"You have to go to work in the afternoon, so you can't drink. I'll give you a glass of tea instead of wine."
Chen Nan smiled and waved his hand and said, "Mr. Wang, you're welcome."
"I didn't communicate well."
"Concern leads to chaos, which is understandable."
"You're welcome."
As the crisp voice sounded, Chen Nan once again received two praises...but...there was no reward.
[Ding! Warm reminder, praise rewards can only be obtained once from family members or patients. Multiple rewards will automatically be converted into low-level praise. 】
Chen Nan looked at the system prompts and felt relieved.
He is not a greedy person, and he also knows that it is easier to accumulate positive reviews than negative reviews.
After all... if you treat a patient, you can get good reviews, as well as good reviews from his family members. In a sense, it is easier to get good reviews.
In this way, it is naturally impossible for you to obtain the reward repeatedly.
After dinner, Yang Fupeng followed Chen Nan to the office.
Before going in, Luo Qiping looked for an opportunity to grab Chen Nan and said seriously:
"Director Chen, Yang Fupeng is a very good person."
"We have been friends for decades and he is a reliable person."
"I don't mean anything else when I say this."
"I feel that a lonely tree cannot make a forest. You came to the capital in a hurry, but... any large-scale project and experiment is inseparable from everyone's joint cooperation and efforts."
"If you want to do research in the field of cancer, you can have a good communication with Director Yang."
"Director Yang is very knowledgeable in the field of oncology, and... if nothing happens, there is a high probability that he will become an academician next year!"
"Of course, don't get me wrong."
Luo Qiping said with a smile: "I know Fu Peng, and...it's interesting to say."
"He's a prosperous friend. Don't tell me, he's really just like his name, he has four friends, hehe..."
"Those who collaborated with him on research have won awards one after another, including the first prize of the National Science and Technology Progress Award!"
"With one vote, he is the only one who has not been elected as an academician yet!"
"Director Yang has very good connections in the circle. Everyone likes to call Director Yang Fuxing."
"hehe……"
"Of course, Director Yang is also very honest, straightforward, easy to communicate with, and doesn't have any bad intentions."
When Chen Nan heard about Yang Fuleng's deeds, he immediately laughed.
Director Yang actually has such a buff?
Four Points, Four Points, what a good name!
With this name, I have to make friends.
After Luo Qiping finished speaking, Yang Fupeng walked out of the toilet, said hello, and left.
Chen Nan took Yang Fuleng to the office.
After the two sat down, Yang Fupeng stated his intention straight to the point.
"Director Chen, I am actually here today... mainly because of your acupuncture and anesthesia!"
"I guessed it from the beginning. You must have used acupuncture anesthesia combined with Haifu knife to perform the surgery."
"Sure enough, I guessed right."
"Your idea is very good and has great future."
"Most of the cancer patients are older, and after being eroded by cancer cells, their bodies are very weak and their tolerance is very poor. Not many can persist in completing the surgery!"
"However, acupuncture anesthesia, in this regard, does not have the side effects of anesthetics, and the effect is relatively good!"
"I just want to... see if we can cooperate?"
When Chen Nan saw what Yang Fuleng said, he did not agree hastily, but said seriously:
"Actually... this operation did not go as smoothly as expected!"
While talking, Chen Nan took out the surgery video, opened his laptop, and started playing it.
"Director Yang, look!"
"I found that I underestimated the Haifu knife surgery."
"Hai Fu Knife surgery requires focused solidification, and this process needs to penetrate some internal organs and tissues."
"As a result, the internal organs and tissues that need to be taken into consideration during anesthesia will definitely be affected."
"I noticed something during my surgery today."
"Acupuncture anesthesia is still not as precise and comprehensive as anesthetic drugs. There are still some problems with multi-level anesthesia."
"Look here, when I was operating on the old man, the other party made some movements. Although it was not big, it shows that there was a reaction..."
Yang Fupeng couldn't help but sit aside and look at it carefully.
When he saw where Chen Nan paused, he frowned: "You mean... if the patient does not have pancreatic cancer, or if the condition of pancreatic cancer is more complicated, accidents may occur?"
