My medical skills shocked the world

Chapter 101 Cat's Eye Classroom

After Su Maoyan began to treat patients, Yaowang Town once again ushered in lively popularity in the cold winter months. Although there were only two days a week, it also solved the needs of many nearby patients.

Also because Su Maoyan became more and more famous, now not only people from Liyang City will come to Yaowang Town, but also more people from other cities and prefectures.

Su Maoyan met a patient who came by train for more than three hours today. The family members of this patient had obviously inquired about Su Maoyan's situation a long time ago, so they snatched up the number as soon as the number was issued, and even inquired about someone in the town. There is no house to rent.

"Doctor Su, you are finally back." The patient's husband said.

Su Maoyan smiled. He felt that this was the sentence he heard the most today. He asked, "What's the situation with your lover?"

The patient seemed to be in great pain, and she was supported by her husband when she first came in, so her husband also answered the questions: "She has a pain in her waist and legs, and it has been more than three months. She went to the hospital before, and it was L4-5 Lumbar intervertebral disc is bulging, but the effect of treatment is not very good, I heard that your lumbar spondylosis is very serious, so we came here."

Su Maoyan's manual therapy is indeed well-known. They also checked the medical experience of many patients on the Internet. They basically said that Su Maoyan was good, but they didn't say anything bad. So they planned to rent a house for a month if it was effective. , After the symptoms were relieved in Yaowang Town, I went back.

Su Maoyan said: "Let me do a palpation for her first."

After palpation, it was indeed a bulging lumbar intervertebral disc.

But Su Maoyan frowned, because if it was just a bulging lumbar intervertebral disc, the patient shouldn't be in so much pain.

"Have you done any other tests?" Su Maoyan asked again.

The patient's husband shook his head: "The doctor just ordered a CT."

"That's fine, I'll take her pulse first." Su Maoyan took the patient's pulse again, and after the pulse diagnosis, he asked the patient carefully about the pain.

Include when the pain occurred, the type of pain, and other symptoms that accompanied the pain.

This question came out.

It turns out that every time this patient suffers from waist and leg pain, he will be accompanied by symptoms of fever and sweating.

"Will the pain be relieved after sweating?" Su Maoyan asked.

The patient nodded. In fact, she had a little fever yesterday and would sweat at night.

Su Maoyan touched the patient's neck again and found that she had swollen submandibular lymph nodes.

"What does your family do?" Su Maoyan asked.

The patient's husband said: "We are farmers."

"Is it planting or breeding?" Su Maoyan asked again.

Although the patient's husband was surprised, he still said, "Our family raises cattle and sheep."

So it was really not easy for them to come to see a doctor, because the county hospital there really had no way to treat lumbar disc bulge, and they had relatives who had taken care of it here, so they came here after discussing it.

"Well, you go to the hospital in Liyang City for an examination first." Su Maoyan said directly.

The patient and the patient's husband were stunned when they heard this: "Go for an examination?"

And why go to Liyang City?They suddenly had a bad premonition in their hearts.

Su Maoyan said: "I suspect that your lover has brucellosis, so I suggest you go to the city hospital for an examination."

Brucellosis, perhaps many people have never heard of these two words, and think the name of this disease is strange, but in fact, it is the abbreviation of infectious diseases caused by Brucella, so it is called brucellosis.

This disease is also called undulate fever, which is a zoonotic infectious disease. The main symptoms are fever, joint pain, and sweating. Of course, in addition to these symptoms, there will be other various symptoms, because this The main culprit of the virus has many organs, some people have problems with the digestive system, some people have problems with the nervous system, and some people have problems with the respiratory system...

In short, the symptoms are not exactly the same, but various. However, if there are cattle and sheep at home and fever, sweating and joint pain occur, the first thing to consider is brucellosis.

Of course, there are also cases of brucellosis infection due to improper diet, such as eating brucellosis-infected but undercooked beef and mutton.

After hearing Su Maoyan's words, the husband and wife were also stunned. In fact, they also knew that brucellosis was a lazy man's disease. With this disease, some people would feel powerless and unable to do anything, so it was called lazy man's disease.

After all, they raised cattle and sheep, and some people came to promote them, but no one had this disease, and the hospital had already checked out the problem of lumbar intervertebral disc bulge, so the two of them didn't think about that aspect at all. go.

