Just after 3:40 in the morning, Li Xiaofei, Ye Kai, Jiang Feng and others came one after another, some carrying fried dough sticks in their hands, some carrying soy milk, chatting while eating, and the emergency department, which was originally a little quiet, instantly became lively.

"Seriously, Dr. Fang has been injured in the past few days, and it's really a bit unaccustomed to not doing ward rounds in the morning. Li Xiaofei said while eating steamed buns.

"Sycophants. Wu Lei muttered softly, I don't know who said yesterday that he had a good night's sleep in the past two days, and the style of painting changed in a blink of an eye.

"Everybody's here. ”

Fang Han was the last to come, empty-handed, he slept a little late last night while reading, and got up a little late. In fact, Fang Han felt that it had nothing to do with sleeping late, mainly because he hadn't made rounds in the past few days, and his biological clock was almost disordered, he used to open his eyes every day, and the time was just right.

"Doctor Fang, eat steamed buns. ”

"Doctor Fang, I brought you fried dough sticks. ”

"Doctor Fang, I personally stewed porridge. ”

Several people hurriedly stepped forward to offer treasures, and each of them brought an extra breakfast, and it was never repeated.

"Eat quickly, I've eaten ward rounds. Fang Han took the breakfast, sat on the edge of the triage table and began to eat, and the nurse on the side hurriedly made a cup of tea for Fang Han, and Dr. Fang also likes to drink tea.

Fang Han ate quickly, ate and drank two sips of tea, and then led everyone to the observation room.

Today is the last day of the temporary mission, there are only ten hours left before the end of the mission, if Fang Han's smell and diagnosis skills cannot reach the primary level this morning, then this temporary mission will be considered a failure.

So this morning, Fang Han checked very carefully, every patient, he had to come to the front to listen carefully to the patient's breathing, smell the patient's breath, so as to judge the patient's situation.

Through this period of ward rounds, Fang Han also summed up some rules, not that if you are fast, you will gain a lot, but you must really understand things yourself.

For example, the skills of questioning.

Yesterday's patients, Fang Han was thinking hard, groping, and summarizing, so that the consultation could reach the primary level one step ahead.

Of course, Fang Han also had to admit that the reason why the consultation made rapid progress was because he had exchanged psychological skills, and if he could grasp the patient's psychology, he would be able to grasp the rhythm of the conversation to a large extent.

Rather, no skill exists in isolation, but complements each other.

A well-rounded TCM practitioner is definitely more powerful and effective than lame legs in many cases.

It's like the blind patient yesterday, he has been to many eye hospitals, why does he never see his eye disease?

Because his eye disease is not a problem with the eyes, but the specialized eye hospitals always check the eyes, and the treatment is also aimed at the eyes.

Fang Han went from bed to bed, and just came to a hospital bed, a girl lying on the hospital bed opened her eyes, looked at Fang Han in surprise, and asked with some uncertainty: "You...... Are you Fang Han?"

"Well, I am. Fang Han nodded, looking at the patient on the hospital bed carefully, it looked familiar, but he couldn't remember where he had seen it.

"I haven't seen you in a few years, and you've changed a lot. The female patient said.

"Really?" Fang Han was a little embarrassed, and subconsciously looked at the patient information card at the bedside.

"Ma Meiling!"

It turned out that this was his high school classmate Ma Meiling, Ma Biao's aunt, aunt and nephew were born in two days, and they went to school in one class.

"You've changed so much that I almost didn't recognize you. ”

Ma Meiling smiled reluctantly: "If you are sick, can you not change much?" ”

is also, a girl, but now she has become bald, pale, and haggard.

"Who is in charge of this patient?" Fang Han turned around and asked a few people.

Counting that Fang Han, a female classmate, has been hospitalized for several days, Fang Han is still the first time to see someone, mainly because he has also been hospitalized for several days.

"I'm in charge. Li Xiaofei said hurriedly.

At that time, Fang Han called Li Xiaofei directly when he was in the Binjiang Hotel, so after Ma Meiling came to the hospital, Li Xiaofei was always in charge, and the beds in the internal medicine department were tight, so Fang Haoyang arranged Ma Meiling in the emergency department.

"How is the patient doing in the past two days?" asked Fang Han.

"The situation is quite stable, and Director Fang and Director Qin had another consultation yesterday. Li Xiaofei said.

Fang Han nodded, looked at Ma Meiling's medical records, the doctor made rounds, and naturally had to know the patient's situation well, otherwise how would you check, how would you know if the patient's symptoms were sudden.

As an intern, Fang Han has no right to look through the medical records of all patients casually, but Ye Kai can, as the general inpatient officer, which is also one of the reasons why Fang Haoyang appointed Ye Kai as the general inpatient in the first place, which gave Fang Han the greatest convenience.

At that time, Ma Biao called and said that his aunt was leukemia, and the diagnosis on the medical record was somewhat different from Ma Biao's statement, Ma Meiling was indeed a blood disease, but it was not leukemia, but aplastic aplasia, severe aplastic anemia.

Severe disorders and leukemia are both blood diseases, and they are both the most troublesome diseases in blood diseases, but there is an essential difference between the two.

