Path of Medicine With a System

When Zhang Fan arrived, more people came. The government is also here. Although Jiang Yina didn't want to disturb the local government, but after they contacted the higher-level government, Chasu became more concerned. It's more powerful than interrupting directly.

After watching the film in the office, Wang Dehua was also very conflicted. Let’s do surgery. Others don’t want to do it. He has to do massage, but how can there be such a massage expert here? Besides, massage is not foolproof. Not a lot.

"Take a look." Lao Wang gave Zhang Fan the inspection results after seeing Zhang Fan enter the office. Everyone looked at Zhang Fan, Ouyang, Wang Dehua, and Lao Gao with hopeful eyes.

The government officials, Jiang Yina and the others have puzzled eyes. The old doctors have nothing to do with it. Let a young doctor look at it. Isn't the city hospital a joke? It's not wrong to have such thoughts.

Jiang Yina's subordinates saw that it was hopeless, and he had already called to book a plane ticket.

After watching the film, Zhang Fan pondered over it. He felt that this matter was a bit tricky. It was not because of illness, but because he was thinking about how to say it. The director of the hospital and the senior doctors all prefer surgery, which is really troublesome.

Low back pain has appeared since it was recorded in medicine. Moreover, low back pain is not caused by a single disease or a certain factor.

It is a dysfunctional disease, in a sense, it is a symptom group. According to the statistics of evidence-based medicine in the United States, 80% of adults in the United States have experienced low back pain once or more in their lives.

About 250,000 lumbar spine surgeries are performed every year, ranking third among all surgeries. Therefore, there is no good treatment for this disease in countries with the most developed medical care.

"Don't worry, we're not so narrow-minded. Don't think about it, just say it." Wang Dehua and Zhang Fan had undergone several surgeries together. He knew Zhang Fan well, and he was not as good as Zhang Fan in terms of spine.

"Well, this is a rising star in the orthopedics department of our hospital. He has very sophisticated views on orthopedics." Ouyang introduced it to government officials and patients.

In this case, the doctor is also difficult to do. If you do well, you should do it well, but if you don't do it well, it is a troublesome thing. It is too important to weigh the pros and cons in the adult world.

If the patient doesn't speak, it's obvious that he doesn't trust him. "Can I have a physical examination?" Zhang Fan pondered for a long time before saying.

"No need! Mr. Jiang's health is already too much to bear, you come to have a physical examination individually, come and..."

"Xiao Liu!" Although Ms. Jiang was in pain, she still stopped her subordinates, and then said to Zhang Fan, "Yes."

"Hehe, good! I'll just do a simple physical examination." Then Zhang Fan looked at Ouyang.

"Okay, other people should go to the outpatient clinic. The surgery is done. It's inconvenient to do a physical examination for the patient." In a word, everyone was dispersed by Ouyang, and even the government officials asked Ouyang to do it. Please go outside the door.

Ouyang and the two directors of the orthopedics department, Zhang Fan, the patient and the patient's subordinates were left in the outpatient office. Ouyang and Zhang Fan cooperated very well. Unknowingly, the two began to have a tacit understanding.

"This is Ms. Jiang who we came to invest in our tea plant." Ouyang said to Zhang Fan.

"Oh, Ms. Jiang, how long have you been in this pain?" Zhang Fan nodded and asked.

"It's been many years. This time, after it rained a while ago, I felt something was wrong. When I bent down this morning, I suddenly felt so bad that I couldn't straighten my waist." The woman's Mandarin with a southern accent was quite nice, It's like singing a ditty.

"Oh." Zhang Fan lightly agreed, and began to press along her lower back. The identity is special, and the inspection is also special. This kind of inspection should take off the clothes and expose the back.

Although this Ms. Jiang verbally supported Zhang Fan's physical examination, Zhang Fan could tell from her body movements that she was actually still resisting in her heart. It's just that maybe her upbringing or self-restraint prevented her from rejecting Zhang Fan.

Zhang Fan started to check from the neck, "Do you feel any discomfort?"

"No!"

One question, one answer. Zhang Fan slowly followed the vertebral body and asked one by one. Walk through the cervical spine, pass through the thoracic spine, skip a cloth or silk belt, and reach the lumbar spine.

"Yo! It hurts, please slow down. Ah!" Ms. Jiang, who was lying on her stomach, put her head on the examination bed directly in pain. Her subordinates were just one step away from overthrowing Zhang Fan.

Things about the lumbar spine are too complicated. There are many simple muscles. The muscles near the vertebral body are symmetrical, that is to say, the vertebral body is the block in the middle, and the muscles on both sides are the same.

If this muscle is used as the most popular analogy, it is like a clenched fist. Starting from the big finger, it represents a muscle in turn, including the psoas major, the square lumbar muscle... There are six muscles in total.

Zhang Fan saw her CT and MRI, combined with the physical examination, Zhang Fan has already understood that her biggest problem is not just the intervertebral disc.

Zhang Fan probably counted in his head after the physical examination, and he didn't do any more leg-lifting or abdominal-lifting experiments anymore. He came to see a doctor, not to compete, which was boring.

"Mr. Jiang, do you feel pain in your lower back when it's cold? Sometimes you also feel pain in the iliac crest."

"Yes, yes." Jiang Yina opened her eyes. She hadn't talked about her illness since she entered the hospital, even if she did, it was just a backache, but she didn't expect this little doctor to notice it.

"Hehe, do you sometimes feel very comfortable after taking a hot bath, and especially when it's cold or hot, it will get worse and you will feel uncomfortable." Zhang Fan continued to ask.

"Yes, this..."

"It's Doctor Zhang." The old lady Ouyang said to Ms. Jiang with a smile on her face as if she was laughing. She seemed to see the equipment again. The new building lacked a lot of equipment. The hospital was short of money and couldn’t buy it.

"I'm sorry, Doctor Zhang, you are quite right."

"It's okay." After Zhang Fan said something, he asked again: "If you are too tired, will your legs hurt more, starting from the buttocks down like an electric shock?"

"Yes!" At this time, Ms. Jiang really came with the attitude of seeing a doctor.

"Dean, director, Ms. Jiang's diagnosis is not a herniated intervertebral disc, but also fibrositis." Zhang Fan said to everyone while walking to the faucet to wash his hands.

"Yes, Dr. Zhang and Dr. Qiu also said the same. When Dr. Qiu's father was still alive, he often gave me massages, and the effect was very good. After a period of massage, there would be no recurrence for a long time. Later, the old man left After I got it, Dr. Qiu also gave me a massage, but the effect was not very good."

"No wonder!" Lao Gao nodded and said in his heart. Wang Dehua also noticed it, but the old man spoke quite straightforwardly, and he didn't think it was necessary to explain, so he didn't let the patient accept him.

The doctor's way of speaking must be skillful, otherwise it will definitely make the patient resist. Generally, the patient has no choice but to look at the resistance.

And patients like this are troublesome. So now the country has also begun to vigorously promote the artistry of doctors' speaking! Also wonderful! What should be available, must not let the country worry about it.

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