medical simulator

Chapter 141 Damn, He Pretends Again! (Please subscribe!)
"Come back later?" Luo Yun added another word, mainly because he felt that the few patients he saw just now were too unpleasant.

Although it is back to his line of work.

Zhou Cheng took up all the opportunities to pretend to be aggressive, leaving him with nothing but talking.

While Luo Yun was reluctant to let Zhou Cheng pretend to be forced to leave, Zhou Cheng actually didn't want to leave either.

Following Luo Yun, Zhou Cheng felt the long-lost feeling of being able to learn knowledge and skills from real people.

And this feeling doesn't exist in other people.

It's not that Cai Dongfan and others are not qualified to teach Zhou Cheng anything, or that Zhou Chengcheng has nothing to learn from them, it's just that they don't have the awareness of this teaching at all.

He just let Zhou Cheng do things, and he didn't take the initiative, or consciously, to teach him.

But Luo Yun did it.

And in Luo Yun's body, Zhou Cheng saw another side of medicine——

Medicine is not simply about diagnosing, prescribing medicine, and performing surgery to save lives.

"Ms. Luo, I came to help immediately after seeing the emergency department. Now there is Zhang Zhengquan here to help." Zhou Cheng hurried back, thinking that Luo Yun brought someone to help him write the medical records.

It was not Du Yanjun who was on duty today, but Xu Yanlin from Yan Hanhan's team.

This month's schedule is strictly in accordance with: Min Chaoshuo, Lin Lin, Du Yanjun, Xu Yanlin, Du Ruiqi, Zhang Zhengquan, Huang Yu, Wang Yongxiang, and Xiang Haibin take turns on duty.

There are three groups in three days. Whether it is a weekend or a weekday, it all depends on luck. This is also the fairest way to be on duty.

Du Yanjun was number three, which was on duty yesterday, but he called Zhou Cheng to prove that Du Yanjun hadn't finished his work in the department and hadn't returned yet, and happened to meet another emergency patient.

The reason why Zhou Cheng thought about this was mainly because he felt that it was really not long before he came to the clinic.

Very sad to leave.

Then Zhou Cheng walked towards the ward, and the speed on his feet accelerated several points.

As an old fritter who has been in the third year of regular training, Zhou Cheng is very clear that during the regular training period, there are not many learning opportunities available.

If he hadn't obtained the simulator system by chance, he would only be slightly stronger than Zhang Zhengquan now.

I got the simulator, and through the simulated copy, I can only improve my skills.

It will not improve other abilities, just like the very powerful communication ability and control ability that Luo Yun showed just now.

Yes, what Luo Yun showed, this kind of strong control over the medical process, moved Zhou Cheng's heart.

Want to learn.

Almost trotted to the department.

Then I hope to finish it as soon as possible and go back to the outpatient clinic to continue to figure out Luo Yun's thoughts.

When he came to the office of the ward, Zhou Cheng first saw Du Yanjun who was busy in front of the computer, but instead of looking for him, Zhou Cheng asked, "Yan Jun, where is Xu Yanlin who is on duty? Didn't you say he came to the emergency room?" ?”

When Du Yanjun saw Zhou Cheng, he immediately stood up and quickly replied:
"Brother Zhou Cheng, Yanlin went to the emergency department for an emergency consultation."

"Just as I was going out, another child came to the emergency department. Brother Yanlin took a casual look, but found no fracture."

"So Brother Yanlin asked me to help with it, and I will call you!"

Zhou Cheng nodded. It is very normal for residents to help each other. Even if they are not in the same group, they will not divide their respective tasks into such detailed tasks.

Du Yanjun pointed to the computer and said, "I just finished taking the medical history, and now I'm watching a film."

"I haven't quite figured it out yet."

"Brother Zhou Cheng, why don't you come over and take a look first?"

The patient's plain film was printed and put in the video data bag, but in front of the patient, Du Yanjun knew that it would be inconvenient for Zhou Cheng to take him to watch the film.

