Lanterns and decorations in the streets and alleys also began to be decorated.
My parents have been busy preparing for the company these days, but my brother Chen An has also begun to contact some friends in China.
Chen Nan returned to his usual normal work.
The office in the morning is very busy. After there are more patients, the doctor's work is also increasing.
During this period, the Department of Traditional Chinese Medicine is constantly recruiting new students.
When establishing a new ward, it is important to build up reserve strength.
As for the newcomers, they all didn’t know how to stand in line at first.
But... gradually, everyone was surprised to find that this department did not need to take sides at all!
Because, there is only one core here!
That is: Director Chen!
Facing this young Director Chen, many people are actually more curious.
On this day, Chen Nan made ward rounds as usual.
The newly recruited Li Shumin is already the deputy chief physician. Before coming, he was already the deputy director of YC City Traditional Chinese Medicine Hospital.
"Director Chen, the patient in bed 23 was admitted to the hospital by Director Zhao. He was hospitalized yesterday because of stomach pain."
"The main symptom is late night stomach pain for more than a month, and I can't sleep at night after tossing and turning."
"I have a dull pain in the epigastrium starting from 3 to 4 a.m. every day. The attack lasts for about an hour. I am busy at work and eat irregularly."
"By the way, I have a history of duodenal ulcer and gastric ulcer!"
"Easy to fatigue, insomnia and dreaminess, fear of cold, frequent urination, pale tongue with white coating and tooth marks, weak and weak pulse."
When speaking, Li Shumin was obviously a little nervous.
It's not that she's 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, the people recruited by the Department of Traditional Chinese Medicine are basically not new people, but reserve talents with certain abilities and foundation.
After the new ward is established, the wards of the Department of Traditional Chinese Medicine will have about five floors.
This means there is a shortage of leadership positions.
Candidates naturally have to be selected from these people.
Although these people already had their own systems and experience when they came here, and some were even 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, you can see the problems in the prescription at a glance, and with slight modifications, the medicine can be more effective.
Ward rounds are the greatest test of a director's ability.
Patients who have been hospitalized generally have a misunderstanding that those who are good-tempered and talkative during the ward rounds by the director have high standards.
In fact, this is a one-sided idea.
When a powerful director makes ward rounds, the doctors around him will never be casual, and they will not dare to be casual. On the contrary, they will feel like they are facing a formidable enemy.
During ward rounds, it is not only the patients who are checked, but also the doctors.
Because most of the time, the treatment of patients is done by doctors, which is an assessment for doctors.
As for the director, his face should be good, but this good look is for the patient, not the doctor.
Of course, after being around for a long time, some veteran directors have not improved much in level, but they have gained a lot of experience.
After entering the ward, when the ward rounds began, they greeted each other with a smile, held hands, pretended to check, and said a few words to show their professionalism, but... basically they could not give pertinent opinions to the patients.
suggestion!
This is also the reason why many veteran directors have many patients even though they are not very good at it.
Because some directors are studying diseases, while some directors are studying the patients themselves.
It can be said that they have "truly understood" the true meaning of the phrase "always comforting".
However, Chen Nan’s ward rounds
time, it was different.
Every doctor in charge is as vigilant as facing a formidable enemy, for fear of saying the wrong thing.
Because Chen Nan can always pick out the problem from every detail.
This is not a bad thing!
Because everyone knows very well that what Chen Nan pointed out was their shortcomings and shortcomings.
Of course, everyone still has to be careful.
Because... they now know very well Chen Nan's position in the future after the establishment of the traditional Chinese medicine ward: chief director of the ward.
It's up to others to decide who can get on and who can get off.
Some time ago, everyone remembers something. When the new ward of the hospital was built, because Chen Nan was dissatisfied with the color of the decoration, the director personally ordered it to be redone.
This is influence!
In addition, it is the assessment. Director Chen will ask some questions from time to time.
It will be embarrassing if the people around you are not paying attention and cannot answer the question!
Li Shumin was naturally nervous because of this.
Sure enough, at this time, after Chen Nan made the diagnosis, he turned around and looked at the students in Guipei and asked:
"What kind of ulcer does fasting pain belong to?"
The student was stunned for a moment and said quickly:
"Among peptic ulcers, postprandial pain is common in gastric ulcers, which means upper abdominal pain occurs after eating.
Among peptic ulcers, duodenal ulcers are more likely to cause fasting pain, that is, upper abdominal pain will occur before meals or during fasting at night.
