"Tell me if it hurts." Ling Ran palpated the patient's abdomen.
Compared to technical methods such as ultrasonography, old-fashioned palpation could still provide a lot of information. Therefore, it was still frequently used during physical examinations.
Of course, imaging and palpation did not have an either-or relationship. Most of the time, it was the doctor's choice.
Ling Ran was now at Master Level in physical examination. The accuracy of abdominal palpation was higher than that of ultrasonography, so he did not need to use any equipment.
The patient lay on the examination bed and looked at Ling Ran happily. He said, "It doesn't hurt. It's impossible for it to hurt."
"If you feel pain, don't endure it. Tell me if it's stinging, swelling, and so on." Yu Yuan stood on a small stool on the other side of the examination bed and reminded the patient for the umpteenth time.
The patient glanced at her in disdain. He hummed through his nose and looked at Ling Ran.
"Does it hurt here?" Ling Ran now had his own understanding of physical examination. The order and mode he used were also slightly different from before.
The patient took a deep breath and said, "It doesn't hurt much."
"Even if it hurts a little, you have to tell me. Does it hurt after eating?"
"Occasionally."
"An hour or two after eating?"
"Yes, you can even guess this. Doctor Ling, you're amazing …"
"Gastric ulcer." Ling Ran did not wait for the patient to finish and interrupted him. "I'll give you two more tests. Go and get a diagnosis. The ulcer is not serious at the moment, but it's time to use technical methods to intervene."
At this moment, the man lying on the examination bed was stunned. He quickly said, "I work out three or four times a week. How can I get sick?"
Ling Ran looked at him suspiciously and asked, "If you work out, why don't you get sick?"
"Working out … Working out is good for the body."
"You'll still get sick when it's time." Ling Ran gave him a list and reminded him, "Nervousness, tiredness, carelessness in eating, climate change, tobacco and alcohol can cause and worsen gastric ulcers. You have to pay more attention and not let your guard down."
Yu Yuan said, "If you don't treat it well, once the gastric ulcer bleeds or perforates, it'll be very troublesome. You might even need to remove the stomach. Also, there's the risk of it turning into a malignant tumor. "
"Cancer?" the man who was being examined exclaimed.
"Not now, but there are risks," Yu Yuan said, "I'm asking you to go back and take a good look at your stomach ulcer. You just need to take care of it, understand?"
The man asked nervously, "Will I really get cancer?"
"Gastric ulcers do have a risk of becoming cancerous, but the probability is relatively low, usually less than 3%." Now that Ling Ran had enough Energy Serums, he often took them to read books. He had also read quite a number of books on internal medicine, so he could remember everything he needed to remember.
"Even three percent is not enough …" The man did not feel relieved at all. He jumped off the examination bed and asked, "What do we do now?"
"I suggest that you go to the Gastroenterology Department in the hospital." Ling Ran's suggestion was to transfer the patient to another hospital.
He could also prescribe medicine to patients with gastric ulcers, but he was not a professional. On the other hand, to confirm the diagnosis of gastric ulcers or related diseases, they might need to do a carbon breath test. They might even need to use an endoscope. That was not something that could be done by the current volunteer clinic.
Referral was a common thing in the Emergency Department, but it was slightly more troublesome now.
Ling Ran passed the list to the patient and asked Yu Yuan to explain. Wang Jia, the young nurse at the side, did not wait for orders and asked another patient to come forward.
As usual, they did a physical examination at the same time as they asked questions and made a basic judgment.
Ling Ran's diagnostic skills were not good, and he had almost no experience in giving consultations. But it was more than enough for him to make a diagnosis in this kind of community.
Unlike the patients who came to Yun Hua Hospital, they often had serious diseases and needed to be treated carefully. The volunteer clinic in Bazhaixiang had the nature of a physical examination. Most of the patients were normal and healthy people. Some of them had some diseases, but they were not serious, and most of them were common diseases.
With the development of modern medicine, difficult and complicated diseases were still difficult and complicated diseases. No matter how many examination methods there were, they were only supplementary. Evidence-based medicine, which was highly respected, was also the opposition to difficult and complicated diseases.
Doctors nowadays liked to treat those confirmed common diseases the most. When you hear the sound of horse hooves, the first thing you think of should be a horse, not a zebra.
For Ling Ran, his current skill in identifying horses was gradually getting better.
"Doctor Ling," Chief Physician Wang Haiyang of the Hand Surgery Department shouted and called Ling Ran over.
"This is …" Ling Ran saw a finger that had obviously been reconnected incorrectly.
"Do you want to do a surgery?" Wang Haiyang pointed at Ling Ran and said, "Doctor Ling is the best doctor in Yun Hua Hospital when it comes to finger replantation. I'll reconnect your finger, and it won't hurt every day."
The young doctor felt as if his hand was scalded. He quickly retracted his hand and asked, "How much?"
"Do you have medical insurance?"
"The kind that costs 120 RMB a year."
Wang Haiyang nodded slightly. "The entire surgery will cost around ten thousand RMB."
"Then, let me think about it." The patient did not dare to continue. He stood up and left hesitantly.
Wang Haiyang smiled bitterly and helplessly. "I thought I could perform surgery, but I've been seeing patients one by one."
Wang Haiyang could only shrug at Ling Ran and continue to see the next patient.
They were all specialists, but in this kind of volunteer clinic, they were not so particular about it.
And the people who came to see the doctor did not care.
Unlike foreign specialists, who had higher standards, the people in China generally believed that a specialist should be well-rounded. At the very least, an excellent cardiologist should be able to easily treat stomach ulcers …
This was more or less influenced by the atmosphere of traditional Chinese medicine. For the old doctors, there were both advantages and disadvantages. It was the same for Ling Ran.
After most of the young people finished their physical examinations, the number of people queuing up in front of Ling Ran decreased.
Ling Ran did not need to sit in front of the table all the time. He went back and forth to help other doctors deal with patients with mild diseases. In two hours, he had encountered as many as seven or eight people with corns and paronychia.
In Yun Hua Hospital, only resident doctors or medical interns would be sent to treat such minor diseases in surgery. Indeed, there was nothing much to do. It was the simplest surgery to begin with.
However, Ling Ran did not intend to let go today. If there were patients with mild diseases, he would do it on the spot.
The doctors who came to the volunteer clinic nodded when they saw this.
Among the surgeons present, Ling Ran was the youngest. When he took the initiative to help, the other doctors felt much better.
"From the looks of it, Ling Ran is still quite sensible." Department Director Hong from the Respiratory Medicine Department saw that Ling Ran went to the cubicle to work, so he opened his third pack of cigarettes today. He lit it and spoke with a smile.
"You're right. He's quite good at doing things without saying a word." An assistant lecturer from the General Surgery Department also nodded in agreement.
"It's mainly about the patient's feelings. Ling Ran is still very serious when he sees patients." Wang Haiyang was the most familiar with Ling Ran, so he said with a smile.
"That's true."
"He's still young. If he were older, he would at least receive a few more pennants."
Right after Department Director Hong finished speaking, he saw a pennant being extended from outside the door.
The pennant had the words "Saving lives, healing the injured, noble medical ethics" written on it, and the smaller words next to it said "To Doctor Ling Ran".
"Is Doctor Ling here? I'm here to give him a pennant. "Wang Huatao, the water tyrant, entered the door with confidence. When he stood on Bazhaixiang's land, he felt an endless amount of strength, and he felt confident even when he gave gifts to Ling Ran.
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