Song Kai also frowned slightly. Is this young doctor a reckless man?
During this period, some Chinese medicine dosage restrictions were very strict. The more formal the hospital, the fewer good Chinese medicine doctors, and this is also the reason why the treatment of diseases is less good.
In regular hospitals, medical records and medical records must be filed, and doctors must abide by some regulations more strictly. For drugs like Xinshi, there are very large restrictions on the use of drugs.
Some drugs such as Aconite are also very restrictive.
This is also one of the reasons why many folk Chinese medicine doctors are not willing to enter hospitals. Although there are restrictions in their own hospitals, they should adapt to circumstances and be cautious when using medicine. As long as nothing goes wrong, generally no one will hold them accountable.
But in the hospital, even if no one pursues the case, some excessive dosage prescriptions do not have the signature of certain leaders, and the pharmacy will not dispense the medicine at all.
Pharmacies are inspected and audited by pharmacists. The purpose is to prevent doctors from prescribing wrong medicines. For drugs with excessive dosages like this, pharmacies will most likely have to call them back.
It would be better if it was a powerful and well-known doctor. Generally, the prescriptions that treat vice-pregnant patients are not very easy to use. Especially in emergency situations, the pharmacy has to call back to confirm, sign, and go back and forth. The time is almost wasted.
Just now Qi Yuanming mentioned Xinshi, but Song Kai did not dare to answer. If the patient's condition was not really difficult, the issue of dosage would not even be discussed.
It's just that as the director of the emergency department, Song Kai is very aware of the problem Qi Yuanming mentioned. The patient's condition does not allow for trial and error.
Trial and error is very common in actual clinical practice, whether it is traditional Chinese medicine or Western medicine.
When facing a disease, depending on the severity of the condition, the most prudent method must be adopted first. Being prudent means that the results may be slow or ineffective.
Modern medicine also has specialized anti-insect drugs and anti-insect drugs for insect drums, but they cannot be said to be necessarily effective. In this case, there will be risks if there is delay.
But the problem is that using letter stones is even more risky, at least in Song Kai's opinion.
“If you want to hit the target with one hit, you must grasp the dosage.”
Fang Le said slowly: "The dosage is insufficient. If it's just insect fainting, the patient's life will be in danger."
"Director Qi!"
Song Kai asked Qi Yuanming for his opinion.
"Doctor Fang is right, you really have to hit it with one hit."
Qi Yuanming nodded, and then asked Fang Le: "How can Dr. Fang ensure that the dose is appropriate? The risk of Xinshi is very high."
"Feel."
Fang Le said: "As for the doctor's feeling, as for proof, I can't say."
Qi Yuanming fell silent.
After being a doctor for so many years, Fang Le talked about feelings, but Qi Yuanming did not refute it. Sometimes people's feelings are indeed wonderful, and some of the intuitions and feelings of great doctors are sometimes very accurate.
For some diseases, doctors select dosages based on judgment based on symptoms on the one hand, and experience and intuition on the other hand.
In fact, feeling is just an extension of experience and is not aimless.
Just like an old detective, who often deals with gangsters and solves cases. Sometimes when he sees a person, he intuitively feels that there is something wrong. Often this intuition is very accurate, and this intuition is created by long-term experience and other aspects.
If you ask him why and what evidence he has, you may not be able to tell, but you feel that he is not a good person.
Seeing a group of people who were still a little confused, Fang Le took a breath, looked at the patient again, and said slowly: "The worm should be about two feet long, and it is not a small worm. Otherwise, it would not be possible for the patient to be like this. Ordinary doses would not be effective.
."
"Doctor Fang are you sure?"
Qi Yuanming looked at Fang Le.
Chong Chang Fang Le can actually tell this, is this?
"According to the dosage I mentioned, I'm at least 80% sure."
Fang Le pondered for a moment: "And even if the dose exceeds the standard, I will be there to ensure that the patient's life is not in danger."
Niu Baohua couldn't help but feel a handful of grass in his heart.
I have the confidence to go.
Everyone else also looked at Fang Le, and what Fang Le said was really domineering.
I am present to ensure that the patient's life is not in danger.
"Since Dr. Fang said so, let's take the medicine."
Qi Yuanming pondered for a moment: "Dr. Fang is a liver surgery expert after all. There is no need to gamble his future with his fame."
Qi Yuanming's words were not actually said by Fang Le, but as a reminder to others.
Fang Le is not unknown. People often say that newborn calves are not afraid of tigers. Some young doctors are sometimes aggressive and like to take a gamble. They may have a bright future. If there is an accident, interns or residents will not be able to do it.
He has no reputation and can afford to lose.
Ke Fangle is already a nationally renowned liver surgery expert and the surgeon in charge of the country's first living donor liver transplant. How can such a person gamble casually?
Not to mention traditional Chinese medicine, Fang Le has become very popular in the industry in his lifetime.
This truth is very clear. He is already a famous doctor. If he can take risks at this time, he must be confident. Is it possible that there is something wrong with his head and he is committing suicide?
Fang Le did not hesitate and wrote the prescription. Qi Yuanming read it and signed it.
"I'll get the medicine myself."
Song Kai took the prescription and hurried out of the emergency room. If other people took this prescription, the pharmacy would definitely bring it back.
