Doctor Chen, Don't Be a Coward! Chapter 270

  Chapter 270 Calling Mom

  The end of the year is approaching.

  The source city is a bit more old-fashioned.

  The lanterns and decorations in the streets and alleys also began to whitewash.

  Parents have been busy preparing for the company these days, but brother Chen An has also started to contact some friends in China.

  Chen Nan returned to his normal work in the past.

  In the morning, the office is busy. After the number of patients increases, the work of doctors also increases.

  During this period, the Department of Traditional Chinese Medicine has been recruiting new students.

  The establishment of a new ward must build a reserve force, which is very important.

   And the newcomers, one by one, didn't know how to stand in line at the beginning.

  But... Gradually, everyone was surprised to find that this department does not need to stand in line at all!

  Because, there is only one core here!

  That is: Director Chen!

   Facing this young director Chen, many people are actually more curious.

   On this day, Chen Nan made rounds as usual.

  The newly recruited Li Shumin is already the deputy chief physician. Before coming here, she was already the deputy director of the YC City Traditional Chinese Medicine Hospital.

   "Director Chen, the 23-bed patient was hospitalized by Director Zhao. He was hospitalized yesterday because of stomach pain."

  “The main symptoms are late night stomach pains for more than a month, tossing and turning and insomnia.”

   "I started to have a dull pain in the epigastric region at 3-4 in the morning every day, and the attack lasted for about an hour. I was busy with work on weekdays and had irregular meals."

   "By the way, there is a history of duodenal ulcer and gastric ulcer in the past!"

  "Fatigue easily, insomnia and dreaminess, fear of cold, frequent urination, pale tongue with white coating and tooth marks, weak and weak pulse."

   When speaking, Li Shumin was obviously a little nervous.

   It's not because she's afraid of Chen Nan, but because Li Shumin is becoming less confident now.

   To be precise, it's not just Li Shumin!

  During this period of time, the Chinese medicine department recruited basically not newcomers, but reserved talents with certain abilities and foundations.

  After the establishment of the new ward, the wards of the Department of Traditional Chinese Medicine will have about five floors.

   This means a lack of substantial leadership positions.

   Candidates are naturally selected from these people.

  Although these people came with their own systems and experience, and some of them were even the directors of their own hospitals, but... Facing Chen Nan, everyone had to give a thumbs up.

  Because Chen Nan's level is really high!

   Often at a glance, you can see the problem in the prescription, and a little modification can make the medicine more effective.

   Ward rounds are the most test of a director's strength.

  Patients who have been hospitalized, in fact, generally have a misunderstanding, thinking that when the directors make ward rounds, they are good-tempered, talkative, and of a high standard.

   Actually, this is a one-sided idea.

  The powerful director makes ward rounds, and the doctors around him will never be casual, let alone dare to be casual, instead, they are like an enemy.

   Ward rounds not only check patients, but also doctors.

  Because most of the time, the treatment of patients is carried out by doctors, which is an assessment for doctors.

  As for the director, his complexion should be good, but this goodness is for patients, not for doctors.

  Of course, it's been a long time since I've been around for a long time. Some old oil directors have not improved much in level, but they have a lot of experience.

After entering the ward, at the beginning of the ward rounds, I greeted each other with a smile, shook hands, checked in a fake manner, and said a few words to show my professional level, but... for the patients, it was basically impossible to give pertinent advice !

  This is also the reason why many veteran oil directors are obviously not strong enough, but they have a lot of patients.

  Because some directors are researching diseases, while others are researching patients themselves.

  They can be said to have "really realized" the true meaning of the phrase "always comforting".

  However, when Chen Nan made the ward rounds, it was different.

  Every doctor in charge is vigilant as if facing an enemy, for fear of saying the wrong thing.

  Because Chen Nan can always pick out the problem from one of their details.

   This is not a bad thing!

  Because everyone knows very well that Chen Nan pointed out their shortcomings and shortcomings.

  Of course, everyone still has to be careful.

  Because...they are now very clear about Chen Nan's position after the establishment of the TCM ward in the future: the chief director of the ward.

  Which of them can go up and who can go down is decided by others.