Fasting pain and postprandial pain are often used to describe the upper abdominal pain symptoms characteristic of peptic ulcer."
Chen Nan nodded and turned to look at Li Shumin: "This patient's symptoms are very typical."
"There are detailed records in the Synopsis of the Golden Chamber."
"The patient suffers from physical weakness, palpitation, excessive urination at night, abdominal pain, and irritability and heat in the hands and feet."
"Why is abdominal pain diagnosed?"
As soon as these words came out, everyone around him was stunned for a moment.
The most obvious symptom of the patient is abdominal pain. Why is the diagnosis not abdominal pain?
At this time, Li Shumin suddenly became excited and blurted out: "A waste of time?!"
Chen Nan smiled slightly: "Not bad!"
"Don't let the patient's superficial symptoms blind you."
"We are Chinese medicine doctors. Although diagnosis should be based on symptoms, we should also start from the root cause."
"If you focus on abdominal pain, it will be meaningless!"
This is a typical case of exhaustion. Although there are ulcers, but... remember, you are Chinese medicine doctors, and when making a diagnosis, you should start from the root of the patient."
"There is such a passage in "The Essentials of the Golden Chamber: Combined Treatment of Blood Paralysis, Deficiency and Pulse Syndrome"."
"Consumption, tenesmus, palpitations, epistaxis, pain in the abdomen, dreams of sperm loss, soreness in the limbs, irritability and heat in the hands and feet, dry throat and mouth, Xiao Jianzhong Decoction is the treatment."
"This is a typical fatigue patient, so just use Xiao Jianzhong Soup!"
As soon as these words came out, everyone around him suddenly looked thoughtful, their eyes full of solemnity.
The use of classic prescriptions has always been a big problem!
How to use Jingfang?
How to transform the things in the book into clinical things are all difficult.
And obviously, what Director Chen just said is the best entry point!
Li Shumin stood there, looking excited and excited.
"Thank you, director, I understand!"
Chen Nan smiled slightly and said to the patient: "Doctor Li is good. Take good care of yourself and he will be fine in a while."
The patient nodded repeatedly: "Okay, thank you, director!"
After leaving the ward, Chen Nan strode forward, followed closely by more than 20 doctors like a giant white tower.
Zhao Jianyong stood behind him and said to everyone:
"Remember what Director Chen just said!"
"The so-called how to use the scriptures is actually the core!"
"The symptoms are just
On the surface, why is Treatise on Febrile Diseases known as the ancestor of Fangshu and is used by so many later generations?"
"It's because everyone follows the core of the syndrome differentiation of the Six Classics of Treatise on Febrile Diseases. Treatise on Febrile Diseases is just a special book on treating typhoid fever, but... what Zhang Zhongjing taught is how to use the classic prescriptions!"
"Don't be blinded by the patient's existing disease and symptoms, see through the symptoms to see the essence!"
"This is the secret of using classic prescriptions!"
Zhao Jianyong is now a good teacher!
Chen Nan couldn't tell everything in detail, but Zhao Jianyong who followed Chen Nan could.
After everyone behind him listened, their eyes flashed with agility, and they felt a sense of enlightenment in their minds.
Chinese medicine emphasizes understanding!
What Chen Nan has to do is to teach them what he has learned.
On your own, your power is limited.
The prosperity of traditional Chinese medicine requires an echelon and inheritance.
Chen Nan continued his rounds.
Liu Quan handed the medical record folder to He Duankang who was standing aside. Unfortunately... the other party simply ignored it and walked straight ahead.
This made Liu Quan's expression suddenly change, what a bastard!
Do you think it will be fine if you hug her on your lap?
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 SARS research team, He Duankang now seems to have the posture of deputy leader.
He turned a deaf ear to Liu Quan's hard work. Unfortunately... Liu Quan could only be so angry that his teeth itched and he couldn't talk nonsense.
His life is very difficult now!
Now there are many new people coming into the department, some of whom are from the province, and Liu Quan is not taken seriously at all.
His current team leader is in name only!
Now even the bastard He Duankang... has gained power.
Why….
Liu Quan felt extremely sad inside.
While talking, a group of people entered the ward.
Xu Rui walked in the front, this patient was hers.
This is a middle-aged man in his thirties, with a cheerful appearance and a cheerful smile.
I have been hospitalized for more than ten days and am about to be discharged.
Xu Rui smiled and said, "How's it going?"
The man smiled and said, "Much better!"
Doctor Xu, when will I be discharged from the hospital?"
