Gou is practicing medicine in the clinic

Chapter 240 Misdiagnosed arthritis, Dr. Ruan is very wronged

"By the way, how much do you owe that Xiaoyue? I'll help you pay it first. Next time you need money, if you really don't want mine, you can borrow it from me."

Li Jingsheng could understand the stubbornness and self-esteem in her heart.

A girl from a rich family is proud and arrogant, even if there are difficulties, she still clings to her thin face.

Only after experiencing blows and major setbacks can they truly transform.

But Li Jingsheng hopes that that day will never come.

As long as he is here, he is willing to protect her forever and let her continue to be silly and sweet.

"My parents found out about this, and they must have paid back the money. As for borrowing money from you, I don't think there is any need for it. I will soon graduate from regular training, and my income will be high by then, so I can fully protect myself." life."

The wages of Gui Peisheng are low, and the wages of residents are indeed much higher.

Ordinary residents can basically get more than [-].

For example, Li Jingsheng earned [-] to [-] yuan a month, which was higher than the income of the attending doctor.

……

The next day he went to the Second Hospital for consultation as usual.

Not long after the consultation, I heard bursts of shouting and cursing from outside.

This is because patients or family members are making trouble.

This happens all the time in hospitals.

Li Jingsheng took care of the patients on his own and ignored them.After a while, I heard someone yelling "Call the police, call the police!"

That's when he realized the problem might be a little serious.

Under normal circumstances, if the patient and family members just scold a few words or even slap the table, the doctor will not call the police.

Doctors call the police only if they smash something or hit someone.

Li Jingsheng hurried out to check the situation.

As a medical staff in a hospital, if a patient or family member hits someone, he must stand shoulder to shoulder to stop the other party from committing the attack.

When he came to the corridor next to him, he saw a lot of people around the door of the 4th consulting room.

There still appears to be a fight or argument taking place inside.

He rushed in, only to see a tall young male patient losing his temper, and a young girl hugging him tightly.

The girl's height may only reach the man's armpit.

It's not that she is short, but that the man's height exceeds 1.9 meters.Visually, it should be 1.9 meters five.

Wearing a sports vest, with exposed arms and arms, you can see strong muscles.

It's not the kind of muscular man, but the kind with smoother lines.

"If you have something to say, getting angry can't solve any problems."

Li Jingsheng's stature is not considered short, but standing in front of this man is still a bit shorter.

The doctor inside is Ruan Xiaoqin.

Anyway, he is a senior attending physician, so it's not surprising that he can sit in the outpatient clinic.

Recently, the business volume of orthopedic surgery has been increasing steadily. The director and deputy chief physicians are all busy people, and the attending physicians are the backbone of the general outpatient department of orthopedic surgery.

"You cannibalize people here without spitting out their bones, and you don't pay for your life by killing people. How can I speak calmly?" The man looked extremely angry.

Especially when looking at Ruan Xiaoqin, his eyes are very fierce.

A deputy chief physician has also mediated in the clinic.

It's just that the deputy chief physician is not tall, only about 1.6 meters five, a head shorter than the troublemaker.

Coupled with the age of more than 50 years old, naturally there is no deterrent effect.

"You can eat indiscriminately, but you can't talk indiscriminately! Why did I cheat you? Treating you, in the end, you have to repay your kindness with revenge, really!"

Ruan Xiaoqin is tactful and rarely suffers.

Dealing with patients is even more one-on-one.

He was a little scared when he met a man who did it today, he was tall and tall.

The person has hid behind the chair.

This is the fear of being beaten.

Sometimes a doctor is injured by a patient, although the police will be called to deal with it afterwards, and the patient will also be arrested.But this hurts the doctor's face, and may also affect the work.

Just imagine, what would patients and their families think if the doctor had a slap on his face and a bruised nose and swollen face?
He would definitely think that this doctor might have been beaten.

"I beat you to death, you quack doctor!"

The man was too angry, and wanted to hit someone again, but was hugged tightly by his girlfriend.

Li Jingsheng also held him back.

Fortunately, he is young and strong, and his strength is not small.

It can be regarded as pulling the angry patient back.

