Chapter 390 The Daily Life of a Chief Hospitalist

At ten o'clock in the morning, in the surgical emergency clinic of the emergency department of the Second Xiangya Hospital.

Lu Cheng was taking Xie Jian to see things, while Zhou Linli and others were preparing for the afternoon lecture and preparing materials.

In the emergency room, a patient with slumped shoulders heard that he had to wait for test results before he could be treated.

His expression immediately became a little stiff, and then he said anxiously: "Doctor, what should I do now? There are still so many days until the check-up appointment. You have to help me, this pain is unbearable, and there is nothing I can do.

Work."

"Doctor, can you help me think of a way to find an acquaintance? You doctors should know people. Please."

The eyes he looked at Lu Cheng and Liu Xiao were full of helplessness and nervousness.

Liu Xiao is a doctor in the emergency department of the general surgery department and is about to be promoted to associate professor.

Liu Xiao turned his head slightly and didn't mean to take any notice. Lu Cheng's expression moved slightly and he said with a smile: "How can we find a relationship for you? The patients in front of you are also slowly waiting for appointments."

"You definitely won't be able to jump in line, but I'll tell you a way. It may not work, but you can give it a try."

"Just pick a time when you're about to get off work, go to the door of the MRI room where you made an appointment, and wait until the doctor inside is about to leave. Take the examination form you booked and go to beg for mercy with the doctor inside.

See if he is willing to work an extra shift for you, then you can say that you are actually in the emergency department, the front desk made a mistake, and it was the emergency department doctor who asked you to come over and ask."

"If you are lucky, the doctor will usually work overtime to do it for you. If he is in a hurry to get off work, then there is really nothing we can do. We can't force others to work overtime to do things for us."

When doctors ask their colleagues to do the examination themselves, they usually ask them to work overtime during their breaks and will not choose to jump in line.

Although it is just a matter of making a phone call, there are so many patients coming to the outpatient clinic every day, and it is impossible for anyone to make a call for everyone. When you ask people for help, you owe a favor, and you have to repay the favor debt yourself in the end.

It's easy to talk about owing money, but it's hard to repay favors when it comes to numbers.

Moreover, although this patient is an emergency patient and may have all kinds of helplessness, who of the people who come to the hospital to see a doctor is not helpless? Even the doctors who come to work here, who is not busy?

Although there are many doctors in the Second Xiangya Hospital, the number of patients is larger. If it were not because there were too many patients, there were too many patients queuing up for examinations, and the ratio between the number of doctors and the number of patients was completely unequal, how could there be such a queuing situation?

Woolen cloth?

In the eyes of doctors, everyone is the same patient, and there is nothing that can be done about it.

"this?"

"Can it be faster? Can you make a call for me? I'm begging you." The man still looked at Lu Cheng longingly and kept bending over, saying, "If I can't go to work early this month, what will happen to me at the construction site?"

My salary will definitely be deducted."

Lu Cheng's expression froze at that time, he shook his head and said apologetically: "Sorry, I can't help you with this."

"Dr. Lu, I know you are a good person, please help me and help me find a solution." He still persisted, hoping that Lu Cheng would give him a call.

Lu Cheng looked out the door and saw another patient coming in, and said decisively: "I'm very sorry, I really can't help you. The patients in the queue in front are all coming one by one, and no one can get in."

Team."

"Sorry, I have another patient coming."

Hearing this, the patient's expression completely changed: "Why can't you jump in the queue? It's because you are unwilling to help. It's just a matter of making a phone call yourself, and you are unwilling to do so."

Then he picked up the examination sheet angrily and walked out, muttering: "No wonder some people say that doctors are cruel now. If your own relatives come, are you willing to tell them to wait? Aren't you also looking for connections?"

"Butcher in white, you're right. What kind of doctors are they? I've probably forgotten the word medical ethics a long time ago. They don't treat the disease, they prescribe a lot of tests every day, and they don't know anything except money."

"Obviously it's just a matter of prescribing medicine and doing it, but you have to pay a large amount of money."

He cursed and walked out...

At the door, when I met the patient and his family members behind him, he deliberately raised his voice and said, "The people here are all hard-hearted. They have no conscience at all."

Xie Jian was dumbfounded by this scene, unable to connect the honest and honest migrant worker before with the scolding person now.

Lu Cheng and Liu Xiao were both used to it, so their expressions didn't fluctuate much.

A group of people who were about to come in looked quite embarrassed when they heard the migrant worker walking out cursing. They stood at the door of the clinic, looking at each other, hesitant to go in.

This is a family of three. The injured person is a middle-aged fat man in his fifties or sixties. He is accompanied by his wife and a girl in her twenties. The middle-aged man was pushed on the bed.

At this time, the girl's eyes were red, and she kept holding the middle-aged man's hand. She kept saying, "I'm sorry, I'm sorry."

Liu Xiao opened his mouth and said with a smile: "Have you finished the inspection? Why don't you dare to come in?"

After hearing Liu Xiao's words, the middle-aged man called his wife and daughter to push him in, and raised his head and said: "No, Professor Liu, we are sorting out the information at the door. Isn't this convenient for you to see more carefully?"

What?"

"The Second Xiangya Hospital is a well-known hospital and one of the best hospitals in Hunan Province. How can I not dare to enter?"

