"Well, okay. Professor Min, I will discuss it with my family." The middle-aged woman said seriously.

"You can go to the nurse station in the fourth ward of the Department of Orthopedics on the 6th floor of Building B of the Surgery Building later to make an appointment. The appointment time is usually 5-7 days. During this time, you can go back and think about it carefully!" Min Hong said

He looked at the old lady and sighed.

When a person gets old, he has spent his whole life working for his son, buying a house and a car. In the end, if he has no money, he will not have much say in whether he will receive medical treatment. This is a living fact.

"Mom, let's go first and make an appointment in the ward. It's useless for you to take medicine." The middle-aged woman explained seriously.

"Well, good!"

…

The third person Lu Cheng introduced was a young man, aged 27 or 28, wearing glasses with black eye sockets.

He is of medium build and looks polite. He should be an office worker.

However, he walks neatly on his feet and swings his hands normally.

He was holding a small document bag in his left hand.

Lu Cheng also glanced outside the door, wondering if he had closed the door too quickly, blocking the real patient out.

Li Hongxing still asked politely: "Hello, what makes you uncomfortable?"

With a smile on his face, the young man replied: "Hello, doctor, it's like this. It's not me who's seeing the doctor, it's my mother. She's in the country. Just call me and I'll come to you to buy two kinds of medicine. I

I went to a lot of pharmacies but couldn't buy it, so I asked a friend to find out about it and he said it was available in Appendix 2."

As he spoke, he took out a list similar to a doctor's order from the document bag.

It clearly says:

Sodium hyaluronate injection, intra-articular injection, once a week.

Hydrocortisone acetate 20 mg once a day in the morning and 10 mg once a day in the evening.

Seeing these two drugs, Lu Cheng was slightly startled.

Sodium hyaluronate is a lubricant injected into the joint cavity. Generally, it can only relieve symptoms of osteoarthritis patients in the early stages of osteoarthritis. However, it is of no use at all if used for a long time.

Hydrocortisone is a glucocorticoid. A small amount taken orally can have an analgesic effect, but if taken for a long time, the sequelae will be unimaginable.

First there is gastric damage, then there are changes in systemic immunity, and then there are various complications of glucocorticoids. Buffalo back, moon face, etc.

Before Lu Cheng could say anything, Min Hong asked, "Why do you want these two drugs? Has your mother been taking them? How long have you been taking them orally?"

The young man's expression immediately stiffened. After thinking about it, his attitude seemed to be okay. According to common sense, I came to the hospital to buy medicine. I was polite. Why are you asking me so much? You have money.

Not profitable?

He smiled reluctantly and asked: "Doctor, this doesn't matter. I'm not here to see a doctor today, I'm just here to prescribe medicine."

"I checked on the Internet and found that both of these drugs can treat arthritis. And after my mother took them, her legs and feet became much better."

"I also checked the literature on CNKI."

Okay.

As today's young people have improved their knowledge, simple Baidu can no longer control them. They no longer seek medical treatment on Baidu, but directly seek medical treatment on CNKI!

Lu Cheng touched the back of his head at that time.

Brother, you will understand after reading a few CNKI articles. So what do we, doctors who have been studying for ten or twenty years and still don’t feel like we are beginners, doing on a daily basis?

Do you have a second job every day?

However, Lu Cheng had no experience in dealing with this situation. He just looked at Min Hong. Li Hongxing also covered up a medical record that the man had bought hypocritically.

"Well, you are right. Sodium hyaluronate can indeed prevent the progression of osteoarthritis in the early stages."

"Hydrocortisone was used for a period of time in early clinical trials. It can be found not only on CNKI but also on Pubmed."

"Let me ask you, do you know the side effects of this drug?" Min Hong asked back.

The young man frowned again: "I know, it seems to be some kind of glucocorticoid, which can fight inflammation and allergies."

"Doctor, please stop asking so many questions. These two drugs were prescribed to my mother by experts in our county hospital, and she has been using them. Could that expert still harm her?" He also looked at it.

Look at the time on the watch.

"Doctor, I'm here on leave, just for an hour. I really don't have much time. If it wasn't for the fact that I couldn't buy it in the pharmacy, I wouldn't bother you. Could you please do me a favor? I got the medicine.

I have to send it back to my mother later."

Obviously, this young man is also an office worker, working 9 to 5, which is not easy. Moreover, it is very difficult to get the outpatient clinic number of the Second Hospital on weekends. Most working people will wait for the weekend number in advance or bring someone to see the doctor.

Min Hong glanced at the diagnosis card and then pushed it back.

Apologizing with all his face, he said: "Sorry, I'm sorry, I still can't prescribe these two medicines to you."

