Great doctor starts with adding points

Wu Xie's process of receiving patients was like a template engraved in a textbook. Every step was carefully planned, and there was no redundant words, and every sentence was to the point.

It seems to be just walking around a few times like this, but in fact, the main points in the process of diagnosis and treatment of joint dislocation are vividly reflected.

For example, see the patient first and do a physical examination. This is humanistic care, letting the patient know that you care about him, come to see his illness, and solve his pain for him, not watch his film.

For example, Wu Xie ruled out fractures before diagnosing joint dislocation. Finally, professionally evaluate the severity of joint dislocation, communicate with the patient, and list the treatment options for the patient.

Answering some questions from patients is very professional, but also has a little bit of his own private goods and communication methods.

This is already more mature.

When I saw Wu Xie for the first time, Lin Peiyuan actually felt that Wu Xie, a big boy who loves to laugh and is confident, is a good candidate to become a doctor, very reliable, but unfortunately, I couldn't bring it up.

That's why Wu Xie ended up here.

And if it weren't for that incident back then, Lin Peiyuan thought that he might not have had the chance to know Wu Xie so early. No wonder when he called Dr. Long, Dr. Long said that Wu Xie didn't continue to study for a doctorate, and Professor Duan didn't know what to do. I feel sad.

It is conceivable that Wu Xie's state before he was injured, the impression left on Professor Duan and Dr. Long at that time, at that time, Wu Xie's knowledge reserve may be richer than now, and his clinical performance and behavior are more Be more personable.

Professor Duan is not an ordinary person. He is a professor at Tongji Hospital of Huazhong University of Science and Technology. Such a professor is well-known throughout the country, and it is not unusual for him to be appreciated by him.

Generally speaking, it is relatively private to talk to patients and their family members and sign the informed consent form. Even unrelated medical workers will not stand aside and listen to other people's conversations, unless they are teaching or studying.

"Doctor Guo, what do you think of Dr. Wu's current level?" Lin Peiyuan asked out of nowhere.

In fact, Lin Peiyuan wanted to ask if Wu Xie was like this and when.

But these words made Guo Lixiang a little nervous, and the little man trembled slightly: "Lin, Director Lin, Dr. Wu has always been very good."

"Not only will he be able to treat dislocations, but he will be even better at treating infected patients." Guo Lixiang said that without thinking.

He thought that Lin Peiyuan wanted to drag Wu Xie to the county hospital again, so he gave Wu Xie extra points for speaking.

It's just that after Guo Lixiang finished speaking, he was afraid that Lu Junyin would know that he praised Wu Xie and scolded him in front of Lin Peiyuan, so his expression became more nervous and bitter.

But can I still hurt Wu Xie face to face?

Lin Peiyuan's expression changed slightly, as if he suddenly remembered something: "There was an amputee patient in our hospital before, who was also transferred from your Sha Town, and it was him."

This reminded Lin Peiyuan of Qin Dahe who had amputated all the way from the ankle to the root of the leg.

Guo Lixiang nodded.

Lin Peiyuan's expression suddenly became exciting——

Hey.

It's just that at about this time, a group of people walked back outside the town hospital.

Gui Zhongshuo, the leader, saw Lin Peiyuan, and when Lin Peiyuan was about to ask Guo Lixiang again, he interrupted and asked, "Director Lin, did you just come to the emergency department for a joint dislocation, and you haven't gone to the county hospital yet?"

Hearing this, Lin Peiyuan went to the emergency room first, then took a medical record and walked over laughingly, saying: "Hey, Director Gui, it's a good thing you came here, the patient is having a conversation inside. signature."

"Hey, this patient is in a good condition so far, and I just give Director Gui a look."

Lin Peiyuan said so, and handed Gui Zhongshuo the medical record with clear and clear handwriting, although it was in cursive script——

"The patient complained that he accidentally landed on his left shoulder when playing ball, and immediately felt pain in the left shoulder joint with limited mobility and swelling..."

Gui Zhongshuo watched the medical record passively.

Then I scanned the English letters and suggestions for diagnosis and extracted keywords:

"Square shoulder deformity, Apprehension test (+), Relocation test (+), Release test (+)."

"X-ray shows (read the film without report): the head of the humerus moves forward and loses contact with the articular surface of the scapula. The scapula tilts backward, the dorsal side descends, and the angle between the scapula and the acromion angle is normal. The articular surface is dislocated."

"No obvious fracture signs, no obvious Bankart signs, no obvious Hill-sach injuries."

"Preliminary diagnosis: moderate injury of anterior shoulder dislocation"

"Wu Xie. October 14th."

Lin Peiyuan smiled and said, "It's just out of the oven, it's still hot, and the handwriting is still dry. What does Director Gui think of the professionalism of this medical record?"

Lin Peiyuan's question is actually yin and yang. Would you like to say, did you check the SCI and other literature in front of the patient, and also check the method of grading the severity of the disease?

Gui Zhongshuo's face was not very good-looking at all, and it was slightly gloomy at the moment: "Director Lin, don't have to be so sarcastic. If necessary, I am willing to give you, Director Lin, Dr. Wu Xie, and Xuan County Orthopedics Department for what I said before. Apologies to all orthopedic surgeons on the professional board."

"I'm a layman."

"But I came here to discuss something with Dr. Wu." Gui Zhongshuo cupped his hands slightly.

Lin Peiyuan also put away the medical records, knowing that the joke should not go too far, so he said cautiously: "The patient who just came said that when Director Xue was going to the Chinese medicine clinic, that doctor Chang happened to be doing manual reset for him."

"This traditional Chinese medicine clinic has not yet opened, and there is no registration procedure, which is a bit difficult to deal with? That doctor Chang must have no problem with his qualifications?"

"This Dr. Chang is a well-known TCM doctor of the school of attacking evil. After this Hu Zhou was hired with a high salary, he insisted on performing bone setting and bruise injuries! This is not nonsense, a waste of resources." Gui Zhongshuo looked depressed .

There are many schools of Chinese medicine, and each school has different concepts.

Among them are the Shanghan School, the Butu School, and the Hanliang School.

Chang Quansheng is not good at traumatic bruises at all, but only has a little understanding, so...

After Gui Zhongshuo finished speaking, he looked at Lin Peiyuan: "Director Lin, this Dr. Chang is actually not an error in diagnosis and treatment, but there is a slight error in his practice time. So, can you discuss it with Dr. Wu and don't say anything more?" .”

"As for the previous patient, Zhao Ping, we can properly compensate some of the diagnosis and treatment expenses. The attacking evil sect belongs to the very famous ancient eight sects in our Chinese medicine."

"I have made it clear to Boss Hu Zhou and Dr. Chang Quansheng that they will no longer engage in bruises and dislocations in the future, but will treat patients routinely. So don't hold on to the previous things anymore, what do you think? Is this appropriate?"

Lin Peiyuan said: "You shouldn't discuss this with me, and it's not up to Dr. Wu to decide."

"Since you're not good at bone setting, don't take over before, don't you know the words contraindications for surgery?"

Gui Zhongshuo's face darkened a little, and after making fists to Lin Peiyuan, he walked to the door outside the emergency clinic and waited quietly for Wu Xie to operate on the patient.