Doctor Chen, Don't Be a Coward!

The end of the year is approaching.

The source city is a little more old-fashioned.

Lanterns and decorations in the streets and alleys also began to whitewash.

Parents have been busy preparing for the company these days, but brother Chen An has also started to contact some friends in China.

Chen Nan returned to his normal work in the past.

The office in the morning is busy, and as the number of patients increases, the workload of doctors also increases.

During this time, the Department of Traditional Chinese Medicine has been recruiting new students.

The establishment of a new ward must build a good reserve force, which is very important.

And the newcomers, one by one, didn't know how to stand in line at the beginning.

But... Gradually, everyone was surprised to find that there was no need to stand in line at all in this department!

Because, there is only one core here!

That is: Director Chen!

In the face of this young director Chen, many people are actually more curious.

On this day, Chen Nan made rounds as usual.

The newly recruited Li Shumin is already the deputy chief physician. Before coming here, she was already the deputy director of the YC City Traditional Chinese Medicine Hospital.

"Director Chen, the 23-bed patient was hospitalized by Director Zhao. He was hospitalized yesterday because of stomach pain."

"The main symptoms are late night stomach pains for more than a month, tossing and turning and insomnia."

"I started to have a dull pain in the epigastric region at 3-4 in the morning every day, and the attack lasted for about an hour. I was busy with work and had irregular meals on weekdays."

"By the way, there is a history of duodenal ulcer and gastric ulcer in the past!"

"Fatigue easily, insomnia and dreaminess, fear of cold, frequent urination, pale tongue with white fur and tooth marks, weak and weak pulse."

When speaking, Li Shumin was obviously a little nervous.

It's not that I'm afraid of Chen Nan, but because Li Shumin is becoming less confident now.

To be precise, it's not just Li Shumin!

During this period of time, most of the recruits recruited by the Department of Traditional Chinese Medicine were not newcomers, but reserved talents with certain abilities and foundations.

After the new ward is established, there will be about five floors of wards in the Department of Traditional Chinese Medicine.

This means that there is a lack of substantial leadership positions.

Candidates are naturally selected from these people.

Although when these people came, they all had their own systems and had some experience, and some of them were even the directors of their own hospitals, but... Facing Chen Nan, everyone had to give a thumbs up.

Because Chen Nan's level is really high!

Often at a glance, you can see the problem in the prescription, and a little modification can make the medicine more effective.

Ward rounds is the most test of a director's strength.

Patients who have been hospitalized, in fact, generally have a misunderstanding. They think that when the directors make ward rounds, they have a good temper, are easy to talk, and are of a high level.

In fact, this is a one-sided idea.

The powerful director rounds the ward, and the doctors around him will never be casual, let alone dare to be casual, instead they are like an enemy.

Ward rounds not only check patients, but also doctors.

Because most of the time, the treatment of patients is carried out by doctors, which is an assessment for doctors.

As for the director, his complexion should be good, but this goodness is for patients, not doctors.

Of course, it's been a long time since I've been around. Some veteran oil directors have not improved much in level, but they have a lot of experience.

After entering the ward, at the beginning of the ward rounds, I greeted each other with a smile, shook hands, checked in a fake way, and said a few words to show my professional level, but... for the patients, it was basically impossible to give pertinent answers. Suggest!

This is also the reason why many veteran oil directors are obviously not strong enough, but there are many patients.

Because some directors are studying diseases, while others are studying patients themselves.

They can be said to have "really realized" the true meaning of the phrase "always comforting".

However, it was different when Chen Nan made the ward rounds.

Every doctor in charge is vigilant as if facing an enemy, for fear of saying the wrong thing.

Because Chen Nan can always pick out the problem from one of their details.

This is not a bad thing!

Because everyone is also very clear that what Chen Nan pointed out is their shortcomings and shortcomings.

Of course, everyone still has to be careful.

Because...they are now very clear about Chen Nan's position in the future after the establishment of the TCM ward: the chief director of the ward.

Which of them can go up and who can go down is what others decide.

