The emergency department is rarely idle, even if Jiangzhong Hospital is a traditional Chinese medicine hospital, the emergency department is full of patients.

Many patients who come to Jiangzhou Traditional Chinese Medicine Hospital to see a doctor are outsiders, who come thousands of miles to see a doctor, and come to Jiangzhong Hospital for fame.

After the meeting, when Resident Doctor Li took Fang Han and a few people to take over, patients had already come one after another.

Fang Han's interns have just arrived, and they have no tasks, but Li Resident Hospital has its own patients, and the resident doctor is the doctor in charge of the bed, who is responsible for registering and checking the patient's condition every day, whether the body temperature is stable, urine and urine, mental condition, etc.

The resident doctor on the evening shift saw that Resident Doctor Li was with a few people, and joked with a smile: "Ah, Dr. Li has started to take interns?"

It's a little sour when he speaks.

There are not many interns assigned by Jiangzhong Hospital, and the emergency department is divided into four people, even if you add the exchanges and training from other hospitals, the number is not very large.

As Dr. Feng of the First Affiliated Hospital said, there are more people who change from Chinese medicine to Western medicine.

Many medical schools in China have special departments or branches of traditional Chinese medicine, and many people apply for traditional Chinese medicine because of low admission scores, generally speaking, the admission scores of traditional Chinese medicine colleges are often forty or fifty points or even more lower than those of Western medicine.

After going to school, these students take a clinical or Western medicine elective, and after graduation, they all find relationships to go to Western medicine hospitals for internships.

Generally, students who are still engaged in TCM work after graduation either really like TCM and have a foundation in this area, or they really have no rut, they went shopping in college, they didn't study the electives well, or it doesn't matter, which has to be said to be a sadness of TCM.

To get back to the point, there are few interns assigned, and generally the interns in the department are the attending doctors who have no interest or time, and then the resident doctors, and the resident doctors who are qualified to take interns, are considered to be more capable or capable and promising.

Most of the time, the attending physician is not very interested in taking interns, and whether the residents can take interns is sometimes a comparison.

The resident doctor on the night shift was a little puzzled, I usually didn't see any outstanding things about Resident Doctor Li, why did he bring four interns this time? There was no one on the day shift? No?

Resident Doctor Li was suddenly a little embarrassed, and hurriedly changed the topic: "How was the patient last night, are they all right?"

"It's all right, I've written the precautions in the handover book, you can check your temperature later." The resident doctor on the night shift waved his hand: "I'll go first." ”

Resident Dr. Li was relieved to see that the resident doctor on the night shift was leaving, and if he continued to ask, he didn't know how to answer.

Resident Dr. Li also knows that this matter will not be hidden for a long time, maybe he will not wait for today's end, he will become the first resident doctor to follow the intern, but he can hide it for a while, and even if others know, at most talk about it behind his back, such an embarrassment in person can still be avoided.

"Hey, it's hard to be a doctor. Dr. Li was aggrieved.

The emergency observation room is not small, with more than 100 beds, and 80% of them are filled with patients.

Fang Han followed Resident Doctor Li and asked, "There are so many people living in the observation room, do we have so many patients in our hospital?"

"Our hospital is the best and most professional traditional Chinese medicine hospital in the five southeastern provinces, with a high reputation, and patients who come to the hospital are all over the world. ”

Treating Fang Han, Dr. Li is very patient, after all, Fang Han is the leader of this group, although this leader is still an intern.

"You must know that most patients still believe in Western medicine, and seventy or eighty percent of the patients who can come to our hospital are the ones who have not been cured for a long time, and even many of them are not good at all. ”

While saying that Dr. Li shook his head: "Traditional Chinese medicine treatment is cheap, and the fees in our hospital are not low, but compared with those well-known Western medicine hospitals, it is far behind, people sometimes have hundreds of thousands of surgeries for an operation, whether this can be good or not is two different things, but what about our hospital, hundreds of thousands of you can live for several years, as long as the patient lives here, our hospital must go all out to ensure the patient's life, and if the cure is not good, it cannot be let die." ”

"Damn, wouldn't the hospital room be full long ago if it went on like this. Wu Lei burst into a foul mouth.

Resident Doctor Li smiled: "This is also the reason why many traditional Chinese medicine hospitals now have the name of integrated Chinese and Western medicine, on the one hand, there are indeed fewer and fewer powerful Chinese medicine doctors, on the other hand, the fees of integrated Chinese and Western medicine are different, and some patients who are really not well treated have to rely on, and you can't bear the cost." ”

"This is also our hospital has Guo Lao and a few people to check, if you really want to encounter some incurable diseases, Guo Lao and others will come to consult, and another, if the patient is out of danger and has the ability to take care of himself, the hospital will also persuade him to be discharged, or the ward will be full. ”

There is another sentence that Dr. Li didn't say, in fact, one of the biggest sources of income for Jiang Zhong Hospital is the bed fee.

There are prescribed standards for the treatment fees and drug charges of traditional Chinese medicine, not to mention anything else, let's just say that the acute yellow patient who Guo Wenyuan consulted a few days ago has acute viral hepatitis, if this disease goes to the first affiliated hospital or the provincial hospital, it will not be possible to get down without hundreds of thousands, and it is difficult to say what the situation will be after the operation, and the mortality rate of acute viral hepatitis is not low.