  Some time ago, everyone remembered one thing. When the new ward of the hospital was established, because Chen Nan was dissatisfied with the color of the decoration, the dean personally asked it to be redone.

   This is influence!

  In addition to this, it is the assessment. Director Chen will ask some questions from time to time.

   If the people around you are not careful and cannot answer the question, it will be embarrassing!

   Li Shumin was nervous because of this.

   Sure enough, at this time, after Chen Nan made the diagnosis, he turned to look at Guipei's students and asked:

   "What kind of ulcer is fasting pain?"

  The student was stunned for a moment, then said quickly:

  “In peptic ulcer, gastric ulcer is prone to postprandial pain, that is, symptoms of upper abdominal pain will appear after eating.

   Among peptic ulcers, duodenal ulcers are prone to fasting pain, that is, symptoms of upper abdominal pain will appear before meals or when the stomach is fasting at night.

  Fasting pain and postprandial pain are usually used to describe the symptoms of upper abdominal pain in peptic ulcer. "

  Chen Nan nodded, then turned to look at Li Shumin: "This patient's symptoms are very typical."

   "There are detailed records in the Synopsis of the Golden Chamber."

   "Patient, fatigue, palpitation, nocturnal polyuria, abdominal pain, hot hands and feet."

   "Why is the diagnosis abdominal pain?"

  As soon as these words came out, everyone around was stunned.

  The most obvious symptom of the patient is abdominal pain. Why is the diagnosis not abdominal pain?

   At this time, Li Shumin was shocked and blurted out: "Toil?!"

  Chen Nan smiled slightly: "Not bad!"

   "Don't be blinded by the patient's symptoms."

   "We are Chinese medicine practitioners. Although the diagnosis should start from the symptoms, it should also start from the root."

   "If you focus on abdominal pain, it will be meaningless!"

   "This is a typical exhaustion. Although there are ulcers, but... remember, you are Chinese medicine practitioners. When diagnosing, you should start from the root of the patient."

   "There is such a passage in "Synopsis of the Golden Chamber, Syndrome and Treatment of Syndrome and Syndrome of Blood Bi, Deficiency and Labor"."

   "Asthenia, palpitations, bleeds, abdominal pain, loss of essence in dreams, sore limbs, restless hands and feet, dry throat and mouth, Xiaojianzhong Decoction is the main remedy."

   "This is a typical exhausted patient, so just serve Xiao Jianzhong Decoction directly!"

  As soon as these words came out, everyone around was thoughtful, and their eyes were full of solemnity.

   For a long time, the use of classic prescriptions has been a big problem!

  How to use the prescription?

  How to transform the things in the book into clinical things, these are the difficulties.

   Obviously, what Director Chen said just now is the best starting point!

  Li Shumin stood where she was, with an excited expression on her face.

   "Thank you Director, I got it!"

  Chen Nan smiled slightly, and said to the patient: "Doctor Li is not bad, he should cultivate well, and he will be fine after a while."

  The patient nodded again and again: "Okay, thank you, Director!"

   After leaving the ward, Chen Nan strode forward, followed by more than 20 doctors, like a huge white tower.

  Zhao Jianyong stood behind him and said to everyone:

   "Remember what Director Chen said just now!"

   "The so-called how to use the prescription is actually the core!"

  "Symptoms are just appearances. Why is "Treatise on Febrile Diseases" called the ancestor of prescriptions, and later generations continue to use so many?"

   "It's because everyone continues to use the core of the Treatise on Febrile Diseases and the six meridians. The Treatise on Febrile Diseases is just a special book on the treatment of typhoid fever, but... what Zhang Zhongjing said is how to use the classic prescriptions!"

   "Don't be blinded by the patient's existing diseases and existing symptoms, but see the essence through the phenomenon!"

   "This is the mystery of the prescription!"

   Zhao Jianyong seems to be a good teacher now!

   Chen Nan couldn't tell everything in detail, but Zhao Jianyong who followed Chen Nan could.

  After everyone behind them listened, there was a hint of agility in their eyes, and there was a feeling of enlightenment in their minds.

