Chapter 251: Transformation

"Someone was beaten, who was beaten?"

Li Xiaofei said and glanced at Zhang Xiaoquan, who had a blue nose and swollen face, and couldn't help but be happy at the moment, and the original decadence had gone a lot.

Zhang Xiaoquan glared at Li Xiaofei, this kid gloated.

If it weren't for the fact that everyone was a brother in the same sect and was a "small" generation, he would definitely beat Li Xiaofei hard.

"Senior brother, you are depressed, have you also been beaten?"

Zhang Xiaoquan is very self-cooked, no matter whether Fang Han recognizes it or not, anyway, he admits it, he should call the master to call the master, and the senior brother should be called the senior brother.

Isn't this the case in this world, when the habit is formed, when everyone thinks so, whether Fang Han recognizes it or not, he is also Fang Han's apprentice.

Fang Han also looked at Li Xiaofei.

Li Xiaofei remembered his business, hurriedly lowered his head, and said in a low voice: "Teacher, I may have made a mistake with the patient in bed six." ”

"Misdiagnosed?" Fang Han asked.

Li Xiaofei nodded lightly and said in a low voice: "The symptoms have worsened, I suspect that I prescribed the wrong prescription." ”

"Let's go, let's see. Fang Han said, and then walked towards the observation room, Li Xiaofei hurriedly followed behind.

"Hey, it's not ......" Zhang Xiaoquan hurriedly shouted in the back, this is also an apprentice, why is the gap so big, he is still hurt.

While shouting, Zhang Xiaoquan also hurriedly followed behind, he is now a volunteer in the emergency department, and as a volunteer, most places in the hospital can also be visited.

Li Xiaofei followed behind Fang Han, telling Fang Han about the patient's situation as he walked.

The patient was a male, in his fifties, with a history of hypertension for more than five years, often dizzy and headache, often took compound Luobuma tablets to control blood pressure, relieve dizziness and headache and other symptoms, about two weeks ago, the dizziness and headache suddenly worsened, accompanied by oblique mouth and eyes, hard tongue, and numbness of the left lower limb with unfavorable speech, and was sent to the emergency department of Jiangzhong Hospital.

In order to avoid mistakes, Li Xiaofei also measured the patient's blood pressure and arranged for the patient to do a brain CT, which showed that the patient had a cerebral infarction.

According to the results of the examination, Li Xiaofei dialectically diagnosed the patient with liver and kidney yin deficiency and Fengyang Shangrao type stroke, and prescribed the patient to nourish yin and latent yang, and add or subtract the Zhengan Quenfeng Decoction that nourishes yin and latent yang, extinguishes wind and tongluo, and cooperates with the meridian injection of Wei Brain Pathway injection, and arranges for the patient to be temporarily hospitalized for observation.

After three days of medication, the patient's blood pressure tended to normal, the symptoms of dizziness and headache began to decrease, and the limb function also recovered, which made Li Xiaofei very excited.

Who knew that after seven or eight days of continuous medication, the patient's symptoms began to worsen again, and there were also symptoms of loose stools, accompanied by symptoms such as dizziness in the head, listlessness, paleness, bloating and abdominal pain.

Li Xiaofei was notified to see the patient's condition just now, and he was startled at the moment and hurriedly came to find Fang Han.

"Bed 6?"

Fang Han had a faint impression.

He rounds the ward every morning and can be said to know the situation of every patient in the observation room well.

Which bed has what symptoms, and what characteristics a certain patient has, Fang Han knows it.

It's just that in the morning rounds, Fang Han basically doesn't interfere in the treatment of patients, and his ward rounds are just a simple accumulation of skill points, unless he encounters some emergencies during the ward rounds.

After all, each bed has its own doctor and its own attending doctor, and it is taboo to rashly meddle in other people's treatment.

Moreover, how the patient is treated with medicine, medical records, etc., are all in the hands of the doctor and the attending doctor, and occasional changes in the condition are also normal, and Fang Han cannot jump to conclusions without knowing what drugs the patient is taking.

"Bed 6 is your patient?" Fang Han asked.

"Hmm. Li Xiaofei nodded weakly.

He is also a senior resident doctor, Fang Haoyang has already promised that Ye Kai will let him serve as the general resident doctor, so he also wants to establish his prestige.

As a doctor, what can establish the most prestige is naturally the level of treating patients.

Fang Han was valued by Fang Haoyang and others because of what, and it was not because Fang Han came to the emergency department to cure many patients with incurable diseases.

This time, Li Xiaofei also felt that he could handle it, so he didn't tell Fang Han or Miao Dalong.....

Well, at present, Fang Han's group still belongs to Miao Dalong, to be precise, the patients treated by Fang Han and others, the attending doctor is Miao Dalong.

Miao Dalong now trusts Fang Han very much, as long as it is Fang Han or the patients who follow Fang Han and a few people, he rarely worries.

Fang Han didn't say anything more.

He is also to blame for this, he is now focused on surgery, less worried about other patients, and rarely asks who the doctor in charge of the bed is during ward rounds, except for patients he knows clearly, he rarely asks about treatment options for other patients.

After entering the observation room, Fang Han came to the edge of the 6-bed bed.

On the hospital bed lay a middle-aged man in his fifties, who was pale and depressed.

She was accompanied by the patient's daughter, who was twenty-three or four-year-old.

Seeing Fang Han coming, the other party hurriedly got up and called out politely: "Doctor Fang." ”

Fang Han nodded, first carefully observed the patient's condition, and then sat on the edge of the bed to check the patient's pulse.

"As for the medical records, bring them to me and show them. Fang Han looked at Li Xiaofei after checking it.