Xu Rui smiled, nodded and asked, "Are your feet numb now?"
The man was stunned immediately!
He looked at Xu Rui in confusion, a little embarrassed and a little embarrassed!
Call mom?
this!
This...this is too...too much, right?
There were so many people at the scene staring at me.
Is this appropriate?
The man was a little silent.
Chen Nan frowned slightly when he saw this. Is there something wrong?
He glanced at Xu Rui curiously, then at the man, and quickly asked: "Are your feet still numb?"
The man looked at Chen Nan and nodded as if asking for help.
yes!
Is it appropriate to call me mom at this time?
This is a hospital!
Sister, you’re so good-looking that you can’t be so casual, right?
Suddenly, everyone around them looked at the man, this patient, and they had seriously discussed the treatment plan.
The effect was so remarkable that Xu Rui even prepared to publish a good paper.
Is the condition relapsing now?
This is embarrassing!
Xu Rui quickly looked at the man, bent down and stared at him: "Be serious!"
"Are your feet numb?"
"Don't be afraid, just say it!"
The man was about to cry but had no tears left.
He seems to be asking for help
He glanced at Chen Nan and then at the people around him, only to see everyone nodding affirmatively at him.
The man is helpless!
The man's family members, his wife, and his parents, all looked at him seriously.
The man glanced at his mother and thought... If you recognize your mother on the spot, you have to get your parents' consent, right?
My 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 I can't say!"
The man patted his thigh and looked at Xu Rui: "Mom!"
As soon as these words came out, everyone around him was dumbfounded.
Looks incredible!
Xu Rui was confused!
this…
What is this?
The man looked at Xu Rui: "Mom!"
"Ok?"
The scene soon fell into a deathly silence, and everyone looked confused.
Next!
Suddenly, someone laughed, and then the ward fell into unprecedented joy.
"Ha ha!"
"Ha ha ha ha……"
"Damn, whose snot is on my clothes, it's so disgusting!"
"Ha ha……"
Everyone couldn't help laughing.
Chen Nan was also dumbfounded and looked at Xu Rui with a joking look on his face.
Xu Rui was completely confused.
She said dumbfounded: "Wrong!"
"I'm asking you...are your feet numb?"
The man's face was also flushed: "I...I screamed!"
At this time, the man’s wife and mother couldn’t help but laugh non-stop!
His father slapped the man on the back of the head angrily:
"You bastard!"
"what happened!"
The man rubbed the back of his head with an aggrieved look on his face: "Old man, what are you doing!"
"I just shouted!"
The man’s father couldn’t help but laugh:
"Dr. Xu asked if your feet are numb!"
"What did you call my mother for?"
"How old is he?"
"You unfilial son, why did I give birth to you, an idiot! (＇10)!"
The little nurse on the side also covered her mouth and bent over with laughter.
At this moment, the man suddenly realized and couldn't help but cover his face with the quilt.
"The thread is broken, I just buried the needle in the acupuncture point!"
"Haha... stop laughing!"
"Nurse...it hurts so much!"
"Ha ha…"
...........
............
After leaving the ward, Xu Rui looked ashamed, and everyone around him couldn't help but look at Xu Rui with expressions of joking.
Chen Nan also smiled and asked, "Can't you tell?"
"You still have this hobby!"
Get out!" Xu Rui angrily kicked Chen Nan on the butt: "Get out, get out!"
After saying that, he also laughed.
The nurse quickly said to Xu Rui: "Doctor Xu, has your son's discharge certificate been issued?"
Xu Rui:….
In the morning, the patient was discharged from the hospital immediately. When leaving, he said with a smile: "Mother Xu, goodbye!"
Xu Rui rolled her eyes at him angrily.
When He Duankang on the side saw this, his dog-licking gene suddenly kicked in.
He looked at Xu Rui coquettishly, coughed, and said shyly: "Dr. Xu, if you...if you have this hobby!"
"I can call you too!"
"But...this kind of thing can be done in private."
Xu Rui was so angry that he wanted to kill He Duankang with one kick.
The hospital is such a place full of laughter, laughter, and helplessness of life and death.
This kind of farce happens from time to time, which also brings a little bit of relief to the tense atmosphere in the hospital.
In the morning!
Suddenly a phone call came.
Chen Nan picked up the phone: "Hello, this is Chen Nan."
"Hello, Director Chen, I am Wang Liansheng from the Provincial Department of Maternity and Child Care, and I would like to invite you to come and participate in a difficult case discussion!"
