Chapter Ninety-Eight: Fang Zi Is Unqualified
Yes, Xu Yang answered the phone and was about to go out again.
Zhang Ke wanted to cry without tears, why did she leave again, but she couldn't stop Xu Yang, so she could only say to Xu Yang: "You have to remember to ask them for the outpatient fee, you can't let you work in vain." ”
"Got it. Xu Yang agreed and began to pack his things.
Zhang Ke said: "That...... You come back early after seeing the doctor, you can ride my little electric donkey, so soon. ”
"Good. Xu Yang agreed again, took Zhang Ke's key and went out.
"Alas!" Zhang Ke sighed wistfully, turned his head to look at Song Qiang who was sitting in the corner, and showed a kind smile.
Song Qiang kept rolling his eyes, and he didn't know if it was too late to pretend to be dizzy now.
Xu Yang went out, he was still a little unaccustomed to it, and he couldn't find his way all of a sudden. But the patient couldn't delay, so he took out his mobile phone to search for the Chinese medicine hospital, clicked on the navigation, and then put the mobile phone on the little electric donkey.
Xu Yang turned around and stepped onto Zhang Ke's pink girl's little electric donkey, put on Zhang Ke's pink helmet with a little yellow duck windmill sticky, twisted the switch, and rode out with the navigation.
In the old county seat, it was more convenient to ride a battery car than to drive, and Xu Yang soon arrived at the Chinese Medicine Hospital.
After Xu Yang arrived, he called Lao Cao.
Lao Cao immediately went downstairs, and along with Director Qi of the Department of Surgery.
That's right, it's the Director Qi who treated the extinct father for appendicitis before.
Director Qi smiled at Xu Yang and stretched out his hand: "Haha, Doctor Xu, meet again." ”
Xu Yang's expression remained unchanged, and he shook hands with Director Qi: "Hello." ”
Xu Yang had long forgotten who this person was, but he still remembered Lao Cao, after all, he had been in contact with him many times and invited him to dinner. Oh, Liu Jingning also invited him to dinner.
"Hello, Dr. Koh. Behind Director Qi, a little girl with glasses greeted Xu Yang, her cheeks slightly red.
She was the first female resident yesterday to suggest that her father might be ectopic appendicitis.
"Hello. Xu Yang also nodded, looking at the female doctor, as if he was not impressed.
The girl secretly glanced at Xu Yang, and when she saw Xu Yang staring at her, her face turned even redder. Why is he looking at me? Why is he looking at me?
The little girl suddenly made up a lot of inner drama in her brain.
Director Qi said very politely: "I'm afraid I'm going to trouble you again this time, Dr. Xu, oh, we have asked the hospital to prepare an invitation agreement, and the hospital will settle the consultation fee with you at that time." ”
Lao Cao also said on the side: "Yes, our hospital has not invited folk Chinese medicine practitioners to consult before, so there is no precedent for this." ”
"But you have really helped us a lot these few times, I told the above with Director Zhong and Director Qi, and the above also agreed. Everything comes according to the prescribed consultation fee, which may not be a lot, so don't be too little. ”
Xu Yang said politely: "It's okay, it's important to treat the disease." Let's go, talk about the situation. ”
"Okay, talk as you go. Cao Dehua stretched out his hand.
Several people walked up.
The three bigwigs are talking about their condition.
The little girl ran ahead and led the way.
Director Qi said: "Doctor Xu, this time the main reason is that I want to trouble you, we have a patient here who is more tricky, so I asked Lao Cao to find you." ”
Lao Cao smiled at Xu Yang, he was now like Xu Yang's correspondent.
Xu Yang asked, "What's the situation?"
Director Qi said: "That's right, the patient had intestinal obstruction surgery two years ago, and this time he had adhesive insufficiency obstruction, he has been hospitalized for 20 days, he has been unable to eat for 25 days, he vomits frequently, and he has abdominal pain all the time. Xiaohui, give me the case. ”
The female resident immediately handed over the folder in her hand.
Director Qi took it, handed the document to Xu Yang, and said, "This is the patient's diagnosis and treatment record and examination report during this time. ”
Xu Yang took it and only looked at the patient's symptoms and previous medications, but did not look at their examination report.
Several people entered the elevator.
Director Qi continued: "We used conservative treatment, but the effect was average. And the patient was reluctant to operate again, so we invited a Chinese medicine doctor to consult, but the effect of Chinese medicine was not good, so we invited Dr. Xu to come. ”
The female resident Xiaohui raised her eyebrows when she heard this, and what their director said was very elevated. They can't do Chinese or Western medicine in their hospital, and then they invited Dr. Xu, which means that Dr. Xu is better than the doctors in their hospital?
