it?"
A pair of preaching meaning.
He looked at Zhou Cheng, with a half-smile on his face, as if he was saying, this patient is interesting, right?
Are you calm?
Zhang Zhengquan took a few steps back and grinned, the black face's eye sockets wrinkled into a chrysanthemum.
He felt that he was humiliating himself by coming to see Luo Yun today.
Hearing this, Zhou Cheng frowned slightly and said, "Teacher Luo?! Is this kind of hysterical pain more common on weekdays?"
Although Zhou Cheng knew about the disease through the knowledge package, he didn't know if it was common.
Zhou Cheng's words made Luo Yun's eyes flash immediately!
He intentionally hid the patient's disease diagnosis and didn't say it out, just to lead Zhou Cheng into a ditch, let him think in the direction of neurological diseases, and then he would bring Zhou Cheng's thinking back.
In this way, Zhou Cheng naturally understood that seeing a doctor not only requires a specialist, but also?
However, Zhou Cheng, the audience, didn't follow the routine at all. When others talked about cross talk, he just shook out the burden in advance.
What the hell is the point of that?
Moreover, what Zhou Cheng asked was how common such patients are!
Luo Yun was immediately disappointed in his heart, as if, for the first time in a confrontation that he thought had a chance of winning, it ended in a tie.
In a tie with Zhou Cheng, Luo Yun felt that he was defeated.
this thing?
Haven't had time to think about it yet.
Zhang Zhengquan opened his mouth, looked back at Zhou Cheng, and then at Luo Yun.
Open your mouth and ask: "Mr. Luo, what is hysterical pain? Just now, this patient is hysterical pain?"
Zhang Zhengquan kept in mind the principle of asking if you don't understand.
Then Luo Yun saw Zhou Chengcheng and started to explain...
Immediately, the expectations in my heart were completely overturned. Zhou Cheng really knew that this special medical record hadn't fulfilled its special purpose, so I still didn't believe it.
Oh, hello, I can't treat you anymore in the joint surgery...
That's right, here's your opinion.Do you want to see quantitative and timely updates every day, or irregular updates from time to time.
Punctual and quantitative updates I can save manuscripts, and I can post as much as I write if I am not fixed or quantitative!
If everyone thinks that regular updates are good, we will fix an update time in the future.
(End of this chapter)
Zhou Cheng himself didn't believe in fate, but sometimes he had to believe it.
Before getting the simulator, Zhou Cheng didn't find many reasons why he couldn't be admitted to the graduate school.He worked hard enough, steady enough, and calm enough.
Otherwise, it will not be able to go online for three consecutive years.It's just that the professional foundation may be a little bit worse.
To say it was too bad, Zhou Cheng didn't think so.
After graduating from a bachelor's degree, among the people who are included in the regular training, how many people are really outstanding?
He was able to manage the bed without problems, assist the superior physicians in the operation without any mistakes, be on duty alone, and report to the superior physicians in a timely manner without complaints. Patients who he could handle could be sent away or admitted to the hospital.
Zhou Cheng thought that he was inferior to other ordinary residents and even postgraduates because he was not professionally qualified.
Of course, two weirdos like Luo Yun and Yang Yifeng still have to get rid of them.
Comparing himself with Du Yanjun, Zhou Cheng didn't think he was inferior to him professionally. In theory, Zhou Cheng didn't think he was inferior to Du Yanjun in terms of orthopedics and medical foundation.
But Du Yanjun could pass the exam, but he couldn't.
This is fate.
If Zhou Cheng didn't pass the exam this time, he really decided not to take the exam.
There is no need to be hard on the top.
Four years, entered the undergraduate course, quite satisfactory, graduated at the age of 23, which is also an ordinary age.After three years of regular training, Zhou Cheng reached 27.
If he takes the exam again next year, he will have to run 28 to 29 when he enters school.After graduating with a master's degree in three years, I am in my early 31s, close to 32 years old.
There are few four years in life that can be delayed.
Du Yanjun's expression changed after hearing this, his expression and heart gradually calmed down, and he said, "Brother Zhou Cheng, you will definitely be able to do it."
I just thought in my heart, if Zhou Cheng really passed the exam, then in the future, Zhou Cheng would really be missing in the hospital.
"Hopefully."
Zhou Cheng changed the subject: "Have you finished all your work? Is it too much? I have nothing else to do now. If you can't finish it, I can come to help."
Zhou Cheng didn't forget his identity, and it was Cai Dongfan and Yan Haihan's face to let him not be on duty and leave his bed alone, but in the hearts of Du Yanjun and others, he and Du Yanjun were on the same level.