Li Xiaofei hurriedly handed a folder to Fang Han, and Fang Han opened it and looked directly at the prescription that Li Xiaofei had prescribed.

18 grams of white peony, 15 grams of scutellaria, 10 grams of rhubarb, 24 grams of keel, 12 grams of skullcap, 24 grams of oysters, 15 grams of ochre, 15 grams of Sichuan hyssop, 15 grams of prunella vulgaris, 12 grams of gastrodia, 15 grams of hook vine, 15 grams of chrysanthemum, 18 grams of magnet, 15 grams of tortoiseshell, 12 grams of gardenia, 15 grams of salvia......

Li Xiaofei stood cautiously on the side, drumming suddenly in his heart.

As a doctor, mistakes are inevitable, but mistakes must be blamed.

Especially the little doctor, he usually doesn't know when he will be scolded by the senior doctor if he doesn't make a mistake, let alone make a mistake.

"Well, the prescription is good. Fang Han spoke slowly.

"What?"

Li Xiaofei was stunned, Fang Han didn't scold him, nor did he discipline him, he even praised him, he didn't hear it wrong?

"Could it be that I didn't misdiagnose?" Li Xiaofei secretly guessed.

As he spoke, Fang Han had already taken out a pen from his jacket pocket, wrote a prescription with the pen, and then handed it to Li Xiaofei: "Follow this prescription for the patient." ”

Li Xiaofei took the prescription and looked at it, his eyes were wide open, Fang Han's prescription was very similar to the prescription he had prescribed before, but it lacked a few medicines such as rhubarb, chrysanthemum, gardenia, and skullcap.

"Okay. In front of the patient and the patient's family, Li Xiaofei did not ask more, but nodded.

Walking out of the ward, Li Xiaofei couldn't help but ask softly: "Teacher, is my house too bitter cold, which causes the patient to have symptoms such as loose stools?"

"Looks like you've got it. ”

Fang Han smiled and nodded: "This syndrome is liver and kidney yin deficiency, Fengyang Shangrao stroke, you consider nourishing yin and latent yang, extinguishing wind and channeling, and using the anti-liver and quenching wind decoction to add or subtract is indeed very symptomatic, but it is still too conservative when taking medicine, not careful enough, not cautious enough, and the cold is too heavy, especially after the patient takes the medicine for three days, the symptoms are reduced and the limb function is restored, indicating that the heat image in the patient's body is no longer obvious, and the bitter cold medicine should be removed at this time, rather than continuing to take it." ”

"Teacher, I'm ......" Li Xiaofei lowered his head, he was still inexperienced.

Fang Han stretched out his hand and patted Li Xiaofei's shoulder: "Don't be too discouraged, to be honest, your performance this time is very good, but there is still a lack of change when using Fang, and you are too conservative, which leads to degeneration." ”

"Teacher, I see. Li Xiaofei hurriedly said, Fang Han didn't scold him, but he felt even more uncomfortable.

"Doctors and family medicine are like soldiers and soldiers, you must know how to improvise, this is like marching to war, what 36 strategies Sun Tzu's Art of War, even if you know it by heart, you don't understand the flexible use, you will only copy it stiffly, it is just Zhao Kuo, just talking about soldiers on paper. ”

"Hehe, what about the Xiaofang Sect disciple?"

Suddenly, a voice sounded from behind, and Fang Haoyang walked from behind with a smile.

"Director Fang. Li Xiaofei hurriedly said hello.

"Hello Director Fang. Fang Han also said hello.

Fang Haoyang walked closer, stretched out his hand and patted Li Xiaofei's shoulder, and said with a smile: "Follow Fang Han and study hard." ”

"Director Fang, I will. Li Xiaofei hurriedly assured.

Fang Haoyang looked at Zhang Xiaoquan again: "You are here, you were beaten again?"

Zhang Xiaoquan turned his head and ignored Fang Haoyang, what is "again", will he speak?

Fang Haoyang just asked casually, and then he no longer paid attention to Zhang Xiaoquan, but said coldly: "Go clean up and go out with me." ”

"What are you doing?" Fang Han was a little reluctant, the next operation was about to start, wouldn't he be unable to participate when he went out at this time?

Fang Haoyang's eyes widened: "What do you mean by 'again', hurry up and change your clothes, it's time to grind." ”

"Oh!"

Fang Han replied reluctantly, and then walked to the locker room.

Seeing Fang Han walking away, Zhang Xiaoquan suddenly leaned over and asked with a smile: "Director Fang, where are you taking the master, can you take me with you?"

"Yes. Fang Haoyang nodded.

"Really?" Zhang Xiaoquan couldn't believe it, the surname Fang was so easy to speak?

"Of course it's true, you're just a volunteer, you can go wherever you like, and I don't care. Fang Haoyang was speechless.

Volunteers come to help voluntarily, and there is no salary, people can come whenever they want, can the hospital be considered late because people are late?

"Cut!" Zhang Xiaoquan glanced at Fang Haoyang with disdain, what you said is equivalent to not saying it.

The reason why he asked for Fang Haoyang's opinion was actually because he cared about Fang Han, Fang Haoyang agreed, Fang Han had nothing to say, Fang Haoyang was silent, what if Fang Han didn't let him follow?

"What kind of expression are you?" Fang Haoyang was almost angry.

"You just said you don't want to take me, right?" Zhang Xiaoquan snorted.

"Let's go to the Riverside Hotel, does it matter if we take you or not?" Fang Haoyang asked.

"Riverside Hotel?" Zhang Xiaoquan's eyes lit up, if this is the case, it really doesn't matter.