Those years when I hung up and upgraded in the hospital

Chapter 84 No one cares about it (please collect it, please read it)

After asking around, I found out that the girl sitting next to me, whose occupation was unknown, accidentally sprained her knee joint, and then she often had pain when walking, which lasted for a month or two.

Pain after exercise may be relieved during rest, but occasionally there may be a feeling of compression when walking.

This is a very obvious symptom of meniscal injury in the left knee joint.

Fang Yun then said: "Your situation is almost understood clearly. You can lie down on the examination bed first, lying flat with your head on the left side..."

While Fang Yun was recording the medical history, he reached the last sentence. When he was about to stand up, he saw the girl unbuttoning two buttons of her woolen coat.

"You just need to lie down. You don't need to take off your clothes. There is no air conditioning in the consulting room. It's cold." Fang Yun quickly advised.

MD, if the other party really opens the buttons and has no one to accompany him or a nurse, then it’s hard to tell.

The other person's face turned red and he quickly put his legs together.

The order of orthopedic examination is based on the amount of touch.

After completing the examinations one by one, Fang Yun said: "According to the physical examination just now, you have tenderness on the anterolateral side of the left knee joint, and McFarland's sign is positive. At present, it is considered that the possibility of meniscal injury is relatively high, but we do not need surgery specifically." If so, we need to do an MRI."

"How much does it cost to do an MRI, doctor?" The girl sat with her legs together, exhaling like blue, and her voice was slightly warm.

"It's more than 400. You may need to make an appointment. If you want to get a diagnosis now, I will prescribe it to you."

"In your case, you may need a meniscus suture operation." Fang Yun explained.

"Is it so expensive?" The girl hesitated for a moment.

"Well, only MRI can confirm whether surgical treatment is needed. Physical examination can only provide a direct diagnosis."

"Meniscus injury is a relatively common sports injury. If there is no surgery, it will affect the function of the knee joint later." Fang Yun still provided popular science to the other party.

"Then open one for me? Can I scan the QR code to pay?" the girl asked.

"Okay, now you have to scan the QR code to pay."

"..."

It may be that the number of MRI patients in the Prefecture People's Hospital is not large. While Fang Yun was still playing with his mobile phone in the outpatient clinic out of boredom, the other party had already completed the examination and returned.

Knocked on the door: "Doctor, they said the results won't be available until tomorrow. What should I do? I won't have time tomorrow."

"Have you already had an MRI? Give me your medical record card." Fang Yun clicked his tongue in surprise.

But after Fang Yun asked this question, he saw that the other party was confused and didn't know what the outpatient card was, so Fang Yun said: "It's okay, just scan your clinic code."

Outpatient cards are already a product of the past. In today's increasingly smart era, outpatient cards have been replaced by electronic outpatient cards.

After the girl scanned it, Fang Yun began to read the film. Sure enough, he found a tear in the front corner of the meniscus, and it was also a hub-shaped tear, which needed to be dealt with.

"Your meniscus is ruptured. In this case, surgery is required. Conservative treatment is absolutely ineffective."

"Look, this hole is the meniscus break." Fang Yun pointed out to her.

The girl looked up and said timidly, "Doctor, I can't understand."

"Then what should I do in my case? If I don't have surgery, will I always be in pain?"

"The theory is this, and it will become more and more painful. The meniscus cannot heal on its own without suturing. And if it becomes loose, it will also affect the knee joint." Fang Yun explained.

"Can this be considered a work-related injury?" the girl quickly asked.

"How did you get injured? Did you get injured while working?" Fang Yun asked.

Whether it counts as a work-related injury or not is not decided by Fang Yun.

"I sprained it while dancing on the live broadcast!" The girl was a little embarrassed.Through her words, it was obvious that she seemed to be hiding something.

"In this case, you have to ask your company whether it recognizes this as a work-related injury. Our hospital cannot identify it. If your company recognizes it or the insurance company recognizes it, it can be connected with the medical insurance department of our hospital." Fang Yun calmed down and felt that he might have misunderstood something.

"You must have surgery. If anyone tells you that it can be cured without surgery, they are definitely lying to you."

……

After the girl left, Fang Yun felt helpless.

The other party later said that she was an anchor, but she was just a small anchor. She didn’t know whether she recognized a work-related injury or not. She didn’t make much money a month.

So I have to go back and ask first.

Fang Yun initially thought she was a worker in a special service industry, but she had a certain mindset.

In the next few hours, Fang Yun was enjoying himself.

Except for the nurse at the consultation desk who specifically asked Dr. Fang if he wanted to order a lunch box, not to mention no one or ghost was seen.

It is equivalent to saying that I only checked one number in one morning.

But the doctor doesn’t knock on the door.

If the patient doesn't come, Fang Yun can't do anything.

During the lunch break, Fang Yun looked at the queues in other clinics and felt a little envious.

Generally speaking, after working in a place for a long time, you will more or less have your own group of patients. If they know you, they will trust you, whether it is for review or anything else, there will be a certain group of people.

When registering, the more registered patients see that you have more available numbers, the less they dare to register. This is also a relatively normal psychology.

However, it doesn't matter.

This is the hard work of water. Using your own ability to treat every patient who comes for treatment is the limit of what you can do.

Two patients came in the afternoon, but one of them was transferred from the emergency department with an acute sprain of the knee joint. He was sent after temporary ice application and took an MRI, which was equivalent to letting Fang Yun take a look at the film.

The result was okay, it was just a soft tissue sprain, just apply ice and rest.

Another patient, a patient with patellofemoral arthritis, didn't even need an MRI. He just took an X-ray and was able to confirm that he had patellofemoral arthritis. He could just take medicine and go home to rest.

Patellofemoral arthritis is a chronic inflammatory injury that affects young people. It is mainly caused by excessive friction between the patella and the femur, which damages the cartilage and causes local inflammation. It is more likely to occur in patients with a lot of knee joint activity.

For example, mountain climbing and cycling enthusiasts.

Need to rest.

However, although there were not many registered outpatients before getting off work, an acquaintance brought by a doctor from our hospital came to Fang Yun's clinic.

"Hello, Dr. Fang! I am Liu Qingyu from the Department of General Surgery, and this is my mother. I heard from Director Hu that you happened to be in the outpatient clinic today, so I came here from the Department of Orthopedics."

"This is my mother's MRI film. Could you please help me take a look at it." As the other party entered, he smiled and stuffed a pack of cigarettes into Fang Yun's white coat pocket.

Fang Yun hurriedly refused: "Brother Yu, I don't know how to smoke. You can keep it to yourself."

"Auntie, what's going on?"

"The pain in her arm is an old problem. In the past few days, I have been able to persuade her to come to the hospital for a check-up. She just refused to come before..." Liu Qingyu, who is close to 40 years old, is smiling and has no reason at all. At Yun's age, he doubted Fang Yun's skills.

After all, he was highly recommended by Director Hu Jun.

(End of this chapter)