Fang Le didn't know what Gao Dawei was thinking, and of course, Fang Le didn't need to know either.
No matter how old Fang Le is now, Fang Le is still the same Fang Le in his heart. He is a medical genius who comes from a family of traditional Chinese medicine. His father is the number one doctor in Xinglin in the country. He became a genius doctor at a young age and became the deputy director of the emergency department of Jiangzhong Hospital.
Maybe it's heredity, or maybe it's family upbringing. Before rebirth, Fang Le was actually about the same age as Zheng Jinfan, only a year or two older at most. But in terms of level and knowledge, Fang Le was definitely several miles ahead of Zheng Jinfan.
The gap of sixty years cannot be bridged by a simple sea turtle, let alone one with talent.
When he's in a good mood, Fang Le doesn't even mind joking with some interns. After all, he's still a young man, but when he's in a bad mood or becomes more serious.
As a talented doctor who had served as deputy chief physician, Fang Le pointed at the nose of the deputy chief physician who was older than Gao Dawei and scolded him, but no one dared to talk back.
This is actually the reason why Gao Dawei involuntarily reversed his status when he got along with Fang Le. Fang Le had such a temperament.
Gao Dawei often has the illusion that he is not working with an intern, but Yang Xiaohui or Han Shengxue.
"Doctor Gao!"
Fang Le and others had just come out of the consultation room when a nurse called for someone not far away.
"This is Dr. Gao, you follow Dr. Gao."
While shouting, the nurse led the patient over.
The patient is a woman in her forties, supported by her husband, holding her abdomen while walking.
"Acute abdominal pain?"
Seeing the patient's appearance, Gao Dawei hurriedly led the patient into the consulting room just now.
Although Gao Dawei is the doctor in the treatment room and is mainly responsible for debridement and suturing, it does not mean that he does not understand other aspects. It is just that he is not as specialized as some doctors.
Acute abdominal pain should not be underestimated clinically.
Acute abdominal pain has complex causes and variable courses. There are many reasons for acute abdominal pain and it is difficult to diagnose. Acute intestinal obstruction, acute appendicitis, gastric perforation and many other diseases have the symptoms of acute abdominal pain. Some acute diseases even develop rapidly and can lead to serious complications if not handled properly.
There will be life danger.
While taking the patient into the clinic, Gao Dawei asked: "When did the pain occur? Have you had similar symptoms before? Is the pain colic, distension, or other pain?"
"Doctor, we came here specially from the county hospital below."
The patient's husband hurriedly explained the situation and explained it in detail.
According to the patient's husband, the patient suddenly developed abdominal pain after an argument with her mother-in-law a week ago, and was treated at the local county hospital. The treatment lasted for a week, but the effect was not good, so she came to Xijing Hospital.
I originally planned to go to the outpatient clinic to register, but before I was called, the pain became unbearable. The nurse at the outpatient clinic gave me some advice and told me to come to the emergency room to register for a checkup.
"This is the checkup list from the county hospital and some medicines I took."
While talking, the patient's husband also handed over the bag in his hand. Fang Le reached out to take it, then took it out and looked at it.
While Fang Le was looking at the patient's checklist, Gao Dawei had already examined the patient and asked about the situation.
"Doctor Fang!"
After asking, Gao Dawei stood up and walked to Fang Le.
"There is no clear diagnosis, but some antibacterial, anti-inflammatory, antispasmodic and analgesic Western medicines are used."
Fang Le handed the list in his hand to Gao Dawei.
"There is no diagnosis, which means the cause is unclear."
Gao Dawei said softly to Fang Le: "I just asked that the patient has no history of hepatobiliary diseases, and acute appendicitis can be ruled out."
"Here, put your arms up."
Fang Le did not talk to Gao Dawei anymore, but walked to the edge of the treatment table, asked the patient to put his arms up, and stretched out his hand to feel the patient's pulse.
Just now, Fang Le did not take over the patient immediately because he had been observing the patient's condition from the side.
The patient's complexion was pale and dull, his lips were slightly red, and he belched frequently.
When he came over, he looked painful and clutched his abdomen.
When Gao Dawei was examining him just now, although Fang Le looked at the patient's examination sheet, he also paid attention to the patient's condition. The specific pain points were the right flank and epigastrium. When the pain was there, he even retched and vomited...
...
When Gao Dawei was doing the examination, he was a little afraid to touch it. If he pressed it even slightly, the pain would be unbearable and the patient refused to press the pain.
"How are your bowel movements?"
Fang Le asked questions while feeling his pulse.
"The urine is yellow, but the stool is fine."
“Did you urinate a lot?”
"not much."
After asking a few questions, Fang Le switched to the patient's other hand and felt for the pulse. Fang Le then looked at the patient's tongue coating.
The tongue is reddish, the tongue coating is thin and white, and the pulse is stringy and weak.
While inspecting, Fang Le was making judgments while Cheng Yunxing was recording on the side.
"Doctor, why don't you prescribe some medicine first? My wife is in so much pain that she can't bear it anymore."
The patient's husband couldn't bear it.
"You have already used a lot of painkillers at the county hospital, but they have no effect."
Fang Le spoke while writing a prescription: "The painkillers are ineffective, which means there are no special drugs. There is nothing we can do about it."
"That......"
The patient's husband didn't know what to say.
They were treated in the county hospital for a week, but the painkillers really had no effect. Especially at night, the patient was tossing and turning in pain. The painkillers prescribed had no effect, and the doctor could only stare.