No matter how unconventional the bed is, it's a bit too much, because Dr. Pang Dingkun didn't make such a spectacle.
Du Yanjun shook his head repeatedly: "No, brother Zhou Cheng, there are not too many patients and things in our group, although the turnover of patients is very fast."
"But compared to the other two groups, there was significantly less going on."
"It's Brother Quan. He said he would help me change my medicine and give me medical orders..." Du Yanjun stopped at this point, looked at Zhou Cheng, and seemed to understand Zhou Cheng's heart when he did such a thing. fluctuated.
Zhou Cheng smiled, and gave Du Yanjun a thumbs up: "That's right, we're a group of brothers, and our paths are quite uniform."
Du Yanjun was a little embarrassed, he was the first to bring up the atmosphere, no matter how reluctant he was now, he couldn't say much.I just hope that Zhang Zhengquan can figure it out quickly and don't compete with him for an opportunity.
Said to Zhou Cheng: "Brother Zhou Cheng, then you study, I'll go to lie down for a while, I won't disturb your rest..."
Noon, eleven o'clock.
Du Yanjun turned over from the bed and got out of bed, and said to Zhou Cheng: "Brother Zhou Cheng, my order has arrived, I'll go get it. Should I eat in the office or in the lounge?"
If Zhou Cheng didn't study in the lounge, it would be most appropriate to be in the lounge.
But the aftertaste of the food will affect the concentration, so Du Yanjun asked this question.
"Let's go to the office to eat."
"This morning, it seems that the department is quite stable. There is not a single emergency patient." Zhou Cheng smiled, feeling a little complacent.
It seems that when he is on duty, his luck is generally pretty good.
"Well, it's nothing. I hope it will be a smooth 24 hours." Du Yanjun frowned slightly.
When I was on duty, it was unlucky to say such words, and I muttered in my heart narcissistically——Children's words are wuji, children's words are wuji.
……
After Zhang Zhengquan successfully filled his stomach, he felt really motivated.
However, when the three of them had dinner and returned to the lounge, Zhang Zhengquan looked at Zhou Cheng who was preparing for the postgraduate entrance examination, his eyes could not help but move, he seemed a little puzzled and guilty.
He also prepared for the postgraduate exam, but he didn't pass the exam the year he graduated from undergraduate, so he didn't think about it.
Now that Zhou Cheng is about to graduate from regular training, he will be able to find a job and earn money soon, but he hasn't forgotten about it.
This made Zhang Zhengquan quite ashamed...
Compared with Zhou Cheng, he doesn't seem to be a medical practitioner, at most he can only be regarded as a hobbyist.
Of course, Zhang Zhengquan didn't pretend to be positive. He came here for regular training because he didn't know what to do. To him, the job he could find after graduate school and the job he was looking for now were all the same concept.
He was looking for a job simply because he wanted to find something to do, nothing else.
He climbed onto the bed silently, and then he planned to watch the video for a while, but he was too embarrassed to watch it, so he covered the quilt and snored slightly after a while.
About three o'clock in the afternoon.
When the nurse on duty came in and knocked on the door, Du Yanjun, who had fallen asleep, had already woken up, but Zhang Zhengquan was still soundly asleep, so why would he want to get up to see the patient?
Du Yanjun squinted his eyes, wrinkled his forehead, glanced in Zhang Zhengquan's direction, rolled his eyes, and just reached out his hand to signal the nurse to keep his voice down, got out of bed, put on his shoes and went out.
About 10 minutes later, Du Yanjun walked back and explained to Zhou Cheng, "The femoral neck is fractured!"
Zhou Cheng, a patient with a fracture, can also undergo manipulative reduction. The reason why he did not come to call Zhou Cheng is because the femoral neck fracture is a special and unstable fracture that requires surgery to intervene.
Zhou Cheng nodded and continued with the questions.
……
Lunch time.
When Du Yanjun finished watching the third emergency patient, he came in and knocked on the door to ask Zhou Cheng to eat.
Zhang Zhengquan suddenly woke up from the upper bunk in the duty room, shook his head, and said sleepily, "Ah? What time is it?"
Then I took my mobile phone and looked, "It's past five o'clock, is there no patient all afternoon?"
Zhou Cheng stood up at this time, and asked angrily: "Quanzi, if you want to sleep, why don't you go home and sleep? There were three emergency visits in the afternoon, and the nurse on duty came three times, but you didn't wake up even once."
Zhang Zhengquan's behavior today was also really weird. He could go home and sleep well, but he had to squeeze in the duty room.
Although the snoring is not loud, it will affect the problem to some extent.
