Gao Dawei nodded and personally performed a puncture examination on the patient.
"Doctor Fang!"
Gao Dawei came to Fang Le's side with a syringe. The syringe was filled with purulent liquid.
While letting Fang Le check it, Gao Dawei marveled in his heart.
I really have never seen anyone like Fang Le.
He understands traditional Chinese medicine, surgery, and unexpectedly internal medicine. His accurate judgment makes Gao Dawei a little unbelievable.
"Um."
Fang Le nodded.
Judgment is judgment. Modern medicine cannot simply rely on judgment to make a diagnosis. Pure judgment, unless it is an emergency, otherwise some examinations that should be done will still be done.
The biggest difference between traditional Chinese medicine and Western medicine is that traditional Chinese medicine relies more on personal judgment, while modern medicine believes more in data.
"Doctor Fang!"
He Yaoping had been waiting for the test results to come out, and then he hurried over with the test sheet. It was not only a urine test, but also a blood test.
"White blood cells 16,000, neutral 90?"
Looking at the test results that He Yaoping brought, Gao Dawei was surprised again: "Dr. Fang, it seems that you are right, acute suppurative appendicitis combined with diffuse peritonitis."
"Communicate with the patient's family and then arrange hospitalization. Pay attention to observation tonight."
Fang Le had already ordered the prescription just now, and now he was actually just waiting for the results, without any delay on either side.
"I'll go there myself."
As Gao Dawei spoke, he left the emergency room and went to communicate with the patient's family. Fang Le didn't stay long and went directly back to the duty room.
The prescription was taken once every two hours, two doses in a row. After the first dose was used, the patient's high fever subsided, and Fang Le went back to Han Shengxue's office to rest, and did not worry about the follow-up.
In the second half of the night, I don’t know if there were any more patients, or if other patients could be handled. Anyway, no one disturbed Fang Le, who slept until half past six in the morning.
"Doctor Fang is awake."
Fang Le came out of Han Shengxue's office. In the duty room outside, Gao Dawei greeted Fang Le with a smile.
"Dr. Gao didn't sleep all night?"
Fang Le asked.
"After sleeping for a while, I actually just woke up and made a cup of tea." Gao Dawei said with a smile.
"I'm going to wash my face first."
Fang Le went to wash his face first. When he came over, He Yaoping had already made tea for Fang Le. Cheng Yunxing was also there, and there was breakfast on the table.
"Didn't sleep all night?"
Fang Le asked Cheng Yunxing with a smile.
"I slept for a while, in the duty room."
Cheng Yunxing obviously didn't sleep well and was still yawning.
"Why didn't you come in?" Fang Le asked with a smile.
"Don't you dislike my snoring?" Cheng Yunxing curled his lips.
"Xingxing was studying the prescription you prescribed last night. He studied until two or three o'clock, then he fell asleep on his desk."
Gao Dawei smiled and said to Fang Le.
"Well, that's right, a kid can be taught." Fang Le nodded with satisfaction, earning a look of disgust from Cheng Yunxing.
Cheng Yunxing went out to buy breakfast, and He Yaoping made the tea, because the tea he made for Fang Le was nearby. He Yaoping was also lucky enough to get a bun bought by Cheng Yunxing, which made He Yaoping very happy.
Chen Jidong, who was not far away, was very angry.
Chen Jidong was a little confused. He had made tea for Fang Le and had flattered Fang Le before. Why did Fang Le dislike him so much?
...
"Director Han, Director Jiang, Director Cheng..."
In the morning, Han Shengxue came to the department together with Cheng Zaiming, Jiang Hailei and other five chief physicians from other departments who had consulted last night.
Early in the morning, after Han Shengxue and others arrived, they went to the ICU immediately to learn about the patient's condition last night. After leaving the ICU, they went to the emergency department first.
Because I was delayed for a short time in the ICU, when Han Shengxue came over, the department had already taken over the shift, and many doctors were busy. There were not many doctors in the duty room. When Han Shengxue and several others entered the duty room, it happened to be
Met Huang Xiaolong who was about to go out.
"Nothing happened in the department last night, right?"
Han Shengxue asked Huang Xiaolong casually while leading Cheng Zaiming and Jiang Hailei inside.
"I went home last night, but when I first came here, I heard that an emergency case came in around ten o'clock last night. It was acute suppurative appendicitis combined with diffuse peritonitis."
"What?"
Originally Han Shengxue just asked casually, but after hearing Huang Xiaolong's words, Han Shengxue stopped subconsciously. Jiang Hailei and Cheng Zaiming who were following Han Shengxue also did the same and looked at Huang Xiaolong.
"How is the patient treated? Is it general surgery?"
Han Sheng Knowledge.
"Dr. Fang handled it." Huang Xiaolong replied.
"Fang Le?"
Han Shengxue's voice rose a lot: "Can Fang Le still perform an appendectomy?"
Although Fang Lehui already had a lot of people, Han Shengxue still found it a bit unbelievable that he knew how to perform an appendectomy.
At this time in 1995, minimally invasive intervention had not yet begun to become widely popularized, and appendectomy was still generally performed through laparotomy. Although laparotomy was considered a routine operation in surgery, it was not a minor operation.
The significance of laparotomy and tracheotomy performed by Fang Le are different.
"Dr. Fang did not perform surgery, but used traditional Chinese medicine decoction."
