Chapter 223: Consent to Medication (Three More Requests for Subscription)
Fang Han actually understands the mentality of the patient's family.
People are like this, caring is chaotic, especially when it is too contrary to common sense, it is difficult to maintain a normal mind.
It is understandable to understand, but it is not agreed.
The doctor understands the patient, and the patient understands the doctor.
Again, doctors and patients have no grievances, why should they prescribe a prescription that harms patients, harms patients and ultimately harms themselves?
Fang Han thought about how to solve this difficult matter as he walked.
The heart of the doctor's parents, although this is a bit excessive, is not an exaggeration, as a doctor, few doctors can bear to watch the pain of the patient and ignore it.
"Dr. Fang, come and see this patient. Fang Han was walking, and a nurse shouted at the nurse's desk not far away.
"It's coming!"
Fang Han hurriedly walked over.
The patient is an elderly man of about 60 years old, supported by his son, followed by two women, who should be a daughter and daughter-in-law.
"One person went to pay the fee and registered, and the rest supported the patient to come with me. Fang Han glanced at the patient and instructed the patient's family.
"Doctor Fang!"
As soon as Fang Han turned around, a crisp voice sounded in his ears, it was Xu Qing.
Fang Han nodded politely, didn't say much, led the way in front, and walked towards the treatment room, Xu Qing saw that there was a patient, hurriedly stuck out his tongue, and didn't dare to say anything more, but followed Fang Han step by step.
Entering the treatment room, Fang Han first asked the patient to sit down, and while checking the patient's pulse, he asked, "What's the situation?"
"I had pain in my abdomen, I didn't dare to touch it, I felt it when I touched it lightly, I couldn't stand it, I felt hot at night, and my hands and feet sweated very much. The patient's son said.
"How's the bowel and bowel movements?"
"The stool is not good, the urine is yellow, and my dad hasn't eaten a bite of food in three days. ”
Fang Han let go of his wrist and stood up: "Help the patient lie down on the bed." ”
The patient's son helped the patient to lie down, and Fang Han brought a pair of gloves, so he stepped forward, lifted the patient's shirt, and gently pressed on the patient's abdomen.
"It hurts!"
"What about here?" Fang Han changed places again.
"It hurts!"
Fang Han changed several places in a row, and then checked the patient's tongue and eyes, and then asked the patient to get up and walk to the side of the treatment table to write the prescription.
"Huh!"
When Fang Han was writing the recipe, Xu Qing secretly watched from the side, first marveling at the beauty of Fang Han's words, and then let out a cry of surprise when he looked at it.
"Doctor Fang, you also have rhubarb in this recipe!"
Fang Han said while writing: "My recipe is a classic prescription in the medical saint Zhang Zhongjing's "Treatise on Typhoid Fever", Da Chengqi Soup, Da Chengqi Soup naturally has rhubarb. ”
"Da Chengqi soup?" Xu Qing muttered softly.
"Yes, Da Cheng Qi Soup, the song recipe has clouds, Da Cheng Qi Soup is made of nitrate, with Wu Citrus Pu strong discharge, the ruffian is full of dry and solid four evidences, and the first party of the hot knot is ......"
The dosage of rhubarb in Dachengqi soup was originally 12 grams, but Fang Han deliberately increased the dosage of rhubarb to 20 grams according to the patient's condition, and then called Li Xiaofei to sign and asked the patient to go and grab the medicine.
Xu Qing silently kept the patient's situation in mind, although she didn't understand medicine or medicine, but she also knew some things, now her father was worried about rhubarb, and this patient's prescription happened to also have rhubarb, maybe you can refer to it?
......
In the special needs ward, Old Man Xu has already taken a dose of medicine, but there is no change, he still has no appetite, and he can't sleep, even if he falls asleep, it will only be a short while, a minute or two, and then he will wake up.
Mr. and Mrs. Xu sat on the edge of the hospital bed and told Mr. Xu about the consultation just now.
"Rhubarb?"
The old man muttered a few words softly, and then asked, "What do you think?"
"I think it's better to look at the situation for the sake of prudence, after all, you have just come to the Jiang Intermediate Hospital, maybe you can be cured without taking this medicine?" Mr. Xu said.
"Then wait for now. Old Man Xu closed his eyes, he has been almost like a year in the past half a month, and he is not light on this illness.
The door of the special needs ward was pushed open, Xu Qing walked in gently, and asked softly, "Is Grandpa asleep?"
"Nope. The old man opened his eyes: "What are you doing, don't run around in the hospital." ”
"I didn't run around, I just went to see Dr. Fang for treatment. Xu Qing walked over and sat down on the edge of Old Man Xu's bed, and said softly: "Doctor Fang just treated a patient who hasn't eaten for three days, and he also prescribed rhubarb to the patient. ”
Hearing this, Mr. Xu suddenly got up: "Really?"
"When Dr. Fang wrote the prescription, I was standing on the side, I saw it clearly, I still remember the prescription, Dr. Fang also said a song recipe, what is the big Chengqi soup with nitrate, with Wu Citrus Pu strong drainage, full of dry and solid four evidence, the first party ...... the hot knot"
Mr. Xu repeated softly: "The ruffian is full of dry and solid four witnesses, and the first party of the hot knot is ....."
Mrs. Xu asked, "Is there any reference to this disease?"
"Yes, you can refer to it. Mr. Xu nodded and asked Xu Qing, "Do you remember the prescription, what is the dosage of rhubarb prescribed by Dr. Fang?"