Although Zhou Cheng was anxious, he also felt that he had to watch the film first, so that he could have a better understanding.

only?

At least seven or eight minutes have passed since Du Yanjun called himself, and Du Yanjun still doesn't understand?

Could it be that this patient is still difficult to deal with?Need to spend a lot of time?
Thinking of this, he frowned slightly.

Then Du Yanjun took the initiative to pull the stool away, let Zhou Cheng sit down, pointed to the film, and said, "The patient is a little girl about three years old. She has a history of trauma, but the history of trauma is not clear."

"Her mother said she took a picture in the emergency department and was taken to our department."

Speaking of this, Du Yanjun patted his head a little embarrassedly and said: "Brother Zhou Cheng, because the epiphysis is not fully developed because of the child, I don't know whether the patient has a fracture or not."

"Still dislocated."

"The sign of the physical examination is tenderness, and the rest of the physical examination did not cooperate."

Zhou Cheng nodded and looked at Ping Pian.

Children's orthopedic radiographs, because the epiphysis is not completely closed, there may be occult fractures, which are difficult to find, so it is very difficult.

And because of the discontinuity of the epiphysis, slight dislocations are not easy to evaluate.

It is even more complicated when it comes to the examination of the wrist joint, because the bones of the wrist joint only appear once every few years.

Even more bad judgment.

If it is necessary to separate the Department of Orthopedics into a separate department, the Department of Pediatric Orthopedics can definitely be listed separately...

However, when Zhou Cheng looked at the plain film, he also frowned slightly.

Because according to Du Yanjun's guidance, he also looked at the elbow joint of the child. Although the epiphysis was separated from the backbone, the sidelines were basically aligned.

In such cases, obvious fractures can basically be initially ruled out.

The reason why we can only exclude obvious fractures is because occult fractures may need to be further displayed by CT and MR, and the fracture information cannot be displayed on plain films.

However, the child was in pain during physical examination and could not cooperate.

Therefore, the possibility of hidden fractures cannot be completely ruled out——

Continue to look at the joints, the joints are in place...

"Is there a lateral plain film?" Zhou Cheng asked again after seeing no problem in the front view.

"Yes, it's on the next page." Du Yanjun hurriedly replied.

Zhou Cheng clicked the mouse.After reading it, he put his hands on his chest and frowned even more.

Not dislocated?
No fracture?
What is the child's pain?Could it be that the ligament is broken?

He touched his head, turned around and asked, "Have you done a physical examination? How is the triangle behind the elbow joint?"

Zhou Cheng hurriedly asked.

When the plain film can't give much content, you have to look for clues from the physical examination!
The child was three years old, a little girl, brought by her parents, no fractures and dislocations were seen on plain radiographs, so this is a bit like the subluxation of the radial head that cannot be diagnosed by imaging examinations and needs to be diagnosed by medical history!

However, one of the diagnostic differences between radial head subluxation and the rest of the elbow is the normality of the posterior triangle of the elbow.

If it is abnormal, it must not be radial head subluxation, but if it is normal, it may not be sure that it is radial head subluxation.

To find out this situation, you may have to ask the family members carefully.

Diagnosis can only be made by looking for clues from the medical history, physical examination results, and imaging examinations.

"I've touched it, and the triangular relationship behind the elbow is normal, not a posterior dislocation of the elbow joint." Du Yanjun nodded quickly, and even ruled out a doubt in Zhou Cheng's heart.

If the position of the elbow triangle is normal, elbow dislocation can basically be ruled out.

Then this patient is probably that thing.

Zhou Cheng breathed a sigh of relief, and said, "Let's go and see the patient's condition together, I really haven't figured it out yet."

But Zhou Cheng did not say clearly that this is just his empirical judgment. In many cases, experience cannot be simply used as a dogma, nor can it be ignored.

It is absolutely impossible to rely on empiricism to naturally give the diagnosis to death!
will suffer.

