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479 16-year-old gout (Leader Suojia Hachiko 4)

Zhou Congwen ignored the orthopedic patients. The patient in the small room was in a stable condition. He was not going to leave and sent Shen Lang away and went back.

In fact, there is no need for Zhou Congwen to send Shen Lang, but he is worried that Shen Lang will not go home and will continue to stay in orthopedics to watch the fun.

This kind of Bagua heart, Bagua soul, and even the ultimate consciousness guy, who knows what he will do?

"Go back and have a good rest. Brother Gao is ready to take the tissue slices to the imperial capital for immunohistochemistry. Don't worry, I have contacted 912 and I will talk about it when the results come out."

"Oh, what is immunohistochemistry?" Shen Lang asked subconsciously, as if he was about to start gossip again.

Zhou Congwen patted his shoulder and said, "Sleep well, explain what you want to listen to tomorrow."

"You should also watch orthopedic patients." Shen Lang nagged.

"The tourniquet shock, I'm afraid they won't be able to see well." Zhou Congwen smiled, "After all, there are a few rare complications. It's best not to appear. Once it appears, it needs to be done in a short time..."

"I understand." Shen Lang exclaimed a big snoring. (Note)

When passing by the wheelchair, Dr. Teng smiled at Zhou Congwen and expressed kindness.

He held a movie in his hand and looked at the lights in the corridor a few times, "It's nothing, I think it's soft tissue contusion, go home..."

As he was talking, Zhou Congwen, who was passing by, suddenly touched him.

"What's wrong with Congwen?" Dr. Teng smiled.

"The patients in the ward have some small problems, let me tell you." Zhou Congwen said to Shen Lang again, "Go home."

Shen Lang seemed to find something wrong and was about to turn around, but Zhou Congwen pushed him out of the ward gate.

After not sleeping for more than 30 hours, Shen Lang was really tired. In addition, he was just a young man. Judging from the situation, he should have sprained his ankle and had no big gossip, so he left with anger.

"Congwen, the patient in the ward has something to do..." Dr. Teng was about to say a word, but when he saw Zhou Congwen blinking, he knew that something was wrong.

He immediately explained to the young man and entered the small ward with Zhou Congwen with the film.

"What's the patient's condition?" Zhou Congwen asked.

"A high school student played football at school in the afternoon. It was fine at that time. When I was studying in the evening, my ankle was swollen, so I came to see a doctor. I took a film and nothing happened." Dr. Teng shook the film and made a sound.

"Oh, check for blood uric acid." Zhou Congwen said lightly.

"Uh... Congwen, he is only 16 years old."

"I don't think his ankle looks like a soft tissue contusion. You have questions about the medical history you mentioned. Check it out to avoid misdiagnosis." Zhou Congwen said with a smile, "Don't think I'm troublesome."

"Really?" Dr. Teng looked at Zhou Congwen in surprise, then looked at the patient lying on the hospital bed, scratching his head.

He never thought about it when he was uric acid test for a 16-year-old patient.

However, the patient on the bed told Dr. Teng silently that it would be better to listen to Zhou Congwen.

"Okay, then I'll talk to the patient." Dr. Teng whispered, "Congwen, you are so awesome. If it weren't for you, this patient would probably have died today."

"Haha, I just saw similar situations, so I can't say it's amazing." Zhou Congwen sat on the chair next to the patient, staring at the ECG monitoring.

Dr. Teng turned around and went out, and then began to feel worried.

The young patient was accompanied by his classmates. He had 78 yuan for blood uric acid. Can they have money?

Alas, why does everything have something to do with money?

The big reason why blood uric acid is not checked is that the cost is too high. If you check everything, the people will scold you.

Forget it, Zhou Congwen helped orthopedics a lot today and is still sitting in a small room to take care of patients. Please listen to what he said.

Dr. Teng returned to the patient and had already figured out how to explain to the patient.

"Watching movies, there is no problem with the bones, but you still need to have a test." Dr. Teng said.

"It's fine. I'll support you and say it's soft tissue contusion, so I won't do the examination. I'll go back and heat compress." The nervous expression on the patient's face relaxed.

Although he was not old, he was also worried about a fracture. When he heard that the bone was fine, he became happy.

"I didn't hear it when I did the examination." Dr. Teng deliberately looked stern and made a serious expression to scare the little patient, "You said you, but I didn't listen to me. You just compress everything. That's right!

You need a cold compress within 24 hours, not a hot compress.”

"Uh..." The little patient and his classmates were stunned.

"Suppose it is really soft tissue contusion, if it is hot compress within 24 hours, the swelling will be even worse because there are small capillaries rupture and bleeding. Can you understand!"

The little patient nodded repeatedly.

"Hot compress, the temperature rises, and the broken capillaries open and bleeding. If it is severe, the skin on your surface will be necrotic because of the severe swelling." Dr. Teng began to scare the young patient.

If you explain the condition, you can still grasp the standard and make it reasonable and well-founded.

"Normally, you need to compress coldly within 24 hours to avoid capillary bleeding. After 24 hours, it will be hot compress to promote blood circulation and disperse blood stasis. Be obedient and don't do it. It's not time to explain this to you."

The little patient and his classmate were frightened by Dr. Teng's words and smiled embarrassedly.

"Go to do the inspection first, eliminate other problems, and I will explain to you when I come back."

Dr. Teng said, while opening a list, "You're rich."

"I borrowed 200 yuan from the teacher." The little boy said timidly, "Doctor, is it enough?"

"It's almost enough, go to pay the fee, take blood tests in the emergency department."

Dr. Teng prescribed a good order and handed it to the classmate of the young patient.

They were confused and pushed the patient away from the orthopedic department.

Dr. Teng breathed a sigh of relief. Fortunately, it was easier for children to fool them. If you change your adults, it would not be too difficult. If you want to change your own speech, it might be easier.

Nearly an hour later, several people stood at the door of the orthopedic doctor's office, and the man looked at Dr. Teng with a serious look on his face.

"Are you the doctor on duty in orthopedics tonight?"

"Yes, what's wrong with you?" Dr. Teng knew that the visitor was not kind and spoke much more politely.

"It's the blood uric acid you prescribed to your child? He is only sixteen years old. Why are you doing this test? How do you become a doctor!" The patient's family questioned without hesitation.

Dr. Teng complained in his heart, let’s take a look, the patient’s family has come to him.

Although he was complaining, his expression did not change and he said calmly, "I checked whether it was gout. At that time, I explained in detail to the patient that the patient himself did not raise any objections, so I checked it."

...

...

Note: Sister Yan reminded that it should be yawning, but I always feel it is strange when I look at yawning. I blame this on the difference between the north and the south, so I should write a gamble.

Aww ~
Chapter completed!
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