Chapter 367: Typical (Four Changes)
Fang Haoyang came quickly.
"What's the patient's condition?"
"Severe liver damage, accompanied by diabetes!" Jiang Feng said hurriedly.
Fang Haoyang looked at Fang Han, he trusted Fang Han's judgment even more.
"The patient's liver injury is indeed very serious, accompanied by yin deficiency, dryness and heat, qi and yin deficiency, from the current situation, not to mention that we do not have the conditions for surgery, even if we have, the patient's current situation is not suitable for surgery. Fang Han explained the situation in detail.
Fang Haoyang nodded slightly, stepped forward to do the examination in person, and turned back to ask the nurse on the side: "Have you tested the patient's blood sugar?"
"After checking, the current blood sugar is 18.5, and according to the patient's family, even the patient's fasting blood sugar has reached 11.8!"
"That's a very high number. Chen Yuan on the side interjected.
Generally speaking, fasting blood sugar is about 6.1, postprandial blood sugar is about 7.8, it is relatively normal, the patient's fasting blood sugar reaches 11.8, and postprandial blood sugar reaches 18.5, which is ridiculously high.
"In such a situation, even if you are sent to a hospital attached to a hospital or a provincial hospital, there is no way to operate. Fang Haoyang frowned and looked at Fang Han: "What are the conditions for meeting the operation?"
"Blood sugar has to come down, and objectively speaking, even if the blood sample comes down, there is a risk that the wound will not heal. Fang Han groaned for a while.
"What do you mean?" Fang Haoyang asked Fang Han.
"I mean, if Director Fang can match me with a team, it would be more appropriate for the patient to stay in our Jiang Zhong Hospital than to send him to other hospitals. ”
"How?"
"How high the patient's blood sugar is, whether it is diabetes, these have little to do with us, we don't worry about these in traditional Chinese medicine, the patient's wound is difficult to heal is precisely because the diabetic patient has low resistance and immunity, weak body antibodies, and poor microcirculation. If this problem is solved, then there will be no problem in wound healing. ”
Fang Han expressed his opinion.
"Good!"
Fang Haoyang couldn't help but praise, then looked at Ye Kai and the others, and said with a serious face: "Did you hear it, when you encounter a problem, you must first think about what you are good at, this is the benefit of the integration of traditional Chinese and Western medicine, the integration of traditional Chinese and Western medicine is not to let you take the disease names and data of Western medicine to increase the difficulty for yourself, but to use the means of traditional Chinese medicine to solve the problems of Western medicine." ”
Listening to Fang Han's analysis, Fang Haoyang was really excited and happy.
He wants to build a modern department of integrated traditional Chinese and Western medicine, what is a modern department of integrated traditional Chinese and Western medicine, and what are the advantages of a modern department of integrated traditional Chinese and Western medicine?
Many people don't understand these things, especially some senior Chinese medicine practitioners, who have all kinds of worries.
Sometimes no matter how much you explain, you can't show a clear picture of the case.
Just now, Fang Haoyang was still in the office regretting Old Feng's situation, but he didn't expect such a patient to come to the emergency department in a blink of an eye.
Like Ye Kai, Jiang Feng and others said about diabetes, blood sugar, and risks, Fang Haoyang didn't like to hear it.
Jiang Zhongyuan said that it is still a traditional Chinese medicine hospital, and even if it is a combination of traditional Chinese and Western medicine, it is to promote its strengths and avoid its weaknesses, rather than covering up its own strengths and judging the condition with its own shortcomings.
What diabetes, what blood sugar, what risks, what is the use of talking about these, from the perspective of diabetes, all the doctors in Jiangzhong Hospital are not as good as a deputy director or even a senior attending of a Western medicine hospital.
Since you are a Chinese medicine practitioner, why should you be limited by the name of Western medicine?
Diabetes mellitus is an endocrine and metabolic disorder in modern medicine, and the pathogenesis in traditional Chinese medicine is what Fang Han said about yin deficiency, dryness and heat, and qi and blood deficiency.
Western medicine has the ideas of Western medicine, and Chinese medicine also has the ideas of Chinese medicine, and the problems that cannot be solved by Western medicine do not mean that Chinese medicine cannot solve them, just like the case of rectal cancer occlusion and catheterization failure that Fang Han solved in the provincial hospital this morning.
The provincial hospital didn't solve it for half a month, and Fang Han and Zheng Mingquan solved it in three hours with just one dose of medicine.
Why?
It is precisely because Chinese and Western medicine have their own strengths and weaknesses.
"The patient will stay in our department, and in the past two days, the patient's condition will be adjusted first, Ye Kai will notify the internal medicine department for consultation, and first find a way to stabilize the patient's condition, and I will solve the operation." ”
At this time, Fang Haoyang naturally couldn't let this patient go.
As Fang Han said, if you look at the current situation of the patient, the patient is more suitable in Jiangzhong Hospital than in other hospitals, and Chinese medicine has more advantages in terms of the patient's current situation.
What Jiangzhong Hospital lacked in the past was surgery, but now, Fang Han can completely do surgery on liver resection, which is nothing more than a team problem.
If it weren't for the invitation of a master in liver resection, the problem of assistants alone would not be difficult to solve.