Zhou Cheng also wanted to sit in the duty room, but the lights had to be turned on again in order to prevent the housekeeper and head nurse from scolding him for wasting electricity in the department, so he stayed in the duty room.
Zhang Zhengquan was full of shyness and guilt at the moment, and said, "I'm sorry, Brother Yan Jun, I fell asleep too much right now."
After finishing speaking, he also lifted the quilt and got out of bed, then stepped on his shoes and went to the bathroom to rub his face, and went to rub his rice with extra excitement...
Du Yanjun looked at Zhang Zhengquan helplessly, but he was secretly happy.
Zhang Zhengquan was sleepy, but under the guidance of Zhou Cheng, he successfully performed the manual reset of the anterior dislocation of the shoulder joint for the first time in his life, and he felt pretty good.
It proves that my bad supplementation during this period is effective, and the manual reduction surgery for anterior shoulder dislocation is actually not that mysterious, but I have never touched it before!
So, after finishing the reset of dislocation, Du Yanjun immediately ordered three servings of De Tianshun's rice bowl!
This is considered a small celebration in the department.
When Zhang Zhengquan walked into the office, he smelled the fragrance, and immediately his salivary glands began to secrete crazily. He came up smiling and offered to help Zhou Cheng and Du Yanjun distribute the lunch boxes, opened the lid, and prepared the bowls and chopsticks.
Really, he was so positive that he secured his position as a younger brother.
After eating, Du Yanjun asked Zhang Zhengquan to go back to rest. It is not necessary to stay in the department all the time. Anyway, we still have to spend a weekend.
You can't be on duty alone, and the whole team will be dragged down.
Zhang Zhengquan was satisfied, with a slightly tangled and apologetic expression on his face, he said, "Brother Yan Jun, I'm so sorry, I missed you for two meals and didn't do anything."
Du Yanjun didn't take Zhang Zhengquan's words seriously. Zhang Zhengquan's fingernails are enough to fight for ten or eight years.
He knew Zhang Zhengquan's true identity, and the daily income in Yu'e Bao was probably enough for them to eat casually.
Just said: "They are all brothers in the group, don't care about these details."
Then he looked at Zhou Cheng: "Brother Zhou Cheng, why don't you go back and rest too?"
Zhou Cheng shook his head and said, "Forget it, I think it's pretty good in the department."
No matter what, I am still a resident doctor, and this is what I do. Since Director Yan and Cai Dongfan trust him to pick up the job of the general on-duty, then he must not be treated like Luo Yun.
Luo Yun is the superior, and it is only right and proper to go home at night.
Besides, don't you get the money back.
After taking the money, the nature has changed more or less. No matter how bad it is, you have to be worthy of the money that was sent to you.
Now that he is so poor that he needs to ask his family for money, Zhou Cheng is quite looking forward to the salary that will be paid this month.
Then he said to Zhang Zhengquan: "Quanzi, you don't need to come for the rounds tomorrow morning, your patient, Yan Jun and I can take care of it for you, so as not to make an extra trip."
Hearing this, Zhang Zhengquan looked over in great embarrassment: "This? Isn't it a bit bad? Brother Zhou Cheng, you have worked so hard on duty."
In fact, what I instinctively thought was, damn it, this obviously cut off my way to have breakfast tomorrow!
But I can't go too far.
"It's okay, there's not much to do anyway, let's have a good weekend, next week, Teacher Luo Yun and Teacher Cai Dongfan will be in the outpatient clinic to treat patients, and the number of patients will not be small." Zhou Cheng said.
Both Zhang Zhengquan and Du Yanjun opened their mouths slightly, and said in surprise, "Is Teacher Luo going to the outpatient clinic too?"
Currently, the three directors and Deputy Director Dong Qiansheng are eligible to sit in the outpatient clinic. Although Zheng Xuanlin and Luo Yun are the attending physicians, they haven't been scheduled for outpatient clinics yet!
On the other day of the working day, it was all done by the retired old director of the Second Department of Orthopedics.
In the past, Yan Haihan's group had the largest number of patients because there were two people in their group attending the outpatient clinic to treat patients.
"Well, it's tomorrow! So take a good rest this weekend." Zhou Cheng nodded back.
Another reason why he didn't want to go back was that he would still have to go to the outpatient clinic with Luo Yun tomorrow anyway, so it's better to have one thing less than one more thing.
This made Zhang Zhengquan no longer want to spend money, nodded and walked outside the department.
However, when Du Yanjun heard this, his mind became active.
After Zhang Zhengquan left, he saw Zhou Cheng was addicted to reading and doing questions, he sneaked into the office, then sent a message to Luo Yun and started asking questions.
