"Don't cry yet. I haven't said anything, why are you crying?" At this time, Lin You's brows furrowed.

In the separate consultation room, a little girl cried for no reason, and she didn't know what happened to Lin You and Lu Cheng, but fortunately, her classmates were there.

After whispering a few words of comfort in her ear, she also asked nervously, "Doctor, is my classmate's foot serious?"

"She learned to dance at the age of five, danced for more than 12 years, and basically spent all her free time dancing. ”

"And next year we're going to take the art exam together. If. ”

Speaking of which, the girl didn't say any more.

The girl's sympathy is also very heavy, her eyes are red as she speaks, and I don't know if she thinks of herself.

Lu Cheng stopped writing the checklist, and suddenly he remembered what Lin You had said when he first entered the department.

The rise of sports medicine is because exercise is the second life of human beings, and most of the meaning of human beings lies in sports.

Suddenly, Lu Cheng's understanding of this sentence deepened a lot.

Most orthopedic diseases do not cause immediate death, but in fact, they can affect a person's life more.

Walking, sitting, and lying.

I was born to do it, but which one is not something that my parents can give......

"Good. ”

Lin You's voice suddenly became a little higher, and suddenly became a little fierce: "Don't cry." ”

"Are you going to hold and cry for a while, or are you going to listen to me?"

Heard Lin You's 'evil words'.

The crying girl's cry also stopped abruptly, and she quickly looked at Lin You weakly.

I didn't even say anything to ask.

Lin You then said: "We have only made a preliminary diagnosis based on your physical signs now, and it doesn't mean that you can't dance, why are you crying?"

"Crying doesn't solve the problem. ”

"Since we are injured now, no matter what, we can't change this fact, we can only make a clear diagnosis first, and then find a way together. ”

"It's good for you to cry, so what do you want our doctor to do?"

The girl who came to the clinic wiped her eyes, gritted her teeth and asked, "Doctor, what should I do then?"

"First of all, do a check-up. A clear diagnosis, and then based on the diagnosis, I can give you another plan. ”

"Your current situation may only be a slight injury to the meniscus, and it will not necessarily reach the point where you can't move. ”

"You go to make an appointment for an MRI first, and then rest until you have an MRI and then come to me for a follow-up visit. Then we can figure it out again. ”

The girl nervously asked again, "Can the MRI be done today?"

"It can't be done in our hospital. However, I can prescribe the examination to you, you can choose to pay for an appointment, or you can go to other tertiary hospitals to ask, can you do it as soon as possible. ”

"When I was done, I took the film and came to the ward to see it. ”

"It's still early, at least not the injury you suffered a month before you have to take the exam, there is still a long time to prepare......"

……

Finally, under Lin You's combination of soft and hard, he sent the girl away, although he was still a little worried, but this was also something that could not be helped.

Sports injuries are more likely to occur in young people.

Lu Cheng has also seen a lot, after injuring the meniscus or anterior cruciate ligament because of playing basketball, dancing, and fitness, he can no longer come into contact with people in these sports.

"Next. Lin You didn't ask Lu Cheng any more questions, but held his forehead and called the next patient.

On weekends, the orthopedic department has one attending outpatient clinic, and there are a terrible number of patients.

Looking at such a case is even more terrifying than seeing three or four patients.

The next patient, also a young man, was accompanied by a girl, who seemed to be a couple or a couple.

However, they are not the first to diagnose, but to see the results of the examination.

In such large hospitals, this is very common, because there are too many patients, so there is no line for a day of examination.

There is no way to do this, or there are not enough medical resources.

In other words, there are so many patients that even if doctors work overtime, they can't finish seeing them.

Lin You could take a breather, then handed it to Lu Cheng and said, "You hang up the film first." Then take a look first and see if you can see what the problem is. ”

"This is a medical record with the patient's physical examination and positive indications. ”

Lu Cheng took the bag of films in the hands of his family, and then sorted out the front and back one by one and hung them on the film reader.

