medical simulator
Page 538
"Hello, where are you feeling uncomfortable?" Zi Yi stepped forward to ask.
The middle-aged strong man turned around first, closed the door, then lowered his voice, ignored the purple clothes, but asked Zhou Cheng, saying, "Doctor Zhou, actually, it's not me, but my father who is going to see a doctor today."
"But my father is really handicapped, so I want to ask about the situation first." The middle-aged man's eyes flickered, and his tone of voice was a bit hesitant.
Ziyi hurriedly said: "This outpatient clinic requires the presence of the patient to assess the condition intuitively. If you just sue on your behalf, there are many details that we can't control."
"You'd better bring your father over to have a look."
The middle-aged man still didn't return to the purple clothes, but asked in a trembling voice: "Doctor Zhou, I just want to ask, is the pain from bone cancer difficult to sleep at night, the pain is unbearable, and you want to commit suicide right away?"
Zhou Cheng and Ziyi were startled when they heard the words.
"Don't worry, just talk slowly, what's going on? What bone cancer? Who is bone cancer?" Zhou Cheng glanced at the middle-aged man, thinking about it.
Although this man faltered, he walked swiftly, he didn't look like a person with bone disease, could it be his father?
"It's osteosarcoma."
"After the operation, it recurred. Doctor Zhou, is there any cure for this situation?" His eyes were burning, filled with bloodshot eyes, and he didn't tell Zhou Cheng who it was.
Zhou Cheng thought for a while and replied: "This depends on the specific location. For now, bone tumors are not incurable. Even if there is a recurrence, it depends on whether there is metastasis, and then the location of the recurrence and the relationship with the local anatomy. .”
"It's just the word osteosarcoma. It's hard to say. Is there a film?"
"Yes!" The middle-aged man hurriedly handed over the information bag for the inspection to Zhou Cheng.
After Zhou Cheng took it, after tidying it up, he looked up and raised his head slightly: "Are you two people? The other one is a child's film?"
When the middle-aged man heard the words, he immediately approached, and then his face changed for a while.Finally, he said: "Doctor Zhou, I mainly watch my father's films, the children's films are my cubs, I guess I forgot to classify them."
Zhou Cheng didn't listen to the middle-aged man's words, but after carefully reading the film, he found that the child's X-ray had obvious features of bone tumors.
Then, Zhou Cheng looked at other films, including MRI, CT, and X-rays of various time periods.
The above signs are also osteosarcoma!
Zhou Cheng frowned fiercely!
Looking at the date of the child's plain film, it was six years ago, while the old man's examination results were from seven years ago to the previous two years, but the latest one did not appear.
Is this bone tumor getting together and looking for someone?
The old man and the child have the same surname.
Zhou Cheng asked tentatively: "Do you still have the plain film of this child?"
"Yes, but it's unnecessary. He left three years ago." The middle-aged man's voice was a little hoarse, but soon, the middle-aged man controlled his emotions.
"Doctor Zhou, don't worry about the children. Look at the results of my father's examination. Is there any cure for this?"
He knew very well that it was past tense to talk about the child's illness now, and he had another child, so he couldn't always live in the past.
"This question is more complicated. If you really want to consult, I hope you can bring your father here. Let's discuss a better plan together, which is more appropriate."
"The last examination here was taken a year ago. With such a result, there is still hope. The old man is only 72 now, so he is not particularly old."
"but?"
When Zhou Cheng said this, the middle-aged man nodded with a smile and said, "Thank you, Doctor Zhou, I will bring my old man to the hospital to show you later. I see, thank you, thank you!"
After he heard what Zhou Cheng said, he seemed to be hopeful immediately.
Hearing this, Zhou Cheng frowned again. Was what he said just now a little too optimistic, so what kind of misunderstanding did the middle-aged man cause?
But looking back at what I said, I just said something hopeful, why did this make this person so happy?
Zhou Cheng was a little bit confused.
But the middle-aged man has already left.
There is no chance to entangle, and the next patient comes to the outpatient clinic again. This is a common disease, and he comes for reexamination after fracture surgery to see if the steel plate can be removed and when it is suitable.
After Zhou Cheng inquired about it, he found out that it was only over a month after the operation.It takes at least a year to get the steel plate.
What number is this?
But Zhou Cheng still patiently dismissed...
In the outpatient clinic, there are very few patients except for bone tumors, and there are several other subspecialties. On the contrary, there are very few patients in pure trauma surgery, and most of them have passed the emergency department and arrived at the hospital.
However, Zhou Cheng still saw two patients who came here especially for their reputation. One had a deformed thumb. He asked Zhou Cheng if he could find a way to correct it, and Zhou Cheng asked him to go to the hospital first.
