Chapter 9: Actively Requesting (Asking for Favorites, Asking for Follows)

Zhongnan Hospital is an extremely massive institution. It is because of its existence that you are a Small Master's Student, not because of your existence that it is Han City University Affiliated Zhongnan Hospital.

The things a Small Master's Student can actually do are really Not Much!

The most basic is to stand duty well, manage beds well: write Medical Records well, change Medicine well, organize Discharge Summaries well. That is enough.

You just do these; everything else you can completely ignore and lie flat. Whatever Surgery, whatever Assistant, if you are missing, someone can always step in Anytime.

Therefore, another week passed.

What Fang Ziye could do was just do his own duty well, then soak in the Training Room, and reasonably arrange a bit of time to read more books, diligently be a Small Assistant, occasionally look at Literature, same as always.

Even if New Patients came, for Fang Ziye to want new discoveries was also almost Impossible.

Trauma Surgery Emergency patients are managed by the Chief Resident; by the time they are sent to the Ward, treatment has long been finished.

Elective patients are all transferred in through the Associate Professor and Professor's Outpatient Clinic, having been gnawed over by the Professor, Doctor Senior Brothers, and other classmates, long since Transparent, no need for you to go assert any new Diagnosis and discoveries.

Chewed-up things, you want to find a place to put them in your mouth again, almost Impossible.

Therefore, Fang Ziye's Knowledge Points Progress, acquisition remained quite slow, until next Tuesday, after a Surgery Day, the Knowledge Points balance only increased from 9 points to 12 points.

No Way, Surgery grades inside Zhongnan Hospital are all very high; in Trauma Surgery, besides the Chief Resident, there is no one else who can take on Disease Types and Surgeries below Grade 3 Operation Difficulty.

And such high-difficulty Surgery, his own Master Yuan Weihong, wants to gnaw down alone is also exceptionally strenuous, currently slowly feeling his way, naturally Impossible to ask for a few more Surgeries to let Fang Ziye Operate.

Last Friday he already actively requested to Suture once; Fang Ziye's Suture technique isn't even the best in the Group Internal, even in fine aspects still not as good as other Doctors, so naturally Impossible to give another Opportunity.

Just muddling along blindly, with Assistant Identity, can gnaw 0.2 to 0.4 points of Knowledge Points varying.

Mosquito no matter how small is also Meat, better than soaking in Training Room.

Afternoon, four twenty-seven.

Watching the Outpatient Clinic patient visit Quantity already completed 47 people, Fang Ziye knew his Master only opened fifty Numbers a day.

After patiently explaining to this patient where to go Appointment for MRI, Fang Ziye then closed the door first.

"No patients outside anymore?" Yuan Weihong saw Fang Ziye this small movement, Gaze slightly flashed.

Fang Ziye at this moment through Mask touched his nose tip, immediately after narrowed his eyes, carefully poured Master a cup of Hot Water: "Master, why don't you rest first, watch from the side while I see two patients?"

"You think it's okay? Only three patients left in the back, still One Hour until off work..." Fang Ziye's eye corners almost deliberately beautified.

Making such a request is Not Overboard.

First, it's just Outpatient Clinic, even if Error appears, Yuan Weihong can still correct.

Second, time sufficient, still One Hour until off work, only three New Patients left.

Third, sufficient safety net, self only asks Medical History, does Physical Examination, follow-up still has Yuan Weihong to control quality, harmless to Patient.

Naturally, Fang Ziye in Ward has crawled for two years, most basic things, long already extremely familiar, won't appear amateur and at a loss.

Give Patient Diagnosis, get Knowledge Points, on premise of Not Affect Patient interests, get a Benefit for self, let Master rest a bit, Fang Ziye feels this is three birds with one stone.

"Thump thump thump."

Patient waiting outside started knocking on door.

Yuan Weihong then waved hand at Fang Ziye, held cup and stood up, started twisting waist.

Fang Ziye hearing this instantly overjoyed, Pulled Open door, then not waiting for patient to speak explained: "Sorry, my Master just now slightly a bit Tired, drank sip of water, resting a bit."

"You come in first, I help my Master ask basic situation, Master is right beside listening in."

