Back in 2002 as a doctor

"Director, I heard Brother Gao say it's endometriosis? Is it possible?" The doctor on duty was also in a daze.

He had never heard of this diagnosis.

"How is it possible! If it's endometriosis, I'll eat the film." Director Wen said contemptuously, "It's a trick to fool the patient, I'm afraid the patient can't stand it, and commit suicide again."

"Ugh."

"The same goes for Xiao Gao. Zhou Congwen, a thoracic doctor, cares about all the nonsense he says, and he's flustered when he sees it. I've seen the film. It must be rectal cancer at an advanced stage, and there is no need for surgery."

"Don't go for radiation and chemotherapy, and waste time going to 912 in the imperial capital. Are there all gods in 912? Can it turn rectal cancer?" Director Wen sneered.

"Yes, I think so too." The doctor on duty echoed.

"Bullshit."

Director Wen flung his sleeves and walked away.

……

After Zhou Congwen helped to make contact, he left Deng Ming's phone number to Dr. Gao, and told him to tell himself after the immunohistochemical results were obtained, and then left.

Back at the orthopedics department, Shen Lang stood up all of a sudden, looking at Zhou Congwen expectantly.

Zhou Congwen really didn't know where Shen Lang's sense of expectation came from.

"Congwen, how is it?" Shen Lang asked anxiously.

"I don't think it's rectal cancer." Zhou Congwen said in a deep voice.

"Woo~~~" Shen Lang let out a long breath, a smile blossomed on his face, a blooming chrysanthemum. (Note)

"Don't you ask why?" Zhou Congwen was also very surprised to see Shen Lang's relieved expression.

"What is there to ask?" Shen Lang was puzzled, "Didn't you deny the diagnosis of advanced rectal cancer?"

"..." Zhou Congwen was speechless.

Shen Lang's confidence in himself seems to be stronger than his own confidence in himself, why does he believe in himself so blindly?

That doesn't seem like a good sign.

Zhou Congwen knows that everyone makes mistakes, including himself. Even if there is a "gold standard" for diagnosis, Zhou Congwen dare not be careless.

But Shen Lang...

"Excellent, from Wen, I said that you can tell if the tumor is advanced at a glance." Shen Lang praised.

Zhou Congwen whispered, "What nonsense are you talking about?"

"What nonsense." Shen Lang curled his lips, "I don't believe that 912 will call a few days later, it must not be an advanced stage of rectal cancer."

Zhou Congwen was speechless.

Although he thought so too, shouldn't he be the one who said it?And Shen Lang should be the one who doubted himself, and finally got the diagnosis from 912 before he was convinced.

"I'm so tired, I'm going home." Shen Lang said for the nth time that he wanted to go home, walking staggeringly, as if he would fall asleep at any time.

Zhou Congwen sent Shen Lang out, and there was an extra wheelchair at the door of the orthopedics corridor, and a young man was sitting on it, with a painful face, communicating with Doctor Teng on duty.

……

……

Note: I don't know if this joke has been told to all the book friends.

In high school, because I was relatively thin, a friend said that I looked very good-looking when I smiled, like a blooming chrysanthemum...

cough cough cough.

At that time, chrysanthemum did not have the present meaning.

Since chrysanthemum became another adjective around 2004, I have been unable to look directly at the words of my young friends.

0480 - 16-year-old gout

Zhou Congwen didn't pay attention to the patients in the orthopedics department. The patients in the small single room were in stable condition, and he didn't plan to leave. He sent Shen Lang away and went back.

In fact, Zhou Congwen didn't need to send Shen Lang off, but he was worried that Shen Lang would not go home and would stay in the orthopedics department to watch the fun.

This kind of gossip heart, gossip soul is all over the body, and even the guy with ultimate consciousness, who knows what he will do.

"Go back and have a good rest. Brother Gao is ready to take the tissue slices to the imperial capital for immunohistochemistry. Don't worry, I have already contacted 912, and we will wait for the results to come out."

"Oh, what is immunohistochemistry?" Shen Lang asked subconsciously, as if he was about to start gossiping again.

