"Dr. Fang means that the previous medicine was wrong?"
Wang Xialin didn't care much about Fang Manliang's face, he was more concerned about the patient's condition.
"Yes, it's the wrong word."
Fang Ledao: "The patient lost a lot of blood during a previous miscarriage, and then suffered from anemic shock many times. His vitality has never recovered. Coupled with long-term anti-tuberculosis treatment, his spleen and stomach have been severely damaged. Using bitter and cold drugs at this time is just adding insult to injury.
, if the stomach qi is cut off, there will be no cure."
"If a person has stomach qi, he will live; if he does not have stomach qi, he will die."
Fang Le said slowly.
"Is Dr. Fang exaggerating?"
Fang Manliang's tone has become a bit weaker.
"If we don't talk about anything else, let's talk about diarrhea. The patient's diarrhea is also due to cold dysentery. The use of bitter and cold medicines for cold dysentery will damage the stomach yang. In the long run, it will damage the kidneys and shake the foundation of life."
Fang Le said earnestly: "The patient's condition is complicated. The condition has been prolonged, with long-term diarrhea and long-term resistance to tuberculosis. He is overwhelmed. At this time, we must be more cautious when using medication..."
Fang Le did not notice Fang Manliang's arrival when he said what he said just now while checking the medical records. His tone was indeed a bit harsh. Fang Manliang was dissatisfied, and Fang Le could understand it, but since he had spoken, he had to make it clear.
What Fang Le said at this moment was not to popularize science or to show off himself, but to be treated in Tangdu Hospital and Fang Manliang must be persuaded.
This is also the difference between other hospitals and our own hospital.
If it was in the emergency department of Xijing Hospital, Fang Le no longer needed to convince anyone. Even if Han Shengxue was present, he would probably agree to Fang Le's plan. But at Tangdu Hospital, it doesn't mean that Fang Le knows how to treat it.
Once you have the plan, people will use it.
In Tangdu Hospital, Fang Le is not qualified to practice medicine. This is one of the reasons. At the same time, except for Pan Qingguo, who knows a little about Fang Le at Tangdu Hospital, everyone else does not understand at all. A young man can do whatever he says. This hospital is
Are all the doctors around here so irresponsible?
In the observation room just now, Wang Xialin immediately sent someone to notify the Department of Traditional Chinese Medicine. The real purpose was not for consultation, but for check.
Wang Xialin doesn't understand Chinese medicine. Wang Xialin can't judge whether what Fang Le said is right or whether the prescription he prescribed can be used. He can only judge and check it by doctors from the Department of Traditional Chinese Medicine.
Treating patients is not that simple. Doesn’t it mean that the patient is still suffering in the hospital bed and you are just pretending to be cool?
Even if it is a normal consultation, there must be priorities and what the consultation is. The purpose of consultation is to express each other's opinions, and then convince each other, or complement each other, and finally come up with the best treatment plan.
What Fang Le has to do now is not to prescribe a prescription, but to convince Fang Manliang and make Fang Manliang agree with his judgment so that he can take the medicine.
If it doesn't make sense in the end, Fang Le can only continue to communicate with Qiu Fugui to see if he can be transferred to another hospital.
"Cold dysentery?"
Fang Manliang frowned.
"The clear Qi does not rise, the spleen is depressed, and there is pus and blood under the dysentery..."
Fang Le said slowly: "When I was in the observation room just now, I noticed that the patient was in the ward, covered with a quilt, but still wearing cotton clothes."
"It's really cold..."
Fang Manliang's mouth opened slightly.
"Dr. Fang, how do you think the patient should be treated based on his current condition?"
Wang Xialin could tell that Fang Le's level was not low.
Although Wang Xialin did not understand some of the professional terms Fang Le said, he could see that Fang Manliang did not have the upper hand in front of Fang Le after he came in.
The two people have been discussing the matter at this moment, talking about the patient's condition rather than scolding the shrew. In the specific debate, Fang Manliang did not mention Fang Le, which shows that Fang Le's level should not be lower than Fang Manliang.
"Fortunately, the patient is still a young man. Although he is too exhausted, his breath is dying, and his condition is critical, I just checked the pulse. The pulse is fine and stable. He can still read two feet, and there is still a glimmer of hope."
Fang Le said slowly: "My suggestion is to stop taking all the previous drugs from now on, and first strengthen the body to strengthen the body, revive the spleen and save the stomach, and restore the stomach qi. If the stomach qi comes back, then the patient will still be alive."
"Stop all medications?"
Wang Xialin pondered for a moment: "Don't we need to consider the patient's tuberculosis?"
"First strengthen the body and restore stomach qi, and we will talk about the rest later."
Fang Ledao: "The patient must first be allowed to eat on his own so that he can eat normally, and then he can take care of himself later. Anti-tuberculosis drugs also cause serious damage to the patient's spleen and stomach..."
As he said that, Fang Le paused and said: "There is something that Director Wang and Director Pan may not know. Last year, I took a leave of absence from school because of tuberculosis and returned to my hometown to recuperate. At that time, my life was hanging by a thread and I almost couldn't recover.
"
"Dr. Fang, did you suffer from tuberculosis last year?"
Huang Xiaolong, Li Xiwen and others did not know about this matter, only a few people such as Cheng Yunxing and Cheng Zaiming knew about it, and Cheng Yunxing did not tell anyone about it.
"Well, you can go back and ask Cheng Yunxing and you will know."
