Chapter XXXVIII
And Liao Xingchun was a little inexplicable after hearing about it, in her impression, her grandfather was a down-to-earth person, who talked about "benevolence, righteousness, etiquette, wisdom and faith" every day, and never said big things. But what her grandfather did today completely subverted the image in her mind, and it became more and more incomprehensible.
When he heard these words come out of the mouth of Old Chinese Medicine Doctor Liao, Director Li was very surprised, and he was shocked for a long time before he came back to his senses. He still has a little understanding of Liao Lao's Chinese medicine personality, and he never talks to death when he usually diagnoses and treats diseases, let alone packing tickets or anything, even if he cures the patient, he never asks for credit, and boasts about his medical skills.
More importantly, Director Li has a thorough understanding of the problems of Chinese and Western medicine than Yan Shubo, and he knows that Chinese medicine is not as fast as Western medicine, and it is not as disciplined as Western medicine.
This is also the reason why Director Li was shocked.
It's just out of his understanding of Liao Lao's traditional Chinese medicine, Director Li didn't dare to suspect that the other party was purely bragging, and said suspiciously: "Liao Lao, are you so sure that he can become a teacher in three years?"
Hearing this, Old Chinese Medicine Liao nodded and said, "If nothing else, I believe he can do it." ”
When Director Li heard this, a suspicious look flashed in his eyes, and then he suddenly had a plan in his mind, and laughed and said: "Since Liao Lao is so sure, in my opinion, three years is too long, why not be a year, I will call him over for a consultation in a year, how about it?"
Hearing this, Old Chinese Medicine Liao shook his head and refused: "It's impossible for a year, unless he doesn't eat or drink, and gets into books every day, then there is still a glimmer of possibility." ”
Director Li laughed when he heard this, and said categorically: "If you want me to say, just give him a year, so that he can show his talent in traditional Chinese medicine! If after a year, he still can't prescribe traditional Chinese medicine, I will send my nephew to you." The matter was settled. ”
Liao Lao Chinese medicine couldn't cry or laugh when he heard this, this old fox was unreasonable in order to achieve his goal, and he had to eat it bite by bite, how could he not perfect Chinese medicine in a year.
"Alas. Old Chinese medicine Liao sighed secretly, too lazy to argue with a scoundrel like Director Li, and talk about it a year later.
Yan Shubo stood aside silently, this kind of director-level conversation, it was not his turn to make irresponsible remarks, but he heard a little famous: this Director Li does not believe in traditional Chinese medicine, but is a die-hard fan of traditional Chinese medicine, otherwise he would not have done everything possible to send his nephew to study traditional Chinese medicine.
At this moment, Yan Shubo had a question in his heart, why did his father never hear him mention going to see Chinese medicine in the past?
At this point, Director Li didn't dwell too much on this matter, and immediately shifted the topic to the consultation: "Old Liao, the reason why we called you over is that there is a heart failure patient who wants you to palm your eyes and help prescribe a few pairs of Chinese medicine to recuperate." ”
Director Li turned around as he spoke, stretched out his hand and waved back, motioning for Dr. Liu to bring the medical records.
After hearing this, the old Chinese medicine doctor Liao smiled all over his face, and after a faint "oh", he took the medical record in Dr. Liu's hand, took a cursory look at it, and then handed it to Yan Shubo, and said, "Your patient's condition is quite complicated, and he had a heart attack before, and he made three stents." ”
Director Li nodded when he heard this: "Yes, it's quite complicated, we planned to let them go to a higher-level hospital, but they resolutely didn't go, there was no way." ”
Liao Lao TCM didn't make a sound when he heard this, but glanced at Yan Shubo, and after seeing that the latter was still carefully browsing the medical records, he silently took a sip of the tea handed over by Dr. Liu, and said after Yan Shubo finished reading: "The treatment is okay, right?"
Yan Shubo nodded when he heard this: "Master, I don't see what the problem is, the treatment in the medical record is basically in accordance with the latest heart failure guidelines." ”
Hearing this, Liao Lao TCM couldn't deny it, slowly stood up, and said, "Let's go, let's change our clothes first, and then go to the ICU to see the patient." ”
Obviously, Director Li had already made preparations, and just waited for Liao Lao TCM to speak, and immediately found two sets of sterile isolation gowns and changed them on.