Some time ago, everyone remembers one thing. When the new ward of the hospital was established, because Chen Nan was dissatisfied with the color of the decoration, the dean personally asked it to be redone.

This is influence!

In addition, it is the assessment. Director Chen will ask some questions from time to time.

It would be embarrassing if the people around you were not careful and couldn't answer the question!

Li Shumin was nervous because of this.

Sure enough, at this time, after Chen Nan made the diagnosis, he turned to look at Guipei's students and asked:

"What kind of ulcer is fasting pain?"

The student froze for a moment, then said quickly:

"In peptic ulcers, gastric ulcers are prone to postprandial pain, which is pain in the upper abdomen after eating.

Among peptic ulcers, duodenal ulcers are prone to fasting pain, that is, symptoms of upper abdominal pain will appear before meals or when the stomach is empty at night.

Fasting pain and postprandial pain are commonly used to characterize epigastric pain symptoms in peptic ulcers. "

Chen Nan nodded, then turned to look at Li Shumin: "This patient's symptoms are very typical."

"There are detailed records in the Synopsis of the Golden Chamber."

"Patient, fatigue, palpitation, frequent urination at night, abdominal pain, hot hands and feet."

"Why is the diagnosis abdominal pain?"

As soon as these words came out, everyone around was stunned.

The most obvious symptom of the patient is abdominal pain. Why is the diagnosis not abdominal pain?

But at this time, Li Shumin was shocked suddenly, and blurted out: "Toil?!"

Chen Nan smiled slightly: "Not bad!"

"Don't be blinded by the patient's symptoms."

"We are Chinese medicine practitioners. Although the diagnosis should start from the symptoms, it must also start from the root."

"If you focus on abdominal pain, it will be meaningless!"

"This is a typical exhaustion. Although there are ulcers, but... remember, you are Chinese medicine practitioners. When diagnosing, you should start from the root of the patient."

"There is such a passage in "Synopsis of the Golden Chamber, Syndrome and Treatment of Syndrome of Blood Bi, Deficiency, and Disease"."

"Asthenic fatigue, palpitations, epistaxis, abdominal pain, dream loss of essence, sore limbs, restless hands and feet, dry throat and mouth, Xiaojianzhong Decoction is the main remedy."

"This is a typical patient with asthenia, so Xiaojianzhong Tang can be served directly!"

As soon as these words came out, everyone around was thoughtful, and their eyes were full of solemnity.

The use of classic prescriptions has always been a big problem!

How to use the prescription?

How to transform the things in the book into clinical things is a difficult point.

Obviously, what Director Chen said just now is the best starting point!

Li Shumin stood where she was, with an excited expression on her face.

"Thank you, Director, I see!"

Chen Nan smiled slightly, and said to the patient: "Doctor Li is not bad, he should cultivate well, and he will be fine after a while."

The patient nodded again and again: "Okay, thank you Director!"

After leaving the ward, Chen Nan strode forward, followed by more than twenty doctors, like a giant white tower.

Zhao Jianyong stood behind him and said to everyone:

"Remember what Director Chen said just now!"

"The so-called how to use the prescription is actually the core!"

"Symptoms are just appearances. Why is "Treatise on Febrile Diseases" known as the ancestor of prescriptions and has been used so much by later generations?"

"It's because everyone continues to use the core of the Treatise on Febrile Diseases. The Treatise on Febrile Diseases is just a special book on the treatment of typhoid fever, but... what Zhang Zhongjing said is how to use the classic prescriptions!"

"Don't be blinded by the patient's existing diseases and existing symptoms, but see the essence through the phenomenon!"

"This is the mystery of the scriptures!"

Zhao Jianyong seems to be a good teacher now!

It was impossible for Chen Nan to tell everything in detail, but Zhao Jianyong who followed Chen Nan could.

After everyone behind them listened, there was a hint of agility in their eyes, and there was a feeling of enlightenment in their minds.

Traditional Chinese medicine emphasizes perception!

What Chen Nan has to do is to teach them what he has realized.

