Chapter 308 The form of living beings! (Please subscribe)
Auxiliary examination is an important tool for judging the severity of the condition. From the tool, the severity of the patient can be roughly inferred.
Zhou Cheng turned around, looked straight at Zi Yi's question, and listened to the answers one by one. At the same time, he assessed the approximate identities of the old man and middle-aged man through their clothes.
The middle-aged man was wearing a shirt, formal trousers, and a watch that must have been valuable. When he spoke, he was quite polite and well-educated. Moreover, the implication behind his words was that he actually missed his father very much.
Solve the current pain through surgery or other methods.
However, after hearing Ziyi's suggestion, the old man said: "Since the professor at Shonan University Hospital recommends you to have surgery, why don't you want to choose surgery?"
The old man was probably in his sixties. When he heard this, he stepped back sharply and shook his head like a rattle: "I don't do surgery, I don't do surgery. Surgery requires the bones to be replaced. I don't do it."
."
After shaking his head, he looked at Zhou Cheng with some disappointment in his eyes and said, "Dr. Zhou, actually you don't have to be embarrassed. I know my own disease very well. You just need to prescribe something for me."
Painkillers will be fine, but I won’t do surgery.”
Zhou Chengcheng answered quickly, stretched out his hand to comfort him and said, "Nai Nai, don't get excited yet. Let's talk slowly."
"Your condition is very serious now. Every step you take is suffering. But your situation is not complicated. After the operation, you can basically return to normal. What are you thinking?"
"At your age, you should be able to take care of more children and enjoy family happiness."
Zhou Cheng was puzzled. Logically speaking, the old man's family background was not bad, and his knowledge was not shallow. Moreover, the current joint replacement surgery was very mature and the curative effect was very good. Therefore, Zhou Cheng hoped to find the old man through his talking skills.
Inner love.
In the past, Luo Yun used different speech techniques and communication methods to communicate with patients in the outpatient clinic, allowing them to make the best choice for themselves.
At that time, Zhou Cheng was just a foil and could not sit in the clinic. Now he has to do everything by himself, and he has to slowly refine his way of getting along with patients.
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."
The middle-aged man sighed slightly and explained in a low voice: "Dr. Zhou, this is actually the case. It's mainly my fault."
"My mother died unexpectedly due to surgery. She was young and ignorant before, and we young people had some complaints about the old man. Dad, can you still not get rid of that knot? My mother's death has nothing to do with you."
Zhou Cheng was moved in his heart but did not interrupt.
But the old man was even more stubborn. He stood up and was about to leave: "I don't want to do surgery. I don't want to do surgery."
He staggered out anxiously. When the middle-aged man saw this, he hurried over to help him, but also looked helpless. Ziyi didn't know how to deal with it, so he tilted his head and looked at Zhou Cheng, probably meaning, do you want to
Stop it.
Zhou Chengze said: "Please sort out all the patient's examination information and return it to them."
In the outpatient clinic, Zhou Cheng could not understand the past between the old man and his son, nor did he know to what extent the middle-aged man complained about his father. Perhaps, as a young and ignorant man, he had complained more than once
It was his father who killed his mother.
Or maybe the old man himself is afraid of his wife leaving, so he doesn't dare to take risks, and he has an inner fear about the surgery.
After Ziyi packed up, he was about to go out, but Zhou Cheng snatched the flat film from his hand and said, "I'll take it away. You can lead the next patient to the consulting room."
Ziyi nodded and said yes.
Zhou Chengcheng pushed open the door and chased out, holding the registered number in his hand.
After catching up with the old man and the middle-aged man, Zhou Cheng smiled and said: "Your film has been sent to the outpatient clinic. In addition, you can also withdraw from this registration. I regret that I have not been able to help you."
The middle-aged man took the bag of flat films from Zhou Cheng, said thank you, and explained: "Dr. Zhou, I registered the number, how can I return it? I'm sorry, I have caused you trouble."
"Dad, let's go home. We won't have any surgery. I'll listen to you. I won't force you. I'm sorry! But I really know I was wrong." The middle-aged man apologized to his father with red eyes.
