Chapter Thirty-Six: Xiao Lu Comes to See Two?
Although he was deliberately playing in front of Lu Cheng, Lu Cheng didn't say a word in the middle.
Just because you don't speak doesn't mean you really understand.
If you are confused, you can also prescribe medical orders and write medical records.
But Lu Cheng really understood, this is not only a solid foundation, but also requires a strong understanding.
Originally, he only saw that Lu Cheng's foundation was good, so he specialized in performing a circle.
Opportunities are reserved for those who are prepared, and Lu Cheng's solid foundation is this preparation.
If Lu Cheng didn't have that understanding, Professor Xu wouldn't blame him, and would only be amused today.
Now, he does have some appreciation for Lu Cheng.
I understand, but he doesn't show off in front of himself, just a little person who writes medical records quietly.
Position yourself well.
So far, at least, he's satisfied.
Professor Xu had a worry, that is, when Lu Cheng first came in, he said that he had entered the laboratory, whether it was to cater to him to fight for opportunities or deliberately said it to him.
After all, the news that he is still working in the laboratory is not a secret, and he can find out with a little heart.
Lu Cheng wanted to mix up his qualifications.
He has seen a lot of these eyes.
Professor Xu didn't speak again.
Lu Cheng was also shocked and happy in his heart.
He himself can see patients based on a solid foundation and can give good advice to patients, but this must be supported by a rigorous knowledge structure and examination results. It is equivalent to pulling up from a broad foundation.
Lin You can easily see a variety of common diseases, and can understand the academic frontier of each disease, which is innovation, and belongs to every moment has its own thing. Accurate and fast treatment.
At this level, Professor Min has seen too many similar diseases, and can basically grasp the details of each disease in great detail, can handle all diseases in orthopedics well, and is also very good at figuring out the thoughts of patients and their families, which is basically no obstacle to communication.
When to be fierce, when to be elegant, when to be stern, the size and heat of the pinch are very accurate.
But it's just precision.
Now that Professor Xu is here, it is really the tip of the iceberg.
Yes, the word "vicious" is very appropriate.
Seeing a doctor is not just about the disease, but to put it more nicely, it is to discuss their own condition with the patient and give a more appropriate treatment method according to the results of the examination.
How to advise, how to advise, how to be appropriate.
Professor Xu's size and heat have already been mastered to perfection.
It does not give patients any chance to hesitate at all, and at the same time leaves them a choice, and, in a sentence or two, points out the pros and cons to the point.
This does not mean that you can do it if you have good writing skills.
If you can't do it, you need to be familiar with medical skills and knowledge, as well as overwhelming knowledge confidence and speaking standards.
I don't talk nonsense with you, and I don't need to talk nonsense,
I can easily find one or two points and give you the right treatment for you, accept it, just listen, don't accept it, that's okay, you choose.
There is no need to analyze the pros and cons in detail like Lu Cheng, and then choose for the patient.
Choices are not always better.
This is clinical, this is experience, and this is this kind of overlook from high to bottom.
Of course, this kind of overlook is not for the patient, but for the grasp of the condition.
"Go and call the next patient!" Professor Xu shouted to Lu Cheng.
"Good!"
……
There were forty numbers in total, plus the patients who saw the results, nearly fifty patients, and Professor Xu was stunned to see that only the last two were left in an hour in advance.
Professor Xu said: "I'll go refill some tea first, and there are two more in the back, Xiao Lu, you can try to pinch it." ”
"Okay, Professor Xu, you take a break first. ”
Although Professor Xu's speech is short and experienced, he naturally needs the high-speed operation of his brain to be so accurate, which is also a great drain.
And Professor Xu kept standing, holding a water cup, pointing out the aura of the country, so that Lu Cheng was convinced.
The next patient came in.
Lu Cheng also started the consultation, and recorded the medical records: "Where is it uncomfortable?"
