Chapter Forty-Six: A Small Group

In the emergency department, it is generally the person who receives the patient who is responsible.

Because Fang Han is under Miao Dalong's name, if the patient treated by Fang Han is hospitalized in the observation room, the patient belongs to Miao Dalong, and the doctors in charge of the bed are Fang Han and Li Xiaofei, but Fang Han is an intern, and he rarely cares about the patients in the observation room during this period of time, and the nurse will report to Li Xiaofei or Miao Dalong as soon as the patient has any soil conditions.

In the afternoon, Miao Dalong had just finished treating a patient, and when he came out of the treatment room, a nurse in charge of the observation room hurriedly walked over.

"Dr. Miao, the high fever of the 15-bed patient has not gone away. ”

"15 beds?" Miao Dalong was stunned: "Who receives the patients?"

"It's Dr. Fang. The nurse said.

"Fang Han?" Miao Dalong asked.

"Well, I was hospitalized this morning, and the high fever has not gone away. The nurse said.

"Okay, I'll take a look, you go and inform Fang Han to come over. Miao Dalong nodded, Fang Han's patient was his patient.

While walking towards the observation room, Miao Dalong muttered in his heart, Fang Han has been in the emergency department for several days, and there are many patients treated, and this is the first patient with an emergency.

Most of the patients treated by Fang Han before were discharged from the hospital on the same day, and no hospitalization was arranged, and several patients who were hospitalized were all patients with bone injuries.

Miao Dalong has not paid much attention to the patients received by Fang Han on ward rounds in the past few days, and the situation is good, but today the nurse suddenly came to him and said that Fang Han's patient was in a condition, and he was really a little surprised.

......

Fang Han came quickly, almost Miao Dalong arrived on the front foot, he arrived on the back foot, and Miao Dalong didn't have time to ask about the patient's specific situation.

"Xiao Fang. ”

Seeing Fang Han coming, Miao Dalong beckoned: "What's the patient's condition?"

The patient's situation, as a bed doctor, must be aware of the situation at any time, and the most detailed and detailed situation, and even some past medical history and treatment process must be clearly understood.

Fang Han glanced at the patient on the hospital bed, and then it suddenly dawned, it turned out to be the patient that Ye Kai snatched before, no wonder the nurse said 15 beds just now, he had no impression at all.

This patient Lin Yushan notified Fang Han, and Fang Han also went to check it as soon as possible, but Ye Kai robbed his head halfway, but it was Fang Han's name registered at the nurse's desk.

And coincidentally, when Ye Kai arranged the ward for the patient, he called Qin Xijiao again, Qin Xijiao met the nurse halfway and said by the way, the nurse knew Qin Xijiao, so the patient was registered in Fang Han's name when he registered.

As for medical records and the like, as nurses, they generally don't have permission to view them, so they don't know that the patient is actually Ye Kai who took over, even if the prescription has Ye Kai's name on it, this is not unusual, Dr. Fang's prescription is not signed by a licensed physician, and it cannot be effective.

Besides, Ye Kai just came back today, and some of the nurses who stayed under observation didn't know yet, so by mistake, the patient was still hanging under Fang Han, and the name of Miao Dalong was filled in the column of the attending doctor.

Although the patient was cut off by Ye Kai halfway, Fang Han was also clear about the patient's condition, and said: "The patient has a high fever for four consecutive days, showing the appearance of a great fever in Yangming, and the prescription is White Tiger Soup, so he should have taken two doses, right?"

"What do you mean?" Miao Dalong rarely had the opportunity to beat Fang Han, and scolded: "As a doctor, you must be cautious, probably, maybe this kind of word can never come out of a doctor's mouth, you don't know your patients?"

Fang Han opened his mouth and was about to explain, when a young doctor ran over panting: "Huh, Doctor Miao, 15 beds are my patients." ”

The person who came was Ye Kai, I heard that the 15-bed high fever did not go away, Miao Dalong had already gone to see it, and Ye Kai hurried over.

"Your patient, isn't it Xiaofang?" Miao Dalong looked at the two of them strangely, what the hell is going on, could it be that he was angry and wrong just now?

For Fang Han, Miao Dalong's attitude was a little complicated.

He was very optimistic about Fang Han and liked Fang Han very much, but Fang Han's performance was too conspicuous and too good, which made Miao Dalong a little lacking in presence, so with a little chance, he wanted to knock Fang Han.

It's like a student is too smart and can do anything, and the teacher doesn't have much sense of existence in front of such students.

Dr. Miao has such a mentality, but when he looks back, he realizes that he made a mistake, which is ...... It's embarrassing.

Li Xiaofei also rushed over when he heard the news, and hurriedly explained to the side: "The patient was taken over by Dr. Ye, maybe the nurse didn't change it." ”

This kind of thing has happened before, but the probability of it happening is small, in fact, if the patient does not have an emergency today, the high fever has subsided, and the ward rounds will be changed back to Ye Kai's name tomorrow.

Miao Dalong looked at Ye Kai, then at Fang Han, thinking that Ye Kai suddenly came over in the morning and said that the intern had no rules, and he probably guessed what was going on in his heart.