When he was a teenager, he lacked maternal love, so during his rebellious period, he hurt his only father's love. At that time, he was still underage, so how could he know whether his father's choice was right or wrong?
Now that you have achieved success and fame, when you want to be filial, it is already too late!
Old children, old children, and the elderly are like children. When getting along with their children, they are cautious and may be afraid of themselves. The damage caused to them in the past cannot be reversed...
Zhou Cheng saw that the old man's legs were still shaking slightly, which must have been caused by pain.
The necrosis of the femoral head has collapsed to such an extent that I can't even walk or stand.
Zhou Cheng did not continue the topic. He was not the old man's son, nor was he the old man himself. He could only comfort others when things were not going well. He should not persuade others to be good without going through others' suffering.
Zhou Cheng just said: "Si Si, if you really can't stand it, you can still come to me. I won't advise you today. But in your situation, if you lack exercise in the future, you will shrink.
Then he becomes more and more unable to move, and becomes paralyzed over time. Even if he undergoes surgery again, it will be too late."
"I don't advise you to have surgery, but there are ways to relieve the symptoms. You can relieve the symptoms through hospitalization and make your quality of life better."
When money is not an issue when a patient comes to the hospital, the problem is more difficult to solve.
The old man looked at Zhou Cheng thoughtfully, but still walked resolutely towards the elevator, obviously not wanting to look back.
Zhou Chengcheng could only turn around and return to the consulting 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 the savior.
After briefly ignoring the patient, Zhou Cheng returned to the consulting room.
The second patient was younger, about six or seven years old. He was a little boy. He was quite ignorant. When he saw Zhou Cheng and Zi Yi in white coats, he was very scared and hid behind his father. Somewhat
Timid.
The person who brought him here was a middle-aged man, very honest and honest, dressed simply. After catching the child, he took the initiative and pursed his lips and said, "Doctor, this is my son."
"I also took him to many hospitals, but found nothing, and they all said it couldn't be cured. I heard that a great expert came here in Changshi, so I thought about taking him to have a look."
As he said this, he exposed the wrists and feet of the child who was wearing long sleeves and long pants!
Then sure enough, I saw that the child's right forearm and the middle of the left lower limb's thigh were extremely slender and curved.
Seeing this, Zhou Cheng felt a little better. He put on gloves, carefully held his right forearm, and looked at it carefully in front of his eyes: "Have there been any fractures?"
The middle-aged man nodded: "It's easy to fracture. You can't touch it. If you put a little force, it will break. I've broken it several times before."
Osteogenesis imperfecta (brittle bones)!
It can also be called porcelain baby disease. It mostly occurs in children. The bones are very fragile and can cause fractures with a little external force. Currently, there is no special treatment...
Ziyi was a little stunned and looked at it curiously.
Zhou Cheng felt a little helpless and said, "Let me take a look at the plain film first."
Then with the help of Ziyi, he spread out the flat film, and it can be seen that the bones of the child's affected limb are as thin as an arch, the bones are quite loose, and the medullary cavity is extremely small.
After reading it, Zhou Chengcheng asked: "How old did this start? Which hospitals have you been to before?"
"About 4 years old, probably for several years. I have had several fractures. After each fracture, I put a plaster on it and it healed. They said it was a branch fracture and it was not displaced. I have been to Shonan University Affiliated Hospital and also
I've been to hospitals in Guangdong Province and they all say it's not curable, so I can only pay more attention." The middle-aged man replied.
At the same time, the eyes looking at Zhou Cheng were full of expectation, as if they hoped that Zhou Cheng could provide a specific treatment method.
A branch fracture? Oh, it’s a green branch fracture.
With such a disease, fractures are prone to occur, even spontaneous fractures. If nothing is done, the fracture will occur.
Most fractures are greenstick type, with less displacement, mild pain, and fast healing. They are completed by subperiosteal osteogenesis. Malunion is common. The limbs are often bent or angled. Generally, after puberty, the number of fractures gradually decreases...
Zhou Cheng had only heard of this rare disease before, but had never seen it clinically. It was probably because he had been in the ward before, so he was shaved off by the outpatient clinic teacher.