Who would have thought that her symptoms were due to brucellosis instead of a bulging lumbar intervertebral disc.

Su Maoyan comforted them and said, "Misdiagnosis is actually a very normal thing. You do have a bulging lumbar intervertebral disc, but this is not the main cause of your low back and leg pain."

Lumbar and leg pain is actually a symptom that is very easy to be misdiagnosed, especially if doctors do not pay attention to the consultation, they will often judge it based on the problem of the lumbar spine. In addition, many people do have problems with the lumbar spine. Once CT is done, even if it is not Prominent, possibly bulging, so it's easy to dismiss other etiologies.

But whether the pain is caused by this or not depends on the doctor's rich clinical experience to judge.

Su Maoyan was still more worried about the couple, and even left their phone numbers, so that they must tell him when they have the test results.

After all, there is no specific treatment for brucellosis at present, and antibiotics are generally used for treatment. As for the treatment effect, it varies from person to person. Of course, if the western medicine method is not effective, Su Maoyan can also help this patient take Chinese and Western medicine. Combined treatment.

The next morning, he received a call from the couple, and it turned out to be brucellosis.

The patient's husband didn't expect that what his wife got was lazy man's disease.

Su Maoyan asked about the current treatment status: "Well, you will be treated in Liyang City first. If you have any questions, you can contact me at any time."

In addition to this patient with low back pain, Su Maoyan also encountered many patients with low back pain in the past two days.

Most of them are indeed problems of the lumbar spine, and all of them have been improved after manual treatment, which shows that his cause of disease is not wrongly judged.

This is actually a very simple way of judging. Generally speaking, if the cause of low back and leg pain is found, it will improve under precise manipulation, and the patient will obviously feel that the waist and legs are not so painful. .

However, if after treatment and rest, the symptoms are not relieved but worsened, other conditions should generally be considered.

Today's patient is also of this type.

The man sitting opposite Su Maoyan was talking about his situation. He suffered from pain in his left leg more than a week ago. He went to the hospital for CT, MRI, ECG and other examinations, and finally judged that it was sciatica.

Su Maoyan flipped through his inspection report. The inspection items were actually quite comprehensive, including a complete set of biochemical tests, and urine and other inspections. It seems that the doctor met by this patient considered the directions quite comprehensively.

"Did you not improve after treatment?" Su Maoyan asked.

The treatment the man received in the hospital was medicine, infusion and physical therapy. It is reasonable to say that if the symptoms are right, he should improve quite quickly.

Hearing this, the man shook his head and said, "It was getting better at first, but after I stopped taking the medicine a few days ago, the pain started again, and it was worse than before, as if it was burning."

Su Maoyan frowned when he heard the words, he said: "You stretch out your hand, and I will help you diagnose the pulse."

The man asked nervously, "Doctor, why am I still in pain?"

Su Maoyan's fingers were still resting on the man's wrist: "Your current physical condition is a bet on dampness and heat of the liver meridian. How about this? Take off your pants and let me see."

The man was taken aback, and he still wants to take off his pants?

Su Mao said: "It's okay, there is an air conditioner, so don't worry about catching a cold."

The man could only nod, and then took off his pants. Two legs and a buttock were exposed, but there was still a pair of underwear on the buttocks, which blocked Su Maoyan's sight.

He didn't let the man take off his underwear, but said: "Lift your legs up."

The man raised his leg obediently, it was fine, there was nothing growing on his leg, so Su Maoyan said again: "Take off your underwear and let me see."

He spoke very calmly, and the man also felt that his nervousness was unnecessary, so he took off his underwear happily.

After taking off Su Maoyan, he found a cluster of herpes on the man's buttocks, and the skin next to it was a little red and swollen.

Sure enough, Su Maoyan observed carefully again, and after confirming, he said: "Put on your pants first, your problem should not be sciatica, and the possibility of herpes zoster is relatively high, I will prescribe some medicine for you first, if you don't If there is a problem, it can be cured in a week."

That's right, sometimes leg pain is not necessarily a bone or nerve problem, at least not in this patient.

The man can't see his butt usually, he just feels a little itchy, and he doesn't think about the thigh pain and itchy butt symptoms at all. If Su Maoyan didn't ask him to take off his pants, he might not have thought of telling the doctor about this symptom.

