Chapter 528: Telephone Advice
At noon, each village is responsible for eating, and the resident doctors in the village are separated from each other to eat at the village chief's house or at the home designated by the village chief.
"Not to mention, the farmhouse food is still very good. ”
"If you want to eat authentic local tastes, you still have to go to small places, and the most authentic place is the villagers' homes in the countryside. ”
For the doctors of Jiangzhong Hospital, who are accustomed to eating restaurant flavors, canteen flavors and takeaway flavors, occasionally eating farmhouse-style meals is indeed unique.
"Dr. Yang, how many patients have you seen in the morning?"
"About two dozen people. ”
The resident doctor surnamed Yang said while eating.
"I'm about the same. Another resident said, "It looks like we can go to the next village in the afternoon." ”
There are about five or six hundred people in a village, and if you deduct the migrant workers in this season, the number of people in the village is even less, and the number of people in a village who can check and treat forty or fifty people in the morning is already considered the limit.
"Actually, Shimomura is not as tired as he imagined. The resident doctor surnamed Yang said.
"Well, it's a different experience. ”
Compared with the doctors in the emergency department, the residents of other departments are really worthy of the name of the bed doctor, who regularly rounds the ward every day, grasps the dynamics of the patient, and gives the attending physician a hand, and the opportunity to receive a single consultation can be said to be very rare.
In other departments, doctors below the level of attending physician are not qualified to sit in outpatient clinics, and if they cannot sit in outpatient clinics, it means that there is no opportunity to diagnose patients independently, and the attending doctors formulate treatment plans, and resident doctors are responsible for supervising them.
As Li Xiaofei said, although the environment in the hospital is good, for the residents, they are not really very comfortable, but after going down to the village, when they arrive in the village, they are treated as guests by the local village chief and village director, and someone serves tea and water.
"And I feel that I have gained a lot from examining and treating so many patients this morning. ”
"Indeed, some of the old things seem to be gradually starting to come together. The resident doctor surnamed Yang nodded.
In the hospital, junior doctors do not have many opportunities to get started, and at the same time, there are also senior doctors to check when encountering difficult problems, which also leads to the lack of independent thinking habits of most resident doctors, just like children who will never grow up under the supervision of their parents.
Now that I have left my parents, I need to find a way to solve some things by myself, and no one needs to deal with the aftermath when something happens, and I must be cautious when treating and examining.
......
Liu Dajiang sat in the Longshan Town Health Center, the task was not easy, the town health center radiated nine groups in Longshan Village, because of Fang Han's treatment yesterday, resulting in a lot of patients coming for examination in the morning.
Fortunately, the health center has reserved the most doctors, and with the help of Pei Shuhong and some doctors from the Longshan Town Health Center, it is not too busy.
"Dr. Liu, it's been a great job. ”
When she was ready to eat at twelve o'clock, as soon as she was busy, Pei Shuhong stepped forward to greet Liu Dajiang.
"It's not hard, compared to our Jiang Zhongyuan, this kind of strength is actually nothing. Liu Dajiang drank a cup of sour plum soup.
As a doctor at the attending level, Liu Dajiang needs to sit in an outpatient clinic, and with the reputation of Jiang Zhongyuan, even if it is an ordinary outpatient clinic, a clinic has to receive about 40 patients in one morning.
Moreover, compared with the patients in Jiangzhong Hospital, the patients in Longshan Town are relatively easy to get along with, and basically rarely encounter some more difficult patients.
"This is also true, our Longshan Town Health Center naturally cannot be compared with Jiangzhong Hospital, Doctor Liu, you are the great doctor of Jiangzhong Hospital. Pei Shuhong patted her ass.
"Hey, Director Pei is polite, I am also a little doctor in Jiangzhong Hospital. ”
Liu Dajiang smiled: "Fortunately, there are no tricky patients this morning, otherwise I would have to ask Doctor Fang for help." ”
As the attending doctor, Liu Dajiang now said that it was quite natural to talk about asking Fang Han for help, and he didn't feel embarrassed at all.
The status of doctors is always linked to technology, and the status of strong ability is high, which is also the current medical system with seniority restrictions, otherwise, with Fang Han's ability, a deputy high will not run.
"Doctor Liu, you are humble, although Dr. Fang's level is not low, but after all, he is young and still inferior to you in terms of experience. In front of Liu Dajiang, Pei Shuhong naturally knew how to speak.
"Haha. Liu Dajiang smiled heartily, Pei Shuhong's words sounded quite comfortable to him, although he also knew that he was actually inferior to Fang Han, but in front of outsiders, Liu Dajiang still had vanity.
"Aunt Pei, doctor!"
Liu Dajiang drank the sour plum soup in the cup, and was about to go to the cafeteria with Pei Shuhong to eat, when suddenly there was a rush of shouts outside, and before the two could go out, they saw a middle-aged man in his forties rushing in with an old lady about seventy years old on his back, and the middle-aged man was followed by a man and two women.
"Quick, the patient lies down. ”
Liu Dajiang hurriedly pulled the table on the side, imitating Fang Han's previous afternoon, when the two tables were put together, and let the patient lie down on the table first.
