In came a young man, twenty-seven or eighteen, wearing a pair of glasses.

Walking is very neat.

Carrying a small document bag in his hand.

There was only one person, and I didn't see any family members accompanying him, nor did he accompany the old man.

Just looking at the gait, there is nothing wrong with it.

Seeing the visitor, Lin You's brows furrowed slightly.

Still politely asked, "Hello, where are you uncomfortable?"

The young man replied, "Hello doctor, it's like this, it's not me who sees the doctor, it's my mother, I've come here to buy two medicines, you see if you have anything here." ”

As he spoke, he pulled out a slip that resembled a doctor's order from his file bag.

It reads:

Sodium hyaluronate, intra-articular injection, once every two weeks.

Hydrocortisone 20 mg every morning and 10 mg every evening.

Seeing these two drugs, Lu Cheng's heart hung slightly.

Before Lu Cheng could speak, Lin You really asked, "What do you want these two drugs for? Is your mother using them? How long have you been using them?"

The young man's expression immediately frowned, and he looked at Lin You quite nervously: "Doctor, what do you want to ask? I'm not here to see a doctor today, I'm just here to prescribe medicine." ”

"I looked it up online and both of these drugs can treat arthritis. And after my mother used it, her legs and feet were really sharp. ”

"I also checked the literature on CNKI. ”

Okay.

Nowadays, people no longer see a doctor in Baidu, and directly see a doctor on the knowledge network.

Lu Cheng tugged hard in his heart.

However, he didn't deal with the experience like this, just looked at Lin You.

"Well, you're right. Sodium hyaluronate can indeed prevent the progression of arthritis in the early stage of osteoarthritis. ”

"Hydrocortisone, in the early clinical practice, has also been used for a period of time, not only on the knowledge network, but also on the pubmed. ”

"Let me ask you, do you know the side effects of this drug?" replied Lin You, who seemed to be very experienced.

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

"Why are you asking so much? My mother has a lot of legs and feet now, you can just prescribe me a few boxes, you are doctors, don't you usually just gossip?" he said in a tone of reproach, and looked at the time on his watch.

Lin You glanced at the medical card, and then pushed it back.

Shaking his head, he said, "I'm sorry, I can't prescribe these two drugs to you." ”

"Why?" the young man's voice suddenly increased a little, as if he was on the verge of anger at any moment.

Lin You is also not stage frightened: "First of all, I didn't see the patient, there was no physical examination, no auxiliary examination results, and casually prescribing medicine can be punished as a crime." This is one of them. ”

"Second, the drugs on your prescription are all prescription drugs, and with my experience in medication, I have not been able to use these two drugs for many years. I have the right to refuse to be prescribed two medications. ”

"Third, as a doctor, although you are not a patient yourself, I still have an obligation to tell you that if you can do without these two drugs, try not to use them again. ”

The young man immediately became angry: "I don't use this drug, and I don't prescribe that drug." ”

"Then when I brought my mother to see the doctor, you cured her with medicine?"

"As soon as I came, I said I wanted surgery. Have you ever considered my mother, she didn't want surgery at all?"

"Can't you open it?"

"As a doctor, you are not qualified to refuse to prescribe medicine for me, otherwise I can report you. ”

Speaking of this, the anger is rising.

Lin You was still not afraid, and said, "You put away your phone first." Recording is not allowed in the consultation room. ”

Then Lin You also took out his mobile phone and put it on the table: "If you want to record, then we will record together." Lest you edit and cut or something. ”

"I tell you again, I won't prescribe these two drugs to you, because in my experience, they are not very suitable for the symptoms of arthritis. ”

"Second, I don't see patients, and I don't prescribe medicine. ”

"With these two premises, I don't care where you report me. ”

After speaking, Lin You himself also turned off the recording.

Unhurriedly, he said, "Do you have anything else next?"

The young man couldn't help but be slightly stunned when he saw Lin You doing this, he gritted his teeth again and asked, "Are you sure you don't prescribe medicine for me?"