But seeing this, he also admired this young Dr. Su. He had done all kinds of examinations in the hospital before, but no one asked him to take off his pants to see if he had herpes. From this, it can be seen that the relationship between doctors and doctors There is indeed a difference in clinical experience.

After sending away the patient with herpes zoster, there are no other patients today. Su Maoyan has also increased the number of people who see the doctor every day, from the original thirty to forty, so it is almost six o'clock after work It's seven o'clock.

It took him more than ten minutes to eat a bowl of noodles, and then he rushed to Long County. After all, he had to go to the project team on Wednesday.

On a winter night, rain and snow fell together, Su Maoyan couldn't help wrapping up his coat, it was too cold this day.

At this time, outside the station, President Qin was already waiting in the cold wind with an umbrella.

The driver behind also stomped his feet with an umbrella, not in a hurry, but because it was too cold, he just wanted to get back into the car, but the boss was outside with an umbrella, so he didn't have the nerve to hide in the car.

As an old driver who knew the whole love story between his president and the doctor, he couldn't do anything other than stomp his feet.

Isn't it sleet?Even if there is hail, their president will definitely get out of the car and wait.

So as soon as Su Maoyan got out of the station, he saw Qin Yu standing not far away.

The gray sky, the heavy snow, the cold air, the dim lights, and the flow of people and cars coming and going, among so many disturbances, Su Maoyan only saw Qin Yu standing outside the station.

His legs moved consciously, and he ran faster and faster, and he hugged Qin Yu in his arms.

Qin Yu caught the small cannonball in his arms, couldn't help but kissed it directly.

The old driver immediately used an umbrella to cover the two people's travels vigilantly.

What a young man, so passionate.

Su Maoyan pushed Qin Yu away: "Pay attention to the influence."

Qin Yu held Su Maoyan's hand: "What effect should you pay attention to?"

Su Maoyan coughed twice: "Of course, be careful not to have a bad influence on single youths."

Qin Yu smiled and said, "Then let's go to the car."

Su Maoyan was very moved: "Okay."

So the two young men in full swing moved from outside the station to the car again.

Looking at the lowered baffle, the driver couldn't help sighing again, it's nice to be young.

Su Maoyan and Qin Yu haven't seen each other for a few days, it's like dry sticks stirring up a fire, and it's out of control.

Su Maoyan sighed in his heart, the two of them are really beasts!

Fortunately, they are a pair of beasts.

So when they arrived at the Qin family's villa, the two people who got out of the car had red faces and red lips, like chicken cubs that had just been scalded by hot water.

Hearing this, the fighting chicken gave these two young humans a look of disdain.

In the middle of the night, these two human beings exude a love light wave that makes the chicken feel hurt.

It is simply unreasonable, unforgivable, and incomprehensible.

The single fighting chicken said that today is also an extremely lonely day.

The next day, Su Maoyan arrived at Ping An Hospital on time again, but as soon as he entered the hospital, he found something was wrong.

Because today’s hospital is too clean. It’s not that the usual Ping’an Hospital is not clean, but today’s is exceptionally clean. Not only is it clean, but it also seems to be well-organized. When I look at it, I feel that the hall of the hospital is blingbling. .

The nurses were also extraordinarily patient today, constantly asking the patients what they needed, and because the patients were guided, the order was very orderly, unlike usual, they always felt chaotic.

"What's going on down there today?" Su Maoyan asked Zhang Lei.

Zhang Lei didn't know too well, after all, they just borrowed a place in Ping An Hospital, he said: "It started a few days ago, and it was cleaning and packing. I don't know if there are leaders coming down to inspect."

Su Maoyan nodded, and didn't care too much about it, but asked about Zhang Lei's work schedule today.

"It's mainly the follow-up visits of a few patients, and it's enough to help them record the data." Zhang Lei looked at the work schedule in his hand and said, "After the follow-up visits of these patients are over, our work at this stage will be over. , the next step is to collate the data and results.”

Su Mao said, "That's fine."

As I said just now, several other experts also came, but their news is much better than Zhang Lei's.

"It's not a leader's inspection, a peer exchange, a peer exchange." Expert Ning said.

"Which colleague?" Su Maoyan asked.

Expert Ning said: "The doctors from the Meili Clinic are here."

