Lower Groove Clinic opened for business at nine o 'clock in the morning.
The earliest patients were the clinic's old patients, especially the elderly who came for Xuesaitong and Salvia Miltiorrhiza. They slowly came to the clinic after breakfast.
The high-quality nurse, Juan Zi, skillfully patted the old patient's arm with her left hand that weighed forty-two pounds. Then, she used her right hand that weighed forty-two pounds to insert the needle into the patient's blood vessel. She then connected the patient with an intravenous drip, adjusted the speed, and smiled. The entire process was very smooth.
The old patients would come for fluid transfusions every once in a while. After a while, Juan Zi knew where the best place to insert the needle and whose blood vessels were more fragile.
In about half an hour, there were seven or eight old patients sitting in the central room of the main building.
The elderly took a long time to get their fluid transfusions. Many of them came at lunchtime. They lay contentedly at the spot where they thought the scenery was the best. Some looked up at the sky, some chatted, and some read. Soon, those who were reading were the first to doze off …
Once Doctor Xiong finished filling up the forms, he returned to sit behind the small square table at the entrance of the central room. He opened a newspaper and started reading it seriously. Occasionally, patients would ask him questions, but his eyes never left the newspaper.
In fact, the old patients had old problems, and the questions they asked were not new. When Doctor Xiong answered, he did not even need to think.
Occasionally, when patients asked questions that required Doctor Xiong to think, the answer he would always think was, "Go to the hospital for a check-up."
Of course, he would guide the patients to the department they should register in, just like the general practitioners in foreign countries.
* Ring, ring. *
The clear sound of a bell rang in the alley.
Ling Jiezhou, who was drinking tea on the second floor, immediately smiled and said, "Golden Deer's ambulance is coming."
"Is this their company's ambulance?" Ling Ran asked in surprise.
Ling Jiezhou laughed. "Of course not. This is Doctor Miao's bicycle. He comes here on time every day."
Ling Jiezhou seemed to feel that he was not clear enough, so he counted on his fingers and said, "Golden Deer's ambulance sends the first patient here every day at around ten o 'clock. Doctor Miao will call before he comes. If Golden Deer Health Services is sending someone over, he will come to our clinic a little earlier. Otherwise, he will only come at noon or in the afternoon. "
Ling Jiezhou lamented, "Doctor Miao works very hard every day. At night, he works overtime in the Emergency Department of Yuehua Hospital. During the day, he comes to our hospital for a part-time job, and he rides a bicycle to and fro. I told him that he's allowed to work flexibly, and he only agreed to pay me 200 RMB."
"Doctor Miao doesn't have a proper job?"
"I heard something happened, so he can only work part-time outside." Ling Jiezhou chuckled a few times and said, "Doctor Miao's cosmetic sutures are very good, and he's a good talker. He's earned quite a lot for us during this period of time … It's a pity that Young Ran can't help us. Otherwise, I'll talk to Doctor Miao, and you guys can split the profit equally today. Just give him 120 RMB …"
As Ling Jiezhou spoke, he glanced at Ling Ran from the corner of his eyes.
Ling Ran was unmoved. When he needed money, he could ask his mother for it. There was no need for him to work for his father.
Ling Ran thought for a while and said, "I can help with some examinations."
Ling Ran originally planned to go to the hospital in the morning to perform a physical examination on the patients in the wards. Since he was on leave, he decided to carry out the examination in his family's clinic.
The hospital had Lu Wenbin and other resident doctors doing ward rounds, and they would not look for Ling Ran unless there was an emergency. From this point of view, Ling Ran was practically living the life of a second-string doctor, except that he still had to be on duty.
When Ling Jiezhou heard about the examination, his eyes lit up. He asked, "Did you learn some tricks from the pharmaceutical sales representative?"
Tao Ping, who was making tea, trembled. She looked at her son in a panic.
Ling Ran asked, "What tricks?"
"Tricks to prescribe medicine? First, do the examination, then prescribe a bunch of medicine or something. Did he teach you how to do that? "The more Ling Jiezhou spoke, the brighter his eyes became. He wished that he could turn into a cashier in a large hospital.