"Ms. Luo, are you going to the outpatient clinic tomorrow? Do you need help?" Du Yanjun knew the benefits of following the outpatient clinic.
Cai Dongfan has outpatient clinics twice a week, both in the afternoon.
As long as Du Yanjun is not on duty, as Cai Dongfan's only disciple, he must come every time.
In the outpatient clinic, following Cai Dongfan, Du Yanjun learned a lot of private things that he couldn't learn during the ward rounds.
Luo Yun is talking with his mother at his mother's place right now.However, Luo Yun's mother heard Luo Yun's cell phone ringing, and hurriedly said: "Xiaoyun, go back and rest quickly, everything is fine here, you don't have to come over every two days to accompany me."
"This place is so far away from your work place, you run back and forth, tossing!" With a bald head, hairless, wrinkled, and thin face, a pair of eyes looked at Luo Yun full of distress and pride.
She is Luo Yun's mother, Zheng Hui, who is currently undergoing palliative treatment for gastric cancer, that is, undergoing chemotherapy to prolong her life.
Zheng Hui felt that she was really not worthy of the word virtuous. Ever since she was diagnosed with stomach cancer, Luo Yun not only quit her studies for Ph.D. Nested in Eighth Hospital.
Her heart was full of guilt.
In addition, in the past few years, Luo Yun will come here to stay here for one or two nights every one or two days, sometimes early, at three or four o'clock, to accompany him for dinner, and on weekends to accompany him all day.
Sometimes it was late, even after ten o'clock.
But every morning, she can see her son, get up at five o'clock, and then cross the Xiangjiang River to go to work in the star area.
Zheng Hui saw it in his eyes and felt pain in his heart. He persuaded Luo Yun many times, but Luo Yun ignored her and just stayed with her.
Zheng Hui hopes that her son will be with her. She knows that the rest of her life is not long, and she is satisfied if she can see Luo Yun one more time. He takes care of the child, cooks for him, provides him with a warm home, and then closes his eyes.
But ah, things go against people's wishes.
My own illness has almost used up the family's little savings. Luo Yun has many blind dates. After hearing about her, they all avoid her. Now, Luo Yun is in his 30s and has not yet grown up. home!
The house was also sold by Luo Yun to continue his life, and now there is only a broken car left.
Fortunately, it was his and his father's old house, because she insisted on putting his father's shrine at home, so Luo Yun kept it.
Zheng Hui felt guilty!
"It's okay, Mom. I'm not busy at work. Our director is also very kind to me. If there is anything, he will help."
"Today is the weekend, let's watch TV together." Luo Yun replied to Du Yanjun with one hand while tuning the TV channel for his mother.
"Tomorrow, I will call Zhou Chenglai to help. You are on duty, go back and rest early."
Zheng Hui looked at her son's smiling face helplessly, and two lines of tears came out of the corners of her eyes.
Luo Yun hurriedly put down his phone, wiped her tears, and said, "Mom, it's okay, I'm still young, so I can't be tired from such little things. My life now is more leisurely than when I was studying."
"You also know that when you called me at eleven or twelve o'clock, I was still in the operating room sometimes." Luo Yun comforted his mother.
Cover the phone down.
After a while, Luo Yun and Zheng Hui opened the old photo album together...
……
When Du Yanjun saw Luo Yun's reply, his expression flickered, and he replied with some disappointment: "Oh, yes, Teacher Luo."
However, after returning to Luo Yun, Du Yanjun said again: "Then when you need help next time, Mr. Luo, please tell me."
Still a little reluctant to give up.
After replying, Du Yanjun wondered if he was too greedy. He could follow Cai Dongfan's outpatient clinic, but now he has to go to Hun Luoyun's outpatient clinic.
It seemed so, so Du Yanjun withdrew the information again, and then sat upright in front of the computer and started typing today's medical records.
……
The next day, early in the morning.
At [-]:[-], Luo Yun rushed to the department early.
Xiang Haibin had already arrived, and Luo Yun immediately said: "Today I have an outpatient clinic, at eight o'clock, we will do a round of the ward early, and then Du Yanjun, Haibin, you two will deal with the follow-up doctor's orders and dressing changes for the patients in the department. You can go back to get off work."
"Let's start the rounds."
The time of the outpatient clinic is eight o'clock. In addition to going to the outpatient clinic, Luo Yun still has to walk around the weekend rounds.
This is also his duty!
Although it is possible to ask Cai Dongfan to bring people around for ward rounds, but ah, Cai Dongfan is the chief physician after all, and he has been doing ward rounds on weekends for many years. It would be a bit inappropriate to let Cai Dongfan do the ward rounds now. up.
Do your job well.
