"Fang Han, do you know why?"

Xian Fen looked at the young man with a smile and asked Fang Han, although he was still studying for a doctorate, he had been in the hospital for a few years, and it was not uncommon for him to be similar to today's situation.

As the saying goes, when the forest is big, there are all kinds of birds, and not all doctors are good doctors, and the families of patients are naturally not all grateful.

"I really don't know. Fang Han shook his head.

Now Fang Han can understand all kinds of examinations and test sheets, and he is really unclear about some of the doorways in Western medicine, for example, the young man asked, why not directly do brain MRI for the patient.

Fang Han didn't know, but Wang Haobo knew it very well, but he was not afraid of the young man's difficulties, and explained with a smile.

"In the acute stage of cerebral infarction, that is, within 24 hours, it is indeed difficult to visualize the ischemic lesion by head CT, and if there is a super-shaped development, it mostly indicates that the infarct is more serious, and the MRI, especially the DWI series, can show the intracranial ischemic lesion within six hours or even two hours of the onset of the disease......"

Wang Haobo was interrupted by the young man in the middle of his sentence: "Yes, since the MRI can show that it is better than that CT, why should we do CT first, and then do an MRI?"

"Can you listen to me first?" Wang Haobo was patient.

"You say. The young man helped his father to sit down on the side, and he had a good time.

"Why we didn't choose to do brain MRI for patients in the first place, naturally there are our reasons, first, the MRI examination of a specific part requires a certain amount of time to prepare, even if it is urgent, a complete MRI scan also takes 20 minutes, you also followed when you did the examination just now, it should be clear, for emergency patients, especially for emergency patients with unknown conditions, the most convenient examination should be taken first, right?"

The young man was stunned, then nodded, and said, "But the CT scan didn't check out, isn't this a waste of time?"

Wang Haobo continued: "Second, the purpose of our initial brain CT is not to diagnose cerebral infarction, but to rule out cerebral hemorrhage, what Dr. Xian said just now, you have also heard, the patient has hallucinations, in this case, the first thing to consider is the brain problem, and the most urgent and dangerous brain problem is the cerebral hemorrhage, once the patient has cerebral hemorrhage, the more timely the treatment, the less sequelae, the exclusion of cerebral hemorrhage, first of all, we can relieve a certain urgency, and then carry out the next step of investigation.....

"Okay, don't make trouble, Dad is still on the side, cerebral infarction is easy to develop into cerebral hemorrhage, let's go through the hospital as soon as possible." "Young lovers are a little overwhelmed.

The young man is quite reasonable, Wang Haobo explained clearly, the young man smiled awkwardly, stood up and said: "That doctor, I just want to make trouble, there is no other meaning, we have to spend money on treatment, don't we?"

"Understand, understand. ”

Wang Haobo laughed with him: "Hurry up and go through the hospitalization procedures." ”

Watching the young couple help the old man out to go through the formalities, Wang Haobo walked up to Fang Han and Xian Fen: "Doctor Fang, Dr. Xian, thank you so much, if you didn't come over in time, I wouldn't have had a mess with Doctor Li." ”

Li Junxian also nodded: "Yes, generally speaking, if there is no problem with the CT examination, it is rare to do brain MRI again, and Mr. Wang and I are still considering whether it is Alzheimer's disease or geriatric mental abnormalities and the like." ”

"Mr. Wang is modest, it is a normal procedure to sit on CT and then do MRI, and there are still some differences between CT and MRI. Xian Fen smiled faintly.

Fang Han also smiled: "Mr. Wang's explanation just now also gave me a lot of insight, to be honest, I really didn't know this before." ”

Dr. Fang smiled. Wang Haobo didn't think so, Fang Han and Xian Fen spoke in a very low voice just now, but he didn't hear it.

After a few polite sentences, Wang Haobo asked Fang Han for what he meant: "Doctor Fang, what about the patient's treatment?"

Wang Haobo is the general inpatient and is on duty 24 hours a day, as the general inpatient officer, if he comes to the emergency department, he is considered a leader in the front-line hospital, especially at night, under normal circumstances, the general inpatient will not alarm the senior doctor, unless he really encounters something that cannot be handled.

The general inpatient coordination department is responsible for coordinating various communications, keeping abreast of the patient's situation, and helping the attending physician and the chief physician to share the pressure.

As a general hospitalist, if you ask for instructions at every turn, and find a senior doctor at every turn, it means that your ability is not enough.

If it is really a situation that cannot be solved or there is not enough manpower, it is better to say, if a small problem alarms the senior doctor, it is very likely that he will be replaced halfway.

At this time, Wang Haobo is the head, Fang Han does not come to the follow-up treatment, at least Wang Haobo can call the shots in tonight's treatment, but Fang Han is present, Wang Haobo is about to ask for instructions.

Although Qian Xiaolin didn't say it explicitly, Fang Han can do liver resection and participate in various first aids, so even if he is a senior doctor, Wang Haobo still has to pay attention to it.