After putting on the isolation gown, Yan Shubo followed Liao Lao TCM all the way to the ICU ward, but saw someone sitting on the bed at 30° in the corner of the ward, wheezing weakly, his chest was covered with electrode patches, and the ECG monitor kept emitting a "Didi" alarm sound.
Liao Lao TCM slowly came to the patient's bedside and asked Director Li, "Director Li, is that him?"
Director Li nodded and said, "Well, that's him." You see....... ”
Old Chinese Medicine Liao was silent for a moment when he heard this, and said, "I'll try it first." ”
Yan Shubo stood directly opposite Liao Lao TCM, his eyes observed Liao Lao TCM's every move, and took advantage of the latter's pulse to take the pulse, and carefully looked at the patient on the bed: the patient seemed to be a little out of breath, his lips were bruised, his face was dull, and his lower limbs looked a little swollen.
However, compared to his father, the swelling of the patient's lower limbs is not worth mentioning.
After about five or six minutes, Old Chinese Medicine Doctor Liao slowly stood up, stared at Yan Shubo and said, "Tell me what you think of this patient." ”
Yan Shubo said unhurriedly after hearing a little thought: "Master, the medical record says that the patient was admitted to the hospital with 'chest pain, shortness of breath, and orthopnea', and the course of the disease has been more than ten years. ECG showed multiple premature ventricular contractions, low T wave leveling, and myocardial ischemia. Cardiac ultrasonography showed left ventricular enlargement, decreased function, and ejection fraction <50%, suggesting heart failure. ”
Hearing this, Liao Lao Chinese Medicine shook his head and said, "I'm not asking you about Western medicine, but I want you to use Chinese medicine thinking to consider your condition." ”
Yan Shubo secretly smiled bitterly when he heard this, and reorganized his words: "I see that he is short of breath and weak, his nose is agitated, and it is very bad to sit upright and shout *** God, is it a deficiency of heart and kidneys?"
Hearing this, Old Chinese Medicine Doctor Liao couldn't help but smile lightly and said, "You kid, I just analyzed the word spirit with you during the day, and I used it to fool your master at night." There must be heart and kidney deficiency, but that is the general direction, and I want the specific direction. ”
Yan Shubo couldn't help but stick out his tongue when he heard this, and carefully recalled the patient's medical history, the patient was fitted with three stents, which must be because more than 75% of the coronary blood vessels were blocked, so in this way, there must be blood blockage, and he said at the moment: "Master, the patient has three stents installed, which is caused by blood vessel blockage, right?"
Old Chinese Medicine Liao nodded with a smile when he heard this: "Well, it is indeed a blood vessel blockage. Tell me your reasons for the disease as you see it with your eyes. ”
Director Li stood aside, his eyes constantly wandered on the master and apprentice, listened carefully to the conversation between the master and apprentice, and did not bother with his many years of clinical experience, he could answer the cause of the patient in one bite, as for the reason, coronary angiography is the most direct evidence.
Yan Shubo secretly felt bitter in his mouth when he heard this, but he had to desperately start the head machine, recalling all kinds of blood stasis manifestations in his life, especially after being injured, the injured parts were bruised, and suddenly a flash of inspiration flashed in his mind, and he said: "Master, in the five Tibets, the heart is the main bloodline, the body is in the veins, and its splendor is in the face." This patient has a blue lips and a dull complexion, and he has had a stent, so he must have coronary artery obstruction. ”
For Yan Shubo's answer, Liao Lao TCM was very satisfied, and he was able to grasp the main points of the disease in just two days, especially the hidden image of the heart to explain, which was already quite good. In fact, when he asked a question, he didn't expect Yan Shubo to give a satisfactory answer, and even if he could, he would definitely answer in the way of Western medicine.
Director Li doesn't understand Chinese medicine, but he can also sense that the way Liao Lao TCM trains his apprentices is different, but he can't say it when it comes to a certain point. Seeing that Yan Shubo's answer was extremely short, and he couldn't judge whether it was right or wrong, he couldn't help but look at Old Chinese Medicine Liao Lao.
At this moment, Liao Xingchun was tiptoeing to check the patient's pulse, and when he heard Yan Shubo's answer, he couldn't help but look at the patient's lips, and sure enough, he found that his lips were blue and purple, and he secretly wondered in his heart: Didn't this guy still ask me yesterday about the difference between cold and heat, and he learned the four diagnoses in just one night, this speed is too fast, right?