Zhou Cheng nodded and said: "There is indeed no better way to treat such bones. In the absence of fractures, most of them are to take good care of them, and then let the children grow to adolescence, usher in the second growth period, and reshape the bones."
It will be better after quality control."
"But the bones are very brittle. Maybe the heavy schoolbags carried to school can cause fractures. It will be quite troublesome for you to take care of them, but parents still need to be careful."
The middle-aged man nodded: "Yes, that's why I keep him with me all the time, and I don't dare to go out. Once before, his grandfather took him walking on the way to school, and he broke his bone. Now it's all me
Send him to the classroom with his schoolbag on his back."
"Then the teacher set up a special cabinet to store his schoolbag. He didn't dare to take his homework home, and he didn't dare to let him play with other children, so he was very withdrawn."
In fact, it is not that he is withdrawn. The main reason is that he also told his children not to play with other people. Other parents also told their children to stay away from this porcelain doll.
The child did not speak, but looked at Zhou Cheng with a little fear. However, his eyes actually showed a kind of ignorant curiosity and a kind of longing. This longing look made Zhou Cheng's heart move.
Zhou Chengcheng said: "Actually, it is very difficult to treat this disease, but there are some special auxiliary tools. Do you want to try it? It is a set of braces customized for the child, which can assist and protect his activities.
, so you can feel a little more at ease."
"There is just one problem. This brace may need to be replaced every year because the child is growing, and the cost is not low. If your family can afford it, I can give you a suggestion. If your family is already in a difficult situation.
If so, you’ll have to worry more yourself.”
Zhou Cheng had previously designed an auxiliary device similar to a wheelchair and a walking support for the old man when he was in Magic City.
However, it is not very practical, but it does allow patients with fractures to get out of bed early. It is very expensive and requires dedicated personnel.
Now, although this little boy has no fractures, his condition is actually more fragile than the actual fractured patient.
If this was not a child, Zhou Cheng would not recommend it.
The middle-aged man was delighted when he heard this: "Dr. Zhou, what is the specific use of this brace you mentioned? How much does it cost?"
"The function of the brace is to protect and provide a certain amount of support to prevent his bones from being subjected to excessive stress. It can also provide a certain amount of stress to help shape the body."
"And the cost may be a bit expensive. One set costs more than 10,000. Because this device is targeted at only a very small number of people, it cannot be used in large quantities." Zhou Cheng told the truth.
In fact, he could give one as a gift, but if he gave it to all the patients he met, then Zhang Zhengquan's company would not need to continue to operate. This kind of brace is originally aimed at a small number of people, and there is no need to say that the rich people have it.
People who don’t have money don’t need it.
When he was in Shanghai, the old man specially asked Zhou Cheng and Zhang Zhengquan to make a special wheelchair. On the fourth day after the operation, he could attend meetings. He could walk on his own, and he could also sit and walk. It was better than a wheelchair.
Once you get up, it feels much more convenient and normal.
At present, the old man has already removed it, but because it is specially made, it cannot be used by others. It is equivalent to tens of thousands of dollars and is just a decoration.
But for the old man, tens of thousands of dollars could buy this brace, which was well worth it.
The middle-aged man frowned tightly when he heard this. He was obviously frightened by the cost. It costs five figures to replace it once a year. This is not a small amount of money.
Annual income and disposable expenses are not the same!
Seeing the middle-aged man's hesitation, Zhou Cheng added, "You can go back and think about it carefully, or you can test it for a year first. If it doesn't work and it doesn't help the child, we won't order it anymore."
"Only a few people know about this brace at present, so even if you ask other doctors, they probably don't know about it and they won't be able to provide you with this resource."
Doctors often can only give one suggestion. Maybe the middle-aged man will ask elsewhere. Zhou Cheng also made it clear in advance that others may not know this.
Finally, the middle-aged man took the contact information given by Zhou Cheng and left.
But after the patient left, Ziyi reminded him: "Dr. Zhou, it is very dangerous to let the patient designate the device manufacturer and pharmacy to buy medicine. If he reports it, there will be a lot of trouble."