"No...it's not an accident. It's just an incomplete reaction to the anesthesia."
All of a sudden, Yang Fupeng frowned and started thinking.
The same goes for Chen Nan!
Today's surgery was very successful, but... it does not mean that acupuncture anesthesia is universal.
This technology is indeed imperfect and has some shortcomings.
Especially when dealing with some complex surgeries, this performance will be more obvious.
Chen Nan looked at Yang Fuleng's solemn look.
Suddenly he thought for a moment and then said:
"Of course, I also have other ideas."
"It's just...it's still in a trial period, and I can't guarantee it."
Yang Fupeng immediately looked at Chen Nan: "Director Chen, please tell me."
Chen Nan said solemnly: "Acupuncture and drug combined anesthesia."
"The skill exerts the regulatory effect of acupuncture, and can obtain a certain analgesic effect, and can also avoid the side effects of a large number of anesthetic drugs."
"But... I currently don't have a large number of clinical cases for this technology."
"so……"
"Director Yang, you understand."
"Also, I won't hide it from you. The oncology department of our hospital is currently encountering some problems and there is a large shortage of patients. If we want to complete clinical research, it will take a long time."
When Yang Fupeng heard the sound, he suddenly smiled and said:
"Director Chen, let's cooperate!"
Yang Fupeng's excited behavior actually confused Chen Nan.
"ah?"
"Did I hear correctly?"
"Director Yang, are you sure?"
Yang Fupeng nodded quickly: "Yes, I'm sure!"
"And, absolutely sure!"
"Our oncology department at Union Medical College is developing very well."
"I also know something about the strength of your hospital."
"We can work together."
"Haifu knife technology alone is enough."
"We can conduct a pilot project in your hospital to conduct research and development of Haifu knife technology."
"Patients, don't worry, there are a lot of patients in our hospital!"
…
After an hour of detailed discussions, Yang Fupeng and Chen Nan worked out the relevant details in detail.
And just when Yang Fupeng was about to leave, he suddenly called Chen Nan.
"Oh, right!"
"Oh, no...you should be attending a meeting next Saturday, so let's meet on Sunday."
Chen Nan heard the sound and suddenly became curious: "Meeting? What meeting?"
At this moment, Yang Fupeng was stopped and asked: "Huh?"
"Traditional Chinese Medicine Oncology Academic Exchange Conference."
"Aren't you going?"
"I heard... many experts in the field of oncology were invited, as well as well-known scholars of traditional Chinese medicine at home and abroad."
When Chen Nan heard this, he immediately became curious: "Oh?"
"I...I didn't receive an invitation."
Yang Fupeng was a little unbelievable: "Isn't that true?"
"You are the deputy director of the Integrated Traditional Chinese and Western Medicine Ward of the China-Japan Friendship Hospital, and you are in charge of the oncology department."
"This card is definitely needed."
"Perhaps your arrival time was too short, otherwise, how could such an international exchange on TCM oncology be without you!"
"But, you don't have to worry."
"They will definitely be prepared for next week."
"I forgot you just came!"
After saying that, Yang Fuleng stood up and left.
And Chen Nan didn't pay much attention to this meeting.
After all...compared to this inconsequential meeting, he still has a lot of work to do.
If he doesn't behave in the oncology department, it will obviously be unreasonable.
…
That afternoon!
In the oncology department, news soon came out.
Director Chen led the team and successfully completed Mr. Wang's surgery.
And the most important thing is... Xue Zhongqing and Lou Aicheng changed their title of Chen Nan from director to teacher Chen.
All of a sudden...it became news in the department.
The head nurse Xia Lianping looked at Lou Aicheng with some curiosity: "Director Lou, are you serious?"
Lou Aicheng nodded immediately: "Of course, once you are a teacher, you will always be a teacher. I, Lou Aicheng, am a person who respects teachers!"
"Teacher Chen is the most powerful person I have ever seen in the field of Haifu knife technology, bar none!"
"Even compared to Jinhua, it's still far behind!"
"If you don't believe it, ask Director Xue."
Director Xue nodded: "Well, I have also seen Director Yu perform surgery, and this time I personally followed Mr. Chen's surgery."