One person alone has limited strength.

The prosperity of Chinese medicine requires an echelon and inheritance.

Chen Nan continued his rounds.

And Liu Quan handed the medical record folder in his hand to He Duankang who was on the side, but unfortunately...the other party ignored it at all and walked straight forward.

This made Liu Quan's face suddenly change, you bastard!

Thought it would be good to hug your thighs?

He Duankang is still a doctor in Liu Quan's group, but...he no longer listens to Liu Quan's arrangements.

As the deputy leader of the current Sha syndrome research specialist group, He Duankang now seems to be the deputy leader.

Regarding Liu Quan's hard work, he just turned a deaf ear to it, but it's a pity...Liu Quan could only grit his teeth with anger, and couldn't talk nonsense.

His life is very difficult now!

Now there are many newcomers in the department, among them are from the province, Liu Quan is not taken seriously at all.

His current team leader is simply dead in name only!

Now even the bastard He Duankang... has gained power.

Hey……

Liu Quan felt very sad in his heart.

While speaking, a group of people entered the ward.

Xu Rui walked in the front, and this patient was hers.

This is a middle-aged man in his thirties, with a festive look and a cheerful smile.

I have been in the hospital for more than ten days, and I am about to be discharged from the hospital.

Xu Rui smiled and said, "How is it?"

The man smiled and said, "It's much better!"

"Doctor Xu, when will I be discharged from the hospital?"

Xu Rui smiled, nodded and asked, "Now... Are your feet numb?"

The man was stunned for a moment!

He looked at Xu Rui in disbelief, a little embarrassed, a little embarrassed!

call mom?

This!

This...this is too...too what?

So many people at the scene were staring at him.

Is this appropriate?

The man was a little silent.

Seeing this, Chen Nan frowned slightly. Could there be something wrong?

He glanced at Xu Rui curiously, then at the man, and quickly asked, "Still numb?"

The man looked at Chen Nan and nodded as if asking for help.

Yup!

At this time, is it appropriate to call mother?

This is a hospital!

Sister, you can't be so casual even if you are good-looking, right?

Immediately, everyone around looked at the man, this patient, they had seriously discussed the treatment plan.

The effect was remarkable, and even Xu Rui was about to publish a good paper.

Is the condition recurring now?

This is embarrassing!

Xu Rui quickly looked at the man, bent down, and stared at the man: "Be serious!"

"Are your feet numb?"

"Don't be afraid, just say it!"

The man wanted to cry but had no tears.

He glanced at Chen Nan as if asking for help, and then at the people around him, only to see that everyone nodded affirmatively at him.

The man is helpless!

On the other hand, the man's family members, his wife, and his parents all looked at him seriously.

The man glanced at his mother, he felt...the recognition of his mother on the spot must be approved by his parents, right?

The wife has to agree too!

After all, this kind of thing is too perverted.

pity!

His mother nodded to him: "Son, listen to the doctor!"

"There's nothing you can't say!"

The man slapped his thigh and looked at Xu Rui: "Mom!"

As soon as these words came out, everyone around was dumbfounded.

It's incredible!

Xu Rui was dumbfounded!

This……

What is this?

The man looked at Xu Rui: "Mom!"

"Ok?"

The scene quickly fell into a deathly silence, and everyone was stunned.

Immediately afterwards!

Suddenly, someone laughed, and immediately after, the ward fell into an unprecedented joy.

"Ha ha!"

"Ha ha ha ha……"

"Damn, whose snot is on my clothes, it's disgusting!"

"Ha ha……"

Everyone couldn't help laughing.

Chen Nan also didn't know whether to laugh or cry, and looked at Xu Rui jokingly.

Xu Rui was completely dumbfounded.

She said dumbfoundedly: "Wrong!"

"I mean... are your feet numb?"

The man also blushed: "I...I yelled!"

At this time, the man's wife and mother couldn't help laughing non-stop!

His father slapped the man on the back of the head angrily:

"You bastard!"

"what happened!"

