Chapter Five Hundred and Twenty-Eight Telephone Questions
When having lunch, each village is responsible for the residents, and the residents in the village are separated from each other to have dinner at the village chief’s home or the designated home of the village chief.
"Not to mention, the farm-style meals are still very good."
"If you want to eat authentic local flavors, you should go to a small place. The most authentic place is the homes of rural villagers."
For doctors from Jiangzhongyuan who are used to eating restaurant, canteen and takeaway flavors, occasionally eating farm-style foods is indeed a unique flavor.
"Dr. Yang, how many patients did you see in the morning?"
"About twenty or so people."
The resident doctor surnamed Yang said while eating.
"I'm about the same, too." Another hospitalist said: "It seems that I can go to the next village in the afternoon."
There are about five or six hundred people in a village. This season, there are even fewer people in the village. The limit is that of the inspection and treatment of forty or fifty people in a village in one morning.
"Actually, Xiacun is not as tired as expected." Yang said the hospitalist.
"Well, it's really another experience."
The resident doctor usually has the responsibility of taking action in the hospital. Compared with the doctors in the emergency department, the resident doctors in other departments are really a veritable bed doctor. They check rounds every day, grasp the patient's dynamics, and give the attending physician a chance to take the doctor alone. There are very few opportunities for individual treatment.
In other departments, doctors at the level of attending doctors are not qualified to attend outpatient clinics and cannot attend outpatient clinics, which means there is no opportunity to independently diagnose the disease. The attending doctor formulates treatment plans and the inpatient doctors are responsible for supervising the supervision.
As Li Xiaofei said, although the hospital environment is good, it may not be very comfortable for the inhabitants. On the contrary, after they went to the village, they arrived at the village, but were treated as guests of honor by the local village chief and village director, and someone served tea and poured water.
"And I feel that I have gained a lot from checking and treating so many patients this morning."
"Indeed, some of the things in the past seem to gradually become integrated." The resident doctor surnamed Yang nodded.
In the hospital, subordinate doctors do not have much chance of getting started, and at the same time, when encountering difficult problems, superior doctors also check, which also leads to most residents lack the habit of independent thinking, just like children who will never grow up under the supervision of their parents.
Now that I have left my parents, I have to think of some things myself and solve them myself. No one will cure them after the incident. I have to be very careful when treating and exams. In just one morning, some hospitalists have indeed gained a lot.
......
Liu Dajiang was in the Longshan Town Health Center and the task was not easy. The town health center radiated to nine groups in Longshan Village. Because of Fang Han's treatment yesterday, many patients came to check in the morning.
Fortunately, the health center reserves the most doctors, and with the help of Pei Shuhong and some doctors from Longshan Town Health Center, they won’t be too busy.
"Doctor Liu, thank you for your hard work."
When we were preparing to have dinner at twelve o'clock, Pei Shuhong stepped forward to say hello to Liu Dajiang.
"It's not hard, compared to our Jiang Intermediate People's Court, this intensity is actually nothing." Liu Dajiang drank with a cup of sour plum soup.
As a doctor at the attending level, Liu Dajiang needs to take outpatient clinics. With the reputation of Jiang Intermediate People's Hospital, even in an ordinary clinic, he has to treat about forty patients in one morning in one clinic.
Moreover, compared with the patients in Jiang Intermediate People's Hospital, the patients in Longshan Town are relatively easy to get along with, and they rarely encounter some more difficult patients.
"That's true. Our Longshan Town Health Center naturally cannot be compared with Jiang Intermediate People's Court. Dr. Liu, you are a great doctor in Jiang Intermediate People's Court." Pei Shuhong flattered.
"Hey, Director Pei is polite. I am just a little doctor in Jiang Intermediate People's Court."
Liu Dajiang laughed: "Fortunately there were no difficult patients this morning, otherwise I would have to ask Dr. Fang for help."
As the attending physician, Liu Dajiang now said that he was quite natural to ask Fang Han for help, and he didn't feel embarrassed at all.
The status of doctors is always linked to technology, and the status is higher with strong abilities. This is why the current medical system has age limits. Otherwise, with Fang Han's ability, a deputy high school student would not have been able to escape.
"Doctor Liu, you are modest. Although Dr. Fang's level is not low, he is young after all, and he is still not as experienced as you." In front of Liu Dajiang, Pei Shuhong naturally knew how to speak.
"Haha." Liu Dajiang smiled happily. Pei Shuhong's words sounded quite comfortable. Although he knew that he was actually not as good as Fang Han, Liu Dajiang was still vanity in front of outsiders.
"Aunt Pei, Doctor!"
After drinking the sour plum soup in the cup, Liu Dajiang was about to go to the cafeteria with Pei Shuhong when suddenly a hurry came from outside. Before the two had time to go out, a middle-aged man in his forties rushed in with an old lady in his seventies on his back. There was a man and two women following behind the middle-aged man.
"Quick, patient Fang lie down."
Liu Dajiang hurriedly pulled the table next to him, imitating Fang Han's two tables together and let the patient lie down flat on the table.