As soon as Su Maoyan heard these four words, he thought of John. Could it be John who set up a bridge?

He didn't guess wrong either, but it wasn't just John who led the way, but Joseph also contributed to it.

Joseph's operation was performed in Ping An, and the postoperative recovery also received Ping An's treatment. In addition to Su Maoyan's help, he felt that Ping An's management and medical treatment were also very good, so after returning to China, he helped Ping Zisi to facilitate this exchange meeting .

"Today, the doctors from the Meili Clinic will come over, both on the inside and outside of the heart." Expert Ning said, "It should be here by now, right?"

Just as they were discussing the exchange meeting, the doctors from the Meili Clinic were also getting out of the car.

They didn't just come to Ping An Hospital this trip. After all, Meili Clinic and some domestic hospitals have established a communication mechanism, and Ping An Hospital is just the first stop.

Six or seven foreigners came to the hospital, which quickly attracted everyone's attention, but the patients just took a look, and what they cared most was whether they could see a doctor quickly.

On the contrary, these doctors couldn't help but praise Ping An Hospital. Although most of them were polite, the dean and others still smiled.

"The departments currently opened in our hospital mainly include...the main equipment is..." The dean introduced these doctors who came from afar, and took them all around the entire hospital.

However, these doctors are not very interested in the hospital. After all, the Meili Clinic beats Ping An Hospital in all aspects. The only estimate that Ping An Hospital can beat them is the number of patients.

So they walked around for a while and made a request, a female doctor said directly: "Dean, before we came this time, we heard from John that the rehabilitation department of your hospital is introducing the technology of integrating traditional Chinese and Western medicine, and we also want to Go check out the cardiac rehabilitation program that John is leading recently."

In fact, what they want to see is not the project of integrating Chinese and Western medicine. They heard John talk about the magic of Chinese medicine, so they want to see what kind of magical method a powerful Chinese medicine doctor has. You can let them watch it casually, so you have to find a suitable excuse.

What the female doctor said was a suitable excuse.

The dean didn't think about this aspect, but he also felt that the integration of Chinese and Western medicine is indeed a project they are working on now, and it does have its own characteristics, so he said: "Okay, let's go to the rehabilitation department first."

Since Joseph's case, their rehabilitation department is currently trying to use the combination of traditional Chinese and Western medicine to help the heart recover. It seems that the effect is not bad, but it has not been promoted on a large scale. Only those who need it and recognize the combination of Chinese and Western medicine patients will take this treatment.

The doctors at the Meili Clinic have been educated in Western medicine since they were young, and their understanding of Chinese medicine is similar to witchcraft. They read the foreign version of the rehabilitation treatment plan, pointed to the traditional Chinese medicine physical therapy methods on it and asked: "What is acupuncture? Why are these acupuncture points pierced?"

From the data given by Ping An Hospital, it is obvious that the patients who received acupuncture treatment recovered better than the patients who did not receive acupuncture treatment. Although it is only an example, they are also very curious, why is this so?

This confused the dean. Although his father is a bigwig in the field of Chinese medicine, he was not interested in Chinese medicine and didn't know much about it since he was a child. The doctor of the plan, please come over and ask him to explain to you."

The eyes of the female doctor with brown hair and blue eyes lit up: "Then trouble the dean."

When they came here this time, what they most wanted to see was a miraculous Chinese medicine doctor, so what the dean said was right on target.

Su Maoyan happened to be fine at the moment, so he followed the nurse over.

As soon as he appeared, the group of foreign doctors couldn't take their eyes off him.

Although aesthetics is very personal, people who are particularly good-looking can still be recognized by most people.

Su Maoyan is like this.

His facial features are not as profound as those of foreigners, but they have the characteristics of Huaguo. Standing there, he looks like a handsome and straight ink bamboo drawn in an ink painting, with a graceful and refreshing appearance, very beautiful.

The female doctor's eyes are brighter now, she never thought that there are such good-looking people in Huaguo!

Su Maoyan exchanged pleasantries with everyone first, and then the dean introduced the purpose of inviting him: "There is no Chinese medicine student here, so I can only ask you."

Moreover, Su Maoyan's foreign language is good, and there is no obstacle in communicating with these foreigners.

"Su, did you draw up the acupuncture treatment in this plan? What is your idea? Why did you do it?" Soon the group of foreign doctors discussed with Su Maoyan what they wanted to know the most.