"I know." Zhou Cheng nodded.
Nowadays, the medical industry is strictly investigating pharmaceutical rebates, especially those who purchase drugs at designated locations and then receive rebates.
However, Zhang Zhengquan, a bad guy, never gave Zhou Cheng any so-called kickbacks, and he was not afraid of investigation.
Although there may be complaints, as long as you sit upright, you are not afraid of others checking. The positioning of the brace is a high-end product, which is unknown to ordinary people, and Zhou Cheng will not negotiate further.
"But this patient is very special. He has been to many big hospitals, but he has not received better medical services. Maybe he will report it, but I still prefer to believe that he believes that I am well-intentioned, and his heart is also excellent.
."
"Go and call for the next patient to come in." Zhou Cheng made a decision.
In the past, Zhou Cheng would never have done such a thing. At that time, he was still hanging out with others, and if something happened, he would have to be protected by others.
But things are different now. He is an independent practitioner himself and is about to get an intermediate professional title. He can act upright and sit upright, so he doesn't need anyone else to protect him.
This is the confidence and foundation.
Ziyi didn't dare to point fingers at Zhou Cheng, but she still felt that it was very risky, but Zhou Chengdu decided that she could only call in the next patient.
The third outpatient was a woman in her fifties, very fat, mainly suffering from foot pain.
Especially the center of the foot, when standing, the pain is excruciating, but after sitting down, the pain is relieved a lot. She is independent and very good at talking.
"Dr. Zhou, you are an expert. I came here specifically for you. My foot has been hurting for several years and it has never healed."
"Some people said that I need surgery on my feet, and others said that I need more physical therapy. But I have had physical therapy and massage many times. It was effective at the time, but I just couldn't get rid of the root." said the middle-aged woman.
Haha, he seems to be an optimist.
Zhou Cheng came in from the other side and roughly understood what the situation was like, so he said: "Auntie, your foot hurts. Does it hurt a lot when you stand? Does it get better when you sit down?"
"Yes, yes, yes, doctor, you are right." The middle-aged woman took off her shoes, which were hard-soled sandals, then crossed her legs and pointed out the specific location to Zhou Cheng.
, roughly in the center of the sole.
"It's right here. It hurts even if I press it." The middle-aged woman gasped as she pressed.
Seeing this, Zhou Cheng smiled, put on the mask, changed a pair of gloves, and murmured in a low voice that he had seen a common disease. This is plantar fasciitis, a very common disease that occurs frequently.
In middle-aged and elderly people, it is caused by adhesion of the plantar fascia.
However, despite his concerns, Zhou Cheng still carefully performed a physical examination, and then pressed the aunt's chubby feet and found that there was no problem with the bones.
Then he stood up and said, "Have you been injured? Have you taken any pictures?"
It cannot be generalized empirically. Although plantar fasciitis is the most likely possibility, in fact, differential diagnoses such as spontaneous fractures and cubital arthritis must be ruled out.
"I took it but didn't take it. The doctor said it's fine. But it just hurts." The aunt stopped her legs and looked at Zhou Cheng eagerly.
Zhou Cheng also returned to his seat, took her medical record, started to write down the physical examination, and then said: "I will prescribe some medicines for you. If you can follow the prescriptions, the pain will be relieved quickly. However,
You have to keep using it.”
"Okay, okay, you take it. I will remember to take it on time. My wife just gave birth to a grandson. I held her for an entire afternoon the first few times. Oops, my feet were almost useless. I had to lie down for two days before she felt better."
, I hurried over to see the doctor."
"Alas!" The middle-aged woman looked happy and disappointed.
Zhou Chengcheng said: "After you go back, you buy a few pairs of good sports shoes. You tell the shopping guide that they are the kind of shoes that athletes wear specifically for running."
"Second point, don't eat too greasy food after you go back, only eat lean meat."
"Third point, your food intake should be reduced to at least a quarter of the current amount, and eat smaller meals more frequently. For example, if you eat three meals a day now, you should eat four meals. Each meal should not be more.
