medical simulator

"I don't want it, mom, I don't want it, I'm afraid." Qiqi immediately shook her head like a rattle.

She was afraid of being with these white coats.

Luo Yun said: "You can just call here. Let's listen together, and we can ask more clearly."

"Didn't you stay with your daughter all the time?" Luo Yun preconceived that the mother and daughter would stay together all the time.

The woman called the phone again, asking the same teacher and the same question.

Luo Yun probably understood what was going on.

The woman said: "Teacher Wu, I'm sorry to bother you again. The doctor here, and the attending doctor, also came to ask if Qiqi was pulled by someone at school!"

"How did she get hurt? Can you tell the doctors in detail?"

Teacher Wu on the opposite side snorted very displeased when he heard this.

Then she opened her mouth and said in a long voice, "I've said it several times, she just started crying when she was playing with the children. Why don't you believe me?"

"Then how do you want me to ask? Do you think your daughter was injured by a classmate? But I asked all the classmates in the class, and there was no conflict with Qiqi."

"Mother Qiqi, I told you to go to a bigger hospital and take a good look, you won't believe it."

"Then what do you want me to say? I can't just say that your daughter was beaten out of nothing, right? If she was beaten, there must be scars on her body, right?"

"Qiqi, you didn't fight with anyone today, did you?" She then asked Qiqi.

Qiqi quickly said: "Teacher, I didn't fight, I'm very good!"

This time, the woman also looked at Luo Yun in embarrassment.

Luo Yun looked into the phone from a distance, and said, "I probably understand what it means. That is to say, the child is at school, just playing with the children, and then suddenly it hurts, right?"

"Then who is the person playing with her? What are they playing? Are the parents of other children present?"

"Her current pain symptoms don't seem to come from playing with children."

"Children don't have such great strength!"

"Teacher, if you insist on explaining the situation clearly, I would suggest this lady to call the police directly, saying that someone abused her child?"

Luo Yun is very clear that the diagnosis of radial head subluxation requires relatively large external violent intervention.

This kind of inducement itself is very normal and very common, but such an inducement is needed to confirm the diagnosis. If it is kept hidden like this, if the child is suffering, it will be difficult for them to make a diagnosis.

Clinical medicine itself is rigorous and logical thinking with its own existence.

And you can also deduce some of the following things, which haven't been explained yet, but if the face is torn apart, it will be ugly for everyone.

After Luo Yun said this, Teacher Wu's voice on the opposite side immediately became louder:

"What's the matter with you doctor?"

"Do you have evidence? How are you talking nonsense? What abuse? Who are you saying abused?"

"Who are you suspecting?"

"Are you a police officer or a doctor?"

Luo Yun answered honestly: "I'm a doctor. I'm only in charge of seeing patients, not in suspicion and investigation, and I'm not even in charge of finding evidence."

"but."

"I can't find the reason for the child's pain now. I asked the family member, and she also said that she was not there, but based on my experience, it is certain that children are very likely to have suffered external violence."

"But you also said that there is no such situation, so I can only suggest that they go to the Affiliated Hospital of Shonan University, and suggest that she should call the police."

"What does this have to do with whether I am a policeman or a doctor?"

Luo Yun has already confirmed the child's diagnosis in his heart, and suspects that the teacher is lying.

When Qiqi's mother heard this, she interrupted and asked, "Doctor? My child, really?"

"Do you really want to call the police?"

Luo Yun said: "If it is confirmed that there is an external force intervening, the matter is actually not serious. Just do a manual reset and go back to rest for a few weeks. But I haven't found the specific reason for this kind of thing. I can't explain it. .”

"So I don't rule out that your child may have suffered unknown threats or abuse. Now that the country attaches great importance to this matter, it must be reported to the police."

"Anyway, the child has such symptoms now. As for whether it is true, I don't know. I just infer it based on my experience. I believe the police will give us a final answer."

What Luo Yun was waiting for was the teacher's convincing words.

Had trauma.

There has been external intervention.

The person on the other side was silent for a while, and then he became angry and said, "You are a doctor, you are simply unreasonable, your level is not good enough, and you can't see the doctor correctly, so you start acting like a rascal, making excuses here and there."

"You take good care of the doctor and deal with the children's problems, isn't it all right? This is what you should do."

"Qiqi's mother. I really suggest that you change to another hospital. These eight hospitals are not up to standard. They don't understand it at all. It's not good."

"Don't waste any more time there, go to the Second County Hospital."

She directly mentioned Qiqi's mother confidently, but she obviously lacked confidence.

Luo Yun didn't say much, just said to Zhou Cheng: "Zhou Cheng, write down the emergency medical record of the child carefully. Write it clearly!"

Then he said to the woman: "Actually, I have a diagnosis in my heart, but there is no evidence to support my diagnosis, so I don't want to treat your child rashly."

Luo Yun has made it very clear.

When treating a disease, one should not only look at the surface of the problem. Your child may have been concealed from the trauma history. I have already reminded this level.

If the other party, as a parent, is unwilling to take care of such things, then Luo Yun will be fine. He is just a doctor, and it is enough to see the cure. As for the cause of the disease, just treat it as a muddle.

It's just that the reason why Zhou Cheng and Luo Yun struggled before was to avoid similar situations from happening again.

After all, if it happens for the first time, if you don't find out the reason, it is very likely that it will happen for the second time.

If one kindergarten does not work, you can change to another one.

But this kind of thing should not be directly involved by Luo Yun.

