I'm really an intern
Chapter 91
Chapter 91
The two white coats sat opposite each other, looking at each other.
Zheng Hualiang had a half-smile on his face, Zhang Tianyang couldn't tell if he was angry or not.
But it's always good to apologize first.
Zhang Tianyang has a correct attitude.
"Sorry, teacher, I didn't see that you have finished entering the information. The patient asked about the treatment plan. Can you tell me?"
In fact, Zhang Tianyang can't be completely blamed.
In the previous departments, including Nephrology and Infection Medicine, Zhang Tianyang has great power.
In addition to doing the basic work that normal interns should do, such as taking medical history, getting familiar with the condition and various inspection indicators, and reporting these basic tasks to the superior in time, he can often do more.
For example, be familiar with the differential diagnosis of various similar diseases.
For example, it can determine the mechanism of disease occurrence and development.
For example, when a patient asks all questions about the condition, he can answer them with ease.
Except for the lack of scientific research results, Zhang Tianyang has all the other necessary elements.
Such a powerful "intern", in fact, the professors all regard him as a resident doctor or even an attending doctor who can take care of himself.
Therefore, talking to patients and explaining the pathogenesis of diseases has always been left to him by superior doctors.
Other interns and even brothers and sisters do not have this treatment.
Because of this, Zhang Tianyang is used to...
There is a spectrum in my heart, this disease is not difficult, the greasy guy is also pitiful, he accidentally explained it.
Over there, Zheng Hualiang had another thought in his mind.
"I didn't expect that a fairy really came!"
"Fortunately, it's a deity with a compliment."
He had a smile on his face and was very happy in his heart.
Teachers have always liked students who are active, studious, and eager to learn.
If the student has all three, that would be great!
Not only do you not need to worry too much, but you can also help yourself share your worries!
He decided to test Zhang Tianyang's quality.
"Tell me first, I'm a little thirsty."
He picked up the teacup and sipped it with a smile, signaling Zhang Tianyang to start his performance.
Experts will know if there is one as soon as they make a move. Judging from the information points Zhang Tianyang gave before, there should be no problem.
The greasy guy didn't know about the confrontation, he only knew that the treatment plan he wanted to know the most was stuck by two white coats!
"Well, doctor, how to cure it!"
He subconsciously begged Zhang Tianyang, "Doctor, money is not a problem, I can accept it for a long time, as long as you can save my hair!"
On the opposite side, Zheng Hualiang's hand holding the teacup trembled imperceptibly.
When patients are in a hurry, they will subconsciously seek help from the doctors they trust and think are the most reliable.
But now, with an attending physician as big as myself here, the patient subconsciously seeks help from an intern doctor!
What a shame!
As for Zhang Tianyang, he didn't feel anything wrong at all at the moment.
Still the same sentence, get used to it.
After all, good people always attract a lot of attention.
With a smile on his face, he began to explain to the young man.
"As for the disease of hair loss, there are mainly four existing treatment methods. One kind of pills, one kind of rubbing potion, one kind of physical therapy, and the third one is surgery."
"Wait! Wait a minute, doctor!"
The greasy guy took out his phone, "What, I'm afraid I won't remember, can I record it?"
This is the second time Zhang Tianyang met a patient who wanted to record in the clinic, but the two felt very different to him.
The last one was hidden, secretly recorded, and cursed after being discovered.
This one, above board, for the right reasons, and asked beforehand.
He thought it was okay, but he still looked at Zheng Hualiang who was opposite.
After Zheng Hualiang nodded slightly, he nodded towards the greasy guy.
"Okay, you can record it, but it's only for your own use, don't spread it casually. After all, there is a copyright fee for my voice."
Zhang Tianyang made a joke, and the greasy guy frantically clicked on the recording while making a promise.
"That's for sure! I just wrote it down myself, I'm afraid I'll forget it. Well, you can start talking."
The greasy guy put the phone screen up on the table, and the three of them could see the recording icon at a glance.
This is done openly.
Zhang Tianyang smiled and continued to explain the treatment plan to the greasy guy.
"Four ways, first, take a pill. The name of this pill is finasteride."
"The role of finasteride is to help control the androgen levels in your body so that your hair follicles don't receive as much androgen stimulation."
"Take this tablet once a day, one tablet at a time."
Zhang Tianyang paused, and knocked on the table to get the greasy guy's attention.
"But this pill has two side effects."
"The first one, women can't take it. So if you have a female friend who is also suffering from hair loss, you can't let her use the same medicine as you."
"Second, because this drug controls androgen levels, there is a very small probability that it will affect your sexual function."
"what?"
The greasy guy was taken aback, with a hesitant look on his face.
But after thinking about it, it seems that he has no sex life in the first place...
"Don't be afraid."
Zhang Tianyang saw the greasy guy's hesitation.