"Why?" The young man's voice suddenly became louder. He was joking, I came here on leave, you have medicine here and you won't sell it to me? You think I have no temper, right? You are infringing the law.

He seems to be on the verge of getting angry at any time!

Min Hong is not afraid of the stage: "First of all, I didn't see the patient, there was no physical examination, and there were no auxiliary examination results. Prescribing medicine casually can be punished as a violation of the law. This is one of the reasons. I don't want to break the law."

"Secondly, the drugs on your prescription are all prescription drugs. Based on my medication experience, these two drugs have not been used in clinical practice for many years, unless there are special targeted diseases, such as bone.

Early stage arthritis or diseases that require medication. I have no indications for the use of these two drugs now. As a doctor with the right to prescribe, I have the right to refuse to prescribe these two drugs."

"Third, as a doctor, although you are not the patient, I still have the obligation to tell you that if you can avoid using these two drugs, try not to use them again. This will do great harm to the patient, especially long-term use.

More than profit."

The young man immediately became angry: "I don't use this kind of medicine, and I don't prescribe that kind of medicine either."

"Then when I took my mother to see a doctor, your doctor cured her with drugs? Aren't these drugs prescribed by your doctor? You're kidding me!"

"I told you I wanted surgery when I came here. Have you ever considered that my mother didn't want surgery at all?"

"Can you open it or not?"

"As a doctor, you have no right to refuse to prescribe medicine for me, otherwise I can report you."

At this point, he became angry. Not only did he search the whole city, but he also searched at least 20 pharmacies. While he was talking, he even took out his mobile phone to take pictures.

Min Hong was still fearless and said, "Put your phone away first. Recording is not allowed in the clinic."

Then Min Hong also took out his mobile phone and placed it on the table: "If you want to record, then we will record a section together! Xiao Lu, go down and call the security guard first!"

"I tell you again, I will not prescribe these two drugs to you, because based on my medication experience, they are not suitable for most arthritis symptoms."

"Second, I don't see the patient, so I can't prescribe medicine."

"Third, it is your right for patients to seek medical treatment and buy medicines. But as a doctor, the first rule is the principle of do no harm!"

After saying that, Min Hong himself turned off the recording.

Said calmly: "Do you have anything else to do next? If not, please leave."

The young man watched Min Hong do this and couldn't help being slightly stunned. He gritted his teeth again and asked: "Are you sure you don't want to prescribe medicine for me?"

"It's not that I don't open it, it's that I can't open it. And I suggest you, if it's really for your mother's benefit, try to bring her to me for a look. As long as it's a joint disease, there aren't too many.

It's an incurable disease." Min Hong said firmly.

"If you really believe in the name of the Second Xiangya Hospital and my professional ability as a professor, just take my word for it and bring your mother here to have a look."

"I also believe that you don't have the financial strength. I will do you a favor without wasting the time I am giving you to talk about. And I have never known you, so why should I target you? Just agree to your request.

I've sent it to you, and you and I are both at ease. Think about it for yourself."

"How can I ask for trouble? How can I ask for trouble? Are you scolding my mother in your heart right now?" Min Hong looked sincere.

The young man grabbed the list and left, because there was already a security guard lingering at the door. However, after he left the consulting room, he looked at Min Hong hatefully.

I guess I was also very depressed.

After he left, Min Hong sighed slightly: "Well, you can say that he is unfilial, but you can't say that. After all, he is not a doctor. Can you say that he is filial?"

"It's hard to say." Min Hong said to Lu Cheng and Li Hongxing who walked in.

Li Hongxing said: "Master, do you think if his grandparents were still here, they would tolerate the current situation?"

"Probably not." Min Hong replied.

"Yeah. I think so." Lu Cheng nodded.

I thought to myself, I have to work hard to make money, not necessarily to treat my parents, but just in case of emergency, so that I can make my choice more calmly.

"Do you know why I didn't prescribe medicine for him?" Min Hong asked again.

Lu Cheng replied: "First, since the patient is not here, the physical examination cannot be written, and there are no auxiliary examination results. There is no basis for issuing prescriptions."

"Second, hydrocortisone is a hormonal drug that has too many side effects on humans. Unless there are special circumstances and strict indications for use, it cannot be prescribed. Otherwise, in our orthopedics department alone, there will be femoral head necrosis.

In addition, immunity is reduced, etc.”

“It’s equivalent to overdrafting the patient’s life.”

"To put it bluntly, he was filially ending his mother's life."

After Lu Cheng replied, he asked: "Master, are there usually many people like this in the outpatient clinic?"
To be continued...