……
After checking the room, Luo Yun asked Zhou Cheng to go to the outpatient clinic first, and after telling Zhou Cheng the specific outpatient clinic, he sat in the department for a while.After all, as a senior doctor, he still needs to supervise the doctor's orders in the department.
Although this kind of thing can be done in the outpatient clinic, after all, it is better to watch in person.
After Zhou Cheng entered the outpatient room according to the consultation room number Luo Yun said, he discovered it by accident.
On the table in the consulting room, there were three bottles of mineral water.
Then a white coat was there, and arranged various checklists, including MRI checklists, X-ray checklists, CT checklists, neuroelectromyography checklists, and PET-CT checklists...
The man lowered his head, his hair fluttered up and down occasionally, and he didn't know what he was doing.
Could it be that I went to the wrong consultation room, and exited to see the consultation room number of the next outpatient clinic.
It is 312!
That's right.
When I walked in again, I found that the person who sorted out the checklist appeared, and it was a big black face without a mask——
Zhang Zhengquan.
Zhou Cheng blinked, thinking he had misread: "..."
Zhang Zhengquan hurriedly said with a silly smile: "Brother Zhou Cheng, you are here. I thought that there was no one to help Mr. Luo's outpatient clinic, so I thought of coming over to help."
He didn't say that he actually came here for dinner, so it took a lot of work to find out the exact clinic number of Luo Yun's outpatient clinic.
Moreover, in order to be able to eat, Zhang Zhengquan came to tidy up in advance, so that Luo Yun would not be able to drive him away. After doing something, there must be something to eat at noon.
Zhou Chengcheng said: "After the rounds this morning, Teacher Luo Yun asked me to come to the outpatient clinic first. If I knew you were here, I probably wouldn't have called me."
Zhang Zhengquan hurriedly said: "I also forgot to tell Teacher Luo, brother Zhou Cheng, there aren't many things to do in the department today, right? Brother Yan Jun and the others still have a lot of things to do?"
If Luo Yun was the only one, then Zhang Zhengquan would eat without psychological pressure, and Luo Yun must have never thought of this.
Today is on the 15th, salary will be paid after NO.99, and there is still [-] yuan left. If you don’t think about it, you may not be able to stand it!Zhang Zhengquan thought in his heart, of course, if there are many things in the department, he will still go back to the department.
"Not many! There are almost two people, Yan Jun and Haibin."
Just as he was talking, Luo Yun came in from the outside, and said, "Zhou Cheng, go to the computer at the opposite door, and ask a few patients to have a look first, and then."
Before he finished speaking, Luo Yun realized something was wrong, hey.
Why is there an extra black face like Zhang Zhengquan in the outpatient clinic?
When the words came to his lips, he stopped abruptly.
Zhang Zhengquan squeezed a smile at Luo Yun, and explained: "Mr. Luo, I originally planned to come to help, but I didn't expect Brother Zhou Cheng to come. There is someone here to help. I'd better go back."
Zhang Zhengquan could tell that when Luo Yun called Zhou Cheng today, it was definitely more than simply asking Zhou Cheng to help.
There must be other things.
Since Luo Yun brought Zhou Cheng into the alleys many times, it is probably not easy to say these things publicly, so if he comes here by himself, will he disturb the arrangement between Luo Yun and Zhou Cheng?
From the words just now, Zhang Zhengquan could tell that Luo Yun wanted Zhou Cheng to see the outpatient clinic alone.
I rely on...
Let Zhupei go to the outpatient clinic alone, this must be said.
Luo Yun gave Zhou Cheng a complicated look. Zhou Cheng's face was innocent, as if he was definitely not called by me.
He said: "You are all here, let's watch it together. Xiao Zhou, go and call the patients outside to line up at the door in an orderly manner."
"Tell the patient, I only look at the serial number in the queue, and I don't show anyone who jumps in the queue! As long as there are people who jump in the queue, if you find out, you will go straight to the last one of the day."
okay.
Zhou Cheng went out, and after repeating what Luo Yun had said, a large group of patients crowded at the door immediately dispersed and queued up according to the serial number.
Of course, there were also a few whispers:
What's the big deal, isn't it just an attending doctor, such a big rule.
Make yourself look like a famous professor Yes.
I haven't watched it yet.
It seemed that some people in the crowd felt that Luo Yun's display was too ugly, so they simply didn't watch it.
There are actually quite a few numbers on weekends.
Because most office workers only have time on weekends, and they have to ask for leave on weekdays, which is difficult to get approved.
Today's number is actually fully booked.
Zhou Cheng ignored it and just brought the first patient and his family inside.