"
"Fourth point, you can go to the nutrition department to see if they have any diet for you. If you can control your weight and insist on wearing good, soft-soled shoes, your pain will be relieved a lot."
"Then if you continue to insist on foot soaking and physical therapy, it is not impossible to stop the pain."
The middle-aged woman opened her mouth wide: "This is the prescription. I thought there was medicine? I won't take it? Aren't you hungry?"
"You will be hungry, but it will get better after a while. Eat smaller meals more often, less fat meat, and less staple food. Otherwise, if you don't lose weight, this pain will always exist. And in the future, your
There will also be problems with the joints, and major surgery will be necessary at that time." Zhou Cheng said with a smile.
He was not being alarmist. When he saw the aunt's weight when she came in, he roughly guessed what the problem was. In fact, some thin people can also develop this kind of plantar fasciitis.
It is more common in women, and it is more common in young women.
High heels, those with hard soles and stiletto heels that go against the arch of the foot, are simply the natural raw materials for plantar fasciitis. They don’t require any special cooking methods. Just wear them consistently and get the right fit.
Even if the accident does not occur, stress may accumulate to the tibia, and a stress fracture will occur.
"Hey, if you don't eat fat meat, what's the point of eating meat? Let me tell you, Dr. Zhou, I think meat is just the smell of fat meat, and lean meat is all made of firewood, not
How to eat.”
"Then you can eat eggs, just egg whites, or beef. The fat content of fish is a bit high."
With that said, Zhou Chengcheng finished writing: "That's about it. Remember to persevere when you go back. It's more cost-effective for you to spend money on a few pairs of better shoes than to take medicine, and you can also have grandchildren by then. After you lose weight,
, I will feel much more relaxed..."
When it came to having a grandson, the middle-aged woman nodded seriously: "Okay, for the sake of my grandson, I will give it a try, otherwise Sister Wang will say again that if I don't take care of my grandson, my son will not care about me in the future."
With that said, she picked up the medical record and left. She opened it and looked back, "Doctor, do I know your name?"
Zhou Cheng smiled and did not answer. Instead, Ziyi came up and explained: "There are some incomprehensible characters, which are Latin characters or abbreviations. Not all characters are incomprehensible."
"Then I'll be relieved." She turned around and went out. It could be seen that she had a good personality.
It is estimated that if she does not bring her grandson, if she is so optimistic, her son will not be able to ignore her...
After Ziyi brought the next patient in, she asked Zhou Cheng: "What is the diagnosis of the aunt in front? Doctor Zhou, I also occasionally feel pain in my feet."
Hearing this, Zhou Cheng turned to look at her shoes and said, "You don't need to buy flat shoes. You can just wear more nurse shoes and there's no need to lose weight."
"Although wearing high heels can make you look beautiful, it can also hurt your feet, so you need to pay attention to their protection. Our orthopedic joint surgeons never take the stairs in the elevator, just to protect our knees." Zhou Cheng explained carefully.
Ziyi asked in astonishment: "If you don't even climb stairs, isn't that not a good exercise?"
"Fitness, but we orthopedic surgeons have never done anything like squats that damage joints. We prefer swimming, low-speed jogging, and seldom go on the treadmill. And even if we want to lift irons, we will choose single-joint exercises.
I wouldn’t choose multi-joint exercises.”
"Exercise is also very particular. It depends on which muscles you exercise, and then find a more scientific way of exercising. Otherwise."
Before Zhou Cheng finished speaking, he looked at the two new young girls who came in. Based on their dress, he estimated that these two girls were also dancers, or they were doing aerobics or something else at home.
"Hello, where are you feeling uncomfortable?" Zhou Cheng asked.
"I've been feeling uncomfortable behind my knee for several weeks. I've been to other places before and they said they needed surgery. I was a little scared, so I didn't do it. But recently, it's still painful when I squat or stand up.
, it’s extremely painful.”
"Then I happened to see Dr. Zhou's clinic, so I came here." The person who spoke was my sister. She was young, probably about twenty years old. Next to her was a girl of seventeen or eighteen years old, who was somewhat similar to her.
It should be my sister.