But in Jiangzhong Hospital, Fang Han asked Ren Haiqiang yesterday, the patient has begun to recover, even if he is discharged, the cost will not exceed 20,000, of which the bed fee accounts for a large proportion.

Some people who have been to a regular TCM hospital should feel that if you are not hospitalized in a regular TCM hospital, sometimes the cost is even cheaper than some TCM clinics.

"In fact, all major hospitals are similar, although the hospital stipulates that each department is responsible for the follow-up treatment after the patient comes to the emergency department, but for some difficult patients with chronic diseases or patients who cannot be cured at all, other departments are still unwilling to accept, each department has indicators, of course, the beds are indeed tight. Resident Dr. Li explained.

"Jingle bell!"

A few people were talking, and suddenly a rapid electric bell rang, and Fang Han and several people hurriedly ran outside, which was an omen of an emergency patient.

There is a triage table in the emergency department, and generally if the patient is not in a critical condition, he is waiting at the triage table, and then the nurse at the triage desk arranges for the patient to go to the doctor for treatment, and if there is a patient in critical condition, the nurse will press the electric bell, and the entire emergency department will hear it.

Fang Han and the others are the most idle now, and they are the earliest, and when they came to the door of the emergency department, a cart had been pushed in a hurry, and on the cart was an old man in his sixties.

"The patient is short of breath and foaming at the mouth, it should be a heart attack, and Director Fang should be notified immediately. A nurse who came running with the cart shouted as she ran.

"I'll ....... it" Resident Dr. Li was about to call Fang Haoyang, but Fang Han had already strode up to meet him.

While walking to the side of the cart, Fang Han had already grabbed the patient's wrist with one hand, and at the same time communicated the system in his mind: "Exchange for temporary advanced diagnosis." ”

"Advanced diagnosis (temporary), worship points 1000, do you want to redeem it?"

"Redeem!"

Fang Han did not hesitate.

The permanent first aid obtained before actually contains diagnostic skills, but it is not specialized, hearing that the nurse said that the patient had a heart attack, Fang Han did not dare to slack off, and hurriedly exchanged for a temporary advanced diagnosis, 1000 worship points are nothing in front of a life.

While checking the pulse, Fang Han observed the patient's face, the patient was wheezing slightly, spitting foamy sputum in his mouth, and the sputum was slightly pink, which was a symptom of a critical condition.

His face was pale, he was sweating profusely, his lips were purple, he had lost consciousness, and all the signs were critical symptoms.

At the same time, the patient's pulse is also sparse, strong and weak.

"This is a disease of heart palpitations, a deficiency disease!"

Fang Han quickly made a judgment, and while running with the cart, he shouted to Resident Doctor Li: "Heart palpitations, deficiency, how many rescue rooms are empty?" Quickly prepare ginseng injection or ginseng injection for slow meridian injection, pacemaker preparation, to prevent patients from stopping at any time. ”

"Ah......" Dr. Li's mouth was wide open, a little overwhelmed.

"Ah what, I forgot how Dr. Miao explained, I'm responsible for what happened. Fang Han shouted, the patient is dying at this time, he doesn't have the time to explain anything to Resident Doctor Li, presumably Director Fang and the others will be able to come immediately, and when the time comes, they will have their own judgment, and it can be regarded as buying time to prepare as soon as possible.

The little nurse on the side didn't know Fang Han, she was about to scold when she heard Fang Han yelling, but when she saw the attitude of the resident doctor Li, the nurse suddenly shut up, she knew the resident doctor Li, Fang Han could not be a newcomer if she could shout at the resident doctor, could it be that he was a new exchange doctor, an attending doctor? So young, and so handsome?

"Send the patient to the No. 8 emergency room, the nurse will prepare according to Dr. Fang's instructions, and Director Fang will come immediately. ”

was yelled at by Fang Han, and Dr. Li had to obey temporarily, Dr. Miao explained, he listened to Fang Han in treatment, if he didn't listen, the responsibility for the accident was his.

By the time the patient was pushed into the eighth rescue room, Fang Haoyang and Dr. Miao had already arrived.

"What's the situation?"

Fang Haoyang asked while checking the pulse.

"Heart palpitations, the patient's face is pale, and the lips are purple,...... The pulse is strong and weak, and it should be a deficiency. Fang Han explained on the side.

Fang Haoyang nodded, checked the pulse, let go of his wrist, looked at the tongue coating again, and hurriedly ordered: "Prepare ginseng injection, pacemaker also prepare, notify the internal medicine consultation." ”

Fang Haoyang's voice had just fallen, and a nurse had already come in with a syringe, which was ginseng injection.

Fang Haoyang was stunned: "So fast?"

"Doctor Fang has already ordered just now. The nurse replied and began the meridian injection.

"Fang Han?" Fang Haoyang looked back at Fang Han, his face was full of surprise, this emergency is not simple, Fang Han can judge the symptoms, he is already surprised, he didn't expect Fang Han to even think of a first-aid plan...... It's just a demon.

ps: Please collect flowers!