Ling Ran shook his head in resignation. He stood up and said, "I only know how to perform examinations now. I don't know how to prescribe medicine."
"It's not easy to charge for the examination. Patients nowadays want to get something after they pay. If you don't give them anything and charge them for it, they will feel that they've suffered a loss." Ling Jiezhou tried to persuade Ling Ran earnestly. "We're doing a neighborhood business, so we can't be too greedy."
"If you don't charge for the examination, then," Ling Ran said and went downstairs.
Ling Jiezhou quickly chased after him and nagged, "If you don't charge them for the examination, what are you going to do if they come for the examination every day? If you don't do the examination, they'll be unhappy. Even if there's a problem with the examination, they won't believe you. They'll only think that you're doing it to sell medicine … "
"You even asked me to prescribe medicine just now."
"That's why I say that the most important thing for doctors and patients is to build a relationship of trust. Look at our family's clinic. Many patients who come for treatment don't even ask about the price of their medicine. They know that I'm not greedy for their money … Oh, Doctor Miao, you're here. Let me introduce you to my son, Ling Ran. He's a medical student at Yun Hua University, and he's doing his internship in Yun Hua Hospital."
Ling Jiezhou pulled Ling Ran to Doctor Miao, who had just entered the door.
Doctor Miao was about forty years old. He had puffy eyes, a rosacea nose, and a face that looked like it had been through a lot. He wore a white coat on the outside and a white shirt on the inside. His back was straight, and he looked like he had ankylosing spondylitis …
"Miao Tansheng." Doctor Miao shook Ling Ran's hand indifferently. He was just a part-time doctor, and there was no need for him to pay attention to his boss's son, especially when his boss only paid him 200 RMB a day.
As he spoke, the siren of the ambulance could be heard.
"A steel bar fell from the construction site and hit his head. I'll go and receive him." As expected, Doctor Miao had called earlier. After explaining the situation, he turned around and went out again.
Ling Ran went to the door and said, "Doctor Xiong, I want to practice physical examination recently. Let me help you for a while."
Doctor Xiong was a doctor who worked in Lower Groove Clinic all year round. Usually, he only prescribed medicine, and he rarely performed debridement and suturing. In the past, when he encountered slightly troublesome cases, he would mainly refer them to other hospitals.
Ling Ran wanted to see patients. Doctor Xiong put down the newspaper and stood up happily. He raised his head and saw Ling Jiezhou. He said, "It's quite a lot of money."
Ling Jiezhou smacked his lips, turned a corner, and left as if he was just passing by.
"Hey, Ling Ran didn't go to work today?" Not long after, an old lady came over with her little granddaughter. She said, "Doctor Xiong, please take a look. She's been coughing since she woke up this morning. Don't let her catch a cold again."
"Let Doctor Ling take a look at you first." Doctor Xiong crossed his legs and sat at the counter of the pharmacy.
"Come, sit here." Ling Ran patted the chair in front of him and asked, "What's your name?"
This was the standard procedure for a physical examination.
A physical examination was a person-to-person examination, and only simple instruments were used. Therefore, politeness, attitude, and the doctor's appearance and attire were very important.
In medical schools, the physical examination exam had to include questions such as "patient-centeredness", "high sense of responsibility", or "medical ethics".
Ling Ran even practiced smiling in front of the mirror for this.
The little girl, whose hand was held by her grandmother, was about seven or eight years old. She was originally a little reluctant to see a doctor, but when she saw Ling Ran's face, her attitude changed inexplicably. She obediently sat on the chair opposite him, put her legs together, and said softly as if she was in a classroom, "My name is Song Xue."
"Hmm, little Song Xue, let me take a look at your tonsils first. Come, do this, ah …" Ling Ran took out the tongue depressor and removed the plastic packaging. At the same time, he taught the little girl how to do it.
"Ah …" Song Xue opened her mouth.
Ling Ran quickly pressed the tongue depressor and shone with a flashlight at the same time. After he withdrew his hand, he said, "Tonsils are inflamed. Doctor Xiong, please prescribe some medicine. "
The grandmother was here to prescribe medicine, and when she saw that Doctor Xiong was writing the prescription, she only hummed in acknowledgment.
