Chapter 639: The Incumbent Is Here
"Doctor Fang!"
For about forty minutes, Chen Yuan walked into the duty room with red eyes.
"Thank you, Dr. Fang. ”
"Is the child okay?" Fang Han asked as he sorted out his things.
"I urinated once after taking the medicine, and my stomach didn't hurt anymore, and I was already asleep at this time. ”
"It's a recipe for two days. Fang Han picked up a recipe from the table and handed it to Chen Yuan.
"The reason why the child has a stomachache and suffers from damp fever is mainly because of the irregular diet in the past few days, and the climate is also abnormal in the past few days, it rained two days ago, and the temperature suddenly rose yesterday......
"It's all my fault, I didn't prepare anything at home, I'm not a qualified father. Chen Yuan sighed.
"It's not early, let's rest. ”
Chen Yuan glanced at Fang Han, then turned around and walked out of the duty room, his eyes were unconsciously red again, if he could meet such a leader as Fang Han back then, maybe his current life would be another situation.......
It's a pity that there can't be anything possible in this world.
......
After lunch at noon, Fang Han had just returned to the bone injury area when Ye Kai called.
"Doctor Fang, Gao Suyun suddenly started to have a fever, and the results of the CT film came out, and the pancreas continued to die. ”
After hanging up the phone, Fang Han hurried to the ICU, and before he entered the door, Fang Haoyang also arrived, accompanied by Kuang Mingzhuo.
The three of them went to the ICU together, gave Gao Suyun a comprehensive examination, and reviewed Gao Suyun's CT film results.
"The fever is 40 °C!, the pancreas is still necrosis, the situation is very bad. Fang Haoyang's face was solemn.
"It seems that the toxins we eliminated before only remove the toxins that have been produced in the intestines, but the root cause of the problem is still not solved, the patient's pancreas is still continuing to die, pancreatitis is still present, so there will be new toxins that continue to be produced. Kuang Mingzhuo analyzed.
"Director Kuang is right. Fang Haoyang nodded, and glanced at Fang Han with satisfaction: "Xiao Fang's CT is very timely." ”
Gao Suyun's situation Fang Haoyang and Kuang Mingzhuo are somewhat tracked, patients in the ICU, there will be deputy senior doctors or above every day to understand the situation, this morning Gao Suyun was awake, Fang Haoyang also felt that it was a good phenomenon, and he was relieved at that time, but he didn't expect a new situation.
Fang Han saw that the patient was awake in the morning, but he was not blindly optimistic, but told Chen Yuan to do a CT follow-up, and sure enough, something went wrong, the patient's body temperature was still normal during the CT scan, that is, after eating, the body temperature began to rise.
"The previous big chest soup was mainly based on Tongli, mainly aimed at the patient's hard stomach and ascites effusion, but neglected to promote blood circulation and eliminate blood stasis, clear heat and detoxify, this time we can change to attack Litongxia, activate blood and eliminate blood stasis, clear heat and detoxify a try?"
"What recipe are you going to use?" asked Fang Haoyang.
"Try it with the clear pancreatic Chengqi soup?" Fang Han proposed.
Qing pancreatic Chengqi soup is based on the big chai hu soup.
People who know Chinese medicine know that Bupleurum soup is divided into large and small, and both large and small Bupleurum soup are based on Bupleurum as the king's medicine, and there are skullcap, half immortals, ginger and jujube, the only difference is that Xiao Chai Hu Tang family ginseng and licorice, Da Chai Hu Tang family rhubarb and citrus aurantium.
The big and small chaihu soup are all from Zhang Zhongjing's "Treatise on Typhoid Fever" in the famous recipe, the song recipe has clouds, Xiao Chai Hu Tang and Reconciliation Gong, Banxia ginseng licorice from, more skullcap ginger jujube, Shaoyang Wan Disease this recipe;
It can be seen that the difference between Xiao Chai Hu Tang and Da Chai Hu Tang is that one is a reconciliation agent, and the other is a double antidote between the outside and the inside.
For example, the body and the viscera are relatively speaking, the body is the surface, the viscera is the inside, the viscera is the inside, the viscera and the viscera are relatively speaking, the viscera belongs to the surface, the viscera belongs to the inside, the meridians and the viscera are relatively speaking, the meridians belong to the surface, the viscera belongs to the inside, the three yang meridians and the three yin meridians are relatively speaking, the three yang meridians belong to the table, the three yin meridians belong to the inside, the skin and the muscles and bones are relatively speaking, the skin is the surface, and the muscles and bones are the inside.
Xiao Chai Hu Tang can only solve the disease between the surface and half the surface and half of the li, when the disease has penetrated through the surface and penetrated into the inside, then at this time you need a big Chai Hu Tang, and the effect of Xiao Chai Hu Tang is insufficient.
"Clear pancreatic Chengqi soup?"
Kuang Mingzhuo said: "I have read some papers on the treatment of pancreatitis by inhibiting the inflammatory response, Qingpancreas Chengqi decoction can reduce intra-abdominal pressure, reduce the incidence of infection, reduce the mortality rate, improve the cure rate of SAP, and improve the prognosis, I think I can give it a try." ”
Fang Haoyang was a little surprised: "I didn't expect our Director Kuang to also start to understand Chinese medicine?"
"Those who are close to Zhu are red, and those who are close to ink are black. Kuang Mingzhuo smiled and said, "It's hard to stay with a group of Chinese medicine practitioners like you all day long, and you don't want to be affected." ”
"Then according to Xiao Fang's meaning, try it with Qing Pancreatic Chengqi Soup. Fang Haoyang made a decision.