"Do you think you have time this morning?"
Chen Nan nodded: "Dean Wang, hello, hello."
"If you have time, where exactly are you?"
Wang Liansheng said: "It's in our hospital, obstetrics department 6, ward on the 12th floor."
"You can just come here now."
Chen Nan nodded: "I'll leave right now."
Wang Liansheng nodded: "I will send you the patient's condition. You can 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.
The name Wang Liansheng is very familiar to Chen Nan.
As Guanyin, the Guanyin who gives birth to children in the province, and the master of obstetrics and gynecology, she has a high prestige!
He is also Wang Zhenlan’s third uncle!
He is currently the dean of the Provincial Maternity and Child Care Department.
President of the Shanxi Province Medical Association, Obstetrics and Gynecology Branch.
Chen Nan didn't expect that he would fall into Wang Liansheng's eyes.
Obviously, it was Lu Xuan's uterine fibroids last time that made her come into the eyes of this gynecology expert.
After Chen Nan got in the car, he did not start driving immediately. Instead, he looked at the cases, but... the more he looked, the more solemn his face became.
The identity of the patient is very special!
The martyr's wife!
I am 91 days pregnant with twins, but... my vagina has been bleeding continuously 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, the Provincial Department of Maternity and Children naturally did not dare to be careless, and even Wang Liansheng personally took action to provide miscarriage treatment to the patient.
However, I was successively given progesterone injections, dydrogesterone tablets and other tocolytic drugs, cefoperazone sodium and sulbactam sodium injections to fight infection, phloroglucinol injections, magnesium sulfate injections to suppress uterine contractions, etc., but the bleeding was repeated.
Recently, the patient has been bleeding more and more. Last night, a panty pad was soaked and a lump was discharged.
A gynecological examination followed.
The vulva is normal, unobstructed, and bloody.
The pH test paper showed obvious discoloration. Afterwards, intravenous infusion of meropenem was given to prevent infection.
However, I am now 15+ weeks pregnant, and my bleeding is less than before. It is dark in color and dry, like medicine dregs. It is also accompanied by a tightening feeling in the lower abdomen, which occurs 2 to 3 times a day but is not serious. There is no abdominal pain and no fever.
Physical examination revealed distended lower abdomen, tense abdominal muscles, fingertips below the umbilicus at the fundus of the uterus, and no obvious uterine contractions.
The more Chen Nan looked at it, the more he felt his condition was a bit difficult to deal with!
These signs indicate that the fetus in the patient's body may no longer be there!
That’s right!
It was stillborn.
But why continue treatment?
Chen Nan continued to look down.
After seeing the latest inspection, I couldn't help but look solemn.
Intrauterine singleton survival (about 15 weeks of pregnancy), fluid dark area in the uterine cavity.
Western medicine diagnosis: after embryo transfer; threatened abortion; adenomyosis; hypothyroidism during pregnancy (see also sheet); fetal membranes
Premature rupture?
Chen Nan's face changed drastically when he saw this series of situations.
How is this going?
It turns out that the patient underwent 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 that time, the follow-up would be very dangerous.
Therefore, the wife of the other party decisively chose in vitro fertilization and then performed embryo transfer.
With technological intervention, woman became pregnant with twins!
The arrival of this news finally gave the family that was on the verge of collapse a glimmer of hope.
However, who would have thought that one wave would come after another.
One month after a woman becomes pregnant, a very bad situation occurs due to emotional and physical reasons.
You can only stay in the hospital for as much miscarriage treatment as possible.
Chen Nan couldn't help but sigh.
Suddenly a sentence came to mind.
The hemp rope will break at the thinnest part, and bad luck will only seek out the miserable!
This family had already fallen apart and was in this situation now, but it encountered such difficulties.
How could she accept this?
Chen Nan also realized that the road to the Maternity and Children's Province was not that easy this time.
He sighed and frowned.
However, after hesitating for a while, a glimmer of light flashed in his eyes, he stepped on the accelerator and drove towards the provincial women and children.
No matter what, this time he will go all out.
Those who work for everyone should not be allowed to freeze to death in the snow!
The car drove quickly and soon arrived 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, you can hear bursts of heated discussions coming from inside.
After Chen Nan hesitated for a while, he gently opened the door and walked in.
However, his arrival did not attract the attention of many people around him.
After Wang Liansheng saw Chen Nan, he nodded and said nothing more.