Xiaohui was secretly speechless.
But it's no wonder that they value Dr. Xu so much, yesterday's was ectopic appendicitis, which is almost 100% misdiagnosed, and Dr. Xu actually diagnosed it.
It's not enough if it's diagnosed, if you take a pair of medicines, the stubborn old man will be fine. When she went to check on the room this morning, the stubborn old man was gone.
They made another phone call, and went out to look for it, only to find out later that the old man had slipped out for breakfast. He also said justifiably that they didn't give him food, and he couldn't eat it himself?
Xiaohui couldn't cry or laugh, he couldn't eat it before, and he couldn't give it to him. I was going to have surgery before, so I needed to fast from water.
It's just that she didn't expect this old man to get better so quickly, even if they had surgery, they would have to be deprived of drinking water for several days after the operation, and they would have to be hospitalized for a few days to recover before they could be discharged. It's not that fast at all.
The group went upstairs and went to the inpatient department.
Xu Yang finally saw the patient.
The patient, who was hospitalized for 20 days and had not been able to eat for 25 days, was extremely thin and almost out of phase.
Xu Yang also inquired about his condition and learned that the patient was now weak, unable to sit upright, and would wheezing if he moved slightly. Vomiting is frequent, abdominal pain does not stop, stool seems to be impassable, and if you are very hard, it can come out a little bit.
Xu Yang looked at the other party's tongue and found that the other party's tongue was red and the middle root was dry.
Xu Yang checked the other party's pulse again, and the pulse dispersed.
After the diagnosis was completed, Xu Yang went out with them.
Several people came to Zhong Hua's office in the Department of Traditional Chinese Medicine Internal Medicine.
Zhong Hua and Xu Yuan are also here.
"Dr. Xu. ”
"Hello Dr. Xu. ”
"Hello. Xu Yang still has an impression of these two people, and he remembers that these two people went to the clinic to find fault.
Zhong Hua asked, "Oh, it's the patient with incomplete adhesion obstruction after intestinal obstruction, right?"
Director Qi said: "Yes, it's him." ”
Zhong Hua also printed out the prescription on their side, and he said: "Although this patient has intestinal obstruction, it is not a sign of real heat, but a false evidence, because the weakness of Zhongqi causes obstruction. ”
Xu Yang bowed slightly, Zhong Hua's level is still there, not all intestinal obstruction is a real heat evidence, this patient is a false evidence, if you ignore it and directly fall into the bitter cold, something will happen.
Zhong Hua handed over his recipe and said, "I used the Buzhong Yiqi Soup, and Seinsai used it, but the effect was average. ”
Xu Yang took his prescription and looked at it twice, frowning slightly.
Zhong Hua smiled and asked, "What does Dr. Xu think about this disease?"
Xu Yang looked at Fang Zi with an indifferent expression, he had experienced this kind of consultation scene countless times in that time and space, and he was already very used to it.
He said: "The patient is because the middle qi is deficient in the vortex, and the gastric juice is not dried up and descended. Your recipe, the general idea is correct, but there is a problem. ”
"It's right to replenish the qi, but you have to pay attention to the patient's tongue, the patient is gastric juice dried up, and his stomach qi naturally can't come down, so the vomiting doesn't stop, you don't take this into account. ”
Zhong Hua was stunned for a moment, I just let you see the recipe, and I didn't let you comment. I asked you what you think about the disease, why did you take the initiative to comment on my prescription?
The other people's expressions slowly became more exciting.
Xu Yang was unaware, and he continued: "The cure for all ruffians and blockages lies in curing qi. All diseases are born from qi, and the hub of Sanjiao gasification and lifting is in the spleen and stomach. The patient is now in a state of anxiety, rising but not falling, so the lower part is not passable, and the upper part vomits violently. ”
"Your idea of replenishing the air plug is right, but now there is a rise but no fall, you only replenish the qi, but not the downward qi, it is difficult to work quickly. I didn't take into account that the gastric juice dried up, and the dosage of ginseng was too low. You can't do it!"
As soon as the last sentence came out, the audience was stunned.
Xu Yuan was dumbfounded.
Xiaohui also covered her mouth in surprise.
Zhong Hua's old face quickly turned red.
Xu Yang still didn't realize it, he had just come back from that time and space, and his thinking hadn't turned around yet, he had been a clinical authority in that time and space for decades.
What is authority?
The directors of traditional Chinese medicine and Western medicine in their county have all been scolded by him!
After scolding, they also showed a teachable look.
Xu Yang felt that he was already very polite.