There is another one with severe muscle atrophy after surgery. When he came to see a doctor, Zhou Cheng also took him to the hospital. This kind of patient with severe muscle atrophy is very suitable for muscle reconstruction and transposition depending on the situation. The patient's own economic Their strength is not bad, and they may be ignored elsewhere, but Zhou Cheng decided to give them a chance!
This is also a rare disease. Although the significance of surgery is not significant in terms of curing diseases and saving lives, it is not the same for improving the quality of life of individuals.
Then, soon came the last patient.
As if nothing could be done, Xu Kairan came again, signed up, came in in a proper manner, and made the same appeal as before. After the fracture, his hand hurt, and he asked Zhou Cheng if there was any better way.
So what can Zhou Cheng do?
I just met yesterday, and Zhou Cheng didn't dare to go too far with Xu Kairan, and he couldn't just put him on the blacklist, because blacklists are not allowed in the hospital.
Fortunately, today, Xu Kairan didn't make trouble.
It was just when I was 'chatting' with Zhou Cheng, the middle-aged man with a lot of films who saw the outpatient clinic in the morning appeared again. He walked in, saw Xu Kairan, and immediately showed a disgusted expression.
Xu Kairan had an indifferent expression.
Zhou Chengcheng told Xu Kairan euphemistically that this is the patient he received in the morning, but Xu Kairan said generously, "Doctor Zhou, show him first, I have an old problem."
"Where's your father?" Zhou Cheng looked behind the patient.
The middle-aged man said: "Doctor Zhou, I came here to explain a situation to you, that is, my father is not coming to see him, so you don't have to wait for me."
"Thank you, Doctor Zhou." After speaking, the middle-aged man turned around and left inexplicably.
Zhou Cheng wanted to catch up, but Xu Kairan stopped him: "Doctor Zhou, stop shouting, I know this man, his name is Chan."
"He had a son named Jin Yu'er, and an old father named Jin Suo."
"About five years ago, his father and son were both hospitalized in the Orthopedics Department of Changshi First Hospital at the same time, and both were diagnosed with bone tumors. Later, they were transferred to the Affiliated Hospital of Shonan University, where they both underwent surgery."
"But in the third year after the operation, the old man was fine, and the child left without knowing why. Then, he took his father to see a doctor everywhere, but you also know that tumors are too difficult to deal with."
"When I often visit the outpatient clinic, he also visits the outpatient clinic, so I have met many times. This time, he also asked about his father's illness, right?"
Zhou Cheng turned around: "You two went to the outpatient clinic together, are you familiar with it?"
Xu Kairan is very self-aware: "Such a person, don't dare to be familiar with someone like me. I know him, but he doesn't know me, so he doesn't want to deal with me."
Zhou Cheng thought for a while and said, "Ziyi, go and check the phone number of his clinic number, and ask him what's going on."
Then, Zhou Chengcai said to Xu Kairan: "Xu Kairan, I really can't solve your situation. You should hire Gao Ming. I really can't do anything. You always come to my clinic. What do you want to do?"
Xu Kairan said with a smile: "I want to chat with you, Dr. Zhou, and be friends with you. I think it's very happy to just chat with you."
"Aren't you going to work?" Zhou Cheng asked.
"My hand hurts, where can I get to work?"
Xu Kairan used such rhetoric again, and seeing Zhou Cheng's displeasure, he said: "Well, I actually have a small business, but I haven't visited it for a long time, and I have been operating normally, so I am relatively free."
"Doctor Zhou."
Before Xu Kairan could finish speaking, Zi Yi came in again, his expression slightly changed.
Xu Kairan was interrupted: "Doctor Zhou, the gold bill just now, he said on the phone that his father left today."
Zhou Cheng opened his mouth slightly, not knowing how to speak.
Xu Kairan took it casually and said, "The old man has two children, one with a gold single and one with a gold double."
"Jin Dan doesn't sound good, so I changed the pronunciation of his name. Around the year before last, his younger brother seemed to be looking for someone to inquire about the situation of euthanasia."
"I've heard that when a bone tumor breaks out, the pain is unbearable in the late stage, tossing and turning, and unable to sleep. Every day is a painful torment."
Zhou Cheng glanced at Xu Kairan: "Xu Kairan, don't you also suffer from the same pain? Why don't you go to the higher-level hospital to check?"
Xu Kairan smiled, and said: "I understand the situation myself, if it's really that thing, there's nothing I can do about it."
"Life and death are determined by fate and wealth."
Zhou Cheng was silent when he heard the words, Xu Kairan could think about it.
It's just that Xu Kairan's pain was probably faked, so he wasn't worried. Moreover, how could this Xu Kairan know so much about the situation in Jin Dan's family: "How do you remember other people's affairs so clearly?"
Xu Kairan pointed to his own head: "I'm not good at reading, but in business, I have to memorize a little bit more, so I want to gossip about people and things I meet, maybe I can realize some business opportunities."
"Doctor Zhou, you and I are also curious. If you are willing to give me some advice, I can make a lot of money." Xu Kairan suddenly pointed.
