Chapter 1245: Pediatric Chorea Disease

It may be that yesterday's holiday consumed a lot of energy for most people, and the emergency department seemed a little more relaxed than usual during the morning.

Because of the leisure, the doctors and nurses are in a pretty good mood.

As far as the emergency department is concerned, this kind of leisure is really quite rare, and it is already a probability of winning the jackpot if you can encounter it once or twice a month.

"Fang Han!"

Because there are not many patients, there are more doctors in the duty room than usual, Lin Guangcai, Jiang Feng, Zhai and Lin Guangliang are all sitting in the duty room, sorting out the medical records in front of the computer.

For the residents, especially for the residents of the emergency department, sorting out medical records is usually done outside of working hours, and it is a rare happiness to be able to sort out medical records in a grand manner during working hours.

The three of them chatted casually while tidying up, and then they felt a tall and burly figure appear at the door of the duty room, it was Fang Haoyang.

Fang Haoyang arrived at the door of the duty room, and without waiting for a few people to say hello, he had already spoken out.

"Director Fang!"

The three of them hurriedly got up, and Jiang Feng said first: "Doctor Fang has gone to the internal medicine department." ”

"Went to internal medicine?"

Fang Haoyang was stunned for a moment, and then there was a faint and slightly proud look on his face.

It is often a routine operation for the emergency department to consult other departments, but if other departments invite doctors from the emergency department, it is indeed a matter of pride, after all, in major hospitals, doctors in the emergency department are often regarded by doctors in other specialized departments as a bottle of panacea that does not sound and half a bottle of panacea.

"Your doctor Fang is back, let me come to my office. ”

Fang Haoyang threw down a sentence, turned around and left.

Seeing Fang Haoyang's departing back, Jiang Feng's eyes were full of envy.

Let Director Fang personally invite someone, in the emergency department, Doctor Fang will have this kind of treatment, and other Director Fang will be a phone call, and the meaning of phone notification and running in person is completely different.

.......

Fang Han had just arrived at the Department of Internal Medicine at this time, and it was Liao Yunsheng who called.

When he arrived at the internal medicine ward, Fang Han saw Wu Lei.

"Fang Han!"

Wu Lei saw Fang Han and greeted him with a smile: "Director Liao is waiting for you in the ward." ”

"Hmm!"

Fang Han nodded, and then followed Wu Lei towards the ward.

Counting up, Fang Han hasn't seen Wu Lei for a long time, if he is not in the same department, it is really difficult for the doctors to take care of him, and Wu Lei is still in the stage of regular training, usually the emergency department invites internal medicine for consultation, and the internal medicine department will not send a regular training doctor over.

If you can't eat again, it's really hard to see.

Fang Han was busy again, he went to Fengzhou a while ago, probably calculated, he hadn't seen Wu Lei much for at least two or three months, and even if he saw him before, he just said hello when he was eating.

"Xiao Fang is here!"

Fang Han walked into the ward, Liao Yunsheng greeted him with a smile, the ward was a single room, in addition to Liao Yunsheng, there was a young man in his thirties and an old man about seventy years old in the ward.

"Director Liao!"

Fang Han said hello to Liao Yunsheng.

Liao Yunsheng smiled and beckoned: "Come, Xiao Fang, let me introduce to you, this is Gong Xiangxue Gong Lao, Gong Lao once served as the president of Jiangzhou Medical University........ It is the predecessor of our medical community in Jiangzhou Province......."

"Gong Lao is good!"

Fang Han hurriedly said hello.

Gong Xiangxue Fang Han has heard of it, when Fang Han was in high school, Gong Xiangxue was the principal of Jiangzhou Medical University, and Chen Guozhong was only the vice principal at that time.

Because of the relationship between the old man, Fang Han was still in high school, to be precise, when he was just a freshman in high school, he had actually determined what university he was going to take in the future, he must be in the medical field, and he would be a doctor in the future.

Many students, in fact, are not very sure what they want to do in the future before taking the high school entrance examination, at most, according to their academic performance, set goals for themselves, whether to rely on Qing University or Yan University, whether to take one exam, or two exams.

Because he was sure that he was going to be admitted to the medical university, Fang Han also knew about several medical universities in China, so he knew Gong Xiangxue.

"You're welcome, you're welcome. ”

Gong Xiangxue smiled and said, "I am a family member of the patient today, and I have long heard that Xiaofang has a high level, and I can be regarded as seeing it today." ”

"The patient is Gong Lao's granddaughter, who has been ill for four or five days, and was diagnosed with chorea ...... small."

After the politeness, Liao Yunsheng began to introduce his condition to Fang Han.

On the hospital bed was a little girl about ten years old, with a delicate appearance and big eyes, which were very beautiful.

Fang Han actually entered the ward, and he kept paying attention to the little girl on the hospital bed, the little girl was lying on the hospital bed, her head kept shaking, sticking out her tongue and smashing her mouth from time to time, and her limbs kept shaking.

Before Liao Yunsheng introduced it just now, Fang Han was guessing about this little girl's illness, which was somewhat similar to epilepsy, but he didn't expect it to be pediatric chorea.

Pediatric chorea is a Western medical term, which is a disease that is more common in children, often a manifestation of acute rheumatism, and is clinically characterized by irregular chorea-like movements. Chorea belongs to the category of tremor syndrome in traditional Chinese medicine.