.......
Chen Yuan didn't sleep at all during the day, after thanking Fang Han, Chen Yuan sent the child and his ex-mother-in-law back to his residence, and then went to the supermarket to buy a lot of daily necessities, firewood, rice, oil noodles and the like, the old lady is almost seventy years old, but it is still okay to cook, but there is nothing at home, and the old lady does not dare to go too far away, and if she goes too far, people can lose it.
As soon as he bought his things and had not eaten yet, Chen Yuan received a call and hurried back to the hospital.
"Doctor Fang. ”
When Chen Yuan arrived, Fang Han and Fang Haoyang had just discussed the follow-up treatment plan.
"You're one?"
Fang Haoyang looked at Chen Yuan, who was out of breath, and asked, "The patient's mother didn't come?"
"I didn't come, I was watching the kids at home. Chen Yuan was still panting.
"However, the follow-up treatment must be signed by the family. Fang Haoyang looked at Chen Yuan.
"I'll sign ......"
Halfway through the words, Chen Yuan couldn't go on, he was also a doctor, and he was not stunned, so he naturally knew that this kind of thing didn't mean that you were qualified if you wanted to.
The domestic medical system implements a family responsibility system, and it can be said that to many extent, the decision-making power of the family is heavier than the decision-making power of the patient himself.
Not to mention that it will be difficult for the hospital to explain at that time, the current husband of the patient will be returned, and Chen Yuan will not be able to eat and walk around.
Don't look at other people's husbands, they don't see anyone at a critical time, but if something really happens to the patient, the husband of the patient can stand up confidently, and then claim to be the patient's family, looking for the hospital and Chen Yuan.
A few days ago, there was such a joke on the Internet.
It is said that a forty-year-old middle-aged man had a sudden cerebral infarction, and then was sent to the emergency department of the hospital by Xiao San, who was not a family member of the patient, and did not take responsibility, so he did not dare to sign, so he called the patient's original partner.
After the original prescription came over, he understood the situation, and directly refused to sign, refused to dissolve thrombolysis, refused to pay for his own medicine, refused to be intubated on a ventilator, refused to rescue, and signed that it was called a smooth flow, and he left in less than five minutes, leaving a group of confused doctors.
Although this is just a paragraph, it can be seen how much decision-making power the patient's family has?
There is a saying that I can not raise you, but I can decide whether to pull out your oxygen tube or not.
"I called the old lady and got her permission. Chen Yuandao.
"The old lady can't write, and I signed it on my behalf. ”
"Remember the recording. Fang Haoyang reminded.
Chen Yuan walked to the side and called his ex-mother-in-law, obtained the authorization of his ex-mother-in-law, and recorded the audio, and then came back to sign on behalf of the patient's family.
"What a silly and cute man. Fang Haoyang shook his head.
"yes, silly and cute. Kuang Mingzhuo nodded.
......
After three days of treatment, Gao Suyun's condition finally stabilized, and the necrotic pancreatic tissue began to recover.
For a week, Chen Yuan spent almost most of his time by Gao Suyun's bedside, and many nurses in the emergency department he saw were in tears.
On the third day after Gao Suyun was transferred to the general ward, Fang Han had just come out of the ward when a nurse came over to inform Fang Han: "Doctor Fang, Gao Suyun's husband is here and has quarreled with Dr. Chen. ”
"What?"
Jiang Feng's eyes widened: "It's really shameless to come here at this time." ”
"I'm going, the patient has turned to peace, and I'm looking for my daughter-in-law at this time, what a talent. Li Xiaofei was also dumbfounded, he had seen such a shameless one, but he had never seen such a shameless one.
"Say less. ”
Fang Han said the doctor, and then walked towards the observation room, and before he entered the door, Fang Han saw several people pushing and shoving Chen Yuan at the door of the observation room.
"What are you, what qualifications do you have to question me, ah, that's my wife, not your wife. ”
A thirty-seven or eighteen-year-old young man pointed at Chen Yuan with his finger and scolded: "This is the attitude of the doctors in your hospital, this is how they treat patients and their families, believe it or not, I went to the medical administration department to complain about you and let you pull out this skin." ”
Chen Yuan's eyes were red, his fists were clenched, but he gritted his teeth and said nothing.
If it weren't for the white coat he was still wearing, if he hadn't remembered that he was still a doctor, Chen Yuan would have smashed it with one punch.
"What, this is a hospital, not a vegetable market. ”
Li Xiaofei scolded the doctor, and the group of people quieted down, and the young man who had pointed at Chen Yuan and scolded him before also turned to Fang Han and a few people.
"Doctor Fang. Chen Yuan lowered his head and greeted Fang Han.
"It's fine. Fang Han walked over and patted Chen Yuan's shoulder, then turned around and asked, "What's the matter?"
"What are you doing?" the young man squinted at Fang Han, a hairy boy in his twenties.
"This is our doctor. Jiang Feng stepped forward and said, "What are you arguing about in the hospital, you plan to make trouble, the police station is not far away, do you want to call the police over?"
"Scream. ”
The young man was not afraid at all, stretched out his hand and pointed at Chen Yuan, and said: "This is the doctor of your hospital, as a doctor, what qualifications do you have to accuse me! I came to visit my wife in the hospital, and as soon as I entered the door, I was reprimanded by your doctor, I just want to ask, what qualifications does your doctor have to reprimand me, go and call the police to come and evaluate the reasoning!"