上肢1

患者在就診時就已經表示

The patient told me that he treated his psoriasis with steroid ointment “DERMOVATE” for many years in the first day in my clinic.

為了治他的乾癬,已經抹了「戴摩膚」好多年了

當即馬上表示他一定要遭受「類固醇反彈」

I told him immediately about “steroids rebounding”.

類固醇反彈是一種類固醇的戒斷現象

So-called “steroids rebounding” is a withdrawal symptom of steroids.

類固醇藥膏在大量、長久的使用下會造成皮膚變薄、容易出血、瘀青

Long-term use of steroids for psoriasis will cause thinning of skin, bleeding tendency and ecchymosis.

而且乾癬不會好,會變成一點一點紅紅的

And it will change psoriasis to many spots smooth in top red under skin instead of curing.

而且不脫屑,表面是亮亮的

It looks shinning on surface without scaling.

那是乾癬的壞症

That is deterioration of psoriasis.

一中斷就會馬上惡化

It will be from bad to worse immediately after interruption of steroids.

上肢2

而且非常惡化

Just like landing from illegal bank.

還了本金再加還利息

You should pay back principal plus the interest.

但是要撐住

Get steady!

反彈期只有38

The rebounding periods are 38 days.

38天內都會惡化

The situation become worse within 38 days,

但在38天之後就會被中藥幹掉

And will be cured by Chin-Dye ointment and Chinese medicine then.

上肢3

 

果不其然他惡化了

As expected he got deteriorations.

但患者永遠是患者

But the patient is always patiented.

好的時候口頭說謝謝

The Dr. gets on a thank if he treated him well,

惡化的時候

即使早就跟他打過預防針

臉色還是很難看

But gets the aggressive response even though warning him before.

而且一次比一次難看

話也講得一次比一次難聽

More and more the aggressive harsh words.

上肢4

什麼「花錢沒關係,重點是要有效果…」之類的話

Like “Money is not matter, the focus is to have effect”.

連「我老婆小孩都叫我不用來回二百公里去花那麼多錢」這種話都蹦出來了

Like “My wife and children told me not to spent so much money 200 KM far away from home” and ect.

真是刺耳啊

Really I felt so sad.

這時我只能苦苦忍耐

But patience is a virtue.

好生勸說

All I can do is to persuade.

雖然我實在是很想翻臉啊…

肘1

In fact, I really wanted to turn hostile……

但好在堅持是對的

Fortunately he insisted to the last.

終於看到成功的曙光

And see the dawn of success.

當他的皮膚開始改善之後

When he got improving skin,

馬上就換了臉孔

Immediately changing his attitude.

笑嘻嘻地賠著笑臉

Grinning me compliments from ear to ear.

肘2

這時我還跟他客氣什麼

Why should I polite to him at this very time?

馬上就笑咪咪的尻洗他

I stirred his immediately with my smile.

「來回二百公里花大錢是吧?重點是要有效果是吧?」

“200 KM far away from home, isn’t it? Are you satisfied with my service and effectiveness?”

背1

孔子都說了,來而不往非禮也

Any grudges against revenge, aid the Confucius.

笑咪咪地尻洗

有多狠就說多狠,哼哼哼…

It’s the least reply of mine, hahaha……

說到後來這患者實在是臉紅耳赤

At lase the patient felt so embarrassing,

可是他的皮膚改善也實在很多

But his skin condition indeed improved so much after my treatment, so he had to hold…

看得出他被我蹂躝得實在很慘烈啊

He really didn’t know what to do.

最後他竟然紅著臉,撓撓頭跟我說

At last he was red in face, scratching his head and told me,

「廖醫師啊,這個…對,對不起啦!」

“Dr. Liao, mmmmm, I’m so so so sorry!!”

哼哼哼

Hahaha

人爭一口氣,佛爭一柱香

People compete his breath, and Buda compete his incense.

為了患者好還被患者罵…

To do something good to the patient and be insult by the same guy,

這種事我真是做不來

I could not do such a thing.

孔子不是說了嗎?要以直報怨

“ To violence with violence” , said the Confucius.

一個不小心我就「為往聖繼絕學」了…

I accidentally heritage the lose art of the Salaf…

背2  

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