Chinese medicine: When you do things to the extreme

Chapter 40: Same Disease, Different Treatments (Please Collect, Please Read)
"Yanqing, do you really want to come to the outpatient clinic, or did Director Gong arrange for you to come?"

Sunday, 7:40 a.m. Li Zhong was surprised to see Zhou Yanqing appear at the door of the outpatient clinic.

Only attending physicians and above have the authority to see outpatients in the First Affiliated Hospital of Hengda University. Although Li Zhong is not a senior attending physician, he has barely stepped into the threshold of seeing outpatients.

"Brother Zhong, I mainly want to learn more about how to see outpatients. My teacher didn't ask me to come here. If it's not convenient for you, Brother Zhong, I will go to the practice room." Zhou Yanqing's mouth corners curved slightly, and his tone was slightly flattering.

The young master's degree holder did not have the right to provide outpatient services, and Zhou Yanqing was also aware of this.

However, the daily task requires seeing twenty cases. It would take too long to accumulate the number of patients simply by relying on the teacher's outpatient days, so he could only ask superiors such as Li Zhong, Tian Zeguang and Tao Yubin for help.

Theory is equally important in the process of doctoral examinations and even has a veto power.

All the claims that surgeons don't need to have deep theoretical knowledge are lies.

"No, don't go. Finally someone is willing to help. This is the director's privilege... At least let me have some fun." Li Zhong unconsciously scratched the mole at the inner canthus of his right eye with his index finger, smiling like a flower.

Ordinary attending physicians see patients in the outpatient clinics alone, and only chief physicians at the master's level have assistants to follow them in the outpatient clinics.

Li Zhong naturally looked forward to this kind of medical consultation day.

During the emergency surgery, Zhou Yanqing almost became Li Zhong's superior. People need to complement each other.

Facing Li Zhong's malicious smile, Zhou Yanqing had no choice but to dive in, because he was the one who needed help.

Before Zhou Yanqing had been in the outpatient clinic for a while, Li Zhong discovered Zhou Yanqing's true colors.

After the fifth patient left the clinic this morning, Li Zhong stopped Zhou Yanqing, who was about to go to the door to enforce order, and did not call the next patient: "Yanqing, are you a doctor or a fortuneteller? How come you have already written all the tests and corresponding medical instructions just after I finished seeing patients here?"

Li Zhong had never been to the outpatient clinic with Zhou Yanqing, so naturally he didn't know how Gong Yi and Zhou Yanqing had cooperated in the outpatient clinic before.

So he demonstrated a few cases to Zhou Yanqing, and asked Zhou Yanqing to help write outpatient medical records and write basic medical orders.

Li Zhongze completed the medical interview and physical examination.

But as soon as Li Zhong finished giving the medical instructions, Zhou Yanqing printed out the QR code, which showed that he had prepared it in advance.

"Brother Qing, the cases you saw before were quite typical, so I made some medical instructions in advance. I will cancel any extra ones and make up for any missing ones later."

"I've seen so many tests on the surgical patients in the ward before they were admitted to the hospital that I've memorized them." Zhou Yanqing was a little modest and did not say that this was within his current theoretical range.

Li Zhong tilted his head and nodded when he heard this: "That's true. I heard someone say that you were almost labeled as a medical records department in the ward."

"No, you almost drove the orthopedic surgeon crazy. You are much more awesome than the medical records department."

The medical record food chain in the hospital.

The medical records department can drive internists crazy, and surgeons can drive the medical records department crazy. Orthopedics is at the top of the food chain when it comes to driving surgeons crazy.

"How about this, let's switch gears. You do the medical interviews and physical examinations, and I'll write the medical records and prescribe medical advice. Do you think this is feasible?" Li Zhong guessed that Zhou Yanqing had developed a relatively mature set of diagnostic and treatment thinking in clinical practice, so he wanted to come to the outpatient clinic to verify it.