Fang Ziye's way of speaking and technique of inviting patient in were both exceptionally seasoned.

Patient entered, saw Yuan Weihong indeed straightening body, supporting waist, this Auntie nodded: "Hard Work, Doctor."

Yuan Weihong not leaving, she also not so Fear.

Fang Ziye then politely said: "Auntie where are you Not Comfortable? Sit Down Slowly say."

Fang Ziye at this moment sat on stool, took her Medical Record Book, half words were humanistic care, half words directly inserted into theme.

"Here hurts." This Auntie walking gait normal, but covered her Hip position.

Immediately after sat down.

Fang Ziye quickly scanned Auntie's age, then asked: "Auntie this painful roughly How Long ah?"

Actually ah, with this Auntie fifty-plus age, gait normal, yet says stride pain, this kind of Patient he followed Outpatient Clinic many, also knows one look is Sacroiliac Joint Arthritis.

But this is only suspicion, according to 'Epidemiology', 'Statistics' from high probability angle, make first speculation, this is Benefit of much experience, much insight.

"That's been many years."

"Pain degree how? Affect sleep..." Fang Ziye first Routinely asked Medical History.

Finally summarized as follows: middle-aged female, left Hip pain 5 years Worsen Half Year, Weight-bearing after (carrying things) Worsen, rest or take Analgesics can slightly relieve, self visited Traditional Chinese Medicine Clinic two years plus, effect not seen obvious relief.

Occasional morning stiffness, duration not long, activity after can relieve...

"Auntie, your Symptoms we've asked about enough, I'll first give you a Physical Examination ah!"

"You lie flat on Examination Bed, no need to take off Shoes, face left side." In Clinical, History taking and Physical Examination, both very important, are key basis before Imaging Examination and Laboratory Tests.

"Okay!" This Auntie stood up again, no obvious Affect, but persistent dull pain still exists.

Because female, even if elderly female, due to position Not Convenient, Fang Ziye also did not conduct Inspection, only through outside curve assess whether skin defect, whether depression exists.

Did not see that kind of Gluteal Muscle spasm Hip hollow feeling.

Visual-tactile momentum is Orthopedics Physical Examination sequence, different from ordinary Medical Examination's inspection-auscultation-palpation-percussion examination sequence.

Fang Ziye very seasonedly conducted tender point, Piedallu sign, resisted hip abduction test, then said: "Auntie ah, your current situation Consider is Sacroiliac Joint Arthritis, this is a chronic progressive developing Osteoarthritis."

"You afterwards cannot extra Weight-bearing." Fang Ziye let her while stand up, while said so.

While speaking, Fang Ziye also glanced at Yuan Weihong, Yuan Weihong to Fang Ziye nodded, indicating approval.

Rest of History taking not say whether possess Orthopedics professional, just Fang Ziye's Physical Examination skill, represents he is a very professional Orthopedic Doctor.

"Cannot Weight-bearing ah, then I have to carry things ah, I sell Vegetables..." Auntie slightly hesitant.

"Then also Decrease, try choose other ways, otherwise your afterwards will more and more painful."

"We need do another X-ray confirm once, then Estimate open some Medicine, you go back rest a period of time."

"The main treatment, actually, is simply no weight-bearing!" Fang Ziye knew the first-line choice for this disease was to remove the trigger.

"How much for an examination?" Her eyeballs rolled around non-stop.

"X-ray should be 54 yuan per site, X-ray is fast, you basically go down and can do it right away, then finish and go up, no need to wait for results, we can investigate thoroughly directly here."

"Then okay." Auntie put her heart down, several dozen yuan was still not too expensive.

"..."

The first patient thus ended, when Fang Ziye finished writing the diagnosis and treatment suggestion on the outpatient record, and pushed the examination order to the patient, the knowledge points column jumped fiercely once again.

"+2!"

nice!

Fang Ziye laughed: "Alright, you go down for the examination, after finishing, just come directly to the consultation room to queue for follow-up consultation, then I'll prescribe some medicine for you."

"Still need to remember the key point, less weight-bearing, otherwise it's like wearing a padded jacket in summer, blowing the air conditioner on one side while saying it's hot, you still have to balance your own body."

(Chapter End)