In the language of Western medicine, leukemia is a malignant clonal disease of hematopoietic stem cells, while aplastic anemia is a group of bone marrow hematopoietic failure syndromes caused by a variety of etiologies, characterized by decreased bone marrow hematopoietic cell proliferation and peripheral blood pancytopenia, with anemia, bleeding and infection as the main clinical manifestations.

Although these two diseases are different, they also have the same characteristics, the mortality rate is very high, and to some extent, leukemia also has some clinical manifestations of severe disorders, and the cells of lump leukemia proliferate and accumulate in the bone marrow and other hematopoietic tissues due to mechanisms such as uncontrolled proliferation, differentiation disorders, and apoptosis obstruction, and infiltrate other non-hematopoietic tissues and organs, while inhibiting normal hematopoietic function. Clinically, varying degrees of anemia, hemorrhage, infection and fever, liver, spleen, lymphadenopathy, and bone pain may be seen.

At present, the World Medical Organization does not have any effective medical measures for leukemia and severe disorders, and the only cure is bone marrow transplantation.

AIG therapy is also a treatment method for severe disorders, but the cure rate is not very high, and the cost is scary, and the last ATG is more than two or three hundred thousand yuan casually.

The same is true for bone marrow transplants, which are staggering and not affordable for the average family.

Although China's current medical security is very comprehensive and has made great progress compared with previous years, it is still very difficult for everyone to afford to get sick for China's huge population base.

Some rural levels of social security medical limitations are still very large, this level of social security medical care is mostly geographically restricted, in the county level hospital treatment reimbursement ratio is the highest, the city level will be reduced accordingly, to the provincial level will be reduced again.

But in fact, the best hospitals in each province are in the provincial capital, and for some patients with serious illnesses who receive cross-city medical treatment, even if they only bear 50% of the medical expenses, it is astronomical.

Not to mention the medical treatment of many serious diseases, such as imported medicines, imported equipment, imported equipment, etc., which are not included in the scope of medical insurance.

Fang Han carefully looked at the medical records, then sat down on the edge of the bed, and began to examine Ma Meiling, Ma Meiling stretched out her arm, and asked Fang Han to diagnose the pulse, and said, "I didn't see it, you are so good now." ”

Ma Meiling has been living in the hospital for several days, in addition to several directors of the department coming, it is the first time she has seen such a big round of ward rounds, just now far away, she thought it was the director of the ward rounds again, but she didn't expect it to be Fang Han.

She had seen Ye Kai next to Fang Han, who seemed to be a small leader, and now he was standing behind Fang Han.

"Are there any special symptoms that have occurred in the past two days?" Fang Han smiled slightly, and asked while listening to the pulse.

Ma Meiling's father on the side still hasn't come back to his senses, this is his daughter and grandson's classmates, and he looks amazing.

Hearing Fang Han's question, he hurriedly said, "Everything is fine, the doctors are very responsible, and the leaders have come several times." ”

Father Ma is expressing his gratitude to the other party, after they were admitted to the observation room, they also used their eyes to see what kind of treatment patients in other beds were, what kind of treatment they had, almost every morning Fang Haoyang would personally ask, and several experts would come to check every day or two.

Why this is so, it is not because of the face of the young man in front of him.

Ma Mu said cautiously: "Lingling seems to have some bleeding gums last night, this is fine." ”

"How many times?"

Fang Han hurriedly asked, this is not a small symptom, for patients with severe disabilities, the most feared thing is bleeding, because patients with severe disabilities have low platelets and poor coagulation function, and any small bleeding will cause serious bleeding.

Especially for female patients, every menstrual period is a very dangerous thing.

"Again last night, another two hours ago, but the bleeding was not significant. Ma Mu said.

Fang Han wrote down this symptom, this problem cannot be ignored, Fang Haoyang must talk to Fang Haoyang when he goes to work later.

Regarding Ma Meiling's treatment of Fang Han, Fang Han also took a general look, judging from the medication in the past few days, the situation is quite stable, and it is not impossible for this disease to be completely cured by relying on the treatment of traditional Chinese medicine, but it is a long process.

"Rest well, take good care of yourself. ”

Fang Han stood up and looked at Ma Meiling with a smile: "As a classmate and doctor, I tell you very seriously, any illness has a lot to do with the patient's mood, the mood is optimistic, the desire to survive is strong, even if it is a terminal illness, it is possible to be cured, not to mention that your disease is not a terminal illness, so you must have confidence." ”

"Well, I will. Ma Meiling nodded, with a smile in her beautiful eyes.

Fang Han didn't say anything more, and walked towards the next patient.

He didn't exchange any high-level skills or grandmaster skills, because there was no need, Ma Meiling's illness was not an overnight thing, and with the level of several experts in the Jiang Intermediate Academy, even if Fang Han exchanged one or two grandmaster-level skills, it wouldn't help much.

Long-term treatment is different from temporary critical illness, and different from first aid, Fang Han's personal ability is not necessarily much stronger than the treatment plan discussed by Fang Haoyang and others.

Doctors are not omnipotent, even national players cannot guarantee a cure for all diseases, as Fang Han just said to Ma Meiling, optimistic, positive, and personal mentality is the key to defeating the disease.