  Chinese medicine emphasizes perception!

  What Chen Nan has to do is to teach them what he has realized.

  One person alone has limited strength.

  The prosperity of Chinese medicine requires an echelon and inheritance.

  Chen Nan continued his ward rounds.

   And Liu Quan handed over the medical record folder in his hand to He Duankang who was beside him. Unfortunately...the other party ignored it at all and walked straight forward.

   This made Liu Quan's face change suddenly, you bastard!

   Thought it would be good to hug your thigh?

  He Duankang is still a doctor in Liu Quan's group, but...he no longer listens to Liu Quan's arrangements.

  As the deputy leader of the current Sha syndrome research specialist group, He Duankang now seems to be the deputy leader.

  Regarding Liu Quan's hard work, he turned a deaf ear to it, but unfortunately...Liu Quan could only itch his teeth with anger, and couldn't talk nonsense.

  His life is very difficult now!

  Now there are a lot of newcomers in the department, among them are from the province, Liu Quan is not taken seriously at all.

  His current team leader is simply in name only!

  Now even the **** He Duankang...has gained power.

Hey…

  Liu Quan felt very sad.

   While speaking, a group of people entered the ward.

  Xu Rui walked in the front, this patient is hers.

   This is a middle-aged man in his thirties, with a festive look and a cheerful smile.

  I have been hospitalized for more than ten days, and I am about to be discharged.

  Xu Rui smiled and said, "How's it going?"

  The man smiled and said, "It's much better!"

   "Doctor Xu, when will I be discharged from the hospital?"

  Xu Rui smiled, nodded and asked, "Now... are your feet numb?"

  The man was stunned for a moment!

  He looked at Xu Rui with an unbelievable expression, a little embarrassed, a little embarrassed!

  Called mother?

This!

  This...this is too...too what?

  So many people are staring at me.

   Is this appropriate?

  The man was a little silent.

   Seeing this, Chen Nan frowned slightly. Could there be something wrong?

  He glanced curiously at Xu Rui, then at the man, and quickly asked, "Still numb?"

  The man looked at Chen Nan, and nodded as if asking for help.

Yup!

   At this time, is it appropriate to call her mother?

  This is a hospital!

  Big sister, you can't be so casual even if you look good, right?

  Suddenly, everyone around looked at the man, this patient, they had seriously discussed the treatment plan.

  The effect is remarkable, and even Xu Rui is about to publish a good paper.

   Could it be that the condition has recurred now?

   This is embarrassing!

  Xu Rui quickly looked at the man, bent down, and stared at the man: "Be serious!"

   "Are your feet numb?"

   "Don't be afraid, just say it!"

  The man wanted to cry but had no tears.

  He glanced at Chen Nan as if asking for help, and then at the people around him, only to see that everyone nodded affirmatively at him.

  The man is helpless!

  The man's family members, his wife, and his parents all looked at him seriously.

  The man glanced at his mother, he felt...the recognition of his mother on the spot must be approved by his parents, right?

  The wife also has to agree!

   After all, this kind of thing is too perverted.

pity!

  The mother nodded to him: "Son, listen to the doctor!"

   "There is nothing to say!"

  The man slapped his thigh and looked at Xu Rui: "Mom!"

  As soon as these words came out, everyone around was dumbfounded.

   It's incredible!

  Xu Rui was dumbfounded!

This…

   What is this?

  The man looked at Xu Rui: "Mom!"

"Ok?"

  The scene quickly fell into a deathly silence, and everyone was stunned.

   Next!

  Suddenly, someone laughed, and then, the ward fell into an unprecedented joy.

"Ha ha!"

"Ha ha ha ha…"

   "Damn, whose snot is on my clothes, it's disgusting!"

"Ha ha…"

  Everyone couldn't help laughing.

  Chen Nan also couldn't laugh or cry, and looked at Xu Rui with a playful face.

  Xu Rui was completely confused.

  She said dumbfoundedly: "Wrong!"

   "I mean... are your feet numb?"

  The man also blushed: "I...I yelled!"

   At this time, the man's wife and mother couldn't help laughing non-stop!