"Thank you, Director Qi."
Fang Le thanked Qi Yuanming.
"I should be the one thanking Dr. Fang."
Qi Yuanming said: "The patient is a patient of our Shanghai Hospital. Dr. Fang is a guest after all. Dr. Fang is confident. How can we, the doctors of this hospital, hold us back?"
This is also a reflection of Fang Le’s position in the industry.
If a doctor wants to have a say, he must have capital. With a high status, he will have less constraints on what he can do, and he will not delay things in many cases.
Although Fang Le is ridiculously young, he can now talk to directors on an equal footing in many hospitals. This is the difference. Otherwise, who will listen to you?
"Treating diseases and saving people does not distinguish between host and guest." Fang Le said with a smile.
Qi Yuanming: "..."
This young man...
When the medicine comes, a group of people watch the patient take the medicine in person, and then they all wait.
About half an hour after taking the medicine, the patient felt unbearable abdominal pain, had the urge to defecate, and swabbed a red worm about two feet long.
When they saw the red worm that they had killed, everyone was a little unbelievable, and the worm chief was just as Fang Le had judged.
"Dr. Fang is great."
Qi Yuanming saw the worm growth and then examined the patient, and he sincerely praised it.
Not to mention other aspects, looking at this case alone, Qi Yuanming felt ashamed, and he himself was not sure.
"Director Qi is so complimentary."
Fang Le said politely: "I heard about Director Qi's reputation when I was in Xijing. Mr. Qi is also a famous doctor..."
Fang said with amusement: "Director Qi, I heard that Mr. Qi has been ill recently?"
"yes."
Qi Yuanming nodded, this matter is not a secret, many people know about it.
Qi Youmin was in poor health. The Qi family did not deliberately tell anyone or publicize it.
Qi Youmin is a great doctor, and the three sons of the Qi family are also great. Qi Youmin is not in good health, and there is nothing he cannot say to others. Unlike some companies that join a group, the person at the helm is seriously ill, and they hide it in the short term to avoid business damage.
This does not exist in the Qi family.
"The old man is getting older and his health is not as good as before. There is nothing we can do about it."
Qi Yuanming said calmly, without saying that he wanted Fang Le to take a look.
Although Fang Le's performance was good, when Qi Youmin fell ill, there was really no shortage of famous doctors. Not to mention the Qi family brothers, there were many famous Xinglin doctors who visited Qi Yuanming this time.
Fang Le just checked Qi Youmin's situation from Qi Yuanming's mouth and asked casually.
"Thank you, Doctor Fang. I'm sorry to bother you all tonight."
After confirming that the patient's condition was stable, Song Kai breathed a sigh of relief and thanked Fang Le.
"Director Song, you're welcome."
Fang Le looked at the time: "It's getting late, it's time to go back to bed."
"I'll give it to you."
Niu Baohua said hello to everyone and sent Fang Le out of the department. Others also sent Fang Le to the door of the emergency room and watched Fang Le and Niu Baohua go away.
"hiss."
After Fang Le and Niu Baohua left, Ye Xiangjun took a breath: "I really can't believe that Fang Le is so young, so powerful outside the liver, and his level of Chinese medicine is so high."
"As expected of Sun Qingping's student."
Qi Yuanming also said: "Let me just say that Mr. Sun couldn't be just looking for something else when he accepted his disciple. I just didn't expect that Fang Le's level of Chinese medicine far exceeded my expectations."
Qi Yuanming had previously speculated about Fang Le. Fang Le had a high level of extrahepatic skills and might be interested in Chinese medicine and had some talent, so Sun Qingping accepted him as his disciple.
Traditional Chinese Medicine and Western Medicine, Western Medicine and Traditional Chinese Medicine are nothing new.
Some people have been practicing Chinese medicine for more than ten years and then suddenly switch to Western medicine. Some people have been Western medicine for more than ten years and suddenly study Chinese medicine. This is normal. It’s just that it’s rare for surgery to cross over to internal medicine, let alone surgery to cross over into Chinese medicine.
But tonight, Fang Le did surprise Qi Yuanming.
Judging the length of worms and determining the dose are not ordinary methods.
Fang Le said it was a feeling. Even if it is a feeling, having such an accurate feeling shows that Fang Le's level is not low.
"I can't believe there is such a genius in this world?"
Song Kai was also full of surprise.
While the three people were talking, Niu Baohua had returned.
Niu Baohua also sent Fang Le out of the department, not directly to the guest house.
"How about it? Fang Le's level is not bad, right?"
Niu Baohua came over and asked with a smile.
"A true freak."
Ye Xiangjun said: "You are so young, who did you learn this from?"
"Speaking of this, Fang Le also brought his enlightenment teacher with him this time."
Niu Baohua glanced at Qi Yuanming as he spoke: "He is an old man in his sixties, his name is somewhat similar to Director Qi, his name is Qi Yuanshan."
"what is it call?"
Qi Yuanming was stunned for a moment, then asked immediately, his voice rising a little.
"Qiyuan Mountain."
Niu Baohua asked in confusion: "Why, do you know Director Qi?"
"Where is he now?" Qi Yuanming continued to ask.
"It's in the guest house of our hospital." Niu Baohua said.?
(Today’s two updates are both 3,000-word chapters...)