At less than four o'clock in the morning, some doctors and nurses on duty on the night shift found that many people came to the emergency department one after another, and some people were a little surprised. Are there any serious patients coming to?

The nurses on duty in the emergency department were also a little surprised. Li Xiaofei, Wu Lei, Qin Xige, Lin Guangliang and the exchange student named Jiang Feng who just came yesterday were all here.

Fang Han actually came to the end today. He actually got up with Wu Lei and went to the bathroom when he entered the door.

"Doctor Fang, I brought you a cup of soy milk, which is still hot." Li Xiaofei hurriedly picked up a bag of soy milk from the side like a treasure.

"Doctor Fang, the pastries I brought to you, my mother came to see me yesterday, and she made them by herself." Qin Xiong also began to offer treasures.

Jiang Feng looked at each of the few people bringing something, and then looked at the fried dough sticks he had eaten halfway. It seemed that this was not good for Dr. Fang, right?

Fang Han actually ate a little when he woke up in the morning, but now he has a lot of appetite and refuses everyone. Someone will take him away and say while eating: "Eat as soon as possible, go to the rounds after eating. Ye Kai, there is nothing abnormal in the patients in the intensive care unit, right?"

"The patient recovered well. He woke up once two hours ago and his urine and defecation were normal." Ye Kai said.

"We'll go and have a look after the meal." Fang Han nodded.

The intensive care unit does not allow too many people to enter. Fang Han and Ye Kai had a check-up, and then went to the observation room together.

Ye Kai is now the hospitalization director, basically staying in the department for 24 hours. He will sleep for a while after 12 o'clock, and start checking with Fang Han at four o'clock.

It is the general responsibility of the hospital to grasp the situation of each patient. After checking with Fang Han, he can relax during the day and take a short break even after taking the time.

Fang Han was in front, Ye Kai followed closely, Li Xiaofei and Jiang Feng followed closely, followed by Wu Lei, Lin Guangliang and Qin Xige, and a group of seven people were in a mighty manner, which attracted the attention of the young nurses who were still on duty.

"Dr. Fang is so stylish."

"Doctor Fang is only an intern now, and he looks like Director Fang has the momentum. If he becomes Director, wouldn't that be even more amazing..."

This was the first time Jiang Feng followed Fang Han to check the rounds. He was in a complicated mood and was in a state of excitement. The director of the Municipal Traditional Chinese Medicine Hospital was probably just like this.

When he first went to the Municipal Traditional Chinese Medicine Hospital, Jiang Feng saw the chief director for the first time in the rounds. His eyes were full of envy, thinking about what the scene would be if he could lead a large group of doctors one day.

It’s a pity that he was just an intern at that time. He had one year internship, three years of regular training, and three years of residency. It was a long process to become the attending physician, let alone the director. He had to wait until he led a group of doctors to round, probably his son was about to graduate from college, right?

But look at Fang Han, I have only been internship for half a month, right? I was leading a group of people to check...

In the past, Fang Han would go into the door and check it directly. Others followed him and watched. He occasionally said a few words, but today Fang Han changed his way.

After entering the ward, Fang Han glanced at the patient and turned around to ask Li Xiaofei: "You are responsible for this bed patient, right?"

"Yes." Li Xiaofei nodded.

"Tell me about the patient's situation."

Li Xiaofei was stunned and hurriedly said: "The patient was 65 years old and was hospitalized for high fever yesterday. His body temperature was above 39 degrees. He coughed, asthma, difficulty coughing phlegm, and could not lie flat. He had emphysema and atelectasis before he was admitted to the hospital. He had symptoms of frequent coughing and shortness of breath. He was diagnosed as spring temperature causing depression, and phlegm and heat depression were closed...

The prescription is used to add and subtract Dingpan Decoction, three doses, decoct in a large container, take three large bowls at the first time, and decoct two large bowls, a total of five large bowls, taking one bowl every two hours. When I left last night, the patient had already taken one dose, sweating continuously, his body temperature dropped to 38.5, wheezing, coughing had been reduced by half, and phlegm was also reduced a lot, so he could lie flat..."

While answering, Li Xiaofei was sweating. This was the first time Fang Han asked him this. Fortunately, he did his homework specifically yesterday, otherwise he would be finished today.

It is very common for superior doctors to ask subordinate doctors when they are rounding. On the one hand, this kind of questioning tests test the abilities of subordinate doctors to see if they have done their duty and mastered many things. On the other hand, it also helps subordinate doctors improve their standards and correct some mistakes.

For lower-level doctors, the question-and-answer session during rounds is also a time to show their abilities. Generally, unless the superior doctor makes things difficult for him, he will not ask too tricky questions too much. Doctors who can answer them smoothly will naturally be appreciated, and it will be light to be scolded if they cannot be beaten.

Of course, if the lower-level doctor is too arrogant and causes dissatisfaction with the superior doctor, the Q&A session is definitely a nightmare for the subordinate doctor. In front of a large group of people, the superior doctor can ask you so much that you doubt your life, which is also one of the reasons why the subordinate doctor is afraid of the superior doctor.

He didn't deliberately make things difficult for you, so he asked a few tricky questions about the patient's situation. If you can't answer it, you will have good results.

Fang Han had never asked this before, but fortunately Li Xiaofei became a resident doctor for a long time and had developed good habits.

