Lucius opened a medical record, copied down the address, and closed it.
"There is no way to do follow-up on this one. Let's wait for him to review it himself."
He is currently sitting in Liston's clinic. The owner is arranging the freshly cooked equipment, and he is doing routine paperwork.
After the last time they handed Kraft the medical records that were a mess for follow-up investigation, they received a brand new request the next day.
A new reporting time of once every five days has been added, and the clarifying medicine has also been received once every five days. In the new plan, it is specifically mentioned that "the possible hazards should be emphasized to the patient and used as a last resort" in an attempt to increase the number of active re-examinations.
possibility.
There are also some relevant details about addresses and possible symptoms, and a table summarized by Kraft is attached. Just copy the original form and use it, pursuing a fool-proof operation.
"I don't think it's realistic." Liston took out a small hand saw from the boiling water with a clamp. The hot air hit his face, making him unable to open his eyes. "How did Kraft describe it? The left ear.
It goes in and comes out through the right ear, they don’t care about it, and when they wake up it’s fine and they won’t care about it anymore.”
There were many strange tools placed on the clean linen next to it, including scalpels, drills, retractors, large and small scissors, and a very intimidating-looking soldering iron.
This was not the first day, and Lucius was already used to this. Compared to Kraft's gentle operations, a lot of the work done in the clinic was physical.
In amputation, it is inevitable to saw the bone and stop the bleeding in a large section. If Liston did not come from a martial arts family like Craft, he would definitely try an axe.
During this period of time, Lucius developed the skill of being calm while crying and wailing in pain, and concentrated on reading what he wanted to read.
The fool-proof operation list given by Kraft gave him some inspiration, "I think we can change the idea and list the things that the patient can feel and does not require special examination."
"Then what?" Liston wiped the saw dry, put it next to the scissors, and asked casually.
"Then we can ask the patient to take it back and fill in the situation after a period of time. When they come back when they are free, they can bring it to us." Lucius felt that he was really a genius and easily came up with Kraft and
The answer that even Liston didn't expect was that of a lecturer.
"Well, that's good." Liston didn't react at all and continued the work at hand, placing the dry instruments on the square plate.
Although there are still doubts about Kraft's "microbial theory", after following this method, the probability of patient's wound inflammation and suppuration is indeed reduced a lot, and pragmatists will not refuse useful new methods.
He had to prepare several instruments, boil them, put them on a plate, wrap them in several layers of linen, and then take them apart and use them directly when the patient came. He was very busy now and his attention was not on Lucius.
"How many should we make now? Even a sailor can take the form we gave him, fill it out on the ship, and hand it over to us next time he arrives at Wendeng Port." Lucius became more and more excited as he talked, and the more he thought about it, the more reasonable he became. "
In this way, we will get feedback much later and the information will be incomplete, but it is possible to get it after all."
Liston temporarily completed part of the work, put a lid on the square plate, and wrapped the outside with linen cloth, so he didn't have to worry about talking loudly and spitting on it.
He put the equipment bag on the shelf, pulled out a chair next to Lucius and sat down, holding down the hand he was about to write. "What you said makes sense, but in my experience, there is a little bit of trouble here."
The problem needs to be solved."
"what is the problem?"
"A question that is difficult to realize before you have your own clinic." Liston did not answer directly, but took a detour, "Who do you think the people who come here to have amputations are."
"Most of them are sailors and hired workers, haven't we done statistics? Many sailors are injured because they can't be treated by the ship's doctor at sea, and they are delayed for too long; hired workers are delayed because they need to keep looking for work, or to save money, and in the end
It developed like this.”
They had sorted this out a long time ago and completed it after returning from Kraft. Thanks to the fact that the medical record template was also given by Kraft and included occupation, it was very convenient to analyze.
"Well, then you know who they are. How many words on this piece of paper do you think they know?" Liston stretched out a finger to tap on the list of items given by Craft.
They were all professional vocabulary, and some of them were made up from scratch. The meanings were just explained in the morning class, and the ink in the notes was very dry.
"Forget it, even the simplest books are not something they can understand. If they can read and write normally, why don't they find a clerical job?"
"Um... maybe we can keep it as concise as possible and explain to them what each item means?"
Lucius realized his stupidity, but he still wanted to struggle and was unwilling to give up his brilliant idea.
"Do you think you can fully explain it to them and go back and record it on time as you said?"
It's not that Liston hasn't thought of similar methods, but it's too difficult to explain what you want to people who have never studied medicine at all, let alone teach people who can't understand to clearly remember the meaning of each item on a scale.
"Even if you have Kraft's level of lectures and force them to understand it on the spot, they will still remember it five or ten days after they go back."