Soon, Zhou Chengcheng and Du Yanjun came to the operating room.

After walking in, Zhou Chengcheng saw that the patient was a very cute little girl with two braids tied up, her little face was pink and fleshy, she should be a very cute little girl on weekdays.

But at this moment, her eyes were red and her mouth was deflated, as if she had suffered endless grievances, and then her nose was sticking to her nostrils, looking a little dirty. Her mother was about to wipe her nose.

But the little girl kept her mother's hand on her forearm, and wouldn't let her let go, as if it would be very painful.

Seeing the white coat coming in, the little girl seemed to think of the pain of being pierced by a needle in her buttocks again, and she shuddered dominantly.

Hurry up and get into my mother's arms, crying: "Mom, mom, I'm afraid."

However, her mother still hugged her and stood up slowly. At this moment, her face was full of distress and she said, "Doctor, what happened to my daughter's hand? Did you find any problems after watching the film?"

His eyes were full of tension.

"There is no special situation at the moment. Are you her mother? When you played with her, you lifted her or pulled her, and did she cry?" Zhou Cheng asked.

The diagnosis of radial head subluxation strictly requires parents or guardians to confirm the medical history.

Children are ignorant and incompetent, so it is impossible to ask her.

Pediatrics is dumb, that's how it came about.

But the little girl's mother shook her head and said, "I didn't lift my Kiki's hand, how could I lift her hand so hard?"

"She is still so young, how can I pull her hard?"

"It's such a doctor. In fact, I don't know what's going on with her."

"I just sent her to the kindergarten, and before I drove home, her teacher called and said that my Kiki was crying. She said that she was playing with the children, and she suddenly started crying."

"Is this because the children were playing around and got hurt? Is it serious?"

She is a precious mother, and her daughter is just three years old this year, and she goes to a small class in kindergarten.

She has just stepped into the workplace again, and on weekdays, her grandparents would pick her up. Today happened to be the weekend, so in order to spend more time with her children, she went to see her off in person.But he spoiled his daughter, and agreed to take her home, and she would be obedient in the kindergarten.

It's just that she sent her daughter to kindergarten, and the teacher called her before she got home!

Fortunately, the child's grandparents don't know the situation yet, but they will definitely know, and they don't know what they will say about themselves.

It was usually fine, but I only sent it once, and this happened.

Hearing this, Zhou Cheng frowned: "You didn't pull her? Did this happen when she was playing with the children?"

"Then you didn't ask the teacher about the specific situation?"

"It's very difficult for children to fight and cause subluxation of the radial head. It shouldn't be so hard."

"Can I trouble you to call and ask her teacher carefully, because this is very important."

"We didn't find any other special conditions on the plain film, but you also saw that your daughter's hand hurts very much."

"But according to your current description, we don't have enough evidence to give a diagnosis that we think is the most likely."

Zhou Cheng was bitten by a snake for ten years and was afraid of well ropes.

Zhou Cheng still has lingering fears about the kid who was brought here by his grandparents.

Even if they gave fruits and pennants later, when they scolded, it was really ugly.

The diagnosis of radial head subluxation depends on the medical history.

The child is dumb, and it is impossible to explain the situation clearly by himself.

The parents don't know the situation, so they can't guess. If it hurts for no reason, then if they reset it rashly, the trouble will be really big.

Moreover, clinical medicine is a reasonable subject, and without corresponding incentives, one cannot make a rash diagnosis!
Otherwise, your own knowledge system will not be able to form a circle.If there is no mutual cause and effect, then there will be a big mess in the end.

Radial head subluxation requires a history of relatively violent trauma.

Without this incentive, the diagnosis cannot be made.

"Ah? You still have to call her teacher? Is this important?" The woman was about 26 or [-] years old, the same age as Zhou Cheng. Hearing this at the moment, she obviously found it rather troublesome.

