medical simulator

When I am old, I have spent my whole life running around for my son, bought a house and a car, and in the end, if I have no money, I don’t even have much say in seeing a doctor for myself.

This is a living fact.

However, this daughter-in-law is quite filial. Although the reason he gave was just right and hit her heart, she agreed to the operation without hesitation.

However, it is enough.

It's not in vain to spend a little thought on myself.

The old man is pitiful, and her daughter-in-law's clothes don't look like people who are short of money.

"Mom, let's go first and make an appointment in the ward. Your legs are useless after taking medicine." The middle-aged woman explained seriously.

"Are you going to be hospitalized for surgery?"

"It will cost a lot of money, I won't do it, it's too expensive, I won't do it!" What Luo Yun didn't expect was that the old man shook his head resolutely rather miserly, and even fled the consulting room tremblingly.

"We are the sons and grandchildren of money matters. Don't worry, your health is the most important thing."

"We planned to let you do it a few years ago. You said it was expensive. At that time, we had just bought a house, and it was true that we didn't have that much money. The money was valuable at that time, but now, your grandchildren's tuition fees for a year will cost a lot. several thousand."

"They also hope to take you to the amusement park to play together. It won't cost much."

"Even if you feel bad about money, just treat it as spending money to accompany Zhou Zhou and Lan Lanhua, isn't that okay?" The middle-aged woman comforted her mother-in-law...

Only then did the old man move.

"How much will it cost?" The old man looked up and asked.

"It's not expensive, it's only over 1!" After speaking, he winked at Luo Yun.

It seems that he hoped that Luo Yun would help her keep it a secret and not expose it.

The old man lowered his head and murmured: "More than 1, more than 1, we were able to afford several big houses at that time, and I have only earned such a little money in my life..."

"Mom, that was when you were upright, and your legs were bad. Now the money is worthless." Then, she took her hospital certificate and prepared to help her mother-in-law to the inpatient department.

Luo Yun quickly suggested: "Sister, help your mother-in-law out and sit first, then go down and rent a wheelchair, and push your mother-in-law to the inpatient department. She is walking now, and it really hurts."

The middle-aged woman's eyes lit up immediately, and she said, "Okay, thank you doctor, you are such a good doctor."

After finishing speaking, she turned around and helped her mother-in-law out of the consulting room.

Looking at the backs of the two, Luo Yun murmured in his heart, it seemed that he had misjudged the person!

It turned out that it was not the daughter-in-law who was reluctant to undergo surgery, but the elderly who were reluctant to part with money.

……

After the person walked out, Luo Yuncai looked at Zhou Cheng again, his mind was turned.

It was a surprise that Zhou Cheng could see traumatic arthritis. This is quite professional joint surgery knowledge.

It seemed that Zhou Cheng had pretended it again.

However, after being admitted to the hospital, Zhou Cheng, you have to see it.

Consultation and treatment are two different things.

However, is it possible that Zhou Cheng is not deep enough to understand the difficulty of this operation?

Luo Yun's thoughts moved to other places again.

Zhou Cheng was also looking at Luo Yun, his heart fluctuated——

Teacher Luo must be too powerful. After the first patient came in, he explained clearly in a few words, and now he even got the patient's family to agree to the operation with a few words.

Zhou Cheng also knew that the patient had to undergo surgery, but the doctor only had the right to suggest how to persuade the patient to go in the most favorable direction.

This is not something that can be explained clearly in one or two sentences.

This is trying to figure out people's hearts!

Take grandchildren, cook and wash clothes...

Are these things relevant to the medical profession?It has nothing to do with it at all, and it doesn't reflect a person's medical professionalism at all.

but?

Just these few words just moved the heart of the patient's daughter-in-law.

Before he had time to speak, Zhang Zhengquan asked Zhou Cheng: "Brother Zhou Cheng, how did you see that the patient had a fracture just now? Can you tell?"

Zhou Cheng turned his head and said to Zhang Zhengquan: "Quanzi, the imaging of X-ray film is actually whether the X-ray can hit the opposite side to form a dark shadow. In this process, the less tissue it passes through and the sparser the density, Then the more shadows you can hit."

"Our bones have a trabecular structure. The trabecular structure is very special, and it will be very neatly arranged when it is born."

"You can experience that the trabecular bone structure is hollow, and it will form a very smooth and complete line-like structure on the X-ray film, right?"

Zhang Zhengquan nodded thoughtfully.

"Yes, there is no fractured bone end, and the trabecular bone structure is complete and continuous. But after the fracture, even if it is fully recovered, the trabecular bone structure will be disrupted and reorganized. At this time, let's look at the previous lines structure."

"You'll find that there's a crossover."

"This is the sign of previous fractures, and it is also traumatic arthritis. The information will be shown to us on the plain film!"

"It's a pity that the film was taken away by the patient, otherwise."

Zhang Zhengquan immediately said: "Brother Zhou Cheng, I'll go get it, the patient is still waiting at the door......"

After Zhang Zhengquan finished speaking, he left the consultation room, and then went to the door of the consultation room and took a few deep breaths.

Inwardly astringent——

Mom, shit, it's really hard in this world now, and it's really hard to make a living.

Zhang Zhengquan's bitterness almost broke with a bitter smile in secret, why should I come to Luoyun Clinic to eat?

This is no rubbish, it's just looking for abuse...

Luo Yun understands, Zhou Cheng understands both, but he himself does not understand, two patients in a row seem to be listening to heaven.

