On Monday, it was the time when Fang Xian was scheduled to be an outpatient clinic.

First of all, Fang Xian's current professional title recognized by the Medical Association is the attending doctor, and such a level can be routinely treated in the Affiliated Hospital of Xiangnan University, let alone Cixian People's Hospital?

After Fang Xian's multi-site practice application arrived, it was not special to sit in an outpatient clinic routinely.

Fang Xian is the counterpart support doctor, on the outpatient day, you can go directly to the outpatient clinic, which is not overstepping, but Fang Xian still went to the department in advance to report in advance, and after greeting Huang Bohang, the director of the ward, he rushed to the outpatient clinic just before eight o'clock.

Huang Bohang had taken Fang Xian to see the outpatient clinic before, and told Fang Xian about his clinic in advance.

At this moment, a sign with his picture hanging and labeling experts from the Affiliated Hospital of Shonan University is visible in the orthopedic outpatient clinic.

Fang Xian had never been in an outpatient clinic before, and he had no chance to go to the outpatient clinic with the teacher, so he thought about his current corresponding theory, and felt that it would not be too bad, as long as he made sure to read the film carefully and ask about the medical history.

It's just that Fang Xian just arrived at the door of the clinic, and found that at the door of the outpatient clinic at this moment, there were two beautiful women standing there in white coats.

One white coat is a little pretty, and the other is even better.

There are some good-looking people that Fang Xian doesn't know, but another one is even better-looking is Zhou Xiyin who is wearing a mask.

Zhou Xiyin was walking towards Fang Xian at this time: "Senior Brother Fang, this is Doctor Du, who said that the medical assistance in the outpatient clinic was sent by the medical department to help you." ”

Fang Xian was dressed in plain clothes at the moment, his clean white coat hung upside down on his elbows, and he swept the other party up and down.

The person named Dr. Du's eyes lit up instantly: "Teacher Fang, hello." My name is Du Rong. ”

"You can call me Xiao Du, Director Huang knew that Mr. Fang had come to see the outpatient clinic and asked me to come over to learn and help." Du Rong's voice is charming, just like her figure.

But in the charm, there is an intellectuality that Zhou Xiyin is absent from.

Zhou Xiyin hesitated a little and said, "Senior Brother Fang, why don't I go back to the ward first?" ”

Fang Xianyan's eyes flashed when he heard this, and his soul asked: "Doctor Du, do you know how to write specialized physical examinations and medical records in orthopedics?" If so, Dr. Chow can do a physical examination and you can take notes. ”

"Do you know what Neer's sign is?"

"Huh?" Where does this Du Rong know to go.

Neer's sign is part of the orthopaedic sports medicine examination.

Fang Xian said: "Thank you, Doctor Du, I should write the medical records myself, some specialist examinations in orthopedics, you may not be able to write well." ”

"Please help me thank Director Huang."

Fang Xian directly refused, and he must do a physical examination when he sees an outpatient clinic! Zhou Xiyin can, but the other party can't at all, so it's worth figuring out.

When the girl saw Fang Xian say this, she was stunned and nodded, and said, "Okay, Doctor Fang, I'll help you maintain order." ”

Fang Xian said: "Doctor Du, I'm just a little doctor, and I don't dare to put a score bigger than the professor. ”

"See a doctor first, and talk about it next time."

After Fang Xian sent her away, the time was about to reach eight o'clock.

When Fang Xian was sorting out his badge and white coat, Zhou Xiyin said: "Senior Brother Fang, in the prefecture-level city hospital, there are not many such arrangements, especially when I am in the trauma center of the First People's Hospital of Changshi, since I went, there are a lot more young surgeons. ”

Fang Xianxin said, not to mention your family background and relationship, just your appearance is also a scourge.

But Fang Xian didn't say it, Zhou Xiyin wanted to go with the outpatient clinic, but Zhou Xiyin was an orthopedic professional and could help a little.

At eight o'clock, Zhou Xiyin also put the first person in on time, and said very skillfully: "One patient and one family member will come at a time, everyone will line up regularly, don't crowd." ”

"It's crowded, and it's everyone's time that is wasted."

As soon as the patient came in, she closed the door, and then sat down in the assistant's seat very actively, took the patient's medical record book in front of her, and wrote the header very carefully and carefully: date, department.

"Old man, where are you uncomfortable?" Zhou Xiyin's business ability made Fang Xian slightly stunned, but he didn't say much, maybe Zhou Xiyin also knew that he had no experience with outpatient clinics, so he opened a hole first.

Take the lead in hanging, not to pretend to be low-key.

Zhou Xiyin's basic skills are so solid that Fang Xian is a little suspicious, whether she is also the same kind of open hanging, asking questions is very precise and spicy, and the more important voice is also very sweet.