The man touched the back of his head with an aggrieved face: "Old man, what are you doing!"

"I called just now!"

The man's father couldn't help laughing too:

"Dr. Xu asked if your feet are numb!"

"Why are you calling someone's mother!"

"How big is the family!"

"You unfilial son, why did I give birth to you idiot! (へ╬)!"

The little nurse on the side also covered her mouth and bent over laughing.

At this time, the man suddenly realized that he couldn't help covering his face with the quilt.

The surroundings soon fell into joy.

at this time!

The patient on the side suddenly yelled, "Ouch!"

"Don't laugh, don't laugh, hahahaha...don't laugh!"

"The thread is broken, I just buried the needle at the acupuncture point!"

"Haha...don't laugh!"

"Nurse...I hurt me to death!"

"Ha ha……"

...

...

After leaving the ward, Xu Rui was ashamed, and everyone around couldn't help but look at Xu Rui with mockery.

And Chen Nan also asked with a smile: "I can't tell!"

"You still have this hobby!"

Xu Rui kicked Chen Nan's ass angrily: "Get out!"

After speaking, he laughed too.

The nurse quickly said to Xu Rui, "Doctor Xu, has your eldest son's discharge certificate been issued?"

Xu Rui: ...

In the morning, the patient was discharged from the hospital immediately. When he left, he said with a smile, "Mother Xu, goodbye!"

Xu Rui gave him an angry look.

Seeing this, He Duankang's dog-licking gene suddenly exploded.

He looked at Xu Rui shyly, coughed, and said shyly, "Doctor Xu, if... if you have this hobby!"

"I can do that too!"

"However... this kind of thing can be done privately."

Xu Rui's teeth itched in anger, wishing he could kill He Duankang with one kick.

The hospital is such a place full of dumbfounding and helplessness of life and death.

This kind of farce happened from time to time, which also brought a little adjustment to the tense atmosphere in the hospital.

In the morning!

Suddenly a phone call came.

Chen Nan answered the phone: "Hi, I'm Chen Nan."

"Director Chen, hello, I'm Wang Liansheng from the Provincial Women's and Children's Department, and I would like to invite you to participate in a difficult case discussion!"

"Do you have time this morning?"

Chen Nan nodded: "President Wang, hello, hello."

"There is time, where exactly?"

Wang Liansheng said: "It's in the ward on the 12th floor of our hospital, Department of Obstetrics 6."

"You can come here now."

Chen Nan nodded: "I'm leaving right now."

Wang Liansheng nodded: "I'll send you the patient's condition here, you should understand the condition first."

"WeChat is a mobile phone number, right?"

Chen Nan nodded: "Yes!"

After hanging up the phone, Chen Nan got up, changed his clothes, and set off.

Chen Nan was very familiar with the name Wang Liansheng.

As the Avalokitesvara of the province of women and children, and the master of obstetrics and gynecology, the prestige is very high!

He is also Wang Zhenlan's third uncle!

The current director of maternity and children of the province.

Chairman of the Obstetrics and Gynecology Branch of Jin Province Physician Association.

Chen Nan didn't expect that he fell into Wang Liansheng's eyes.

Obviously, it was Lu Hagi's uterine fibroids last time that made him fall into the eyes of this gynecologist.

After Chen Nan got into the car, he didn't start the car immediately, but looked at the case, but... the more he looked, the more solemn his face became.

Patient status is very special!

Martyr's wife!

91 days pregnant, twins, but... the vagina has been bleeding for two months.

And her husband is a martyr!

He was named a martyr because he participated in a fire fighting operation, but unfortunately died in the flames.

For such patients, Sheng Maternity and Children naturally did not dare to be careless, and even Wang Liansheng personally took action to treat the patient with miscarriage.

However, progesterone injections, dydrogesterone tablets and other tocoprotective drugs, cefoperazone sodium and sulbactam sodium injections for anti-infection, phloroglucinol injections and magnesium sulfate injections for inhibiting uterine contractions were given successively, and there were repeated vaginal bleeding.