As he spoke, his wife handed over the medical records and examination sheets, and said, "Doctor, we haven't gotten the film yet, and the blood test results haven't come out yet. What do you think we should do now? My husband

He's in a bit of pain now."

The girl did not speak, but looked at Liu Xiao nervously, with guilt written on her face, and there were obviously tears on her face that had not been completely wiped off.

"We can see the film in the system, but the results of the blood draw will have to wait slowly. It will take about an hour."

As Liu Xiao spoke, he entered the patient's name again, searched for his X-ray examination results, and then explained to Lu Cheng: "The injured fell from the stairs. It's not yet clear whether it was a sprain or a fall. The one on the right

The hip joint is very painful and swollen very severely. There is no skin trauma, so fracture cannot be ruled out for the time being."

Lu Cheng frowned: "How did you fall?"

The girl was on the verge of tears and was about to speak, but her father quickly grabbed her and said, "I just accidentally rolled down the stairs. There were like seven or eight small steps."

Lu Cheng glanced at Xie Jian, and Xie Jian took the initiative to bring the middle-aged man to the physical examination bed next to the emergency room, told him to lie down carefully, and closed the bed curtain for a physical examination.

Xie Jian is a junior doctor, and he knows how to take the initiative and do these simple things. He also understands that Lu Cheng will bring him here for the sake of his master. It is a rare opportunity to learn more from Lu Cheng.

People who want this opportunity may not necessarily get it.

If it weren't for the fact that those interns had their own tasks today, Xie Jian felt that if he really had to compete for opportunities based on his strength, he might not be able to win.

Lu Cheng and Liu Xiao reviewed the films. Liu Xiao was actually just a spectator. Although he was about to be promoted to professor, the distance between orthopedics and general surgery was a bit far.

But after just one look, Lu Cheng frowned, then he pointed to a place and said in a low voice: "The trabeculae here are out of shape, it seems a little abnormal."

"Has your husband been injured before?" Lu Cheng asked his wife.

His wife quickly replied: "He usually works in an office and doesn't exercise much. Occasionally, he may have sprained when walking, but he can still walk. As for other injuries, there don't seem to be any. He was not careful this time."

"

"Yes, yes, yes, I forgot to mention that I had a fracture when I was a child. I was only five or six years old at that time. Several decades have passed. Doctor, you are really amazing. You can even see this?"

The patient said to Lu Cheng outside through the bed curtain.

When Liu Xiao heard this, he immediately turned his head and looked at Lu Cheng, with a bit of astonishment on his expression, and said, "Xiao Lu? Can the fractures from decades ago be seen through the film?"

"You can probably still see some of it."

"After trauma, the trabecular bone structure will be disordered. It is not as smooth as the trabecular bone structure of normal bone. You have to read the film carefully to see it. Brother Liu, this is not a clever thing."

"I just have a history of trauma, so I'm relieved. Otherwise, if the trabecular bone structure is disordered, I have to consider other factors. From the X-ray results this time, it's just hip joint dislocation.

"Lu Cheng said casually.

Then he stood up and said to his wife: "Your husband's current diagnosis is initially determined to be posterior dislocation of the hip joint! He will definitely go to the operating room for manual reduction, you guys."

Lu Cheng was interrupted before he finished speaking.

"Dad!" Upon hearing Lu Cheng's words, his daughter was immediately frightened and screamed.

Then his nose and tears slowly flowed down, his mouth became a little ugly, and he shouted hoarsely to the middle-aged man behind the bed curtain: "Dad, I'm sorry, Dad, I'm sorry."

"I will never dare to be disobedient again. I will never run around again. I didn't mean to push you on purpose."

"Dad, I'm sorry."

"I was wrong."

When her mother heard this, she immediately hugged her tightly, patted her shoulder and said, "Okay, okay, your parents know you didn't mean it. Be obedient from now on. It's okay, it's okay, it's okay."

Then he said to Lu Cheng and others with some embarrassment: "Sorry, I made you laugh."

Lu Cheng and Liu Xiao are both doctors and not police officers. Naturally, they will not investigate whether the family relationship is harmonious or how they were injured.

Parents in the world are all ordinary and love their children.

But it’s not right to say this. The parents of the patient that Lu Cheng came into contact with yesterday can only be regarded as an accident.

Lu Cheng said: "It doesn't matter. No matter how you are injured or what the reason is, the truth now is that you are injured and you need to receive treatment."

"As long as we respect the objective facts, it's not a serious injury. Going into the operating room is just a manual reset. You don't need to be so nervous. It's nothing serious. Doctor Xie will give it to you later.

Let’s talk about the risks associated with manual reduction and the purpose of manual reduction.”

"You guys should consider it carefully to see if you need manual therapy. I'll arrange an operating room for you here. In addition, I have a minor surgery to do in the operating room, so I have to catch up."

"It won't take too much time. You have done all the preparations before the operation, and I will almost step down."

Lu Cheng has a task in the operating room, but he must explain it clearly to the patient's family to avoid misunderstandings, such as that he just left the patient here alone, etc.

"Doctor, please excuse me. Thank you very much."

"As long as my husband's condition does not delay, you can go about your business." The patient's wife was also quite considerate, but she still added that her husband's treatment could not be delayed.
To be continued...