"Both of you, do you have knee pain? Are you dancing Pamela at home?" Zhou Cheng asked tentatively.
According to the literature he learned, girls in cities currently have a high rate of chronic injuries to their knee joints due to various factors such as maintaining their figure and doing aerobics.
As for Pamela, it is a more common type of aerobics...
"Yeah." Both sisters nodded at the same time.
Then my sister reacted and asked: "This is our MRI. A doctor said that we are naturally thicker and need surgery to remove it, and then the pain will be gone."
She was still quite alert and did not say which doctor it was.
However, even if what they said was incomplete, Zhou Cheng also knew that this was a very common meniscus in the field of sports medicine. The disc-shaped meniscus is easy to rupture and is an abnormal meniscus.
However, after carefully reading the films, Zhou Cheng discovered: "Hey, your meniscus is relatively good and not broken. Why do you need surgery? What did the doctor who saw you before say?"
"Here." My sister took out the MRI report again.
Then I saw the words suspected meniscus injury written on the report sheet!
Well, Zhou Cheng probably understands that this is what Doctor Pianzi criticized, which was criticized by the old professor from the Second Affiliated Hospital of Xiangnan University when Zhou Cheng attended the annual meeting of Orthopedics of Xiang Province. He only looked at the report sheet when seeing a doctor.
that kind of existence.
Seeing Zhou Cheng's expression flickering, the girl asked anxiously: "Doctor, is our situation serious?"
Zhou Cheng shook his head: "No, your knee joints are quite normal from the MRI point of view. However, in order to make a more accurate diagnosis, I need to conduct a more systematic knee joint physical examination on you."
Simply looking at the report is just a doctor's report.
It is not advisable to simply watch movies, even if you are a doctor of movies.
One of the reasons why clinical doctors cannot be replaced for the time being is that there are many factors involved in diagnosis and they do not correspond one to one.
Zhou Cheng then went to do the physical examination. After the operation, Ziyi was completely confused and didn't know how to hold the pen.
Of course, if you write down the physical examination of the knee joint in detail and write down all the key examinations of Zhou Cheng, it will take at least four to five hundred words.
What are the medial and lateral Maxwell's signs, hyperextension and hyperflexion pain, patellar pressing pain, pain point examination, medial and lateral stress tests, etc., these are not things that ordinary medical students will understand.
In fact, two people only registered one number, so they only needed to write a medical record. After writing it, they said: "In your situation, just take a good rest for a while and stop dancing. If you don't rely on this
If you eat, take a rest and control the frequency in the future.”
"If you want to keep fit during this period, choose a more soothing form of exercise like swimming."
"Then we need to have surgery?" My sister asked hurriedly. This was the question she was more concerned about.
Zhou Cheng shook his head and said cautiously: "My personal opinion is not needed. You can also refer to the opinion of your previous doctor."
It is unkind to undermine colleagues.
However, it is also necessary to give personal opinions.
But my sister said: "Dr. Zhou, then I must trust you. You are a great doctor in Shanghai, and you must be very knowledgeable."
"Can I add you on WeChat so that I can ask you some questions in the future?" She blushed a little boldly.
Ziyi was also stunned.
Zhou Chengze smiled and said: "Thank you for your trust. Our doctors have clear regulations and cannot give out contact information casually, for fear of causing corruption problems, and it will not be clear when the time comes, so we should avoid such misunderstandings."
."
The two sisters hurriedly walked out.
Originally, it was a bit excessive to have the courage to ask Zhou Cheng on WeChat, but now that Zhou Cheng has refused, they are extremely embarrassed.
Only a clear voice came from the door: "Sister, have you fallen in love with this handsome big brother?"
"Me? I didn't. I just wanted to ask fitness-related questions." My sister argued.
"Oh, that's good. I think he's so handsome and I like her a little bit. He will be my new idol from now on." My sister breathed a sigh of relief.
Zhou Cheng: "..."
What the hell?
Ziyi looked at Zhou Cheng again very curiously. He was tall, handsome, well-educated, and strong. He was definitely a very good boyfriend. Unfortunately, he was a bit unsophisticated and at a loss.
