Chapter 10021: The Model Conceived by Fang Han (Three Changes)
During the ward rounds, Fang Han met the patient Wen Xueyi said.
The seventy-year-old man looks relatively old because he is a laborer, but he is in good spirits and in good condition.
Looks thinner.
Fang Han gave the patient a detailed examination, the tongue was red, the moss was thin, the heat was sensitive and sweaty, and he asked about sleep, and the sleep was relatively poor, and the pulse was thin.
"Doctor Fang, can my dad not have surgery?"
The son of the patient on the side asked Fang Han very politely: "Actually, we came to Jiangzhong Hospital because we heard that Dr. Fang has a high level and came to you, otherwise we would have left yesterday and would not have been hospitalized at all." ”
"I'll prescribe a prescription and try it first to see the effect. ”
Fang Han didn't give a definite answer.
"Well, thank you, Dr. Fang. ”
"You're welcome. Fang Han smiled politely.
After checking the room and returning to the duty room, Fang Han sat opposite Wen Xueyi, wrote a recipe and handed it to Wen Xueyi.
"The patient is thin, thin and hot, and many symptoms are also symptoms of insufficient yang and yin blood. ”
"Hmm. ”
Wen Xueyi took the prescription and nodded.
"Doctor Wen, our Jiangzhong Hospital is still based on traditional Chinese medicine, whether it is the bone injury division or the extrahepatic division, in fact, it is only to make up for the previous shortcomings of the emergency department of Jiangzhong Hospital, whether it is joint replacement or liver surgery, it is not the goal, but also the means. ”
Wen Xueyi was a little puzzled: "Doctor Fang, what do you mean?"
"In the future, if there is a need for joint replacement in the bone injury area, you can invite other departments for consultation first, if you can use the method of traditional Chinese medicine treatment, there is no need for surgery, surgery is a supplement, not necessary. ”
Today, this patient reminded Fang Han.
Since the establishment of the Bone Injury Division, he first studied in Yanjing, and then went to the pediatric clinic for the sake of systematic tasks, and then went to the United States.
Today's patient can be regarded as a wake-up call for Fang Han.
The reason why the orthopedic trauma division and extrahepatic division of the emergency department of Jiangzhong Hospital are not independent departments is precisely because the purpose of Fang Haoyang and Fang Han is not to operate for the sake of surgery.
TCM is not a panacea, for some patients, TCM methods are not effective, or the patient's condition is complex, and the drugs cannot directly reach the lesion, so other treatment measures, such as surgery, are required.
However, if TCM can be treated, or if surgery is used, then the cart is a bit upside down.
Wen Xueyi is a simple surgeon, so when he encounters a patient who needs joint replacement surgery, the first plan is surgery, which is not the goal of Jiang Zhongyuan.
Fang Han said to Wen Xueyi.
"Dr. Wen, Chinese medicine is different from Western medicine, there are actually many methods of Chinese medicine, from the development of Chinese medicine, there are prescriptions, prescriptions are insufficient, and then there are various treatment methods such as acupuncture and massage, all of which are for the purpose of serving patients. ”
"The Yellow Emperor's Neijing" cloud: "If the medicine is not enough, the needle is not enough, and it must be moxibustion." ”
It can also be seen from this sentence that from the very beginning, the treatment methods of Chinese medicine are a kind of supplement and auxiliary.
Sometimes patients have serious symptoms and the effect of medication is slow, so it is necessary to use acupuncture for first aid, or acupuncture to help the medicine take effect as soon as possible.
Therefore, in Fang Han's view, the surgical methods of the emergency department should also be regarded as a supplement to the methods of traditional Chinese medicine, rather than dominating the guests.
Traditional Chinese medicine treatment is very particular about timing, as the so-called condition is changeable, sometimes the opportunity is missed, the difficulty of treatment will be greatly increased, for some surgical patients, sometimes rash surgery, but will cause a delay in the treatment of traditional Chinese medicine.
Therefore, whether it is extrahepatic or bone injury division, it is necessary to consult with multiple parties and involve TCM before surgery.
"Doctor Fang, I made a note of it. Wen Xueyi nodded.
"Hmm. ”
Fang Han responded, he felt that this matter needed to be discussed with Fang Haoyang.
The extrahepatic and orthopedic divisions of the Jiangzhong Hospital, as well as several divisions to be established in the future, can actually be referred to in the middle ya
G Health Bureau's model, each medical team is equipped with a Chinese medicine practitioner.
Combining with each other, promoting strengths and avoiding weaknesses, this is the correct model of the integration of traditional Chinese and Western medicine.
Other hospitals may not be able to do this, but Jiangzhong Hospital definitely can.
In the past, traditional Chinese medicine was excluded from the treatment of pure Western medicine and some consultations in surgery, and lacked the right to participate.
It's hard to say about other hospitals, but Jiangzhong Hospital is mainly based on traditional Chinese medicine, so you can try it.
If this model is successful, then such a treatment model can be vigorously promoted, and the status of TCM practitioners will be greatly improved at that time, and TCM doctors may become hot.
Driven by profits, the value of traditional Chinese medicine is also reflected.
Fang Han kept this matter in mind, and he could discuss it with Guo Wenyuan later, and then meet with Fang Haoyang, starting with the bone injury division and extrahepatic division of the emergency department.
In the future, there will be conditions for each surgical division to be equipped with a deputy director, and this deputy director must be a traditional Chinese medicine practitioner, which can drive the enthusiasm of many doctors in the hospital.
........
"Xiaohan is here?"
