medical simulator

But in fact, the child's pain has not been relieved...

And if the child is not caused by fibrous dysplasia, but other diseases, after a delay, he will not know what will happen next time he comes to the hospital.

The woman hung up the phone after listening to her husband yelling at her, and asked Luo Yun with a slightly weird expression:

"Doctor Luo, my child is injured, so is it because the bone fiber structure is bad?"

"Actually, is it still dislocated?"

Luo Yun's expression flickered, and the corner of his mouth twitched for a while, before replying: "That's not the case, the bone fibrous structure is poor, and the current diagnosis is the truth!"

"The current diagnosis has nothing to do with whether there is a history of trauma."

"However, the reason why your child has painful symptoms may be because there are structural problems here, and then he was pinched, so there are micro fractures that cannot be shown on the X-ray."

"That's why it hurts, so you guys have to be more careful in the future!"

The woman was visibly disappointed.

She didn't quite understand why Luo Yun said that having a history of trauma was another diagnosis, but now it's not the same diagnosis, and she went around and around, making her a little dizzy.

But he still nodded, looked at his daughter, and sniffed helplessly.

"Thank you, Dr. Luo, from now on, I still have to come to your place for reexamination, right?" Qiqi's mother asked politely.

"Well, it's best to review it once a year to see how it changes. Don't be too diligent." Luo Yun said hurriedly.

Then the woman walked out with her baby in her arms.

Looking at the woman's back, Zhou Cheng and Luo Yun looked at each other again.

They all saw a more dignified look in their eyes.

this thing today.

It can be regarded as a mistake.

Wrong in the wrong.

And then it's fucking wrong.

But this also shows that clinical diseases are mostly unpredictable. If the thinking remains unchanged, sooner or later it will suffer.

At this moment, Luo Yun dare not say that he really understands joint surgery.

Is this joint surgery?

Strictly speaking, it is not counted, but it occurs near the joints, and it is so rare, so hidden, and if you don't pay attention, it is very likely to be Waterloo.

But, no matter how solemn you are in your heart!

It was only under Zhou Cheng's prudence that this patient was able to walk the most erratic and correct path.

This is also the first time that Luo Yun has a different view on Zhou Cheng's stability...

Still have to be steady, okay?

Am I being taught a lesson?

……

But no matter what, the time of the outpatient clinic is still very tight, so after Qiqi's mother took people out, Luo Yun immediately called in new outpatients.

Today's [-] numbers have already been hung up, so you must read them.

However, Luo Yun suddenly stood up and said to Zhou Cheng, "Xiao Zhou, why don't you try to see one?"

"Shall I take a break?"

Luo Yun decided to change his strategy. This morning, he was the one who took the initiative to attack, so he couldn't find Zhou Cheng's weakness and deal him a heavy blow.And what he said did not surprise Zhou Cheng!

It seems that what I say is very common.This made Luo Yun very unfulfilling.

So Luo Yun made preparations, turned the initiative into a passivity, and asked Zhou Cheng to go up. He knew that he was in the dark, and waited for the opportunity to deal a heavy blow!

In case Zhou Cheng made mistakes during the consultation process, he corrected them himself, wouldn't that be clear?

Zhou Cheng didn't know what Luo Yun was thinking, and his face brightened slightly: "Mr. Luo, can I?"

In fact, there is quite a bit of expectation.

The skills I picked up last night can be useful, so how much gratitude can I get today?

A new copy is just around the corner.

"If you tell you to watch it, you can just watch it. Where is there so much nonsense?" Luo Yun is a bit displeased with Zhou Cheng's character like a turtle with a shrunken head. what?

So Zhou Cheng sat in Luo Yun's position, with the mask covering his mouth and nose, and by the way, he flipped over his own badge, and Luo Yun also flipped over his badge.

Zhang Zhengquan was responsible for bringing the patient in, and when he saw Zhou Cheng sitting and Luo Yun standing up, his eyes widened.

Brother Zhou Cheng, what a big shelf ah?

Are you about to start your consultation?

Maybe it was my appearance that disrupted Luo Yun and Zhou Cheng's arrangements, otherwise, Zhou Cheng might have started to see the doctor right away?

Possibly yes.

Zhang Zhengquan brought in two young girls at the moment. They were only about 20 years old. Their short hair looked quite capable. Although their skin was slightly tanned, it could still be seen that their outlines were quite good. They were two Beautiful girls.

The two of them seemed to be cheerful people. After entering, they restrained their white shirts.After one of the girls sat obediently, she politely said to Zhou Cheng, "Hello, doctor."

With Zhou Cheng sitting and the other two standing, she naturally felt that Zhou Cheng was the oldest doctor.

His eyes were fixed on Zhou Cheng, but after a while, his eyes seemed to light up.

Her companion is also a girl of the same age, and should be a classmate.At this moment, he suddenly became quite cautious, as if his face was still a little red.

A man's instinct is to like to look at beautiful women, and he also likes to look at girls.

Women are actually the same, they like and appreciate handsome di.

The two are on good terms, both wearing jeans and a white shirt.It is not very cold in Shashi in November. They show their delicate arms and forearms. They are tall and slender with long necks, but they are slightly green and immature.

After seeing that Zhou grew up to be a little handsome, he began to feel ashamed.

"What's wrong with you?" Zhou Cheng asked.

"Ah! Oh!"

"This knee of mine has been very painful recently. It has been in pain for quite a long time, but in the last few days, the pain has gotten worse." The girl who sat down heard Zhou Cheng ask her, and then she wanted to understand.I came to see a doctor.

So he quickly pointed to his left knee, and said to Zhou Cheng, his voice was very thin, and he was a little embarrassed.

