Chapter 837: Consultation (19,000 votes for the third watch)
"Xiao Fang, wait a minute. ”
Qian Xiaolin shouted, then turned around and asked Mei Shuqin, "Director Mei has any suggestions?"
Mei Shuqin was a little embarrassed, and said, "Do you want to ask people from the Chinese medicine department and the respiratory department to do a consultation together?"
Qian Xiaolin didn't answer, he looked directly at Fang Han and asked for Fang Han's opinion.
"If Director Mei insists, it is not impossible, and the patient's condition is stable after instilling the ginseng injection. Fang Han thought about it for a moment and replied.
Doctors should be cautious about the advice of the patient's family, and even if they disagree, they should convince the patient's family.
"Inform the TCM department. Qian Xiaolin gave an order to Wang Haobo, and then said to Mei Shuqin: "Director Mei, you are an expert in respiratory diseases, I don't think the respiratory department needs to be notified, right?"
Hospital department consultation is often divided into several situations.
One is consultation in the sense of learning, in which a treatment plan is already available,,, for some rare diseases or incurable diseases, the department organizes discussions within the department to deepen the understanding of the diseases in the process of discussion.
The other is to check and fill in the gaps, in the case of big treatment ideas, there are still doubts about some aspects, at this time invite some experts in relevant aspects to check and fill in the gaps.
There is also a way of not having a diagnosis, so everyone discusses it together.
Today's Mei Shuqin's consultation suggestion actually belongs to the second type, at least in Qian Xiaolin's opinion.
Mei Shuqin proposed a consultation, obviously not worried about Fang Han's level, and it was not much of a big deal to invite the respiratory department at this time.
"Director Qian is polite, I'm already in a mess now. ”
Mei Shuqin said this, but she still agreed with Qian Xiaolin's suggestion: "But since Director Qian said so, then the respiratory department doesn't need to bother, and I also know that the doctors in Yanjing Hospital are busy." ”
Symptom consultation, when to consult, whether to consult or not, that is definitely not something that the patient's family can decide, Mei Shuqin knows this very well.
Qian Xiaolin was polite to her, completely because everyone was a peer, and she herself was an expert in the industry, so she was polite.
If it is an ordinary patient, should it be consulted, who should be invited, how can the patient's family interject, how many patients are hospitalized, and the patient's family will not even see the director from beginning to end, and they do not know each other.
As a family member of a patient, who doesn't want to find the best doctor for their loved one?
If the patient's family names whoever treats him, the directors will not be busy.
It's true that patients have the right to choose a doctor, but this premise is also within the range of what you can choose.
The people from the TCM department were not slow, and it took about ten minutes for the experts of the TCM department to arrive.
The person who came was Du Yuntao.
After entering the door, Du Yuntao didn't even see Mei Shuqin, so he spoke first: "I said Director Qian, Fang Han is in your emergency department, and you are calling the Chinese medicine department for consultation, isn't Fang Han at work today?"
The TCM Department of Yenching Hospital is still quite famous, so the number of TCM consultations in the emergency department is not small, not to mention every day, there are always two or three times a week.
But since Fang Han arrived at the emergency department, it has been nearly a month, and the TCM department has basically rarely received an invitation to consult with the emergency department.
And several directors of the Chinese medicine department also know Fang Han's level, as long as Fang Han is in the emergency department for a day, they really don't have to worry about the emergency department, if Fang Han can't handle it, it will be a tricky illness for them to go.
"Director Du. ”
Fang Han on the side hurriedly said hello.
"Huh?"
Du Yuntao was shocked: "Where is Xiao Fang?"
Mei Shuqin's face was quite embarrassed.
She also knew Du Yuntao, what did Du Yuntao mean when he entered the door, as long as she was not a fool, she basically understood it.
"Director Du. ”
Qian Xiaolin also greeted him, and then introduced Du Yuntao: "This is ........"
"Director Mei is also here, I have seen it, I have seen it. "
Before Qian Xiaolin finished speaking, Du Yuntao said hello to Mei Shuqin.
They are all experts in Yanjing, and they have seen each other a few times for so many years, as for whether they are familiar or not, whether they have a good personal relationship, that is another matter.
As a female doctor, Mei Shuqin also has an innate advantage, even if she has not dealt with her before, there will be no contradictions.
"Director Du. ”
Mei Shuqin said hello to Du Yuntao, and then said embarrassedly: "The patient is my lover, and I also care about it, so I specially asked Director Qian to ask Director Du to come over to check it." ”
These words were kind words, Du Yuntao was not serious, looked at the patient, and asked, "What's the situation?"
"Avian influenza H7N9. Qian Xiaolin said.
Du Yuntao didn't ask much when he heard this, and stepped forward to check the patient's situation.
What is the situation of H7N9, Du Yuntao also knows it somewhat.
At this time, the patient was on a drip, and he was wearing an oxygen mask, Du Yuntao couldn't feel his pulse, so he just did a simple examination, and then asked Fang Han: "Xiao Fang, what do you think?"
"The heat poisons the lungs, and the inside is closed and the outside is out of evidence. ”
Du Yuntao knew that this was a serious illness.