But at this time, a woman in the crowd stared at Chen Nan and took a serious look.
This person is Zhang Qiaoling!
Zhang Qiaoling didn't expect that Wang Liansheng would invite Chen Nan too!
This is a discussion of difficult gynecological cases. Is Chen Nan qualified to come here?
However, Zhang Qiaoling didn't care about this and continued to listen to everyone's discussion!
"I think that in this case, if surgery is performed, it is easy to induce pulmonary embolism!"
"The patient has a large amount of coagulation at this time. If the operation is performed, it will inevitably cause uncontrollable damage after entering the blood circulation!"
"I still think we should focus on stopping the bleeding conservatively!"
At this time, another woman with extraordinary bearing shook her head: "C-reactive protein <1/child. Blood test: white blood cells 71x109/L, procalcitonin 0.024ng/!"
"I believe that in this case, the risk of continuing the pregnancy is high!"
"Everyone present should be experts in the field of gynecology. I believe everyone should have a clear understanding of this value!"
"If we encounter such a situation in clinical practice, what advice should we give to the family members?"
As soon as these words came out, everyone's faces suddenly became serious. The woman continued: "Terminate the pregnancy!"
"Otherwise, the pregnancy will not fail, but the mother may be at great risk!"
"How can it be that easy to have a baby?"
indeed!
When a woman gives birth to a child, the risk to the woman is actually not inferior to that of the child.
The third month of pregnancy is the most dangerous time.
During this period, it is very easy to have a miscarriage.
This is a very dangerous stage.
Therefore, the woman's words made everyone present feel a little sad.
silent.
At this time, there was a person sitting on a chair not far away and listening. After hearing these words, tears flowed down.
This is the woman’s mother-in-law and the hero’s mother!
After Susu married into their family, she really never lived a good life.
After her son encountered that situation, Susu made a bold decision and underwent in vitro fertilization.
Moreover, the day after her son left, Susu knelt in front of her and said to herself:
"Mom, from today on, I am no longer your daughter-in-law!"
"From today on, I am your daughter."
"We are still a family."
After hearing this sentence, 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 hopes that Susu can be safe and healthy.
Who would have thought that we would encounter such a situation!
In a woman's heart, Susu is already her daughter.
Faced with this situation, the woman told Wang Liansheng that she hoped that Su Su would be safe and healthy, and that the matter of the child would be left to chance!
However, Susu also found Wang Liansheng!
She told the other person: "Doctor, I can die, but... I want my child to keep."
"I want to leave a seed for the old Zhao family!"
"I can't let my husband have a child!"
Wang Liansheng was extremely anxious and painful at this time.
Therefore, after hearing what the woman said, he shook his head and said, "No, don't terminate the pregnancy at will!"
"The purpose of our discussion is how to provide 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 the patients!"
Wang Liansheng was also angry. He also slapped the table: "Jiao Liping, if the pregnancy is terminated, I have a hundred ways to save the patient!"
"What do I need you to do?"
For a moment, the office suddenly became cold.
Wang Liansheng continued: "Sorry! I'm excited!"
"Let's continue the discussion and see if there is a way to save the fetus!"
.......
ps: Recently I saw someone from a reader talk about drinking astragalus. I was shocked, so I quickly told you.
It's winter, although many people want to replenish their health.
But... let me give you some advice here.
Astragalus cannot be drunk casually.
Astragalus is indeed a favorite nourishing medicinal material. Its main functions are to replenish deficiency, replenish qi and strengthen the surface, diuretic and reduce swelling. At the same time, it can protect the liver, relieve toxins and expel pus, and can also effectively reduce blood viscosity.
It can dilate blood vessels, reduce blood clots, lower blood pressure, regulate myocardial power, regulate blood sugar in both directions, etc. But many people may not know that astragalus is not suitable for everyone.
But...you can't drink randomly.
Three don’t drink.
1. Do not drink if you have kidney yin deficiency, dampness and heat, or excessive heat and poison.
2. Don’t 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 tasted good.
It’s that Baimai ebony tea.
Let me talk about how to use it here. It is suitable for people who have dry throats and smoke a lot. Autumn and winter are inherently dry, so this is good.
Ingredients: 6 grams each of lily, Ophiopogon japonicus, and perilla stems, 3 grams of black plum, and 4 pieces of rock sugar.
Usage: Put the medicine into a cup, brew with an appropriate amount of boiling water, simmer for 15 minutes, and drink frequently instead of tea. You can refill the water repeatedly.