Chinese medicine: When you do things to the extreme

Chapter 34: Theory has improved! (Please save and read)

"Doctor, what should I do now?" The young man who was seeing the doctor was sitting opposite Zhou Yanqing. After being asked about his medical history, he turned sideways to ask Gong Yi.

Gong Yi touched the hollow on his chin with his right index finger and said, "Young man, ask him what to do. He is my student and is about to graduate with a master's degree. Your situation is not complicated. He should be able to give you a better recommendation."

"If it's not clear, I'll add to it."

It was no secret that Zhou Yanqing was thinking about the case in the ward.

But this time when Zhou Yanqing came to the outpatient clinic again, Gong Yi found that Zhou Yanqing's knowledge system was obviously more solid than the last time.

Improving theory is a slow and painstaking process, which is more difficult to master than operational skills. The progress is not obvious, and requires careful experience.

Gong Yi could also feel that Zhou Yanqing was now more concise and clear in his medical history than before. He seemed to be chatting with the patient casually, but every word he said was actually carefully considered with a purpose, and he had a relatively mature framework.

The young man was in his thirties. When he turned sideways to face Zhou Yanqing, he smiled and said, "Doctors, you guys also need to take apprentices, right? Okay!~"

Zhou Yanqing actually does not have the right to see patients in the outpatient clinic, but when he is with the teacher in the outpatient clinic, with the teacher on the side, Zhou Yanqing can also give patients careful advice, and then Gong Yi will check for omissions and fill in the gaps.

While Gong Yi was talking, Zhou Yanqing quickly extracted the corresponding treatment and cause of the young people's 'TFCC' injury: "Your injury is a triangular fibrocartilage complex injury, also called a TFCC injury."

"You don't need to understand what TFCC is specifically, you can just look it up when you go back."

"The cause of TFCC injury is that you fell while riding an electric bike and supported yourself with your left hand, which caused an acute injury. Therefore, it should be classified as type I, which is traumatic type. The prognosis of traumatic type is relatively better than that of degenerative type."

"Then according to your current physical examination, medical history and X-ray results, no fractures or radioulnar joint instability were found. It is currently considered to be acute stress pain, and there is no indication for surgical treatment."

"The current treatment recommendation is to use a hand brace for 4-6 weeks and then have a follow-up examination. In addition, apply loxoprofen sodium topically to relieve pain."

"Of course, this is just a suggestion for collecting current medical history data. If the symptoms are relieved after 4-6 weeks, the brace can be removed and the frequency and strength of the affected hand's activities can be slowly increased..."

"If your symptoms don't improve, you may need to get an MRI and see a sports medicine specialist!"

Zhou Yanqing's explanation was very detailed and there was nothing that was difficult to understand. However, the young man was not sure whether Zhou Yanqing was reciting or giving real medical advice.

"Director Gong, you are Dr. Zhou's master, do you have anything to add?" The young man was relatively polite.

Gong Yi nodded: "Given the current situation, I also suggest that you observe for a period of time. Regarding possible follow-up treatment, I will only add a little bit."

"If you need surgery, the reason why we recommend you go to sports medicine is not because our hand surgery department can't handle it well, but because they can handle it relatively minimally invasively."

As he spoke, Gong Yi began to write medical instructions, and then instructed: "Yanqing, please write it down in his medical record, and then explain the rehabilitation matters."

The young man then felt relieved.

With Chief Physician Gong Yi backing him up, he felt relieved.

Raising an apprentice is not like raising a child. If Zhou Yanqing was talking nonsense, he would probably be scolded so badly that even his mother wouldn't recognize him.

Zhou Yanqing actually started writing medical instructions after Gong Yi nodded, and said, "I suggest you buy the brace online. Search for wrist brace and place an order."

"It can also be customized, but the price is more than ten times, so it is not recommended. Of course, if your family is well-off and you have a strong desire, we can also contact a brace manufacturer for you."

"Loxoprofen sodium gel covers a larger area, so you can cut it in half and apply it separately, which is more economical."

The young man was surprised: "Doctor, can I use the medical supplies I ordered online?"

"You can get a brace. With advanced communications, the internet, and express delivery, the price is much more affordable. But if you want to buy other things, don't buy them online unless your doctor recommends them."

The convenience brought by technology is not only reflected in daily life, but also in medical care. "Which store is better?" The young man immediately took out his mobile phone with his healthy hand.

Zhou Yanqing had just finished writing, signed his name as Gong Yi/Zhou Yanqing, and returned the medical record to the young man.

In fact, the hospital can use electronic medical records, but the printer had a problem today, so I can only write it by hand.

"Then I don't know. We doctors only give suggestions, not recommendations. You can just find one that has good sales. Anyway, if you don't feel comfortable using it, you can return it within seven days without giving any reason..." Zhou Yanqing would not make low-level mistakes.

Buying medicine from a designated pharmacy is the same as buying a brace from a designated merchant, and is an illegal act.

……

After the young man left with a smile, Gong Yi stopped Zhou Yanqing who was about to leave and said, "Not bad, Yanqing. Your clinical diagnosis and treatment thinking is becoming more and more systematic now."

It is difficult to see the progress of theory at a glance. It takes time to experience it carefully. Gong Yi has always paid attention to his students, so of course he noticed Zhou Yanqing's progress.

The current level has already taken shape as a system network.

"Master, if you spend time learning, you will gain something."

"Mainly, I would like to thank you, Master, and the other two directors for the diagnostic and treatment ideas you left in the ward. I am just copying them." Zhou Yanqing narrowed his eyes and smiled with a look of lingering satisfaction on his face.

Zhou Yanqing was happy that his teacher noticed his progress and praised him.

Gong Yi couldn't find any fault with Zhou Yanqing's flattery and blinked:
“The theories of Dr. Zhu Qin and Duan Qilin are very interesting to hear from Director Dong. Many of their descriptions are summaries of the essence of their teachers.”

The reason why famous hospitals are famous is not only because of their excellent medical skills, but also because their teaching models and cognition are more advanced and keep up with the forefront of research.

Zhou Yanqing rolled his eyes and understood what the teacher meant: "Master, theory only belongs to personal knowledge accumulation. At most, I can only ask others for help in reading and diagnosing one or two cases."

"Not everyone can be as patient as you, Master, who can help me sort out the causes of my illness from beginning to end. You are my Master."

The famous professors from famous colleges all have their own experiences and insights, some of which go beyond the textbooks. These experiences are very useful, but have not yet been written down in books and can only be passed on orally.

Including Gong Yi, there are some experiences that go beyond the textbooks, which will be passed on to Zhou Yanqing.

These are resources that are difficult for doctors in general county hospitals to obtain.

But Zhu Qin and Master Duan have no obligation to teach Zhou Yanqing.

Gong Yi could tell that Zhou Yanqing had asked for advice, but had not gained much.

Gong Yi, who couldn't come up with such a concise summary, could only sigh and slowly regain his composure: "Go call the next patient..."

"Okay, Master." Zhou Yanqing walked out with a smile, his steps steady.

After the call number was called, Zhou Yanqing greeted the visitor at the door: "Are you the patient and his family members who were in hospital for No. 12 this morning?"

Although there is a number-taking machine in the outpatient clinic, and the numbers are marked with morning and afternoon hours, numbers will be called in order.

But if there is no one guarding the door, a group of people will rush in all at once, because there are always people who think they are more special than others, and there are always people who think they have a harder time than others.

What most people hate is not privilege, but the privileges they cannot enjoy.

(End of this chapter)