When Zhang Fan arrived, more people came. The government also came. Although Jiang Yina did not intend to disturb the local government, after they contacted the higher-level government, Cha Su became more concerned. It's more direct than disturbing.
After watching the movie in the office, Wang Dehua was also very confused. Let's do surgery. Others don't do it, so he has to do massage. But there are no such massage experts here. Besides, massage is not foolproof. People who are paralyzed by massage every year are also Quite a few.
"Take a look." After Lao Wang saw Zhang Fan entering the office, he gave Zhang Fan the test results. Everyone looked at Zhang Fan, Ouyang, Wang Dehua, and Lao Gao with hopeful eyes.
Government officials, Jiang Yina and the others looked with doubts in their eyes, and the old doctors had no idea. Let a young doctor come to see it. Isn't the city hospital a joke? It's not wrong to think this way.
Jiang Yina's men looked at it and realized that they had no hope. He had already called and started to book flight tickets.
After watching the movie, Zhang Fan pondered deeply. He felt that this matter was a bit tricky. It was not that the disease was a problem, but that he was thinking about how to say it appropriately. The hospital director and superior doctors all prefer surgery, which is really troublesome.
Low back pain has been around since medical records began. Moreover, low back pain is not caused by a single disease or factor.
It is a dysfunctional disease, and in a sense, it is a symptom cluster. According to U.S. evidence-based medicine statistics, 80% of adults in the United States have low back pain one or more times in their lives.
Approximately 250,000 lumbar spine surgeries are performed each year, ranking third among all surgeries. Therefore, there is no cure for this disease in the most medically developed countries.
"Don't worry, we are not so narrow-minded. Don't think too much and just say it directly." Wang Dehua and Zhang Fan have done several surgeries together. He knows Zhang Fan. As far as the spine is concerned, he is not as good as Zhang Fan.
"Well, this is a rising star in the orthopedics department of our hospital. He has very sophisticated insights into orthopedics." Ouyang introduced it to government personnel and patients.
In this situation, it is difficult for doctors to do anything. If you do it well, it will be troublesome if you don't do it well. In the adult world, it is too important to weigh the pros and cons.
If the patient doesn't speak, it's clear 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 body can't bear it anymore. Come and have a physical examination each of you, come..."
"Xiao Liu!" Although Ms. Jiang was in pain, she still stopped her men, and then said to Zhang Fan: "Okay."
"Haha, okay! I'll just do a simple physical examination." Then Zhang Fan looked at Ouyang, Ouyang is a good person, and she knew what Zhang Fan meant with just one look.
"Okay, everyone else should go to the outpatient clinic. The surgeries should be dismissed. It is inconvenient to perform physical examinations on patients." In one sentence, everyone was dispersed by Ouyang. Even the people from the government asked Ouyang to do it. Please come to the door.
Only Ouyang and the two directors of the Department of Orthopedics, Zhang Fan, the patient and the patient's subordinates were left in the outpatient office. Ouyang and Zhang Fan work well together. The two of them began to understand each other unknowingly.
"This is Ms. Jiang who came to invest in our tea plant." Ouyang said to Zhang Fan.
"Oh, Ms. Jiang, how long have you been in 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, it suddenly hurt so bad that I couldn't straighten my waist." The woman's Mandarin with a slight southern accent sounded quite nice. It's like singing a ditty.
"Oh." Zhang Fan agreed softly and began to press along her waist. Because of her special status, the inspection was also special. This kind of inspection should open 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 it in her heart. But maybe it was her upbringing or self-cultivation that 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 vertebrae and asked one by one. Go through the cervical spine, pass through the thoracic spine, jump over a cloth belt or ribbon, and reach the lumbar spine.
"Oh! It hurts, please slow down. Ah!" Ms. Jiang, who was lying on her stomach, put her head on the examination bed in pain. It hurt so much. Her subordinates were just one step away from overthrowing Zhang Fan.
The lumbar spine is too complicated. Even the simplest muscles have many. The muscles near the vertebral body are symmetrical, that is to say, the vertebral body is the blocker in the middle, and the muscles on both sides are the same.
If this muscle is used as the most popular metaphor, it is like a clenched fist. Starting from the big thumb, they represent one muscle in turn, including psoas major, quadratus lumborum... There are six muscles in total.
Zhang Fan looked at her CT and MRI, combined with the physical examination, and it became clear that her biggest problem was not just her intervertebral disc.
Zhang Fan probably made up his mind after a physical examination, and no longer did any leg-raising or abdominal-stretching experiments. He was here to see a doctor, not to compete. It was boring.
"Mr. Jiang, do you feel discomfort in your lower back when the weather is cold? Do you also feel pain and discomfort in your iliac crest sometimes?"
"Yes, yes." Jiang Yina opened her eyes. She never mentioned her condition since she entered the hospital. Even if she did, it was just back pain. She didn't expect this little doctor to see it.
"Haha, do you sometimes feel very comfortable after taking a hot bath? And especially after being cold or hot, it will worsen and you will feel uncomfortable." Zhang Fan continued to ask.
"Yes, this..."
"It's Doctor Zhang." Old Mrs. Ouyang said to Ms. Jiang with a cheerful smile. 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. It was too difficult to get money from the government. She spent a long time and the city government didn't agree.
"I'm sorry, Doctor Zhang, you are right."
"It's okay." After Zhang Fan said this, he asked: "If you are too tired, will the pain in your legs become more severe, starting from the buttocks and going down, it will feel 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 a fibrositis." Zhang Fan said to everyone while walking to the faucet to wash his hands.
"Yes, Dr. Zhang and Dr. Qiu said the same thing. When Dr. Qiu's father was still alive, he often gave me massages, and the effect was very good. As long as I massaged for a period of time, I would not relapse for a long time. Later, the old man passed away After the surgery, Dr. Qiu also gave me 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 more straightforwardly, and he felt that there was no need to explain, so he did not let the patient accept him.
When a doctor speaks in this way, he must be skillful, otherwise the patient will definitely resist. Generally, patients have no choice but to resist.
And patients like this are in trouble. So now the country has begun to vigorously promote the artistry of doctors’ speech! Weird too! What should be available must be left to the country to worry about.