"This happens only in rare cases, so don't worry too much. And, even if this happens, as long as the drug is stopped, it will slowly recover. It's just a transient and won't affect the future."
"So it is!"
The greasy guy felt relieved and smiled all over his face, "Doctor, please continue."
"The second method is to apply a potion. This potion is called minoxidil."
"Twice a day, when you get up early and before going to bed, after you wash your hair, apply this lotion on the belly of your fingers, and massage it on the scalp with hair loss for 5 minutes."
"Note, it's useless to apply it on the hair, it must be applied to the scalp. Then massage gently."
When did the greasy guy get such a detailed explanation when he saw a doctor?
At this moment, while being grateful in my heart, I nodded desperately.
Zhang Tianyang nodded with a smile and continued to explain.
"Third, physical therapy. There are specialized companies that have laser therapy machines. You wear a helmet-like thing, and then do it for half an hour to an hour every day."
"One thing to note is that the three methods I mentioned above have to be three-pronged, and the course of treatment is very long."
"It takes at least half a year to start to see the effect. If you want to recover well, you may have to treat it like this for several years."
"If you give up halfway, treat it for three to five days, five or six days, two or three months, and then give up, it's better not to treat it, and you can save money."
Having said that, Zhang Tianyang's tone became a little harsh.
After all, it is a treatment with an extremely long time span. It is not easy for patients to have long-lasting medical compliance.
But the greasy guy had another feeling.
Zhang Tianyang's incomparably detailed explanation made him feel flattered, and he had already made a secret decision in his heart, for the sake of his hair, and for the dignity of the doctor, rush to the duck!
Seeing the greasy guy nodding desperately, Zhang Tianyang smiled and continued.
"Fourth, hair loss is really serious. When medicine and physical therapy are ineffective, or you think these are too troublesome, you can also have surgery and hair transplantation."
"But the essence of hair transplantation is actually to move these androgen-insensitive hair follicles in your occipital region to the top of your head."
"Essentially redistribution of all your last remaining follicles, not true hair growth."
After explaining all four methods, Zhang Tianyang finally withdrew from the state of being a doctor facing patients.
He froze for a second before suddenly remembering the existence of Zheng Hualiang across from him.
If the guess is correct, Mr. Zheng may have been testing his ability just now.
And he seems to have said a bit too much.
Zhang Tianyang took his eyes away from the greasy guy who was full of gratitude.
Turning his head, he saw Zheng Hualiang's reaction.
(End of this chapter)
The two white coats sat opposite each other, looking at each other.
Zheng Hualiang had a half-smile on his face, Zhang Tianyang couldn't tell if he was angry or not.
But it's always good to apologize first.
Zhang Tianyang has a correct attitude.
"Sorry, teacher, I didn't see that you have finished entering the information. The patient asked about the treatment plan. Can you tell me?"
In fact, Zhang Tianyang can't be completely blamed.
In the previous departments, including Nephrology and Infection Medicine, Zhang Tianyang has great power.
In addition to doing the basic work that normal interns should do, such as taking medical history, getting familiar with the condition and various inspection indicators, and reporting these basic tasks to the superior in time, he can often do more.
For example, be familiar with the differential diagnosis of various similar diseases.
For example, it can determine the mechanism of disease occurrence and development.
For example, when a patient asks all questions about the condition, he can answer them with ease.
Except for the lack of scientific research results, Zhang Tianyang has all the other necessary elements.
Such a powerful "intern", in fact, the professors all regard him as a resident doctor or even an attending doctor who can take care of himself.
Therefore, talking to patients and explaining the pathogenesis of diseases has always been left to him by superior doctors.
Other interns and even brothers and sisters do not have this treatment.
Because of this, Zhang Tianyang is used to...
There is a spectrum in my heart, this disease is not difficult, the greasy guy is also pitiful, he accidentally explained it.
Over there, Zheng Hualiang had another thought in his mind.
"I didn't expect that a fairy really came!"
"Fortunately, it's a deity with a compliment."
He had a smile on his face and was very happy in his heart.
Teachers have always liked students who are active, studious, and eager to learn.
If the student has all three, that would be great!
Not only do you not need to worry too much, but you can also help yourself share your worries!
He decided to test Zhang Tianyang's quality.
"Tell me first, I'm a little thirsty."
He picked up the teacup and sipped it with a smile, signaling Zhang Tianyang to start his performance.
Experts will know if there is one as soon as they make a move. Judging from the information points Zhang Tianyang gave before, there should be no problem.
The greasy guy didn't know about the confrontation, he only knew that the treatment plan he wanted to know the most was stuck by two white coats!
"Well, doctor, how to cure it!"
He subconsciously begged Zhang Tianyang, "Doctor, money is not a problem, I can accept it for a long time, as long as you can save my hair!"
On the opposite side, Zheng Hualiang's hand holding the teacup trembled imperceptibly.
