Before four o'clock in the morning, some doctors and nurses on duty at night found that many people came to the emergency department one after another, and some people were still a little strange.

The nurses on duty in the emergency department were also a little surprised, Li Xiaofei, Wu Lei, Qin Xijiao, Lin Guangliang, and the exchange student named Jiang Feng who just came yesterday had arrived.

Fang Han actually came to the end today, he actually got up with Wu Lei, and went to the bathroom when he entered the door.

"Doctor Fang, I brought you a cup of soy milk, it's still hot. Li Xiaofei hurriedly picked up a bag of soy milk from the side as if offering a treasure.

"Doctor Fang, the pastries I brought you, my mother came to see me yesterday to get them, and she made them herself. Qin Xijiao also began to offer treasures.

Jiang Feng looked at several people who each brought something, and then looked at the half-eaten fritters, this doesn't seem to be very good for Doctor Fang, right?

Fang Han actually ate a little bit when he got up in the morning, but he had a lot of food now, and he didn't refuse to come, so he took it for him, and said while eating: "Everyone eat as soon as possible, and go to the ward round after eating, Ye Kai, there is nothing abnormal about the patients in the intensive care unit, right?"

"The patient is recovering well, was awake once two hours ago, and has normal bowel and bowel movements. Ye Kaidao.

"Let's go and have a look after eating. Fang Han nodded.

Too many people are not allowed to enter the intensive care unit, Fang Han and Ye Kai checked it out, and then went to the observation room together.

Ye Kai is now the general hospitalist, basically in the department 24 hours a day, taking advantage of the fact that there are few people after 12 o'clock, he will sleep for a while, and at four o'clock he and Fang Han began to make rounds.

It was originally the general responsibility of the hospitalization to grasp the situation of each patient, and after checking the room with Fang Han, he could be more relaxed during the day, and he could squint for a while.

Fang Han was in front, Ye Kai followed closely, Li Xiaofei and Jiang Feng followed, followed by Wu Lei, Lin Guangliang and Qin Xijiao, a group of seven people, which attracted the attention of the little nurses who were still on duty.

"Dr. Fang is so stylish. ”

"Doctor Fang is only an intern now, and he seems to have the momentum of Director Fang, if he becomes the director, wouldn't it be even more remarkable......

It was the first time for Jiang Feng to follow Fang Han on ward rounds, and for a while, he was also in a complicated mood, and his heart was agitated, and they were in a big hospital in the city. The director's rounds are probably just such a battle.

When he first went to the city hospital of traditional Chinese medicine, Jiang Feng saw the director for the first time, his eyes were full of envy, thinking about what kind of scene he would be if he could lead a large group of doctors one day.

It's a pity that he was only an intern at the time, one year of internship, three years of regular training, and three years of residency, and it was a long process to become an attending doctor, not to mention the director, until he led a group of doctors to make rounds, it is estimated that his son is almost graduating from college, right?

But look at Fang Han, it's only been half a month of internship, ......right?

In the past, Fang Han had to go through the door and check it directly, and the others followed and watched, he occasionally said a few words, but today Fang Han changed his ways.

Entering the ward, Fang Han glanced at the patient, turned around and asked Li Xiaofei: "You are in charge of this bed of patients, right?"

"Hmm. Li Xiaofei nodded.

"Tell us about the patient. ”

Li Xiaofei was stunned for a moment, and hurriedly said: "The patient is 65 years old, he was hospitalized with a high fever yesterday, his body temperature was above 39 degrees, coughing, wheezing, difficulty coughing up sputum, chest tightness and could not lie flat.....

Add or subtract Dingchuan decoction, three doses, fry in a large container, take three bowls for the first decoction, take two large bowls for the second decoction, a total of five large bowls, take one bowl every two hours, when I left last night, the patient had already taken one dose, the body sweated continuously, the body temperature dropped to 38.5, the wheezing and cough have been reduced by half, and the phlegm has also decreased a lot, and you can lie flat ......"

While answering, Li Xiaofei pinched his sweat, this was the first time Fang Han asked him this, fortunately he did his homework yesterday, otherwise it would be over today.

On the one hand, it is to test the ability of the junior doctor to see if he has done his due diligence and how many things he has mastered, and on the other hand, it is also to help the junior doctor improve his level and correct some mistakes.

For junior doctors, the Q&A session during the ward rounds is also a time to show their abilities, generally unless the senior doctor deliberately makes it difficult, he will not ask too tricky questions, and the doctor who can answer smoothly will naturally be appreciated, and it is light to be scolded if he can't play.

Of course, if the junior doctor is too arrogant and causes the dissatisfaction of the senior doctor, the Q&A session is definitely a nightmare for the junior doctor, in front of a large group of people, the senior doctor can ask you to doubt life, which is also one of the reasons why the junior doctor is afraid of the senior doctor.

He doesn't deliberately make things difficult for you, just ask a few tricky questions about the patient's situation, and if you can't answer them, then you will have good fruit to eat.

Fang Han had never asked this before, but fortunately, Li Xiaofei had been a resident doctor for a short time and had already developed a good habit.

"Well, it's not bad, what's the situation with the patient now?" Fang Han nodded, very satisfied, he didn't make it difficult for Li Xiaofei, he was helping Li Xiaofei improve his skills, if it wasn't for a long-term task, he wouldn't want to delay time so much, so he would have to check a lot of patients less in the morning.