"The gap between the two is still very obvious."
"You will know after the inspection tomorrow."
After Xue Zhongqing finished speaking, everyone in the department suddenly became uproar.
"This...Director Xue, Director Lou calls him teacher because Director Chen personally taught him the technique of Hai Fu Knife."
"What...are you called teacher?"
Xue Zhongqing smiled slightly: "I learned even better!"
"If this really comes down to it, I would still be Director Lou's senior brother!"
"hehe……"
As soon as these words came out, Lou Aicheng rolled his eyes at Xue Zhongqing: "That's nonsense, why did he become a senior brother?"
Xue Zhongqing said with a smile: "I can call the teacher faster than you can!"
Lou Aicheng said: "Teacher Chen didn't even agree, okay?"
After finishing speaking, Lou Aicheng said to the two team members: "Okay, stop making trouble."
"Go and think about the surgery video carefully. There will be more patients in a few days!"
"Also, Director Xue, please don't hold back!"
"If it's because of you that it affects our surgical volume, it's your problem!"
Everyone on the side was extremely curious when they saw that the two of them had become serious.
"You said...did Chen Nan take some psychedelic drugs?"
"Yes, I have heard of a medicine called obedient water!"
"Go, go, make trouble!"
The head nurse Xia Lianping couldn't help but roll her eyes: "Okay, everyone, let's get busy!"
"Stop teasing!"
Shen Bing, the team leader in charge of the hospital beds, smiled bitterly: "There are not many patients to keep us busy now!"
"Head nurse, why don't you think of some ways to find some patients?"
"Speaking of which... do you really think that you can really recruit all the patients in a week as Director Chen said?"
"You said if you are not satisfied with the recruitment..."
Before he finished speaking, Lou Aicheng said with a smile: "It's impossible to attract dissatisfaction!"
Xue Zhongqing nodded in agreement, after all... brothers fighting tigers, father and son soldiers in the battle, although the status of this senior brother has not been determined yet, the dignity of this master must be maintained!
"That's right! Impossible!"
"No way!"
When Shen Bing heard this, he was happy: "Haha..."
"I say, you two, you are too involved in the drama."
"Make a bet?"
"If Director Chen can recruit all the patients within this week, I will treat you all to a big dinner!"
"How about I serve Director Chen a drink and apologize in person?"
"If you lose..."
"Two of you up?"
Shen Bing was an owner who was not short of money. As a native of the imperial city, his ancestors were in trouble, so he only had a few houses left. Once they were demolished, he became a nouveau riche.
However, Shen Bing is also low-key and does not have the temperament of a nouveau riche. His ancestors have been scholars for several generations, and his parents now work in the military hospital.
Xue Zhongqing smiled slightly: "That's good wine!"
Shen Bing: "It's necessary!"
Xia Lianping smiled and said: "Hey...be quiet, I have to talk to the big guys!"
"Director Chen, I can see that he is a person who is sincerely dedicated to his career."
"No matter whether we can complete the military order of Lao Shizi or not, everyone can't gossip!"
"Just do your job!"
Everyone nodded and said with a smile: "Head nurse, you were the one who made the most noise at that time!"
Xia Lianping rolled her eyes at everyone: "Go, go, go..."
"What a mess!"
"Looking at you makes me upset."
As he spoke, he smiled and walked away.
She is a straightforward person.
In fact, the oncology department is a very united department.
Otherwise, we would not allow everyone to deduct their salary to develop the department.
…
the next day!
Early in the morning.
The head nurse Xia Lianping personally took Mr. Wang for a postoperative check-up.
Just as I was about to leave, I suddenly saw a lot of people coming in the elevator.
Suddenly, the head nurse was stunned for a moment: "Are you..."
"Oh...we are here to be hospitalized!"
"This is the hospitalization certificate."
As soon as these words came out, Xia Lianping was stunned.
It's just...this...so many people?
Xia Lianping was a little confused.
Because there were nearly a dozen people at the door at this time!
There are 69 beds in the oncology department, of which 46 are currently vacant.
More than ten people came at once, but it was like providing help in a timely manner!
