Many doctors in the consultation room were stunned.

Dr. Fang said it so proudly, without realizing the clarity!

As the saying goes, each has its own strengths and weaknesses. Everyone has their own strengths and everyone has their own weaknesses. No one is perfect, no gold is pure.

The same is true for the profession of doctors. Every doctor has his own field of expertise and his own shortages.

Compared with emergency departments, internal medicine, surgery, orthopedics and other departments, most doctors in obstetrics and gynecology are definitely lacking in front or treatment compared to doctors in other departments.

This is not only in the obstetrics and gynecology department of Jiang Intermediate Hospital, but also in the obstetrics and gynecology department of other hospitals.

The environment in which a person grows up often creates a person's growth. For doctors, the surrounding environment will also affect the doctor's knowledge and growth.

For example, most internal physicians do not often see too bloody scenes, and will feel a little panicked when encountering scenes similar to surgical first aid.

Similarly, the overall environment of obstetrics and gynecology is relatively comfortable compared to other departments. This comfort does not mean work, but atmosphere.

As Jiang Yue'e said, there is generally no accident in obstetrics and gynecology, but once something happens, it is a big deal. For most hospitalized and attending doctors in obstetrics and gynecology, they can handle it with ease without any accident. Once something happens, doctors at the deputy senior level or above will also help.

At the same time, the obstetrics and gynecology department is also a department closely connected to other departments. It has its own characteristics and cannot be completely independent of the outside world. Once something is too serious in the obstetrics and gynecology department, experts from other departments will come to help with consultation.

This also leads to the limitation of growth of most obstetricians and gynecology doctors.

Jiang Yue'e asked Fang Han to explain the prescription, and Fang Han also explained it very carefully, but this explanation was heard in the ears of many obstetrician and gynecology doctors in the Jiang Intermediate People's Court.

Most residents don't understand it very much.

I don't understand it very much, I wait online, it's quite urgent.

Of course, there are also those who understand. The attending doctors can understand it, and they are also a little surprised.

I was so tired that I actually said so many prescriptions?

Listen to what medicine and what combination has the effect and what effect it plays. The entire prescription is simply said by Fang Han.

People who don’t understand the reason are because their level is too poor and they understand the principles, but they just can’t figure out the combination here. It’s messy. Why does it feel like buying a duplex lottery?

The medicines inside are like two-color instrument numbers, which can be matched at will?

Jiang Yue'e's eyes were bright. Fang Haoyang, the old man, really found a treasure. Judging from Fang Han's explanation alone, Fang Han not only understood this prescription, but had already fully understood it and was superb.

The previous article mentioned several stages of traditional Chinese medicine. If you use these stages to measure the level of a doctor, it can be roughly divided into the beginning of the way - learning and applying it - entering the house - reaching the pinnacle - establishing a sect.

So what is the first entry method? The entry method is a simple introduction. You can treat some diseases that are not very complicated by following some prescriptions in medical books.

To put it bluntly, it is rote memorization. I can also see some diseases by relying on rote memorization. This is the first way to get started. Most residents in Jiang Intermediate People's Hospital are actually at this stage. As for some interns, they have not even been able to get started completely.

Learn and apply it carefully, learn thoroughly the experience of previous generations, and face some changes in the condition, you can easily form prescriptions and flexibly add and subtract classical prescriptions. At this point, you are actually a qualified Chinese medicine doctor.

The instructions to enter the house are not only flexibly, but also have figured out a little trick that can truly be used to know what to do and treat the symptoms.

If you can reach the level of your career, you are actually considered an amazing medical expert.

As for the last step, it cannot be simply summarized by the level of medical skills. It has formed its own medical philosophy, written books and made a statement, influenced future generations, and innovated on the basis of its predecessors, and was a true national master.

For example, Zhang Zhongjing, Zheng Qinan, Sun Simiao and others not only treat diseases and save lives, but also form a systematic medical concept.

In Jiang Yue'e's opinion, Fang Han's level seemed to be at the point of entering the house.

......

"Director Jiang, a patient is sent to the county hospital below and will arrive soon."

Jiang Yue'e also planned to make a summary speech, but a nurse hurriedly pushed open the door of the consultation room.

"Okay, let's get here today. Director Zhuo, Xiao Fang, Xiao Gao, you go with me to have a look." Jiang Yue'e stood up.

Walking out of the consultation room, a doctor had already pushed the patient into the inpatient department and sent it to the temporary examination room. Jiang Yue'e took Zhuo Haihua, Fang Han and Dr. Gao into the temporary examination room, where a resident had already checked the patient.

“What’s the situation?”

"The first house of Zi is prolapsed!"

A resident doctor hurriedly stepped forward to introduce the situation: "The patient was 56 years old, with prolapse of the uterus and prolapse of the uterus and 1 vaginal wall and moderate bloating of the posterior wall. The county hospital has made preoperative preparations. The blood trilipids, liver function, blood routine, urine tests, etc. are all within the normal range. However, the patient has palpitations and shortness of breath, and is diagnosed with frequent multi-source supraventricular premature beats, paroxysmal supraventricular tachycardia, and heart rate arrhythmia. Therefore, he did not dare to operate. He recommended that the patient come to our hospital for treatment.