And when she was working hard, an inexplicable smell on her body hit her nose, which would make Fang Xian's consciousness occasionally a little blurred.

"I'm here, it's painful, it's been painful for a long time, I've seen a lot of hospitals, and they all say it's not easy to treat, last time, I also came once, but Director Huang said that this week, an expert will come, let me come to see it this time." The old man, who was about fifty or sixty years old, pointed to his hip as he spoke.

Standing next to him was his son, who patiently waited for his father to finish speaking before adding.

"Dr. Fang, I took my father to see it at the Shonan University Affiliated Hospital before, and he said that there was necrosis of the femoral head and that he had to have surgery to replace the joint."

"I'll take a look at what you think." He was standing, carrying a big bag of examination materials, which contained X-rays, CTs, and MRIs.

After Zhou Xiyin nodded in understanding, he asked, "Since the pain lasts for such a long time, the professor at the Affiliated Hospital of Shonan University recommends joint replacement, why don't you do it?" ”

Zhou Xiyin didn't touch the checklist, while Fang Xian focused his eyes on the old man's plain film and various examinations, and frowned fiercely.

With such a collapsed femoral head, this old man can still walk to the outpatient clinic?

Ancillary examination is an important tool for judging the severity of the disease, from which the severity of the patient can probably be inferred......

Fang Xian turned around, looked at Zhou Xiyin's inquiry, and took the answers into his ears one by one, and at the same time assessed the approximate identities of the old and middle-aged people through their dress.

Middle-aged men wear shirts, dress pants, and watches that should also be worth a lot of money.

He spoke in a polite tone, polite, and not badly cultivated, either he had money, or he had read a lot of books, and he was sure that life would not be burdensome.

It's just that the implication is that he actually wants his father to solve the current pain through surgery or other means.

The old man, who was probably in his sixties, heard this, his body fell back sharply, and his head was like a rattle: "I don't do surgery, I don't do surgery." I have surgery to replace the bones, but I don't do it. ”

After shaking his head, he looked at Fang Xian with some disappointment in his eyes, and said, "Doctor Fang, in fact, you don't have to be embarrassed, I know my own illness very well, you just need to prescribe me some painkillers, I won't do surgery." ”

Before Fang Xian could answer, Zhou Xiyin stretched out his hand and comforted him in a sweet tone: "Huh, don't get excited, let's talk slowly." ”

"Your condition is very serious now, and every step you take is torment. But your situation is not complicated, after the operation, you can probably return to normal, what do you think in your heart? ”

"At your age, you should be able to take more children and enjoy the joy of family."

Fang Xian was also puzzled, according to reason, the old man's family background was not bad, and his cognition was not shallow.

However, Fang Xian knows that sitting in the outpatient clinic is not only the embodiment of medical technology, but also an experience of life.

When the old man heard this, he was obviously a little moved, but he still shook his head resolutely.

"I don't want to have surgery, I don't want to do it."

The middle-aged man sighed slightly and explained in a low voice: "Doctor Fang, in fact, this is the case, and I am mainly to blame." ”

"My mother died unexpectedly because of surgery, so maybe my father was a little afraid of surgery."

The old man stood up and was about to leave: "I don't have surgery, I don't want to have surgery." ”

Some anxiously staggered out, and the middle-aged man saw this, and hurriedly went over to help, but also looked helpless. Zhou Xiyin didn't know how to deal with it, so he turned his head and looked at Fang Xian, probably meaning, should he stop it.

Fang Xian said: "Sort out all the patient's examination materials and return them to them." ”

On the outpatient side, how much time has passed, and Fang Xian can't understand the past of the old man and his son.

Perhaps, the old man himself is afraid of his wife's departure, so he does not dare to take risks, and has a fear of surgery from the heart.

After Zhou Xiyin packed up, he was about to go out, but Fang Xian snatched the flat piece in his hand and said, "I'll send it, you bring the next patient to the consultation room." ”

Zhou Xiyin nodded and said yes.

Fang Xian pushed the door and chased out, and took the registered number in his hand.

After catching up with the old man and the middle-aged man, Fang Xian smiled: "Your film has fallen into the outpatient room." In addition, you have also returned this registered number, I regret that it did not help you. ”

The middle-aged man took Fang Xian's flat film bag, said thank you, and explained, "Doctor Fang, it's okay. ”

"Dad, let's go home, no more surgery." The middle-aged man, with red eyes, apologized to his father.

Full of helplessness, he is not short of money or time now, but he doesn't know what to do to deal with his stubborn father at home......

Fang Xian saw that the old man's legs were still trembling slightly, which must have been caused by pain.