Xia Lianping said quickly: "Oh!"
"good……"
"Here, Xiaomi, Lele, go through the hospitalization procedures for the patient quickly."
Xia Lianping quickly called people to get settled.
At this time, she no longer had the time to send Mr. Wang for examination in person. With so many patients, she had to settle down.
While talking, she quickly arranged for someone to send Mr. Wang for examination.
And here, quickly arrange hospital beds.
But……
Xia Lianping was surprised to find that all this... was just the beginning!
Before nine o'clock in the morning, patients were pouring out of the elevator in an endless stream.
A group of people are here to check in for hospitalization!
All of a sudden, all the doctors and doctors in the department were confused.
This... this... this is too incredible, right?
Shen Bing looked at Wuyangyang's people and was stunned for a moment, then quickly arranged for the doctors to perform surgery.
Here, Lu Zhilin was equally happy in the outpatient clinic!
Today there are so many people taking the initiative to be hospitalized. How can he be unhappy?
Director Chen Nan and Chen are really capable!
"Director Shen...this...is all brought by Director Chen?"
"It's amazing!"
Shen Bing nodded: "Yes... this guy, it's only his second day!"
"Are there many people outside?"
"That's a lot! I thought, there are still about twenty more!" the little doctor said excitedly.
Shen Bing clicked his tongue and marveled: "Absolutely amazing!"
"Quickly, settle the patient, collect medical records for admission, prepare for the first trip!"
"Absolutely no more than eight hours!"
"We can't let Director Chen look down upon us."
"Director Chen, he's so cool!"
…
A group of people nodded.
This sudden group of patients shocked everyone in the oncology department.
Never underestimate the power of Xiehe Oncology Department.
You know, the queue for a hospital bed is several months old.
These dozens of patients are too simple.
After Yang Fupeng settled down for a while, so many people came all of a sudden.
…
At this time, Chen Nan had already begun rounds in the Spleen and Gastroenterology Department of Integrated Traditional Chinese and Western Medicine.
Shao Zizhen personally led the team and a group of doctors to start the ward rounds.
"Director Chen, our department has many patients and has two floors of wards."
"Our Department of Spleen and Gastroenterology combines traditional Chinese and Western medicine. It is said to be a department of spleen and gastroenterology, but in fact there are many miscellaneous internal diseases."
"So, sometimes it's not just spleen and stomach disease."
"You have an idea."
Shao Zizhen said with a smile.
Chen Nan nodded and smiled: "Well, okay!"
"Director Shao, please."
Shao Zizhen smiled and nodded: "Well, let's go faster, otherwise I won't be able to finish the ward rounds in the morning."
Shao Zizhen no longer had the initial complaints against Chen Nan.
After all, this guy is now a popular person next to the hospital leader, and Shao Zi really doesn't want to offend him.
While they were talking, the group began to conduct ward rounds. Shao Zizhen did not embarrass Chen Nan, and even asked Chen Nan for his opinion many times.
only……
Every time after Chen Nan made a speech, Shao Zi was really praised.
It made Chen Nan's face look a little more subtle.
Good guy...
This is a typical example of hypocrisy and coercion!
You just praise me, but... you are not sincere at all!
Not a single positive review!
What is this for?
At this time, Shao Zizhen took Chen Nan to a ward.
Shao Zizhen pointed at Chen Nan and said: "This patient has just arrived. He has diarrhea and poor appetite. The cause cannot be found."
The patient is a 40-year-old man. He smiles with old yellow teeth, a wide gap between his teeth, and a somewhat slovenly appearance.
When Chen Nan saw this, he nodded slightly.
Shao Zizhen greeted the patient at this time: "Hello, how are you feeling today?"
When the other party heard this, he looked at Shao Zizhen in astonishment, looking a little stunned, and then suddenly said: "Yeah!"
"good!"
This answer immediately made all the doctors around him dumbfounded.
Even Shao Zizhen frowned slightly.
Years of clinical experience and professional sense made him realize something was wrong:
"Zhang Laowu, what did you eat this morning?"
When the other party heard the sound, he was still the same as before and said something different than what was asked: "Eat!"
