It's rare to have a quiet time in the emergency department.

After surgery in the morning, Fang Han rested alone in the lounge until lunch.

The nurses and the resident doctors also knew that Fang Han should be tired after more than four hours of surgery, so no one bothered Fang Han.

After lunch, Fang Han continued to sit in the lounge and play with his mobile phone, and a nurse brought tea and desserts.

Dr. Fang's life in the hospital is always comfortable, and when he is free, countless people take turns to feed him, in addition to the tea and desserts sent by the nurses, Leng Ling also sent fruits.

"Doctor Fang, thank you so much this time, my second brother and I have been taken care of by the eldest brother for so many years, and our tuition and living expenses are all paid by the eldest brother, and now the second brother is finally coming out, and I will graduate soon, if the eldest brother has any accident, we don't even have a chance to repay it." ”

"Miss Leng is too polite, I'm a doctor, these are what I should do. ”

Fang Han didn't refuse Leng Ling's fruit, but it was limited to that, and the politeness that should be there still had to be there.

A patient's gratitude to the doctor is an expression of self-emotion, but the doctor cannot take it for granted.

"Doctor Fang, you are too modest. Leng Ling looked at Fang Han, a little didn't know what to say, she was not a girl who was good at taking the initiative.

"Doctor Fang!"

The door of the lounge was pushed in, and Jiang Feng's head poked in.

"Something?"

"There was a patient who came and was in a special situation. Jiang Feng hurriedly said.

Fang Han stood up and gave Leng Ling a polite smile: "Miss Leng, thank you for the fruit, I'm going to get busy." ”

As he spoke, Fang Han went out and followed Leng Cen to the treatment room.

In the treatment room, Wen Xueyi was already examining the patient.

The patient was a woman in her fifties, accompanied by a girl in her mid-twenty-five or five.

Seeing Fang Han come in, the girl's eyes lit up immediately, and she couldn't take her eyes off it.

Fang Han didn't pay attention to the girl, but asked Wen Xueyi directly: "What's the situation?"

"Dizziness, bloating. Wen Xueyi is only a doctor in orthopedics and traumatology, and he is not good at internal medicine diagnosis, especially without the cooperation of instruments, Wen Xueyi's ability is greatly reduced, so he can only tell Fang Han some subjective situations.

"I measured my blood pressure just now, and my blood pressure is very high, and the patient has a history of high blood pressure for ten years, which should be dizziness, brain swelling, and dizziness caused by high blood pressure. ”

The girl on the side hurriedly said: "My mother has always had high blood pressure, and she was cooking lunch yesterday, and she suddenly felt dizzy and dizzy, and she couldn't stand steadily. ”

Fang Han nodded, walked over and sat down, motioned for the patient to stretch out his hand, and asked while checking the pulse, "What about now, how is the situation?"

"I'm still dizzy, dizzy, can't see clearly, I've been dizzy before, it's much better to take a little vertigo tablets, but this time taking medicine has no effect. ”

Fang Han changed his hand again, asked the patient's urine and appetite, then checked the patient's tongue and eyes, groaned slightly, and asked, "Do you have a problem with your cervical spine?"

"There is no cervical spondylosis. The girl on the side said hurriedly.

Fang Han didn't say anything, walked to the side and washed his hands, smeared alcohol gel on his hands to detoxify, and then walked behind the patient and reached out to touch the patient's cervical vertebrae.

"Well, it hurts. Fang Han stretched out his hand and pressed it gently, and the patient cried out in pain, obviously tender.

"Dr. Wen, let's take a look, too. Fang Han withdrew his hand and said to Wen Xueyi.

Wen Xueyi also hurriedly washed his hands, disinfected the poison, and stepped forward to touch the patient's cervical vertebrae.

"The patient's 1st, 5th, and 6th cervical vertebrae all have obvious tenderness, and local soft tissue spasm, and the cervical spine problem is not small. ”

Wen Xueyi looked at Fang Han, as a top student in the bone and joint sports center, Wen Xueyi still has this ability.

Even though he believed in his own ability, in front of Fang Han, Wen Xueyi was still a little involuntarily unconfident.

This lack of self-confidence was built on the basis of Fang Han's gradual strengthening.

As Dr. Wen slowly came into contact with Fang Han, he gradually became less confident from the initial self-confidence.

I think that when he first stayed in Jiangzhong Hospital, Wen Xueyi did not have the existence of Fang Han as an intern in his eyes, even if Fang Han treated a patient who was not simple on the day he first came.

Many times, the doctor's sense of superiority is naturally formed, graduated from Yenching Medical University, interned at the Yenching Bone and Joint Sports Center, and apprenticed to Academician Yun Linchao, vice president of the Chinese Academy of Engineering, which is the source of Wen Xueyi's superiority.

But even if Wen Xueyi has the above advantages, it is definitely not enough for him to have confidence in front of a doctor who has done better joint replacement than him and has reached international standards for liver resection.

"Hmm. Fang Han nodded: "Send the patient to do a cervical spine CT."

