Lin Gaofei invited Fang Le and others to his office, then went out to get a pot of hot water and started boiling water to make tea.
Before the tea was brewed, the attending doctor accompanying Lin Gaofei had already arrived with the patient's medical record.
"Professor Fang!"
The attending doctor was very polite.
Although Fang Le is young, his status in the industry is not low now. Even their director has to be careful with him, let alone him.
"Thanks!"
Fang Le thanked him, opened the medical record and started looking at it.
Judging from the medical records, the patient had symptoms of red and white diarrhea for more than a month before admission, and then gradually began to feel abdominal distension...
After arriving at the hospital, a more detailed examination was performed on the patient. Hepatomegaly and ascites were diagnosed as cirrhosis and ascites. A series of corresponding treatments were adopted, but the treatment effect was not great.
At the same time, the patient's liver function indicators are also very poor. In recent days, he has been unable to eat and has a shortage of urine...
"Professor Fang, drink tea."
While Fang Le was looking at the medical records, Lin Gaofei had already made tea, poured a cup of tea for Fang Le, and said beside him: "Professor Fang, the patient is older and it is still quite difficult to treat. During this period, we have also adopted
Many treatment measures have been taken, but the results are not good..."
"Um."
Fang Le nodded.
Clinically, it is relatively difficult to treat elderly patients, no matter what the disease is.
Elderly patients are physically weak and have poor body functions. Sometimes they may not seem to have any serious problems, but their bodies are like a car that is close to being scrapped. It can still be driven when there are no problems. Once problems occur, various problems will gradually appear.
"At present, the patient's liver function is already very poor, and it is also involved in other aspects. We have also considered whether to perform surgical treatment before."
Lin Gaofei continued to talk to Fang Le.
Ascites due to liver cirrhosis can also be treated clinically with surgery.
"It's just that the patients are older and the risks of surgery are also greater."
Fang Le continued to nod, read the medical records carefully, and then placed them on Lin Gaofei's desk.
"Judging from the patient's condition, it is not at the stage of surgical treatment."
Fang Ledao: "Judging from the patient's medical history, the patient should have developed ascites due to red and white dysentery syndrome before. The clinical manifestations are chronic spleen and kidney yang deficiency. Internal cold and dampness stops, and liver qi stagnates.
Causes liver enlargement..."
Lin Gaofei didn't understand at all, but he still pretended to listen carefully, just like a scumbag pretending to listen carefully. In fact, he didn't understand a word of what Fang Le said.
This is status.
For doctors who have no status, sometimes no matter how reasonable what you say, someone will jump out and question it. Especially in the medical circle, seniority is particularly important.
In addition, the profession of doctor is a relatively important profession. It is related to the life of the patient. Even if the old doctor does not understand it well, or even if he does not understand it, the standard of measurement is safety. Without status, there is no
It is indeed difficult for young people with seniority to get ahead.
But once you have a position in the industry, your farts will smell good. Even if what you say may be wrong, others will not dare to question it rashly if they don't understand, and they must give you enough respect.
Lin Gaofei is a doctor of Western medicine and does not understand Chinese medicine, so naturally he cannot understand what Fang Le said, but Lin Gaofei has to show enough attention to prove that he is listening.
"Professor Fang means to use conservative treatment with traditional Chinese medicine first?"
After Fang Le finished speaking, Lin Gaofei asked politely.
"If Director Lin has no objection, my suggestion is to try the traditional Chinese medicine method first. I will prescribe it first, take two doses and see the effect."
Fang Le was also quite polite, not from a condescending point of view, but in a consultative tone.
When he first entered Xijing Hospital, Fang Le's status was not high and his right to speak was limited. At that time, when discussing with others, he had to adopt a confident attitude and be sharp when debating, in order to win people's trust.
But as your status increases, you sometimes have to be more humble when communicating.
Fang Le's father once taught him that the higher the status, the easier it is for people to be arrogant. Once they are arrogant, they may make mistakes. Therefore, the higher the status, the more you know how to listen to other people's opinions. Maybe some people's opinions can help
You correct the error.
When everyone is negligent, never underestimate anyone, even an intern. His discoveries may help you save some of the negligence caused by carelessness.
As the song goes, some casual words cleared up my doubts.
"Then let's try Professor Fang's method first?"
Lin Gaofei said and looked at Lu Qisheng: "What does Dr. Lu think?"
"Listen to Professor Fang."
Lu Qisheng hurriedly expressed his position.
Since Fang Le was invited from Jiangzhong, Lu Qisheng would naturally not go out of his way to offend Fang Le again.
Lu Qisheng is a smart man and a master of technology.
In fact, the more technical masters like Lu Qisheng, the more they understand the truth, that is, as a layman, you must not question the expert at will, because your questioning will not have any positive effect, but will become an obstacle.
And along the way, Lu Qisheng was indeed impressed by Fang Le's character.
Fang Le can be recommended by Lin Gaofei, can be respected by others, and has such a status in the industry, which is not a wasted reputation. However, along the way, Fang Le has been worried about the condition of the patients.
