At 9 o'clock in the morning, Xiagou Clinic opened for business.
The first ones to come were the old patients of the clinic, especially the elderly who came for blood transfusion of Saitong and Danshen. They all had breakfast and came to the clinic to report slowly.
The high-quality nurse Juanzi skillfully patted the old patient's arm with her 42-pound left hand, then pinched the other patient's 48-pound right hand, inserted the needle into the blood vessel, put on the drip, adjusted the speed, slightly With a smile, the whole process is very neat.
Older patients would come for infusions every once in a while, and Juanzi was familiar with things like where to get an injection, whose blood vessels were brittle, and so on.
In about half an hour, there were seven or eight elderly patients sitting in the main room of the main house.
The time for the infusion of the elderly is very long, and many people come here according to the lunch time. They were content to lie in the position with the unique scenery, some looked up at the sky, some chatted, some read, and after a short time, the one who read was the first to doze off...
After finishing filling out the form, Dr. Xiong sat back behind the small square table at the entrance of the main room, shook out a newspaper with a "wow", and read it carefully. Occasionally, when a patient asked a question, his eyes would not be idle. Leave the newspaper.
In fact, the old patients are all old problems, and the questions they ask are not new ones. When Dr. Xiong answers, he hardly needs to think.
Occasionally, when a question raised by a patient requires Dr. Xiong to think about it, the result of Dr. Xiong's thinking is always: "go to the hospital for an examination".
Of course, he will guide patients to the departments they should register for, just like foreign general practitioners.
Jingle Bell.
A crisp bell rang in the alley.
Ling Jie porridge on the second floor was drinking tea, and immediately smiled and said, "Jinlu's car is coming."
"Is this their company's ambulance?" Ling Ran asked in surprise.
Ling Jieju laughed: "Of course not, this is Dr. Miao's bicycle, and he gets stuck every day to order it."
As if he felt that he was not clear about what he said, Ling Jie porridge snapped his fingers and said, "The ambulance of Jinlu Company brings the first patients every day, at the earliest after 10 o'clock. Dr. Miao will call before coming. If the deer company sends someone here, he will come to our clinic a little earlier, otherwise, he will not come until noon or afternoon."
Ling Jiecong said with emotion: "Dr. Miao works very hard every day. He works overtime in the emergency department of Yuehua Hospital at night. He comes to our hospital to work part-time during the day. He rides a bicycle to and from the hospital. I told him that he is allowed to work flexibly, and he agreed to pay 200 yuan. of."
"Doctor Miao doesn't have a full-time job?"
"I heard that something happened, so I can only work part-time outside." Ling Jie congee laughed twice, and said, "Dr. Quite a lot... It's a pity that Xiaoran can't help, otherwise, I'll tell Dr. Miao, half of you today, just give him one hundred and twenty yuan... "
While talking, Ling Jie congee looked at Ling Ran out of the corner of his eyes.
Ling Ran was unmoved. When he wanted to use money, he could just ask his mother, and he didn't need to work for his father.
After thinking for a while, Ling Ran said, "I can help with some inspections."
Ling Ran originally planned to go to the hospital in the morning to do a physical examination for the patients in the ward, but since he was on holiday, he decided to do it at the clinic at home.
The hospital has Lu Wenbin and other inpatients making ward rounds, and they will not come to Ling Ran if there is no urgent matter. From this point of view, he is almost living a second-line life, except that he still has to be on duty.
Ling Jieju's eyes lit up when he heard the inspection, and asked, "Did you learn anything from the medical representative?"
Tao Ping, who was making tea, shook her hands and hurriedly looked at her son.
Ling Ran asked, "What trick?"
"The trick to prescribing medicine? Do an examination first, and then prescribe a bunch of medicine. Did he teach you how to do it?" Ling Jieju's eyes became brighter as he talked, wishing he could become a cashier in a large hospital.
