Chapter 1079: Lasting 72 Hours (1)
The doctors and nurses in the emergency department of Jiangzhong Hospital are also full of energy these days, and everyone seems to be holding back their energy.
Doctors are also human beings, and most doctors have a similar mentality to the employees of enterprises, the more they can see the prospects, the more motivated they are, the more hopeless they are, and the more lifeless they are.
The emergency department of Jiangzhong Hospital has been developing continuously in the past two years, opening two divisions in a row, and now it has reached a cooperation with Hawkins Hospital.
"Fortunately, Dr. Fang came to our Jiangzhong Hospital for an internship!"
"Yes, fortunately, Dr. Fang came to our emergency department. ”
Many doctors and nurses in Jiangzhong Hospital, who have worked for more than three or five years, are now very emotional.
"Since Dr. Fang came to our Jiangzhong Hospital and our emergency department, our emergency department is really changing every day, and I can't think about it. ”
"Who said it wasn't, first the bone injury division, then the extrahepatic division, and now we have reached a cooperation with the United States Hopkins Hospital, and Mr. Si Nianhua has donated 100 million US dollars to our Jiangzhong Hospital. ”
"I heard that Dean Xu allocated another 20 million ....... to our emergency department this time."
Most of the doctors and nurses in the emergency department are full of gratitude when they mention Fang Han now.
Except for a few old seniors who felt that Fang Han might be in their way, most of the younger doctors, under the age of forty, there were really few people who could resentful of Fang Hansheng now.
In just two years, the salary and bonus of the emergency department of Jiangzhong Hospital, whether it is a doctor or a nurse, have increased a lot, and now the emergency department is also the department with the best welfare in the hospital.
In the past, doctors in other departments were most envious of the orthopedic department, and the most despised was the emergency department, but now the emergency department seems to have surpassed the orthopedic department.
"Doctor Fang!"
Fang Han walked all the way, and the doctors and nurses greeted each other.
If you want to say that the female nurses liked Fang Han in the past because they thought Fang Han was handsome, then now the female nurses like Fang Han, that is because they think Fang Han is ...... Well, it's more handsome.
It was already more than eight o'clock in the evening, Fang Han turned around the ward, and was about to get off work, when a young couple suddenly rushed in at the door of the emergency department, holding a three- or four-month-old baby in their arms.
As the young couple ran in, they shouted, "Doctor, help, doctor!"
"What's going on?"
Fang Han hurriedly greeted him.
"Are you Dr. Fang?"
The woman glanced at Fang Han and recognized it.
"I'm Fang Han, is the child sick?"
Fang Han nodded while looking at the child in the man's arms.
"Doctor Fang, please save my child, please. ”
As she spoke, the woman fell to her knees with a pop.
"What's this for, hurry up. ”
Fang Han hurriedly helped the woman up and said, "Come, I'll take a look at the child first." ”
The man hurriedly handed the child in his arms to Fang Han, Fang Han stretched out his hand to hug it, only to see the child's eyes turned up, his teeth were closed, and his lips were blue, Fang Han reached out and touched the child's hands and feet, his hands and feet were cold, and his whole body was convulsed.
While checking, Fang Han walked to the rescue room while holding the child, and asked as he walked, "How long has the child been sick?"
"It's been a day and a night!"
The young man hurriedly said: "I suddenly had a fever the day before, and then I took the child to the pediatric department of the district hospital, the body temperature was close to forty degrees, and the examination said that it was acute pneumonia, but I was treated in the district hospital for a day and a night, and it did not improve at all, and this afternoon the district hospital gave us a critical illness notice.......
"How old is the child?"
"Four months and six days. The young man said hurriedly.
Fang Han asked, walking briskly, almost arrived at the rescue room, and Li Xiaofei also came in a hurry.
"Master!"
"It should be a child's high fever and convulsions!"
Fang Han carried the child into the rescue room, put the child on the rescue bed, and instructed the nurse: "Mitsubishi needle." ”
The nurse hurriedly prepared Mitsubishi needles for disinfection, and Fang Han used Mitsubishi needles to prick the fingertips of the child's hands and feet, causing bleeding from acupuncture points such as both ears, Parkway, and Dazhu.
As Fang Han's needle prick bleed, his eyes turned up, his teeth clenched, and the child suddenly cried, sweating all over his body, and his originally cold limbs gradually warmed up.
"Millineedle!"
At the same time, Fang Han instructed the nurse to hurriedly sterilize with a needle, and Fang Han used a needle to prick the child's spring, joint strand, and human center, and then used the technique of sparrow pecking to puncture the Su Zhu acupoint with a millineedle for about a minute.
With Fang Han's prick, the child woke up faintly, broke open his eyes, and the convulsions of his whole body stopped.
"1 gram of antelope musk antispasmodic, plus 0.3 grams of musk, give it to the child first. ”
Fang Han put down the needle, walked to the side, first prescribed a prescription and handed it to the nurse, asked the nurse to go to the pharmacy to pick up the medicine first, and then prescribed another prescription and handed it to Li Xiaofei: "This prescription is boiled and fried urgently, you go in person, take 60 ml of medicine!"
Li Xiaofei took the prescription and left.
"Doctor Fang!"
Seeing Li Xiaofei out of the rescue room, the child's parents hurriedly came to Fang Han's side, looking at Fang Han expectantly.