In fact, she didn't want to embarrass the teacher too much, and felt that she was a difficult person, because she herself had just passed the teacher test, and knew that the teacher had to deal with many students by herself. It is to ask the teacher here and there.

To be honest, how could the teacher keep everyone from playing and contacting each other?
Isn't it normal for kids to fight each other?

Zhou Chengcheng said: "It's better to ask clearly, because the medical history is always an important evidence in the diagnosis process. How did you get injured? Will it affect the direction of diagnosis?"

If there is an incentive, that's easy to say, anyway, the patient just needs to make a phone call.

But if there is no inducement, if there is pain for no reason, the child's current age is also an age with a high incidence of osteosarcoma. What if the periosteal destruction suddenly produces severe pain?
That's not something that reset can solve...

Bone tumors will destroy the bone, and the hardness of the broken fracture is not high. Even a slight force can cause an invisible fracture. These are completely different things...

The diagnosis of radial head subluxation is easy to diagnose, but difficult to diagnose. However, Zhou Cheng discovered similar medical disputes in the past when he read the literature...

The woman dialed the phone immediately, but in the process of asking, she turned on the loudspeaker.

The other party's teacher said very firmly: "Kid Qiqi suddenly started crying when she was playing with the children. Where did you go to the hospital?"

"I'm in Shashi No. [-] Hospital." The woman replied.

The person on the other side probably didn’t know that the woman was using the loudspeaker, so he said, “Why are you going to the No. [-] Hospital? It’s better if you go to the No. [-] County Hospital or a larger hospital.”

"I asked my colleague's husband, who is also a doctor, and he said that the orthopedics department at No. [-] Hospital is not very good. Of course, as a teacher, I'm actually not very good at talking about this." The teacher on the opposite side was quite polite and cryptic. say.

The woman turned off the loudspeaker halfway through, but both Zhou Cheng and Du Yanjun heard what should be heard.

The woman also said apologetically: "I'm sorry, two doctors, maybe the teacher doesn't know the specific situation, so he is worried about my daughter's situation, so the language is a little too aggressive."

But the woman obviously believed the teacher's words, and asked again: "I don't think you two are very old, if you are not sure, can you please call your superior doctor or director to come and take a look? "

The woman's self-cultivation is not bad, and she relayed the meaning of her daughter's teacher in a rather cryptic manner.

Du Yanjun suddenly smiled wryly!
Well, here comes another one who doesn't believe in Zhou Cheng.

Zhou Cheng also nodded: "Okay, then you may have to wait for a while."

"Today is the weekend, and our director didn't come to the ward, so I have to call him. Maybe one of our superiors happens to be in the outpatient clinic today. Why don't we go to the outpatient clinic together to see him? It's better than waiting here. Be quicker."

"And you don't need to toss back and forth again. If you want to review the plain film results later, you can go directly to the outpatient clinic to do it."

"What do you think?" The woman was polite, and Zhou Cheng also gave a more pertinent suggestion.

Zhou Cheng was not angry, because anyone could find a reason to despise him because of his age. There are a lot of such things, and young doctors are not sure. It is normal to want to find an experienced doctor. Everyone will have it, not for him.

"Then thank you doctor." The woman nodded, picked up her daughter and stood up.

Although Du Yanjun was a little displeased with Zhou Cheng taking the patient away at the moment, because she wanted to see how Zhou Cheng would deal with it later, either to learn or to be an assistant.

But the patient didn't trust Zhou Cheng, so there was nothing he could do. He hadn't finished his work in the department, so he couldn't leave.

Turning around, he sighed and returned to the office to continue his work.

Soon, Zhou Chengcheng came to the outpatient clinic with the woman and the child.

There was a lot of people queuing outside the outpatient clinic. Seeing that Zhou Chengcheng was going to bring women and children in, someone immediately shouted, "Hey, doctor, what are you doing? Are you going to take your relatives to jump in line?"

Zhou Cheng hurriedly took out the emergency medical record that the woman bought in the emergency department, and explained: "It's not a queue jumping, this little girl came from the emergency department."