"Sit, sit!"
"hey-hey!"
As he spoke, he smiled politely.
At this moment, the doctors around him all came to their senses.
What's going on?
The patient in the other bed next to him saw this and said quickly: "He got up this morning and ignored everyone."
"When you talk to him, he's always indifferent!"
"I don't know what's wrong?"
As soon as these words came out, everyone suddenly became nervous.
Upon seeing this, Chen Nan quickly stepped forward, put his hand on the other person's wrist, and began to inspect it.
Suddenly, Chen Nan felt a special pulse.
The pulse condition is very strange.
The pulse is floating and stringy. If the pulse is lifted enough but not pressed enough, it is like the feathers blowing on the back of a bird in the breeze, or like a piece of wood floating in the water.
A floating and large pulse, a thin pulse that comes and goes as thin as a silk, should mean that it sinks and sinks without end. A stringy pulse is long and straight, like a silk string.
Chen Nan said to the patient: "Stick out your tongue."
The other party glanced at Chen Nan curiously and smiled: "Hehe."
This action may seem funny, but... every doctor can't help but feel a little thump in his heart.
Something bad happened!
The patient... suddenly became stupid?
When Chen Nan saw this, he looked at the other person's eyes, but clearly felt the clarity in his eyes.
Traditional Chinese medicine looks, smells, asks and feels, and diagnosis is the first step.
To look at God, look at form first; to look at God, look at eyes first.
It’s about the importance of eyes!
In ancient Chinese culture, the word "eyes" is often used, because there is a spirit in the eyes, which is called eyes.
Chen Nan clearly felt that there were no messy colors or perceptions in the patient's eyes.
After thinking for a moment, he took out a pen and paper and wrote on it: "Stick out your tongue."
After the other party saw Chen Nan's words, he quickly stuck out his tongue.
After seeing the coating on the other person's tongue, Chen Nan couldn't help but frown.
The tongue coating is thick and greasy, and there are green traces. Even though Chen Nan was wearing a mask, she could clearly smell a special odor.
This is...the smell of not brushing your teeth for how long?
When Shao Zizhen saw this, he also went up to diagnose.
He looked at the doctor beside him and said, "Please call the neurologist for consultation immediately!"
The other party nodded quickly and started to prepare.
At this time, Shao Zizhen obviously realized that the patient might have an intracranial lesion.
"Director Chen...what do you think..."
Chen Nan said to Shao Zizhen: "Aphasia!"
After hearing about aphasia, everyone looked at each other curiously.
"Speech function is controlled by one cerebral hemisphere, called the dominant hemisphere. Except for a few people, the dominant hemisphere of most people is located in the right cerebral cortex and its connecting fibers. Aphasia often occurs when the dominant hemisphere is damaged."
"The patient should have an intracranial infection!"
"Or... a brain abscess!"
As soon as these words came out, Shao Zizhen glanced at Chen Nan curiously: "Isn't that true?"
"Why is it said to be an intracranial infection?"
"The patient has just been hospitalized and had some relevant examinations yesterday."
"There is no trauma or inflammation of the ear canal, how could it cause intracranial infection and inflammation?"
"this……"
Chen Nan said seriously: "The patient's diarrhea is actually not due to a problem with the spleen and stomach function."
"It's because of intracranial nerve problems!"
"I just observed his pulse condition and found that the pulse condition is very strange. The pulse is floating and thin. The floating pulse can be lifted more than enough, but not pressed enough. It is like the feathers on the back of a bird blown by the breeze, or like wood floating in the water."
"I have encountered some pulse conditions like this, but they are very rare."
"Look at his tongue. It has thick and greasy coating, tooth marks, is fat, and has a distinct bad taste in his mouth."
"This is a rotten stench. This stench belongs to the smell of poison!"
"In Western medicine, this putrid odor is usually caused by secretions."
"Sinusitis, atrophic rhinitis, nasopharyngeal cancer, tonsillitis and pharyngitis, dental caries, periodontitis and other oral and upper respiratory tract infections and other diseases will secrete a large amount of protein-containing mucus, part of which forms nasal mucus, and the rest flows from the nasal passages
Oral pharynx.
