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?
"Doctor Yun Hengyun from West Asia Hospital?"
"The one from the last free clinic?"
Some nurses and doctors at Ningcheng Traditional Chinese Medicine Hospital watched secretly and discussed in low voices.
"He's just a young man, what's there to see?"
A jealous little resident nearby complained sourly: "Isn't it just that there is an awesome teacher?"
"Dr. Yun even embarrassed Hu Xuezhong during the free clinic."
A young nurse on the side mocked him.
"If I had a teacher as good as that, I could do it too."
The young hospital resident stiffened his neck, but looked hard into the consultation room. When he saw Yun Heng, the admiration in his eyes clearly betrayed his true feelings.
Being stubborn is just out of envy.
"Doctor Yun, Professor Han, how are you?"
Wu Jiaming smiled and said, "Are you satisfied? I found a spacious consultation room specifically for you."
"Okay, Dean Wu is doing his job well."
Han Kaiping laughed dryly twice and thought to himself that he was extremely satisfied.
"Haha, mainly because it's a rare opportunity."
Wu Jiaming smiled and said, "It's a rare opportunity for Doctor Yun, Professor Han, and the others to come here, so they definitely want to show off their skills. To be honest, I'm itching to show off."
Han Kaiping laughed dryly again and thought to himself, are you talking about Yun Heng?
I, Han Kaiping, may just be a by-product.
As he was speaking, a nurse came into the consultation room with a patient.
Ningcheng Traditional Chinese Medicine Hospital is quite famous. There are quite a few patients in the outpatient department right now, and many patients are queuing up for registration. After a little publicity, people sign up to queue up.
A young couple came in with a little boy.
The little boy was held by his father. When he came in, Yun Heng, Zhang Xueyan and other students from Zhongzhou University of Traditional Chinese Medicine began to observe the child carefully.
Previously on the high-speed train, some students listened carefully to Yun Heng’s explanation and kept it in mind. When facing patients, they must be careful when looking, smelling, asking and palpating, especially the patient’s complexion, complexion, and expression when they first come in. These are all expressed inadvertently and are more real.
Sometimes when a patient actually sits in front of a doctor and is asked questions, he or she may be nervous or have other emotions. In addition, after sitting down, it is difficult to observe the patient's walking posture.
The fact that a child is held by an adult can be ignored, but for some adults, whether the steps they walk in are light or steady, etc., these are all details in the diagnosis process.
If you don't observe carefully at this time, and wait for the patient to sit down, you can't just say, "Is it okay to take a few steps?"
The child was held by his father, but he looked thin and small, with a pale and dull complexion. There was a look of pain on his face. If you looked carefully, you could see tears in the corners of his eyes, which meant he had probably been crying for a short time.
"Sit here."
Wu Jiaming called out and asked the young couple to bring the child to Yun Heng. Han Kaiyang was right. Wu Jiaming said that he was just saying it casually and was being polite. If he didn't say it, it would seem awkward, and the main concern was Yun Heng.
If it weren't for Yun Heng, how could Wu Jiaming, a clinical vice president, possibly look down on Han Kaiping, a professor with a purely educational title.
As the vice president of Ningcheng Traditional Chinese Medicine Hospital, Wu Jiaming is also a professor, chief physician, and professor at Ningcheng University of Traditional Chinese Medicine, holding dual professional titles.
"This is Doctor Yun Hengyun from Xihua City's Xiya Hospital, and this is Professor Han Kaiping from Dongjiang University of Traditional Chinese Medicine."
Wu Jiaming also introduced them to the young couple.
After the introduction, Yun Heng looked at the child and asked, "How's the child?"
"stomachache."
The child's father put the child on his lap, and while talking, he lifted up his clothes to point out the place where the child was in pain to Yun Heng.
The pain is located in the abdomen, roughly above the belly button.
"Pain in the epigastrium."
Han Kaiping said something and asked, "How long has it been?"
"It's been going on for quite a while, four or five months now. We've been to a lot of hospitals, both Chinese and Western medicine, and done a lot of tests, but the pain keeps coming back. The child can't stand the pain and keeps crying."
The child's mother said hurriedly.
"How old is the child?"
Guan Yalan also asked a question.
"Ten years old." The child's father said hurriedly.
"Ten years old?"
Yun Heng looked at the child. He was ten years old, but judging from the child's body shape, he was only about seven or eight years old, not at all like a ten-year-old.
"Did anyone notice anything?"
Yun Heng asked his classmates.
"Doctor Yun, the child is ten years old, but he looks like he's seven or eight. He's thin and pale, and probably has a cold and dampness."
The students pondered for a while, and Zhang Mingfei was the first to speak.
"Yes, very good."
Yun Heng nodded and said with a smile, "Do you have any questions?"
"How's the child's appetite?"
Zhang Mingfei asked.
"I have a poor appetite and haven't been eating well. I'm a bit picky about food and have anorexia."
The child's mother said.
Yun Heng continued to look at Zhang Mingfei, who said hurriedly, "It's probably the cold and dampness affecting the spleen and stomach, which is why your appetite is poor."
"Well, very good. Is there anything else you want to add?" Yun Heng asked with a smile.
"Doctor Yun, there is no more for now. I can see that the child is suffering from cold and dampness, but that's all I can see. I don't know the specific situation or how to treat it." Zhang Mingfei said honestly.
"Yeah, that's good."
Yun Heng nodded, glanced at Han Kaiping and Guan Yalan, and when no one spoke, he continued, "First of all, we need to consider the history of this disease. The child has been ill for several months. According to the patient's family, four or five months, exactly one summer has passed."
"Recurring pain, severe pain, and poor diet are definitely signs of cold and dampness. Add to that the whole summer, and you might be thinking, maybe you're eating too much cold food?"
As Yun Heng was speaking, the child's mother said, "Doctor Yun is right. The child just likes cold drinks. My husband and I are not at home all year round, so his grandparents look after him. Basically, we give him whatever he wants. In the summer, he almost never stops having cold drinks."
The classmates all looked at Yun Heng with admiration. It was just a small detail, so they didn't notice it, but Yun Heng did not ignore it.
It is now October, four or five months ago. It was exactly in April and May, when the weather started to get hot, that the abdominal pain recurred and did not heal. It was closely related to the child's preference for eating cold food.
"Come, let me feel your pulse."
Yun Heng asked the child to move forward a little, reached out to feel the child's pulse, and then asked a few more questions.
After asking, Yun Heng continued to feel the pulse while saying, "When diagnosing children, we must be extremely careful and pay attention to every detail, including their medical history, habits, and preferences. Children have poor expressive abilities, so this is a greater test for doctors when dealing with children."
"In clinical practice, medical history is often very important. If a child has recurring abdominal pain for four or five months and previous medical treatment has been ineffective, it means the condition must be complex and the source must be identified before the right medication can be prescribed."