I worked as a doctor for several years before I traveled through time, and even longer if I include my exposure to medicine since I was a child.
Fang Le graduated with a doctoral degree. Other doctoral students spent at least half of their time studying in school and had few opportunities to go into clinical practice. They were already in their thirties when they entered the hospital. However, because of family connections, Fang Le was admitted as an undergraduate.
Start clinical practice.
Accurately calculated, the time spent in the hospital is longer than the time spent in school, and I have to ensure that I don't fail the class. It is really a state of intense study and work.
After time travel, Fang Ledu felt that he had learned a lot. Now following Cheng Yunxing around the Traditional Chinese Medicine Department of Xijing Hospital, Fang Ledu couldn't help but feel a little itchy, and really wanted to treat a patient with a difficult and complicated disease.
However, Fang Le is not even considered a medical intern now and has no medical qualifications, so he can only watch.
Cheng Yunxing is an intern and has no medical qualifications. However, his father is the deputy director of the department, the chief physician, and the second-in-command of the Traditional Chinese Medicine Department. Cheng Yunxing is the second generation brother here. All the doctors in the department are very polite to them.
"Xingxing", or "Xiaocheng".
Occasionally, Fang Le heard someone named "Xiaoyun".
Could it be that this classmate of mine is called Cheng Yunxing or Cheng Xingyun?
Fang Lejue is more likely to call him Cheng Xingyun.
Well, not bad. Fortunately, I already know the names of my classmates, otherwise it would be a bit embarrassing.
With Cheng Yunxing leading him, Fang Le visited the department, but no one said anything. He went through all the places that he could and couldn't go in the Traditional Chinese Medicine Department.
When passing by a ward, a patient had just been admitted to the ward. A middle-aged doctor in his fifties was taking a young doctor in his twenties to examine the patient.
Cheng Yunxing took Fang Le in and stood on the side watching.
The patient was a middle-aged man in his fifties. When Cheng Yunxing and Fang Le entered, the patient's family was explaining the patient's condition to the middle-aged doctor.
The patient suffered from paroxysmal severe abdominal distension and pain, which lasted for a day, and was constipated at the same time. He was transferred from the outpatient department to the inpatient department.
After hearing what the patient's family members told him about the situation, the middle-aged doctor also began to examine the patient. He pressed the patient's abdomen and with a slight touch, the patient became unbearable in pain.
"The pain refuses to press!"
While doing the examination, the middle-aged doctor was talking to the young doctor next to him, and the young doctor was holding a folder to record the situation.
In the 1990s, all major hospitals still had handwritten medical records, and it took 2,005 years for electronic medical records to be implemented in major hospitals.
Handwritten medical records, from admission to discharge, various examination details, diagnosis details, and medication status must be recorded. The middle-aged doctor checks and talks about the situation while the young doctor records it, which makes it easier to write medical records later.
Sometimes some situations are missed.
"How are you urinating?"
"Isn't it disgusting?"
During the examination, the middle-aged doctor asked questions and told the young doctor next to him: "Constipation, flatulence, vomiting, inability to eat, vomiting after eating, light red tongue, yellow and tender coating, and strong and strong pulse.
.....”
The middle-aged doctor said something, and the young doctor next to him took notes.
After checking the pulse, the middle-aged doctor stood up and asked the patient's family: "Have you had any examinations done elsewhere before?"
"I did an abdominal X-ray during the outpatient examination..."
The patient's family members hurriedly handed the examination at the outpatient clinic to the middle-aged doctor.
In the meantime, the doctor took the test results and looked at them.
"A large amount of gas in the intestinal cavity, acute pain on the face, toothache all over the abdomen, no rebound diarrhea, and constipation are signs of stagnant heat and abdominal gas obstruction."
As he said that, the middle-aged doctor asked the young doctor next to him if he had taken his temperature.
"It was measured, 37.2°C."
The young doctor hurriedly replied.
"Um!"
The middle-aged doctor nodded, and then said to the patient's family: "Excessive heat is stagnant and abdominal gas is blocked. I will write a prescription later. I will take the medicine first and see how it goes."
"Thank you, Director Wang."
The patient's family members politely thanked him.
These days, the relationship between doctors and patients is relatively harmonious. The most important thing is that most patients have awe of hospitals and doctors.
From the war years to the poverty era, medical treatment was underdeveloped, it was difficult to get medical treatment, and there were few doctors. It was very difficult to seek medical treatment. Because of the difficulties, most people respected and were polite to doctors.