Zhou Congwen patted him on the shoulder, "Sleep well, and I will explain to you tomorrow what you want to hear."

"You should also look after patients in the orthopedics department." Shen Lang muttered.

"Tourniquet shock, I'm afraid they won't see it well." Zhou Congwen said with a smile, "After all, there are still a few very rare complications. It's best not to show up. Once it happens, it needs to be dealt with in a short time..."

"Got it." Shen Lang let out a big breath.

When passing the wheelchair, Dr. Teng smiled at Zhou Congwen to express his kindness.

Holding a film in his hand, he glanced at the light in the hallway, "It's all right, I think it's a soft tissue contusion, go home..."

Just as he was talking, Zhou Congwen who was passing by suddenly touched him.

"What's the matter, Congwen?" Dr. Teng said with a smile.

"The patients in the ward have some minor problems, let me tell you." Zhou Congwen said to Shen Lang again, "Go home."

Shen Lang seemed to feel that something was wrong, and was about to turn around, but Zhou Congwen pushed him out of the gate of the ward.

He didn't sleep for more than 30 hours, and Shen Lang was really tired, and he was just a young man, so he probably sprained his ankle, so he left angrily without any big gossip.

"Congwen, the patients in the ward have something to do..." Dr. Teng was about to say a few words when Zhou Congwen blinked, knowing something was wrong.

He immediately explained to the young man, and took the film and Zhou Congwen into the small ward.

"What's the patient's condition?" Zhou Congwen asked.

"A high school student, playing football at school in the afternoon. I was fine at the time. My ankle was swollen during self-study last night, so I went to see a doctor. I took a film, and there was nothing wrong." Dr. Teng shook the film and made a sound.

"Oh, let's check for blood uric acid." Zhou Congwen said lightly.

"Uh... Congwen, he's only 16 years old."

"I don't think his ankle looks like a soft tissue contusion. The medical history you mentioned is also questionable. Check it out to avoid misdiagnosis." Zhou Congwen said with a smile, "Don't think I'm meddlesome."

"Really?" Dr. Teng looked at Zhou Congwen in surprise, then at the patient lying on the hospital bed, scratching his head.

He never thought about doing a uric acid test on a 16-year-old patient.

However, the patient on the hospital bed told Dr. Teng silently that it is best to listen to Zhou Congwen.

"Okay, then I'll go talk to the patient." Dr. Teng said in a low voice, "Congwen, you are really good. If it weren't for you, this patient would probably die today."

"Hehe, I've only seen similar situations before, so I can't say it's great." Zhou Congwen sat on the chair next to the patient, staring at the ECG monitor.

Dr. Teng turned to go out, and then began to worry.

The little patient was accompanied by classmates. A blood uric acid is 78 yuan. Can they have money?

Alas, why everything has something to do with money.

The reason why blood uric acid is not checked is that the cost is too high.If everything is checked, the common people will scold their mothers.

Forget it, Zhou Congwen helped the orthopedics department a lot today, and he is still sitting in a small room to take care of patients, so let's listen to what he has to say.

Dr. Teng returned to the patient and had already figured out how to explain it to the patient.

"Looking at the film, there is no problem with the bones, but we still need to do an examination." Dr. Teng said.

"It's fine. I support you and say it's a soft tissue contusion. I won't do the examination. I'll go back and apply heat." The tense expression on the patient's face relaxed.

Although he was young, he was also worried about the fracture, and when he heard that the bone was fine, he immediately became happy.

"I didn't hear you during the examination." Dr. Teng deliberately put on a straight face and made a serious expression to scare the little patient, "You don't listen to me when you talk about it. Hot compresses for everything, is that right!

Apply cold, not heat, for 24 hours. "

"Uh..." The little patient and his classmates were dumbfounded.

"Assuming it's really a soft tissue contusion, if you apply hot compresses within 24 hours, the swelling will be even worse, because there are small capillary ruptures and bleeding. Can you figure it out!"

The little patient nodded repeatedly.

