Why do experts and directors from various top-tier hospitals frequently appear at a community clinic? Why do nationally renowned experts and professors often visit a township-level health center?
In the morning, Chen Fanming took another tour around the West Asia Hospital. He had a thorough understanding of the level of most of the young doctors in the Department of Traditional Chinese Medicine of the West Asia Hospital.
Except for three residents, most of the young doctors here are of good level and have no problem seeing patients independently.
The most important thing is that the doctors at West Asia Hospital are really smart when facing patients. No matter whether the patients have been to other hospitals before or what the Western medicine diagnosis is, the doctors here are not much affected.
"Director Chen!"
After a walk around, Chen Fanming arrived at Wang Xuemeng's clinic again. Wang Xuemeng was treating a patient. When she saw Chen Fanming, she greeted him politely.
"Um."
Chen Fanming nodded, pulled a stool and sat next to Wang Xuemeng: "You continue, don't worry about me."
"Um."
Wang Xuemeng responded and continued to examine the patient.
The young doctors at the West Asia Hospital are generally of good quality, but Chen Fanming really likes the female doctor Wang Xuemeng. It may be because of preconceived notions, but the first person he saw when he came to the West Asia Hospital was Wang Xuemeng.
It may also be that girls are really easy to like, and liking each other is really important.
The patient Wang Xuemeng was seeing was a young man in his early thirties who had a common fever. After examining him, Wang Xuemeng prescribed a prescription and continued calling out appointments.
After seeing two patients, a woman in her thirties came in. She was a little fat. After she sat down, Wang Xuemeng asked about her condition and found out that she had been suffering from amenorrhea for half a year.
"I've seen a Chinese doctor before, and he told me that if it doesn't come back in six months, it might never come back again."
The woman said to Wang Xuemeng worriedly, "I'm only 35. If I don't come, won't people think I'm a monster?"
Many women are annoyed by their menstruation, and many even complain, why do they have to have menstruation?
Not only is menstruation troublesome, it is also often uncomfortable, with stomach aches and other problems.
But when everyone comes, and you don’t come, you become the odd one out, which is also a kind of pathology.
Apart from anything else, your closest person, your husband, might think you are weird.
Moreover, the absence of menstruation will have adverse effects on women's physical health.
"Don't worry, let me take a look first."
Wang Xuemeng comforted the patient while looking at him. The patient had a pale complexion, looked a little flustered and short of breath, and his lips were pale red.
"Aside from amenorrhea, are there any other symptoms?"
"I often feel dizzy."
"Let me take your pulse."
Wang Xuemeng is taking the patient's pulse.
"The pulse is slow and weak."
After feeling his pulse, Wang Xuemeng asked, "How's your diet? Do you have a good appetite?"
"Eating is okay. Sometimes I eat a lot, sometimes I eat less."
Wang Xuemeng: “…”
So, this is sometimes the biggest difference in perception between doctors and patients. In the eyes of patients, sometimes they eat more and sometimes they eat less, but they are not hungry anyway, so it is okay. But this phenomenon is actually considered an unbalanced diet.
“Do you eat more vegetarian food or more meat?”
Considering the patient's unbalanced diet, Wang Xuemeng asked again.
"I don't really like vegetarian food. I just like meat."
"Are you busy with work?" Wang Xuemeng thought for a moment and asked again.
"It's been quite busy at work."
The woman said, "I opened a convenience store and I run it by myself. Although the work isn't hard, it's quite tiring."
By this time, Wang Xuemeng had almost figured out what was going on.
The body is obese, but overworked, and the diet is not picky, and does not mix meat and vegetables, so the influence is insufficient and leads to deficiency of both Qi and blood. The spleen and stomach cannot nourish the kidney Qi in the middle stage to transform Qi and blood, and the source of Qi and blood production is exhausted, which leads to the emptiness of the blood sea, so menstruation does not come.
While recording the patient's condition on the computer, Wang Xuemeng explained to the patient: "When the spleen and stomach are weak, lung qi is the prerequisite. Once the lung metal qi arrives, the acquired water and grain qi will nourish it. The acquired water and grain qi is what we eat. If the middle qi is insufficient, the lung meridian will be weak and cannot reach the kidney water. When qi and blood are deficient, the liver blood cannot be stored, and the heart is not nourished, it will cause palpitations, shortness of breath, dizziness, etc."
In fact, the process of a doctor explaining to the patient is also a process for the doctor to sort out himself.
Chinese medicine diagnosis is like a proof question or a reasoning question. By using known conditions, as long as all the patient's symptoms can be reasonably explained, the diagnosis will be almost correct.
What causes amenorrhea? What causes palpitations and shortness of breath? Is there any conflict between these? If everything is reasonable, then there is no problem with this question.
If the inference is inaccurate, then it must be that the thinking is wrong or the conditions are insufficient.
This dialectical method is actually the method that Yun Heng has always used. Wang Xuemeng has followed Yun Heng for quite some time and has learned quite well in this regard.
"I'll prescribe you a prescription. Go home and take it for a few days. Come back for a follow-up visit after you finish taking it."
The diagnosis was correct, so Wang Xuemeng prescribed a medicine for the patient. The woman thanked him and went out to get the medicine with the prescription.
"Director Chen, is my judgment correct?"
After the woman left, Wang Xuemeng asked Chen Fanming embarrassedly.
In fact, the conditions of the patients just now were quite complicated. Wang Xuemeng performed exceptionally well today. The reason for her exceptional performance was also related to Chen Fanming's presence.
The patient suffers from amenorrhea, which falls under the category of gynecology. Chen Fanming is Ren Zhiyun's student and an expert in gynecology. With an expert like Chen Fanming sitting next to her, Wang Xuemeng feels like she has a backer and is more courageous.
Without worries, thinking is often much clearer.
Most people have this feeling: when you are doing something, you feel pressured and want to do it well, but you just can't do it well. When you are not under pressure and are in a good mood, it seems that you can do it well inadvertently.
It’s similar when doctors diagnose patients. Sometimes the less confident you are, the less clueless you will be.
"No problem, it's amazing."
Chen Fanming smiled and said, "Your thoughts were very clear just now, and the overall idea is completely fine. To be honest, I'm a little surprised."
Chen Fanming had been paying attention just now. Wang Xuemeng's diagnosis just now really surprised Chen Fanming. Her thoughts, emotions, and inferences were accurate, which was astonishing.
"Director Chen, please stop praising me."
Wang Xuemeng felt even more embarrassed.
"I'm telling the truth."
Chen Fanming smiled and said, "I see that you are very talented in gynecology. Do you really not want to study medicine with me?"
"How about Director Chen also stay in our West Asia Hospital?"
Wang Xuemeng smiled and said, "If you stay, I will definitely study medicine with you."
"Hahaha....."
Chen Fanming couldn't help laughing at this little girl.
If Chen Fanming wanted to accept a disciple, there would be countless people lining up. But Wang Xuemeng, on the other hand, only agreed if he stayed and even negotiated terms with him.
Leave?
Not staying?
To stay or not to stay?
Chen Fanming has been quite conflicted these past two days.