Fang Le said: "Cheng Yunxing and I are classmates. He knows very well that when he accidentally saw me in the hospital last year, Xingxing was very surprised and thought he saw a ghost."
"Doctor Fang also suffered from tuberculosis?"
Wang Xialin, Fang Manliang and others were also a little unconvinced. Looking at Fang Le's current appearance, his face was rosy, his eyes were bright, and his health was quite good. It didn't look like he had suffered from tuberculosis.
Especially Pan Qingguo, he knew that Fang Le had to undergo six operations a day.
"Director Wang, don't look at me like that. I've recovered, okay." Fang Le said with a smile.
"Dr. Fang fell ill last year. Was it Dr. Sun who treated him?" Fang Manliang asked.
"It's a self-rescue."
Fang Ledao: "I didn't know Mr. Sun at that time. I was seriously ill in the hospital and my family was poor, so I went back to my hometown. I was dying at the time and I was unwilling to give in, so I just saved myself..."
"My family is poor?"
Pan Qingguo, Huang Xiaolong and others suddenly felt that Fang Le was telling stories. Is this to persuade Wang Xialin and Fang Manliang?
Driving a luxury car and holding a mobile phone, Huang Xiaolong and others couldn't associate poverty with Fang Le.
Which poor family is like Fang Le? If this is called poverty, they also want to be poor.
"What do you think, Director Fang?"
Wang Xialin stopped worrying about the authenticity of what Fang Le said and asked Fang Manliang.
"this......"
Fang Manliang was a little hesitant.
If he nods now, then the main responsibility is his, but if he doesn't nod, what Fang Le said still makes sense.
Fang Manliang's use of Pulsatilla soup last night was indeed biased, but it does not mean that Fang Manliang's level is not up to par. Qi Yuanshan also made mistakes, and Qi Yuanshan cannot be dismissed just because of one mistake.
After all, Fang Manliang is the deputy director. Fang Manliang can still judge whether Fang Le's analysis just now is reasonable.
But what if?
Analysis similar to Fang Le's is also instructive and cannot be said to be accurate.
"Director Wang, if you are undecided, I will discuss with the patient's family and transfer the patient to Xijing."
Fang Le said to Wang Xialin: "We can't delay it any longer. The longer we delay it, the more difficult it will be to treat it. The patient is still receiving infusions at the moment."
Just now Fang Le checked the pulse, and the nurse tied the infusion tube to the patient.
"Go and stop the patient's infusion."
Wang Xialin hurriedly gave instructions to the resident doctor next to him.
After giving the instructions, Wang Xialin urged Fang Manliang: "Director Fang, can you please tell me not to delay the patient's treatment? Dr. Fang is willing to transfer the patient to Xijing. This is responsibility. What about us?"
Wang Xialin can't stand Fang Manliang's ink marks.
"From the analysis, we can give it a try."
Fang Manliang pondered for a moment and said, "Doctor Fang, let's prepare the prescription first. I'll take a look at the prescription first."
"good."
Fang Le picked up a pen and paper, wrote the prescription, and handed it to Fang Manliang.
Red ginseng (pounded and fried), raw pinellia, cornus, raw yam...decoct 300 ml of thick juice...
When Fang Le was writing the prescription, Huang Xiaolong, Li Xiwen and Cheng Yunhai were also watching.
"There is no aconite!"
Huang Xiaolong whispered to Li Xiwen.
"Yes, there is no aconite." Li Xiwen also smiled and nodded.
Fang Le is called Fang Aconite in their Xijing Hospital. It is said that most of the medicines prescribed include aconite, especially for critical illnesses, the dose of aconite is often very large, but this time there was no aconite.
"Director Fang."
Fang Le wrote the prescription and handed it to Fang Manliang.
Aconite is used in everything. Do you really think that aconite is a panacea?
"Feed slowly part of the time a day..."
Fang Manliang read the prescription and hesitated: "Judging from the prescription, I can give it a try."
There is no aconite in the prescription, and the dosage of the medicine this time is not too large, and there are few controversial medicines. Raw pinellia is poisonous, and the dosage is 30 grams, which is within Fang Manliang’s tolerance. Cornus and
The dosage of raw yam is larger, 100 grams, but both medicines are relatively mild.
Cornus meat is sour, astringent, slightly warm in nature, raw yam, neutral in nature, sweet in taste, nourishes the spleen and stomach, promotes body fluid and lungs, and the dose of 100 grams does not seem to be too risky.
"Director Fang actually agreed."
Li Xiwen smiled and leaned into Huang Xiaolong's ear and said.
"There's no aconite, so Director Fang doesn't think there's any danger."
Huang Xiaolong smiled and said: "If Dr. Fang comes back with 200 grams of aconite, Director Fang will probably pee in fear."
Although Xijing Hospital is not far from Tangdu Hospital, there is no chat group or mobile phone. Landline phone charges are not cheap, and news spread is much slower. Our own hospital is fine. If it is an external hospital, unless there are some meetings or activities
Encounter chat, otherwise it will take a while for things from other hospitals to spread to another hospital.
Fang Le tried Fuzi, but Fang Fuzi's reputation is still limited to Xijing Hospital, and Tangdu didn't know about it.
Fang Manliang glanced at Huang Xiaolong and Li Xiwen who were mumbling. He couldn't hear clearly what they were mumbling, but he always felt that the two young men had ill intentions and seemed to be talking about him.
Fang Le was close enough to hear clearly. He turned back and glared at Li Xiwen and the two of them, and they hurriedly shut up.
Do you really think that Aconite is a panacea and can be used for all kinds of diseases?