"Hot compress, the temperature rises, and the broken capillaries open up and bleed again. If it is serious, the skin on your surface will be necrotic because of the severe swelling." Dr. Teng began to scare the little patient.

How about telling him about his illness? How can he frighten him?

"Normally speaking, cold compresses should be applied within 24 hours to avoid capillary bleeding. After 24 hours, hot compresses should be applied to promote blood circulation and disperse stasis. Be obedient and don't fool around if you don't understand. It's not time to explain this to you yet."

The little patient and his classmates were frightened by Dr. Teng's words, and smiled embarrassingly.

"Go for an inspection first, rule out other problems, and I will explain to you when I come back."

Dr. Teng opened a list while talking, "You must have money."

"I borrowed 200 yuan from the teacher." The little boy said timidly, "Doctor, is that enough?"

"It's almost enough, go to pay the bill, and get a blood test in the emergency department."

Dr. Teng made a list and handed it to the little patient's classmates.

Confused, they pushed the patient away from the orthopedics department.

Dr. Teng let out a sigh of relief. Fortunately, children are easier to fool. If it were an adult...it wouldn't be too difficult. It might be easier to change the rhetoric.

Nearly an hour later, several people stood at the door of the orthopedic doctor's office, and the man looked at Dr. Teng seriously.

"Are you the doctor on duty in the orthopedics department tonight?"

"Yes, what's the matter?" Dr. Teng knew that the visitor was not friendly from the tone of his voice, so he spoke more politely.

"Is that the blood uric acid you prescribed for your child? He is only 16 years old. Why are you prescribing this test? How did you become a doctor!" The patient's family questioned unceremoniously.

Dr. Teng complained in his heart, let's take a look, the patient's family members came to him.

Although he complained in his heart, his expression did not change, and he said flatly, "To check whether it is gout, I explained it to the patient in detail at that time, and the patient himself did not raise any objections, so I checked."

Chapter 0481 changes after hearing "Zhou Congwen"

"The child is only 16 years old! Your family can get gout at the age of 16!" said the patient's family, holding back their anger.

"Today's doctors will not see a doctor without an examination!"

"Or you have to go to the People's Hospital. The Third Hospital is just a health center. What kind of disease will you see? Nonsense."

Dr. Teng sighed in his heart, the patient's family members were right, in fact, he thought so too.

I just diagnosed it as a soft tissue contusion, so I don’t need to prescribe any medicine. Just let the child go home with cold or hot compresses. Why bother to check for blood uric acid?

However, although Dr. Teng and the patient have the same idea, he certainly can’t tell the patient’s family like this, so he can only bite the bullet and explain, “Gout does not distinguish between ages. The patient said that he was fine when he was playing football. I found that my ankle was swollen, so..."

"So what, so you think a 16-year-old has gout?"

"Is this how you see a doctor!"

"It's really unreliable. Today's doctors can't do anything without the examination, and they even check a 16-year-old child for gout! It's really not as good as one generation after another."

Doctor Teng sighed.

No explanation seems to work, because he himself is biased on the side of the patient's family.

He really wanted to stand with the patient's family, pointed at Zhou Congwen and said——Congwen, can you see a doctor without the equipment?

Doctor Teng cursed in his heart.

"Don't worry, we've done all the checkups, and we'll talk about it when the results come back. If there's nothing wrong, don't you feel relieved? If there's something wrong, you won't be misdiagnosed. Is it more important to spend some money, or to see a doctor for your child?" Doctor Teng tried his best to change the topic Pull back.

"It has nothing to do with spending money, okay? The child is only 16 years old and plays football in the afternoon. Why are you blind to such a clear thing?"

"That's right, nonsense!"

"In the future, if you get sick, you still have to go to the People's Hospital. It's not reliable at all here."

Hearing the chaos outside, Director Sui came out sleepily in a white suit.

"What's going on?" Director Sui asked with an unhappy face.

He had a domineering attitude on his face, and he looked like an old doctor, an old doctor at the director level, and the patient's family members were stunned.