Many doctors in the consultation room were dumbfounded.

Dr. Fang said that he looked so tall, and he didn't realize the Ming calendar!

As the saying goes, everyone has their own strengths, everyone has their own strengths, everyone also has their own shortcomings, no one is perfect, no one is perfect.

The same is true for the profession of doctors, each doctor has his own areas of expertise, and there are also his own shortages.

Compared with the emergency department, internal medicine, surgery, orthopedics and traumatology and other departments, most doctors in obstetrics and gynecology are definitely lacking in face-to-face or treatment compared with doctors in other departments.

This is not only in the obstetrics and gynecology department of Jiangzhong Hospital, but also in the obstetrics and gynecology department of other hospitals.

The environment in which a person grows up often creates a person's growth, and for doctors, the surrounding environment will also affect the doctor's insight and growth.

For example, most physicians don't often see scenes that are too bloody, and they will be a little panicked when they encounter a scene similar to a surgical emergency.

Similarly, the general environment of obstetrics and gynecology is relatively comfortable compared to other departments, and this comfort refers not to work, but to the atmosphere.

As Jiang Yue'e said, obstetrics and gynecology generally do not have accidents, but once an accident occurs, it is a major event, and for most of the residents and attending doctors in the obstetrics and gynecology department, they can cope with it easily.

At the same time, obstetrics and gynecology is also closely connected with other departments, with its own characteristics, but also can not be completely independent, once the obstetrics and gynecology department is too serious, there are also experts from other departments to help consult.

As a result, the growth of most doctors in obstetrics and gynecology is limited.

Jiang Yue'e asked Fang Han to explain the prescription, and Fang Han also explained it quite carefully, but this explanation felt a buzzing in the ears of many doctors in the obstetrics and gynecology department of Jiang Zhongyuan.

Most of the residents don't understand well.

I don't understand it, I'm online, etc., I'm in a hurry.

Of course, there are also those who understand, and several attending doctors understand it, and they are also a little surprised to understand it.

I'm tired, and one prescription is so much to say?

Listen to it, what medicine and what combination of medicine have any effect and what effect does it play, the whole prescription is simply quite transparent by Fang Han.

People who don't understand it are because the level is too poor, and they understand the big truth, but they just can't figure out the collocation here, it's messy, how does it feel like buying a multiple-entry lottery ticket?

The drugs in it are like a two-color device number, which can be matched at will?

Jiang Yue's eyes were scorching, Fang Haoyang, this old boy had really picked up a treasure, judging from Fang Han's explanation alone, Fang Han didn't just understand this recipe, it was already completely thorough, and he was fascinated.

As mentioned above, if we use these stages to measure the level of doctors, they can be roughly divided into the beginner's path, living and learning, entering the house, reaching the peak, and starting a sect.

So what is the beginner's path, the entry path is a simple entry, and you can treat some diseases that are not very complicated according to some prescriptions in medical books.

To put it bluntly, it is rote memorization, and I can also see some diseases by rote memorization, this is the beginner's path, and most of the residents in Jiangzhong Hospital are actually at this stage, and as for some interns, they haven't even been able to get started completely.

In the face of some changes in the condition, I can already easily form prescriptions, and I can flexibly add and subtract from the prescriptions, and at this point, I can actually be regarded as a qualified TCM doctor.

Entering the room shows that not only can you use it flexibly, but you have also figured out a little way, and you can really know what to do and treat the symptoms.

If you can reach the level of entering the house, you are actually a great medical master.

As for the last step, it can no longer be summarized simply by the level of medical skills, forming his own medical philosophy, writing books and sayings, influencing future generations, and innovating on the basis of his predecessors.

For example, Zhang Zhongjing, Zheng Qin'an, Sun Simiao, etc., not only treat diseases and save people, but also form a systematic medical concept.

In Jiang Yue's opinion, Fang Han's level seemed to have reached the point of entering the house.

......

"Director Jiang, a patient has been sent from the county hospital below, and he will be there soon. ”

Jiang Yue'e was about to make a concluding speech, but a nurse hurriedly pushed open the door of the consultation room.

"Okay, that's all for today, Director Zhuo, Xiao Fang, Xiao Gao, you come with me to have a look. Jiang Yue'e stood up.

Walking out of the consultation room, there were already doctors pushing the patient into the inpatient department and sending him to the temporary examination room, Jiang Yue'e took Zhuo Haihua, Fang Han and Doctor Gao into the temporary examination room, where there were already resident doctors examining the patient.

"What's the situation?"

"Sub-1 uterine prolapse!"

A resident doctor hurriedly stepped forward to introduce the situation: "The patient is 56 years old, the child 1 palace III° prolapse combined with high bulge of the vaginal 1 wall, moderate bulge of the posterior wall, the county hospital has made preoperative preparations, blood trilipids, liver function, blood routine, urine test, etc. are all within the normal range, but the patient has palpitations and shortness of breath, and is diagnosed with frequent multi-source supraventricular premature contractions, paroxysmal supraventricular tachycardia, and arrhythmia, so he did not dare to operate, and it is recommended that the patient come to our hospital for treatment."