Lu Cheng opened the medical record and glanced at it slightly. After picking out the positive and negative signs, I looked at the MRI.

Summarize in mind.

"The patient has a history of trauma and was injured playing basketball. ”

"I currently have knee pain, no osteophytes on x-ray, no fracture lines. The joint space is normal, the patellofemoral joint space is normal, and there is no high and low patella. So consider soft tissue injuries. ”

"At the moment the patient does not have any specific positive signs, therefore. ”

Lu Cheng looked at the T2 phase of the NMR again.

Entry-level doctors look at the signs of edema, and when they reach a certain level, they look at the anatomy directly from the films.

Moreover, Lu Cheng is also familiar with the reading skills of nuclear magnetic resonance.

Look at the anterior and posterior cruciate ligaments first, and then the medial and lateral collateral ligaments.

Continuity can be, although there is edema, but it is not broken, rest is enough.

Look at the meniscus again.

There are also injuries to the meniscus. It is grade II, there is no obvious rupture line, and surgical intervention is not required.

Lu Cheng's treatment plan is also out.

He and Lin You reported: "Master, if the meniscus is injured, the injury signal is second-degree, and the patient's own signs are not particularly obvious. ”

"Hmm. ”

"Then look at what to do with this. Lin You directly threw this simple case to Lu Chengdao.

Lu Cheng thought for a while and asked, "When you walked, did you ever feel suddenly stuck?"

"Nope. The woman replied helpfully.

Then he suddenly hit the man next to him, and said like a flirtatious scolding: "I have only been married to you for four days, and you hurt your foot, I thought I was about to start serving you." ”

"Call what you can. ”

When the man heard that he didn't need surgery, he also took a long breath and said, "It's not that you like me to play, so I went to play." Now say that. ”

Then he hurriedly replied: "No, it's just that after playing five days ago, I suddenly felt a little pain when I walked, and it hurt all the time, and I didn't see much better." ”

In the absence of a history of entrapment, it is more certain that the extent of the meniscus injury is not particularly severe.

Lu Cheng then said: "You are now in the acute stage of injury, and your best medicine is rest." Try to avoid strenuous activity and walking long distances. ”

"Rest until at least a month. ”

"I don't recommend you to use medicine, but if you have a lot of pain when you walk, you can use some medicine, what do you think?"

In orthopedics, many times it is not a bunch of drugs that can solve the problem, but requires a more professional concept.

In the case of this patient, medication may or may not be used, but medication is the symptomatic treatment of non-steroidal drugs.

"Can I choose this?"

The man felt strange: "Then I said I don't want to take medicine, so you won't open it?"

"Well, if you say no, we won't open it. Go back and get some rest, never play again, and don't walk or run for a long time. If you really feel that you have nothing to do, you can lift your legs more at home. ”

"Lift more than 500 times a day, for 10 seconds at a time. Or raise your leg for more than 5 minutes at a time, and stick to it every day. You're much less likely to get injured later on. "Lu Cheng is confident.

"It's so simple?" the woman looked at Lin You with some disbelief.

Lin You knew he was going to speak: "Simple?"

"The first one is simple, the second one, keep the leg up for five minutes, it's not simple, you can go back and try it. ”

"What Dr. Lu just said, that's what I want to say, go back and have a good rest, and pay attention to exercising muscle strength in the future, so that you can protect the meniscus and ligaments in the joints well. ”

Lin You said this, and the woman and the man left with a thousand thanks.

With a smile on his face, he walked to the door and patted each other, then turned back at the same time and said with a smile, "Thank you Dr. Lin, thank you Dr. Lu." ”

When I went out, I heard a small voice coming in: "I don't need to take any medicine, it's really uncommon." ”

"That's when people have confidence. Let's go, I don't want to take medicine yet. ”

"This time I can go home and have a good rest. ”