"Dr. Zhou, these two beauties are quite good-looking. Why don't you add their WeChat accounts?"
"The hospital doesn't have clear regulations that doctors can't give patients contact information?" Ziyi asked tentatively.
Zhou Chengcheng simply said: "Oh, I usually don't send WeChat messages to patients."
"Then can I add your WeChat ID, Dr. Zhou?" Ziyi asked eagerly and took advantage of the situation. Most men would probably not refuse.
Zhou Cheng's eyes narrowed slightly: "Doctor Zi, do you want to discuss academic issues with me? If so, we can have an interview now."
Although Ziyi looks good, she lacks a kind of temperament. It doesn't mean that she is not good enough. It can only be said that everyone's experience is different and the people they come into contact with are different.
In terms of cuteness, Ding Dian could be beaten by her. Zhou Cheng thought to himself that if there was a comparison, it would be more appropriate for him to flirt with Ding Dian than Zi Yi.
In terms of knowledge, she is not even as good as An Ruo before. In terms of being well-behaved and sensible, Tan Min is better than her.
Moreover, if it weren't for An Ruo, if Zhou Cheng was looking for a girlfriend now, there would probably be many people introducing him to girls from Kyoto, the Magic City, rich girls, good looks, education, knowledge, or outstanding girls in the workplace.
be accessible.
Ziyi didn't reply.
Zhou Chengze continued: "What are the physical examinations I just had?"
Ziyi continued not to answer, and his face turned a little pale.
Zhou Cheng continued to ask: "For these two girls just now, what diagnosis might they consider? What are the differential diagnoses? Why did the MRI just now consider meniscus damage?"
"What do you think about the definition and diagnostic criteria of discoid meniscus?"
Ziyi walked out the door, a little angry: "Dr. Zhou, I don't even know."
Zhou Cheng didn't pay attention to her anger. It didn't matter whether Ziyi came here to be his assistant, whether she volunteered or was arranged by others. You and I came to study, at least you came here for this reason.
If you don’t ask questions, don’t understand the basics, and ask irrelevant questions, then what are you doing?
I haven’t done a good job on the surface, so I might as well bring Fang Yun here, maybe we can actually discuss some issues.
Next, Ziyi became honest. Although her voice was still sweet, she looked really angry and had a business-like attitude.
Zhou Cheng was delighted to see Ziyi working so seriously and devoting himself wholeheartedly to seeing patients.
The patients who came were all kinds of strange, and they were present in every subspecialty. Zhou Cheng even saw two children who had relapsed after bone tumor treatment. The parents of the patients were almost desperate and brought them to Zhou Cheng to ask if there was any comparison.
Good rescue plan.
Zhou Cheng gave several suggestions, but they all asked them to go to the Magic City or Shashi.
It’s not that Zhou Cheng is unwilling to do it in Changshi. The main reason is that the pathology department here in Changshi is not mature enough. Without the assistance of the pathology department, Zhou Cheng would not dare to do it rashly. Considering this disadvantage, Zhou Cheng
Cheng was also very helpless, looking at the two families and leaving almost in despair.
I don’t know what choice I will make in the future, whether to give up or continue to seek medical treatment.
Then, Zhou Cheng also saw many patients who clearly wanted surgery, but refused to do it. Some did it for money, and some did it out of fear of surgery. Therefore, taking medicine can help,
But surgery is absolutely impossible.
Moreover, some people forced Zhou Cheng to prescribe some painkillers, but Zhou Cheng could only agree and prescribed those within the rules. Zhou Cheng did not prescribe other hormonal drugs.
Perhaps because Zhou Cheng was relatively well-known, although the patient was angry, he did not make a fuss.
However, the last patient started to make a fuss after Zhou Cheng told him that he did not want surgery due to his current situation.
"Dr. Zhou, you need to see clearly. My condition is so painful that I can't even survive. If you make the wrong diagnosis and treatment, then I will cause trouble for you." The patient is a patient.
A man in his forties, thin and smart-looking.