"It won't take you a lot of time if you understand and take care of it a little bit."

Hearing this and seeing the emergency medical records, the speaker pursed his lips.

The woman bowed slightly and said, "I'm sorry, everyone, my daughter suddenly suffered from severe hand pain, so the emergency department asked us to come here to find a doctor."

When she bent down slightly, she may have accidentally touched the elbow of the little girl in her arms, and the little girl immediately cried in a low voice: "Mom, it hurts!"

Her two hands are still trying to hide.

Seeing the little girl's expression, everyone's heart softened.

The aunt in front hurriedly said: "You go in first, don't delay here, your son. It looks pitiful, everyone understands a little bit, do you think this child is crying?"

……

When Zhou Cheng brought these two people into the consulting room, Luo Yun and Zhang Zhengquan were seeing another patient.

Luo Yun raised his head and glanced at Zhou Cheng and the others, and continued to see the doctor, Zhou Cheng didn't bother.

After the patient was sent for an examination, Luo Yun asked, "Xiao Zhou, what's your situation?"

The woman told about the child's situation, and Zhou Chengcheng also explained: "Ms. Luo, this little girl has severe pain in her elbow, but she has no history of violent stretching. She said it suddenly hurt while playing with a child."

"During the physical examination, there was tenderness, and the triangular relationship behind the elbow was normal. No fracture was found on the X-ray. The patient said that I couldn't understand it, and asked the superior doctor to look at it again."

"I'll bring them to you." Zhou Cheng explained seriously, because he was afraid that Luo Yun would naturally think of the subluxation of the radial head all of a sudden.

"Isn't this subluxation of the radial head?"

How experienced is Luo Yun?
Will this kind of disease still come to him?
A child and parents come to the department together with a history of trauma and pain in the elbow joint. This is the diagnostic formula for subluxation of the radial head.

If Zhou Cheng didn't even know how to read this, then he really looked up to Zhou Cheng.

But out of trust in Zhou Cheng, Luo Yun still said to Zhou Cheng: "Can you pass the film over and have a look?"

Zhou Cheng quickly found the plain film and put it on the film reader.

Both Luo Yun and Zhang Zhengquan stood up and came over to watch carefully.

It was only a minute later that Luo Yun turned his head and asked, "You really never mentioned your child's hand? This is very important!"

"If you haven't mentioned it, you may need to take an MRI for this problem. Think about it carefully."

"Don't complicate simple things. So as not to cause too much misunderstanding."

"Let's put it this way, in her current situation, if there is no history of violent pulling, we may have to think about cancer. It will take time and effort..." Luo Yun didn't understand other problems, so he said this to the woman talking.

I just hope that women can not hide their medical history.

When she heard the word cancer, the woman's complexion immediately changed, her eyes turned red immediately, and she said quickly:

"Doctor, I don't know the specific situation, can I call again and ask?"

"Can my daughter sit here for a while?"

"I don't want it, mom, I don't want it, I'm afraid." Qiqi immediately shook her head like a rattle.

She was afraid of being with these white coats.

Luo Yun said: "You can just call here. Let's listen together, and we can ask more clearly."

"Didn't you stay with your daughter all the time?" Luo Yun preconceived that the mother and daughter would stay together all the time.

The woman called the phone again, asking the same teacher and the same question.

Luo Yun probably understood what was going on.

The woman said: "Teacher Wu, I'm sorry to bother you again. The doctor here, and the attending doctor, also came to ask if Qiqi was pulled by someone at school!"

"How did she get hurt? Can you tell the doctors in detail?"

Teacher Wu on the opposite side snorted very displeased when he heard this.

Then she opened her mouth and said in a long voice, "I've said it several times, she just started crying when she was playing with the children. Why don't you believe me?"

"Then how do you want me to ask? Do you think your daughter was injured by a classmate? But I asked all the classmates in the class, and there was no conflict with Qiqi."