When Fang Han came to Guo Wenyuan's residence, the door was open, Fang Han directly pushed the door in, in the courtyard, Guo Wenyuan was talking to a middle-aged man, heard someone come in, looked up, and found that it was Fang Han.
"Junior brother?"
The middle-aged man who was talking to Guo Wenyuan also turned around, and it turned out to be Sun Qiubai.
"The seniors are also there. Fang Han politely greeted Sun Qiubai.
"Come to Jiangzhong to do something, and visit Guo Lao by the way. ”
"Xiaohan, sit down, don't stand. ”
Guo Wenyuan greeted with a smile.
Fang Han sat down next to the two, and Sun Qiubai asked with a smile, "I heard that Senior Brother Fang, you went to Popkins Hospital?"
"Yes, it's only been back for two days. Fang Han nodded.
"Are you here to talk about cooperation?"
"No, it's an exam. Fang Han smiled and said, "I don't know if people can take a fancy to us." ”
"Didn't give you any news?" Sun Qiubai was stunned, he heard that there was a great possibility of cooperation.
"They wanted me to stay, but they didn't talk about it. Fang Han said.
"That is, Senior Brother Fang, you, if you change me, eighty percent will stay. Sun Qiubai joked.
He also has a background in traditional Chinese medicine, and for traditional Chinese medicine, Hopkins Hospital has limited appeal, unless he plans to change careers.
"Is there something to do today?"
Guo Wenyuan also asked Fang Han with a smile, but he knew that Fang Han basically went to the Three Treasures Hall for nothing, except for the New Year's Festival, there was usually a problem every time he came.
Originally, there were some things that Fang Han didn't intend to say in front of Sun Qiubai, but Guo Wenyuan asked in person, but he didn't shy away from Sun Qiubai, so Fang Han said it directly.
"Last time I went to Jiangzhou Medical University, Mr. Chen told me that he hoped that Jiangzhong Hospital and Jiangzhou Medical University College of Traditional Chinese Medicine would merge, do you know this?"
"Told me. ”
Guo Wenyuan said with a smile: "I'm an idle old man now, I don't care about anything, but this thing is a good thing, it's a strong combination, and there is nothing bad about cultivating some talents for Chinese medicine." ”
As far as Guo Wenyuan is concerned, he is not competitive, in fact, no matter who has the upper hand, as long as it is really advantageous, he will not object, even if the name of Jiangzhong Hospital is changed to the Chinese Medicine Hospital Affiliated to Jiangxi University of Traditional Chinese Medicine, he has no opinion, provided that he really does practical things.
At Guo Wenyuan's age, the heart of fame and fortune is gone, he is in his eighties, he lives every day and earns a day, and if he can leave some more things for Chinese medicine, he will be content, and it doesn't matter what other face or rights.
"What do you think?"
"I also think it is feasible, to learn Chinese medicine as soon as possible, Chinese medicine is difficult to learn, mainly because of the poor foundation, Chinese medicine students in major colleges and universities are in contact with Chinese medicine after going to medical school, the previous ten years of education has made many people have a preconceived understanding, after entering the school, the first thing is the mentality, the mentality can not change, how to study medicine?"
Sun Qiubai interjected: "Senior Brother Fang is really in a word, the current students, before the university received modern education, from the model of ideological exclusion, at the beginning of learning Chinese medicine, preconceived, itself has a kind of doubt, which causes a lack of confidence at the beginning of learning, which is very important." ”
Sun Qiubai also came into contact with traditional Chinese medicine after going to university, and then apprenticed to Feng Kaiyang, which led to his current achievements, and he empathized.
Before university, when receiving modern education and studying Chinese medicine, I would use scientific thinking, which is a habit, not to mention doubtful, this habit alone makes it difficult for many people to calm down and understand the five elements of yin and yang in Chinese medicine.
I memorize a basket of theories, I can't understand them thoroughly, I can't eat them thoroughly, and no matter how much I memorize, it's just rote memorization.
"Luo Lao and I have also made suggestions to the above, hoping to popularize Chinese medicine as soon as possible, but this matter is not overnight, nor is it unwilling to do so, mainly because children are under great pressure to learn now, coupled with the popularization of Chinese medicine, the pressure is even greater. Guo Wenyuan said.
Fang Han nodded, he understood this and deeply understood it.
"I've heard that there may be an increase in electives as extracurricular books. Sun Qiubai said.
"Really?" Fang Han was stunned, if this is the case, it is not good for some students who are interested in Chinese medicine.
"Almost, it will probably be implemented in two years. Sun Qiubai said.
"Teacher, I still have an idea.......
Fang Han told Guo Wenyuan the idea he had just thought of in the department.
Guo Wenyuan listened, he didn't say anything for a long time, Fang Han was not in a hurry, and waited quietly with Sun Qiubai.
Sun Qiubai looked at Fang Han with some surprise, his junior is not only of high level, but also has good knowledge, and he is ambitious.
"It's a good idea, but it's very difficult to actually put into practice. ”
Guo Wenyuan said slowly: "The personal gap between Chinese medicine practitioners is too big, even if it is the Health Bureau, now it is a Chinese medicine practitioner who serves as a Chinese medicine consultant for several health care groups. ”
"Teacher, we can take our time, so let's start with the Jiangzhong Academy, the spark can start a prairie fire, the Jiangzhong Academy is really going to produce results, and someone will follow suit. Fang Han was not so pessimistic.
"You're right, take your time, it's always a way, but I can't see it. ”
Guo Wenyuan is very pleased, this student of his own is amazing, and he may really become the leading figure of Chinese medicine in the future.....
No, not perhaps, but definitely.
Guo Wenyuan saw hope in Fang Han.......