So his face sank: "Since it's your patient, let's talk about the situation." ”

Ye Kai wiped the sweat from his forehead, and wondered in his heart, how come the high fever in these 15 beds has not subsided?

"The patient had a fever for four days, a body temperature of 39.5, and ......sweating profusely" Ye Kai hurriedly explained the situation, basically similar to what Fang Han said, the only difference is that Fang Han doesn't know the specific prescription, he only knows that it is White Tiger Soup, and White Tiger Soup also has additions, subtractions and doses, and there will be some gaps between different doctors prescribing them.

As he spoke, Ye Kai had already handed the medical record book to Miao Dalong, and the attending doctor examined it, and the doctor in charge of the bed naturally wanted to give the most detailed things to the senior doctor for review.

Miao Dalong took it and took a look, then looked at Fang Han: "Xiao Fang, you have also examined patients, what do you say?"

"I didn't check it out in the morning, but I just took a look at it. ”

As he spoke, Fang Han stepped forward and took a detailed look at the patient's condition, the symptoms and pulse were not much different from those in the morning, but in the morning he was driven away by Ye Kai before he had time to check the tongue coating, and he didn't have time to ask the patient's feelings.

After checking the tongue coating, the patient's tongue has a white greasy coating in the center of the tongue, about the size of a thumb.

"The patient should have symptoms of chest tightness, right?" asked Fang Han to the patient's family member next to him after the examination.

The family member nodded hurriedly: "There are symptoms of chest tightness." ”

Miao Dalong also stepped forward to check it, looked back at Fang Han, and his eyes signaled.

Fang Han nodded, and a few people walked into the distance, saying as they walked Fang Han: "In addition to the image of Yang Ming's great heat, the patient also has dampness in the heat, and the dampness resistance in the coke, the white tiger soup has a good effect in treating high fever, but it has little effect in dealing with the combination of dampness and syndrome. ”

Ye Kai's face changed: "You mean the patient is hot and wet?"

Fang Han nodded: "The center of the patient's tongue coating is white and greasy, and he complains of chest tightness, which is obviously hot and damp, and damp and coke." ”

"The patient did have a white greasy tongue in the center of the tongue, complaining of chest tightness, hot and damp. Miao Dalong affirmed Fang Han's judgment and looked at Ye Kai: "How did you do it?"

Ye Kai opened his mouth, and his face had already turned the color of pig liver, especially with Fang Han present on the side.

remembered that he was still educating Fang Han as a senior at that time, but there was a mistake when he took it, the most important thing is that this disease was originally to be treated by Fang Han, looking at the current results, if he didn't intervene, the patient might have improved......

"Since the heat is mixed with dampness, how should I use medicine?" Miao Dalong looked at Fang Han and couldn't help but feel a little proud.

Just now, Miao Dalong deliberately asked Fang Han after checking it himself, just to hit Ye Kai and make your kid come back, I don't know how thick the sky is.

Fang Han didn't have much resentment about Ye Kai snatching his head, but Miao Dalong was different, Fang Han's authority was given by him, and he was responsible for anything that happened, Ye Kai robbed Fang Han's patient when he came back, and he also came to the office to complain and point fingers, which made Miao Dalong very dissatisfied, what do I do as an attending doctor and report to your resident doctor?

Taking advantage of this matter, it happened to be a shame on Ye Kai, Fang Han couldn't answer and it was nothing, Ye Kai didn't make a mistake, if he answered, it would be a big long face, obviously, Fang Han didn't disappoint Miao Dalong.

"The recipe doesn't need to change much, just add a taste of Atractylodes, Atractylodes White Tiger Soup. Fang Han replied.

In fact, if you really want to talk about it, there was nothing wrong with Ye Kai's diagnosis before, but the diagnosis was negligent, which caused the patient's high fever to not go away as soon as possible.

Miao Dalong didn't care about this, and looked at Ye Kai with a calm face: "Did you hear it, just reformulate the prescription according to Xiaofang's prescription, as a doctor, you must be cautious in treating diseases and saving people, and you can't tolerate sloppiness for half a year. ”

Ye Kai nodded again and again, as a doctor, there is no mistake, Miao Dalong, the attending doctor, also makes mistakes, and Ye Kai is not so frightened.

It's just that this patient is the first patient he treats after he comes back, and he just came back and made a mistake, what does this make other people think?

Miao Dalong didn't care about his thoughts, and snorted: "Okay, hurry up and prepare a prescription, you will follow Xiao Fang to study hard these days, frizzy, what does it look like, if it weren't for the high fever of this patient for several days, the patient's family is psychologically prepared, now you just wait to explain to the patient's family." ”

After speaking, no matter what Ye Kai's expression was, Miao Dalong had already taken steps and left.

"......" Ye Kai opened his mouth, what's the situation? I'm going to learn from Fang Han?

Li Xiaofei, who was on the side, couldn't help but smile and patted Ye Kai's shoulder: "Doctor Ye, we will be a group in the future." ”

Li Xiaofei is really happy, and Dr. Miao is really good, throw down such a sentence, and don't give Ye Kai a chance, do you say that Ye Kai listens to Dr. Miao or not?

PS: Remember to collect it, big guys!