Li Zhong was not ignorant. He gave the opportunity to Zhou Yanqing directly.

Zhou Yanqing heard this and looked at the total number of outpatients today, which was only about 30 in the morning and afternoon. He then went a step further: "Brother Zhong, could you please help me with the bottom line? I will be the one to ask questions, examine the body, and give medical advice. If there is anything wrong, you can just speak up!"

People cannot be aloof. They must be flexible within their capabilities and within the flexible rules.

"Are you looking for trouble?" Li Zhong said with a double meaning.

Chad you Tyson!
"Yes!" Zhou Yanqing nodded. Then he took out his cell phone and asked politely, "Brother Zhong, I'm a little thirsty, what would you like to drink?" "Anything is fine." Li Zhong took out his cell phone on the spot:

"Hey, you don't have to be so polite. If anyone wants to treat me, I'll treat you."

"If you don't order, you can go back."

Li Zhong directly used his privileges as a senior physician, and Zhou Yanqing had no choice but to admit defeat on the spot.

Soon, the sixth patient of the morning came in.

Zhou Yanqing then began a series of questions: "You are an online writer, your fingers hurt, right?"

"Then there's nothing we can do about it. Your current symptoms don't warrant surgery."

"This is a chronic strain injury. The best way to relieve it is to reduce the frequency and intensity of hand use. Pay attention to rest and take non-steroidal anti-inflammatory drugs. If combined with proper exercise, it can relieve pain symptoms and even reduce inflammation to the point where there are no symptoms in daily life."

"Are you working full-time?" Zhou Yanqing looked embarrassed.

"If you're a full-time user, then there's no better way. You can only try to control the symptoms while reducing the amount of updates. Take a break for a while and use your hands wisely..."

"For example, after you have been typing for a while, you can stand up and stretch your joints, especially the interphalangeal joints and metacarpophalangeal joints."

"Your occupational disease is not unique to online writers. It is very common in jobs that frequently use keyboards."

"Also, there is a new type of coding method now, called voice coding, you can use them alternately..."

"As for medication, there are only anti-edema and non-steroidal anti-inflammatory drugs. They can only treat symptoms. If you want to treat the cause, there are only two medical instructions."

"First, reduce the use of your fingers or even try not to use them at all, and second, move your fingers intermittently!"

"No need for an examination. Your symptoms are very obvious. There are no local nodules or swellings, nor tendon contractures. The pain is located in the interphalangeal joints. An examination will show that it is a local inflammation."

"Very typical symptoms of tenosynovitis..."

After Zhou Yanqing sent the sixth outpatient outpatient out of the ward, the seventh patient was still suffering from tendonitis. He was not an online writer, but he was responsible for writing materials in a certain department. I heard that there were thousands of words of waste manuscripts every day...

"You can only take medicine and bear it, and then take your annual leave early when you have free time to give your fingers a good rest." Zhou Yanqing gave a different doctor's advice from the previous writer...

At the hand surgery clinic on Sunday, the types of diseases treated were relatively simple, with tenosynovitis accounting for 60% due to changes in modern working methods.

In one morning, Zhou Yanqing saw fifteen patients, nine of whom had tenosynovitis, three had tennis elbow, two had flexion contracture deformities of fingers, and one had ulnar nerve injury resulting in partial loss of function.

They are all relatively typical patients.

At 11:54, Li Zhong was looking at his phone to search for a nearby restaurant for lunch, and asked, "Yanqing, is your theory good? You've also learned to adapt to changing circumstances."

"You asked the online writer to change his typing style, but why don't you ask the office clerk to change it?"

Medical advice is not just about taking medicine. Daily exercise and lifestyle modifications are also medical advice.

"If civil servants use voice typing, they might as well resign, right?" Zhou Yanqing is not stupid.

Same disease, different doctors.

Li Zhong's face turned serious when he heard this: "Yanqing, you are indeed quite good."

(End of this chapter)