"Mother Qiqi, I told you to go to a bigger hospital and take a good look, you won't believe it."

"Then what do you want me to say? I can't just say that your daughter was beaten out of nothing, right? If she was beaten, there must be scars on her body, right?"

"Qiqi, you didn't fight with anyone today, did you?" She then asked Qiqi.

Qiqi quickly said: "Teacher, I didn't fight, I'm very good!"

This time, the woman also looked at Luo Yun in embarrassment.

Luo Yun looked into the phone from a distance, and said, "I probably understand what it means. That is to say, the child is at school, just playing with the children, and then suddenly it hurts, right?"

"Then who is the person playing with her? What are they playing? Are the parents of other children present?"

"Her current pain symptoms don't seem to come from playing with children."

"Children don't have such great strength!"

"Teacher, if you insist on explaining the situation clearly, I would suggest this lady to call the police directly, saying that someone abused her child?"

Luo Yun is very clear that the diagnosis of radial head subluxation requires relatively large external violent intervention.

This kind of inducement itself is very normal and very common, but such an inducement is needed to confirm the diagnosis. If it is kept hidden like this, if the child is suffering, it will be difficult for them to make a diagnosis.

Clinical medicine itself is rigorous and logical thinking with its own existence.

And you can also deduce some of the following things, which haven't been explained yet, but if the face is torn apart, it will be ugly for everyone.

After Luo Yun said this, Teacher Wu's voice on the opposite side immediately became louder:

"What's the matter with you doctor?"

"Do you have evidence? How are you talking nonsense? What abuse? Who are you saying abused?"

"Who are you suspecting?"

"Are you a police officer or a doctor?"

Luo Yun answered honestly: "I'm a doctor. I'm only in charge of seeing patients, not in suspicion and investigation, and I'm not even in charge of finding evidence."

"but."

"I can't find the reason for the child's pain now. I asked the family member, and she also said that she was not there, but based on my experience, it is certain that children are very likely to have suffered external violence."

"But you also said that there is no such situation, so I can only suggest that they go to the Affiliated Hospital of Shonan University, and suggest that she should call the police."

"What does this have to do with whether I am a policeman or a doctor?"

Luo Yun has already confirmed the child's diagnosis in his heart, and suspects that the teacher is lying.

When Qiqi's mother heard this, she interrupted and asked, "Doctor? My child, really?"

"Do you really want to call the police?"

Luo Yun said: "If it is confirmed that there is an external force intervening, the matter is actually not serious. Just do a manual reset and go back to rest for a few weeks. But I haven't found the specific reason for this kind of thing. I can't explain it. .”

"So I don't rule out that your child may have suffered unknown threats or abuse. Now that the country attaches great importance to this matter, it must be reported to the police."

"Anyway, the child has such symptoms now. As for whether it is true, I don't know. I just infer it based on my experience. I believe the police will give us a final answer."

What Luo Yun was waiting for was the teacher's convincing words.

Had trauma.

There has been external intervention.

The person on the other side was silent for a while, and then he became angry and said, "You are a doctor, you are simply unreasonable, your level is not good enough, and you can't see the doctor correctly, so you start acting like a rascal, making excuses here and there."

"You take good care of the doctor and deal with the children's problems, isn't it all right? This is what you should do."

"Qiqi's mother. I really suggest that you change to another hospital. These eight hospitals are not up to standard. They don't understand it at all. It's not good."

"Don't waste any more time there, go to the Second County Hospital."

She directly mentioned Qiqi's mother confidently, but she obviously lacked confidence.

Luo Yun didn't say much, just said to Zhou Cheng: "Zhou Cheng, write down the emergency medical record of the child carefully. Write it clearly!"

Then he said to the woman: "Actually, I have a diagnosis in my heart, but there is no evidence to support my diagnosis, so I don't want to treat your child rashly."

Luo Yun has made it very clear.

When treating a disease, one should not only look at the surface of the problem. Your child may have been concealed from the trauma history. I have already reminded this level.

