Chapter 412: Teacher Yu teaches
After listening to Yu Cailan's question, the three Chinese medicine doctors behind her who were older than her did not speak.
Because the hospital did not attach great importance to the TCM department, and even wanted to cancel the TCM department for a time, a doctor with a relatively high level had already found a way to go to another place, and only the three of them were left. Two of them are not very old, less than 30, and have little experience, and they basically have no actual opportunity to come into contact with such diseases, and such patients generally do not go to the Chinese medicine department.
In traditional Chinese medicine, intestinal obstruction belongs to the categories of guange, intestinal knots, abdominal pain, accumulation, nausea, etc., with abdominal pain, bloating, vomiting, and constipation as the main clinical manifestations.
Although they had also studied Western medicine, they did not study it deeply, and after thinking for a while, a young doctor said tentatively: "There are mechanical and paralytic ones, right?"
Yu Cailan's attitude was very gentle and would not embarrass people, so although he was a little apprehensive, he still had the courage to say the paragraph in his memory. If none of the three of them can answer, it will be shameless. The three gentlemen are not as good as a girl.
Yu Cailan nodded: "Well, if it is mechanical, most of it requires surgery, it is an organic lesion, mostly manifested as paroxysmal abdominal pain, but it is not absolute; paralytic intestinal obstruction is functional, and it can be treated without surgery, and it is mostly persistent abdominal pain...... " She then talked about the method of identification.
The doctors outside the general world didn't expect that she, a person who studied Chinese medicine, would actually know these Western medicine terms. It seems that the last success was not an accident.
Later, she didn't ask any more questions, and the three big brothers of the Chinese medicine department followed her like students, accompanied by them as usual. There were also a few people from the oncology department who came to watch at the back.
Yu Cailan pointed to a patient and said: "This patient has been examined to have paralytic intestinal obstruction, and he is currently completely unable to eat and unable to take medicine. At the same time, it is given intravenous infusion of Shengmai injection, which can nourish qi, nourish yin and strengthen the body, and can also prevent Dachengqi decoction from attacking and hurting the positive. ”
Those Chinese medicine practitioners could see that Yu Cailan was teaching them sincerely without reservation. I took great care to write down what she said. After studying hard for so many years, it is not easy to work, but they have been sitting on the cold bench for several years, and now they have this opportunity to cooperate with ordinary people, and it is impossible for them not to study hard.
What Yu Cailan said next made the director of the oncology department unable to help but take it to heart. Yu Cailan said at this time: "In addition to intestinal adhesions after surgery, intestinal obstruction may also occur, and some tumor patients will also have this condition. If continuous gastrointestinal decompression therapy is carried out, it will lead to a large loss of body fluids and imbalance of water, electrolytes and acid-base balance...... Patients like this can also consider Da Cheng Qi decoction plus minus enema treatment. It's just that according to the type of tumor, it is necessary to add medicinal materials such as raw banxia, toad skin, whole scorpion, centipede, white flower snake tongue grass, half branch lotus, and soil poria cocos. ”
Yu Cailan didn't know the director of the oncology department, and she didn't know that they were from the oncology department, she just thought of this and mentioned it, but she didn't expect that there were people from the oncology department listening to it.
Lao Chang and the people outside the general public looked back, and then quietly followed Yu Cailan to another patient, Yu Cailan looked at the few Chinese medicine doctors to take the pulse, and then asked them how to prescribe, how to add or subtract, and what is the specific dose?
Those Chinese medicine practitioners now speak to Cai Lan, one by one, and they are very respectful. This is the characteristic of the technical unit, you have the ability, no matter whether others will be able to ask for you or not, at least there will be respect.
Unconsciously, three hours passed, and the people in the oncology department kept following, and no one had any intention of leaving. At this time, the relevant patients in the general ward had been dealt with, and Yu Cailan felt that it was time to go back to the ward to see the old lady.
She said goodbye, and before leaving, she said to the Chinese medicine doctors: "Zhang Xichun, a famous doctor in the late Qing Dynasty, also mentioned this disease in his book "Medical Hearts and Western Records", and gave a treatment method, using Li Chong Tang, if you are interested, you can also find it to study, maybe you can use it one day." ”
When Yu Cailan waved goodbye, the dozen or so white coats at the door of the general surgery ward didn't know who raised their heads, and they applauded her with a smile to see her off.
On the way back to his department with the two of them, Lao Qiu behind him asked him: "Director, look, do we need to invite her to come and see?"
The director of the oncology department waved his hand: "Don't use it for now, her idea can be used for reference, but the patients in our department are more complicated after all, so I'll think about it." ”
In the final analysis, he still thinks that Yu Cailan's qualifications are shallow, he personally respects this girl, and she is also the first to say, but when it comes to tumors, it is not so easy. He felt that he was only afraid of her abilities, and he was not qualified to deal with the illness in their oncology department.
Yu Cailan didn't know this, and she didn't care, she walked through the long corridor, down the stairs, and went to the extracardiac ward in another building.
Huang Baichuan went out, the old lady was sitting on the hospital bed in good spirits, talking to Huang Xinyue, and the little nanny Xiao Wang was taking care of her.
Hearing the movement of Yu Cailan entering the door, Huang Xinyue breathed a sigh of relief: "Cailan, you are back, grandma is about to become a female Tang monk, just these few hours, I don't know how many times I have been talking about you, my ears are about to become calloused." ”
Yu Cailan walked over: "Grandma, I'm such an adult, don't worry." Hey, by the way, what about my eldest brother?"
Yu Cailan looked around, but he didn't see Huang Xiaotian, and he didn't say that he wanted to go out.
"Your eldest brother answered the phone and said that there was an urgent matter at the unit and he had to go. ”
When the old lady said this, she complained to herself: "Look at me, this illness has delayed your affairs, you are all busy, Xinyue still has a big belly, Xiaotian is so old that she has been busy all day long and has not yet become a family." What a ......."
Some elderly people are like this, they are afraid of causing trouble to their children and future generations, and if there is anything they can solve, they will find their own way, and they do not want their children to be affected. The old lady is such a person.
Huang Xinyue said angrily: "Grandma, you can't say that, you didn't take care of us when we were a few hours, and now we should take care of you?"
Yu Cailan said: "Grandma, are you in a hurry when your eldest brother beats a bachelor?"
Before the old lady could answer, she heard Huang Xiaotian's voice outside the door ringing with the sound of opening the door: "Cai Lan, who are you talking about? I'm not here, you are fat? What do you say about your brother?"