"Then if they forget it, can they find someone who can read it to help them read it again?"
Liston leaned back on his chair and was speechless at this over-thought but incomplete suggestion, "If you can't get a free review, do you still have time to find a paid reading agent? Or do you want the sailor to do it for you?"
Can Hai find someone to help him handle this form?"
"Okay, that's true." Lucius gave up this tempting plan.
He put away the paper and pen and continued to flip through the next medical record. He was pleasantly surprised to find that there was an additional review record in this medical record.
This medical record comes from a baker who stepped into a ditch with his bare feet when he was drunk. A large bloody gash was cut by a shell fragment thrown by an unknown evildoer. This lasted for several weeks. A large piece of black gangrene on his foot needed to be cut.
Lose.
He missed five days of re-examination and came back on the twelfth day.
"If I remember correctly, this one is new, right?"
"Let me take a look?" Liston looked closely at the selected records, "Yes, although it's a little late, I finally have it."
"I don't know when these records will be completed. Although they are quite useful, they take too much time and I get a headache after writing them for a long time."
"I'm afraid there's no end to it. Kraft said that at least all patients must have a large medical record, as well as a record of the disease process." Lucius said while looking at it.
This follow-up review is written according to the latest version of the list given by Kraft. In order to facilitate reading and memory, various symptoms, mental status, breathing, digestion, and urine are listed in order from head to toe.
stool.
There are many "unknown" words inside, such as the color of urine and feces, and dark public toilets do not support this project.
In addition to these unknown things, Lucius also found an alteration. In the mental status column, the area behind "Sleepiness" was blackened out and replaced with a slash indicating none.
"Has it been modified here?"
Lucius picked up the paper and pointed to the black patch to Liston.
"Yes, I have an impression. Because he said that he feels late getting up recently and it is difficult to wake up." Liston straightened up and took the record. "I accidentally turned on the sleepiness hook. After thinking about it carefully, I felt that it was not the case.
To that extent.”
"It's not written in the remarks."
"This kind of subjective feeling that is generally unreliable doesn't mean much, does it? Everyone will feel sleepy for a while, and he is in a good mental state." Liston leaned back in his chair.
"Okay, I will mention it to him when I go to hand in the medical records." Lucius stuffed the paper back, stood it up and shook it neatly.
This was the last one for the day. He picked up the whole stack of documents, said goodbye to Liston, and went back to the academy to hand in the assignment and pick up the share of the Clarifying Potion for the next five days.
The pottery cup of diluent that was first prepared is probably almost used up, and another cup will have to be made in half a month.
It’s not just Kraft who is busy this month. In fact, the entire medical school has been turned around by him, and around the new surgical method, supporting courses and a series of affairs have been extended.
Obviously, so many things cannot be completed by one person, so part of it was deferred to Lucius and Liston.
Liston's clinic has essentially become the main source of information on the effects of clarifying drugs on adults. Craft can't find time to come here often, so he can only hand it over to Lucius, who has received the most teaching.
Lucius was not upset about this. On the contrary, he understood the benefits of participating in these things. At least with this qualification, it was certain that he would become a lecturer in the college in the future.
With visions of a better future, he returned to the college with the latest records and walked into the professor's room, which was temporarily occupied by Kraft and became Kraft's office. Everyone knew they were coming here to find him.
"These are new cases in the last five days, and there is also a 12-day re-examination of the previous case." Lucius put down the things in his hands at the corner of the table, glanced at the paper on the table, and was filled with neat small words.
A full schedule is pressed under the ink bottle.
Kraft is not doing well, this is what Lucius has heard recently. A few strange patients often come in between the heavy affairs to dampen his mentality, and no one can get better.
The room is filled with negative emotions of boredom and exhaustion, and the people at the table are still in a dark mood. It is definitely not a good idea to get into trouble at this time.
But his sense of responsibility still made Lucius bite the bullet and interrupt Kraft's work, "There is a small problem here. Although Professor Liston said it is harmless, I think it is necessary to mention it."
"It's a good thing to be careful, let's talk about it... cough cough," Kraft said in a hoarse voice. He took the tea cup next to him and took a big sip of the cold barley tea, choking and coughing.
He quickly covered his mouth, but a few drops of water still jumped onto the words he had just written, blurring out a few ink dots.
"It's not a big deal, it's just a patient saying that he feels like he wakes up late recently and it's hard to be woken up." After Lucius finished speaking, he was about to leave. He didn't think it was valid information, but just out of a sense of responsibility.
"What?"
Unexpectedly, Kraft ignored the discarded manuscript and stood up to stop Lucius, "Which medical record and where did he live? Let's take a look."