If the other party, as a parent, is unwilling to take care of such things, then Luo Yun will be fine. He is just a doctor, and it is enough to see the cure. As for the cause of the disease, just treat it as a muddle.

It's just that the reason why Zhou Cheng and Luo Yun struggled before was to avoid similar situations from happening again.

After all, if it happens for the first time, if you don't find out the reason, it is very likely that it will happen for the second time.

If one kindergarten does not work, you can change to another one.

But this kind of thing should not be directly involved by Luo Yun.

The woman looked troubled.Looking at Luo Yun, he asked, "Doctor, do you suspect that Teacher and the others are lying?"

"My Kiki? Is she really?"

"Isn't it possible?" I couldn't believe that my child might have met him.

Abuse, or the teacher knew about the situation but didn't say it.

Luo Yun didn't make it clear, just said: "The textbooks we study are the summary of the painstaking efforts of the older generations. It is also the experience that many, many children have personally experienced before."

"Would you rather believe that the teacher is lying, or would you like to believe that your child just encountered a one-in-a-million special case?"

"I'm still biased towards the diagnosis of radial head subluxation!"

Then Luo Yun changed the subject again: "Of course, if you don't want to reset the technique so recklessly, we can continue to investigate other aspects, and we can talk about it after an MRI."

The woman's expression changed immediately, and she said, "Doctor, it's not that I don't believe you. Rather, my husband is a policeman from the star area."

"The teachers in the kindergarten also know about this situation. I think they shouldn't lie to her, or take the initiative to abuse Qiqi!"

"This? Isn't it asking for trouble?"

"My daughter's current situation shouldn't be cancer, right?" This is what women are more concerned about.

Hearing what the woman said, Zhou Cheng, who was writing the medical records on the other side, froze immediately!
Looking at the little girl, her eyes moved slightly!
I rely on?

Really?No history of trauma!

If what this woman said is true, and her husband, that is, Qiqi's father, is a policeman here, then it is extremely unlikely that the kindergarten teacher will deliberately deceive the medical history.Of course, the possibility of harming her will be smaller.

To be honest, who would want to abuse a police officer's child?
Isn't this a lantern in the toilet?
In this way, the situation that I suspected, the situation that Zhou Cheng didn't want to see the most, is true.

He looked up at Luo Yun.

Luo Yun's expression changed suddenly, and he said, "Your husband? He's a policeman, and the kindergarten teacher also knows about this?"

If this is true, then all previous inferences have to be overthrown again!
His own empirical diagnosis was wrong. Zhou Cheng said that he couldn't understand it, and this was normal.

The woman looked at Zhou Cheng and Luo Yun's expressions changed so much, she was also frightened: "Why don't I call my husband and ask him to ask about it."

As she spoke, the corners of the woman's eyes turned red.

Apparently an extreme reluctance to accept that his daughter was the most impossible thing.

Then, Zhou Cheng breathlessly asked: "Can I give your daughter another physical examination?"

Zhou Cheng obviously didn't want to admit this fact. He didn't personally conduct a physical examination on the patient. The physical examination was done by Du Yanjun, and Zhou Cheng also believed that the physical examination done by Du Yanjun must be correct.

But I also feel that he may not have checked thoroughly.

So hopefully I can do something different.

The woman was extremely helpless at the moment, and nodded abruptly.

Zhou Chengcheng rubbed his hands together, then poked up with his fingertips.

The physical examination for joint dislocation is actually different from the physical examination for tumors.

What is tangled now is whether it is subluxation of the radial head. The subluxation has no visible deformity, and the plain film cannot be seen, but there is tenderness and limited movement.

If it is a tumor, you need to check the texture, base, mobility, edge, etc.

Zhou Cheng naturally followed the dislocation check first.

It was only discovered that, with the consent of the child's mother, and with the patience of Qiqi gritting her teeth and closing her eyes, when he palpated the upper segment of the patient's radius, that is, the position of the small head of the radius, Qiqi did not cry out in pain.

