Chapter 29 First Arrival at the Clinic

There is such a pattern in the outpatient clinic of every hospital.

From Monday to Friday, it is the battlefield of professors, and the outpatient clinics on weekends are mostly based on the main treatment.

If you want to say that the attending of Hunan University, it is more than enough to be a professor below, but in this hospital, doctors with the title of general inpatient and below are not qualified to sit in outpatient clinics, and the lowest level of attending is not high, who will go to it?

Lin You's outpatient clinic is all day on Saturday, and he is alive and well.

Lu Cheng had just arrived two weeks ago, and Lin You asked Lu Cheng to spend more time in the ward, so he called him to go.

Lu Cheng immediately hummed and agreed.

A patient's whole life naturally starts from the outpatient clinic or emergency department, and Lu Cheng has no chance to go to the emergency department for the time being, so he sits in the outpatient clinic with the teacher, thinking that he can grasp the disease and have a higher understanding.

After the operation, he carefully checked the patient's postoperative instructions several times, and after completing the surgical record and the first postoperative course record, Lu Chengcheng rushed to the house, and then picked up Campbell Orthopedics and gnawed on.

The main chapter is the joint.

Seeing an outpatient patient is not like an inpatient, and it is necessary to grasp important information and give a diagnosis or an examination plan according to the corresponding examination signs in order to confirm the diagnosis.

At this time, if you want to read the literature in depth, of course, you don't have enough time.

Campbell's orthopedic textbook is undoubtedly a good learning plan.

Common diseases of the knee joint, common diseases of the shoulder joint, tennis elbow, ankle sprain......

Familiar and unfamiliar words kept drilling into Lu Cheng's mind.

I don't know how long I watched it, but Lu Cheng actually sat and fell asleep like this.

I have to say that even with the assisted memory of the medical record collection system, this professional book is too hypnotic, just one volume of joints, it makes Lu Cheng want to die, and there are many things that cannot be understood at all.

The good thing is that it's August.

Not cold.

When Lu Cheng woke up, it was already late at night, so he hurriedly went to wash up, lay on the bed, set the alarm clock at half past seven, and fell asleep.

Lying down for ten minutes must fall asleep is a must for every surgeon.

Lu Cheng took twenty minutes.

But he knew that there was one of the most powerful superiors in the department, and for five seconds, the absolute snoring sounded, and he didn't know how many times it had been tempered......

Following.

Lu Cheng carried two drawers of xiaolongbao and two bottles of mineral water to the orthopedic outpatient room early.

The nurse at the guide desk was managing patients who had almost filled the hallway.

Lu Cheng was holding a white coat in his hand, but he could easily 'kill' a way out of the crowd.

Coming to the guide table, Lu Cheng asked, "Hello teacher, where is Mr. Lin You's consultation room?"

The girl who arrived at the clinic was wearing a mask and couldn't tell the specific origin, but her eyes were very big and her eyebrows were very slender, she stared at Lu Cheng, very guarded: "What are you looking for Dr. Lin? ”

She thought that Lu Cheng was wearing a white coat to add a plus, and she had taken all the bribes in her hand.

Lu Cheng knew that the girl who was the guide had misunderstood: "I am a student of Teacher Lin You, and he called me to come to the outpatient clinic today, but I couldn't find the consultation room." ”

Her eyes were even more vigilant: "You are Lin You's graduate student?"

"Wait a minute, I'll ask. As she spoke, she seemed to have sent a message.

In less than five seconds, it was replied.

One of Lin You's characteristics is that WeChat must be returned within ten seconds.

Then the guide girl sent a voice message directly: "Brother You, you have taken the students, why don't you hurry up and invite you to dinner?"

Listening to the tone of the guide girl, a few words popped up directly in Lu Cheng's heart: Master?

Prep Wife?

Or how many masters?

Didn't you hear that my wife was in the administration?

"You go in, in Room 304. Now how many people should I call in first?" The guide girl immediately became much more polite and asked Lu Cheng.

Graduate students, seeing outpatient clinics with their supervisors is the tradition and norm of Hunan University, otherwise a person has to die of exhaustion if he wants to bow to everything.

