Eleven fifty-five.

After confirming that there were no patients at the door again, Lu Cheng and Lin You packed up their white coats and left the consultation room.

On the way, Lin You asked Lu Cheng: "Xiaocheng, what books have you been reading recently?"

"Campbell, I can't afford it, it's just an electronic version to watch. Mainly look at the joint chapter. Lu Cheng couldn't tell what Lin You meant, so he replied truthfully.

Campbell's full set really can't afford it, a full set, just pirated, all of them start with 2 words, more than four digits.

"Well, Campbell's entry into orthopedics is okay. ”

"Remember to spend more time on common diseases, and to experience carefully, every sentence above, it is best to find the cause, and try to investigate if you can't find it. It's okay to look at it slowly, it's more beneficial for you to be more detailed. ”

"Don't be blind when researching the literature, you must pay attention to screening the points of view, otherwise it is easy to be swayed by many articles and not know what to do. ”

"Your current skills are not enough, and you really don't need to dig into it if you don't understand, just ask questions if you have them, I, Brother Queguang, and Professor Min are all resources that you can ask about now, don't keep them and don't use them. ”

Lin You suddenly smiled again: "Especially Professor Min, he is not afraid of you asking questions, but likes you to ask questions." ”

"Because he himself thinks that there are a lot of problems, and if you can't even ask questions, then you must not have studied hard. Don't do it behind closed doors. ”

"Well, I see, Master. Lu Cheng nodded.

Of course he had questions, and there were a lot of them, but they hadn't been organized into a system yet, so as not to ask questions that could have been found in a book, and let Professor Min answer some of the nonsense they felt.

It's certainly a good thing to ask questions, but it's stupid to ask questions about everything.

……

packed a rice bowl and returned to the dormitory, Lu Cheng took a nap.

The alarm clock hasn't gone off yet, and I haven't woken up yet.

Suddenly, the phone rang.

Look at the time is 1:15 minutes.

It was Lin You who called.

Lin You asked, "Xiaocheng, where are you now?"

"I'm in the dormitory, what's wrong Master?" Lu Cheng forcibly pinched himself to cheer himself up.

"Master received a temporary notice to go to an urgent meeting, and there is no way to stop today's outpatient clinic. ”

"You go over in the afternoon, you can look at the common things and deal with them, if you can't handle them accurately, remember to call the patient to come to the ward on Monday, don't be reckless. ”

"Be careful, don't make mistakes of principle. Lin You nagged like a parent.

When Lu Cheng heard this, his eyes widened.

I was suddenly nervous, from undergraduate to clinical, he only worked for a little more than half a month, barely twenty days.

I'm going to go to the clinic, can I do this Nima?

But since Lin You said so, he couldn't help but agree: "Okay master." I know. ”

"Well, your basic knowledge is relatively solid, so I can rest assured, otherwise I can only report to the medical department and forcibly stop today's outpatient clinic. ”

"But this weekend, the medical office is not working, and our orthopedic superiors have been called to an emergency meeting. Can't find someone to replace. ”

"Don't call me unless there's a special case. ”

"But if you encounter a very special situation, don't stop calling. Do you understand?" Lin You continued to nag, also admonishing.

"Also, this afternoon, there will be a Professor Xu in the orthopedic outpatient clinic to come to the outpatient clinic, if you have any questions, not particularly important, you can call him to take a look. ”

"Professor Xu has not been in clinical practice for a long time, and if you explain the situation, he will definitely be willing to help. ”

For Lin You to explain like this, it must be a very important meeting.

And for such an important meeting, Lin You still gave him the right to call over and interrupt.

"I see, Master. ”

……

Hanging up the phone, Lu Cheng looked expressionless, but in fact he was panicked.

I can't sleep anymore, but this doesn't avoid the fact that I don't want to go to the clinic.

Time passed slowly, and Lu Cheng arrived at the consultation room in advance.

When she arrived at the door, the girl who arrived took the initiative to greet Lu Cheng: "Brother You said, he won't come this afternoon, do you want to call the patient in now?"

"Two new patients, three to see the results, which one do you want to call first?"

The girl who came to the clinic didn't seem to be surprised.

In the outpatient clinics of many tertiary hospitals, if the visiting doctor has something to do temporarily, he will call a doctor of the same level or a senior level to treat him, which is in line with the regulations.

Although Lu Cheng is only a graduate student, as long as there is a senior doctor, he can also see a doctor.

Now Lin You is not there, but on Saturday afternoon, there is an outpatient clinic of an old professor who has retired, and because he is old and has limited energy, he only looks at ten numbers.

It's really uncertain, and it must be feasible to call the professor to check it.

In the afternoon, there will generally be ten fewer days than in the morning, because it is necessary to see the results of the examination in the morning, and at this time, the results and new patients are rotated, that is to say, to see a new patient, to see a result, so that it can be aligned with the appointment time.

"Let's call in for a test result first. ”

"Good. ”

"I called them in two minutes later. The guide girl gave Lu Cheng two minutes to prepare for the start-up and turn on the outpatient system.

Two minutes later.

The patient came straight in.

It was none other than the little girl who was the penultimate girl of the morning.

The family held a bag of films, but this time, the girl's face was also slightly gloomy.

It seems that I have already read the inspection report.

"Doctor. We've got the results. ”

"Look at this, do you mean?" the girl's mother did not ask, but the meaning was already clear.

Lu Cheng looked at the report, which read: The mass in the middle of the right femur, the nature of which is to be investigated, does not rule out the possibility of malignancy, please combine it with MRI or clinical.

Very vague diagnosis.

Lu Cheng skipped the above report, took the film, and read it carefully.

For each specialty, for the imaging data, they will not read the report directly, but need to read the film by themselves.

X-rays can only clearly show bony structures.

But there are still many rules to follow.

Lu Cheng took the film and looked at it, and immediately his heart sank.

"Solar radiation" sign.

This is a textbook imaging finding of osteosarcoma.

The "solar radiation" sign, also known as the periosteal reaction.

It is a specific characterization of osteosarcoma that stretches open the outermost periosteum after it grows from the bone, and the texture and density will be different from the surrounding bone, so that X-ray transmission occurs.

To put it simply, it is equivalent to a beam of light, if the density is high, the more it is reflected, and the smaller the density, the less it is reflected.

When the light hits the fluorescent sheet, it becomes black.

It is precisely because osteosarcoma holds up the bones in the bone, resulting in a difference in density, that this periosteal reaction occurs.

is characteristic of osteosarcoma.

Diagnosis, yes, it can be diagnosed, but what to say?

Go to Professor Xu?

Or do you call Master directly?