The deputy chief physician seemed to belong to Chen Anchen's group, surnamed Zheng. Seeing that the patient was about to hit someone, he shrank into a corner.

Seeing this cowardice, Li Jingsheng really suspected that the patient would really do something, and that Director Zheng would hide in the examination room at the back.

Thinking about the grandeur of Zheng He's voyages to the West back then, it has become like this in this generation.

Although Li Jingsheng was usually timid, but when something happened, he was never afraid.

The lead nurse has called the police and hospital security.

"Can you tell me what happened?"

While comforting the agitated patient, Li Jingsheng winked at Ruan Xiaoqin.

Ruan Xiaoqin understood.

Know this is to let him evacuate.

Just seeing the patient guarding the door, and staring at him with fierce eyes, I was a little scared.

In case he was beaten by a patient in the past.

Looking at the opponent's tall and burly body, I'm afraid no one can stop him.

Isn't it sent to someone to fight?

Ruan Xiaoqin's eyes rolled wildly. He looked at the open door of the consulting room and then at the patient, but he didn't dare to go there.

"Doctor Ruan, why don't you ask Professor Wu to come and deal with it!"

After Li Jingsheng came in, he didn't find that the doctor was injured, so he knew that it wasn't a big deal.

The hospital's attitude towards this kind of matter is basically a peacemaker.

"Come on, sit down and talk about something first. When you arrive at the hospital, I will definitely help you solve it. If you are not satisfied with this doctor, he will invite the superior doctor over."

Under Li Jingsheng's persuasion, the patient sat down half-heartedly.

His girlfriend was also desperately trying to persuade him.

I'm afraid that if the doctor is injured and he is arrested and jailed, it will be ruined.

Seeing the patient sitting down, Ruan Xiaoqin quickly slipped out.

Being blocked in the outpatient room by a patient just now, he must have been quite frightened.

"My hand was injured because of playing basketball. The first time I was injured, I thought it was okay, so I didn't deal with it. The thumb and the tiger's mouth in the back had been hurting, and it seemed to be a little swollen. I came to see a doctor. At that time, I was thinking about a small problem. , It should be cured by just looking for a doctor. This is Dr. Ruan Xiaoqin, who took an X-ray for me for the first time. After the examination, he said it was arthritis, and then prescribed medicine.

It took hundreds of dollars, and it took almost half a day to line up for inspections, follow-up consultations, and get medicines.

But it didn't work at all.

After about half a month, I came to see him once.Let me register first and queue up, saying that the validity period of the last registration has passed earlier.

I re-registered and lined up according to his request, and finally I fell in love with it.

Then in one sentence, it was said that the recovery period of osteoarthritis was relatively long, and then I was prescribed some medicines, as if it was aspirin or something, anyway, a bunch of medicines were prescribed.It took a few hundred more. "

The man was full of anger when he talked about the experience of seeing a doctor.

"The treatment period for arthritis will indeed be relatively long. From a procedural point of view, there should be no problem when Dr. Ruan diagnoses and prescribes medicine for you." Director Zheng watched Li Jingsheng calm him down.

At this time, he finally dared to sit down and deal with this matter.

The hospital has a rule that whoever has higher qualifications and higher titles will be the person in charge of the scene.

For example, in the operating room, Li Jingsheng performed the surgery, but Professor Wu was present.

Then the person in charge of the operating room is not Li Jingsheng, but Professor Wu.

If something went wrong during the operation, Professor Wu was responsible for it.

"That man is a quack doctor, running the train with his mouth full of words. I took the medicine for the second time, but it still didn't work. I went to see him again after a month, and this time I had another examination and a CT scan. Then they said my swollen thumb might be tuberculosis. I started to treat it for tuberculosis, but it still had no effect.

This time when I came to look for him, it was another blah blah blah blah, saying that tuberculosis and gout might merge together.

I have to do CT again, and it costs hundreds of thousands of dollars at a time. Do you really think that the money of our patients is blown by the wind?

It’s okay if the fee is expensive, the key is you can cure me!

After several months of treatment and thousands of dollars spent, my hand is still swollen, and it hurts badly every time I play basketball.If your hospital doesn't solve this problem for me today, even if I go to jail, I will kill that quack doctor. "

The man said harsh words.