After the patient lay down, Liu Dajiang hurriedly checked the patient's condition, only to see that the patient's eyes were closed, his face was dark red, his lips were purple, his hands were clenched, as if he was having a seizure, his throat was gurgling, his voice was loud, his breath was short, and his limbs were stiff.
While checking the patient's condition, Liu Dajiang checked the patient's pulse and said to Pei Shuhong at the same time: "Director Pei, quickly, call Doctor Fang." ”
As the attending physician of the Department of Internal Medicine, Liu Dajiang was a little flustered when he encountered such an emergency.
This is like an internist, no matter how good the medical skills are, no matter how high the level, when encountering a bloody scene, he will subconsciously feel a little worried, although Liu Dajiang is the attending patient, most of the patients he encounters are relatively stable, even if the patient occasionally has a crisis, there are senior doctors to help, this suddenly sent such an emergency department, Liu Dajiang was a little panicked, for fear that he would not be able to cope with it.
"Good. ”
Pei Shuhong also knew that the situation was urgent, and hurriedly took out her mobile phone to call Fang Han.
Fang Han was also having lunch at this time, and when he saw a phone call coming in, Fang Han picked it up and asked, "I'm Fang Han, who is it?"
"Doctor Fang, I'm Pei Shuhong. ”
"Director Pei, is there something wrong?"
"Let Dr. Liu talk to you. Pei Shuhong hurriedly put the mobile phone in Liu Dajiang's ear, compared to Liu Dajiang, Pei Shuhong's level is much worse, and she herself does not understand traditional Chinese medicine, and communication is not easy to communicate.
"Hey, Doctor Fang, there's an emergency patient, can you come back right away?"
"What's the patient's condition?"
As soon as Fang Han heard that he was in the emergency, he got up and asked on the phone.
"The patient's female surname is 71 years old....... The pulse is slippery and late, and the tongue is dark red......."
Liu Dajiang hurriedly told Fang Han what he had observed and diagnosed: "Doctor Fang, the patient's condition is critical now, how long will it take for you to arrive?"
For the patient's situation, Liu Dajiang has actually made a judgment, it should be liver qi stagnation, damp phlegm obstruction, such a disease Liu Dajiang also has a prescription in his heart, but the patient's situation is different, the treatment method is different, for emergencies, what to do is not to consider how to follow up treatment, but to let the patient through the immediate crisis first, and then to consider the medication and treatment afterwards.
Liu Dajiang knows how to treat the patient afterwards, but he doesn't know how to deal with the patient's situation at the moment, and the patient's condition at this time may lead to respiratory arrest and critical illness at any time.
It's like someone gives you a tool, the tool is in a box, you know how to use the tool, but you can't open the box, and the emergency doctor is best at opening the box.
Fang Han took the phone, listened to Liu Dajiang's description in detail, and groaned slightly, and then said: "The patient should have qi convulsion, and he can use acupuncture to prick Renzhong, Shiyi, and Parkway...... A few acupuncture points, and then 6 grams of stone rolling phlegm pills were administered ......"
"Okay, I got it. ”
Liu Dajiang hurriedly said to Pei Shuhong: "Silver needle." ”
"Go, prepare the silver needle. Pei Shuhong hurriedly shouted to the nurse on the side.
The nurse hurriedly went to get the silver needle, and Liu Dajiang used the method Fang Han said, first acupuncture the patient's Renzhong, Shiyi, Parkway and other acupuncture points, and then gave the patient a stone rolling phlegm pill......
After about fifteen minutes, the patient let out a long breath, snorted, and slowly woke up.
"Whew!"
Liu Dajiang also let out a long breath, although Fang Han told him the way, he was still a little worried just now.
Seeing that the patient woke up, Liu Dajiang hurriedly dialed back.
Fang Han was waiting for the phone call while eating, and when he saw the call coming back, he hurriedly asked, "How is the patient?"
"The patient has woken up. ”
"That's good. Fang Han said: "Tell the patient's family to let the patient try to stay calm and calm for a while, don't sulk, this is angry." ”
"I see, thank you Dr. Fang, I won't disturb you eating. Liu Dajiang now sincerely admires Fang Han.
After a phone call, Fang Han didn't come back, but just told him the way, and he rescued the patient here.
Dr. Liu was polite. ”
Liu Dajiang hung up the phone, and then asked the patient's family: "How did the patient get sick?"
The middle-aged man hesitated, looking at a woman next to him from time to time.
Pei Shuhong knew what was going on, and asked the woman: "Are you angry with your mother-in-law again?"
"Aunt Pei, you can't blame me, my mother-in-law ......"
Halfway through the sentence, she was interrupted by Pei Shuhong: "Your mother-in-law is old, in her seventies, you don't know how to ..... it."
The middle-aged man hurriedly complied: "It's just ......"
"Okay, I'll let go, let's go. The woman was also not easy to get along with, snorted, turned around and left.
"You ......" The man opened his mouth, whether he chased or not, his mother was still in the hospital, and his daughter-in-law left again......
Man, it's hard!