medical simulator

"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 quickly 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!

The first patient of the day 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...

Chapter 138 Damn, pretend to be B and run away!

Luo Yun looked at Zhou Cheng, and Zhou Cheng turned to explain to Zhang Zhengquan.

The eyes on Zhang Zhengquan's big black face opened forcefully, revealing an extremely complex look.

Zhou Chengcheng said: "Hysterical pain, in fact, it should be divided into two points. Hysteria is the name of the main disease, and pain is one of the manifestations of hysteria."

"Hysteria can also be called dissociative conversion disorder, which is a mental disorder caused by psychological factors acting on susceptible individuals. It is a mental disease."

"In addition to pain, its manifestations can also include convulsions, cramps, sudden body paralysis, inability to move, or memory loss. It can also be manifested as loud shouting, moodiness, difficulty breathing, blindness, etc..."

"Of course, other manifestations are not reflected in this patient. Let's talk about this patient first—"

"Hysterical pain is generally migratory."

"The pain symptoms of this kind of patients are completely different from the pain caused by organic injuries."

"Her pain is that she feels pain, and she can feel no pain very quickly. This is one of her characteristics."

"One of the easiest ways to diagnose is to guide the patient a little deliberately to see if her pain can suddenly shift."

"It's like just now when Mr. Luo took advantage of his unpreparedness, he suddenly disrupted the patient's train of thought!"

"It made her feel that her painful hand should be on the left side, and she also felt that her painful hand was on the left side, but in fact."

"We have all seen that when the patient first came in, the painful part that the patient told us was actually on the right side..."

Zhou Cheng said so much in order for Zhang Zhengquan to understand.

Zhang Zhengquan has a good relationship with him and has helped a lot, Zhou Cheng has long wanted to take him along.

Luo Yun had already seen through the case just now, and Zhou Cheng had also seen through it, but Zhang Zhengquan didn't understand it at all. Zhou Cheng could only break up the disease and feed it to him, which was reciprocal.

So after continuing to organize the language, he continued:

"If there is metastatic pain, then you should go to the neurology department or psychiatry department for treatment and treatment. Our orthopedics department cannot treat this kind of thing."

"The hysterical pain often occurs after traumatic stress. But that is most of the cases, and the patients and their family members can be sure that the patient has not suffered trauma or surgery."

"However, stress is not directly traumatic."

"In some special cases, there may be situations where there may be violations of our values, and there will be."

"For example, in a traffic accident, as a victim, when you have to pay more money, you pretend to have no symptoms at the beginning, but they really appear after you pretend more times. The patient is really in pain!"

"The other kind is reward addiction! For example, if someone shows pain, it attracts more attention or pampering than usual, which she really wants, and it will also appear."

"So, most of the patients we see are adolescent girls, maybe menopausal women are also more sensitive, and there will be relatively more..."

Zhou Cheng talked eloquently, explaining the profound things in a simple way.

Even Zhang Zhengquan nodded frequently.

From the shock and astonishment at the beginning, it gradually turned into a sudden realization.

Zhou Cheng really explained the disease in detail. Although he didn't summarize it, he explained everything from the pathogenesis of the disease to the reason why it is more common among people. It is not boring. Zhang Zhengquan really understood it.

"There is such a disease, I have never heard of it." Zhang Zhengquan felt very surprised, and bowed slightly.Express my admiration and gratitude to Zhou Cheng.

Luo Yun just smiled and said, "Call the next patient in."

I was also quite helpless in my heart. Although I was surprised by Zhou Cheng's knowledge and knowledge, he didn't say much.

This kind of disease is actually not a disease of joint surgery, but a disease of psychiatry. Luo Yun also encountered it several times in the joint department before he learned about it.This is nothing, in psychiatry, this disease is also a common series.

Zhou Cheng reads a lot, so if he can realize it, it's nothing.