A female patient about 50 years old came in. She frowned, walked slowly, and then walked to the yellow stool opposite the computer.
Luo Yun arranged for Zhang Zhengquan to be the person who wrote and asked medical records: "Hi, what's wrong with you?"
There is no way, Zhang Zhengquan has come all the time, and it would be too inappropriate to drive him away directly.
Zhou Cheng had other arrangements, so he could only give Zhang Zhengquan some things to do.
The patient immediately replied, "Dr. Luo, my right arm hurts very badly. Especially when I get up in the morning or comb my hair."
"As soon as I lift it up, I feel unbearable."
Zhang Zhengquan still has a little background, and asked again: "How long has it been? Have you been injured? Was it this painful at the beginning or is it getting more and more painful?"
"It's getting more and more painful! I've never been injured before! Oh, I've been in pain for more than half a year, and I can't even touch it here, especially in the past few days, it hurts so much when I touch it." The patient said while using The left hand moved the right hand.
Immediately, the pain made her eyebrows almost jump out.
"Zhengquan, you have a physical examination." Luo Yun said after hearing the words.
Outpatient clinics are different from wards, and you cannot chat with patients for too long.
Today Luo Yun has a total of 05 accounts, and the working hours are only from 30 to 450 o'clock, and from [-] o'clock to [-]:[-], a total of seven and a half hours, a total of [-] minutes.
On average, each patient only has four and a half minutes. To complete everything, time must be saved.
"Ah?" Zhang Zhengquan was startled when he heard this.
"Physical examination, what?" Luo Yun had already entered the state at this moment, and ordered Zhang Zhengquan.
This is an outpatient clinic, you intend to help, do you want to do something?What are you doing here?
Zhang Zhengquan immediately stood up trembling.
Zhou Cheng walked to Zhang Zhengquan's position and began to write the medical records.
The writing of the medical records of outpatients is as important as the physical examination. The writing of the medical records is a very important certificate, which proves that you have given the patient opinions or suggestions, while the physical examination is to assist in the diagnosis.
Zhang Zhengquan's foundation is still not too bad, and humanistic care should be put in place immediately——
He rubbed his hands together and said, "Auntie, I'm going to give you a physical examination. It may hurt a little, but I won't use too much force. Please be patient."
The person who came with her was her husband, and said: "It's okay, doctor, you are welcome, you are professionals, and we are not afraid of you messing things up."
Before even touching Zhang Zhengquan's hand, the patient immediately cried out ouch!
Zhang Zhengquan was so frightened that he immediately withdrew his hands, not daring to move anymore.
Looking innocently at the patient and family members: "I, I haven't encountered this yet."
The patient's husband immediately said: "The doctor's hand hasn't arrived yet, are you starting to hurt again?"
The patient was very wronged and said: "It really hurts! It hurts!"
Luo Yun frowned, signaling Zhang Zhengquan to continue.
Zhang Zhengquan continued to stretch his hand forward tremblingly, not daring to use any more strength.It seems to be stroking to the patient's shoulder, moving back and forth, left and right.
"Pain, pain, pain!" The patient kept avoiding his hand, as if Zhang Zhengquan's hand was poisonous, and it hurt wherever he touched it.
Luo Yun continued to frown, but Zhang Zhengquan's hands trembled more and more.
Do we need to continue the physical examination? He glanced at Luo Yun, Luo Yun was expressionless at the moment, his brows were tightly frowned, and he didn't speak.
Zhang Zhengquan's back was sweating!
It's really hard to get a meal today.
In fact, Zhang Zhengquan didn't know how to check, but just touched his elbow a little, ready to check the patient's activity.
But it seemed that when he touched it, the pain immediately intensified!The patient stood up immediately.
"No, I can't move!" The patient immediately stretched out his hand to stop him, and tightly grabbed Zhang Zhengquan's hand.
Zhang Zhengquan immediately retracted his hand.
Innocently said: "I didn't move, don't pinch me so hard."
Zhou Cheng frowned when he saw this scene.
After glancing at Luo Yun, he took the initiative to stand up.
Zhang Zhengquan's inspection just now was aimless and unsystematic.
This is not acceptable, and without waiting for Luo Yun to explain, he took the initiative to go up and ask: "Are you in pain here too?"
Pointing to the place Zhang Zhengquan touched just now, that is, the elbow.
"It hurts, it hurts badly. Hiss!" The patient immediately shrank away reflexively, then took a deep breath, and bumped his elbow heavily on his husband's elbow.
"Don't touch it!" Then he tightly protected his elbow with the palm of his healthy side.
Seeing this scene, Zhou Cheng immediately noticed something was wrong.