Ling Ran shook his head helplessly, stood up and said, "I can only do examinations now, not prescribe medicine."
"Examination is not easy to calculate money. Nowadays, patients want to get things after paying for them. If you take money without giving things, people will feel that they are at a loss." Ling Jie porridge said in a earnest tone: "We did it. It's a neighborhood business, so don't be too greedy."
"Just don't charge for the inspection." Ling Ran went downstairs after saying that.
Ling Jie porridge hurriedly chased after him, nagging: "If you don't charge money, what will you do if people come to check every day? If you don't check, they will be happy. If there is a problem with the inspection, they won't believe you. You only think you are selling medicine... "
"You asked me to prescribe medicine just now."
"So, the most important thing for a doctor and a patient is to establish a relationship of trust. Look at our clinic. Many patients come to see the doctor and prescribe medicine without asking the price. People know that I am not greedy for their money... oh , Dr. Miao is here, let me introduce you, my son Ling Ran, a student of Yunhua University School of Medicine, is doing an internship at Yunhua University."
Ling Jieju pulled Ling Ran to Dr. Miao who had just entered the door.
Dr. Miao is about 40 years old, with blistered eyes, rosacea, and a rather weathered face. He was wearing a white coat on the outside and a white shirt on the inside, with a straight back, as if he had ankylosing spondylitis...
"Miao Tansheng." Dr. Miao shook hands with Ling Ran in a neutral manner. He is just a part-time doctor and doesn't need to pay attention to the situation of the boss's son, especially the boss who only pays 200 yuan a day.
While talking, the sound of an ambulance dripping ~ dripping ~ came over.
"The steel bar on the construction site fell and broke its head. I'll go and pick it up." Dr. Miao had called earlier, explained something, and then went out again.
Ling Ran went to the door and said, "Doctor Xiong, I want to practice a physical examination recently, please sit for a while."
Dr. Xiong is a doctor in Xiagou Clinic all the year round. On weekdays, he only does some work of prescribing medicines, and rarely does debridement and sutures. In the past, when he encountered a little trouble, he was mainly referred.
Ling Ran wanted to have a consultation, but Dr. Xiong put down the newspaper, stood up happily, looked up and saw Ling Jieyu, and said, "A lot of money."
Ling Jie porridge smashed his mouth, turned a corner and left, as if passing by.
"Yo, Ling Ran didn't go to work today." Not long after, an old woman came over with her little granddaughter, and said, "Doctor Xiong, please take a look, he coughs when he wakes up in the morning. I have a cold."
"Let Dr. Ling look at it for you first." Dr. Xiong crossed his legs and sat down at the counter of the pharmacy.
"Come, sit here." Ling Ran patted the chair in front of him and asked, "What's your name?"
This is standard procedure for a physical examination.
Physical examination is a person-to-person examination, and only simple instruments are used, so it pays attention to politeness, attitude, and the doctor's own appearance and attire.
In the medical school, the examination of physical examination must have the content of "patient-centered" or "high sense of responsibility" or "medical ethics cultivation".
For this reason, Ling Ran even practiced smiling in front of the mirror.
The little girl held by her grandma was about seven or eight years old. She was a little reluctant to see a doctor. Now, seeing Ling Ran's face, her attitude changed inexplicably. She obediently sat on the chair opposite him, keeping her legs together, as if in a classroom. As if on the lookout, she said in a soft voice, "My name is Song Xue."
"Well, little friend Song Xue, let me help you look at the tonsils first, come on, like me, ah..." Ling Ran took out the tongue depressor, took off the outer plastic wrapping, and at the same time taught the little girl how to do it.
Song Xue said "ah..." and opened her mouth
Ling Ran quickly pressed it with the tongue depressor, and at the same time illuminated it with the flashlight. After withdrawing his hand, he said, "It's the tonsils that are inflamed. Doctor Xiong, please prescribe the medicine."
Grandma was originally here to prescribe medicine, and seeing that it was Dr. Xiong writing the pharmacy, she just said "En".
