Zhao Yuan came to the dermatology department to report with the rotational test sheet.
The supervising doctor is Tan Min, a female deputy chief physician in her forties.
Dermatology is not as simple as imagined. There are more than 3,000 basic diseases.
If you want to become famous in dermatology, the first step is to memorize and understand more than 3,000 basic diseases.
It also involves immune biochemistry and genetic cells.
Xie Changtian still had a certain purpose in arranging Zhao Yuanlunke.
The purpose of changing subjects is to learn and gain something.
Zhao Yuan had some experience in dermatology, but not deeply.
Zhao Yuan has been seeing dermatology in the past few days. There are too many dermatology pictures, and there are many similar ones. If you don't pay attention, you will forget them.
Taking papules as an example, they can be pointed, round, flat, or have a depression in the center;
The shape may be protruding, plate-like, or psoriasis-like; the cause may involve viral infection, endocrine disease, or tumor.
It took him about a week to adapt to the new environment before Tan Min allowed him to receive treatment independently.
Early in the morning, I just started going to work.
The first patient was a girl of fifteen or sixteen years old, brought here by her mother.
The girl has regular facial features, is about 1.65 meters tall, and has a ponytail. However, her skin is not that good. Her face is densely covered with purple particles. Some particles have been broken and condensed into scars, and some have white particles on the top.
It's grainy, making the whole face look a little scary.
The girl kept her head down, not daring to look at the doctor.
Her mother said with a sad face, "Since a year ago, she suddenly developed a lot of acne on her face, and her personality has become introverted. She usually locks herself in her room and refuses to go out when she comes home. Her academic performance has also dropped from the front of the class.
A few people fell behind. In order to see her face, we also tried many methods, including Western medicine, traditional Chinese medicine, and went to a lot of beauty hospitals. It may be effective at first, but it won't take long for her to relapse. Spending money is not a big deal.
, the key is that I don’t have the energy.”
Zhao Yuan approached the girl, and the girl shrank subconsciously.
"Relax!"
The girl mustered up the courage to raise her head.
Zhao Yuan held the girl's face, observed it carefully, and asked: "Do you usually eat a lot of spicy food?"
The girl shook her head, and her mother explained beside her, "I basically don't eat spicy food. I usually eat a lot of vegetables and fruits."
Zhao Yuan asked again: "Is menstruation normal?"
Mom shook her head, "It comes once a month or two, and it's very short each time."
Zhao Yuan glanced at Tan Min and said, "It should be rosacea. In layman's terms, it's rhinophyma."
Seeing that Zhao Yuan was young, her mother felt that he was a new doctor and did not fully trust his conclusions. She told Tan Min, "Other hospitals also said it was acne, but the treatment was ineffective."
Tan Min knew that her mother had misunderstood, so she helped explain, "Acne and rosacea are two different diseases. Acne is a chronic inflammation of the sebaceous glands, which is mostly related to increased oil secretion and infection with Propionibacterium acnes. And rosacea is related to
It is related to local vasoconstriction and capillary dilation caused by neurological dysfunction. If the treatment method is wrong, the effect will naturally be poor. Doctor Zhao, please prescribe it!"
Zhao Yuandao: "For the first stage of rosacea, use iodophor to sterilize, apply Manlijing to improve microcirculation, and then use dehumidification and detoxification, Qi Qingfei oral liquid for conditioning."
Tan Min nodded slightly.
Although it was Zhao Yuan's first time taking on a dermatology patient, his judgment was accurate and his prescriptions were extremely reasonable.
After the patient left, Tan Min and Zhao Yuan laughed and said, "How do you feel?"
Zhao Yuandao: "It's more complicated than imagined! If I hadn't observed it carefully, like other doctors, I would have mistaken it for ordinary acne."
Tan Min was thoughtful and asked, "What else was discovered?"
Zhao Yuan thought for a while, with a serious expression, "The quality of the doctors who treated the girl before was second to none, but they definitely did not treat her attentively."
Tan Min nodded, "Diseases like acne or rosacea are chronic diseases. Even without intervention, there is a chance that they will heal on their own, and they will not lead to death. The quality of dermatologists is uneven, especially in the dermatology departments of private hospitals. Patients cannot be treated.
The longer it lasts, the higher the income.”
Zhao Yuan thought that Tan Min was quite brave enough to speak out.
Why private capital is heavily involved in medical fields such as skin, anorectal, and oral cavity is mainly because the treatment cycle is relatively long and the profit margin is large.
If you want to completely cure this kind of disease, public hospitals are more reliable than private hospitals.
While they were talking, another female patient came in, accompanied by her boyfriend.
The female patient is young, 23 or 24 years old, with a round face, big eyes, and a delicate face. She wears a thread hat, light makeup on her face, and has a strong but not pungent smell of perfume coming from her body.
When the female patient saw that the doctor was male, her expression changed drastically.
"What's wrong with you?"
The female patient hesitated for a long time and begged: "Can you change the doctor?"
Zhao Yuan could roughly guess why the other party had such a reaction.
Dermatological diseases often occur in areas with developed sweat glands.
The locations where sweat glands are developed are often relatively private locations on the body.
"Uh, this..." The female patient glanced at Zhao Yuan again, but hesitated to speak, her face turned red.
Tan Min knows the psychology of such patients: "Doctors do not distinguish between men and women. They are all doctors and patients here. If you feel uncomfortable, just tell me directly. There is no need to hide it."
The boyfriend persuaded me, "I just checked. Today, all the dermatology clinics are male doctors. If you go to other hospitals, you will also meet male doctors. Why don't you check here! My girlfriend has some growths on her body.
Please help me take a look at the stuff!"
Zhao Yuan pursed his lips towards the male patient, "Go to the back and I'll check you out!"
The curtain is hung and the female patient is taking off her clothes.
Tan Min walked in. The female patient's expression softened a lot. With a female doctor present, she would feel safe.
Tan Min comforted him: "A doctor is like a parent, just think of him as your dad."
The female patient bit her red lips and finally took off her pants.
Zhao Yuan's expression remained the same as he examined the affected area.
Tan Min pointed to an area of pigmentation and told Zhao Yuan, "Go up and touch it, so that you can really feel the temperature and touch of the skin."
If Tan Min's instructions were given in any other situation, they would be an absolute hooligan!
He followed the instructions, put on film gloves, and touched it gently.
At this time, Zhao Yuan's face was only a punch away from the opponent's skin, and he could even feel the opponent's body temperature.
The pigmentation area is large, covered with sporadic and densely packed papules, miliary size, with pustules and pustules, symmetrically distributed.
Zhao Yuan wore a mask and his eyes were clear, showing no disgust or surprise.
The female patient's body was shaking slightly and she was also very nervous.
I don’t know if I am worried about my condition or something else...
After only two or three minutes, Zhao Yuan said softly, "Okay!"
"Doctor, what kind of disease do I have?" The female patient lowered her voice and asked softly, "Is it the kind that is contagious?"
Zhao Yuan washed his hands with disinfectant and shook his head gently: "Eczema. I will prescribe some ointment for you later. When you go back, apply it in the morning and evening. Remember to keep the affected area hygienic."
The female patient was relieved, and her nervousness and nervousness disappeared in an instant.
When the boyfriend saw the female patient walking out of the curtain, his expression became relaxed and his anxious mood relaxed.
Zhao Yuan prescribed ointment to treat eczema and made some further medical instructions.
After the two of them went out, they vaguely heard their boyfriend ask softly, "Did the male doctor touch you?"
There was a "pop" and a slap sounded.
The female patient said angrily, "What are you thinking about? Can your thoughts be less dirty and more pure?"