"No, no, no. Lu Cheng also knew what the guide girl meant, but he didn't dare to call the patient in.

Yesterday, Lin You warned him that he still dared to overstep his authority, how dare he?

I have to be scolded to death by Lin You.

Walking into the consultation room, Lu Cheng was able to determine at least one thing, inferring from the tone of Lin You's voice in the mouth of the nurses in the operating room and the outpatient nurse, Lin You was definitely not a particularly serious person.

Most of the time, Master has reined in all his true nature in front of himself......

After a while, Lin You also came.

Lu Chengcheng hurriedly said: "Master, I got up this morning and bought two drawers of xiaolongbao, just because it was inconvenient for you to come over there to buy breakfast." ”

Lu Cheng pushed a bag over, then picked up his xiaolongbao and nibbled on it.

Lin You was not polite, he saw Lu Chengfa's message and felt a little relieved.

There is no need to refuse these small meanings, and they can't be so clear.

Lu Chenglai was able to think of bringing a bottle of water and a breakfast, which proved that he was attentive.

It's not measured in terms of money.

After eating and cleaning up the garbage, it was seven fifty-five.

Lin You said: "Go to the guidance desk and call the nurse teacher to call the patient in, and then you are responsible for the examination, and I am responsible for issuing medical orders and writing medical records." It can save some time. ”

"Okay!" Lu Cheng took the initiative to take the garbage out.

A minute later, the first patient followed Lu Cheng to the consultation room.

Lin You began to quickly collect medical history and write medical records.

"What are you feeling unwell?"

"My right knee hurts. ”

"How long has it been hurting, when did it start, has it been hurting, has it gotten worse?"

"It's been ten years, five years ago it was lighter, four or five years ago, suddenly it hurt so much that I couldn't win when I walked. ”

"Especially when I went upstairs, it hurt a lot. ”

Lin You immediately interrupted the patient's words at the right time: "Well, I know, have you ever been injured? Have you seen it somewhere? Have you taken a film, have you taken a film? Have you taken medicine?"

“……”

Two minutes later.

After Lin You's medical record was written, he instructed Lu Cheng: "Give him an X-ray double happiness joint standing position." Did you hear the medical history?"

"Well, Master, it's almost ready. Lu Cheng tore off the top page of the X-ray checklist, and then began to ask for additional information: "Grandma, what is your name, how old are you?"

Lin You knew the name, because it was in the medical record book and in the doctor's order system, and there was no checklist in his hand.

Therefore, this information needs to be collected and provided to the imaging doctor for a simple medical history collection. Make it easier for them to read the film.

After Lu Cheng quickly wrote down his name and age, he gave the checklist to the patient's family, and explained carefully: "You have to make a film, the film is done on the first floor of the outpatient building, and you can get the results two hours after you finish it, and you can come to the clinic with the results at that time." ”

"Remember to bring your medical records and films. ”

"Okay. Although the family members were a little annoyed that they still had to do the examination, they really didn't bring the family film with them, and the family was in another place, so if they went home, they might not be more than just the money for the photos, so they hurriedly asked: "Is it expensive to do this examination?"

"It should be 128. The next time you go to the doctor, you must remember to bring the film and medical record book with you to avoid repeating the examination. "Lu Cheng's memory is extremely accurate now.

After the patient went out, Lin You did not rush to call the next patient, but asked, "Do you know why you want to take the standing position?"

"The diagnosis of knee arthritis must be based on an assessment of the knee space in a standing position in order to accurately assess the staging. Lying down and taking pictures is not okay. Patients have no history of trauma and are more likely to consider knee arthritis at this age. ”

"And based on the results of reading, it can be more clear that it is osteoarthritis, rheumatoid arthritis or something else. Lu Cheng replied with some confidence.

Lin You stopped talking.

This answer was very satisfying to him.

Accurate, the degree of control is in place, and the speed of extracting information is far from being comparable to that of ordinary graduate students. How to ask how to be comfortable, how to answer, how to be in place.

"Next one, please come in. Lin You was in a good mood and shouted politely to the door.