He had been injured in a car accident before. This time he came for a follow-up consultation. He wanted Zhou Cheng to give him a leave request for another year or two, saying that he was not suitable for work.
Zhou Cheng only said: "I just made side suggestions based on your current symptoms and your auxiliary examination. Your current situation, the bone can heal, is not consistent with the physical signs you described."
"Your current situation does not require surgery or other special treatment. If the pain is severe, I suggest you go to the pain department to see if there are other pain factors."
"If it was just because of the fracture two years ago, then the current level of recovery does not support such intense pain."
When the man heard this, he became angry: "Dr. Zhou, what do you mean by this? Do you think I'm faking it? You're not the one who's in pain, right? I'm in pain? I'm here to see you, doctor. I'm here to see you."
Did you solve the problem?"
But after he finished speaking, his tone softened again: "I can't bear the pain, and I want to rest. But the unit needs your doctor to issue a certificate for me. Please write one for me. Please help me. I'm in trouble."
Although the words are polite.
But Zhou Cheng shook his head: "I'm sorry, your temporary objective information does not support asking me to write you such a long leave note. At most, I can only suggest you to take a break for half a month, re-examine, and then based on the re-examination, decide whether
Need to extend the rest period.”
"What's the use of half a month? I come to you once every half month. It's troublesome for you and it's troublesome for me. Dr. Zhou, just give me a prescription for one year. This will save you trouble and trouble me too."
"
"I can't stand the pain at all. How can I still go to work? Please help me." The patient looked in pain.
"I'm sorry, I can't do anything. If you feel that the pain is serious, I suggest you go to a higher-level hospital, or go to the pain department, or go to Kyoto or Shanghai." Zhou Cheng continued to give suggestions. The actual purpose of such a person is
Very simple.
Lao Lai, relying on the driver or whoever hit him, wants to get something for nothing!
The purpose is known, but it cannot be said that the pain he said is false. The doctor cannot say this directly.
The patient smiled and said: "Dr. Zhou, aren't you from Shanghai? The opinions you wrote are more manageable, just like when I went to Shanghai. Just do it and help me.
Write a sick note."
Zhou Cheng really didn't know when doctors had the power to issue sick leave notes to employees in other professions.
He just completed the patient's medical record and then forwarded it to the patient.
"My personal opinions are based on the current objective conditions, as well as suggestions for transfer to another hospital. I'm sorry, I can't help you. I have to get off work. Please ask someone else!" Zhou Cheng handed over the medical record.
.
The patient also stood up and stopped Zhou Cheng.
"Doctor, can't you just ignore it? I'm in terrible pain." He began to speak loudly.
"My ability is limited! I can't treat your current illness." Zhou Cheng was still very patient.
"You don't know how to read it. Why don't you give me a leave note? I want to go out to see a doctor, so I also need a leave note, right?" The patient continued to speak loudly.
Zhou Chengdao: "I'm just a outpatient doctor. I'm not qualified to issue any leave notes. You've found the wrong person."
"Oh, our work unit said we want your doctor to issue a leave note, but you just want to evade responsibility." The patient pestered Zhou Cheng.
"Then your unit must have made a mistake in the procedure. You can go back and ask again. Doctors have no qualifications and have the right to issue leave requests to others," Zhou Cheng said.
"Then I've written it before."
"Then you go to your previous doctor. When I treat you today, I will only refer to your condition today and the results of the plain film I saw. As far as I am concerned, I am not aware of anything in the past.
Yes. I don’t know why the previous doctor gave you a request for leave, but now, at most, I can only recommend that you take half a month’s rest.”
"And I will only write it in your medical record."
After Zhou Cheng finished speaking, he took a deep breath: "What we have established is a medical treatment procedure, not a kidnapping regulation. I have already expressed that I can't do anything about your situation now, so I will ask you to hire someone else. If you still block the way
If so, you are imprisoning me in disguise, I can call the police."
"You still call the police? Why do you report it? Do you think I don't understand the law? I'm telling you, if you don't fix my situation today, you won't be able to leave." The patient looked like he was not afraid of me.
Then, under his watch, Zhou Chengcheng first called the police, and then called the security department...