Surrounded by a group of people, Su Maoyan was still very calm. He explained: "The acupuncture treatment sounds unreasonable, but it actually has its unique features."

He pointed to the Neiguan acupuncture point written on it and said, "For example, this acupuncture point is on the palm side of your forearm."

He made a demonstration for everyone with his own hands, and found the Neiguan point very accurately.

The foreign doctors nodded, indicating that they knew where this place was.

Su Maoyan said again: "This acupuncture point is on the pericardium meridian, which is one of the twelve meridians in Chinese medicine. It starts from the chest, along the armpit, upper arm and lower wall, and finally enters the palm."

While talking, he pointed out that although the group of foreign doctors didn't understand much, they knew where the acupoints were and where the meridians were going.

However, they also had a lot of questions, such as how these acupoints and meridians were determined, why they chose to prick Neiguan acupoint, and what is the effect of pricking Neiguan acupoint? Is there any evidence to support these?

The dean on the side frowned a little when he heard these bombing and bombing questions. The discussion on whether Chinese medicine is useful or not is still a very controversial topic, so if we really want to clarify these issues , that is not something that can be explained clearly in a day or two, let alone just a simple communication.

Su Maoyan's face remained unchanged, and he said: "If you want to talk about evidence to support it, there is. Acupuncture at Neiguan point can regulate the content of platelet activating factor, that is, the content of paf, thereby improving the damage caused by myocardial ischemia. And Myocardial ischemia is the basis of coronary heart disease."

The foreign doctors originally thought that Su Maoyan was going to talk about some mysterious theories to convince them, but he didn't expect that he would talk about paf as soon as he opened his mouth.

Before they could respond, Su Maoyan said again: "In addition, acupuncture at Neiguan, Zusanli and other acupoints can also increase the level of nitric oxide in the serum, that is, the content of NO. After the level of nitric oxide increases , can also effectively improve the symptoms of myocardial ischemia.”

So Su Maoyan said no from paf again, but he didn't finish: "Acupuncture can also regulate the content of calcitonin gene-related peptide and endothelin. The former plays an important role in cardiovascular protection, while the latter can aggravate myocardial important factor in the damage."

Very good, now I'm talking about cjrp and et again.

But he hadn't finished speaking, so not only the foreign doctors, but even the doctors of Ping'an Hospital also listened to a lot of scientific knowledge.

What reduces the content of propylene glycol in the serum of rabbits with myocardial ischemia, what increases the activity of anti-oxidative free radicals, what stimulates the gene level changes of heat shock proteins in myocardial tissue, and so on.

The dean couldn't help but glanced at his watch, very good, Dr. Su's class has been going on for 10 minutes, and at present his students all look like they don't know what they are talking about but they are so powerful that they continue to listen.

Ping Zisi chuckled in his heart, these foreign doctors should be able to calm down now.

And Su Maoyan had almost finished speaking. After the end, he also made a concluding statement: "The content I said above has research conclusions. If you want to read related papers, I can package them and send them to you."

The female doctor swallowed. They all knew what Su Maoyan said. It should be said that they knew the latter part, but they didn't know the first part.

To put it simply, it is like they know that calcitonin gene-related peptide is the strongest vasodilating titanium found so far, and they also know that endothelin is the strongest contracting titanium, but they don’t know that acupuncture can improve the content of both.

I don’t know if what this handsome young man said is true, the female doctor thought to herself, but Su Maoyan said it too seriously, even the relevant research papers were packaged for them, so it’s better not to continue this topic .

So the female doctor asked: "Aside from improving heart disease, can acupuncture be used in other aspects?"

Su Maoyan nodded: "Of course."

Acupuncture, as a very important treatment method in Chinese medicine, can be used in many places.

The female doctor was interested and said, "Then where else is there?"

Su Maoyan thought for a while and said: "You may not understand what you just said, so how about it, if I have time, I will give you acupuncture, and you will know whether acupuncture is useful."

In fact, theoretical knowledge is not important to sick patients, but whether the condition improves.

You say that Chinese medicine is witchcraft, but the patient is cured by drinking Chinese medicine, so Chinese medicine is effective in treating diseases.

This is the simplest logical thinking of patients.

