top student at medical school

Chapter 53 Practicing with an Alt Account (Please add to your favorites and read on!)
"Dr. Yuan, what are you doing standing here?"

"Isn't today your clinic day?" The first patient today is an old patient coming for a follow-up appointment. The surgery was performed by Professor Chu, Yuan Weihong's teacher, and he has been seeing Professor Chu for follow-up appointments ever since.

Professor Chu passed away before Dr. Yuan Weihong graduated, so the old man transferred to Professor Deng Yong's group. However, he later discovered that Professor Chu's student, Yuan Weihong, also had his clinic hours on Wednesdays, the same day as Professor Deng Yong.

Professor Deng Yong's appointments are becoming increasingly difficult to get, so he transferred to my side a year ago, since we're old acquaintances anyway.

I knew Yuan Weihong and knew he was out on Wednesdays, so I made an appointment well in advance.

"Uncle Liu, I'm practicing the trumpet. This is my student, Dr. Fang. Let him take a look at you." Yuan Weihong twisted his waist, not sitting at the consultation table.

The old man came alone, but he was in good spirits. He looked at Fang Ziye and said, "Oh, you mean Dr. Yuan, the one who used to work with Professor Chu?"

“Alright then.” The man called Uncle Liu was quite knowledgeable.

Fang Ziye was actually a little resistant to the phrase "practicing the trumpet," since it was used to describe having a son. But since the words came from Yuan Weihong, who was like a father to him, Fang Ziye could only sniffle.

"Hello, sir, what's the situation on your end?" Fang Ziye asked with a forced smile.

Treating a long-term patient is more complicated than treating a new patient, as it requires listing all their past medical history in order to understand their current condition.

But Uncle Liu, being quite individualistic, simply slammed the medical record bag onto the table: "Here, that's all. I'll trouble you, Dr. Fang, to take a look."

Yuan Weihong's eyes widened instantly, and he almost gave Uncle Liu a thumbs up.

"You've had surgery before?" Fang Ziye immediately asked in a soft voice.

Such long-term patients, after years of follow-up examinations, probably already know their own condition by heart. The saying "long-term illness makes one a doctor" may be a bit of an exaggeration, but being a semi-professional is definitely true.

If you say something wrong, the other party will definitely be able to find out who you are.

"Yes, I've been doing it for several years now." Uncle Liu answered quite cautiously, but he had no desire to continue the conversation, as if he was deliberately making excuses in order to test Fang Ziye.

With a smile on his face, it was as if he were saying, "I watched your teachers grow up, and now another young man has arrived."

Fang Ziye could only start by reviewing the initial X-rays and CT scans, and after thoroughly understanding his discharge records and outpatient medical records from many years ago, he finally found out.

Several years ago, the old man suffered a comminuted fracture of the tibial plateau due to a car accident, and there was also bone loss. That's why he was transferred to Zhongnan Hospital and had surgery performed by Professor Chu.

I've had follow-up examinations for many years after the surgery, and things have been going well. Now I guess I'll be coming in for another X-ray, mainly to monitor the condition of osteoporosis and the progression of traumatic arthritis.

"Sir, does the joint in your foot hurt now? Judging from the X-rays taken during your post-operative check-up, your previous fracture has healed, so it shouldn't be a problem for you to walk."

“However, since the year before last, the bone below your tibial plateau has shifted a bit. What have you been doing during this time?” Fang Ziye asked two questions in a friendly tone.

It may seem like casual conversation, but it's actually asking about current symptoms, recent activity habits, and why these changes have occurred.

"It hurts a little now."

"Dr. Fang, what do you think I've been doing these past two years?" Uncle Liu asked, with a touch of childlike playfulness.

"It could be due to weight-bearing or other reasons. In any case, in the past two years, your knee joint has been affected by a microfracture, causing a shift in the weight-bearing position of your lower limb. It's possible that you've been putting weight on it?" "Or it could be due to weight-bearing?" Fang Ziye isn't a fortune teller.

But I guessed it pretty accurately.

"I haven't put him down yet, but the big, chubby boy is a bit heavy. I'm reluctant to let go. I'm sure I'm okay with him, right? Now that little guy can run around too." Uncle Liu's face was full of happiness, as if you could feel him basking in the joy of being surrounded by his children and grandchildren from afar.

Fang Ziye suddenly realized.

"Fortunately, judging from last year's X-ray, the main problem is that the bone on the inner and outer sides of the tibial plateau is not uniform. Osteoporosis is one reason, and playing with grandchildren is another. But we still need to pay attention."

“If you continue to deviate like this, your traumatic arthritis will worsen. Traumatic arthritis is something that occurs to some extent after a fracture, and as you get older, there will also be some wear and tear. If the pain isn’t too severe, resting more and doing some aerobic exercise is the right choice for someone your age,” Fang Ziye advised while taking notes.

"Well, now that my grandson is locked up in kindergarten, I can't hold him anymore. Dr. Fang, do you think I should get some tests done today, or get some medicine prescribed?" Uncle Liu asked.

After Fang Ziye finished taking notes, he said, "I'll do a physical examination first. Please lie down on the examination table with your head facing this way."

Fang Ziye slowly stood up as he spoke...

About five minutes later, Uncle Liu walked out carrying his film bag, medical record book, and examination report. He said to Yuan Weihong, "Dr. Yuan, your apprentice is quite good, and Professor Chu's apprentice is also quite good."

They even used parallel sentence structures and gave a thumbs up.

"Thank you, Uncle Liu. As always, you can come up as soon as the film is taken. You don't need to wait for the results. Just print out the film and take it home after you're done." Yuan Weihong gestured for him to go for the check-up first.

Uncle Liu nodded and left.

Fang Ziye quickly made way for him. It was fine for him to use the space when one old patient came in, but if more people came, it would be difficult to explain. Not everyone would be so generous as to let him practice.

Yuan Weihong, with a serious expression, sat down and asked, "Where did you hear that traumatic arthritis occurs once a fracture occurs? Did you read any literature about it?"

"Yes, I've been reading some literature lately, and I just happened to come across it a while ago," Fang Ziye replied, then prepared to go outside to call the patient.

"You've read quite a few books, haven't you? If you were treating this patient in the outpatient clinic, how would you prescribe medication for him?" Yuan Weihong continued to ask.

Fang Ziye examined the situation carefully for a few seconds, then paused, holding the doorknob with his right hand as if to receive a patient, but did not open the door: "Judging from the old man's current condition, I still recommend that he start with functional exercises and not use routine therapeutic medications."

"And what about the pain?" Yuan Weihong pressed on.

“Master, I don’t think his knee pain is caused by arthritis. It’s probably just a recent injury from activity. Uncle Liu just said that he was supposed to come for a check-up before the Chinese New Year, but he tripped while running with his grandson a while ago, so he came earlier.”

“He didn’t fall; it’s probably a non-bone injury caused by strain on his quadriceps,” Fang Ziye replied.

"The theory is good."

“You’re growing up quickly.” Yuan Weihong touched his chin with his right thumb, looking at Fang Ziye as if he were a mere mortal.

Fang Ziye then casually opened the door and called out, "Is patient number 2 here? Number 2..."

(End of this chapter)