"Fortunately, it was delivered in time, don't worry. ”
"Thank you, Dr. Fang. ”
The child's parents hurriedly thanked them, they all saw the child's condition, the child's situation just now really scared them stupid, at least the child is not as worrying as it seems.
The nurse's medicine came quickly, Fang Han first gave it to the child personally, and then waited for Li Xiaofei's decoction to be delivered, and slowly gave the child some more.
"Alternate decoction and powder, and give some to the child after a while, I am on duty at the hospital tonight, and I can call me at any time if there is anything. Fang Han explained to Li Xiaofei.
"Master, I'll just watch it, or you might as well go back. ”
Shang Han is not on duty tonight, it is Wu Xiaodong who is on duty.
"Pediatric convulsions are one of the four major pediatric syndromes, which are common critical diseases in pediatrics, if not properly treated, they will turn into slow convulsions or epilepsy, mental retardation, dementia, and even endanger the lives of children. ”
If Fang Haoyang or Li Wenjun were on duty tonight, Fang Han would be more relieved, Wu Xiaodong?
To be honest, Fang Han was not at ease with Wu Xiaodong.
Wu Xiaodong can still deal with general illnesses, tonight's high fever and convulsive syndrome, Fang Han really can't believe Wu Xiaodong.
As he spoke, Fang Han entered the duty room, and Li Xiaofei hurriedly made Fang Han a cup of tea.
"Master, I see that after you finished the acupuncture just now, the child looks better immediately. Li Xiaofei sat next to Fang Han and asked for advice.
"High fever and convulsion are mostly empirical and heat syndromes, children are immature and immature, the viscera is delicate, the viscera is light and agile, the transmission is the most rapid, when the disease is critically ill very quickly, it can be cured quickly, for this emergency disease, it must be treated urgently, must not be delayed, should be suspected of acupuncture antipyretic and spasmodic, block the transmission of the disease, acupuncture is effective, half of the disease is gone, for children this kind of crisis, the dosage of the prescription should be large, but it should be a small amount many times, grasp the proportion. ”
"Well, I made a note of it. ”
Li Xiaofei has been hospitalized for more than half a year, and now he is also very good at dealing with some emergencies and critical cases, so Fang Han also said a little more, similar to Lin Guangliang and others, so it is a bit deep.
To learn Chinese medicine, we must work step by step, steadily, and the most taboo is impetuousness. 、
In fact, it is not difficult to get started with Chinese medicine, it is not difficult to look, smell, ask, and get started, and it is not difficult for talented people to learn Chinese medicine on their own, keep prescriptions and grasp medicines, and treat some simple diseases.
The most difficult thing in Chinese medicine is to choose and match medicines, and to adapt to changes.
The TCM doctor who can treat critical illness is the real master, and the critical illness is not chaotic, adaptable, the critical illness changes from time to time, and the condition changes rapidly.
Fang Han said to Li Xiaofei for a while, and then said, "You go and get busy, keep an eye on the patient at any time, and tell me in time if there is any situation." ”
"Okay!"
Li Xiaofei answered and walked out of the duty room.
Fang Han looked at the time, it was already more than ten o'clock in the evening, and he took his mobile phone and made a call to Long Yaxin.
"Haven't you come back so late?"
Long Yaxin was watching TV while waiting for Fang Han.
"I came to the emergency room and I won't be back tonight. ”
"Then you pay more attention. Long Yaxin admonished.
"Well, you go to bed early. ”
After hanging up the phone, Fang Han got up again and went to the office of the bone injury division, turned on the computer to revise the paper, and then sent it to Chen Guozhong's mailbox by the way.
As soon as he finished his work, Fang Han heard the sound of a rushing ambulance whistle outside, and hurriedly walked outside.
"Doctor Fang hasn't gotten off work yet?"
When they came to the door of the emergency department, Wu Xiaodong and Li Xiaofei also happened to go outside.
"I sorted out the papers for a while. ”
Fang Han explained, and as he spoke, the ambulance arrived.
When the ambulance stopped, the doctors pushed the flat cart forward, lifted a young man about 30 years old from the cart, and followed the patient's family and the doctor who followed the car.
"The patient was riding home on a motorcycle, passing by the mouth of a sewer well without a manhole cover, the motorcycle flew up, the patient was unconscious, and his tongue was bitten off......"
Doctor Che quickly explained the situation to Fang Han and Wu Xiaodong.
"Broken tongue?"
Wu Xiaodong and Li Xiaofei are both a little dignified, and they can bite off their tongues, which is definitely not light.
"Sent to the rescue room, advanced debridement, tongue suture. ”
"Doctor Fang, do you want to do an intracranial CT for the patient?"
Wu Xiaodong followed the side and whispered: "In this case, there should be a large area of bleeding in the patient's skull, and it is difficult to do craniotomy, this kind of emergency patient should not be sent to our Jiang Zhong Hospital." ”
"Now is not the time to say that. ”
Fang Han walked in with the flat car, and said, "Do tongue stitching first, and then arrange a brain CT." ”
Wu Xiaodong was silent, fortunately Fang Han hadn't gotten off work at this time, otherwise he would have been blind when he encountered such a patient, not to mention whether the brain was bleeding, or if the tongue was broken, he wouldn't be able to solve the problem.
Tongue suturing is not the same thing as extradermal suturing, and it is much more difficult to suture.