"20 grams!"
"20 grams?"
Mr. Xu's brows furrowed again, the dose he prescribed to the old man was one catty, a full 500 grams, and the difference between 20 grams and 500 grams was not small.
"Dr. Zheng!" Mr. Xu shouted back.
"Mr. Xu. Dr. Zheng said hurriedly.
"You go and check the specific situation of the patient just now, and then find someone to keep an eye on it to see what happened to the patient just now after taking the medicine, and don't miss any details. ”
"This ...... I know. Dr. Zheng reluctantly responded.
......
The next morning, Fang Han arrived at the hospital before four o'clock as usual, and took Li Xiaofei and others to conduct ward rounds.
At eight o'clock in the morning, not long after Liang Qunfeng went to work, the first patient with joint replacement was delivered, and Fang Han followed Liang Qunfeng into the operating room.
In the days in the hospital, Fang Han lived a very fulfilling life, getting up at half past three in the morning every day, leaving work at about eleven o'clock in the evening, before getting off work, even if Fang Han was alone, he had to go to the observation room alone to go around and accumulate a circle of skill points.
Fang Han, who was not wealthy since he was a child, has always remembered a sentence, no matter how small the mosquito is, it is still meat, and he resolutely does not waste it when he can.
Just after eight o'clock in the morning, Fang Haoyang took Miao Dalong and several other attending doctors to the special needs ward to check on Mr. Xu.
"The old man still hasn't slept all night?"
"I squinted for a short time in the middle of the night, less than half an hour, and at dawn for a short while, less than ten minutes. Mr. Xu said.
Fang Haoyang was checking the room, Dr. Zheng pushed the door and walked in, leaning into Mr. Xu's ear to whisper, but Mr. Xu waved his hand: "Don't hide it from Director Fang, what do you say." ”
Dr. Zheng was helpless, so he straightened up and said, "Mr. Xu, you asked me to investigate yesterday's ...... The patient treated by Dr. Fang, I have already found out, the patient took two doses of medicine yesterday, had a bowel movement in the evening, got up this morning and drank a small half bowl of gruel. ”
"Have you drunk porridge?" Mr. Xu's expression was complicated.
Fang Haoyang was a little confused: "Mr. Xu, who are you?"
"That's the kind of Director Fang, yesterday Dr. Fang also treated a patient, and there was also rhubarb in the prescription, so I asked people to investigate. ”
When Fang Haoyang heard this, he picked up the phone and called Fang Han directly, asked about the situation, then hung up the phone and said with a smile: "Mr. Xu, the recipe that Fang Han used yesterday is the classic prescription in the medical saint Zhang Zhongjing's "Treatise on Typhoid Fever", Da Cheng Qi Soup, Da Cheng Qi Tang Rhubarb is the main medicine. ”
Generally speaking, people with identity like to use some famous prescriptions, the reason why they like to use famous prescriptions, one is that the famous prescription has a source, and the other is that the famous prescription has been passed down to this day, and there are many people who have used it.
"But the rhubarb in the recipe yesterday was only 20 grams!" Mr. Xu was still a little entangled.
"Mr. Xu, under the doctor, it is all symptomatic medicine, the dosage in the prescription is based on the patient's condition, not casually, the standard dose of rhubarb in Dachengqi soup is actually only 12 grams, but Fang Han used 20 grams, why, it is precisely because of the patient's condition. ”
"According to the prescription prescribed by Dr. Fang, I will take one dose first. Old Man Xu, who was lying on the hospital bed, suddenly spoke.
"Dad!"
Mr. Xu shouted.
"Okay, don't hesitate any longer, just do it, Jiang Zhongyuan won't joke with my old man's life. "Old Man Xu has made up his mind.
Although he has endured the pain for half a month, Old Man Xu still insists and is unwilling to take risks.
But listening to other patients who took medicine yesterday and got better today, and drank half a bowl of gruel, Old Man Xu's feelings were different.
People often say, not afraid of not knowing the goods, just afraid of comparing goods, sick is the same, when a person does not feel, but live in the ward, a ward of patients today this discharge, tomorrow that discharged, they have not been discharged, the heart is not in a hurry.
The special needs ward where Mr. Xu lived, naturally he didn't have the feeling of being discharged from the hospital or discharge, but Mr. Xu asked Dr. Zheng to investigate the situation, everything was done in front of the old man, how could the old man be indifferent?
There is a difference in prescriptions, but the doctor who prescribes the prescription is the same person, and someone else has recovered, so shouldn't he be serious?
"Director Fang, why don't you call Doctor Fang to show the old man again?" Mr. Xu said to Fang Haoyang.
People are like this, they often trust the doctor who first diagnoses, the plan was originally proposed by Fang Han, even Fang Haoyang and Qin Weihua are also in favor of supporting, but at this critical time, Mr. Xu still wants to hear Fang Han's opinion.
Fang Han had already entered the operating room. Fang Haoyang smiled lightly and said: "The old man's situation has not changed much compared to yesterday, but it is also dangerous for this situation to continue, since the old man already has an idea, then take the medicine according to the prescription, if you can not delay, you will not delay." ”
"This ......"
Mr. Xu gritted his teeth: "Okay, then it's troublesome Director Fang." ”
Fang Haoyang also breathed a sigh of relief, the Xu family finally agreed, if this situation continues to stalemate, if there is any change in Old Man Xu's situation, it will be very passive for the hospital.
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