The necrosis of the femoral head collapsed to such an extent that it was already painful to be able to walk and stand occasionally.

The old man and his son walked resolutely in the direction of the elevator, obviously not wanting to turn back.

Fang Xian could only turn around and return to the consultation room.

When the doctor does not knock on the door, and the patient has his own attachments and choices, he must not regard himself as a savior.

In fact, the treatment of this patient is very simple, a joint replacement, a matter of a few days. He reckons he can still play chess in the park for another decade or two, but?

After briefly skipping the patient, Fang Xian returned to the consultation room.

The second patient, who was younger, about six or seven years old, was a little boy, quite ignorant, and when he saw Fang Xian and Zhou Xiyin in white coats, he was very scared and hid behind his father, a little timid.

The person who brought him here was a middle-aged man, very honest and honest, dressed plainly, and when he caught the child, he took the initiative to purse his lips and said, "Doctor, this is my son." ”

"I've taken him to many hospitals, but I didn't find anything, and they all said they couldn't be cured. I heard that there was another big expert in the county, so I thought I would take him to see it. ”

As he spoke, he exposed the wrists and feet of the child wearing long sleeves and long pants!

Then I saw that the child's right forearm and the middle of the left lower limb were extremely slender and curved.

Seeing this, Zhou Xiyin understood a little in his heart, put on gloves, carefully held his right forearm, and carefully looked at it in front of him: "Have you ever had a fracture?" ”

The middle-aged man nodded: "It's easy to fracture, you can't touch it, a little force, you will break bones, and I've broken bones several times before." ”

"Osteogenesis imperfecta (brittle bone)!" Zhou Xiyin just thought about it for a while, and then said to the other party.

It can also be called porcelain doll disease, which mostly occurs in children, the bone is very fragile, and a little external force can produce fractures, and there is no special treatment at present......

Fang Xian said, "Let's take a look at the flat film first." ”

Zhou Xiyin took the initiative to stand up and spread out the flat film, and it could be seen that the child's affected limb had bone like an arch, with a slender diameter, osteoporosis and a small medullary cavity.

After reading it, Fang Xian asked, "How old did this start?" Which hospitals have I been to before? ”

"4 years old, right? Each fracture is not serious, just a cast. I have been to the Affiliated Hospital of Shonan University and the hospital in Guangdong Province, but they all say that there is no specific treatment method, so I can only pay more attention. The middle-aged man replied.

"Doctor Fang, I can't help it."

With such a disease, it is easy to fracture, even spontaneous fractures, and if you don't do anything, you will break bones.

However, most of the fractures are green-branched, with less displacement, light pain, rapid healing, relying on subperiosteal osteogenesis, malunion is more common, the limbs are often bent or angulated, and the number of fractures gradually decreases after puberty......

After Fang Xian searched for these knowledge reserves in his heart, he nodded and said: "This kind of bone, it is true that there is no better treatment method, and if there is no fracture, most of them are to pay attention to care, and then let the child grow to adolescence, usher in the second growth period, and after remodeling the bone, it will be better." ”

"But the bones are very brittle, maybe the schoolbag on the back of school is heavy, it will lead to fractures, and it is quite troublesome for you to take care of it, but parents still have to be careful."

The middle-aged man nodded: "Yes, that's it, I have been taking him with me, and I don't dare to go out, once before, on the way to school, his grandfather took him to walk, and he broke a bone, and now I am carrying a schoolbag to send him to the classroom." ”

"Then the teacher set up a special cabinet for his schoolbag to store, and he didn't dare to bring his homework home, nor did he dare to let him play with other children, so he was very withdrawn."

In fact, it is not withdrawn, the main thing is that he also confessed that children should not play with other people, and other parents also confessed to their children to stay away from this porcelain doll.

The child didn't speak, just looked at Fang Xian and was a little scared, but his eyes actually had an ignorant curiosity, and a kind of longing, this kind of eager look made Fang Xian and Zhou Xiyin move in their hearts.

It's just that Fang Xian hasn't spoken yet.

Zhou Xiyin suggested: "This disease is difficult to treat, but there can be some special auxiliary tools, do you want to try it?" It is to customize a set of braces for your child to assist and protect his activities, so that you can also feel a little more at ease. ”

"There is a problem, this brace may have to be replaced once a year, and the cost is not low, if your family can afford it, I can give you a suggestion. It might be useful, but if it's difficult, forget it. Zhou Xiyin's voice was not loud.

Fang Xiandu glanced at Zhou Xiyin in surprise and thoughtfully.

This week, what kind of brace is in mind? Why don't you know the basic theory of trauma surgery at level 5?

(End of chapter)