  His father slapped the man on the back of the head angrily:

   "You bastard!"

"what happened!"

  The man touched the back of his head with an aggrieved face: "Old man, what are you doing!"

   "I called just now!"

  The man's father couldn't help laughing:

   "Dr. Xu asked if your feet are numb!"

   "Why are you calling someone's mother!"

   "How old is he!"

   "You unfilial son, why did I give birth to you idiot! (へ╬)!"

  The little nurse on the side also covered her mouth and bent over laughing.

  At this time, the man suddenly realized that he couldn't help covering his face with the quilt.

   The surroundings soon fell into joy.

at this time!

  The patient on the side suddenly yelled, "Ouch!"

   "Stop laughing, stop laughing, hahahaha...stop laughing!"

   "The thread is broken, I just buried the acupuncture point!"

   "Haha... stop laughing!"

   "Nurse...it hurts like hell!"

"Ha ha…"

  After leaving the ward, Xu Rui was ashamed, and everyone around couldn't help looking at Xu Rui with a playful expression.

   And Chen Nan also smiled and asked: "I can't tell!"

   "You still have this hobby!"

  Xu Rui kicked Chen Nan's **** angrily: "Roll!"

   After speaking, he also laughed.

  The nurse quickly said to Xu Rui: "Doctor Xu, is your eldest son's discharge certificate ready?"

   Xu Rui: …

  In the morning, the patient was discharged from the hospital immediately. When he left, he said with a smile, "Mother Xu, goodbye!"

  Xu Rui gave him an angry look.

  He Duankang on the side saw this, and the dog-licking gene in his body suddenly broke out.

  He looked at Xu Rui shyly, coughed, and said shyly, "Dr. Xu, if... if you have this hobby!"

   "I can do that too!"

   "However... this kind of thing can be done privately."

  Xu Rui's teeth itched with anger, wishing he could kill He Duankang with his kick.

  Hospital is such a place full of dumbfounding and helplessness of life and death.

  This kind of farce happened from time to time, which also brought a little adjustment to the tense atmosphere in the hospital.

   Morning time!

  Suddenly a phone call came.

  Chen Nan answered the phone: "Hi, I'm Chen Nan."

   "Director Chen, hello, I am Wang Liansheng from the Provincial Women's and Children's Department, and I would like to invite you to participate in a difficult case discussion!"

   "Do you have time this morning?"

  Chen Nan nodded: "President Wang, hello, hello."

   "There is time, where exactly?"

  Wang Liansheng said: "It's in our hospital, obstetrics department 6, in the ward on the 12th floor."

   "You can come here now."

  Chen Nan nodded: "I'm leaving right now."

  Wang Liansheng nodded: "I'll send you the patient's condition here, you should understand the condition first."

   "WeChat is a mobile phone number, right?"

  Chen Nan nodded: "Yes!"

  After hanging up the phone, Chen Nan got up, changed his clothes, and set off.

  Chen Nan was very familiar with the name Wang Liansheng.

  As the Avalokitesvara who saves women and children, and the master of obstetrics and gynecology, she has a high prestige!

   is also Wang Zhenlan's third uncle!

  Current director of the provincial maternity and children.

  President of the Obstetrics and Gynecology Branch of Jin Province Medical Association.

  Chen Nan didn't expect that he fell into Wang Liansheng's eyes.

  Obviously, it was Lv Hagi's uterine fibroids last time that allowed him to enter the eyes of this gynecologist.

   After Chen Nan got into the car, he didn't start the car immediately, but looked at the case, but... the more he looked, the more solemn his face became.

  Patient status is very special!

   Martyr's wife!

  91 days pregnant, twins, but... the **** has been bleeding for two months.

   And her husband is a martyr!

  Because he participated in a fire fighting operation, but unfortunately died in the sea of ​​fire, he was named a martyr.

   For such patients, Sheng Maternity and Children naturally dare not be careless, and even Wang Liansheng personally took action to treat the patient with miscarriage.

  However, he was successively given progesterone injections, dydrogesterone tablets and other tocoprotective drugs, cefoperazone sodium and sulbactam sodium injections for anti-infection, phloroglucinol injections, and magnesium sulfate injections for inhibiting uterine contractions, and repeated vaginal bleeding.

