Great Doctor Ling Ran

Chapter 124: black hair

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The physical examination used the activity center and chess and card room of the nursing home.

There are two table tennis tables in the activity center. The distance between them is very large. When you push them away, there are about 100 square meters. When you push the thick wooden door on the partition wall, you will find a chess and card room with an area of about 600 square meters. It is divided into go, chess and bridge. , Mahjong and other areas.

The nursing home closed the original semi-interval area with curtains, and it became a different physical examination area. Veteran cadres with different appointment times arrived on time under the leadership of the nurses, with a leisurely attitude.

Health inspection is not a physical examination in the traditional sense. It does not do a large number of auxiliary examinations such as X-ray and CT. It is more about sending a full-time doctor to come to the previous examination report and do some face-to-face examinations and inquiries.

Although the team that Doctor Yun sent this time can’t be said to be the strongest lineup, they can be regarded as elite soldiers and strong generals. Even if a weaker doctor, such as Dr. Zhou, is sent to another hospital, he can still be regarded as an elite. The elite in.

The purpose of sending these people to the Baisuitan Sanatorium is to solve the problem.

Those that can be solved at the moment are solved now, and those that cannot be solved at present are sent to the hospital for solution.

Regardless of the fact that the average life expectancy in Japan is over 80 years old, and it is known as the strongest in the world, the average life expectancy of Yunhua's city-level health care targets can be exceeded at will - after all, those who live long enough have no chance to become health care targets.

The first-level health care targets in Yunhua City are above the sub-provincial level, or academicians of the Academy of Sciences and Engineering, or the Red Army and other personnel who participated in the work before the July 7th Incident in 1937. The objects of secondary health care are department-level cadres above the deputy department, who worked during the Anti-Japanese War, or worked during the Liberation War and retired. The third-level health care targets are extremely broad, including cadres above the current level and all retired cadres. Personnel with senior technical titles include full professors in universities, special teachers in primary and secondary schools, and senior technical personnel in factories and mines. Everyone has a share.

Of course, the treatment of different levels of health care objects is different. For example, the first-level health care objects receive reimbursement for medical services, the second-level health care objects can only be reimbursed, and the third-level health care objects have percentages.

Even if you live in a nursing home, the rooms and fees for the first-level, second-level and third-level are also different. There is no need to pay for the first-level, and the old cadres will directly check the accounts. The second level also does not need to pay money, but there is an additional reimbursement procedure, and the time limit is also limited every year. Although the third level only needs to pay a small amount of tens of yuan, and may be reimbursed by the unit, it feels different after all.

Of course, those who can live in a nursing home are much more comfortable after all.

Ling Ran watched several patients with his own eyes, and was diagnosed with the disease even though the symptoms were not obvious, and he felt that he had learned something.

Ling Ran has no experience in outpatient clinics, and he doesn't know much about how to see a doctor in an outpatient clinic. Now that he sees a group of doctors for diagnosis, he feels more.

Compared with ordinary outpatient visits, during the health rounds, doctors ask and examine more carefully. From the perspective of bystanders, it is more logical and easier to grasp the doctor's thinking.

After listening to it for a while, Ling Ran found it very interesting, so he took a few steps forward to listen to something more.

He stepped forward, and a group of children followed suit. The originally quiet lineup was suddenly covered by giggling laughter, and several children took the opportunity to run around.

Seeing that the children were moving, the parents in front of them immediately followed suit. Several doctors also took defensive actions and locked the door, fearing that the children would rush in and damage the equipment.

"Doctor Ling, you have to watch over it." The resident doctors in the inner room were anxious and shouted quickly.

"What do you think?" Ling Ran was a little puzzled. There were nearly 20 children under his feet, all of whom looked like they could make trouble at any time.

The ordinary-looking resident doctor ran out anxiously, and said to a group of children with a smile: "Kids, let's go, uncle will take you out to play."

"Don't." A little girl across from him crossed her arms in an instant to protect herself and attacked, "You're not fun."

"Why am I not having fun?"

"You don't look good." The child used Tongyan Wuji's specialty, and he hit every hit.

The young resident stared blankly at the child across from him. He didn't expect the child to be so direct.

"Don't run around, stand still." Ling Ran turned around and said, the children really stopped.

Just when he turned his head, a group of children laughed again.

Obviously, they played this as a 123 wooden man.

Ling Ran then leaned against the door, watching the physical examination inside, and occasionally paying attention to the children.

The argument between an old aunt and the doctor quickly caught Ling Ran's attention.

Just listen to the doctor ask: "Do you have rheumatoid arthritis?"

The old aunt shook her head and said, "I haven't."

The doctor said strangely: "Your morning stiffness is so severe, you have multiple joint swellings, and you also have rheumatic nodules. This is rheumatoid arthritis."

"I've tested it. I'm negative for the rheumatic factor." The old aunt pointed to the case in the doctor's hand and smiled proudly.

The doctor sighed helplessly, and said: "The diagnostic criteria for rheumatoid arthritis is not like this, look at your joint..."

"I did a blood test and it was negative."

"Positive rheumatoid factor is only an indicator of rheumatoid arthritis. Positive rheumatoid factor does not necessarily mean rheumatoid arthritis, but negative does not necessarily mean it is not. Look at your current joints, symmetrical swelling, wrist joint swelling , are clear indicators... "

"I didn't come to show you this..." The old aunt said impatiently, "You show me something else first."

"Looking at something else?"

"See what's going on with this upturned hair on the back of my instep? It hurts when I touch it." The old aunt took off her shoe, showed her thumb, and showed it to the doctor.

The doctor stared at the black hair standing upright on his thumb, and fell into deep thought.

Ling Ran put his hand on his forehead, and suddenly felt that taking care of children was not such a bad job.