Chapter 32 Outpatient Clinics

It looks like the little couple flirted and spilled dog food in the consultation room.

But if the meniscus injury does come to the point where surgery is needed, the atmosphere will definitely be different.

Although Lu Cheng hadn't seen it with his own eyes, he had heard more or less many examples of people leaving due to illness.

People are born, old, sick and die, and there is nothing to be done about life, old age and death.

The only thing that can be reversed is the disease, and it is at this time that it is easier to see Baitai.

It is the same meniscus injury, but the timing and degree of it are different, and the degree of injury it brings to everyone is also different.

Continue to see the outpatient clinic.

Most of them are some common diseases.

Femoral osteoarthritis of the knee ranks first, followed by sports injuries.

Knee and shoulder injuries are the most common, and less common are chronic injuries such as tennis elbow.

Lu Cheng also came from the outpatient clinic and verified the knowledge in the books one by one.

For example, meniscus injuries are mostly related to sports such as basketball, fitness, dancing, and long jump.

Rotator cuff injuries of the shoulder joint are mainly definite trauma.

Frozen shoulder, also known as fifty shoulder, is concentrated at around the age of fifty. There is no reason for this.

Moreover, frozen shoulders are accompanied by acromial impingement syndrome in most people.

Occasionally, there are some tennis elbow patients, and the occupation of these patients is very distinctive.

Tennis players, cooks, plasterers, these people who use their elbow joints more are more likely to get tennis elbow.

There is also an ankle injury caused by an accidental sprain, and the ankle joint is swollen......

Although these diseases are common, if you just stay in the ward and see patients who need surgery, the grasp of this disease is far from systematic.

Symptoms can be mild or severe, and treatment varies depending on the severity of the symptoms.

Some only require simple rehabilitation exercises, while others require medication-assisted exercises.

Some people just need to endure it and get over, while others need surgical intervention.

For some people, ordinary surgery can't solve it at all......

Similar diseases, from the cause to the degree of discrimination and the corresponding treatment, are like a sea of water poured into Lu Cheng's sponge, stuffing him with swelling and fullness.

It's tiring and fulfilling.

When a large amount of knowledge suddenly poured into his mind, he would feel a slight swelling of his head, and Lu Cheng was naturally not surprised.

Of course, Lu Cheng can also know why his head is swollen.

When all knowledge is received, the brain will operate non-stop, produce various synapses for transmission, and finally input to the memory center, and then form short-term memories in the form of synapses.

Repeated consolidation will form long-term memories or even permanent memories, and when the knowledge is represented, it will become faster and faster.

Of course, even if you memorize all the knowledge, you need to be very sensitive to information processing skills to be able to react quickly......

That's another category.

……

"Master, there are two last patients left. Sending away another patient, Lu Cheng patted the medical record book lined up on the table.

Looking at the time, it was only half past eleven, and it was estimated that I could go to the next morning shift today.

Lin You also twisted his neck, he was really tired after sitting for so long.

Click, the vertebrae and joints suddenly rotate because they do not change their position for a long time, and a crisp sound occurs.

"Well, it's a lot faster with your help. At least you can now understand what tests to do and what purpose they are doing based on the patient's complaints and physical examination. ”

"It is precisely because of this as the foundation that it saves the time I call you to write the checklist, one patient can save one minute, then thirty patients, can save half an hour. ”

Lin You took a sip of water, and then said, "You go and call the next patient." ”

"Okay. ”

Lu Cheng took the medical record book and shouted at the door: "Is Su XX here? ”

"Yes, yes!"

After Lu Cheng shouted, a couple quickly stood up, and beside them, there was a fourteen or fifteen-year-old handsome little girl, smiling sweetly at Lu Cheng with a smile on her face, and followed closely in front of her parents.

"Doctor, how long will it be before we arrive?" asked another patient's family member.

"It'll be you in a while, they'll see you when they've finished reading, and when you see someone coming out, you can come in directly, and I won't have to shout." Lu Cheng replied.

"Okay, okay. The man was laughing, too.

Their time was 11:55. It was also a good thing to be able to advance twenty minutes early, because they had been watching, Lu Cheng and Lin You hardly had a moment to spare, and they didn't deliberately drag them until 11:55.

When the family of three entered the door, it was the daughter who took the initiative to pat her mother on the shoulder and said, "It's okay, Mom." It's up to us, and we'll be fine after seeing the doctor. ”

"Hmm!" her mother nodded, in her forties, but the melancholy on her face did not diminish in the slightest.

Seeing the girl come in, Lin You took the initiative to ask, "Which of you is a patient, and what is uncomfortable?"