  Recently, the patient's bleeding volume has increased. Last night, a pad was soaked and a 2cm×2cm blood clot was discharged.

   Subsequent gynecological examination.

   The **** is normal, unobstructed, and bloody.

  pH test paper detects obvious discoloration. Afterwards, intravenous infusion of meropenem was given to prevent infection.

  However, I am now 15+ weeks pregnant, and the bleeding is less than before, dark in color, dry in texture, like medicine dregs, accompanied by tightness in the lower abdomen, 2 to 3 times a day, the degree is not severe, no abdominal pain, no fever.

  Physical examination showed distended lower abdomen, tense abdominal muscles, and a horizontal finger below the umbilical fundus of the uterus, without obvious uterine contractions.

  The more Chen Nan looked at it, the more he felt that his condition was a bit difficult!

   All these signs indicate that the fetus in the patient's body may no longer exist!

   That's right!

   is stillborn.

   But why continue the treatment?

  Chen Nan continued to look down.

  After seeing the latest inspection, he couldn't help but look dignified.

  Intrauterine single pregnancy survival (about 15 weeks of pregnancy), liquid dark area in the uterine cavity.

   Western medicine diagnosis: ① after embryo transfer; ② threatened abortion; ③ adenomyosis; ④ hypothyroidism during pregnancy (see also the list);

  Looking at this series of situations, Chen Nan's expression changed drastically.

How is this going?

   It turned out that the patient was undergoing embryo transfer!

  At this time, Wang Liansheng sent another long message.

turn out to be!

  After the fire broke out, the man did not die immediately, but according to the situation at the time, the follow-up would be very dangerous.

  So, the wife of the other party decisively chose in vitro IVF, and then carried out embryo transfer.

   With the intervention of technology, the woman became pregnant, with twins!

  With the arrival of this news, the family that was on the verge of collapse finally saw a glimmer of hope.

  However, who would have thought that a wave of unrest will rise again.

  One month after the woman became pregnant, a very bad situation happened because of her mood and physical reasons.

   Can only be hospitalized for miscarriage treatment as much as possible.

  Chen Nan couldn't help but sighed.

  Suddenly a sentence came to mind.

  The hemp rope is only broken at the fine point, and the bad luck is only for the poor!

  This family had already been torn apart and became the current situation, but they encountered such a problem.

  How can she accept this?

  Chen Nan also realized that this time the road to provincial women and children will not be so easy.

  He sighed, brows tightened.

  However, after hesitating for a while, a flash of light flashed in his eyes, he stepped on the accelerator, and drove towards the provincial women and children.

  In any case, this time, he will go all out.

   Those who hold salaries for everyone must not let them freeze to death in the snow!

  The car drove very fast, and it didn't take long to arrive at the 6th Department of Obstetrics of the Provincial Maternal and Child Hospital.

  The doctor's office is closed at this time.

  But standing at the door, you can hear waves of heated discussions coming from inside.

   After hesitating for a while, Chen Nan opened the door gently and walked in.

   However, his arrival did not attract the attention of too many people around.

  After Wang Liansheng saw Chen Nan, he nodded and didn't say much.

   At this time, in the crowd, a woman stared at Chen Nan and took a few serious glances.

  This person is Zhang Qiaoling!

  Zhang Qiaoling didn't expect Wang Liansheng to invite Chen Nan!

  This is a discussion of difficult cases in gynecology. Is Chen Nan qualified to come here?

  However, Zhang Qiaoling didn't care about these, but continued to listen to everyone's discussion!

   "I think, in this case, if surgery is performed, it is easy to induce a possibility, which is pulmonary embolism!"

   "The patient has a lot of blood coagulation at this time. If the operation enters the blood circulation, it will inevitably cause uncontrollable damage!"

   "I still think we should stop bleeding conservatively!"

   At this time, another woman with extraordinary bearing shook her head: "C-reactive protein <1mg/L. Blood routine: white blood cells 8.71×109/L, procalcitonin 0.024ng/mL!"

