Not every patient with low back pain should receive acupuncture immediately. This patient initially appeared to have a psoas muscle injury, but conflicting examination findings suggested another possibility. Rather than confirming his first impression, Dr Huang reconsidered the diagnosis and referred the patient for emergency evaluation. Clinical reasoning is not about proving yourself right—it is about recognizing when new evidence
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When I was young, I believed a doctor’s job was simply to treat disease. After more than forty years in clinical practice, I have come to realise that treatment is only part of the responsibility. A good doctor helps patients understand disease, face illness, manage their health, and ultimately return to life.
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The patient arrived with a diagnosis already in mind: BPPV. He had researched extensively, consulted doctors, watched videos, and even asked AI. Yet after careful assessment, Dr Huang concluded it was unlikely to be BPPV. This case explores why saying “No” is sometimes one of the most important responsibilities of a clinician.
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Follow Dr Win Huang to Learn Clinical Diagnosis (Case 14) Only After the Medial Ankle Pain Was Gone Did I Truly Start Treating the Patient This patient is a young male and also a returning patient of mine. This time, he came in with pain on the medial side of his right ankle. The pain […]
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Follow Dr Win Huang to Learn Clinical Diagnosis (Case 13) She Thought It Was a Heart Problem — But It Was a Chest Pressure Evolving from Vomiting This case is very valuable to me. Not because it is extremely complicated, but because it shows how one problem can develop and change over time, step by […]
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I used three-edged needle pricking with mild bloodletting, followed by localized cupping, aiming to release fascial tension in this region.
The result was immediate.
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Following Dr. Huang in Clinical Practice (4) A 10-Year Chronic Low Back Pain: The Answer Was Not at the Pain Site, but in the Posture Some conditions are not hard to treat — they are simply misread for years. This case was a classic example of clinical reasoning correction for me. I went through layers […]
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