"Doctor Yuan, why are you standing here?"

"Isn't it your outpatient clinic today?" Today's first number is an old patient who came for a follow-up. It was the operation done by Yuan Weihong's teacher, Professor Chu, and the follow-up has been re-examined by Professor Chu.

Professor Chu passed away before Dr. Yuan Weihong graduated, and the old man transferred to Professor Deng Yong's group, but later found out that Professor Chu's student Yuan Weihong was also in the outpatient clinic on Wednesday and spent a day with Professor Deng Yong.

Professor Deng Yong's number is getting more and more difficult to hang, and he transferred to his side a year ago, and he is an old acquaintance anyway.

I know Yuan Weihong, and I know the Wednesday outpatient clinic, so I have registered in advance for a long time.

"Uncle Liu, I practice trumpet, this is my student, Doctor Fang. Let him show you. Yuan Weihong twisted his waist and did not sit in the consultation position.

The old man came alone, his spirit was tough, and he looked at Fang Ziye: "Oh, it's Doctor Yuan, you used to follow Professor Chu like that, right?" ”

"That's fine." The person named Uncle Liu is also very knowledgeable.

Fang Ziye is actually a little resistant to the three words of Lian Trumpet, after all, this side describes the birth of a son. But when the words came out of Yuan Weihong's mouth, the teacher was like a father, and Fang Ziye could only sniff.

"Hello, old man, what's the situation on your side?" Fang Ziye squeezed out a smile and asked.

Seeing an old patient can be more troublesome than a new patient, and it is necessary to list the past medical history one by one to know his current condition.

But Uncle Liu was very individual, and directly smashed the medical record bag on the table: "Well, that's all, Dr. Fang, you can take a look." ”

Yuan Weihong's eyes were instantly picked, and he almost didn't give Uncle Liu a thumbs up.

"Did you have surgery before?" Fang Ziye immediately whispered.

Such an old patient, after many years of review, his own situation, it is estimated that he has already known it, and it may be an exaggeration to become a doctor after a long illness, but it is definitely true that he is semi-professional.

If this is not right, the other party will definitely be able to find himself out.

"Well, I've been doing it for years." Uncle Liu replied quite cautiously, but he didn't have the desire to continue talking, as if he deliberately prevaricated for the sake of examining the prescription industry.

With a smile on his face, as if to say, your teacher was grown up by me, isn't this another young man?

Fang Ziye could only start looking at the plain films, CT scans, etc. at the beginning, and only after he understood in detail the discharge records and outpatient medical records of many years ago.

It turned out that a few years ago, the old man was injured in a car accident that caused a comminuted fracture of the tibial platform, and there was also a bone defect, so he was transferred to Zhongnan Hospital and found Professor Chu for surgery.

After many years of continuous reexamination, it has been good, and now it is estimated that I have taken a plain film again, mainly to observe the condition of osteoporosis and the progression of traumatic arthritis.

"Old man, are you now, does the joint of this foot hurt? Judging from the photos of your postoperative follow-up, your previous fracture has healed, and there is definitely no burden on your walking. ”

"But since the year before, the bone under your tibial plateau has shifted a bit, what have you been doing during this time?" Fang Ziye asked two questions in an easy-going tone.

It seems to be a mouthful of words, but it is actually asking about the current symptoms, as well as the activity habits in recent years, why there has been such a change.

"It's a little painful now."

"Doctor Fang, what do you think I've been doing in the past two years?" Uncle Liu replied like this, a little bit of an old naughty boy's momentum.

"It may be weight-bearing, or it may be other reasons, anyway, in the past two years, your knee joint, because of the micro-fracture caused by the weight of the lower limbs, it may be the ground?"

"Or is it a weight?" Fang Ziye is not a fortune teller.

But I also guessed eight or nine.

"I didn't go down to the ground, but the big fat boy was a little heavy. I'm reluctant to let go, I'm okay with this, right? Now that kid can run away. Uncle Liu's face was full of happiness, as if he didn't know how far away, he could feel that he was sinking into the joy of family around his children and grandchildren.

Fang Ziye suddenly realized.

"Fortunately, judging from last year's plain film, the main reason is that the inner and outer bones of the tibial platform are not uniform enough, osteoporosis is one reason, and holding grandchildren is also another reason, but we still have to pay attention."

"If you continue to deviate like this, your traumatic arthritis will be aggravated, traumatic arthritis, after the fracture, there will be some more or less, and when you are older, there will be a certain amount of wear and tear, if the pain is not very bad, rest more, do some aerobic exercise, is the right choice for your age." Fang Ziye recorded and suggested at the same time.

"Well, now my grandson is locking up the kindergarten, and I don't have to hug him. Doctor Fang, look at me today, do you want to do a check-up and prescribe some medicine or something......" Uncle Liu asked.

After Fang Ziye finished recording, he said, "I'll do a physical examination first, and you lie on the examination table for a while, with your head facing this side." ”

Fang Ziye said and stood up slowly......

About five minutes later, Uncle Liu walked out with his bag of tablets, medical records and examination sheets, and said to Yuan Weihong: "Doctor Yuan, your apprentice is not bad, and you are not bad as Professor Chu's apprentice. ”

The sentence structure was used, and a thumbs up.

"Thank you, Uncle Liu. You're still the same, come up after filming, don't wait for the results, just print out the film and take it back when you're done. Yuan Weihong stretched out his hand and signaled that he could go and check first.

Uncle Liu nodded and left.

Fang Ziye hurriedly gave up his position, this old patient can come in and rub it by himself, if more people come, it is still not easy to make a difference, and not everyone can let themselves practice so generously.

Yuan Weihong's face was serious, and while sitting down, he asked: "What you just said about traumatic arthritis can occur once a fracture occurs, where did you hear it?" What literature to read? ”

"Well, I've been reading some literature lately, and I happened to see it some time ago." Fang Ziye replied, and then prepared to go outside to call the patient.

"I've read a lot of books, right? This patient, if you are going to see an outpatient clinic, how should you give him medication? Yuan Weihong continued to ask.

Fang Ziye carefully examined it for a few seconds, paused first, pulled the doorknob with his right hand, and made a gesture of picking up the patient, but did not open the door: "Looking at the old man's current situation, it is still recommended that he do functional exercises first, and do not use conventional therapeutic drugs." ”

"What about the pain?" Yuan Weihong asked after him.

"Master, I don't think the pain in his knee joint is caused by arthritis, but may be a recent active injury. Didn't Uncle Liu say it just now, he was originally going to come for a review during the Chinese New Year, but he ran with his grandson some time ago and stumbled a little, so he came ahead of schedule. ”

"I didn't fall, it is estimated that it is a non-bony injury of quadriceps traction." Fang Ziye returned.

"The theory is good."

"It's growing up." Yuan Weihong touched his chin with the thumb of his right hand and looked at Fang Ziye's gaze, as if he was really looking at a trumpet.

Fang Ziye opened the door and shouted, "Is patient No. 2 there?" Number 2..."