So Su Maoyan didn't want to talk nonsense with these foreign doctors. He wanted to know whether traditional Chinese medicine is useful, and he would know if he tried it?

When he said this, the female doctor became excited: "Then can I try?"

In fact, she has always been very curious about her attitude towards Chinese medicine. After all, it is an ancient technique that has been passed down for so many years. She doesn't really care if there is any theoretical support. She just wants to see if it is as amazing as John said.

Su Maoyan glanced at the dean, who nodded helplessly and said, "Then let's try."

It's good to try it, he can see now that the purpose of this group of doctors coming to communicate is to see something strange.

Haha, it's so good-looking too?Don't let you go back in shock, this young doctor Su can have his last name.

Sure enough, Su Maoyan quickly brought a group of people into the consulting room.

"I have other patients today, so I'll check the pulse for one of you, okay?"

"Yes, yes." The female doctor immediately said, "Do you want to check the pulse first and then do the acupuncture?"

Su Maoyan nodded and said, "Well, I don't know your physical condition, so of course you can't treat it casually."

The female doctor immediately stretched out her hand.

Su Maoyan felt the pulse under his fingertips, and observed the condition of the female doctor. After withdrawing his hand, he said, "Are you menstruating?"

The female doctor was taken aback. How did Su Maoyan know this? Could it be that the smell is too strong?

She couldn't help but look at the other doctors who came with her. Seeing that they shook their heads, she knew it must not be because of the smell.

She asked curiously, "How do you know?"

Su Maoyan said: "Your pulse told me, but you should not have dysmenorrhea, it's just that your waist and limbs will be sore every time you have menstruation."

This is indeed the case, the female doctor also felt a little strange, Su Maoyan only touched her wrist, no, just touched her wrist with two fingers, how did he know that she was menstruating, and how did he know She doesn't have dysmenorrhea, but her back hurts?

She wanted to ask why, but when she thought of Teacher Su's class, she flinched. She thought for a while and said, "I do have back pain, so what should I do? Acupuncture?"

Unexpectedly, Su Maoyan shook his head and said: "It's not necessary, you can take some traditional Chinese medicine to recuperate in this situation, and you don't need acupuncture."

And it's not a big problem even if you don't take medicine.

The female doctor was a little disappointed: "Can't you really do acupuncture?"

Su Maoyan couldn't help but looked at the foreign female doctor strangely: "Do you really want to receive acupuncture treatment?"

The female doctor smiled and said, "I'm very curious, so I really want to try it."

Su Maoyan understood, but he still said: "You are currently menstruating, it is better not to need acupuncture."

Although he would definitely not choose the wrong acupoints to affect the menstrual cycle, but the female doctor has nothing wrong with herself, so why need acupuncture?Isn't this just looking for trouble?

Another doctor said, "I have a pain in my shoulder, can I get acupuncture?"

He had a stiff neck on the plane yesterday, and his neck and shoulders hurt. It has been a day and it still hasn't been relieved. It's still hurting now.

Su Maoyan nodded now: "That's fine, I'll help you do a palpation first."

So the dean at the side watched Su Maoyan palpate the foreign doctor, and then asked someone to bring the needle, and directly put it on the foreign doctor after disinfection.

"There is nothing wrong with your cervical spine, but the muscles are slightly damaged after years of fatigue. Acupuncture is good to relieve your symptoms, but you have to pay attention, otherwise you may develop cervical spondylosis."

Su Maoyan's movements were very fast and precise, and he inserted all the needles in no time.

Looking at the long needle, the female doctor couldn't help swallowing, and then asked the male doctor how he felt and if he needed her help.

The male doctor said: "A little numb and swollen."

He didn't say another word, as if there were bugs crawling on his back, it was so strange.

Su Maoyan said: "This is a normal feeling, don't panic."

After more than ten minutes, he took off the needle: "Try it, is the neck and shoulder much better now?"

Hearing this, the male doctor moved his neck and touched his shoulder again, his face immediately became very exciting.

Because it is really like what Su Maoyan said, the pain was still there more than ten minutes ago, but now it is no longer painful. Some.

"Why is that?" He asked, "Why do I feel no pain after piercing these acupoints?"

Su Maoyan froze his hands to pack his things. Did he want him to continue the class again?

But today, Mr. Su doesn't want to give lectures anymore, he just wants to go back and see the patients.

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