Zhou Cheng then asked pointedly: "Have you ever been injured? What have you done recently? What do you do?"

It is still the same sentence, the diagnosis of fracture is defined first, that is the patient in the ward.

First define, then locate, then finalize, finally classify or type, and finally talk about treatment!

However, outpatients need to slightly adjust their way of thinking about consultation.

First locate, then define, and then proceed to stereotype, classify, and then treat.

Zhou Cheng also vaguely had a directional guess in his heart. It might be a meniscus injury, and he should have a history of trauma.

But in view of Qiqi's reasons before, Zhou Cheng decided to ask more detailed questions.

"When I was training some time ago, I had a little pain, but it was not serious, but it became more and more painful later, and it is even more painful now." When the girl mentioned her illness, she frowned tightly.

"Are you a student? What kind of training are you training?" Zhou Cheng continued to ask.

"Yeah." The girl nodded: "I'm a student of UCAS. I'm a freshman this year and I've trained a lot."

"It's the regular training in the school." She may not be able to express it well, or it may be inconvenient to disclose it, but after she finished speaking, she suddenly asked nervously, "Doctor, am I serious?"

"I can't participate in the recent training. I still asked for leave today, and I may have to go back later."

Students of UCAS?

This is a heroine.

No wonder the hair was cut short, if it was a little longer, it should look better, and the dark skin can also be understood.

Zhou Cheng looked at Luo Yun, and found that Luo Yun had no intention of speaking, so he asked Zhang Zhengquan: "Quanzi, will you do a meniscus examination?"

In fact, there are still many things that can be consulted, but the outpatient clinic is not a ward, so it should not be too detailed to waste time.

Although Zhang Zhengquan saw that the two girls looked good, he knew that Zhou Cheng's question was to ask him to have a physical examination, but Zhou Cheng's words made him a bit incompetent.

He smiled and touched his head.

"You go for a physical examination, mainly to check the meniscus and the fork." Luo Yun instructed Zhou Cheng, lest Zhou Cheng continue to waste time.

"I'll give you a physical examination. You lie flat on the bed with your feet facing the door." Zhou Cheng quickly stood up and pointed to the examination bed next to him.

While ordering, she drew the curtain again, and then shouted to her companion: "You also come in together, and stand beside her head."

Hearing this, Luo Yun couldn't help feeling inwardly, this dude is really too steady.

Humanistic care is taken to the extreme.

Of course, this is a good thing.

Otherwise, check alone with the young girl, if she goes to sue you for molestation, no one will testify.

You can't even tell.Either have family members or nurses to accompany them, so as to avoid some accidents to the greatest extent.

When the two girls walked that way, they looked at Luo Yun unexpectedly, because Luo Yun was the one who ordered Zhou Cheng to do things just now, so this handsome guy, isn't he a silver spear and wax head? Looks good but not useful?

However, they didn't understand either, so they asked Zhou Cheng to do a detailed physical examination.

After some inspection.

Zhou Cheng walked out first, washed his hands and disinfected them again.

After the girl sat down, she wrote in her medical record and said: "Your medial Maxwell's sign (+), medial knee joint tenderness. Lateral stress test (-), front and rear drawer test (-)."

"In this case, you may need to have an MRI scan."

Physical examination is only an indication, and auxiliary examinations are needed for diagnosis, that is, X-ray and MRI.

X-rays are mainly to look at the bone and joint space, and rule out fractures or avulsion fractures, osteophytes, etc.

The Mai's sign directionally corresponds to the meniscus, which can only be seen by MRI.

MRI can see soft tissue damage!

Zhang Zhengquan immediately began to write the NMR checklist.

However, these words immediately made the girl's eyes turn red, and the classmates behind her were also extremely nervous...

"Why are you crying?" Zhou Cheng quickly stopped writing and raised his head to ask.

But the girl seemed to know the situation, and said anxiously: "Doctor, is my situation so serious that I won't be able to train in the future?"

"If I fail to graduate in the end, I will be expelled from school."

She was full of fear, but fortunately her classmates were comforting her in a low voice!

Well, Zhou Cheng didn't fully consider this crop at first.

The National University of Science and Technology is not far from the Eighth Hospital, it should be said to be very close.

But Zhou Cheng had never been to such a school, so he didn't know the rules in UCAS.

Zhou Chengcheng hurriedly explained: "Okay, don't cry. It's nothing wrong. Whether you can train or not will not be known until after the examination. The physical examination I am doing now is just a directional diagnosis, and it is not necessary to know whether you can train or not. Not the end result."

The girl's sobbing stopped.

He looked at Zhou Cheng eagerly, with such innocent eyes.Gritting his teeth, he asked weakly, "doctor, what should I do?"

Zhou Cheng continued: "Do an examination first. Make a clear diagnosis! Then I can tell you what to do based on the diagnosis. Otherwise, let me guess one, and then what if it's not what I said?"

"Then you are not at a loss?"

"You go to make an appointment for an MRI first, and then rest until the MRI is done and come to me for a follow-up visit. Then we can think of a way together, okay?"

The girl asked nervously again: "Can the MRI be done today? I've been on leave for a while, and I have to go back to training later."

It is not easy to enter a university, and it is even more difficult to get into the National University of Science and Technology. It is not only good grades that can enter.

She couldn't even imagine what would happen to her if she was expelled from school or unable to graduate because of poor health.

Hearing this, Zhou Cheng wrote a st on the girl's checklist: "Take this to the MRI room for an examination, and you can say that you are an emergency examination. After you finish the test, you don't need to wait for the results, just come up and we will make a decision based on the situation." What should I do next!"

"No matter what the training is, the body is the first. If you don't have enough leave, just extend it a little bit. This is the best way I can think of."