The man, dressed in a formal suit, took the initiative to let his daughter sit down, and replied: "Doctor, it's my daughter, she suddenly felt a little pain in the front of her thigh two months ago, and then she felt scared, so she didn't dare to tell us." ”

"A few days ago, I touched a small lump, so I dared to tell us. ”

From these words, combined with the expression of the patient's mother, Lu Cheng suddenly felt a trace of a not very good breath.

Lin You's brows froze slightly.

The girl deliberately changed into a pair of ultra-short pants today, presumably to make it easier to identify the place, so she pointed to the midpoint of the knee joint and the joint and said, "Doctor, this is it." ”

"It's a bit hard, and sometimes it hurts a little bit to walk. ”

Lin You just glanced at it, and then used the pads of his middle finger and index finger to follow the position of the girl's finger and probe it.

Then he suddenly looked up and said, "Xiaocheng, you come over and do a personal check." ”

The girl was not embarrassed, but her face was slightly red.

Fortunately, the position was not very embarrassing, and Lu Cheng also poked his fingertips upward.

It is hard, the base is deep, and it is immobile.

The edges are not clear.

The range is about 1cm *2cm.

Lu Cheng withdrew his hand.

Although a test is not diagnostic of a lump, the extent, boundaries and mobility of the lump can indicate many things.

Lu Cheng withdrew his hand, and Lin You was afraid that he would miss his mouth, so he hurriedly said, "Let's take a look at the front and side of the fetus first." ”

"Well, okay. ”

Lu Cheng also knows that he must pay attention to protecting the patient's psychology, and he can't tell the patient about this disease in person.

Lu Cheng quickly wrote the checklist, and his heart became even heavier.

There are even some who complain that God is unfair.

Why does this kind of thing grow on such a cheerful little girl?

But people do not choose diseases, and diseases do not choose people.

"I'm fine, right?" the girl asked, still holding her mother's hand, to Lin You.

"It's not a big deal, we're going to take a picture first. Lin You also replied with a smile, "Don't worry." ”

"Look, I'll just say it's okay, Mom. The girl said to her mother.

The woman who didn't say a word suddenly burst into laughter, and when she laughed and laughed, tears burst out of her eyes.

She'd definitely been to more than one place before she had seen it here.

Lin You opened the examination, and Lin You also handed over the medical card: "Mom, we are going to go for the examination." ”

The girl was still a little shy, after all, her mother actually cried in front of the doctor. But she still believed she wasn't that bad.

After all, that's what the doctors said.

"You take your daughter down for a check-up first, and you can make it before noon, and then you can pick it up in the afternoon when we go to work. ”

"I'll let your husband bring it down later. It's also good to save a little more time. Lin You said to the girl's mother.

Her mother also knew that she was out of shape, and quickly said, "Okay, doctor, let's go." ”

Then he walked to the door with his daughter.

Only then did he remember to say, "Thank you, doctor." ”

"Let's go. ”

The door was closed.

The girl's father's face immediately became serious, and his eyes were a little red and said, "Thank you, doctor, you didn't tell the truth in front of my wife and daughter." Now you can say whatever you want. ”

Lin You raised his head and only said: "This disease, although it has not yet been determined. But I guessed it from your expressions. It may not be curable, but there is a chance of cure. ”

"Seventy percent. ”

"The chance of recurrence is not clear. ”

"The five-year survival rate is about 70 to 80 percent. ”

"There is also a certain chance that there will be no recurrence for life. ”

"But it has to be combined with a series of chemotherapy and so on, and it costs a lot of money. ”

When the man listened, his body was a little weak.

He couldn't help but believe what the doctor at the Second Hospital of Hunan University said, but he still asked with a glimmer of hope: "Is it possible that it is benign?"

Lin You shook his head and nodded again: "Then it can only be confirmed by biopsy." What I'm saying so far, it's just from my experience. ”

Although the man did not get the answer he wanted, he left with the medical record book.

After the man left, Lu Cheng suddenly asked, "Master, now, it shouldn't be able to be diagnosed, right?"

"Of course it can't be diagnosed, but do you think there's much difference between being diagnosed and not being diagnosed now? They must have heard the truth very close elsewhere, and they came to us just for the final diagnosis. ”

"And you look at the patient's mother, obviously can't accept this fact. ”

"But the truth can't be changed by us doctors. Their daughter, apparently, is also in the know. ”

"But she's sensible. ”

"Well, it's very sensible. She would take the initiative to comfort her mother and father. ”

"But sensible, sometimes it's also a knife. ”

"A razor-sharp knife. ”

"It's invincible. ”

"You can kill everyone in the world. ”