"Yes. It's not that I don't open it, it's that I can't open it. Lin You said with certainty.

The young man grabbed the list and left, and looked at Lin You a few times with hatred.

After he left, Lin You sighed slightly, as if he was a little tired, but immediately calmed down and looked at Lu Cheng: "The outpatient clinic is not simple, right?"

"Hmm. Lu Cheng nodded.

"Do you know why I didn't prescribe medicine to him?" Lin You asked again.

Lu Cheng replied: "First, the patient is not there, he can't write a physical examination, and there are no auxiliary examination results. There is no basis for a prescription. ”

"Second, hydrocordesone is a hormone drug, and the side effects on people are too great. It cannot be prescribed unless there are exceptional circumstances and there are strictly indications for its use. ”

After Lu Cheng finished replying, he took the initiative to ask, "Master, usually, are there many people like this in the outpatient clinic?"

Nowadays, the basic knowledge level of people is up, but with the increasing popularity of the information age, Baidu patients and CNKI patients have appeared, and it will take a few years for SCI patients to appear.

If those things can cure diseases, the world only needs the existence of pharmacies, and the world will be safe, what clinics are needed, what hospitals are needed?

"It's okay, not much, I can meet one or two a month. ”

"When you encounter this kind of thing, don't panic, you just follow the principles. If you don't see the patient, you don't have enough medical records to support it, and you should not prescribe any kind of medication. ”

"Otherwise, you might be in the newspaper tomorrow. ”

"Just now, that person has made such sufficient preparations, and he is so sincere, but it is not necessarily for his family. ”

"Normally, as family members, we talk to this point and remain indifferent, either because we have a special hatred for doctors, or we are looking for news. That's why I took the initiative to record my words. ”

……

The third patient was a young girl, sixteen or seventeen years old, with a flowery face and a smile on her face.

Her companion is also a girl of the same age, and it should be a classmate or something.

"What's wrong with you?" asked Lin You, in a formatted manner.

"My knee has been hurting lately. In the past few days, the pain has been even worse. The girl's brow furrowed slightly.

"Have you ever been injured, what have you done lately, what have you done?" Lin You continued to ask.

Lu Cheng also had a sense of direction in his heart, it may be a meniscus injury, and there should be a history of trauma.

"It's just that when I was practicing some time ago, I suddenly got a pain, and now it's even more painful. I'm a dancer, and I've been training intensively lately. I still have two months to go to art school. After the girl finished speaking, she suddenly asked nervously, "Doctor, is this serious?"

"I'm going to take the college entrance examination next year, will it affect my exam?"

Lin You didn't reply, just two sentences, he is not a miracle doctor, how can he be sure what the girl's diagnosis is, there is only a directional diagnosis.

"Xiaocheng, you go to do a personal examination, mainly to check the meniscus and fork. Lin You wrote the medical records and shouted.

Lu Cheng stood up and also stopped writing the pen for inspection.

"Lying on the bed with your feet facing the door. Lu Cheng commanded, and then closed the curtain again, and then shouted to her companion: "You also come in, just stand on the side of her head." ”

When Lin You heard this, he suddenly glanced at Lu Cheng for no reason.

To be able to have such a strong vigilance in such a short period of time, this Lu Cheng is not simply a nerd, it seems that he has a lot of attention to details.

After some checking.

Lu Cheng reported: "Medial McT's sign (+), medial knee tenderness. Lateral stress test (-), front and rear drawer test (-). An MRI and anterolateral view of the right knee may be required. ”

The physical examination is only an indication, and the diagnosis needs to be confirmed, which is also called an X-ray and MRI.

X-rays are mainly to look at bones and joint spaces to rule out fractures, avulsion fractures, osteophytes, etc.

MRI determines whether there is a soft tissue injury, the specific location and indexing of the injury.

"Okay, you can open one. Lin You commanded.

But as soon as Lin You and Lu Cheng's words were finished, the girl immediately began to cry......