But after all, he was still too young, his mouth was harsh, but his eyes flickered.

It was nothing more than forcing the hospital to solve the problem for him.

If you really kill the doctor, don't you destroy yourself too?
"Didn't you think of another doctor?"

Li Jingsheng really has a headache for this buddy.

Knowing that he is a quack doctor, he still seeks medical treatment again and again, isn't that stupid?
There are so many doctors in the hospital, it is completely possible to change to a doctor of a higher level.

It is worthwhile even to hang up a special needs expert account.

Ordinary special needs expert number, the second hospital is 300 yuan a piece.

In orthopedic surgery, only director Hua seemed to be rated as a specialist with special needs, and even the two directors, Chen Anchen and Zhong Hu, were not able to be rated.They are just ordinary experts.

"That quack doctor said that all the doctors in your hospital are similar, and it doesn't matter who you look at."

This is the rhythm of patients being fooled to death.

Ruan Xiaoqin believed everything he said.

But let alone, Ruan Xiaoqin's mouth is really good at speaking.

"This is Director Zheng of our orthopedic surgery department. You can also ask him to see him. Dr. Ruan is the attending physician, and Director Zheng is the deputy chief physician. He has more experience and a higher level."

Li Jingsheng persuaded from the side.

"Uh... I'm actually not very good at bone and joint diseases. I'd better let Director Wu handle it later. He is the chief physician and his level is higher than mine."

Director Zheng was very slippery and didn't pick up this patient at all.

Not every doctor can be as honest as Li Jingsheng. Some doctors are very calculating about fame and fortune.

If they feel that the risk is too high, they may smash the signboard and ruin their reputation, they may not accept it.

This is also human nature.

Wouldn't it be silly to take over even knowing it was a disaster?
So some patients were seen in major hospitals, but no doctor dared to treat them. In fact, their illnesses were complicated or too serious, and they were afraid of accidents.

While talking, Professor Wu hurried over.

As for Professor Wu, it is true that he is greedy for sex, and no one knows whether he is greedy for money or not.After all, the gray income is tightly covered, and it is absolutely impossible for outsiders to know.

Although Professor Wu has many shortcomings and his medical skills are not very good, he still takes good care of the doctors in the group.

When encountering difficult patients, he seldom plays cunning tricks, and he always helps his doctors find ways to solve the problems.

"Director Wu, this patient said that he had been treated by Dr. Ruan several times but it didn't work. He wanted to find a higher-level doctor to help him deal with it. You have research on orthopedic trauma and orthopedic surgery, so I will entrust this patient to you. I still have patients waiting over there, so I’ll leave first.”

Director Zheng rubbed oil on the soles of his feet and explained briefly.

Get out on the spot.

Li Jingsheng was quite kind and did not leave in a hurry.

Instead, he waited until Professor Wu sat down and saw that the patient showed no signs of beating anyone, and the hospital security arrived before he got up and left.

Ruan Xiaoqin was still a little afraid of being beaten, so he hid behind the security guard.

Of course, he would not shrink behind the security guard with a timid look, but stand behind the security guard.

It's one thing to be afraid of being beaten, but it still takes face.

Li Jingsheng returned to his own technique to reset the 2 consultation room and continued to work.

Today's incident also made him realize that doctors must not fool patients like fools, otherwise accidents will happen sooner or later.

If Ruan Xiaoqin had advised the patient to find another doctor during his third consultation, perhaps these things would not have happened.

When it was almost noon, Li Jingsheng received a message from Ou Qinglan.

"I'll pack a meal and wait for you. What do you want to eat?"

"Can I eat you?"

Li Jingsheng joked with her.

Received a row of bloody knife emotes.

"It's up to you! I'll go to the cafeteria to find you after I've dealt with this patient."

At this moment, Dr. Chen is putting a plaster on the patient.

After the hospital opened the manual reset 2 clinic, Dr. Chen and nurse Li Liquan were allocated to Li Jingsheng.

Dr. Chen was very happy.

It is equivalent to working with Li Jingsheng in the outpatient clinic for three days a week, and working in the inpatient department for the remaining three days.He can only take one day off a week.

It's a bit miserable.

It is better than standard trainees and interns.