You know, children are not adults, if they have pain, they can't bear it!
Moreover, when Zhou Cheng touched her elbow, she flinched!

Activities are available!
This time, Zhou Cheng's heart suddenly became cold.

It's not a dislocation, isn't it, it's completely...

Pain with no apparent cause?

This made Zhou Cheng think of that bad thing, and then checked the elbow-behind triangle relationship that Du Yanjun checked, and it was indeed normal.

Immediately afterwards, Zhou Cheng probed Qiqi's lateral condyle of humerus again, just touched it, and Qiqi immediately cried loudly in pain.

Half of the body is pumped!
Apparently it hit a sore spot.

"Mom, it hurts!" After closing her hand, she got into her mother's arms.

Although her mother loves her child very much at the moment, she also knows that now is not the time to feel distressed, and even today can determine the fate and length of Qiqi's life!

However, Zhou Cheng didn't touch anything that shouldn't be touched, but the child was in great pain, so he was not allowed to touch it.

Zhou Cheng hurriedly turned his head and said to Luo Yun, "Mr. Luo, just take an MRI."

At the same time, I was very fortunate in my heart. Fortunately, I did not empirically add a possible medical history to the patient subjectively-trauma history.

Otherwise, I really reset her and dismissed it.That would be really hard to end.

You know, even if it is a tumor, today's bone tumor is treatable. Early treatment is very likely to be benign and a normal life cycle can be obtained. What if it is misdiagnosed?

Zhou Cheng's back couldn't help but feel cold——

Quack doctors mistaken people.

Luo Yun nodded, asked Zhang Zhengquan to write the checklist, and told the patient's family members: "You take the checklist and go for the checkup right away, and after you're done, you don't need to wait for the results, just go back here, and I'll read the pictures."

"Thank you, Dr. Luo." The woman worriedly took the checklist, hugged her child, and walked out...

Luo Yun was not in a hurry to call the next patient.

He just looked at Zhou Cheng and said in a slightly complicated way:
"This patient is so inductively pointing to a simple subluxation of the radial head, why don't you reset her?"

Radial head subluxation is the best diagnosis. It can be diagnosed through medical history, and no auxiliary examination is required.

Especially prone to occur in children.

Good guy, he just walked into a misunderstanding, and he hasn't come out yet. He even almost told the child's mother directly that your child's teacher is abusing your child. This is a history of trauma. You should sue her.

That's the damn stereotype.

And Zhou Cheng!
He was able to take the initiative to avoid this fixed thinking.

Even he himself wanted to diagnose her with radial head subluxation empirically, but Zhou Cheng avoided it.

It seems that he has pretended to be there again!
Moreover, the patient was specially brought from the ward into outpatient equipment.

Luo Yun really wanted to hit someone, so he squinted at Zhang Zhengquan, and found that his face was full of disbelief, as if he couldn't believe that his teacher Luo would make such a big mistake.

How swearing Luo Yun was just now, how embarrassing he is now.

Zhou Cheng explained honestly: "Ms. Luo, the main reason is that I haven't found any medical history that can be diagnosed. The diagnosis of radial head subluxation must be based on a clear medical history."

"Without such a medical history, I dare not make such a diagnosis."

"In fact, my first reaction was that her teacher lied, in order to avoid her trouble."

"So let the child's mother call to make sure."

"It's just that the child's teacher said at the time that our hospital was unreliable, and our doctors here were not good. I'm not Mr. Luo, you are so calm, so her mother didn't let me show it to the child."

"That's why I don't have a chance to make mistakes!" Zhou Cheng said these words!

Then he smiled back.

Zhang Zhengquan's eye circles shrank slightly, a little surprised, so Zhou Cheng could lick people so comfortably?
Luo Yun rolled his eyes——

You don't have no chance of making mistakes, but you are too cowardly!
Second Olympics.

(End of this chapter)