Recently, the patient's bleeding volume has increased. Last night, a pad was soaked and a 2cm×2cm blood clot was discharged.

A gynecological examination was performed subsequently.

The vulva is normal, unobstructed, and blood-stained.

The color change of pH test paper is obvious. Afterwards, intravenous infusion of meropenem was given to prevent infection.

However, now that she is 15+ weeks pregnant, the bleeding is less than before, dark in color, dry in texture, like medicine dregs, accompanied by a feeling of tightness in the lower abdomen, 2 to 3 times a day, the degree is not severe, no abdominal pain, no fever.

Physical examination revealed distended lower abdomen, tense abdominal muscles, and a horizontal finger below the umbilical fundus of the uterus, without obvious contractions.

The more Chen Nan looked at it, the more he felt that the condition was a bit difficult!

All these signs indicate that the fetus in the patient's body may no longer exist!

That's right!

It is stillborn.

But why continue with treatment?

Chen Nan continued to look down.

After seeing the latest inspection, he couldn't help but look dignified.

Intrauterine singleton survival (about 15 weeks of pregnancy), liquid dark area in the uterine cavity.

Western medicine diagnosis: ①After embryo transfer; ②Threatened abortion; ③Adenomyosis; ④Hypothyroidism during pregnancy (see also the list); ⑤Premature rupture of membranes?

Looking at this series of situations, Chen Nan's expression changed drastically.

How is this going?

It turned out that the patient was undergoing embryo transfer!

At this time, Wang Liansheng sent another long message.

turn out to be!

After the fire broke out, the man did not die immediately, but according to the situation at the time, the follow-up would be very dangerous.

Therefore, the other party's wife decisively chose in vitro IVF, and then carried out embryo transfer.

With technological intervention, woman becomes pregnant with twins!

With the arrival of this news, the family that was on the verge of collapse finally saw a glimmer of hope.

However, who would have thought that a wave of ups and downs would rise again.

One month after a woman became pregnant, something very bad happened because of her mood and body.

We can only be hospitalized for miscarriage treatment as much as possible.

Chen Nan couldn't help but sighed.

Suddenly a word came to mind.

The hemp rope is only broken at the fine point, and bad luck is only for the poor!

This family had already been torn apart and became the situation it is today, but they encountered such a problem.

How can she accept this?

Chen Nan also realized that the road to provincial women and children this time would not be so easy.

He sighed, brows tightened.

However, after hesitating for a while, a flash of light flashed in his eyes, he stepped on the accelerator and drove towards the provincial women and children.

In any case, this time, he will go all out.

Those who hold salaries for everyone must not let them freeze to death in the wind and snow!

The car drove quickly, and it didn't take long to arrive at the obstetrics and 6th department of the Provincial Maternity and Children's Hospital.

The doctor's office was closed at this time.

But standing at the door, one could hear intense discussions coming from inside.

After Chen Nan hesitated, he gently opened the door and walked in.

However, his arrival did not attract the attention of too many people around.

After Wang Liansheng saw Chen Nan, he nodded and didn't say much.

But at this time, in the crowd, a woman stared at Chen Nan and took a few serious glances.

This person is Zhang Qiaoling!

Zhang Qiaoling didn't expect Wang Liansheng to invite Chen Nan too!

This is a difficult case discussion in gynecology. Is Chen Nan qualified to come here?

However, Zhang Qiaoling didn't care about these, but continued to listen to everyone's discussions!

"I think, in this case, if surgery is performed, it is easy to induce a possibility, which is pulmonary embolism!"

"The patient has a lot of blood coagulation at this time. If the surgery enters the blood circulation, it will inevitably cause uncontrollable damage!"

"I still think it should be conservative to stop the bleeding!"

At this time, another woman with extraordinary bearing shook her head: "C-reactive protein \u003c1mg/L. Blood routine: white blood cells 8.71×109/L, procalcitonin 0.024ng/mL!"

"I believe, in this case, how risky is the risk of continuing the pregnancy!"