"Ms. Li, call that patient in! Get off work after finishing it."

In fact, there are still patients waiting in line at the back, but after learning the lesson from the complaint last time, Li Jingsheng no longer shows compassion indiscriminately.

However, his heart and intestines are still soft after all. Often after six o'clock, when he sees patients coming to see a doctor, he will give them a plus sign.

The latest time, I didn't get off work until after seven o'clock.

He knew very well that Dr. Xu never worked overtime, and the treatment was not finished until it was finished.

Anyway, the number is limited every day. If the number exceeds the processing limit, Dr. Xu will not answer.The hospital couldn't do anything about him.

Lee Kyung Sang is much better at this.

Patients ask him for a plus sign and almost never refuse.

If he does not deal with it, the patient can only wait for the next day, or go to the inpatient department for surgery.

In fact, patients are very vulnerable.

When the manipulative reduction clinic is off work, the patient would rather suffer from pain all night and wait until the next day to come to the manipulative reduction clinic for treatment.

It can indeed save a lot of money and suffer a lot less.

So they are willing to wait.

The last patient is in good condition, that is, the fracture of the right ankle bone combined with joint dislocation.

This kind of surgery requires surgical treatment in many places. Li Jingsheng's current bone setting and reduction technique is very high-level, and he can fix it in 3 minutes.

Dr. Chen hadn't finished putting the plaster on, so Li Jingsheng fixed the patient with a plaster cast himself.

After dealing with it, when he looked up, he found an acquaintance.

I thought Ou Qinglan's parents had left, but they didn't.

At the moment, I am watching Li Jingsheng treat patients outside.

Li Jingsheng hurriedly greeted the two with a smile, but unexpectedly they turned around and left.

It seems that he still doesn't recognize his son-in-law!

It doesn't matter, take your time, there will always be a day when they fully accept it.

After listening to Ou Qinglan's story last night, didn't she also acquiesce in the relationship between the two?
After Li Jingsheng got off work from the outpatient clinic, he hurried to the hospital canteen.

"Here, here!"

Ou Qinglan had already prepared the meal and waved at him.

"Wow, are you getting rich? Another braised pork trotter, another fried loach, and a big chicken drumstick."

Li Jingsheng drooled when he saw the dishes in the basin.

It is said that eating too much meat is not good, but every time he sees these delicacies, he can't help but want to eat them openly.

What about being a doctor who knows how to keep in good health?

I can't control my mouth, so I can eat whatever I want.

The most difficult thing for people to control is all kinds of desires.

"You big trotter, don't you know that today is my birthday?"

"what……"

Li Jingsheng slapped his forehead, but really forgot.

"Find a place for you to celebrate tonight, I didn't even prepare a gift!"

He said with some embarrassment.

"What gift do you want? You are by my side. It is the best gift. Eat it quickly. I will wait for you to go to the office to diagnose a difficult case in a while! Today our team received another difficult case. The patient's right thumb Swelling, suspected arthritis, but treatment according to arthritis did not have any effect."

As soon as she mentioned the patient's situation, Li Jingsheng knew who she was talking about.

It must be the tall one.

It doesn't matter whether you are admitted to the hospital for treatment, it doesn't feel like an ordinary disease.

Li Jingsheng is very good at orthopedic surgery diagnosis and bone palpation, but he is not afraid.

Maybe he can make a contribution again.

"Oh, by the way, I saw your parents coming to the hospital just now. I don't know if they have eaten yet? I greeted them with a smile, but they ignored me, turned around and left."

Li Jingsheng told her about it.

"It's okay, they just worry about me and want to investigate you more. As for eating, they don't know how to eat in the cafeteria."

Ou Qinglan seemed to have called or communicated with her parents again.

She seems to be in a good mood today.

And she bought quite a lot of vegetables, and the economy seems to have improved.

Li Jingsheng secretly guessed that maybe her parents felt sorry for their daughter and gave her some money after reconciliation.

She was stubborn and refused to spend the dowry money before, and her parents no longer gave her pocket money, because she was unwilling to go on a blind date with the son of the chairman of the animal husbandry company introduced by her parents.

It is estimated that her parents made compromises and concessions.