Hearing this, Zhou Cheng waved to Ziyi and said, "Ziyi, get off work first, I'll be off work soon too."
Ziyi didn't want to stay with Xu Kairan, a rascal, so he said, "Doctor Zhou, be careful."
After Ziyi left, Zhou Cheng was silent for a while, and asked: "Xu Kairan, you are not short of money and have no job, why do you go around asking for leave?"
Xu Kairan's face turned cold: "Doctor Zhou, I'm not short of money, but this source of income can cause a lot of economic losses to the other party. I should take it, why don't I? I still plan to keep going until he receives No, break down."
"The driver, what kind of grievances do you have with you? You can't get used to him so much?" Zhou Cheng almost understood that this Xu Kairan just had nothing to do and was too idle.
"The driver's wife is a nurse in Changshi No. [-] Hospital. Specifically, please don't ask Dr. Zhou. It's not good for you. Hehe." Xu Kairan smiled, revealing rhubarb Tooth, the whole person is very evil.
"Then I'll get off work first. In your case, you can go to Kyoto or Shanghai to have a look. There are very good experts and professors there." Zhou Cheng began to clean up the table and turned off the computer.
Xu Kairan said, "What's the use of going there?"
"Aren't they also unable to cure my illness? Doctor Zhou, let me tell you, how about I take you back and we can talk while walking?" Xu Kairan followed suit and stood up.
Zhou Cheng immediately refused: "No, thank you."
"Then I will take the initiative to send you back, Doctor Zhou, just give me face. I have checked and you are from the highest health committee, so I have something to say to you." Xu Kairan Stalking, what face, it's not a thing for him at all.
Zhou Cheng paused, hesitated for a moment, and said, "Xu Kairan, what does what you said have anything to do with me? Can you and I discuss this kind of matter?"
"Others may be able to, but I think you are different, Dr. Zhou." Xu Kairan was very sure.
Zhou Cheng walked out and closed the door.
Xu Kairan followed Zhou Cheng, and there was a security guard at the door. After discovering this, he realized that Zhou Cheng was an unusual person, so he quickly stood up and followed.
"What's the matter with you?"
"Doctor Zhou, is he pestering you again?" The security guard was ordered to protect Zhou Cheng's safety in the hospital.
Xu Kairan said: "I'm looking for Dr. Zhou to discuss the condition."
Zhou Cheng looked at the security guard, then at Xu Kairan, sighed and said, "Let's find a quiet place."
If Xu Kairan came to talk to him about his illness, he could keep pestering him. If Xu Kairan was not allowed to finish speaking, he would have to keep looking for him, but Zhou Cheng really didn't know why Xu Kairan kept staring at him.
After hesitating for a while, Zhou Cheng asked Xu Kairan, "Security Section, do you want to go?"
"Go!" Xu Kairan seemed to be upright, not afraid.
Then, the two went straight to the security department.
When the security department saw Zhou Cheng and Xu Kairan coming, they immediately became nervous, but after Zhou Cheng and one of them said a few words, their guarded eyes relaxed a little, and then they took the initiative to give the two of them an empty room, so that the two Go in and talk personally.
After Zhou Cheng entered, he turned off the recording function and kept the video recording function.
"Now you can tell, what is your purpose in looking for me?" Zhou Cheng asked.
This place is under the surveillance of the security department, under the watchful eyes of everyone, he doesn't believe there is any danger, people from outside can come in at any time.Moreover, what Xu Kairan said is not suitable for outsiders to listen to.
Xu Kairan said: "Doctor Zhou, if I'm not wrong, the reason why you came to Changshi must be for the purpose of research, so I want to expose some abnormalities with you."
"We ordinary people are miserable." Xu Kairan said.
You are suffering your sister, you are almost becoming a judge of other people's crimes, are you still suffering?
Xu Kairan went on to say: "Doctor Zhou, have you noticed that, in fact, in every place, in fact, the top medical resources are not available to ordinary people. Either because of lack of money, or because of lack of power."
"It looks tall, but in fact, it is an internal hospital for some people."
"In other words, it is professional medical care for some people."
"People who have no money dare not go. People who have money may not be able to enjoy it. But some people can easily get in touch."
"Why do you think I stopped you that time, except that I, really, had a feud with that so-and-so, I just can't understand them having something to do, so they redeployed resources!~"
"It's the same from the beginning of the accident scene, to the transfer hospital, and the whole line. Why? Why?"
"Why is that Dr. Yang, who is obviously from the No. [-] Hospital of Changshi, coming to the Hospital of Traditional Chinese Medicine for surgery? Why, you are obviously on vacation, but you were called the first time to ask you to come for consultation surgery?"
"Why, a few days ago, during the emergency consultation in your hospital, no one thought of calling Dr. Zhou and asking you to save his life?"
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