The siren of the ambulance came closer and closer. When they heard the siren of the ambulance, Fang Le, Cheng Yunxing and other people who were still in the duty room hurriedly left the duty room and headed to the emergency channel of the emergency department.
"The patient is 60 years old and is from Shang County. He fell down and fell into coma at three in the morning. Rescue efforts at the county hospital failed and he was rushed to our hospital."
While the patient was being carried out of the ambulance, the doctor following him also talked about the patient's condition.
"Pulmonary heart disease, respiratory failure combined with cerebral crisis."
Hearing the doctor who was following the car tell the patient's condition, the doctor responsible for picking up the car felt a little troubled.
"The diagnosis revealed that he was unconscious, his face was ashen, his feet were cold, and his knees were swollen..."
Fang Le followed the flat cart to push the patient to the emergency room while doing examinations.
"Fecal incontinence."
As he said this, Fang Le looked at the patient's crotch, which was wet and had a very obvious odor.
"Cheng Yunxing."
Fang Le shouted.
Cheng Yunxing hurriedly took the folder and started recording: "Bigujiuxin Decoction, 150 grams of aconite, dried ginger, 60 grams of licorice..."
After coming to the emergency department for so long, Fang Le has already established his authority with facts. Even though Yang Xiaohui was present next to him, no one questioned Fang Le's decision when Fang Le spoke.
"Fang Le."
Cheng Yunxing wrote the prescription and asked Fang Le to confirm it.
"Yes, the prescription is correct. Go to Director Han to sign it, then grab the medicine and ask the nurse to prepare it in the emergency room. Decoction it quickly with strong fire, and then pour it in as you cook it."
Fang Le looked at it, signed it, and then explained to Cheng Yunxing.
Cheng Yunxing took the prescription and hurried to find Han Shengxue.
Han Shengxue was in the emergency department at the moment. A large group of people were accompanying Mu Xuehui to visit the emergency department. When they heard the sound of the ambulance, a group of people subconsciously came here. Cheng Yunxing met Han Shengxue halfway.
"Director Han."
Cheng Yunxing handed over the folder in his hand.
"Aconite 150 grams?"
When Han Shengxue saw the prescription, he felt a headache.
This kid Fang Le really challenges people's nerves at any time.
It would be unbearable for me to do this to you from time to time.
"How is the patient?"
Han Sheng Knowledge.
"Pulmonary heart failure, respiratory failure combined with cerebral crisis, unconscious." Cheng Yunxing said hurriedly.
"Tsk!"
Han Shengxue didn't dare to delay. He picked up a pen and signed the prescription: "Go and get the medicine."
“150 grams of monkshood?”
Mu Xuehui beside him was also startled.
"Fang Le also has a nickname in our hospital, known as Fang Fuzi. The maximum dose of aconite was 200 grams."
Han Jiangong on the side smiled bitterly and said: "Every time this kid takes medicine, the dosage is seriously excessive."
"With such a large dose, won't something happen?"
Mu Xuehui asked.
"The patient has pulmonary heart failure, respiratory failure, and cerebral crisis. It can be said to be a very difficult situation. Life and death are on the line. No one can be 100% sure about this situation.
"
Han Shengxue said: "In this case, we as doctors can only try our best to save the patient and go all out."
"Yes, who can guarantee this situation?"
Although Mu Xuehui is not a doctor, he knows from the name of the disease how difficult this situation is.
"If I go to see if it will affect the rescue?" Mu Xuehui asked.
"Since Fang Le has already given the prescription, he should have a plan and it will not affect it." Han Shengxue said.
"Then go and have a look."
Mu Xuehui said: "Before I came to Qinzhou Province, I also met some powerful traditional Chinese medicine doctors. I still know a little bit about aconite medicine. The dosage of 150 grams seems to be more than simply exceeding the standard."
"Fang Le said that at the beginning, the predecessors drew a circle, which was a safety line. Later generations, for the sake of safety in actual clinical practice, drew another circle inside the circle. Generation after generation, the circle became more and more
The smaller the dose, the larger the circle is within the smaller circle, and the smaller circle is within the smaller circle. According to the current pharmacopoeia, it is basically impossible to reach the standard dose."
Han Shengxue explained.
"circle?"
Mu Xuehui smiled: "This statement is interesting and very vivid."
While talking, a group of people arrived at the emergency room.
The emergency room of the emergency department is very large. The emergency room is the place where patients are first treated and rescued after they are brought to the emergency department. Unlike the operating room, the general emergency room even allows the patient's family members to be present.
For critically ill patients, follow-up treatment can only be carried out after first being rescued, out of danger, and the cause of the disease identified.
There were almost no patients in the emergency room at this time, and only the patients who had just been sent, Yang Xiaohui, Gao Dawei and several others were present.
Because Fang Le was present and had already given the prescription, the others did not interfere at the moment.
Seeing a group of people suddenly entering the rescue room, everyone in the rescue room became a little nervous.
In the morning, every department has received news that Boss Mu is coming to the hospital. At this moment, Han Jiangong and Liu Changsheng are following, as well as directors of other departments. In such a formation, the middle-aged man surrounded by a group of people is
It’s obvious who is there.
"Boss Mu."
