medical simulator

"If you're coming to see a doctor, I can show you slowly, and tell me what's wrong with you."

"Why don't you take it? Are you sick?" The young man's voice suddenly increased a bit, joking, I came here on leave, you have medicine here, won't you sell it to me?You think I'm short-tempered, don't you?

"I just asked you to prescribe a medicine. You are a doctor. Isn't what you do just to see a doctor and prescribe medicine? Why don't you prescribe it for me?"

Luo Yun was not stage fright, and explained: "First of all, I am a doctor, and it is one of my responsibilities to see a doctor and prescribe medicine."

"However, you also said that it is to see a doctor and prescribe medicine, not just to prescribe medicine. I have to see a doctor first."

Then Luo Yun explained to him: "You registered my number, the name is yours, that's right. I have a medical relationship with you, and only in this consulting room. When I go outside the hospital, I will see you. It's against the law."

"This is the first point."

"Second, you registered my number, and I am only responsible for seeing a doctor for you. The real-name system for seeing a doctor is also stipulated by the law. It is also illegal for me to see a doctor for anyone other than the registered person."

"Third, the reason why hospitals exist is because the medical relationship must be close, a diagnosis and treatment relationship that takes place in the same space."

"Although cloud diagnosis and treatment are currently developing, I haven't opened an online consultation room yet, so I don't provide cloud consultation services."

"Cloud consultation, you should know, right? I don't have permission to conduct cloud consultation, which is also against the regulations."

"Fourth, based on the principle of no harm."

"The drugs on your prescription are all prescription drugs, although I don't know who prescribed them to you."

"But it doesn't get my approval! I also have the right to prescribe it. So, I don't think you personally need to use these two drugs, so I can't prescribe them for you."

"Fifth, if you don't have any discomfort yourself, just return this number. I haven't been able to provide you with medical services, and I'm sorry to ask for your registration fee."

Luo Yun counted one by one, not in a hurry to get angry.

The young man immediately became angry: "This kind of medicine can't be taken, and that kind of medicine can't be prescribed."

"Then when I took my mother to see a doctor, your doctor used other medicines to cure her? Didn't your doctor prescribe these medicines? You co-authored it to trick me!"

"Are you saying that you need surgery? Do you have any medical ethics? Are you just thinking about earning black-hearted money?"

"I asked you to prescribe a medicine, did it hurt your interests? Didn't it make you earn enough? You won't prescribe it?"

"Do you believe that I will report you?"

Having said that, the anger is up.He has at least a dozen pharmacies.

He didn't find it in a daze, but finally found out that there was such a medicine, and said that he needed a prescription to get it to him.

He registered, but Luo Yun didn't open it yet. Today's orthopedics clinic is just this one.

Besides Luo Yun, who else would he go looking for?

Luo Yun took out his mobile phone without fear, pressed the record button first, and said, "Put your mobile phone away first. Taking pictures and recording are not allowed in the consulting room."

"You can report me! As long as you can find the reason and logic of the report."

"This is your freedom, but I didn't infringe or hurt you, so you have no right to infringe on my portrait rights."

"Otherwise, I will reserve the right to pursue your legal responsibility at all costs."

"Let me say it again, I am a doctor in Shashi No. [-] Hospital. This is a hospital, not a pharmacy. There is only a diagnosis and treatment relationship in the hospital, and there is no consumer relationship between commercial consumers and merchants."

"I don't see patients, I can't see a doctor, I can't diagnose, I can't treat."

"If you need to see a doctor, you can tell your symptoms face to face!"

"I see you to the best of my ability. No one else has anything to do with it."

"Tell me, what's wrong with you?"

After speaking, Luo Yun still turned on the recording.

He said calmly: "Do you have anything else to do next? If not, please leave. You can also go to cancel your account. Can you?"

The young man caught a glimpse of Luo Yun recording, and couldn't help being a little stunned, seemingly frightened by Luo Yun's words.

He gritted his teeth again and asked, "Are you sure you won't prescribe me medicine?"

Luo Yun only said: "I'll say it again. It's not that I don't drive it, but that I can't drive it!"

"And give you a piece of advice."

"If you really believe that I am a doctor and a doctor with professional ability, just believe me, when you see a doctor, you need to see the doctor face to face, instead of buying medicine, you can complete all the diagnosis and treatment relationships. .”

"And if you believe that I am not a psychopath, I believe that our hospital will not let a neuropathy come to the outpatient clinic as an outpatient doctor."

"And if I don't think I'm a slut who likes to scold me."

"You have to believe that if I don't prescribe you medicine, it's not that I'm embarrassing you, but you are embarrassing me."

The young man grabbed the list and left, because there were already security guards hovering at the door.

It's just that after he left the consultation room, he still looked at Luo Yun with hatred.

It is estimated that I am still very depressed.

After he left, Luo Yun sighed slightly: "Oh, it's hard to say that he is not filial, after all, he is not a doctor. It is hard to say that he is filial."

Zhou Cheng and Zhang Zhengquan nodded at the same time.

However, Zhou Cheng also became more respectful towards Luo Yun in his heart.

Luo Yun's words just now are not something that ordinary people can say or think out. It requires level, and it involves skills and understanding of medical relationship, which is relatively thorough.

At least, Zhou Cheng had never heard anything like this from other people.

It seems that I can really learn a lot from Luo Yun's outpatient clinic today.

However, just as he thought about it, Du Yanjun called, saying that there was an emergency dislocated patient in the ward and asked Zhou Cheng to deal with it.

Zhou Cheng explained to Luo Yun apologetically that although Luo Yun was quite reluctant, Zhou Cheng was still on duty anyway, so he couldn't be left behind.

Pretending to be B and then leaving, it's simply hateful...

Chapter 139 Damn, He Pretends Again!

"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.