Li Xiaofei first checked the nurse's ward round records, then checked the patient's pulse, checked the patient's tongue coating and eyes, and then said: "The nurse just had a temperature measurement record, and the patient's body temperature has dropped to 37.4 now, the tongue coating is yellow and greasy, and the pulse is like a string...... I think I'll be discharged tomorrow. ”

Fang Han also stepped forward to examine the patient personally, and asked while examining: "What is the effect of the two flavors of raw rehmannia and light tempeh added to the prescription when the patient uses Dingchuan decoction to add or subtract in the first diagnosis?"

"This ......" Li Xiaofei groaned slightly, and tried to say: "It's to clear heat and detoxify, promote lung and reduce qi......"

"Who knows?" Fang Han glanced at Li Xiaofei and glanced at the others.

Everyone else also looked embarrassed, and Ye Kai hurriedly said: "Rehmannia and Dandou Douchi (chi) are the main drugs in Ge Hong's 'Black Paste Formula', Doctor Fang, when you prescribe it, the dosage of light black bean sauce is 100 grams, the purpose is to sweat in one drum with ephedra, honeysuckle and other drugs that clear heat and detoxify, promote lung and reduce qi, dissolve phlegm, relieve asthma and relieve cough. ”

Fang Han nodded with satisfaction, and asked Li Xiaofei again: "What is the purpose of taking medicine with a large dose of frequent dose?"

This time Li Xiaofei did not stumble, and hurriedly said: "The method of using high-dose frequent administration is mainly to ensure the efficacy, although the side effects of traditional Chinese medicine are low, but the potency is also low, there is no Western medicine to come quickly, and the effect is often not as long-lasting as Western medicine, this method of large-dose frequent administration can ensure that a high concentration of drugs is maintained in the blood at all times, and this feeding method is the most commonly used in our emergency department." ”

When Li Xiaofei answered, Wu Lei and several interns were also listening carefully on the side, and such questions and answers were also very useful for them to master knowledge and theory.

For example, Li Xiaofei said that the method of taking large doses frequently, they are not uncommon in the emergency department these days, but they don't quite understand why, and it's not easy to ask, and now after Li Xiaofei answers, they also understand the reason, which is of great help to them to prescribe medicine and treat diseases in the future.

Traditional Chinese medicine has a prescription and a method, the prescription is symptomatic, the method is not right, often can not achieve the expected treatment effect, only the right method, mutual cooperation, in order to receive miraculous results, sometimes the right method, and even can receive immediate results.

The law is strict, which is very obvious in traditional Chinese medicine, and many times a small mistake can cause serious consequences.

Fang Han nodded, stood up and said, "Well, that's right, the patient can also recover, and he can be discharged tomorrow, remember to inform me when the time comes." ”

Li Xiaofei nodded hurriedly.

Then Fang Han looked at the second bed, which was empty.

"What about the patients in bed two? I remember there were no patients who didn't meet the discharge criteria, right?"

Ye Kai stepped forward and said in a low voice: "The patient passed away at 10:25 last night......"

"Whew!"

Fang Han subconsciously exhaled a breath of turbidity, he also checked the patient in bed No. 2 yesterday morning, living in an old man, a seventy-year-old lady, with advanced liver cancer, accompanied by various complications and old age certificates, the family did not care much, after being sent to the hospital, he only paid on time, and only came to see it every few days.

Because the patient was from other doctors, Fang Han was only a routine examination at that time, and he did not interfere in the treatment, in fact, his ability was limited without exchanging skills, and he was not necessarily much better than other attending doctors.

At that time, Director Li was also there and participated in the rescue, but the patient's will to survive was very low, and Director Li couldn't save it despite his best efforts. Ye Kaidao.

Fang Han was silent, not only Fang Han, but also Wu Lei, Lin Guangliang, and Qin Xijiao were also a little uncomfortable.

The emergency department of Jiangzhong Hospital is different from the emergency department of Western Medicine Hospital, where patients die almost every day, but this situation is still relatively rare in Jiangzhong Hospital.

Traditional Chinese medicine does have a miracle, the experts of Jiangzhong Hospital are also the top Chinese medicine people in China, generally speaking, as long as the patients sent to the hospital still have a breath, most of them can be rescued, occasionally encounter some critical illness, the hospital will also notify Guo Wenyuan and other old experts, as long as the time comes, it can also be rescued.

It is not that there are no patients who have died in Jiangzhong Hospital, and there are also those who have died in long-term hospitalization, which is inevitable. However, the number of people who die on the spot is rare compared to that of Western medical hospitals, and often if the hospital feels that it is really powerless, it will arrange time for the patient to do the funeral.

Again, most of the patients who can come to the emergency department of the Chinese medicine hospital are not critically ill with trauma, which is also one of the reasons why there are few deaths in Jiangzhong Hospital.

Fang Han has been in the emergency department for half a month, and this is the first patient to die after he came.

"Whew. ”

Fang Han exhaled another breath of turbidity, then calmed down a bit, and continued to the next patient, as a doctor, facing life and death is a common thing, he had been prepared for this, but suddenly he was a little unaccustomed, the old man in bed No. 2 would talk to him every day, and some words seemed to be lingering in his ears now.