When patients are in a hurry, they will subconsciously seek help from the doctors they trust and think are the most reliable.
But now, with an attending physician as big as myself here, the patient subconsciously seeks help from an intern doctor!
What a shame!
As for Zhang Tianyang, he didn't feel anything wrong at all at the moment.
Still the same sentence, get used to it.
After all, good people always attract a lot of attention.
With a smile on his face, he began to explain to the young man.
"As for the disease of hair loss, there are mainly four existing treatment methods. One kind of pills, one kind of rubbing potion, one kind of physical therapy, and the third one is surgery."
"Wait! Wait a minute, doctor!"
The greasy guy took out his phone, "What, I'm afraid I won't remember, can I record it?"
This is the second time Zhang Tianyang met a patient who wanted to record in the clinic, but the two felt very different to him.
The last one was hidden, secretly recorded, and cursed after being discovered.
This one, above board, for the right reasons, and asked beforehand.
He thought it was okay, but he still looked at Zheng Hualiang who was opposite.
After Zheng Hualiang nodded slightly, he nodded towards the greasy guy.
"Okay, you can record it, but it's only for your own use, don't spread it casually. After all, there is a copyright fee for my voice."
Zhang Tianyang made a joke, and the greasy guy frantically clicked on the recording while making a promise.
"That's for sure! I just wrote it down myself, I'm afraid I'll forget it. Well, you can start talking."
The greasy guy put the phone screen up on the table, and the three of them could see the recording icon at a glance.
This is done openly.
Zhang Tianyang smiled and continued to explain the treatment plan to the greasy guy.
"Four ways, first, take a pill. The name of this pill is finasteride."
"The role of finasteride is to help control the androgen levels in your body so that your hair follicles don't receive as much androgen stimulation."
"Take this tablet once a day, one tablet at a time."
Zhang Tianyang paused, and knocked on the table to get the greasy guy's attention.
"But this pill has two side effects."
"The first one, women can't take it. So if you have a female friend who is also suffering from hair loss, you can't let her use the same medicine as you."
"Second, because this drug controls androgen levels, there is a very small probability that it will affect your sexual function."
"what?"
The greasy guy was taken aback, with a hesitant look on his face.
But after thinking about it, it seems that he has no sex life in the first place...
"Don't be afraid."
Zhang Tianyang saw the greasy guy's hesitation.
"This happens only in rare cases, so don't worry too much. And, even if this happens, as long as the drug is stopped, it will slowly recover. It's just a transient and won't affect the future."
"So it is!"
The greasy guy felt relieved and smiled all over his face, "Doctor, please continue."
"The second method is to apply a potion. This potion is called minoxidil."
"Twice a day, when you get up early and before going to bed, after you wash your hair, apply this lotion on the belly of your fingers, and massage it on the scalp with hair loss for 5 minutes."
"Note, it's useless to apply it on the hair, it must be applied to the scalp. Then massage gently."
When did the greasy guy get such a detailed explanation when he saw a doctor?
At this moment, while being grateful in my heart, I nodded desperately.
Zhang Tianyang nodded with a smile and continued to explain.
"Third, physical therapy. There are specialized companies that have laser therapy machines. You wear a helmet-like thing, and then do it for half an hour to an hour every day."
"One thing to note is that the three methods I mentioned above have to be three-pronged, and the course of treatment is very long."
"It takes at least half a year to start to see the effect. If you want to recover well, you may have to treat it like this for several years."
"If you give up halfway, treat it for three to five days, five or six days, two or three months, and then give up, it's better not to treat it, and you can save money."
Having said that, Zhang Tianyang's tone became a little harsh.
After all, it is a treatment with an extremely long time span. It is not easy for patients to have long-lasting medical compliance.
But the greasy guy had another feeling.
Zhang Tianyang's incomparably detailed explanation made him feel flattered, and he had already made a secret decision in his heart, for the sake of his hair, and for the dignity of the doctor, rush to the duck!
Seeing the greasy guy nodding desperately, Zhang Tianyang smiled and continued.
"Fourth, hair loss is really serious. When medicine and physical therapy are ineffective, or you think these are too troublesome, you can also have surgery and hair transplantation."
"But the essence of hair transplantation is actually to move these androgen-insensitive hair follicles in your occipital region to the top of your head."
"Essentially redistribution of all your last remaining follicles, not true hair growth."
After explaining all four methods, Zhang Tianyang finally withdrew from the state of being a doctor facing patients.
He froze for a second before suddenly remembering the existence of Zheng Hualiang across from him.
If the guess is correct, Mr. Zheng may have been testing his ability just now.
And he seems to have said a bit too much.
Zhang Tianyang took his eyes away from the greasy guy who was full of gratitude.
Turning his head, he saw Zheng Hualiang's reaction.
(End of this chapter)
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