"Pediatrics used to be called dumb medicine, and the biggest difficulty in pediatrics is that children can't clearly express their feelings......"

Consultation has always been a very important part of diagnosis, not only in Chinese medicine, but also in Western medicine.

When a doctor sees a doctor, the first thing he or she needs to ask is where the patient is uncomfortable and what symptoms they have, whether it is vomiting or diarrhea, headache or bloating.

Patient-reported symptoms are often the first direction of the doctor's diagnosis.

Even if it is a Western medical diagnosis, what tests are prescribed to the patient, whether it is a chest ultrasound or a brain CT, a blood test routine or a liver function test?

These are based on the patient's self-reported symptoms.

If the patient cannot clearly express his symptoms and does not say a word when he sees the doctor, then the doctor needs to guess and judge by himself, so the diagnosis is quite difficult.

All the tests cost money, and the patient can be happy with unnecessary tests?

The difficulty of pediatrics is precisely because the doctor does not know where the child is uncomfortable, the child is very bitter, and the parents can't say one, two, three, at this time, it is a test of the doctor's level.

From this point, we can also see the absurdity of some posts that call the Chinese medicine doctor unable to dialectically rely on pulse diagnosis all day long, what online pregnancy test, through the curtain, or do not tell the doctor about the patient's situation, sit in front of the patient, you rely on the pulse to see if you are pregnant, etc.

The pulse diagnosis of traditional Chinese medicine is not omnipotent, just take the pregnancy test as an example, the happy pulse is actually a slippery pulse.

Modern Chinese medicine diagnostic textbooks have a clear description of the slippery pulse.

Fluent and sleek, like a bead, like a small bead rolling from the ruler to the inch.

The clinical diagnostic significance of the slippery pulse is more common in phlegm dampness, food accumulation and real heat and other diseases, if the person is normal and healthy, the pulse is smooth and gentle, it is a sign of Rongwei's fulfillment...... Women of childbearing age who have a slippery pulse due to menstruation should consider pregnancy, if it is too slippery, it is sick......

From the description of the textbook, which point says that pregnancy can be diagnosed by simply relying on pulse diagnosis?

Women of childbearing age have a slippery pulse during menstruation, these are the two prerequisites, the first choice is to stop menstruation, and the second is to have a slippery pulse, and the two can be considered as pregnancy or not, considering and diagnosing are two different concepts, that is to say, even if the menstrual pause and the pulse slippery may be something else.

At this time, how to dialectically refer to the four diagnoses and references, and corroborate each other, one relies on the doctor's insight and the other relies on keen observation.

This is especially true for pediatricians, where pediatricians must first be extra careful, and any behavior of the child cannot be ignored, irritability, restlessness, and even crying has different meanings.

While walking out of the consultation room, Fang Han also told Li Junxian about the doorway.

"Doctor Fang, I'll pay attention. Li Junxian nodded, very modest.

In the past few days, Li Junxian has become more and more aware of why Sun Yiyang spoke to him like that in the first place, and it was really a very lucky thing to be able to follow Fang Han.

Not only did he have many opportunities to follow Fang Han, but Fang Han would also explain to him patiently every time, and in just a few days, Li Junxian felt that he had benefited a lot

Since Li Junxian contributed a random lottery, Fang Han's teaching to Li Junxian has become more and more enthusiastic, the group of guys in the emergency department of Jiangzhong Hospital have not contributed a random lottery to Fang Han for a long time now, since he came to Yanjing, Fang Han doesn't mind teaching others.

They are all medical workers, so they are all in different hospitals, but everyone is in the job of treating diseases and saving people.

Before the system's prop mall was opened, Fang Han really didn't think that the lottery was so precious, after all, he had drawn a lot of times this year.

But with the opening of the props mall, Fang Han realized the preciousness of the lottery, worship points can't be used indiscriminately, even if you draw a primary permanent skill, you can save 50,000 worship points, right?

As they were walking, Fang Han and Li Junxian both heard a noise not far away, and the direction was the direction of the rescue room, and the two of them hurriedly hurried over.

Before he arrived, Fang Han saw a lot of people gathered near the emergency room, most of them were family members of patients in the emergency department, as if they were watching something lively, and the nurses were maintaining order.

Fang Han separated the crowd and walked into the rescue room, and at a glance saw a woman standing near the door of the rescue room, a woman covered in blood, the woman was standing on the side, her expression was in a trance, like a lonely goose in the autumn wind, giving people a kind of desolation and loneliness.

The quiet rescue room can clearly hear the woman's cry, the woman is crying and touching her tears, the blood on her hands rubs against her face, the tears are mixed with blood, and the whole face seems to be stained red with blood, and she can't even see the woman's age clearly.

A man of thirty-five or sixteen years old was lying on the bed in the emergency room, and the man was unconscious.

"What's the situation?"

Fang Han and Li Junxian hurriedly stepped forward.

In charge of the rescue is Wang Haobo, the chief inpatient of the emergency department of Yenching Hospital.

Seeing that it was Fang Han, Wang Haobo hurriedly said: "Doctor Fang, the patient is male, thirty-six years old, was stabbed in the upper left abdomen by a knife fifty minutes ago, and is in hemorrhagic shock...... THE DEPTH DIAMETER IS 3.3CM, AND THERE IS NO EFFUSION IN THE PLEURAL CAVITY......"

"That one at the door is the family?" Fang Han asked.

