Zhang Yan didn't say much else and followed Zhao Pengcheng to check the ward.

He and Zhao Pengcheng walked side by side in front, followed by a group of bedside doctors and interns.

This is the highlight moment of the department director's day, and it is also a reflection of the status of all doctors. The further forward you are in the queue, the higher your status is in the hospital and in the department.

It won't be long before our own Red Star Hospital can do the same, bringing lower-level doctors on ward rounds every day.

Zhang Yan thought secretly in his heart.

"Dr. Zhang, this is a patient with chronic appendicitis accompanied by abscess. After conservative treatment, the effect is not obvious. After communicating with his family, he is ready to perform an appendectomy." After walking to a ward, Zhao Pengcheng introduced Zhang Yan.

.

"Yes!" Zhang Yan nodded noncommittally. Wouldn't it be necessary to perform an appendectomy by himself?

"Xiao Sun, please introduce the patient's specific situation to Dr. Zhang." Zhao Pengcheng then called by name.

Xiao Sun is a female doctor in her twenties. After hearing Zhao Pengcheng's words, she took the case folder and began to introduce the condition in a strict manner.

"yes!

The patient's name is Zhao Meilan, female, age 54, from Shijingshan...

I have long-term upper abdominal pain, abdominal distension, nausea, and vomiting, and I have not taken any medication.

The pain stopped sometimes, then the pain worsened, and I was admitted to the hospital with metastatic right lower abdominal pain for 3 days.

After examination: body temperature 36.8℃, breathing 20 times/min, pulse 78 times/min, blood pressure 120/80mmhg. Normal development, malnutrition, automatic posture, mental fatigue, clear mind. The abdominal wall is soft, and there is tenderness and rebound tenderness at McBurney's point in the right lower abdomen.

.

No other abnormalities were found.

The preliminary diagnosis was acute exacerbation of chronic appendicitis..."

"Okay, there's no need to read the medical records." Zhang Yan waved his hand and said.

If I continue to think like this, I won't be able to finish all the ward rounds this morning.

"Have you done all the preoperative examinations?"

"It's done, it meets the surgical signs, and the surgery can be performed."

"Um!

Auntie, let me take your pulse!" After Zhang Yan nodded, he bent down and said softly to Zhao Meilan who was lying on the hospital bed.

"Okay, excuse me, doctor!" Zhao Meilan nodded and raised her arm.

"Just put it down!" After Zhang Yan said this, he went around to the other side and took Zhao Meilan's pulse.

There was a hanging bottle hanging on the arm over there just now.

Pulse string number.

"Auntie, let me take a look at your tongue."

Zhang Yan used the Four Diagnostics of Traditional Chinese Medicine to examine Zhao Meilan.

"Patient Zhao Meilan, although suffering from an acute attack of chronic appendicitis, did not develop to terminal perforation.

Personally, I don’t recommend appendectomy, and I recommend conservative treatment with traditional Chinese medicine.” After the examination, Zhang Yan stood up and suggested to Zhao Pengcheng.

"Dr. Zhang, how confident are you with conservative treatment?"

"Well, appendicitis is called intestinal carbuncle in Chinese medicine, and it is also a type of internal carbuncle.

According to the diagnosis of traditional Chinese medicine, intestinal carbuncle is divided into three development processes: stasis syndrome, dampness-heat syndrome, and heat-toxic syndrome.

The corresponding ones are chronic appendicitis, acute appendicitis with abscess, and acute appendicitis with perforation.

The first two courses of disease can be completely treated with traditional Chinese medicine decoctions, and the effect will be very good.

Although the latter patient can also be treated with traditional Chinese medicine decoctions, I personally recommend an appendectomy." Zhang Yan explained patiently.

"Okay! Let's carry out conservative treatment according to Dr. Zhang's advice!" Zhao Pengcheng thought of a case that Zhang Yan had treated before and nodded in agreement with Zhang Yan's plan.

"Give me the medical record!" Zhang Yan reached out to Xiao Sun and asked for the medical record.

After taking the medical record, Zhang Yan took out a pen and wrote a prescription on it.

Coptis decoction addition and subtraction: Coptis 3 qian, dried ginger 2 qian, cassia twig 2 qian, Codonopsis pilosula 2 qian, pinellia 3 qian, jujube 7 pcs, licorice 2 qian, and skullcap 2 qian.

"Auntie, you don't need surgery for your appendicitis. You should take three pairs of Chinese medicines first. After three pairs of Chinese medicines, I will give you a follow-up consultation." Zhang Yan explained to Zhao Meilan and her family members.

"Doctor, is it really possible not to have surgery?" Zhao Meilan and her family asked in surprise.

“Your disease is not serious enough to require surgery, and Chinese medicine can definitely have a very good curative effect.

Director Zhao invited me here to give you a final diagnosis.

If you can avoid surgery, no one will want to do it on you." Zhang Yan explained with a smile.

"Thank you, doctor! Thank you, doctor!" Zhao Meilan's son and daughter-in-law bowed to Zhang Yan repeatedly to express their gratitude.

Zhao Meilan was sitting on the hospital bed, saying words of thanks with a grateful face.

Regardless of whether surgery is required, patients and their families are definitely not willing to have surgery. They always feel that surgery is leaving their lives under the control of God.

Zhao Pengcheng also spoke next to him: "Dr. Zhang is a Chinese medicine expert specially hired by our hospital. He has cured several cases of acute appendicitis with abscess."

As he explained this, he couldn't help but smile bitterly in his heart.

This first one directly rejected surgical treatment. Later, there were several patients who underwent appendectomy. According to the course of the disease, they were not more serious than Zhao Meilan, which meant that they did not require surgery.

Facts have proved that Zhao Pengcheng thought too much.

After the entire ward round, among the twelve operations he arranged, Zhang Yan saw that none of them required surgery. They were all diagnosed and prescribed Chinese medicine.

Still only three doses of medicine are prescribed.

"Dr. Zhang, I noticed that you only prescribe three doses of medicine?"

"The medicine is right for the symptom. Three doses are enough to cure the disease. If it's not right, a few more doses are useless and will only waste time." Zhang Yan explained with a smile.

"Director Zhao, if there is nothing else, I will take my leave first." Zhang Yan said goodbye to Zhao Pengcheng.

Those who needed surgery were treated with traditional Chinese medicine, so naturally nothing happened to him.

Zhao Pengcheng couldn't help but smile bitterly. It seemed that the task assigned to him by Chu Yunlong could not be completed.

Yesterday, Chu Yunlong came up with a somewhat damaging idea, which was to use surgery to hold Zhang Yan back.

Wouldn't you rather Zhang Yan come over?

Then I'll call him over for surgery, and I'll do five or seventy-six surgeries a day. Let me see what you do.

There were 576 surgeries, and basically there was nothing else to do on this day, so Zhang Yan's time was basically taken up by Xicheng Hospital.

Chu Yunlong is not afraid of rejection from the steel rolling mill. Surgery is a life-saving matter. If you dare to refuse, then don't blame me for refusing to treat patients from your steel rolling mill.

No matter where the lawsuit goes, he, Chu Yunlong, is not afraid.

I said, "My level is not good enough and I can't cure it. I suggest you transfer me to another hospital. What can you do to me?"

Not only that, the unlucky deputy director Liu became a victim again this time. He originally lived in a single room, but now there are two extra beds in the single room.

What Xicheng Hospital said is very nice: During this time, hospital beds are tight and there are more patients. I hope Director Liu can carry forward his style.

Those hospitalized are also family members of employees of your steel rolling mill.
Chapter completed!