The woman looked troubled.Looking at Luo Yun, he asked, "Doctor, do you suspect that Teacher and the others are lying?"

"My Kiki? Is she really?"

"Isn't it possible?" I couldn't believe that my child might have met him.

Abuse, or the teacher knew about the situation but didn't say it.

Luo Yun didn't make it clear, just said: "The textbooks we study are the summary of the painstaking efforts of the older generations. It is also the experience that many, many children have personally experienced before."

"Would you rather believe that the teacher is lying, or would you like to believe that your child just encountered a one-in-a-million special case?"

"I'm still biased towards the diagnosis of radial head subluxation!"

Then Luo Yun changed the subject again: "Of course, if you don't want to reset the technique so recklessly, we can continue to investigate other aspects, and we can talk about it after an MRI."

The woman's expression changed immediately, and she said, "Doctor, it's not that I don't believe you. Rather, my husband is a policeman from the star area."

"The teachers in the kindergarten also know about this situation. I think they shouldn't lie to her, or take the initiative to abuse Qiqi!"

"This? Isn't it asking for trouble?"

"My daughter's current situation shouldn't be cancer, right?" This is what women are more concerned about.

Hearing what the woman said, Zhou Cheng, who was writing the medical records on the other side, froze immediately!

Looking at the little girl, her eyes moved slightly!

I rely on?

Really?No history of trauma!

If what this woman said is true, and her husband, that is, Qiqi's father, is a policeman here, then it is extremely unlikely that the kindergarten teacher will deliberately deceive the medical history.Of course, the possibility of harming her will be smaller.

To be honest, who would want to abuse a police officer's child?

Isn't this a lantern in the toilet?

In this way, the situation that I suspected, the situation that Zhou Cheng didn't want to see the most, is true.

He looked up at Luo Yun.

Luo Yun's expression changed suddenly, and he said, "Your husband? He's a policeman, and the kindergarten teacher also knows about this?"

If this is true, then all previous inferences have to be overthrown again!

His own empirical diagnosis was wrong, Zhou Cheng said he couldn't understand it, this is normal.

The woman looked at Zhou Cheng and Luo Yun's expressions changed so much, she was also frightened: "Why don't I call my husband and ask him to ask about it."

As she spoke, the corners of the woman's eyes turned red.

Apparently an extreme reluctance to accept that his daughter was the most impossible thing.

Then, Zhou Cheng breathlessly asked: "Can I give your daughter another physical examination?"

Zhou Cheng obviously didn't want to admit this fact. He didn't personally conduct a physical examination on the patient. The physical examination was done by Du Yanjun, and Zhou Cheng also believed that the physical examination done by Du Yanjun must be correct.

But I also feel that he may not have checked thoroughly.

So hopefully I can do something different.

The woman was extremely helpless at the moment, and nodded abruptly.

Zhou Chengcheng rubbed his hands together, then poked up with his fingertips.

The physical examination for joint dislocation is actually different from the physical examination for tumors.

What is tangled now is whether it is subluxation of the radial head. The subluxation has no visible deformity, and the plain film cannot be seen, but there is tenderness and limited movement.

If it is a tumor, you need to check the texture, base, mobility, edge, etc.

Zhou Cheng naturally followed the dislocation check first.

It was only discovered that, with the consent of the child's mother, and with the patience of Qiqi gritting her teeth and closing her eyes, when he palpated the upper segment of the patient's radius, that is, the position of the small head of the radius, Qiqi did not cry out in pain.

You know, children are not adults, if they have pain, they can't bear it!

Moreover, when Zhou Cheng touched her elbow, she flinched!

Activities are available!

This time, Zhou Cheng's heart suddenly became cold.

It's not a dislocation, isn't it, it's completely...

Pain with no apparent cause?

This made Zhou Cheng think of that bad thing, and then checked the elbow-behind triangle relationship that Du Yanjun checked, and it was indeed normal.

Immediately afterwards, Zhou Cheng touched the lateral condyle of Tan Qiqi's humerus again, just touching it, Qiqi immediately burst into tears in pain.

Half of the body is pumped!

Apparently it hit a sore spot.

"Mom, it hurts!" After closing her hand, she got into her mother's arms.

Although her mother loves her child very much at the moment, she also knows that now is not the time to feel distressed, and even today can determine the fate and length of Qiqi's life!

However, Zhou Cheng didn't touch anything that shouldn't be touched, but the child was in great pain, so he was not allowed to touch it.

Zhou Cheng hurriedly turned his head and said to Luo Yun, "Mr. Luo, just take an MRI."

At the same time, I was very fortunate in my heart. Fortunately, I did not empirically add a possible medical history to the patient subjectively-trauma history.

Otherwise, I really reset her and dismissed it.That would be really hard to end.

You know, even if it is a tumor, today's bone tumor is treatable. Early treatment is very likely to be benign and a normal life cycle can be obtained. What if it is misdiagnosed?

Zhou Cheng's back couldn't help but feel cold——

Quack doctors mistaken people.

Luo Yun nodded, asked Zhang Zhengquan to write the checklist, and told the patient's family members: "You take the checklist and go for the checkup right away, and after you're done, you don't need to wait for the results, just go back here, and I'll read the pictures."

"Thank you, Dr. Luo." The woman worriedly took the checklist, hugged her child, and walked out...

Luo Yun was not in a hurry to call the next patient.

He just looked at Zhou Cheng and said in a slightly complicated way:

"This patient is so inductively pointing to a simple subluxation of the radial head, why don't you reset her?"