"It hurts here, it hurts when you walk. Especially when I stepped on a stone, my heel hurt like a knife. ”
Hearing this, Lu Cheng glanced at the patient's dress.
Liberation Shoes, 3537.
The shoes are very new, and they are wearing a tunic themselves, and the family members who follow them are dressed more fashionably.
They stood beside the old man, and did not talk much.
"How long has it been in pain?" Lu Cheng continued to ask.
"It's been a long time, almost more than ten years, and at the beginning, forbearance has passed. Now the pain is unbearable, I basically can't walk, and I don't dare to run. I haven't been running for more than half a year. The old man's tone was still very tough.
"Have you taken any pictures elsewhere?"
"You take off your shoes, I'll check you out. ”
After Lu Cheng finished speaking, he stood up and first washed his hands with hand sanitizer, and then approached the patient.
The old man took off his shoes, revealing new and fresh plain white socks, and said, "I have taken it, but the doctor over there didn't see the reason, and began to prescribe some medicine, and it still has an effect, but it has not worked recently." ”
Lu Cheng took the initiative to squat down and pressed down towards the outside of his left ankle.
"Does it hurt?"
"A little bit. ”
Lu Cheng lifted his foot and pressed his heel hard.
"Does it hurt?"
"Ouch!"
Lu Cheng's question and the old man's shout started at the same time, and at the same time, his feet shook violently, but Lu Cheng could clearly see that through his pants, the old man's quadriceps muscles bulged rapidly, suppressing the movement of his feet to kick forward.
"It hurts, it hurts, it hurts. ”
Lu Cheng stood up, washed his hands with foam disinfectant, dried them with paper, and said to the patient's family, "I'll come and see the film." ”
"Doctor. ”
The family members who have not spoken all this time also speak in a very brief manner.
Lu Cheng reads the film.
There is an osteophyte hyperplasia around the ankle joint, but no obvious impingement is seen.
Ankle impingement is ruled out first.
With such a long medical history, the ligament damage caused by the ankle sprain may be basically small, otherwise he may have been unsteady in walking and seek medical attention, and there is no need to ask.
Watch the film again.
Root and talus bones may be seen with high signals and signs, but no specific signs of necrosis, such as bone collapse and deformation, may be seen.
Lu Cheng already had the answer in his heart.
Then he continued to ask questions to confirm his suspicions: "Do you usually wear these shoes?"
"Well, these shoes are very sturdy, and I'm used to wearing them. ”
"I don't usually like to wear those kinds of cloth shoes. It doesn't feel like it's so steady. The old man replied, "Does my foot pain have anything to do with wearing shoes?"
Lu Cheng nodded: "Yes, you have a pain, which is caused by the root bone and talus stepping on a very hard plane for a long time." ”
"You've been a soldier before, old man. ”
"Yes. It's been back for many years. The old man replied, but did not explain in depth.
At this time, the family members saw that Lu Cheng had told all the diagnoses, and hurriedly asked, "Doctor, can you prescribe some medicine for this disease?"
Lu Cheng nodded and replied, "Yes, but the symptoms are not cured." ”
Then he turned to the old man: "I'll prescribe you painkillers for half a month, and then you can buy some medicine to wipe outside, and you can buy about half a month." ”
"However, this is not the point, in the future, don't wear such hard-soled shoes again. ”
"Buy a pair of running shoes to wear, which are the shoes that athletes use to run and you use to walk. ”
"That's the key, and the money for medicine is just saved. Lu Cheng said while writing the medical record, and then continued to prepare to speak: "This disease is common to wear hard-soled shoes, leather shoes, and high-heeled ......."
But at this moment, Professor Xu's voice suddenly sounded in the consultation room: "Lao Liu?"
"Why didn't you say hello to me?"
Hearing this voice, everyone raised their heads and looked over, including Lu Cheng.
At the same time, his heart began to pound.
The patient I just saw was an acquaintance of Professor Xu??
????
This is a big stress bird!