Clinically, it is believed that chorea is closely related to rheumatism, which is often a manifestation of rheumatic fever, and the main pathological changes are scattered arteritis and nerve cell degeneration in the basal ganglia, cerebral cortex, brainstem, cerebellum, etc.

Clinically, this disease is more common in children aged 5~15 years, more women than men, and in adults, it is mainly seen in pregnant women or women taking contraceptive pills, and it is mostly a recurrence of chorea.

Generally speaking, most patients with this disease can recover on their own after 3~10 weeks, and a small number of patients will recur again after an indefinite period of time, and the intermittent period can range from weeks, months to years.

It's just that the onset of the disease is very painful, the patient's head keeps shaking, the tongue is sticking out, the larynx is also convulsive with the dance festival, choking on food, drinking water, and for children, it will also affect the normal development of children.

"The child was treated at the Affiliated Hospital a few days ago, and was diagnosed with chorea, and the treatment did not improve, so I thought about sending it to Jiangzhong Hospital to have a look. Gong Xiangxue interjected, and then handed Fang Han the medical records of the treatment in the medical hospital.

Fang Han took it and looked at it, then stepped forward to give the child an examination.

"Fever and cold before the onset of the disease?"

Fang Han looked at the medical records and did an examination, and then asked.

"It rained for two days in the river a few days ago, and the temperature dropped a little, so I didn't pay much attention to the cold. Gong Xiang learned.

The child has been sick for almost four or five days, and Fang Han was not in Jiangzhong when it rained and cooled down in Jiangzhong, but he didn't know about it, but combined with this situation, he also had a judgment.

"Since it is caused by a cooling cold, and the illness comes from a fever, then it should be a long time of warmth and evil, and the true yin of the liver and kidneys is burned, so the internal wind is reckless....... The meridians and veins of the kidneys are abandoned, and the kidney yin deficiency cannot be used in the upper range, so it is difficult to say that the liver and kidney are homologous, and the lack of kidney essence cannot nourish the glory and sweetness, so the yang has no control and the wind is moving......."

Gong Xiangxue also understands medicine, although he is proficient in Western medicine, he also knows some things about Chinese medicine, and said: "The weather plummets, isn't it an external cold, how can it be warm and evil for a long time?"

Fang Han explained: "The so-called warm disease refers to a kind of external acute fever caused by the feeling of warm evil, also known as warm fever, warm disease is a common disease, although its occurrence has obvious seasonality, but wind temperature, spring temperature, summer temperature, humid temperature, summer heat, autumn dryness, warm poison all belong to the category of temperature disease, now it is the alternation of summer and autumn, warm and autumn dry, sudden rainfall, but not infected with wind cold....... From the point of view of symptoms, it is still the category of fever disease......."

"Taught!"

Gong Xiangxue is like a more rigorous old pedant, after Fang Han explained, he thought about it carefully, and then replied solemnly.

"Gong Lao is polite. ”

Fang Han replied, then walked to the side and opened a prescription, handed it to Gong Xiangxue, and said: "Since the patient is nervous and unable to nourish the dry wood, causing the yang to be uncontrollable and the wind moves, then use the Dading Wind Bead to nourish the kidneys and liver and extinguish the internal wind." ”

Gong Xiangxue stretched out his hand to take the prescription, and the first thing he saw was a good hand, and he couldn't help but praise it in his heart, and then he looked at the prescription carefully.

After reading it, Gong Xiangxue handed the prescription to Fang Han again: "Then use the medicine like this, I'm sorry for you." ”

"Gong Lao is polite. ”

Fang Han then handed the prescription to Liao Yunsheng, said a few polite words, and left the ward.

"Young talent. ”

When Fang Han came out of the ward, Gong Xiangxue smiled and praised Liao Yunsheng.

"Xiao Fang can be so praised by Gong Lao, and he is also worthy of pride. Liao Yunsheng said with a smile.

"No!"

Gong Xiangxue shook his head: "I'm just seeking truth from facts, at such an age, with such a level, and such a character, it is really commendable, compared to the one from the Ruan family." ”

"Gong always said Ruan Yunfei?" asked Liao Yunsheng.

"Now the young generation of Chinese medicine is excellent, the Ruan family's kid is counted as one, and Xiao Fang is also counted as one, correspondingly, I still prefer Xiao Fang. Gong Xiangxue nodded.

Ruan Yunfei of the Ruan family is also a leader among the younger generation in the apricot forest world, he is only thirty-five years old this year, his fame is not smaller than that of some famous artists, and his level is also high, but in Gong Xiangxue's opinion, Ruan Yunfei is a little too arrogant, and he does not feel as stable as Fang Han.

Outside the ward, Fang Han was chatting with Wu Lei while walking.

"How's it going, I look a little fatter. ”

"It's okay, I learned some things, sometimes Director Liao or Dr. Liu will take me to the outpatient clinic and let me get started. ”

Wu Lei smiled: "I can't compare with you, take your time." ”

At first, Wu Lei chose internal medicine and was reluctant to stay in the emergency department, in fact, because he was a little unconvinced in his heart, he and Fang Han were classmates, roommates, and they knew the roots, in his opinion, Fang Han could soar into the sky, and he was not necessarily much worse than Fang Han, but now he was completely convinced, and he was much more relaxed when he saw Fang Han.

After all, he was able to stay in Jiangzhong Hospital, which took Fang Han's light, and if he continued to stay in the emergency department, maybe ...... Forget it, don't want to.