After dinner, Li Jingsheng came to the doctor's office, and Ruan Xiaoqin saw him coming, as if seeing a savior.

"Doctor Li, please consult with the patient who made trouble this morning. Professor Wu admitted the patient to the hospital and promised to find a way to find out the real cause of the patient."

Ruan Xiaoqin was not at all embarrassed or guilty about this matter.

He seemed to feel that the cause of the disease could not be found out, and a misdiagnosis occurred, which was a matter of course.

"Okay, let me take a look first."

Li Jingsheng did not refuse.

He is not a doctor in the second group, but his girlfriend is in the second group. He also often performs surgeries with Professor Wu, so he has half the status of a doctor in the second group.

"Did you take any pictures of the patient?"

"It was taken. But he seemed to be very resistant, and he only took the cheapest X-ray."

"It should be enough. Didn't any abnormality be found in the CT scan before?"

Li Jingsheng asked again.

"At that time, the results of CT scans were very similar to arthritis."

Ruan Xiaoqin said with certainty.

"Can I see the patient's information by logging in to my own account?"

"it should be OK."

After Li Jingsheng and Ou Qinglan came in, Doctor Qin did not leave this time.

Because he has changed seats.

The seat next to Ou Qinglan is basically empty now.

Doctor Qin also didn't want to be kicked out of the office every time Li Jingsheng came over.so awkward.

So he offered to change the seat.

Anyway, the seats in the office didn't say who would sit there.

Li Jingsheng sat next to Ou Qinglan, turned on the computer, and logged into his personal account.

Go directly to the unprocessed case and see the patient's information.

Chen Heli, male, 26 years old, reported that his right thumb was injured a year ago while playing a game, and he did not go to the hospital for treatment.Afterwards, the same part was injured for the second time, and the thumb was unbearably painful and swollen, so I came to the Second Hospital for medical treatment...

The medical history is described very clearly.

It is estimated that Dr. Ruan will blush every time he sees it.

In any case, this kind of unrecoverable case will definitely embarrass the first doctor.What's more, it has been cured so many times.

Looking at the CT scans taken by the patient before, it does look a bit like arthritis.

The B-ultrasound film taken before showed that the phalanx and metacarpal bone at the metacarpophalangeal joint of the right thumb was destroyed, and the surrounding area was hypoechoic.This indicates the possibility of inflammation.

Seeing this, Li Jingsheng felt that Ruan Xiaoqin could not be completely blamed for this matter.

If another doctor sees this film, it is probably treated as arthritis.

He also checked the X-ray film taken by the patient today, and it can be seen that there is obvious osteolytic destruction at the base of the proximal phalanx of the thumb.

"The patient kept calling me a quack doctor, and I was almost pissed off. I was really wronged. He came here for the first time, and after checking an X-ray, it felt like osteoarthritis, so I treated it as arthritis. He healed.

The second time I came, it was still not good, and I took another B-ultrasound, which still suggested that the possibility of inflammation was very high.I gave him medicine again according to arthritis treatment.

When I came for the third time, it still said that there was no effect.I was also worried about misdiagnosis, so I checked him with a CT scan. In order to prevent missed diagnosis, I even did a biochemical test. The low-density lipoprotein was 1.54mmol/l, and the uric acid was 465umol/l.

This time I suspect it may be tuberculosis, because I have seen related cases in books.

Unexpectedly, the treatment was still ineffective, so I explained to him that it might be tuberculosis combined with gout.I wanted to do an MRI for him, but he didn't agree, and then he started calling me a quack doctor, cheating money and so on.Conscience of heaven and earth, the first two examinations I gave him were both X-ray films or B-ultrasound with the lowest cost. "

Ruan Xiaoqin was full of grievances. While explaining to Li Jingsheng, he was also explaining to other colleagues in the office.

No one wants to be labeled by colleagues as a black-hearted doctor who deliberately cheats patients of money.

"Patients don't understand these things, and it's normal to swear at people, just ignore them."

While talking, Li Jingsheng has already started to review the X-ray film taken by the patient today.

This disease is definitely not as simple as imagined.

No matter how difficult it is to treat arthritis or tuberculosis, if you take medicine for such a long time, you should see some effect.

(End of this chapter)