Chapter 263： Checkup

In the morning, Ling Ran, who had only had one operation, checked the room slowly, and once again obtained 4 treasure chests of heartfelt thanks.

Looking at the 16 primary treasure chests accumulated in the system interface, Ling Ran hesitated slightly. In theory, 16 can be written as the 4th power of 2, which is the result of 2 * 2 * 2 * 2, which is put in binary, and 16 is written as 10000, which is really an integer that can't be integer.

So, is it out of the box or out of the box?

The last big unpacking, but got two skills at one time.

Although the overlap between the reduced suture and the intradermal suture is slightly larger, it can be regarded as a combination of skills. If you think of it this way, it seems that connecting two skills seems more useful.

With 16 junior treasure chests, the chance of getting two skills makes people less confident.

Ling Ran thought to himself, and quickly made a decision, saying, "If no surgery has been scheduled up to now, we will have another round of physical examination?"

Lu Wenbin couldn't help himself, but asked strangely: "Did you see something just now?"

"Where can I see everything?" Ling Ran pouted.

Lu Wenbin did not object.

From the doctor's point of view, it is not enough to check how much, the complexity of the human body is far beyond human cognition. Take the simplest measurement of blood pressure as an example. There are differences in different methods of blood pressure measurement. Blood pressure will be different, blood pressure will be different in different postures, and blood pressure will be different in morning, middle, and night. That is, the blood pressure index does not require precision. However, the situation is similar for accurate examination.

It is an MRI film, and the reference materials for judging whether it is normal or not, are only used as the standard for films of more than 100 healthy people, or more than 400 healthy people.

If it weren't for various imaging films, people would always worry about radiation, blood draws and other methods would always cause people to worry about loss, and human daily medical examination requirements would be much more complicated.

Physical examination is a very environmentally friendly inspection program, but the frequency of execution is gradually decreasing.

Patients always want affirmative answers, and so do medical suits, but physical examinations are difficult to do.

However, as a primary judgment, the role of physical examination cannot be ignored.

Ling Ran then made another round and gave the patients in the ward one by one for another physical examination.

Lu Wenbin followed, busy dizzy, and sighed: "I heard that doctors in the 1960s and 1970s conducted rounds and rounds twice, but I didn't expect to encounter such a thing now."

"The first pass of the coarse sieve meets the basic needs of the patient, and the second pass of careful inspection, targeted solutions to the patient's problems, there is nothing bad." Ling Ran paused and said: "Unfortunately I am not a physician . "

Surgeons and physicians have very different indications and different coping abilities.

Problems such as diarrhea may be minor, and the patient can handle them at home, but in the hospital, the surgeon heard the patient said that diarrhea was far from free as a physician.

There are so many things to consider that doctors often can only resolve symptoms, not necessarily problems.

Surgeons prefer to hear words like colic.

Ling Ran can't prescribe medicines for the patients at random, and if there are some problems when they are checked occasionally, they will arrange further examinations.

Lu Wenbin didn't even master the skills of the surgeon. He was still climbing the roots of the skill tree. He only felt that his logbook was getting heavier and he was worried that his medical records would become more difficult to write.

However, these words are not dared to be told to the superior doctor, and they can only think about it in their hearts. As long as they are spoken, they will definitely be scolded.

Lu Wenbin looked at the book and could only choose a good one: "You have a higher level of physical examination than many physicians, so after a while, there will be a lot of problems."

Ling Ran nodded "En", and said, "Since there are no more beds, check more and check more quickly. If there is no other problem, just go home."

Lu Wenbin smiled, he had already guessed this routine.

After such an inspection, Ling Ran gained another "thank you" junior treasure chest, and arranged the discharge time of two patients, which was regarded as a success. In the last ward, Lu Wenbin was relieved and panting, but Ling Ran stood still and did not leave, and then made a detailed inspection of 52 beds. He went out to the corridor and said, "Please come to the clinic for liver and bile surgery . "

"Not good?" Lu Wenbin's face changed slightly.

As Ling Ran's assistant, although Lu Wenbin has participated in hundreds of operations, his identity is still a resident. When he falls in the ward, he is a tube-bed doctor, so he has the closest relationship with the patient. Yes, not only understand the patient's condition, but also worry about their condition.

After all, it is a patient who contacts daily. After two weeks, he not only knew the dog's name, but also met the parents, relatives, distant cousins ​​and unit colleagues ...

Ling Ran is essentially a superior doctor and a superior doctor of the surgical system. Therefore, his main job is surgery, and the direct understanding of the patient is far worse than the tube bed doctor.

This setup is actually a natural development of the hospital system.

Whether it is China, Japan, South Korea, India or other Asian countries, or European and American countries, the surgeon of the surgeon will consciously withdraw from the specific patient management system.

If you only use heavy work, you can't explain this behavior, and the physician's work is also very heavy. However, the cattle doctors in internal medicine often have the image of nothing and everything.

After all, it is the job of the surgeon itself that makes them unwilling to get too close to the patient and the patient's family.

However, although Ling Ran is not good at dealing with people, he understands Lu Wenbin's state at this time.

Therefore, Ling Ran deliberately thought for a moment, and said, "It may be cholecystitis ~ www.novelhall.com ~ tends to be acute. With tenderness and rebound pain, the gallbladder tenderness is not obvious, but it may be developing. "

Acute cholecystitis may require surgery, but a physical examination is not sufficient to confirm it.

Lv Wenbin was relieved. To the doctor, such a disease is nothing, and it should be arranged quickly.

After a while, someone ran down in hepatobiliary surgery.

The level of Yunhe's hepatobiliary surgery is common. Of course, this is the standard of the top three hospitals. In the face of acute cholecystitis, a professional hepatobiliary surgeon can simply take an attendant to solve it.

"Doctor Shan. Dr. Ling." Lu Wenbin had seen each other and introduced him casually.

Doctor Shan nodded slightly: "Show me the medical records."

Lu Wenbin handed the prepared medical records to the other party. The latter was read in the corridor.

"Heart rhythm, blood pressure and other indicators are a bit high, so it is not easy to perform surgery." Doctor Shan frowned after seeing Lu Wenbin's record.

Lu Wenbin coughed and said, "This is a physical examination performed by Dr. Ling himself, which is normal data."

"Such blood pressure is more than 130, so you tell me it is normal data? More than 90 heartbeats are higher." Doctor Shan was not satisfied with Lu Wenbin's answer.

Lu Wenbin looked around and said, "In general, when Dr. Ling personally performs a physical examination, some female patients, especially unmarried young women, tend to have higher blood pressure and heart rhythm indicators. You remove 15 from this value. By 20, that's pretty much it. "

Dr. Shan's glasses almost fell off. He looked back and looked calm, Ling Ran, who had no abnormal colors, and then looked at Lu Wenbin, saying, "You make me laugh."

Lu Wenbin faced Qi Se: "What's the point of making me tease you? How do you guess I know the value will drop?"