There is no direct subordinate relationship between the superior hospital and the subordinate hospital, but generally the lower level hospital will have a cooperative medical relationship with some superior hospitals, and for some patients that cannot be solved by their own hospitals, they will often recommend them to the superior hospitals that have cooperative relations with their own hospitals, and at the same time, they will occasionally invite expert doctors from the superior hospitals that have cooperative relations with their own hospitals to guide and sit down to enhance the popularity of their own hospitals.

As a provincial-level hospital, Jiangzhong Hospital has cooperative relations with many small hospitals below, and patients are often sent to lower-level hospitals.

"Xiao Fang!" Jiang Yue'e looked back at Fang Han.

She had dealt with Fang Han a few times, basically the emergency department notified the consultation, and after she went, the patients were all rescued by Fang Han, this time Jiang Yue'e wanted to see Fang Han's ability with her own eyes.

Compared with the previous fetal position, the condition of this patient with 1 uterine prolapse is more severe.

Sub-1 uterine prolapse refers to the descent of sub-1 uterus from the normal position along the 1st vaginal tract, the external opening of the cervix reaches below the level of the ischial spine, and even the 1st sub-uterus is completely prolapsed out of the 1st vaginal opening, often combined with the anterior and posterior bulges of the 1st vaginal wall.

According to the degree of prolapse, sub-1 uterine prolapse can be divided into 3 degrees: I. degree, which means that the level of the external cervical orifice is lower than the level of the ischial spine, and the virgin 1 hymenal margin is not reached, and the cervix and uterine body are still located in the 1st vagina.

II. degree, which means that the cervix of sub-1 has prolapsed out of the opening of the 1st uterus, and the body of sub-1 uterus or part of the body of sub-1 is still in the 1st in-vagina. II. Degree 1 uterine prolapse is divided into two types: II. Degree light, the cervix prolapse, outside the mouth, the uterine body is still in the Yin 1 ostium, and II. Degree severe The cervix and part of the uterine body and most or all of the anterior wall of the Yin 1 are prolapsed out of the Yin 1 ostium.

III. degree, refers to the entire sub-uterine body and cervix to prolapse out of the vagina 1 orifice.

The patient sent by the county hospital was a child 1 palace III° prolapse with a high bulge of the vaginal 1 wall and a moderate bulge of the posterior wall, which can be said to be a very serious situation, if it were not for the fact that the patient was accompanied by arrhythmia, the county hospital felt that the risk of surgery was too great, and the patient had already undergone surgery in the county hospital.

Fang Han did not hesitate, stepped forward and began to check the patient's condition.

"Heart palpitations, shortness of breath, fatigue, pain in the joints of the limbs, pale face, pale lips, fat tongue, wrinkles and tenderness, thin and white moss, thin veins, and a false ......"

Fang Han said while examining, and the resident doctor on the side registered.

According to the process, all diagnoses and treatments made by the hospital's doctors are recorded from the time the patient is hospitalized.

Although Fang Han is still only the title of resident doctor, in fact, he has long been out of the category of resident doctor, and when he was in the emergency department, the medical records and medical records no longer need to be written by Fang Han in person, and when he came to the obstetrics and gynecology department, Fang Han also retained the tradition, narrating while examining.

The resident doctor on the side also knew about Fang Han, a female doctor in her early thirties secretly looked at Fang Han while registering.

"Doctor Fang is really handsome, even more handsome when he is serious, but it's a pity that I was born before I was born, and I am old when you are born...... Fanghua is gone, youth is not in ......."

The thirty-year-old female obstetrics and gynecology doctor who was still single couldn't help but feel ashamed.

Fang Han continued: "Zi 1 uterine prolapse is called yin ting in traditional Chinese medicine, which is mostly caused by spleen deficiency and depression of central qi, and palpitations and shortness of breath indicate that the patient's heart qi is insufficient...... Zhang Jingyue of the Ming Dynasty said in "Jingyue Quanshu Women's Rules": "This is either due to injury to the cellular network, or due to overwork in childbirth, or falling due to depression and heat, or falling off due to qi deficiency, most of them are this evidence", which should be based on the principle of promoting vitality and consolidating astringency and true yin. ”

"Prescription ......"

After making a judgment, Fang Han then said the prescription, and the thirty-year-old single female obstetrics and gynecology doctor hurriedly wrote it down carefully.

"I'll see. Jiang Yue'e waited until the resident doctor finished writing, and then reached out and took the folder.

After reading Fang Han's diagnosis and prescription in detail, Jiang Yue'e handed the prescription to Zhuo Haihua again: "Director Zhuo will also take a look." ”

Zhuo Haihua is about fifty years old, with a white face and beard, with glasses, Si Wenwen, he is good-tempered at first glance, in fact, as a man, he can partner with a relatively strong hostess like Jiang Yue'e, and he can also see Zhuo Haihua's temperament.

Although most of the doctors and directors of the obstetrics and gynecology department are mainly women, but a big man can be subordinated to a woman, there are really few people who can do it, some deputy directors of many hospitals jump up and down in order to compete for the position of director, and the hospital compromises to divide a certain department or two.

"Well, that's good. Zhuo Haihua took the prescription, looked at it in detail, and nodded very seriously.