In her opinion, prescribing medicine is obviously more important than checking.
Ling Ran observed the other party, and when Dr. Xiong finished prescribing the medicine, he said again: "I see that you rubbed your neck several times, isn't your cervical spine bad?"
"Yeah, I wonder if the pillow was too high last night."
"Let me check it for you?" Ling Ran's desire to practice was growing.
Grandma hesitated for a moment, then sat down in front of Ling Ran.
"Let me do a neck examination for you first...feel the arteries and veins in your neck..." After a short observation, Ling Ran stood behind the old grandma and began to check while talking.
"There is no problem with the lymph nodes, and the thyroid gland is also good. A little high blood pressure?" Ling Ran concentrated on doing his first neck examination for patients. His professional physical examination skills surged, and he could obtain a lot of information.
"The blood pressure in the past two days is not very good. Last night, it was 130, 90."
Ling Ran said: "Check the mobility of your cervical spine... Shrug your shoulders again, let's look at the accessory nerve... Well, there is no problem..."
The old lady was inexplicably happy listening to Ling Ran's words.
The young man's voice was pleasant to hear, and most importantly, he said "no problem" after the inspection, which naturally made people feel at ease.
She is getting older, and what she wants to hear most is "no problem".
"It's mainly about high blood pressure." Ling Ran finished his neck examination, smiled politely and concluded.
"Then can you change my medicine?" the old woman asked tentatively.
"The high pressure of 130 is fine, and the low pressure of 90 is slightly higher, but there is no need to change the medicine. Just pay attention to your diet recently..." Ling Ran is very familiar with the common disease of high blood pressure, so he followed the guidelines for high blood pressure. That's it.
Before the old lady could ask again, an old man squeezed over and said, "Check it out for me too."
"What's wrong with you?" Ling Ran smiled politely. The physical examination of the whole body is quite time-consuming and not very necessary. Therefore, it is necessary to ask about the medical history and chief complaint first.
"I have a bit of bronchitis, and my lungs are not very good. It's an old problem. It happens when it's cold, and it also happens when it's dry..." The old man said very carefully.
Ling Ran nodded while listening, and by the way, percussed his lungs and listened to the sound.
"The outside is voiceless, the clarity is good, and there is no problem with the lungs. If you are worried, let's look at the expansion of the chest." Ling Ran stood up and stood behind the old man.
As soon as the old man heard that there was no problem, a smile appeared on his face, he said yes repeatedly, and then took a deep breath following Ling Ran's voice...
After a while, several old patients greeted Ling Ran and came to give them a physical examination.
Seeing this, the newly arrived old patients decided not to hang the bottles and waited for Ling Ran to examine them.
Ling Ran has a polite smile on his face, kind and dignified. He is very popular with everyone. Most importantly, he can always tell everyone's illnesses. Even if it is an old disease, everyone wants to be sure. .
Dr. Xiong watched coldly, glad that someone would take away the job of chatting with him.
Dr. Miao, who completed the debridement and suture in the back room, also squinted his eyes, wondering what was going on in his mind.
At some point, several passing girls quietly came to the consultation desk and lined up.
Dr. Xiong, who was reading the newspaper, stared at him, put down the newspaper, stood up abruptly, and said to Ling Ran, "Xiao Ling, do you want to rest for a while? Let me replace you."
"Alright." Ling Ran, who had just completed 18 physical examinations, asked the system and confirmed that his ranking in Yunhua City had risen by one place to 1127. He was quite satisfied and wanted to stop and rest for a while. .
The girls sitting in front of the consultation table panicked for two seconds, and the girl sitting at the front stood up leisurely and said, "I forgot to put away my clothes."
"Yeah, it's time to collect the clothes."
"Go back quickly."
After the insincere conversation, calm was restored at the consulting desk.
Dr. Xiong silently shook out the newspaper, and served a cup of tea with goji berries.