"Okay, I'll let you know right away. Ye Kai hurriedly responded.
"Xiao Fang, taking advantage of the patient conditioning stage, you discuss with the head nurse, determine the nurses in the operating room as soon as possible, and conduct a simple training, and the operating room will be equipped with medical staff for a long time in the future. Fang Haoyang said coldly to the other party again.
"I understand. Fang Han nodded.
With the establishment of the bone injury division, the operating room of the emergency department of Jiangzhong Hospital will be busy again, and it will be long-term, no longer temporary or short-term, so that the nurses equipped with the operating room will become standing staff.
Minor surgery is easy to say, major surgery has very strict requirements for nurses, as a standing nurse in the operating room, at least to know the general process of the whole operation.
What consumables are needed for the operation, what appliances are needed, these are all familiar, otherwise the operation will inevitably start in a hurry.
"Arrange a bed for the patient, stay in the observation room first, Chen Yuan, you go and communicate with the patient's family. ”
With that, Fang Haoyang strode away.
After Fang Haoyang left, Ye Kai and the others let out a long breath, Director Fang's aura was simply too strong, and they were a little out of breath.
"Everyone is busy going their own way, and if the patient has any condition, call me at any time. Fang Han said a word, and also turned to leave.
The patient's current condition is quite stable, although it is an emergency department, but it is not critical, since the plan has been decided, the rest is internal medicine consultation, and the early treatment is formulated, which Fang Han does not intend to interfere with, each has its own strengths and weaknesses, he can't use the system every time, right?
And it is impossible for Fang Han to take care of everything in the department.
Dr. Fang Han, who is about to become the head of the emergency department, is no longer the doctor Fang when he first entered the emergency department, and now Fang Han no longer needs to treat some minor diseases to show his ability, and if others can solve it, Fang Han naturally does not need to do it himself.
I can't take care of everything, and if I don't say that I can't manage it, I can't hold it.
Growing up is a process, and different stages worry about different things.
For example, some directors of the surgery or emergency department of other hospitals, when they first interned, those directors spent all day in the processing room or emergency department for surgery, but when they arrived at the attending doctor, have you ever seen any attending doctors go to the emergency department for surgery?
When I got to the deputy director, I couldn't be busy with normal surgery, let alone rubbing surgery, suture debridement and other work, and some of the attending patients couldn't look down on it.
Fang Han is the same, the current Doctor Fang's eyes are also high, there is no challenging disease, he is too lazy to intervene.
Ye Kai notified the Department of Internal Medicine, and the Department of Internal Medicine came with an attending physician and a resident doctor.
The two of them checked the patient's condition, and they were both a little stunned: "Mr. Ye, do you dare to accept patients like this in the emergency department now?"
From the perspective of the patient's situation, simple Chinese medicine treatment will not work, and surgery must be required, this is liver resection, is the emergency department so tall now?
"What don't you dare to take?"
Chen Yuan on the side was a little proud: "We called you here to discuss the patient's current situation, first stabilize the patient's physical signs, and correct and replenish qi." ”
"Tsk. "The attending doctor can't help but smash his mouth, the emergency department is really bullish now.
Regarding Chen Yuan's arrogance, the attending doctor of the Department of Internal Medicine didn't say much, Chen Yuan is also the attending doctor, the level is the same as him, and the top two sentences are also based on confidence.
Some doctors in the Department of Internal Medicine have also heard about the situation in the emergency department, it seems that the emergency department has begun to do joint replacement, and has robbed a lot of business in the orthopedic department, but now it seems that the emergency department is not only robbing the business of the orthopedic department, but also planning to grab business with the medical affiliated hospital and the provincial hospital.
There are not many hospitals in Jiangzhou Province that are capable of liver resection, and there are even fewer well-known hospitals, provincial hospitals, medical affiliated hospitals, military medical universities, central hospitals, etc., there are only three or five.
Liver resection is not a cold and fever, the patient base is large, the number of patients with liver injury and liver rupture is not large, and there are so many in the whole Jiangzhou Province, several large hospitals have always attached great importance to patient resources in this area.
Ye Kai didn't say anything weird, his face was very serious, and his tone was very calm: "There is a patient with liver resection in the observation room of our emergency department now, and the prognosis is recovering very well, this is not the first case, there is no fuss, Dr. Ma, let's discuss the treatment plan, right?"
"There has already been a case?" The attending physician of the internal medicine department was shocked again, he had never heard of such a big thing.
"Mr. Ye, did Director Fang dig up a big guy outside the liver?" asked the resident doctor who came with the attending with a smile.
"There are no new people in the emergency department for the time being, and the previous surgery was done by Dr. Fang. Ye Kai replied very blandly.
"Doctor Fang, Fang Han?" The attending of the internal medicine department opened his mouth widely, wouldn't it, it seems that Fang Han is doing joint replacement in the emergency department now, how long has the joint replacement been done, and Fang Han has started to do liver resection now?
"Apart from Fang Han, which other Doctor Fang has this ability. Jiang Feng couldn't help but interject, Doctor Fang is so good, isn't he surprised?
He himself can't believe it, do you say it's terrible?
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