"The people present should all be experts in the field of gynecology. I believe everyone should be very clear about the concept of this value!"

"If we encounter such a situation in the clinic, what advice do we give to family members?"

As soon as these words came out, everyone's faces became a little serious.

The woman continued: "Terminate the pregnancy!"

"Otherwise, it won't be a pregnancy failure, and the mother may be at great risk!"

"Having a baby, how can it be so simple!"

indeed!

When a woman gives birth to a child, in fact, the degree of danger of a woman is not inferior to that of a child.

The third month of pregnancy is the most dangerous time.

During this time, it is easy to miscarry.

This is a very dangerous stage.

Therefore, the woman's words made everyone present a little silent.

At this time, a person was sitting on a chair not far away to listen. After hearing this sentence, tears flowed down.

This is a woman's mother-in-law and a hero's mother!

After Susu married into their family, she really didn't have a good day.

After her son encountered that situation, Susu made a bold decision and carried out a test-tube baby.

Moreover, the day after her son left, Su Su knelt in front of her and said to herself:

"Mom, from today onwards, I will not be your daughter-in-law!"

"Starting today, I am your daughter."

"We're still family."

After hearing this sentence at that time, the woman burst into tears.

In this impetuous society, people's hearts are complicated, how many girls can do this?

In fact, from the bottom of her heart, she hoped that Susu would be safe and healthy.

Who would have thought that such a situation would come across!

In a woman's heart, Susu is already her daughter.

Faced with this situation, the woman said to Wang Liansheng that she hoped that Susu would be safe and healthy, and that the child's matter... let it be!

However, Susu also found Wang Liansheng!

She told the other party: "Doctor, I can die, but... I want my child to stay."

"I want to leave a seed for Lao Zhao's family!"

"I can't let my husband die!"

At this time, Wang Liansheng was extremely anxious and in pain.

So, after hearing the woman's words, he shook his head and said, "No, don't terminate the pregnancy at will!"

"The purpose of our discussion is how to have both mother and child!"

"So, Director Jiao, don't talk about your idea of ​​terminating the pregnancy."

Jiao Liping slapped the table: "Wang Liansheng, you are adventurous and irresponsible to patients!"

Wang Liansheng was also angry, and he also patted the table: "Jiao Liping, if the pregnancy is terminated, I have a hundred ways to save the patient!"

"What do you want here?"

For a moment, the office instantly became cold.

Wang Liansheng continued: "Sorry! I'm excited!"

"Let's continue to discuss and see if there is a way to save the fetus!"

...

ps: Recently, I saw some readers talking about drinking astragalus, and I was shocked, so I hurried to talk about it.

It's winter, although many people want to make up their bodies.

But... the veteran is here to persuade.

Astragalus can not be drunk casually.

Astragalus is indeed a much-loved nourishing medicinal material. Its main functions are to tonify deficiency, replenish qi and solidify the surface, diuresis and reduce swelling. Dilate blood vessels, reduce thrombus, lower blood pressure, regulate myocardial power, and regulate blood sugar in both directions. But many people may not know that astragalus is not for everyone.

But...you can't drink indiscriminately.

Three do not drink.

1. Kidney Yin Deficiency, Damp-Heat, Heat Toxin Excessive Do not drink

2. Do not drink during menstruation

3. Do not drink if you have a cold or fever.

...

There is another thing that everyone can use. Some time ago, readers reported that it was good to drink.

It is the Baimai ebony tea.

Let me talk about the usage again here, it is suitable for people with dry throat and a lot of smokers. In autumn and winter, it is dry, but this is not bad.

Ingredients: 6 grams each of Lily, Ophiopogon japonicus, and perilla stalk, 3 grams of ebony plum, and 4 rock sugar.

Usage: put the medicine into the cup, brew with boiling water, cover and simmer for 15 minutes, and drink frequently instead of tea. Water can be refilled repeatedly.

Thanks: Luminous luminous light, military blade, and conquering demons, the three brothers gave 1500 rewards, thank you everyone!