"If it hurts, just say it." Ling Ran palpated the patient's abdomen.

Compared with technical methods such as B-ultrasound, the slightly old-fashioned palpation can still obtain a large amount of information. Therefore, it is still frequently used in physical examinations.

Of course, technologies such as imaging and palpation are not an either-or relationship, and are more often the choice of the doctor.

Ling Ran is now a master of physical examination. When performing abdominal palpation, the accuracy is higher than that of ultrasound, so there is no need to occupy equipment.

The patient was lying on the examination bed, looking at Ling Ran happily, and said: "It doesn't hurt, it can't possibly hurt."

"Don't hold it in if you feel any pain. If you feel any pain, please speak out." Yu Yuan stood on a small bench on the other side of the examination bed, reminding the patient for the nth time.

The patient looked at her with disgust, said "yes" in his nose, and then looked at Ling Ran.

"Will it hurt here?" Ling Ran now has his own opinions on physical examinations, and the order and mode he adopts are slightly different from before.

The patient had to be reminded, then he took a breath and said, "The pain is not severe."

"You have to talk about even the slightest pain. Do you feel any pain after eating?"

"Occasionally."

"An hour or two after the meal?"

"Yes, you can guess this. Dr. Ling, you are so amazing..."

"Gastric ulcer." Ling Ran interrupted the other party before he could finish his sentence: "I will prescribe two more tests for you. You go and get a diagnosis. The ulcer is not serious at the moment, but technical intervention should be used."

At this time, the man lying on the medical examination bed was stunned and said hurriedly: "I work out three or four times a week, how can I get sick?"

Ling Ran looked at him suspiciously and asked, "Why don't you get sick after you exercise?"

"Fitness...fitness is good for your body."

"You will still get sick when you should be sick." Ling Ran wrote the order and gave one more warning, saying: "Stress, fatigue, careless diet, climate change, or tobacco and alcohol may cause and aggravate gastric ulcers.

You have to pay more attention and not take it lightly."

Yu Yuanze said: "If the gastric ulcer is not treated properly, it will be very troublesome once the gastric ulcer bleeds or perforates, and the stomach may need to be removed. In addition, there is a risk of transforming into a malignant tumor."

"Cancer?" the man being examined screamed.

"Not now, but there is a risk." Yu Yuan said: "I want you to go back and have a good look at the gastric ulcer. Just take a good look at it. Do you understand?"

The man asked anxiously: "Can I really get cancer?"

"There is a risk of gastric ulcer becoming cancerous, but the probability is relatively low, usually less than 3%." Ling Ran now has enough energy potions, and often takes drugs and reads books. He has also read many books on internal medicine, and he has learned everything he should remember.

Can remember.

"Three percent is not enough..." The man didn't feel relieved at all. He jumped down from the examination bed and asked, "What should I do now?"

"I suggest you go to the hospital to see a gastroenterologist." Ling Ran gave the opinion of referral.

He can also prescribe medicine to patients with gastric ulcers, but he is not a professional after all. On the other hand, to diagnose gastric ulcers or related diseases, he may need to do a carbon breath test and maybe a gastroscopy, then

This is not something that current free clinics can do.

Referral is a common practice in emergency departments, but it is a little more troublesome now.

Ling Ran handed the list to the other party and asked Yu Yuan to explain it. Wang Jia, the little nurse next to him, asked another patient to come forward without waiting for instructions.

While still asking questions, do a physical examination and then make a basic judgment.

Ling Ran's diagnostic skills are not very high, and his experience in outpatient clinics is close to none, but he is more than enough to perform this kind of community diagnosis.

Unlike the patients who come to Yun Medical, they often have serious illnesses and need to be treated with caution. The free clinic in Bazhai Township itself is a physical examination, and most of them are normal healthy people, more or less.

Diseases are not serious and are mainly common diseases.

With the development of modern medicine, difficult and complicated diseases are still difficult and complicated diseases, and no matter how many examination methods are used, they are only auxiliary. The highly respected evidence-based medicine is the opposition party of difficult and complicated diseases.

Today's doctors actually like to deal with certain common diseases the most. When you hear the sound of horse hooves, your first thought should be horses, not zebras.

For Ling Ran, the current technology for identifying horses is gradually maturing.

"Doctor Ling." Director Wang Haiyang of the Hand Surgery Department shouted and called Ling Ran over.

"This is..." What Ling Ran saw was a finger that had obviously been boned incorrectly.

"Do you want an operation?" Wang Haiyang pointed at Ling Ran and said, "Dr. Ling is our best doctor at Yun Medical in replanting severed fingers. If I reattach your finger, it won't stop every day.

It hurts."

The young man who was treating the doctor suddenly took his hand back as if it was hot and asked: "How much does it cost?"

"Do you have health insurance?"

"It's like 120 a year."

Wang Haiyang nodded slightly: "The entire operation will cost about more than 10,000 yuan."

"Then I'll think about it." The patient didn't dare to continue, stood up, and left hesitantly.

Wang Haiyang smiled helplessly: "I thought I could do an operation. Let's take a look at each outpatient clinic."

Wang Haiyang could only shrug at Ling Ran and continue to see the next patient.

They are all specialist doctors, but in this kind of free clinic, they are not so particular.

And the people who come to see the doctor don't care either.

Different from the higher-end ideas of foreign specialists, Chinese people generally believe that an expert doctor should be comprehensive. At the very least, a good cardiologist should be able to easily treat a gastric ulcer.

What……

This is somewhat influenced by the trend of traditional Chinese medicine. For the old doctors, it is both convenient and inconvenient. The same is true for Ling Ran.

After completing the physical examination for most of the young people, there were fewer people lining up in front of Ling Ran.

Ling Ran no longer had to sit at the table all the time, so he was busy going back and forth. He also helped other doctors treat mild patients for two hours. He encountered seven or eight patients with corns and paronychia alone.

This kind of minor surgical ailment is placed in the cloud hospital, which means that only residents and even interns are sent to practice. There is really nothing to do, and it is the simplest surgical operation.

Ling Ran had no intention of letting go today. There were patients with mild symptoms, so whatever could be done on the spot was done.

Several doctors who came to the free clinic nodded.

Among the surgeons present, Ling Ran was undoubtedly the youngest. He took the initiative, and the other doctors' senses were also much better.

"Looking at it this way, Ling Ran is quite sensible." Director Hong from the Respiratory Department saw Ling Ran going to the cubicle again, so he opened the third pack of cigarettes today, lit it, and talked with a smile.

"That's true. He kept silent and did a good job." A deputy senior general officer came and nodded in agreement.

"The main thing is to look at the patient's feelings. Ling Ran is very serious about treating patients." Wang Haiyang, who was most familiar with Ling Ran, said something with a smile.

"This is true."

"You are still young. If you are older, you can at least collect a few more banners."

As soon as Director Hong finished speaking, he saw a banner stretched out from outside the door.

The big characters on the banner read "Saving lives and healing the wounded, noble medical ethics", and the small characters next to it said "Gift to Dr. Ling Ran" and so on.

"Is Dr. Ling here? I'm here to send you a banner." Water Overlord Hua Tao came in full of confidence. Standing on the land of Bazhai Township, he felt that he had endless strength, and he gave gifts confidently.
Chapter completed!