This alone moved Lu Qisheng.
"Then let me make a prescription first."
While talking, Fang Le lay on Lin Gaofei's desk, wrote a prescription, and handed it to Lin Gaofei.
90 grams of aconite, 30 grams of dried ginger...
Use Si Ni Wu Ling Powder to add and subtract.
Although Lin Gaofei had heard of Fang Le's name a long time ago and was convinced of Fang Le's level, he still couldn't help being shocked when he saw the prescription.
In the eyes of some Chinese medicine practitioners, 90 grams of aconite is too much, let alone a layman. In the eyes of people who do not understand traditional Chinese medicine, 90 grams of aconite is even more scary.
"The patient's condition is due to internal stagnation of cold-dampness, liver enlargement caused by stagnation of liver qi, and deficiency of lung and kidney qi, which results in the inability to regulate water channels, transform qi and diuretic. The factor causing the patient's bulging ascites is internal stasis of cold water..."
Although Lin Gaofei didn't say a word, Fang Le also saw Lin Gaofei's thoughts: "In this case, we should use the method of warming the middle, strengthening the yang, transforming the qi and driving away the water. This recipe is Si Ni Wu Ling San, which belongs to the God of Fire.
The famous prescription is famous for its large dosage of medicine."
"I just said this recipe looks extraordinary."
Lin Gaofei said with emotion.
Fortunately, Xingxing didn't follow him, otherwise he might have felt contempt in his heart.
Fang Fuzi just used 90 grams of Fuzi today. This dose is considered light. I didn’t give you 200 grams, which is very good.
"Professor Fang, wait a moment. It's evening and there may not be anyone at the pharmacy. I'll go there myself."
Lin Gaofei stood up as he spoke.
Lin Gaofei knew that if he didn't go to the pharmacy, it would be impossible to administer 90 grams of aconite.
"OK."
Fang Le nodded.
Lin Gaofei left the office, and the attending physician just now followed behind him. The two of them walked a little further, and then the attending whispered: "Director Lin, 90 grams of monkshood, Professor Fang really dared to use it."
"If I were not to mention my young age, I would already be an associate professor."
Lin Gaofei said: "Professor Fang has completed several cases that were the first in the country, and he is also unique in postoperative treatment. His level is beyond praise."
Although he didn't understand this recipe, Lin Gaofei didn't question it.
At Fang Le's level, he has reached the level of cherishing his wings. If something goes wrong, it will not be a good thing for Fang Le himself. Therefore, although the dose of aconite in this prescription is large, there should be no problem. Lin Gaofei can still do this.
definitely.
At this time in the evening, the large outpatient pharmacy was closed for business, that is, there were still people in the emergency department and inpatient pharmacies, which were common to the entire inpatient building.
At this time in the evening, there was only one person on duty in the pharmacy, a female pharmacist in her forties.
Nurses in hospital pharmacies are actually different from clinical nurses. The pharmacies are all pharmacists who are proficient in medicine. Their responsibilities are not only to take medicine according to orders, but also to correct errors.
Doctors also make mistakes when writing orders. Some drugs are not suitable for the patient's condition, or there is a problem with the dosage, etc. When picking up the medicine, the pharmacist in the pharmacy must first confirm the order to check whether there is an error before taking the medicine.
.
Lin Gaofei handed the prescription to the female pharmacist. The female pharmacist took the prescription and looked at it, and was stunned for a moment: "Director Lin, who prescribed this prescription?"
Fang Xiayun knew that Lin Gaofei was not a traditional Chinese medicine doctor, and this prescription was definitely not written by Lin Gaofei.
While asking, Fang Xiayun also saw Fang Le's signature.
"Fang Le?"
Fang Xiayun said: "Does our hospital have such a doctor?"
"Doctor Fang, this is a big shot."
Lin Gaofei smiled and said: "Others in our hospital who just arrived just now don't know yet. If the director finds out tomorrow morning, I don't know how happy he will be."
"Fang Le?"
Fang Xiayun muttered softly, she had never heard of this name.
"Professor Fang Lefang from the Emergency Department of Xijing Hospital."
Lin Gaofei reminded: "In recent months, I have performed several first-ever extrahepatic surgeries. At the same time, I am also a student of Mr. Sun Qingping from Xijing City."
"It turns out he is Mr. Sun's student."
Fang Xiayun, who works in the pharmacy department, has not heard of the news about the first surgeries, and doesn't pay much attention to it, but Sun Qingping from Xijing City still knows about it.
Fang Xiayun was relieved when he heard that Lin Gaofei said he was Sun Qingping's student. Sun's student should be a well-known expert and senior doctor, and it had Lin Gaofei's signature on it, so this prescription should be available.
"Decoct the aconite first, and pay more attention when using the medicine."
While taking the medicine, Fang Xiayun also reminded that the hospital is very cautious when it comes to this type of medicine. In addition to signing the prescription, Fang Xiayun also asked Lin Gaofei to sign the registration book before handing over the medicine.