Heat poisoning the lungs refers to a symptom formed by the stagnation of heat and evil in the lungs, resulting in pulmonary qi depression.
The internal closure and external detachment syndrome is a further development of the fever trap pericardial syndrome, which is a critical syndrome formed in the process of transformation from qiying and burnt to functional failure.
Du Yuntao still believes in Fang Han's diagnosis and dialectic, since Fang Han has already come to a conclusion, there is a way to think about it.
Thinking like this, Du Yuntao subconsciously swept it and saw the decoction on the side.
"Already prescribed?"
"Hmm!" Fang Han responded.
From the internship to the present, being questioned because of his age, Fang Han has gotten used to it, and he is not angry.
It is often said that if you want to be fair, you should turn it upside down and empathize, if Fang Han himself is a family member of a patient, he will not easily trust the young doctor.
Correspondingly, the masters among the young doctors are a minority after all, and the geniuses are a minority after all, and they are not so easy to meet.
Du Yuntao walked over and picked up the decoction and sniffed it gently: "Raw rhubarb, whole melon wilt, fried lichen seeds, raw gypsum, ginseng....... Xuanbai Chengqi soup plus or minus?"
At the same time, it is combined with intravenous infusion of ginseng injection. Fang Han said.
Du Yuntao is worthy of being Du Yuntao, just by smelling it, you can smell what kind of prescription Fang Han uses, and many Chinese medicine practitioners can't do it now.
"Detoxify and drain the lungs, invigorate qi and solidify it, this recipe is very good, how to ........"
After saying that, Du Yuntao guessed the reason and changed his words: "Just use this recipe." ”
Fang Han's level Qian Xiaolin is clear, so why don't you use this decoction, Du Yuntao is easy to guess, Mei Shuqin can't believe Fang Han.
........
Wan Bao was rescued and transferred to the emergency department for observation after stabilization.
While he was talking with his wife in the observation room, Wan Bao noticed the movement outside.
"What's going on?"
"I'll take a look. ”
Wan Bao's lover stood up and walked to the door of the ward to take a look, then walked over and said, "It seems that the hospital's infectious disease department is disinfecting." ”
Although Wan Bao's lover is not a doctor, she has a doctor's husband, and she is half an expert.
"Disinfection of the hospital infection department?"
Wan Bao frowned: "Why is the good hospital infection department disinfected, and there is an infectious disease in the emergency department of Yanjing Hospital?"
Thinking of this, Wan Bao was a little stunned.
As a doctor, Wanbao naturally knows very well the horror of infectious diseases, if it is a new virus, it will be even more troublesome, although the emergency department of Yanjing Hospital has not been notified, nor is it closed, it may notify the hospital infection department to disinfection, this virus should not be underestimated.
If it were usual, Wan Bao was not very worried, but he is now a patient, or bronchitis, the most taboo of tracheitis is a cold and fever, once infected with the virus, other patients may be able to be rescued, and a tracheitis patient is really a dead life.
Thinking of this, Wan Bao said to his wife, "Go and call a doctor and be discharged." ”
Wan Bao's wife didn't say much, got up and went out of the ward to find a doctor.
After a while, Wang Haobo came back with Wanbao's lover.
"Dr. Wan is going to be discharged?"
Wang Haobo is still very polite, no matter what, Wanbao is also an expert in the field of burns, and he is still very well-known in the medical field, so such a person can not be offended.
"I want to go back to Shuitan Hospital, where the conditions are good, the situation is familiar, and it is convenient to recuperate. "Wan Bao Dao.
"Okay, I'll go to Dr. Wan to go through the discharge procedures. ”
Wang Haobo did not force it, Wanbao said the truth, Shuitan Hospital is a private hospital, the environment is really good, of course, the cost is also high, Wanbao himself is the burn director of Shuitan Hospital, there is no need to consider the hospitalization fee, doctors and nurses will definitely take care of it, the only drawback is that Shuitan Hospital is a burn hospital, not good at respiratory diseases.
"Mr. Wang, take the liberty of asking, is there any infectious disease, I see that the hospital infection department is disinfecting. Wan Bao asked in a low voice.
“H7N9。 ”
The patient is Wanbao, Wang Haobo did not hide it, ordinary patients do not know enough about this disease, and they may panic when they hear it, but Wanbao is an expert in the industry, although he is not a respiratory specialist, but he will not be like others.
"Seriously?"
Hearing that it was H7N9, Wan Bao was indeed relieved, what he was most afraid of was the new virus, if it was a new virus, the emergency department would be blocked, it would be troublesome, H7N9, there was indeed no human-to-human transmission, and the disinfection of the emergency department of Yanjing Hospital was just cautious.
"Severe disease, respiratory distress syndrome, Dr. Fang is in charge of treatment. Wang Haobo said.
"Fang Han?"
Wan Bao's face was silent, but he was surprised in his heart, this kind of serious illness, the emergency department of Yanjing Hospital was also relieved to hand it over to Fang Han?
"Yes, it's Dr. Fang. ”
Wang Haobo didn't plan to say more, but after thinking about it, he added: "The patient is the lover of Director Mei of the Respiratory Department of the Medical University Hospital, and Director Mei suggested traditional Chinese medicine treatment. ”