When Zhang Fan arrived, more people came. The government has also arrived. Although Jiang Yina didn't want to disturb the local government, after they contacted the higher-level government, Cha Su became more concerned. It's more direct than intrusive.

In the office, after Wang Dehua watched the film, he was also very entangled, let's do surgery, people don't do it, they have to do massage, but how can there be such a massage master here, and massage is not foolproof, and there are many people who are paralyzed every year.

"Look at it. After Lao Wang saw Zhang Fan enter the office, he gave Zhang Fan the results of the examination. Everyone looked at Zhang Fan, Ouyang, Wang Dehua, and Lao Gao with hopeful eyes.

Government personnel, Jiang Yina, and they have puzzled eyes, and the old doctors are all right, let a young doctor come to see, the city hospital is not funny, and it is not wrong to have this kind of thought.

Jiang Yina's subordinates saw that they couldn't count on it, and he had already called and started booking plane tickets.

After watching the film, Zhang Fan pondered and pondered, he felt that this matter was a bit tricky, not because of the disease, but because he was thinking about how to say it. The director of the hospital and the senior physician are biased towards surgery, which is really troublesome.

Low back pain has been occurring since medical records have been documented. 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 cluster. According to American evidence-based medicine statistics, 80% of adults in the United States have one or more times of low back pain in their lifetime.

The number of lumbar spine surgeries performed annually is about 250,000, ranking third among all surgeries. Therefore, there is no good solution for this disease in the most medically developed countries.

"Don't worry, we're not so careful, don't think nonsense, just say it. "Wang Dehua and Zhang Fan have had several surgeries together, he knows Zhang Fan, and in terms of spine, he is not as good as Zhang Fan.

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

In this case, it is difficult for doctors to do it. If you do it well, if you don't do it well, it's a troublesome thing, and it's too important to weigh the pros and cons in the adult world.

If the patient does not speak, it is clear that there is distrust. "Can I do a physical examination?" Zhang Fan said after a long silence.

"No need! Mr. Jiang's body can't bear it anymore, you can have a physical examination and a ......."

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

"Hehe, okay! I'll do a simple check-up. Then Zhang Fan looked at Ouyang, Ouyang Renjing, Zhang Fan knew what she meant with a look.

"Okay, everyone else should go to the outpatient clinic, and the surgery that should be operated on is all dispersed. It is inconvenient to do a physical examination of the patient. In a word, everyone was dispersed by Ouyang, and even the people from the government asked Ouyang to invite him to the door.

In the outpatient office, there are only two directors of Ouyang and the Department of Orthopedics, Zhang Fan, and patients and their subordinates. Ouyang and Zhang Fan cooperated very well. The two unconsciously began to have a tacit understanding.

"This is Ms. Jiang, who we came to invest in the construction of our tea element. Ouyang said to Zhang Fan.

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

"It's been years. This time it was after the rain some time ago, I felt that something was wrong, and when I bent over this morning, I suddenly felt a terrible pain, and my waist couldn't straighten up. "The woman's Mandarin with a slight southern accent is quite good, as if she is singing a little song.

"Oh. Zhang Fan agreed lightly, and began to press along her back, the identity is special, and the inspection is also special, this kind of inspection should lift the clothes and expose the back.

Although this Ms. Jiang verbally supported Zhang Fan for a physical examination, Zhang Fan could see from her physical movements that she was actually resisting in her heart. It's just that maybe it was her upbringing or self-cultivation that made her not reject Zhang Fan.

Zhang Fan started to check from the neck, "Is there any discomfort?" ”

"Nope!"

One question, one answer. Zhang Fan slowly asked one by one along the vertebral body. Walk through the cervical spine, pass through the thoracic spine, jump over a cloth band or ribbon, and reach the lumbar spine.

"Yo, it hurts, please slow down. Ah!" Ms. Jiang, who was lying on her stomach, put her head directly on the examination table in pain, and her heart hurt. Her subordinates almost overturned Zhang Fan.

The lumbar spine is too complicated, and there are many of the simplest muscles. The muscles near the vertebral body are symmetrical, that is, the vertebral body is the middle block, and the muscles on both sides are the same.

If you use this muscle 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 muscle, the lumbar square muscle, ....... There are a total of six muscles.

Zhang Fan watched her CT and MRI, combined with the physical examination, Zhang Fan already knew that in fact, her biggest problem was not only the intervertebral disc.

Zhang Fan probably counted in his heart after a physical examination, and he no longer did any leg lifting experiments and abdominal lifting experiments, he came to see a doctor, not to compete, it was boring.

"Mr. Jiang, do you feel uncomfortable in your back when it's cold? Sometimes the iliac crest is not painful or uncomfortable. ”

"Yes, yes. Jiang Yina opened her eyes. She hasn't said anything about her condition since she entered the hospital, and even if she did, it was just a backache, but she didn't expect this little doctor to see it.

"Hehe, do you sometimes feel very comfortable after taking a hot bath? And especially after one cold and one heat, it will be aggravated and you will feel uncomfortable. Zhang Fan continued to ask.

"That's right, this ......"

"It's Dr. Zhang. Old Lady Ouyang smiled as if she was laughing, and said to Ms. Jiang. She seems to have seen the equipment again, the new building lacks a lot of equipment, the hospital is short of money and can't buy it, it is too difficult to ask for government money, she has been grinding for a long time, and the city government has not agreed.

"I'm sorry, Dr. Zhang, you're right. ”

"It's fine. After Zhang Fan said a word, he asked again: "If you are too tired, does your leg hurt even more, starting from your buttocks down as if you were overpowered?" ”

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

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

"Yes, Dr. Zhang, 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 the massage was for a period of time, it would not recur for a long time. Later, after the old man left, although Dr. Qiu also gave me a massage, the effect was not very good. ”

"No wonder!" Lao Gao nodded and said in his heart. Wang Dehua also saw it, but the old man spoke more directly, and he didn't feel the need to explain, so he didn't let the patient accept him.

When a doctor speaks in this way, he must have skills, otherwise he will definitely make the patient resist, and the general patient has no choice, and the resistance also has to be seen.

And a patient like this is in trouble. Therefore, now the state has also begun to vigorously promote the artistry of doctors' speech! It is also wonderful! What should be possessed must be let the state worry about it.