This mucus partially adheres to the back of the tongue or the oropharynx, and when the protein is broken down, it produces a putrid odor."
After Chen Nan finished speaking, he took a deep breath.
"Traditional Chinese medicine believes that the spleen and stomach are the source of biochemistry. However, the patient's pulse is floating and thin, which is a yin disease."
"Looking at his tongue and pulse, this tongue condition should be a recent condition, but the pulse condition has been around for a long time, which means... spleen and stomach disease is just a symptom."
"The patient's true condition is caused by deficiency of yang and excess of yin, which blocks the clearing of the orifices!"
When Shao Zizhen heard this, he quickly frowned: "But when he was admitted to the hospital, he did not have high blood pressure, diabetes, etc... let alone intracranial lesions!"
"Although no head CT was performed,...he had no intracranial changes at all."
"If this isn't a spleen and stomach disease, what could it be?"
Chen Nan shook his head and said nothing.
Instead, he walked to the patient again and continued to feel the pulse.
After he achieved "control" in pulse diagnosis, it was difficult to go deeper.
And this time...
He seemed to vaguely grasp the key point.
Later, Chen Nan clearly grasped that in the patient's pulse, there was obvious signs of sufficient qi and blood in the spleen and stomach.
Not an illusion!
But it is even more difficult to peek into the head!
According to traditional Chinese medicine, the internal organs are not located in the head at all.
How to start?
Chen Nan was also in trouble.
This may require him to delve deeper.
As expected, this subtle art has a long way to go.
However, this will not affect Chen Nan's diagnosis.
He said: "The patient's condition should be classified as a brain abscess."
"Perform relevant examinations as soon as possible, or, I think, transfer to another department."
At this time, a voice suddenly sounded in my ears:
"The patient had no signs of brain abscess, and...how did you judge it?"
“The patient’s test results haven’t come out yet!?”
Chen Nan nodded: "Well, there is indeed no result."
"But...the brain of Chinese medicine is the light orifice, where the six meridians gather!"
"And similarly, the mouth, ears, nose, and eyes are all connected to the brain."
"The patient's condition... may be closely related to bacterial infection in the mouth."
"The tongue coating and smell in the patient's mouth can indicate that there is putrid poison in the patient's mouth. This poison can easily invade the light orifices."
"The patient's pulse is stringy and thin, which is a pulse due to yang deficiency."
"The head is where the six yangs gather, and if the yang qi is insufficient, it is easy to be invaded!"
"Check it out as soon as possible!"
After hearing these words, Ye Liangyu, director of the Department of Neurology outside, was stunned!
because……
What Chen Nan said was so similar to a study he just read today!
He just saw a latest paper today!
This article is part of a study published yesterday in the Journal of Dentistry.
Investigated brain abscesses and their association with bacteria occurring in the mouth.
Although this type of abscess is relatively uncommon, it can cause significant mortality and morbidity.
This retrospective analysis used data from 87 patients with brain abscesses admitted to neurosurgery units in the UK over a 16-year period. Microbiological data obtained from abscess sampling and peripheral cultures were used to identify brain abscesses with no primary source of infection (NSI). patients (n=52), or where the source of infection (ISI) was found. Microbial data were then screened to identify common oral bacteria in each group.
The results showed that compared with the NSI group (n= 29) (p<0.05), the brain abscesses in the ISI group (n= 35) showed a significantly reduced dominance of oral bacteria (n= 8);
and!
Brain abscesses most commonly occur in the frontal and parietal lobes of ISI and NSI.
That is, in cases of brain abscesses with no clear cause, the oral cavity can be considered the source of occult infection.
This theory is the latest result of research by Dr Holly Roy, NIHR Clinical Lecturer in Neurosurgery at the University of Plymouth and Plymouth University Hospitals NHS Foundation Trust.
and……
These words, he actually got the certification from a Chinese medicine doctor?!
Is this...possible?
Even Ye Liangyu didn't quite believe it, or it was hard for him to believe that the big boss at Plymouth University had come up with the theory after a lot of funding and research...
How come it comes from a young Chinese medicine doctor?