"Okay. The girl hurriedly picked up her mother.

Fang Han motioned to Wen Xueyi to open a checklist first, and then notify himself when the results came out, and then walked out of the treatment room.

After half a year of internship in the emergency department, Fang Han gradually began to get used to some of the life and rules of the hospital, and was not completely independent.

Even in a traditional Chinese medicine hospital, even if it can be diagnosed clearly, Fang Han is willing to let the patient do one more examination to confirm the diagnosis.

Of course, omitting a cervical spine CT can save some of the cost for the patient, but in fact the patient may not be grateful, and the other doctors in the hospital may not like it.

Technical strengths can be admired and authority-building, but misfits in style can be disgusting.

Human beings are always group animals, and they cannot be completely independent and detached from the group.

From the hospital's point of view, all equipment has a cost, and using it and not using it are two different things.

From the perspective of most doctors, others use it, you don't use it, it will make people feel the gap, and from the perspective of patients, most people may trust the results of modern equipment more.

The advancement of Chinese medicine with the times is not only based on pure medical skills, but also on the consideration of people's hearts and other aspects.

Although the hospital is not a profit-making institution, the hospital is not a simple money-losing institution, and the hospital that cannot make ends meet is not long-lasting, which is the reality.

Reality is not a fairy tale, and the economy has not yet reached a more idealistic era.

Therefore, traditional Chinese medicine, which cannot bring a lot of income to the hospital, but occupies various resources, will inevitably be crowded.

At the same time, the theory of traditional Chinese medicine was established relatively early, and does not conform to modern educational cognition, which leads to the fact that most people do not understand the treatment concept of traditional Chinese medicine very well.

Again, when a patient is treated, he doesn't need to know what it is, but he wants to know why, what kind of disease he is suffering from, how the disease came about, and so on.

But in fact, in order to play tricks or show their mysteries, some TCM practitioners always like to say some profound words that patients don't understand at all.

It is possible to cure the disease, but the patient does not necessarily recognize it.

In many cases, the reason why patients regard TCM as curing their own diseases as luck is also related to the fact that some TCM practitioners pretend to be subtle and profound.

Some TCM practitioners like to deify TCM.

In some places, we sometimes hear words like "There is a miracle doctor in a certain place, and the medicine is very good", and nine times out of ten, such miracle doctors are Chinese medicine.

But in fact, Chinese medicine is not a god, and the deification of Chinese medicine is the biggest injustice to Chinese medicine.

Traditional Chinese medicine is based on a large number of medical practices, and is an empirical medicine accumulated over a long period of time, which is medicine, not God.

It is easy to become a god, but the consequences are tragic, the end of falling off the altar is not something anyone can bear, God will not make mistakes, and Chinese medicine will, God is omnipotent, but Chinese medicine cannot do omnipotence, so Chinese medicine is not a god.

Seeking medical treatment from Chinese medicine practitioners is not to pray to God and worship Buddha, and Chinese medicine practitioners should not deify themselves.

......

When the results of the patient's cervical spine CT came out, Jiang Feng notified Fang Han as soon as possible.

Fang Han took the CT results for reference, and at the same time pointed to the patient: "Look, here, here, there is a misalignment between the first cervical vertebra and the second cervical vertebrae. ”

As he spoke, Fang Han pointed to the human cervical vertebra model in the treatment room: "The normal cervical vertebra should look like this, but now your cervical vertebra looks like this, and the first cervical vertebra has been offset to the left." ”

The patient could not read the CT film, but he could see the difference, and after the reference, the patient saw the problem at the first time and hurriedly asked: "Do you mean that my dizziness and taking medicine this time did not work, because of cervical spine problems?"

This is the benefit of modern test results, and without waiting for Fang Han to say, the patients themselves have guesses.

There is a connection between high blood pressure and cervical spine problems, and if there is no reference to the examination results, Fang Han will not necessarily believe it.

Fang Han nodded: "Yes, your situation this time is caused by cervical spine problems, the side of this cervical vertebra is the vertebral artery, which is responsible for supplying blood to the brain, the first cervical vertebra is offset to the left, the vertebral artery will be squeezed, and the blood flow will be reduced after being squeezed, which will cause cerebral ischemia." ”

Wen Xueyi had been standing on the side, and he was a little surprised at this time, and couldn't help but interject: "Doctor Fang, according to what you said, the patient's high blood pressure may also be caused by this cervical spine problem?"

Fang Han nodded: "If the blood supply to the brain is insufficient, it will cause dysfunction, cause dizziness, and also cause the occurrence of some situations such as abnormal blood pressure, the patient himself suffers from high blood pressure, but the cervical spine problem is the root cause of symptoms such as abnormal blood pressure, dizziness, and dizziness." ”

Fang Han explained very clearly, and they also understood very clearly.

At this time, the patient also suddenly realized, no wonder he took the medicine this time to no effect, and the hanging bottle had no effect, it turned out to be caused by cervical spine problems, and the doubts in his heart were also solved.