"Well, it's not bad. What's the situation of the patient now?" Fang Han nodded, very satisfied. He didn't make things difficult for Li Xiaofei. He helped Li Xiaofei improve his skills. If it weren't for a long-term task, he wouldn't be willing to waste time so much. He would have to check many patients less in the morning in such rounds.

Li Xiaofei first checked the nurse's rounds record, then diagnosed the patient's pulse, checked the patient's tongue coating and eyes, and then said: "The nurse just had a temperature measurement record. The patient's temperature has dropped to 37.4 now. The tongue coating is yellow and greasy, and the pulse is stringy and slippery... I think I can be discharged from the hospital tomorrow."

Fang Han also walked up to the patient to check himself, and asked while checking: "After the patient's diagnosis, he used Dingpan Decoction to add and subtract. What are the effects of the two medicines "Raw Rehmannia and Light Beans added in the prescription?"

"This..." Li Xiaofei pondered slightly and tried to say: "It is to clear heat and detoxify, promote lungs and reduce qi..."

"Who knows?" Fang Han glanced at Li Xiaofei and glanced at the others.

Others were also embarrassed, and Ye Kai hurriedly said: "Raw Rehmannia and Dan fermented black beans (chi) are the main medicines in Ge Hong's 'black ointment prescription'. When you prescribe the prescription, you prescribed 100 grams of light fermented black beans. The purpose is to combine ephedra, honeysuckle and other drugs to clear heat and detoxify, relieve lung qi, relieve phlegm, relieve asthma and relieve cough and sweat."

Fang Han nodded with satisfaction and asked Li Xiaofei again: "What is the purpose of taking medicine by taking a large dose and frequent dose?"

This time, Li Xiaofei did not make a fuss and hurriedly said: "The method of taking large doses and frequent doses is mainly to ensure the efficacy. Although the side effects of traditional Chinese medicine are low, the drug is also low. It does not come as fast as Western medicine, and its effects are often not as long-lasting as Western medicine. This method of taking large doses and frequent doses can ensure that the high concentration of drugs in the blood is always maintained. This method of feeding is the most commonly used in our emergency department."

When Li Xiaofei answered, Wu Lei and several interns were listening carefully. This question and answer was also very useful for them to master knowledge theory.

For example, the method of taking frequent doses and taking frequent doses mentioned by Li Xiaofei is not uncommon in the emergency department these days, but they just don’t understand why and are not easy to ask. Now after Li Xiaofei answered, they also understood the whole story, which will be of great help to their future prescription of medicine to treat diseases.

Traditional Chinese medicine has prescriptions and methods. If the prescription is correct, the method is not correct, it often fails to achieve the expected therapeutic effect. Only when the method is appropriate and the cooperation between each other can we achieve miraculous effects. Sometimes, the method is appropriate and even the effect can be achieved immediately.

The rules are very strict, which is very obvious in traditional Chinese medicine. In many cases, a small mistake will cause serious consequences.

Fang Han nodded, stood up and said, "Well, this is right, the patient can recover, and he can arrange for discharge tomorrow. Remember to notify me when the time comes."

Li Xiaofei nodded quickly.

Then Fang Han looked at the second bed, and the bed was empty.

"Where are patients in bed 2? I remember no patients did not meet the discharge criteria, right?"

Ye Kai stepped forward and whispered: "The patient died at 10:25 last night..."

"call!"

Fang Han subconsciously exhaled a breath of turbid air. He also checked the patient in bed No. 2 yesterday morning. He was staying at an old man, a 70-year-old lady with advanced liver cancer. She was accompanied by various complications and elderly symptoms. Her family didn't care much. After being sent to the hospital, she just paid the fee on time and only saw it every few days.

Because the patient belonged to other doctors, Fang Han was just having a routine examination at that time and did not intervene in the treatment. In fact, his ability was limited without redeeming his skills, and he was not necessarily much better than other attending doctors.

"Director Li was also there at that time and participated in the rescue, but the patient's will to survive was very low, and Director Li tried his best but failed to save him." Ye Kai said.

Fang Han remained silent. Not only Fang Han, but also Wu Lei, Lin Guangliang and Qin Xixiong were also a little uncomfortable.

The emergency department of Jiang Intermediate Hospital is different from the emergency department of Western Medicine Hospital. The emergency department of Western Medicine Hospital can see patients die almost every day, but in Jiang Intermediate Hospital, this situation is relatively rare.

Traditional Chinese medicine is indeed magical. The experts at the Jiang Intermediate People's Hospital are also top Chinese medicine practitioners in China. Generally speaking, as long as the patients sent to the hospital have a breath, most of them can be rescued. Occasionally, when encountering some critically ill severe cases, the hospital will notify Guo Wenyuan and other old experts that as long as there is time, they can be rescued.

It’s not that there are no patients who die in the Jiang Intermediate People’s Hospital, and there are also people who die for a long time, which is inevitable. However, there are very few deaths on the spot than Western medical hospitals. Often, if the hospital feels that it is really powerless, it will arrange time for the patients to have funerals.

Another thing is that most people who can come to the emergency department of traditional Chinese medicine hospitals are not critically trauma, which is one of the reasons why there are fewer patients in Jiang Intermediate Hospital.

Fang Han has been in the emergency department for half a month, and this is the first patient to die after he came.

"call."
Chapter completed!