"Yes. Wang Haobo nodded.

"The husband and wife quarreled and were stabbed by the wife?" asked Li Junxian.

The man is unconscious, and the woman is covered in blood, this scene is not difficult to guess.

If that's the case, this woman is fierce enough, of course this kind of thing is not unusual, you can see anything strange in the emergency department, not to mention that you have only been stabbed by your wife and stabbed by a dog.

"I was stabbed by my son, and my wife gave my son another knife in a hurry......" Wang Haobo smiled bitterly and said in a low voice.

Li Junxian was stunned for a moment, this thing is a little rarer.

"What about the wounded's son?"

Fang Han looked left and right, and didn't see any other injured people, if it was according to what Wang Haobo said, shouldn't there be another injured person, could it be ......

"The injury was not serious, he was taken by the police and was bandaged in the disposal room. ”

Fang Han nodded, then stepped forward to check the patient's condition and asked, "Is there a combined thoracoabdominal CT, in this case, we should consider whether there is a thoracoabdominal combined injury, and at the same time, we should consider the possibility of pneumothorax."

"I'll just arrange for someone to do it. ”

"The patient's age is not very old, the patient's son should not be big, right?" Taking advantage of the patient's CT appearance, Li Junxian couldn't help but ask curiously.

"It's not big, it looks like I'm eleven years old this year. Wang Haobo said.

"You know how to stab people at such a young age?"

"It is said that he felt that his father was not worthy of him. Wang Haobo said.

"Not worthy, what are these words?" Fang Han was a little stunned.

"I don't know the specifics, I just listened to the doctor in the ambulance briefly said, it seems that the son of the injured is very good, his academic performance is very good, but his family background is not very good, the injured person is a takeaway, the son feels ashamed, today I don't know why the injured person taught his son a lesson, the son was angry and gave a knife, the wife of the injured person ......"

As he spoke, Wang Haobo glanced at the woman who was still stunned, and said in a low voice: "The injured man's wife grabbed the knife in a hurry and gave her son a knife, but fortunately, it was just a scratch on the face, and it was no big deal......

“......”

Fang Han didn't know what to say anymore, the eleven-year-old child was ashamed of his father?

"Doctor Fang, this is not a rare thing. ”

Li Junxian is not too surprised: "Now many children are spoiled to the sky, young people know how to compare, I heard the children of one of my relatives say, and even some children set up some anti-parent alliances, none of the children in it are mediocre, they are all the leaders of the class, their academic performance is better than the other, and they are academic tyrants, but their chat records, you don't dare to look at them." ”

Fang Han: "......"

It is said that the world is so big that there are no surprises, and this is the first time I have heard of this kind of thing for Fang Han.

Although there were also news about children killing their parents before, Fang Han always thought it was just an example, but hearing Li Junxian say this, it doesn't seem to be an exception.

"Anti-Parental Alliance?"

No wonder the woman looks lonely standing on the side, the spirit of the whole person seems to be hollowed out, on one side is the husband, on the other side is the son, not that the party will never understand the woman's mood at the moment.

As he was talking, Qian Xiaolin walked in and asked, "How is the condition of the injured?"

"Hemorrhagic shock...... Dr. Fang recommended a combined CT of the chest and abdomen. Wang Haobo explained the situation again.

"Well, Xiao Fang is very thoughtful, to rule out the combined chest and abdomen injury, to rule out the pneumothorax, otherwise you can't get on the surgical ventilator. Qian Xiaolin nodded.

"Director Qian, there is no pneumothorax. ”

The CT results came out quickly, Wang Haobo looked at the results, and then handed them to Qian Xiaolin, who took a look at them and ordered: "Prepare for the operation......

As he spoke, he glanced at the sluggish woman again, and said to Wang Haobo: "Enlighten the families of the injured and communicate with the families of the injured." ”

After speaking, Qian Xiaolin greeted Fang Han and Li Junxian.

After entering the operating room, Fang Han and Li Junxian changed into surgical gowns and followed Qian Xiaolin into the operating room.

This time it was not a liver resection, it was Qian Xiaolin who was in charge, and Fang Han and Li Junxian were in charge of the work.

Li Junxian followed Fang Han, and it was the third time in the past few days.

This is also because Fang Han is not a surgical maniac and does not focus on surgery, otherwise, Li Junxian may be able to perform several surgeries in a day.

The injured person's injuries are not too serious, mainly due to blood loss and coma, and when he is sent to the emergency department, there is actually no great danger, Qian Xiaolin is the chief surgeon, Fang Han is the assistant, such a lineup can be regarded as a high configuration, so Fang Han looked at the situation and gave up the position of the first assistant to Li Junxian, and changed positions with Li Junxian.

Qian Xiaolin also saw that Fang Han intended to cultivate Li Junxian, and explained to Li Junxian in detail while doing it.

Seeing that Fang Han was good to Li Junxian, Qian Xiaolin actually had the same thoughts as Fang Haoyang at the beginning.

Fang Han didn't intend to cultivate Li Junxian, then he Qian Xiaolin gave Li Junxian a chance, which could be regarded as selling it to Fang Han in disguise.

Having met Fang Haoyang, Qian Xiaolin also knew that Fang Han might have a shallow affection for Jiang Zhongyuan, but it doesn't matter if he is shallow or not, take your time, try it to know if there is a chance, how can you know if you don't try?