   "I believe, in this case, how risky is the continued pregnancy!"

   "The people present should be experts in the field of gynecology. I believe everyone should be very clear about the concept of this value!"

  "If you encounter such a situation in the clinic, what advice do we give to the family?"

  As soon as these words came out, everyone's faces became a little serious.

  The woman continued: "Terminate the pregnancy!"

   "Otherwise, it will not be a pregnancy failure, and the mother may be at great risk!"

   "Having a baby, how can it be so simple!"

indeed!

  Women give birth to children, in fact, the degree of danger of women is not inferior to that of children.

  The third month of pregnancy is the most dangerous time.

  During this period, it is easy to miscarry.

  This is a very dangerous stage.

  So, what the woman said made everyone present a little silent.

   At this time, a person was sitting on a chair not far away to listen. After hearing this sentence, tears flowed down.

   This is the woman's mother-in-law and the hero's mother!

  After Susu married into their family, she really didn't have a good day.

  After her son encountered that situation, Susu made a bold decision and carried out test-tube babies.

   Moreover, the day after her son left, Susu knelt in front of her and said to herself:

   "Mom, from today onwards, I will not be your daughter-in-law!"

   "Starting today, I am your daughter."

   “We are still family.”

  After hearing these words, the woman burst into tears.

  In this impetuous society, people's hearts are complicated, how many girls can do this?

  Actually, from the bottom of her heart, she hopes that Susu can be safe and healthy.

  Who would have thought, encountered such a situation!

  In the heart of a woman, Susu is already her daughter.

  Faced with this situation, the woman said to Wang Liansheng that she hoped that Susu would be safe and healthy, and regarding the child... just let it go!

  However, Susu also found Wang Liansheng!

  She told the other party: "Doctor, I can die, but... I want my child to stay."

   "I want to leave a seed for Lao Zhao's family!"

   "I can't let my husband be the last!"

  Wang Liansheng was extremely anxious and in pain at this moment.

  So, after hearing what the woman said, he shook his head and said, "No, don't terminate the pregnancy at will!"

   "The purpose of our discussion is how to have both mother and child!"

   "So, Director Jiao, don't talk about your idea of ​​terminating the pregnancy."

  Jiao Liping slapped the table: "Wang Liansheng, you are adventurous and irresponsible to patients!"

  Wang Liansheng was also angry, and he also patted the table: "Jiao Liping, if the pregnancy is terminated, I have a hundred ways to save the patient!"

   "What do you want?"

  For a while, the office instantly cooled down.

  Wang Liansheng continued: "Sorry! I'm excited!"

   "Let's continue to discuss and see if there is a way to save the fetus!"

  ps: Recently, I saw some readers talking about drinking astragalus. I was shocked, so I hurried to talk about it.

  It's winter, although many people want to make up their bodies.

   But... the old hand is here to persuade.

   Astragalus can not be drunk casually.

Astragalus is indeed a much-loved nourishing medicinal material. Its main functions are to tonify deficiency, replenish qi and solidify the surface, diuresis and reduce swelling. Dilate blood vessels, reduce thrombus, lower blood pressure, regulate myocardial power, and regulate blood sugar in both directions. But many people may not know that astragalus is not for everyone.

  But... you can't drink indiscriminately.

  Three do not drink.

  1. Kidney yin deficiency, damp heat, hot toxin flaming do not drink

  2. Do not drink during menstruation

  3. Do not drink if you have a cold or fever.

   There is another thing that you can use. Some time ago, readers reported that it was good to drink.

   It is the Baimai ebony tea.

   Let me talk about the usage again here. It is suitable for people with dry throat and a lot of smokers. Autumn and winter are dry, but this is not bad.

  Materials: Lily, Ophiopogon japonicus, perilla stem 6 grams each, ebony plum 3 grams, rock sugar 4 capsules.

  Usage: Put the medicine into the cup, brew it with boiling water, simmer for 15 minutes, and drink frequently instead of tea. Water can be refilled repeatedly.

   Thanks: Luminous luminous light, military blade, and conquering demons, the three brothers gave 1500 rewards, thank you everyone!

  (end of this chapter)

Chapter end