Later, the relationship between doctors and patients gradually became tense, which was caused by many factors. On the one hand, the bad apples among doctors did hurt the hearts of many patients and their families. At the same time, with the increase of hospitals, it was relatively easy to see a doctor. In addition, the social atmosphere changed.
With the change, some patients and their families have gradually become arrogant.
A slap cannot make a difference, it can only be said that both parties are responsible.
"You're welcome."
Director Wang nodded to the patient's family, then turned back to Cheng Yunxing and smiled: "Xingxing, you didn't go to the outpatient clinic with Director Cheng today?"
"Director Cheng is not attending the outpatient clinic today, I will be studying in the inpatient department."
Cheng Yunxing said politely.
"Well, learn more and read more."
Director Wang smiled and walked out of the ward while talking. Fang Le and Cheng Yunxing also followed Director Wang out of the ward.
After leaving the ward, Director Wang and the young doctor walked to the other side, while Cheng Yunxing took Fang Le to the other side.
While walking, Fang Le said to Cheng Yunxing: "Xingyun, what do you think of the patient's condition just now?"
Cheng Yunxing looked back at Fang Le and said angrily: "My name is Yunxing, please don't change my name."
Fang Le: "..."
I went and worked for a long time, but I still got the name of classmate Cheng wrong.
Fortunately, classmate Cheng didn't realize that his classmate Fang Le didn't know his name at all.
"The patient just now?"
Cheng Yunxing really didn't pay attention to Fang Le's small mistake, thinking that Fang Le had done it on purpose, and started to talk about the patient's condition: "Constipation, nausea, abdominal pain, and strong pulse. Judging from the pulse syndrome, they are all positive manifestations. Director Wang diagnosed it as
There is nothing wrong with real heat and stagnation."
As he spoke, Cheng Yunxing looked at Fang Le: "You won't find any problems again, right?"
"The patient does not have severe fever, has yellow but not dry fur, a red tongue, and the abdominal pain is paroxysmal. Although the pulse is solid, the pulse is numerous. Judging from various symptoms, the patient has cold-dampness symptoms. Why?
Can it be concluded that the heat in the Tao is stagnating?"
Fang Le said slowly: "Just based on the patient's abdominal fluoroscopy results? The intestinal cavity is heavily inflated, constipation?"
Cheng Yunxing was stunned.
"Am I wrong?"
Fang Le asked with a smile.
"Don't worry."
Cheng Yunxing stopped and showed a very serious expression: "You just said that the patient does not have severe fever, the coating is yellow but not greasy, the tongue is red, paroxysmal abdominal pain, and a heavy feeling...
..These do seem to be symptoms of cold-dampness again..."
"So Director Wang made a wrong diagnosis?"
"What do you think?"
Fang Le asked rhetorically.
Cheng Yunxing is also a second-generation doctor, no, he is a third-generation doctor. His grandfather is a famous Chinese medicine expert, and his father is the deputy director and chief physician of the Department of Traditional Chinese Medicine of Xijing Hospital. Therefore, compared to other classmates in the same grade, Cheng Yunxing's foundation is much more solid.
My level and knowledge are also better than other students in the class.
When Fang Le said this, Cheng Yunxing thought about it carefully. It seemed that it was really cold and damp. So it was cold and damp abdominal pain?
But Director Wang is the deputy chief physician after all. Is it wrong?
"Why didn't you say anything just now?"
Cheng Yunxing asked Fang Le.
"Am I stupid?"
Fang Le said something in his mind, and said with a smile: "Director Wang and I are not familiar with each other, and people don't believe me as a young person. Isn't it better to talk too much and get scolded?"
"So you tell me and then ask me to go find Director Wang and get scolded?"
Cheng Yunxing asked rhetorically.
"Your father is the deputy director."
Fang Le said with a smile: "You can tell your dad to check the patient again. Besides, Director Wang probably won't dare to scold you. Maybe he will praise you in front of your dad."
"Tch, I will take the credit for your work?"
Cheng Yunxing glared at Fang Le: "I'm going to find my dad, do you want to come with me?"
"I'd better forget it."
Fang Le smiled and reminded: "Don't sell me out. Say it in front of your father. Don't say it in front of Director Wang. If they hate me, how can I come to Xijing in the future?"
"Fang Le, I find that you have changed too much now."
Cheng Yunxing looked Fang Le up and down: "You didn't talk much before, but you're not as naughty as you are now."
"Am I naughty?"
Fang Le smiled, is he being naughty?
At best, it's self-protection. There's no need to stuff yourself into a cannon, right?