"I'll make a plan. ”

Fang Han had already examined the patient just now, and he also knew the situation, and Fang Han, a patient with cerebral infarction, had also been treated in Jiang Zhong Hospital, which could be regarded as clinically rich.

This is also the patient's symptoms just now are a little special, there are visual and auditory hallucinations, and the patient's family members are puzzled, otherwise the follow-up brain MRI Fang Han is not going to let him do it, grandmaster-level consultation, grandmaster-level palpation, Fang Han is still confident in his diagnosis.

However, from this point, it can also be seen that modern people recognize modern medical equipment and modern medical testing.

"Dr. Fang is willing to prescribe a prescription, so naturally it is very good, I have a score in my heart at once. Wang Haobo slapped a sycophant.

Fang Han left a prescription and explained the precautions, then went to change his clothes and left the hospital with Xian Fen.

Before leaving, Xian Fen called Li Junxian together, saying that he would send Li Junxian back, but Li Junxian refused with a smile: "Dr. Xian, you and Doctor Fang should go back, it's not early, I'll sleep in the duty room tonight, and I can sleep a little longer." ”

Xian Fen was not reluctant, he knew that Li Junxian was still a little restrained.

Fang Han and Xian Fen left the department, and said as they walked Fang Han: "Brother Xian, you have studied the integration of traditional Chinese and Western medicine, what do you think is the biggest drawback of Chinese medicine now?"

Xian Fen was stunned for a moment, then thought of what happened just now, and said with a smile: "It's still a matter of popular science, now many people don't understand the theory of Chinese medicine, and they don't understand the statements of Chinese medicine. ”

"yes, confused. ”

Fang Han nodded, although some people in Western medicine don't necessarily understand, but they only understand some, even if they can't read the test sheet, they will check it on the Internet when they go back, what item represents, what happens if a certain item exceeds the standard, and what happens if a certain item is lowered.

This phenomenon is not an exception, it is very common, even if it is a minor disease, some people will check the values by themselves when they take the medicine and the test sheet, and then go to the Internet to popularize science.

How can people be trusted.

"Fang Han, do you have any ideas?" Xian Fen asked with a smile.

"A little. ”

Fang Han nodded: "If the theory of traditional Chinese medicine can be explained more popularly, so that patients can understand it more directly, it may be very beneficial to the promotion of traditional Chinese medicine." ”

"Of course. Xian Fen nodded.

Fang Han was silent, maybe he could try to do it.

As much as possible, some of the sayings of traditional Chinese medicine, such as hyperactivity of liver yang and lack of righteous qi, are described in popular language, just like the examples he gave to Liang Yuwu when he treated, so that patients and their families can better understand traditional Chinese medicine.

This thing is not easy to do, and if it is done, it is a very huge project, but if it is done, it is really beneficial for the future, and it is also a breakthrough for Chinese medicine.

This thing is not easy to do, and it is even more difficult for ordinary people to do, if you want to accomplish this, you must first have a sufficient understanding of Chinese medicine, and you must also have a comprehensive understanding of Chinese medicine.

That is to say, not only if you are a general practitioner, but also have a lot of attainments in all aspects, you must understand it thoroughly in order to elaborate and annotate.

Just like a famous doctor in ancient times, if he wanted to write medical books and organize medical cases, he had to understand all the medical records, consult the classics, and correct them repeatedly.

Such things are often not completed in one or two years, and they need to be continuously learned and accumulated in the process of sorting, which is also a lifelong thing.

"Maybe that's my mission?"

Suddenly, Fang Han actually popped up with such an idea.

Such a thing is extremely difficult to do, even Guo Wenyuan can't be said to be a general practitioner, Zhou Tonghui and Luo Yuanchen also have their own shortcomings, but what about him?

also has a system in his body, Fang Han can become a real general practitioner and reach the top level in all aspects.

When the time comes, all the skills will become grandmaster-level skills, and at that time......

He might be able to try it out then......

You don't even need all the skills to become a grandmaster, even if it's advanced, you can try it.....

Before, Fang Han was still a little puzzled, why the system would give him a copy card, and why it would encourage him to study Western medicine.

At this moment, Fang Han seemed to vaguely understand, a master of general practice of Chinese medicine, and he knew Western medicine very well, wouldn't he be the best person to do this?

On the basis of not overturning the existing TCM system, it is necessary to use a more straightforward and easy-to-understand language and system to explain TCM, and to annotate TCM, not only to have a superb TCM foundation, but also to dabble in many aspects.

But as Guo Wenyuan and Luo Yuanchen said, there is no end to learning, and how many people are extremely poor and cannot reach the top in one field in their lifetime, let alone all fields.

"With great power comes great responsibility...... I'm just doing what I can......"

At this moment, a figure flashed in Fang Han's mind, and Feng Lao, a literature professor at Jiangzhou University of Science and Technology, whom he met in the rented community in Jiangzhong......

Note: Some of the views in the book only represent my personal views and may not be accurate.