Chapter 109: Diagnosis (2nd Update)

The hospital works at eight o'clock, Liu Jie is an assistant physician, and the earliest patient comes to the door on weekdays, but it will be after half past eight.

Nurse Wu watched the other party walk directly in front of her from the director's office, the chief physician's office, and the first few assistants' offices.

One of the aunts stood in front of Nurse Wu and asked, "Nurse, is Dr. Liu Jie's office here?"

Nurse Wu was very surprised, she didn't expect that a patient would take the initiative to come to Liu Jie to see a doctor.

Before she could answer, Liu Jie heard the movement, came out of the room, and greeted enthusiastically: "Come in first, put the person on the diagnosis and treatment bed, and I will greet the director to arrange the operation." ”

A few people followed into the house and settled the patients, Liu Jie asked Nurse Wu to help take care of it, and he went to Director Sun's office.

Director Sun's clinic was already full of patients, and Fu Ze saw Liu Jie coming over, and greeted him in surprise: "Doctor Liu, why are you here?"

Liu Jie squeezed past him: "Oh, I have something to do with the director." ”

Fu Ze didn't have time to react, Liu Jie had already entered the house directly.

Director Sun happened to see a patient, looked up and saw Liu Jie, was slightly stunned, and asked, "What's wrong?"

Liu Jie immediately said: "Director, I have a patient there, who has severe back pain, and he is already paralyzed in bed and unable to take care of himself. ”

Director Sun asked with concern, "What is the specific problem?"

After all, Liu Jie has already been examined, and Director Sun needs to understand the condition in advance.

Liu Jie said truthfully: "The spine is obviously curved on the left side, compressing the nerve root, the intervertebral foramen is protruding, and the nucleus pulposus protrudes backward into the spinal canal through the posterior fibrous annulus and posterior longitudinal ligament, and enters the intervertebral foramina, which requires surgical treatment." ”

Director Sun nodded: "Where are the people?"

Liu Jie said: "I'm lying in my office." ”

Director Sun stood up and explained to Fu Ze: "I'll go over, you can keep an eye on it here." ”

Hearing that it was the leader of the orthopedic department, Aunt Li glanced at Liu Jie gratefully, and Liu Jie smiled.

Director Sun first took a general look at Li Liang's waist, and then asked about the specific situation, then turned his head and stretched out his hand to Liu Jie and said, "What about his film, bring it over and I'll take a look." ”

Liu Jie was stunned, and then remembered that he had done the inspection for Li Liang with an absolute feel, and he didn't let them shoot the film at all.

When Director Sun heard this, he frowned and reprimanded: "Nonsense, the inspection must be rigorous, how can the problems in this waist be seen accurately only by touching." ”

Director Sun spoke, and Liu Jie hurriedly opened a CT and asked Aunt Li to take her son to shoot a film.

Waiting for the people to leave, Director Sun suddenly looked at Liu Jie and asked, "The symptoms you just said were all directly checked by touch?"

Liu Jie understood as soon as he heard it, scoliosis can be roughly judged by touch and the description of the patient's symptoms, but the problem of protruding in the intervertebral foramen is very easy to be ignored even when taking a film, because it is not clear through the film at all, and it can only be slowly diagnosed and treated through later treatment.

It can't be said that because he has an absolute feel and has opened a plug-in, he can directly judge the patient's condition only by touch, Liu Jie had to use his usual words to fool people: "I judged it by touching and the patient's symptoms, based on past experience." ”

Director Sun looked at Liu Jie with an obscure expression.

If any doctor with more than 10 years of service told him that he was treating patients based on experience, Director Sun would nod his head, but how long has Liu Jie been working?

Director Sun made up his mind, and the film will come back after a while, but if there is the slightest discrepancy with the illness Liu Jie said, he must beat Liu Jie well.

As a doctor, no matter how good your medical skills are, you also need to practice medicine rigorously, how can you do it with such a frivolous temperament, this is to diagnose and treat patients, one is not good, it is a thing that harms people's lives.

Director Sun took a deep breath, couldn't hold back in the end, and blurted out a warning: "Experience is slowly accumulated through time, not something that can be achieved overnight. ”

Director Sun left after speaking, and there were still patients waiting outside his clinic, and there was no time to delay.

When Director Sun left, Nurse Wu immediately turned her head and stuck out her tongue at Liu Jie: "Doctor Liu, the director is probably angry, I looked at him just now and his face sank." ”

Liu Jie didn't care and said: "It's okay, oh, by the way, Xiao Wu, you go and ask if there are any beds in the inpatient department, it's really not good, I still have to go to the director to help say hello." ”

Nurse Wu immediately said, "No, I'll just call, my cousin is in the inpatient department, I'll ask her." ”

After arranging the ward after Li Liang's operation, Liu Jie sat in his office chair and waited for the patient to come to the door.

After more than half an hour, Aunt Li hurriedly rushed back with the film.

Aunt Li is grateful to Liu Jie from the bottom of her heart, how difficult it is for the expert number of the central hospital to hang, even she, a person who rarely gets sick, has heard of it, if it wasn't for Liu Jie's help to arrange it today, how could she have been diagnosed and treated by the director of the orthopedic department so easily.

However, these words of gratitude, there will be an opportunity to say in the future, Aunt Li pulled Liu Jie and said anxiously: "Liu Jie, please help your little brother take a look, there is nothing wrong with this film, right?"

Liu Jie cooperated and watched the film, which was exactly the same as what he said, and said with a smile: "You wait for me here for a while, there are many patients in the director's place, and I will help hand over the film." ”

Aunt Li naturally listened to his arrangement.

Liu Jie told Nurse Wu and went to the director's clinic with the film.

There was still a long queue of patients waiting outside the door, Liu Jie glanced at it, and silently calculated in his heart, if these patients were his, at this rate, it wouldn't be long before his cultivation could directly advance to the third layer and break through the bottleneck.

This time, Director Sun was seeing a patient, and Liu Jie took the initiative to lean against the door and wait quietly in order not to disturb the other party.

Fu Ze glanced at the piece in his hand and asked casually, "What kind of disease?"

Liu Jie said: "Oh, the spine is obviously curved on the left side, compressing the nerve root, protruding in the intervertebral foramina, and the nucleus pulposus protrudes posteriorly through the posterior fibrous annulus and posterior longitudinal ligament into the spinal canal and enters the intervertebral foramina. ”

Fu Ze was stunned for a moment, and said with some surprise: "Protrusion in the intervertebral foraminabula, can you show me the film?"

Liu Jie handed it to him.

Fu Ze looked at the light carefully for a long time, his face changed a little bit, through the film, he couldn't see the protruding problem in the intervertebral foramina at all, how did Liu Jie judge it?