I can't touch it, you can touch it well with your hands, our doctor's hands are poisonous, right?
He glanced at Luo Yun again.
Luo Yun then asked: "Do you have such pain? Have you ever had a similar situation before?"
The middle-aged woman shook her head and said, "No, I haven't. I'm in good health. As far as I can remember, I haven't been hospitalized except for giving birth, and I rarely have minor colds."
"Doctor, what's the matter with me? Can you prescribe me some medicine? Do you want to have an examination? Can you not have an examination?"
"Examinations are very expensive!" She seemed a little worried and hesitant.
Luo Yun nodded, then shook his head and said, "I can prescribe some medicine to relieve your pain!"
"Pain is uncomfortable and requires symptomatic treatment."
"But besides treating the symptoms, we still need to find out the cause of the disease, so we still need to prescribe some tests for you. Our doctors and your eyes are all mortal eyes, and no one has perspective."
"I can't see what's inside."
"But fortunately, the current technology is advanced enough, we can borrow a few pairs of see-through eyes for you to see directly inside."
"I don't think you came to our hospital with your husband for our doctor to guess a disease for you and prescribe some medicine for you to go back. Right?"
"Your hand pain is the problem. To solve the pain, in addition to pain relief, you must find the root cause and solve the root cause."
"As for things like inspections."
"It's like when we travel to the United States, everyone's first reaction now is to fly conveniently and quickly!"
"If someone insists that you can only take a plane? Can't you walk and swim by relying on a map and a compass? Then I will definitely say that you can get there. It's just not necessary. Do you think it makes sense?"
Luo Yun got into his own state very quickly, and what he said was very thoughtful, quite professional and suitable for daily life.
While speaking, he glanced at Zhou Cheng's two cubs intentionally or unintentionally, and after seeing the stunned expressions of the two clearly, he secretly rejoiced——
If the tiger doesn't show its power, do you still treat me as a sick cat?
Hearing this, the husband of the middle-aged woman smiled: "Doctor, you really know how to joke, how can anyone walk and swim to the United States now?"
"I see what you mean, check we do, we do."
Then he explained to his wife: "Do you want to walk to the country of America?"
He figured it out, getting checked was like flying.For more convenience and precision.
"Get a shoulder joint MR scan, X-ray right shoulder joint oblique, blood routine, erythrocyte sedimentation rate and CRP, and a nerve electromyogram. Remember to check for uric acid!" Luo Yun listened, and immediately said to Zhou Chengdao.
Zhou Cheng nodded when he heard the words, and immediately replied, "Quanzi, I will prescribe a doctor's order for you to write the checklist!"
He was shocked in his heart, good guy, what Luo Yun said just now opened Zhou Cheng's horizons!
It turns out that curing diseases and saving lives is not just simple diagnosis and surgery.
Such effortless effort to persuade the patient to have an examination, and he was very happy, is truly remarkable.
This is called kung fu!
Luo Yun is the attending doctor, and he has not talked with patients in the department for a long time. Therefore, this is the first time Zhou Cheng has seen Luo Yun communicate with patients in person.
After Luo Yun finished giving his instructions, he asked casually, "Apart from shoulder and elbow joint pain, have you ever had any pain?"
"Yes, occasionally. But it's not as painful as it is now. Sometimes it hurts on the face, and sometimes it hurts on the back." The patient seemed to have remembered something, and replied.
Hearing this, Luo Yun suddenly stood up and covered the checklist Zhang Zhengquan was writing with his hands.
Zhang Zhengquan quickly raised his head with a confused look on his face.
On Zhou Cheng's side, he hurriedly stopped the action of prescribing the doctor's order, and the light in his eyes was about to shine through.
"Then do you usually have more pain on the left side or the right side? I think you should have more pain on the left side?" Luo Yun asked suddenly, and at the same time he felt happy.
Good guy, I met a big fish!
Today's first patient turned out to be a rare disease.
Here it comes.
Zhou Cheng, you wait.
Hearing this, the patient thought for a while, then touched his left shoulder with his right hand, which was unable to move at all before, and said, "Doctor, you are right, my side is in severe pain. Ugh!"
Immediately, the patient's left hand could no longer move!
And the right hand began to caress the left shoulder protectively!
You know, her right elbow was untouchable before.
Zhou Cheng touched it, and she retracted her hand and almost bumped into her husband.
Seeing this, everyone in Zhang Zhengquan was dumbfounded, even the patient's husband was stunned!
He didn't know what was going on, and he was not a professional, so he didn't know what Luo Yun meant when he asked.
But now?
There was a trace of horror in his eyes.
Facing the unknown and inexplicable fear, he looked at Luo Yun in a panic.