Huang Xiaolong said: "I learned about the situation after going to work. When the patient came last night, he had a high fever of 39.4°C. He took medicine once every two hours last night and had diarrhea several times. The high fever has subsided in the morning, and his body temperature was 37.2°C. He also had abdominal pain and appendix pain.
It has been significantly relieved.”
"Where's the patient?"
Before Han Shengxue had time to ask, Jiang Hailei asked impatiently.
"In bed 16 in the observation room." Huang Xiaolong replied hurriedly.
"Let's go and have a look."
Jiang Hailei took the lead and took the first step, which seemed a bit urgent.
"No, what's going on with Xiao Jiang?"
Han Shengxue was a little confused: "The patient has appendicitis, but it's not a lung tumor. Why is he more concerned about it than me?"
"That's because the other person is interested in you."
Cheng Zaiming chased after him as he spoke.
Acute suppurative appendicitis made Cheng Zaiming curious not to mention Jiang Hailei.
Many people who are familiar with traditional Chinese medicine, or those who have a little knowledge of it, know that appendicitis is the disease that is most often used to attack traditional Chinese medicine.
Before penicillin was discovered and before Western medicine was introduced, appendicitis could be said to be a disease with a high mortality rate.
Many people now lump appendicitis into the same category as intestinal carbuncle in traditional medicine. In fact, to be precise, appendicitis belongs to intestinal carbuncle, but intestinal carbuncle does not only include appendicitis.
The name of intestinal carbuncle comes from "Su Wen Jue Lun". It is common in acute abdomen and belongs to the category of acute abdomen. Diseases such as intestinal ulcers and appendicitis in modern medicine can all be classified into intestinal carbuncle.
It is undeniable that intestinal carbuncle is indeed difficult to treat, especially the purulent and necrotic types, which are indeed quite difficult. Therefore, before the popularization of surgery, the mortality rate of diseases such as appendicitis or intestinal necrosis was indeed high.
But being high does not mean that Chinese medicine cannot cure appendicitis. Again, when Chinese medicine treats diseases, it pays more attention to people, and the doctor's personal level is very important.
Cheng Zaiming himself is a traditional Chinese medicine doctor and a chief physician, so Cheng Zaiming is very aware of the difficulties of acute suppurative appendicitis combined with acute diffuse peritonitis.
The observation room in the emergency department is larger than the ward in the specialist department. There are more beds in the observation room. Han Xinwu and his wife are with bed No. 16. On the bed is Han Xinwu's 16-year-old son.
Han Dongdong.
"It's all dad's fault."
Han Xinwu sat on the edge of the hospital bed and replied to his son: "Who told you not to do your homework for two days? Seeing that you are going to school today, you told me that you have a stomachache."
"I haven't been feeling well these past two days."
Han Dongdong took advantage of his illness to act a bit arrogant.
For children, when they are sick, it is the best time to act coquettishly for their parents. Especially when the illness is serious, parents who are usually strict can become softer, and they can take the opportunity to ask for things that they usually dare not or cannot ask for.
If you dare not say or cannot say, you can take the opportunity to say it.
If it weren't for being really uncomfortable being sick, having to get injections from time to time, or even being in pain, many children might be looking forward to being sick all day long.
The younger the children are, the less they have a concept of illness and the greater their sense of luck. They always feel that death is far away from them, and they do not understand the hardships of their parents. They do not know that hospitalization costs a lot of money, or they do not understand
Not a lot of money is hard earned.
"It's dad's fault."
Han Xinwu laughed along with him: "We don't want to think about anything now. We need to recover well. When we recover, we will study hard and make up for the lessons we owe. When the high school entrance examination is over, dad will take you to play in the Qinling Mountains."
"I'm going to the zoo."
Han Dongdong said.
"Okay, let's go to the zoo."
Han Xinwu nodded.
"I want to go after I'm discharged from the hospital." Han Dongdong pushed further.
"You are in the third year of junior high school now, and you have a heavy study task." Han Xinwu persuaded patiently.
"I just want to go. After I go, I will study hard and not panic." Han Dongdong said and started to frown again.
Children in the third grade of junior high school are not considered too big or too small.
"Okay, I'll go as soon as I'm discharged from the hospital."
Han Xinwu nodded helplessly.
While the father and son were talking, not far away, five chief doctors including Jiang Hailei, Cheng Zaiming, and Han Shengxue came hurriedly towards this side.
The chief physician, except for Jiang Hailei, who is younger and is careful not to look too old, the others are all in their early fifties. With so many old doctors coming together, it instantly caused panic in many beds in the observation room.
.
Someone even recognized Han Shengxue, director of the emergency department.
"Bed 16?"
Jiang Hailei arrived at Han Dongdong's bedside, looked at the bed number at the head of the bed, and asked at the same time.
"Ah, yes."
Han Xinwu was sitting next to the hospital bed, and when he looked up, he saw Jiang Hailei's nameplate.
Chief physician, Jiang Hailei!
Han Xinwu was stunned when he saw Jiang Hailei's nameplate. Cheng Zaiming had arrived. Han Xinwu subconsciously shifted his gaze and saw Cheng Zaiming's nameplate.
Chief physician, Cheng Zaiming.
Looking at the five doctors hurried over and the badges on their chests, Han Xinwu felt his eyes darken, his head spinning, and he sat down on the ground along the hospital bed with a plop.