"Hi, I'm Ling Ran, the doctor who performed your surgery. I want to check your physical condition and see how you're recovering." Ling Ran stood in front of the hospital bed and woke up the patient in bed No. 1 who was in a light sleep. .
"Oh, Doctor Ling." The patient couldn't forget Ling Ran after seeing Ling Ran. At this moment, he rubbed his eyes, looked at the sky outside, and said in surprise, "What time is it?"
"5 o'clock." Ling Ran said, "Let's check the room a little earlier."
"Ward round at five o'clock? It's too early, isn't it usually rounds at seven or eight o'clock." The patient couldn't help complaining, and the family members were woken up, looking unhappy.
"I want to give you a detailed physical examination." Ling Ran answered seriously with the polite smile he had during the physical examination.
Now that he is a little familiar with his physical examination skills, he naturally wants to use them on his patients.
Most of the patients who undergo the tang method are traumatized by the outside world, and their family conditions and insurance status are different. Therefore, not everyone has undergone a comprehensive examination, or has a physical examination every year or even every six months. Many people only did the necessary examinations because they entered the hospital in an emergency, and they were very resistant to further examinations, especially those patients and their families who were sensitive to "charges", and even did not want to do the MRI necessary for tendon suture.
The physical examination technique that Ling Ran has mastered cannot replace imaging or chemical examination, which are the other two components of diagnostics, auxiliary examination and laboratory examination. However, different techniques may point to the same goal, Ling Ran If the physical examination technology is used to find the clues of the disease or some abnormality of the patient, it can prompt more detailed imaging or laboratory screening, which is exactly the meaning of ward rounds.
In fact, if it is a big leader or a rich man, even if it is clear appendicitis, a complete set of examinations and expert consultation will be carried out.
It's just the inevitable imbalance caused by the scarcity of medical resources.
Just like now, in order to do a physical examination for more than ten people without delaying the operation in the morning, Ling Ran started the ward round at 5 o'clock in advance, and had to disturb people's sleep. If the patient has his own medical team of health care experts, he can choose the time freely, and it is no problem to push it until after the afternoon nap.
"Please sit up first." Ling Ran stood by the side of the bed, observing the patient by the way.
The nurse drew up all the curtains around the bed.
"Can I brush my teeth and wash my face?" The patient muttered and lifted the quilt.
Ling Ran shook his head lightly, and said, "I don't do a full-body physical examination. According to your medical records, you have been working at a desk for a long time and have chronic gastritis, so you should focus on examining your chest and abdomen, as well as your head and neck. I probably need For 10 minutes, you don't have to brush your teeth and wash your face."
In terms of tone and content, Ling Ran was rather blunt, but his blunt medical descriptions calmed down the patient's emotions a lot, but after sitting up, he said dissatisfiedly: "Why did you check me first and check me last?" Maybe I can get an extra hour of sleep."
The nurse on duty who came with me couldn't take it any longer, curled her lips, and said, "You only think that you got up at five o'clock, do you know what time our Dr. Ling got up? He rushed to the hospital to check you one by one. , there is no overtime pay of a dime, and you have to pay for a taxi. After the examination, you go back to sleep, and Dr. Ling will continue to do the examination, and after the examination, you will have an operation... "
"The head and neck are fine. I'm checking the chest and abdomen now. Please take a deep breath." Ling Ran was always careful when doing things, and didn't listen to what the nurse had to say.
After about 10 minutes, Ling Ran finished what he thought was the necessary examination, nodded, and said, "There is nothing wrong with the physical examination, just stick to the rehabilitation and it will be fine."
The nurse then drew back the curtain.
The patient and his family members were a little bit happy and a little bit unhappy. The reason for the happiness was probably because Ling Ran said that there was no problem, and the reason for the unhappiness was probably the same.
Ling Ran was unmoved, and called the patient in bed No. 2 again for a physical examination.
Because it is a selective examination based on cases and medical history, Ling Ran pays special attention when dealing with female patients, and basically only does auscultation and percussion on the back, which makes some patients quite regretful.
After a round of physical examination was completed, even though Ling Ran was physically strong, he also felt tired.
The nurse on duty said with admiration and distress: "Doctor Ling, you are too serious."
"I didn't have the conditions to do a physical examination before, but now I have the conditions to do it, I should make up for it." Ling Ran deliberately explained.
The nurse on duty only thought that Ling Ran was talking about time and energy, she couldn't help covering her mouth with a chuckle, and said, "You only had a day off yesterday, so you came here a few hours earlier today, so you'll be sleepy when it's dinner time , I don’t have time to spend with my girlfriend.”
"I don't have a girlfriend." Ling Ran replied naturally.
The nurse on duty covered her mouth with an "ohhh" and wanted to jump her feet in excitement. Even when Ling Ran left, she didn't dare to let go of her hand to say goodbye, lest she couldn't help shouting out to affect the observation.
This information is so exciting!
"What's the good thing? Share it?" The junior resident doctor who came to work early with an ordinary appearance and a weak sense of presence greeted him with a smile, hoping to establish a good colleague relationship with the nurses.
The nurse on duty put down her hands, shook her clothes, and said, "It's okay."
The sound of treading shoes, walking faster and faster, filled the corridor with people.
"It's fine." The Puchou resident doctor waved his hand, feeling that his actions were quite chic, and his relationship with colleagues should be steadily improving.
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ps: I got up at 5 o'clock in the morning to type, and I tapped the keyboard ten thousand times. In fact, it is very easy to get up early. As long as I have a recommendation ticket, my biological clock reaches 5 o'clock, and I slap myself three times with a wave of my hand. Sorry? Three more! Let me tell you a joke, some authors will do all kinds of cruel things for the recommendation votes, as long as there are recommendation votes! Recommended ticket! Recommended ticket!
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