Alas, I don't blame Luo Yun and Zhou Cheng, they came to the outpatient clinic in a good manner, and it was obvious that I had to come here for a meal, maybe it was because I was thinking about my own food and didn't call me.

I?

I am so hard...

After Zhang Zhengquan walked out, Luo Yun sat down, glanced at Zhou Cheng, and said casually: "Xiao Zhou, you have read a lot of books. The review of traumatic arthritis is also from the video. of?"

Zhou Cheng turned his head to look at Luo Yun in astonishment, he really didn't expect Luo Yun to ask such a question suddenly.

Nodding awkwardly and haha: "Angangang..."

I secretly apologize to Luo Yun in my heart——

Teacher Luo, I'm sorry, but I actually licked these, and I even licked you to death.

I will remember you well.

Luo Yun: "..."

The corners of his eyes twitched, thinking that Zhou Cheng was quite hateful.

Watching videos to learn medical skills?

nonsense.

But no flaws were found.

It was installed by him...

……

The third person Zhang Zhengquan brought in was a young man, aged 27 or [-], wearing glasses with black eye sockets.

He is of medium build and looks refined. He should be a clerk in an office, or just engaged in writing work.

However, he walks smoothly on his feet and moves his hands normally.

In his left hand he carried a small file bag.

Doesn't look like a sick number.

Zhou Cheng also took a look outside the door, wondering if Zhang Zhengquan closed the door quickly, blocking the real patients from the door.

Zhang Zhengquan still asked politely: "Hi, what's wrong with you?"

With a smile on his face, the young man glanced at the three people in the consultation room, and saw that Luo Yun was the oldest, passing Zhang Zhengquan and Zhou Cheng.

Directly to Luo Yun: "Hello, doctor."

"I came to you to buy two kinds of medicines. I went to many pharmacies, but I couldn't find them. I asked a friend to find out, and they said that No. [-] Hospital has them. I work in the park, and I don't have time to come here on weekdays. I'm still working overtime today. This is still on leave."

Park is the abbreviation of Star District Industrial Park.

As he spoke, he took out a piece of A4 paper with the name of the medicine written on it from the document bag.

Words are handwritten, quite neat.

Impressively written on it:

Sodium Hyaluronate Injection (Speit).

Hydrocortisone acetate (letter SINE appropriate).

Even the name of the company with the drug is written, it is really detailed enough!

Seeing these two medicines, Zhou Cheng was slightly taken aback.

Sodium hyaluronate injection is a lubricant injected into the joint cavity. Generally, only patients with osteoarthritis can relieve symptoms in the early stage of osteoarthritis.

But if it is used for a long time, it is of no use at all.

Even if it is written in the guide, it is useless. (PS: Here, I would like to warn my book friends, if you go to an orthopedic clinic, don’t use this thing. It’s useless.)

And hydrocortisone is a glucocorticoid, a small amount of oral administration can have an analgesic effect, but if it is taken for a long time, the sequelae are completely unimaginable.

First, gastric damage, and then there are changes in systemic immunity, and then, there are various complications of glucocorticoids.Buffalo back, full moon face, etc...

Who prescribed these two medicines?

Before Zhou Cheng could speak, Luo Yun asked, "Why do you need these two medicines? Is your mother taking them all the time? How long have you been taking them orally?"

The young man forced a smile and asked: "Doctor, it doesn't matter. I didn't come to see a doctor today, so I came to prescribe a medicine. After you finish the prescription, I will leave."

I thought to myself, why do you ask me so much if I have money for you?

However, he still patiently explained: "I asked many friends, and I also checked professional guides on the Internet. These two medicines can treat arthritis. And after my mother took it, her legs and feet are indeed much better. .”

Ok!

Nowadays, with the improvement of knowledge, the simple Baidu medical treatment can no longer satisfy you?

Getting Started Guide to Seeing a Doctor?

Both Zhou Cheng and Zhang Zhengquan were a little nervous, not knowing how to deal with it, they just looked at Luo Yun.

The two of them dare not talk about the guide.

Luo Yun frowned and said:

"Well, you are right. Sodium hyaluronate can indeed prevent the progression of osteoarthritis in the early stage of osteoarthritis. It is also written in the guide book."

"But it's also prevention, just in the early stages."

"Hydrocortisone has also been used in clinical practice for a period of time. It can be found not only on HowNet, but also on pubmed." Luo Yun was annoyed.

"But do you know what are the side effects of these two drugs?"

"Why can't they be used for a long time?" Luo Yun asked back.

The young man frowned again: "I know, it seems to be some kind of glucocorticoid, which can be anti-inflammatory and anti-allergic."

"Doctor, don't ask so many questions. These two medicines were prescribed to my mother by an expert in our county hospital, and she has been using them all the time. Could that expert still harm her?" He also read Look at the time on the watch.

"I came here on leave. I really don't have much time. If I go late, my money will be deducted."

"If it weren't for the fact that I can't buy it in the pharmacy, I wouldn't come here to bother you. Please do me a favor. After I get the medicine, I have to send it back to my mother. Save me some time."

Luo Yun pushed back the young man's medical card.

Although he also knew that this young man might have to go to work on weekends, and it was not easy to work from nine to five.

However, the first principle of doctors is the principle of no harm!

Apologizing all over his face, he said, "Sorry, I'm sorry, although we have these two medicines here, I can't prescribe them for you!"