Those years when I hung up and upgraded in the hospital

Chapter 114: Be a low-key person but do things in a high-profile manner (Please collect and read)
"Dr. Fang, you are too low-key."

"But it's always been like this within the system." The young man understood, and stopped insisting.

For sports injuries, especially those caused when playing basketball, the first consideration is ligament rupture and meniscal injury.

This cannot be seen through inspection.Need to pass a physical examination.

The patient was very cooperative. He lay on the bed and allowed Fang Yun to move his legs around. He did not resist at all, but was very cooperative.

"The lachman's sign is negative, the anterior and posterior drawer test is negative, and the medial and lateral roll stress test is negative. The probability of ligament damage is unlikely, but the lateral McLean sign is positive. It is estimated that the lateral meniscus may be damaged, and an MRI must be done for a final diagnosis." Fang Yun said while writing medical records.

The young man said: "Doctor Fang, you are so humble. You must have diagnosed everything. You are just doing an examination to fix the evidence to ensure that your diagnosis is correct."

Fang Yunxiao said: "Medicine is a discipline that pays attention to evidence and is very cautious. You cannot rely on guesswork."

"The physical examination, clinical consultation results and auxiliary examination results are all indispensable, otherwise it will be just guessing."

"When you go to the doctor, the doctor will guess a diagnosis for you. How scary that is. Maybe the great professors have such ability, but my ability is limited and I dare not be so casual."

The patient replied: "It's okay, Dr. Fang, I will definitely do the check-up."

"Everyone can understand that it's not easy within the system. I also want to do a checkup to completely reassure myself."

"But when it comes to examinations, sometimes no one may look at the examination."

"Before, another friend of mine couldn't lift his hand. He also had an MRI. It was obvious that he had nerve atrophy, but the doctors couldn't see it. My friend was not kept until he arrived at the Shonan University Affiliated Hospital, and he finally underwent relaxation. The surgery relieved the symptoms.”

"If we go too late and our nerves die, we will be in big trouble."

When Fang Yun heard what the patient said, his expression immediately froze, and he replied very cautiously: "Brother, the nerve atrophy you mentioned, I haven't seen the potential of this disease."

"Although this is your friend and I don't know the doctor involved, this is what I mean."

"I predict that ordinary associate professors may not be able to see it."

"Here, I'll give you the examination form. Go make an appointment." Fang Yun handed over the medical record and the MRI examination application form to the other party.

"It's true. The director of our Xiangzhou People's Hospital and an associate professor at the Provincial People's Hospital looked at it and said it was periarthritis of the shoulder. But in fact, whether it was nerve atrophy or entrapment, I can't remember clearly."

"Being a doctor is hard, but being a patient is even harder."

"Doctor, if you want to swipe your medical insurance card, you have to go downstairs, right?" the young man asked. There should be a lot of flexible expenses in the medical insurance card, and they must be within the system.

Fang Yun is no longer a newbie: "The balance settlement in the medical insurance card is another channel. This must be done at the window all over the country, not just in our hospital."

"Yes, thank you. I'll see you later, Doctor Fang." The young man left politely.

There were six calls in the morning, but only five came. The other registered patient did not know where he went.

Therefore, after watching the young man, Fang Yun started to read the follow-up diagnosis number.

The first aunt from Long County came for follow-up consultation. Her arthritis progressed very seriously. It can be said that she was lying. She actually spent a lot of time holding her child.

But she was still laughing, and Fang Yun just told her: "The extent of your arthritis has now reached the second stage of knee osteoarthritis. If it continues to progress, you will need to have a joint replacement." Major surgery, by then, will not be something that can be solved with a few thousand dollars.”

She still laughed. She was not as happy as she said.But Fang Yun didn't expose her.

I prescribed her some ericoxib, some glucosamine, and some calcium tablets. Watching her leave, I suddenly felt that some of the Chinese traditions were a bit ridiculous.

But sometimes I feel that if the parents don't help with the children, what will the young people do? Don't talk about others, just talk about their own parents. If they have a wife and children, the old people won't help.

I can only hire a nanny. Can I afford the cost?
Fang Yun could only shake his head. With his current income, he definitely couldn't afford it.

If you are sick, you can go to a doctor, but the reality is that there is no dedicated person or department to solve the problem.

Regardless of personal thoughts, social development continues. If you cannot keep up with the development of the times, you will be eliminated by the times. There will be no time to stop and wait for you to catch up.

The subsequent patients were all doing relatively well, and they all followed the doctor's instructions after being discharged from the hospital.

It can be clearly felt that, relatively speaking, the people in Ji City have a better economic level and a higher living standard than the people in Long County.

After the other three people completed the review, they left without taking any medicine.

Fang Yun originally thought that he could wait for the sixth registered patient in peace or take a good rest.

But I just took out my phone and played with it for less than 5 minutes.

The buddy who went to make an appointment for an MRI came back unexpectedly.

After he knocked on the door, he said with a slight smile: "Dr. Fang, you are really amazing. My friend from another imaging department just said that the diagnosis is exactly the same as what you said. There is a hole in the lateral meniscus."

"I suggest that I come over and ask. You should be hospitalized."

Fang Yun was stunned for a moment, then put away his phone: "Brother, you have so many friends."

Good guy, the application form for MRI has just been opened. It takes a certain amount of time to walk from here to the imaging department. He has to go back and forth. In addition, the time for MRI is not short, it may take about 10 minutes.

It turned out that he basically didn't have an appointment. When he arrived at the MRI examination room, he jumped in line directly.

How he did it, Fang Yun didn't know, and he didn't want to ask. As for whether it was fair to other patients, Fang Yun didn't want to think about it.

After turning on his MRI and taking a closer look, Fang Yun said with a smile: "You are so lucky. Your injury happens to be a first-degree injury in the red zone, which means that the meniscus is broken, but it is broken." The location is exactly in an area with rich blood supply, and the degree of damage is not high.”

"You can look forward to conservative treatment."

"Really? Dr. Fang. But that friend of mine said I might have a discoid meniscus?" the young man asked hesitantly.

"No, no, it's not to this level yet. You just have an interface that looks like a spindle."

"A discoid meniscus requires at least three levels."

"I can prescribe you some medicine to promote the recovery of the meniscus, which has a certain effect, but the most important thing is to rest, at least for three months. During this period, you should not do strenuous activities, otherwise if the tear extends to the surface, then no matter what No matter what, you'll have to get stabbed." Fang Yun replied very cautiously.

Although the other party has many friends, Fang Yun found the corresponding basis and was not afraid.

It is not that if there is a meniscus injury, it is safer to recommend surgical treatment on the spot, but the indications for surgery must be strictly controlled.

(End of this chapter)