In her opinion, prescribing medicine was obviously more important than an examination.
Ling Ran observed the other party. After Doctor Xiong finished prescribing the medicine, he said, "I saw you rub your neck a few times. Is your cervical vertebra not good?"
"Yes, I don't know if it's because the pillow last night was too high."
"Let me help you examine it?" Ling Ran's desire to practice was growing.
The grandmother hesitated for a moment before she sat in front of Ling Ran.
"Let me help you do a neck examination first … I'll touch the artery and vein in your neck …" After a short observation, Ling Ran stood behind the grandmother and spoke as he examined her.
"There's no problem with the lymph nodes, and the thyroid gland is also fine. Do you have a little high blood pressure?" Ling Ran concentrated on performing his first patient's neck examination. When his Specialist Level Physical Examination skill soared, he could obtain a lot of information.
"My blood pressure hasn't been too good for the past two days. Last night, the readings were 130 and 90." The grandmother's throat was being held, so her voice sounded a little hollow.
Ling Ran said, "Check the mobility of your cervical vertebra … Then, shrug your shoulders. Let's take a look at the accessory nerve … Hmm, there's no problem …"
The grandmother listened to Ling Ran and felt inexplicably happy.
The young man's voice had always been pleasant to the ears. Most importantly, when he said that there was no problem after the examination, it naturally made her feel good.
She was getting old, and what she wanted to hear the most was that there was no problem.
"It's mainly a problem with high blood pressure." Ling Ran ended the neck examination, smiled politely, and gave a conclusion.
"Then, can you change my dressing?" the grandmother asked tentatively.
"High blood pressure of 130 is fine, and low blood pressure of 90 is a little high, but you don't need to change your dressing. Just pay attention to your diet for now …" Ling Ran was still very familiar with common diseases like high blood pressure. He just gave a few reminders according to the guidelines for high blood pressure.
Before the grandmother could ask again, an old man squeezed his way over and said, "Let me check too."
"What's wrong with you?" Ling Ran smiled politely. A full-body physical examination was rather time-consuming, and it was not very necessary. Therefore, it was very necessary to ask about the patient's medical history and main complaint first.
"I have a little bronchitis, and my lungs aren't very good. It's an old problem. It acts up when the weather is cold, and it also acts up when the weather is dry …" The old man explained in detail.
Ling Ran nodded as he listened. He also did a lung percussion and listened to the sound.
"External voiceless. The clarity is not bad. There's no problem with the lungs. If you're worried, let's take a look at the chest expansion." Ling Ran stood behind the old man as he spoke.
When the old man heard that there was no problem, a smile appeared on his face, and he repeatedly agreed. Then, he took a deep breath as Ling Ran spoke …
After a while, a few old patients called Ling Ran over to give them a physical examination.
When the new patients saw this, they decided not to get an IV drip. They all sat down and waited for Ling Ran to give them a physical examination.
Ling Ran had a polite smile on his face. He looked a little friendly and a little dignified, which made him very popular among the people. Most importantly, he could always tell everyone's illness accurately. Even if it was an old problem, everyone still wanted to confirm it.
Doctor Xiong watched coldly from the side. He was happy that someone had taken the job of chatting with him.
Doctor Miao, who had finished debridement and suturing in the inner room, also narrowed his eyes as he watched. No one knew what he was thinking about.
At some point in time, a few girls who passed by quietly came to the consultation desk and lined up.
Doctor Xiong, who was reading the newspaper, focused his gaze. He put down the newspaper and stood up abruptly. He said to Ling Ran, "Young Ling, do you want to rest for a while? I'll take over for you. "
"Sure." Ling Ran, who had just completed eighteen physical examinations, asked the system and confirmed that his ranking in Yun Hua City had risen by one place to 1127. He was quite satisfied, and he wanted to stop and rest for a while.
The few girls sitting in front of the consultation desk panicked for two seconds. Then, they saw the girl sitting at the front stand up leisurely and say, "I forgot to put away my clothes."
"Oh yeah, it's time to put away your clothes."
"Hurry up and go back."
After the insincere conversation, the consultation desk became quiet again.
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