After the patient lay down, Liu Dajiang hurriedly checked the patient's condition. He saw that the patient was glaring, his face was dark red, his lips were purple, and his hands were tightly clasped, as if he had a dead epilepsy seizure. There was a sound in his throat, loud noises, rapid breathing, and stiff limbs.
While checking the patient's condition, Liu Dajiang took the patient's pulse and said to Pei Shuhong: "Director Pei, hurry up, call Dr. Fang."
As the attending physician of the internal medicine department, Liu Dajiang was a little panicked as soon as he encountered such an emergency.
This is like an internal physician. No matter how good the medical skills are or how high the level is, he will feel a little subconscious when he encounters bloody scenes. Although Liu Dajiang is the main treatment, most of the patients he encounters are in a relatively stable condition. Even if the patient has occasional crisis, he will have a superior doctor to help him. When he suddenly sent such an emergency room, Liu Dajiang was a little panicked, afraid that he could not handle it.
"good."
Pei Shuhong also knew that the situation was urgent, so she hurriedly took out her cell phone to call Fang Han.
Fang Han was having lunch now. When he saw a phone call coming in, Fang Han answered and asked, "I am Fang Han, who can I ask?"
"Doctor Fang, I am Pei Shuhong."
"Director Pei, is there anything wrong?"
"Let Dr. Liu tell you." Pei Shuhong hurriedly put her phone in Liu Dajiang's ear. Compared to Liu Dajiang, Pei Shuhong's level was much worse, and she herself did not understand traditional Chinese medicine and was not easy to communicate.
"Hey, Dr. Fang, an emergency patient has arrived. Can you hurry back immediately?"
"What's the patient?"
When Fang Han heard that he came to the emergency room, he got up and asked with the phone.
"The patient's surname is 71 years old......The pulse is slippery and slow, and the tongue is dark and red..."
Liu Dajiang hurriedly told Fang Han about the situation he observed and diagnosed, "Dr. Fang, the patient's current situation is relatively critical. How long will it take for you to arrive?"
Liu Dajiang has actually made some judgments about the patient's condition. It should be liver qi stagnation and dampness and phlegm obstruction. Liu Dajiang also has a prescription in his heart, but the treatment methods are different for different patients' situations. For emergency treatment, what we need to do is not to consider the subsequent treatment, but to let the patient through the immediate crisis first, and then consider the medication and treatment afterwards.
Liu Dajiang knew how to treat it afterwards, but he didn't know how to deal with the patient's current situation. If the patient's condition is careless, it may lead to respiratory arrest and critical illness at any time.
It’s like someone gives you a tool, which is placed in a box. You know how to use the tool, but you can’t open the box. The emergency department doctor is best at opening the box.
Fang Han held the phone and listened to Liu Dajiang's description in detail. After pondering for a moment, he said: "The patient should have Qi sneezing. He can use acupuncture points in Renzhong, Shiyi, Baihui... several acupoints, and then use 6 grams of Huashi Gutan Pills to take it..."
"Okay, I get it."
Liu Dajiang hurriedly said to Pei Shuhong: "Silver Needle."
"Go and prepare the silver needle." Pei Shuhong hurriedly shouted to the nurse beside her.
The nurse hurried to get the silver needle. Liu Dajiang used the method Fang Han said, first acupuncture of the patient, Shiyi, Baihui and other acupoints, and then took the patient's Shi Gutan Pills...
After about fifteen minutes, the patient let out a long breath, snorted, and slowly woke up.
"call!"
Liu Dajiang also let out a long sigh. Although Fang Han explained his solution to him, he was still a little worried just now.
Seeing the patient awakening, Liu Dajiang hurriedly called back.
Fang Han was waiting for the phone while eating. When he saw the phone call back, he hurriedly asked, "How is the patient?"
"The patient is awake."
"That's good." Fang Han said: "I would like to remind the patient's family to keep calm and not sulking. This is anger."
"I understand, thank you Dr. Fang, I won't disturb you for dinner." Liu Dajiang now sincerely admires Fang Han.
Fang Hanren didn't come back after a call, but just told him a solution, so he rescued the patient.
"Doctor Liu is polite."
Liu Dajiang hung up the phone and then asked the patient's family: "How did the patient get sick?"
The middle-aged man hesitated and looked at a woman next to him from time to time.
Pei Shuhong knew what was going on and asked the woman: "Are you angry with your mother-in-law again?"
"Aunt Pei, I can't blame me for this, my mother-in-law..."
Halfway through his words, he was interrupted by Pei Shuhong: "Your mother-in-law is older and in her seventies, so you don't know how to give in..."
The middle-aged man hurriedly agreed: "That's..."
"Okay, I'll give in, I'll go." The woman was not easy to meet, so she snorted, turned around and left.
"You..." The man opened his mouth, either chasing him or not, nor chasing him or not. His mother is still in the hospital, and his wife is angry and left again...
Men, it's hard!
Chapter completed!