Luo Yun pursed his lips, and said calmly, "Let's do an MRI and EMG of the head first!"
"Family, take the patient out to rest first, and then come in to get the checklist. She must be a little tired."
The patient's family immediately nodded, and naturally realized that Luo Yun had dismissed his wife, and must have something to say to him alone...
After the middle-aged man went out, he quickly pushed the door open and walked in. After approaching, he immediately lowered his voice and said, "Doctor, what's going on with my wife? Why did she suddenly come?"
"She won't?" The middle-aged man's face changed drastically, he was inexplicably horrified, and then pointed to his head.
If he hadn't seen it with his own eyes, he couldn't believe it. Luo Yun seemed to know magic, and he could make his wife's left and right hands shift the pain!
Zhang Zhengquan also turned his head to look at Luo Yun, his eyes full of horror.
Luo Yun was silent for a while, and the corners of his eyes kept wandering around Zhou Cheng, but he was still talking to the middle-aged man: "Has she been injured recently? Or has she undergone surgery or a relatively large stimulus?"
"As you saw just now, she can move her left and right hands freely. And the pain has shifted."
"This means that her pain may not be organic, and it does not exist objectively in the arm."
"And exactly where you want it to be."
When Luo Yun was talking, he found out.
Zhou Cheng, what's going on?
Don't you feel surprised?
Why is he not surprised?
so calm?
Are you supposed to be calm?
"This? This, this, this?"
"She didn't? I'm sure she was hurt. As for the big stimulus?"
"It shouldn't be. Nothing happened to us recently." The middle-aged man recalled a circle, but he couldn't find a point that fit Luo Yun's story.
"Then doctor, what should we do now? Do we still need to have an examination?" the middle-aged man asked.
"I suggest that we don't do the specialist examination first, you should take her to the neurology department for a proper examination. In this regard, our orthopedics department is really powerless." Luo Yun said to him apologetically.
"If the patient still has pain after they have ruled out the symptoms of the relevant department, come to us again. I won't prescribe the examination for you." Luo Yun still cautiously left a way out for his department.
"Okay! That's the only way to go." The middle-aged man said helplessly, knocked his head, and walked out.
After he left, Luo Yun didn't rush to call for the next patient, but looked at Zhou Cheng and Zhang Zhengquan.
"This patient is quite interesting. Can any of you talk about it?"
A pair of preaching meaning.
He looked at Zhou Cheng, with a half-smile on his face, as if he was saying, this patient is interesting, right?
Are you calm?
Zhang Zhengquan took a few steps back and grinned, the black face's eye sockets wrinkled into a chrysanthemum.
He felt that he was humiliating himself by coming to see Luo Yun today.
Hearing this, Zhou Cheng frowned slightly and said, "Teacher Luo?! Is this kind of hysterical pain more common on weekdays?"
Although Zhou Cheng knew about the disease through the knowledge package, he didn't know if it was common.
Zhou Cheng's words made Luo Yun's eyes flash immediately!
He intentionally hid the patient's disease diagnosis and didn't say it out, just to lead Zhou Cheng into a ditch, let him think in the direction of neurological diseases, and then he would bring Zhou Cheng's thinking back.
In this way, Zhou Cheng naturally understood that seeing a doctor not only requires a specialist, but also?
However, Zhou Cheng, the audience, didn't follow the routine at all. When others talked about cross talk, he just shook out the burden in advance.
What the hell is the point of that?
Moreover, what Zhou Cheng asked was how common such patients are!
Luo Yun was immediately disappointed in his heart, as if, for the first time in a confrontation that he thought had a chance of winning, it ended in a tie.
In a tie with Zhou Cheng, Luo Yun felt that he was defeated.
this thing?
Haven't had time to think about it yet.
Zhang Zhengquan opened his mouth, looked back at Zhou Cheng, and then at Luo Yun.
Open your mouth and ask: "Mr. Luo, what is hysterical pain? Just now, this patient is hysterical pain?"
Zhang Zhengquan kept in mind the principle of asking if you don't understand.
Then Luo Yun saw Zhou Chengcheng and started to explain...
Immediately, the expectations in my heart were completely overturned. Zhou Cheng really knew that this special medical record hadn't fulfilled its special purpose, so I still didn't believe it.
Oh, hello, I can't treat you anymore in the joint surgery...
That's right, here's your opinion.Do you want to see quantitative and timely updates every day, or irregular updates from time to time.
Punctual and quantitative updates I can save manuscripts, and I can post as much as I write if I am not fixed or quantitative!
If everyone thinks that regular updates are good, we will fix an update time in the future.
(End of this chapter)
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