The others were a little nervous and didn't know whether to say hello or not, but Fang Le was the first to say hello.
"We meet again."
A slight smile appeared on Mu Xuehui's face: "I heard that a critically ill person is here. Dr. Fang will handle it personally. I'll come over and take a look. Is it okay?"
The conversation between Boss Mu and Fang Le instantly shocked a large group of people.
Judging from Boss Mu's tone, he and Fang Le have met before and are relatively familiar with each other.
For a moment, several doctors in the emergency room looked at Fang Le with a little surprise.
Fang Le was obviously from a rural background, so how could he know so many big guys?
"The patient's condition is now clear, and he's just waiting for the medicine to be administered. It won't be a problem."
As he was talking, a nurse came in with equipment for brewing medicine. She was getting ready nearby, and Cheng Yunxing also hurried in with the prepared medicinal materials.
Entering the emergency room, Cheng Yunxing was stunned.
"Don't be stunned, give me the medicinal ingredients."
It was Fang Le who shouted, and Cheng Yunxing came back to his senses.
Wuhuo Jijijian uses boiling water, that is, water that has been boiled, and then simmers it over high fire.
Wu Huo Ji Jian is generally used for acute and critical illnesses.
It is originally boiling water. After adding the medicinal materials and simmering it over high heat, it will soon boil again. After boiling, you can start to give it to the patient.
"Xiao Fang, if I remember correctly, the toxicity of aconite will not weaken until it is boiled over high heat for an hour. It is boiling water, so this should be the most toxic time, right?"
Mu Xuehui asked in confusion, Boss Mu actually knew a little bit.
"What I'm using now is the great heat and poison of Aconite."
Fang Le gently scooped out the decoction and asked Cheng Yunxing and a resident doctor beside him to open the patient's teeth and take charge of injecting it. At the same time, he explained to Mu Xuehui: "If you are a healthy person, you will naturally not be able to bear such toxicity, but the patient can't stand it."
Now he is dying, his internal balance has long been broken, and he is plagued by illnesses. At this time, he needs the heat and poison of aconite to restore Yang and save his life, so that it is possible to save the patient's life."
"Severe diseases require heavy medicines?"
Mu Xuehui was thoughtful.
"Exactly."
Fang Le nodded, while scooping out the decoction appropriately, he continued to add water to it. When it boiled, he scooped out the decoction again, and then continued to add water. On the other hand, Cheng Yunxing cooperated with the two residents to continue feeding the patient.
For two or three hours, Fang Le filled up the boiling water in a nearby kettle before the patient's condition began to improve.
Everyone around can see the patient's obvious improvement.
The patient's complexion was gray before, but now his complexion has turned chlorotic. Although the patient was unconscious, his head was sweating like oil. Others didn't understand it well. Zheng Gaofeng, the director of the Department of Traditional Chinese Medicine, knew very well that the sweating like oil on his head was caused by yang.
With signs of gas explosion, the patient's condition can be said to be in critical condition.
But now the patient's forehead no longer sweats.
Fang Le stood on the side and shouted a few words. Although the patient was still unconscious, the patient showed signs of opening his eyes when Fang Le shouted. Fang Le shouted, and the patient opened his eyes for a moment and then closed them again.
Then Fang Le sat on the edge and carefully checked the pulse, felt for ten minutes, and then stood up: "Increase the original dose of aconite to 200 grams, and continue taking it until the patient is completely awake."
Others only saw Fang Le's calmness, but Mu Xuehui kept staring at Fang Le and could see that Fang Le felt a clear sense of relief after feeling his pulse.
Zheng Gaofeng, director of the Department of Traditional Chinese Medicine, also noticed Fang Le's relief.
Excessive use of aconite will definitely put you under tremendous pressure as a doctor.
Others may only see Fang Le's power, see how great Fang Le is, such a serious condition improved under Fang Le's rescue, but only those who know the inside story can know that every time Fang Le rescues a critically ill patient, he has to
It is a major test for myself.
It is difficult for a doctor without any sense of responsibility to have such courage.
"Now I kind of understand why Fang Le wanted to try Aconite himself."
Zheng Gaofeng said with deep feeling: "For such a large dose of medicine to be effective, doctors must be able to control the medicine, especially a drug that is very popular and poisonous. Only by trying it yourself can you grasp the appropriateness."
, knowing how much dose should be used, the dose is too light and it is difficult to be effective, and the dose is too high and the patient cannot bear it, and it is very difficult to grasp the proportion. "
The dose that Zheng Gaofeng said was too light is definitely not too light as others understood it. Just like this time, Fang Le used 150 grams and then told him to change it to 200. This shows that when Fang Le used 150 grams, he was not too light.
It is very cautious, but if you use 90 grams or 100 grams, it is still a large dose for other people, but for patients, it may not be effective.
If it doesn't work and still exceeds the standard, the doctor's responsibility is quite heavy.
Nowadays, most Chinese medicine practitioners dare not take excessive doses of medicine, which is also crucial. How many people dare to risk their own responsibility to gamble their lives for patients?
"Has Fang Le tried Aconite himself?"
Mu Xuehui asked softly.
"Yes, fifty grams of aconite, in front of many doctors in the whole hospital." Zheng Gaofeng said with a bitter smile.