There is no direct subordinate relationship between superior hospitals and subordinate hospitals, but generally subordinate hospitals have cooperative medical relationships with some superior hospitals. For some patients that their own hospitals cannot solve, they are often recommended to superior hospitals that have cooperative relationships with their own hospitals. At the same time, they will occasionally invite experts and doctors from superior hospitals that have cooperative relationships with their own hospitals to guide the consultation and increase their reputation.

As a provincial hospital, Jiang Intermediate People's Hospital has cooperative relationships with many small hospitals below, and usually lower hospitals send patients.

"Xiao Fang!" Jiang Yue'e turned around and looked at Fang Han.

She had a few conversations with Fang Han, and basically the emergency department notified the consultation. After she went there, the patients were rescued by Fang Han. This time, Jiang Yue'e wanted to see Fang Han's skills with her own eyes.

Compared with the previous unchanging fetal position, the patient with prolapse of the first uterus in this position is more serious.

Prolapse of the 1st uterus refers to the 1st uterus descending from the normal position along the 1st path of the uterus, the outer uterus of the cervix reaches below the level of the ischium spine, and even the 1st uterus all emerges outside the 1st uterus, which often involves the anterior and posterior wall ecstasy of the uterus.

According to the degree of prolapse, prolapse of the 1st uterus can be divided into 3 degrees: 1 degree, which means that the level of the outer cervix is ​​lower than the level of the ischia spine and has not reached the margin of the female membrane of the 1st uterus. The cervix and uterine body are still located in the 1st yin path. This level of prolapse of the 1st uterus does not require treatment, and most of them can be recovered by paying more attention to rest.

2 degrees, refers to the cervix 1 that has been released from the 1st vagina, and the uterus of the 1st vagina or part of the uterus of the 1st vagina is still in the 1st vagina. The prolapse of the 1st vagina is divided into two types: 2 degrees, light, the cervix! The cervix is ​​released from the 1st vagina, and the uterus is still in the 1st vagina; the cervix is ​​severe, the cervix is ​​released from the 1st vagina, and the 1st vagina is still in the 1st vagina; the cervix is ​​severe, the cervix, part of the uterus and the anterior wall of the 1st vagina are most or all of them have been released from the 1st vagina.

3 degrees refers to the entire uterus and cervix to escape from the vaginal opening.

The patient sent to the county hospital was prolapsed in the uterus and prolapsed in the 1st uterus and the 1st uterus wall was highly bloated, and the posterior wall was moderately bloated, which could be said to be quite serious. If the patient was not accompanied by arrhythmia, the county hospital felt that the risk of surgery was too high, and the patient had already undergone surgery in the county hospital.

Fang Han did not hesitate, and stepped forward and began to check the patient's condition.

"Palpitations, shortness of breath, fatigue, joint pain in the limbs, white face, light lips, fat tongue, wrinkles with many thin and tender tongue, thin white coating, thin and knotty pulse, and a weak look like..."

Fang Han said while checking, and the resident doctor was registering.

According to the procedure, when the patient is hospitalized, all diagnosis and treatment of the patient must be recorded by the hospital doctor.

Although Fang Han is still only a resident doctor, he has actually left the category of a resident doctor. When he was in the emergency department, Fang Han no longer needed to write his medical records and medical records himself. When he came to the obstetrics and gynecology department, Fang Han also retained the tradition and described it while exams.

The resident doctor next to him also knew Fang Han, a female doctor in her early thirties secretly looking at Fang Han's eyes while registering.

"Doctor Fang is really handsome. He is even more handsome when he is serious. It's a pity that I have not given birth to you, but I am old... Youth is gone, and youth is gone..."

The 30-year-old female obstetrician and gynecologist who was still single couldn't help feeling ashamed.

Fang Han continued: "The prolapse of Zi 1 is called Yin Push in traditional Chinese medicine. It is mostly caused by spleen deficiency and sinking of the middle qi. Palpitations, shortness of breath means that the patient's heart qi is insufficient... Zhang Jingyue's "Jingyue Complete Book: Women's Rules" in the Ming Dynasty said: 'This is either due to damage to the cellular and collaterals, or due to overwork of childbirth, or due to depression and heat, or due to qi deficiency and loss of the lower qi. Most of them are this syndrome. It should be treated with increasing the vitality and strengthening the true yin."

"prescription......"

After making a judgment, Fang Han then said the prescription, and the thirty-year-old single female obstetrician and gynecology doctor hurriedly took it seriously.

"Let's take a look." Jiang Yue'e waited until the hospitalist finished writing, and then reached out to grab the folder.

After reading Fang Han's diagnosis and prescription in detail, Jiang Yue'e handed the prescription to Zhuo Haihua again: "Director Zhuo will take a look."

Zhuo Haihua is about fifty years old, has a white face and no beard, wearing glasses, and is gentle and gentle. He looks like a good temper. In fact, as a man, being able to partner with Jiang Yue'e, a relatively strong hostess, can also show Zhuo Haihua's temperament.

Although most doctors and directors in obstetrics and gynecology departments are women, but few people can make a big man inferior to women. In order to compete for the position of director, some deputy directors of many hospitals jumped up and down. After the hospital compromised, they divided a certain department into two departments. The hospital did not compromise and left the job, and there were many people who were seeking a higher position.
Chapter completed!