"I'll prescribe a prescription, take a dose first, go through the hospitalization procedures, and observe in the observation room for a day."
While talking, Fang Le handed the written prescription to Cheng Yunxing: "Take the patient to go through the hospitalization procedures, and then take the medicine according to the prescription."
"Let's go!"
Cheng Yunxing took the prescription, looked at it carefully, and greeted the patient.
"Doctor, is my wife acting unreasonably sick?"
When preparing to go out, the patient's husband couldn't help but turn around and ask Fang Le: "Are you just staying for one day?"
The patient also sat on the stool without getting up. His face was still full of pain, but he also looked at Fang Le.
When doctors have been working for a long time, they basically have a habit. When diagnosing a patient, the patient doesn't ask too many questions, and the doctor doesn't talk too much.
On the one hand, patients with some diseases may not understand it clearly. It takes a lot of effort and time to explain, and patients may not understand it.
On the other hand, some diseases are not suitable to be discussed in front of the patient’s family or in front of the patient.
The patient and his family didn't ask just now, and the patient was in severe pain. In order not to waste time, Fang Le didn't explain. He planned to wait until the patient's pain was relieved after he was hospitalized and took medication, and then communicated with the patient's family or during ward rounds.
Tell me why.
But since the patient and his family asked, Fang Le had to explain.
"Actually, it's not a serious illness. To be precise, it's just that I'm angry and my stomach hurts."
"Angry?"
Cheng Yunhai beside him opened his mouth slightly.
It's so violent that it's been hurting for a week and it's still not gone?
The patient's husband was a little embarrassed.
The patient's husband just mentioned the cause of the disease. The patient had abdominal pain after an argument with his mother-in-law. Now Fang Le said that he was angry and his stomach hurt. As a husband, he was embarrassed.
On one side is the mother and on the other side is the daughter-in-law.
It’s hard to be a man.
However, this statement is obviously not enough to satisfy the patient's husband and the patient.
Fang Le continued: "From the perspective of traditional Chinese medicine, it is because of being anxious and angry that causes excessive cold energy, which affects the spleen and stomach, triggers the flushing of qi, and causes abdominal pain..."
"Anger hurts the liver, have you ever heard of it?"
Fang Le asked the patient and his family.
The patient said nothing, and the patient's husband smiled awkwardly.
Anger hurts the liver, happiness hurts the heart, sadness hurts the lungs, thinking hurts the spleen, and fear hurts the kidneys. In fact, many people know something about it. In the 1980s and 1990s, many people in many villages knew some earthwork methods.
It’s just hearsay, and some of them are actually very effective.
For example, eggplant can cure toothache. It is recorded in the "Compendium of Materia Medica". Especially after the eggplant root is soaked in white horse urine, the effect is doubled. It is not an exaggeration to say that the effect is immediate. Many elderly people in the village know something about this.
Seeing the expression on the patient's husband's face, Fang Le knew that the patient's husband had heard of it.
Many diseases or pathologies of traditional Chinese medicine are different from modern medicine, and most people cannot understand them. As a doctor, when explaining to patients, he must start from common sense that most people know.
When he was studying medicine as a child, Fang Le's father told Fang Le that doctors of traditional Chinese medicine must not be mysterious. The more mysterious they are, the easier it is not only to discredit traditional Chinese medicine, but also to get themselves into trouble. Even if the disease is cured, the patient will not be grateful to you.
.
The patients are confused about their illness, they are confused about taking the medicine, and the patients are confused about their recovery. How can I thank you?
If something happens, I will think of you immediately.
"The liver governs anger and belongs to wood. It is the official of the general and the master of planning. Once the temper is too strong or the anger is serious, it will cause the wood energy to become strong. The spleen and stomach belong to the earth, and the earth produces wood. Wood restrains the earth. If the liver wood is strong, it will restrain the crime.
The spleen and stomach cause the ascending and descending functions of the spleen and stomach qi to be disrupted, resulting in the upward and downward flow of qi..."
"I understand, thank you."
The patient's husband nodded awkwardly, then supported his wife and followed Cheng Yunxing out of the consultation room.
Although what Fang Le said later about the patient and the patient's family is not true, but anger hurts the liver and wood suppresses the earth, the patient understands, and a general understanding in his mind is actually enough.
It takes several years for a doctor to understand these things. For a complete layman, it is unrealistic to expect him to understand everything in just a few words.
Not to mention Chinese medicine, even Western medicine, patients don’t fully understand it. What most patients and their families want is just to have a mental picture and roughly know what’s going on.
"Dr. Fang, you are really capable of doing everything with ease."
When the patient was taken out by Cheng Yunxing, Gao Dawei smiled and flattered him: "You have such a high level of Chinese medicine, why did you come to the emergency department? In the Chinese medicine department, with Director Cheng here, aren't you just like a duck in water?"
"Doctor Gao."
Fang Le shouted with a smile.
"Doctor Fang, please tell me."
Gao Dawei said with a smile.
"Doctor Gao, do you feel comfortable?"
Fang Le asked with a smile.
"Well!"
Gao Dawei was stunned for a moment, then said with a wry smile: "I'm so comfortable, I'm just enjoying myself in hardship."
"If you want to be free, you have to make yourself stronger. You will never be able to thrive under the care of others."
Fang Le said as he walked outside the clinic.
"I......"
Gao Dawei opened his mouth and said to himself, "It's really hard to take care of me. I'm being flattered and lectured."