Chapter 3 Expert Leadership
"It's coming! Here it comes! β
Someone in the crowd shouted quietly, and everyone's waists immediately straightened up.
A black Audi car drove slowly, and before the car could stop, Zhang Renjie stepped forward in a few arrows, seized the favorable position of the car door, and quickly squeezed out a few flattering smiles on his sad face: "Director Chen, why did you come here in person!" β
It was not an expert who came, but Chen Gaofeng, director of the Nanjiang Provincial Health Department.
After Chen Gaofeng got out of the car, he went straight to the topic: "Have the experts from the capital arrived?" β
Zhang Renjie bowed down and replied, "I've been contacted, I'll be there soon!" β
Chen Gaofeng stood there without a trace of a smile on his face, "Then let's wait together!" β
As the top leader of the medical and health industry in Nanjiang Province, Chen Gaofeng is also under great pressure at the moment, as long as he sees Zhang Renjie's face now, his heart will be inexplicably angry: Damn, I cured Feng Yuqin, Lao Tzu can't touch you much, but if something happens, Lao Tzu will be implicated by you. I knew that you were such a waste, and you couldn't even cure your constipation, and I wouldn't have let you be the dean when I said anything.
A few minutes later, a Coaster minibus roared in, escorted by a police car.
This time it was really here, and there was no one to tell him, so the welcoming crowd downstairs was very consciously divided into two columns and put on a sandwich welcome formation, if it wasn't for Shao Haibo dragging him, Zeng Yi would almost be hung in the middle.
After the car stopped, Chen Gaofeng and Zhang Renjie took two steps forward, staggered half of their bodies back and forth, and stood in front of the car door, ready to welcome the appearance of experts.
As soon as the door opened, the welcoming crowd immediately erupted in applause.
An old expert in his fifties slowly got out of the car first, his hair was a little gray, his face was square, and he looked a little pretentious with a pair of thick black-rimmed glasses on the bridge of his nose.
"Director Li, you came in time, thank you very much!" Zhang Renjie applauded vigorously, stepped forward, and said with a slight bow: "Let me introduce, this is Director Chen of the Nanjiang Provincial Health Department. β
"Director Lao Chen, don't dare to be it!" The old man bowed slightly, without the slightest expression of flattery on his face.
"This is Director Li! Director Li is the chief authority in the field of gastroenterology in China, an academician of the Chinese Academy of Sciences, a winner of the second prize of the National Science and Technology Progress Award, a Changjiang Scholar, enjoying special government allowances, and currently the deputy head of the expert medical team of the State Council. β
Chen Gaofeng immediately stretched out his hands, held Director Li's hand and shook it vigorously, "Old Li, welcome!" With you in person, our hearts are much more steady! The smile on Chen Gaofeng's face was full of twelve points of enthusiasm and three points of humility, not like he was greeting experts, but like he was received by a big leader.
Director Li responded lightly and said, "Xiao Chen, tomorrow afternoon I have to go to preside over a consultation with a central head, the time is very tight, there is no need to talk about those useless polite words, let's introduce the patient's situation first!" β
"Yes, yes, yes!" Chen Gaofeng nodded his head fiercely a few times, turned his face and said, "Dean Zhang, you report the situation of the No. 1 patient to Elder Li!" β
Zhang Renjie hurriedly stepped forward and prepared to take over this errand.
But before he could speak, he saw Director Li put his hands behind his back and walked towards the outpatient building without squinting, "Let's talk while walking!" β
Chen Gaofeng and Zhang Renjie did not feel the slightest displeasure, but took two quick steps and led the way in front, while the leaders of the hospital followed closely behind, and a large group of people rushed to the inpatient department.
Zeng Yi was squeezed to the back, and he also wanted to hear about the patient's situation, but unfortunately the distance was a bit far and he couldn't hear Zhang Renjie's voice clearly. However, for the identity of Director Li, he remembered a person - Li Zhengkun.
Li Zhengkun is a member of the National Health Commission, a veritable "imperial doctor", responsible for the daily health care work of many national leaders. Li Zhengkun's protΓ©gΓ©s are all over the country's medical and health institutions at all levels, and one of them is also the vice minister of the Ministry of Health.
Thinking of this, Zeng Yi suddenly realized, no wonder Director Chen's waist hasn't straightened up for half a day!
Ward 1 is located on the top floor of the inpatient department, and is guarded by two internal guards at the door.
In the Provincial People's Hospital, the beds have always been very tight, and sometimes even the aisles have to set up beds to live in. But here on the top floor, you don't see that at all, the entire floor is empty, and the front and back are closed, except for a dedicated elevator, outsiders can't get here directly.
Zeng Yi was wearing a white coat from the Provincial People's Hospital, a work card on his chest, and he also helped Li Zhengkun's entourage hold the medicine box in his hand, so the internal guard just looked at him for a moment and let him in.
After coming in, Zeng Yi's first impression was that it was big.
The whole special No. 1 ward occupies more than 100 square meters, in addition to the patient's ward, there are two relatives room and a nurse's room, the living room is even more outrageous, and the decoration is extremely luxurious, all the high-end leather sofas and imported mahogany furniture, all kinds of household appliances are also available, compared with the presidential suite of the five-star hotel, there are more, and all of them.
In the patient's ward, Chen Gaofeng was already reporting the good news: "Director Feng, I have good news for you, Elder Li from the capital is here, your illness will be cured soon, you must relax!" After speaking, he straightened up, pointed to the hanging bottle at the head of the bed and said: "The matter of infusion is very important, we must not be sloppy, there must be someone here to guard it 24 hours a day!" β
Zeng Yi hid behind the crowd, and said in his heart that this Director Chen is really a piece of, such a trivial matter as infusion, why do you need to emphasize it personally, the hospital is afraid that it has long been treated as a big thing.
Li Zhengkun took a pair of disinfectant gloves, wore them unhurriedly, and sorted out the condition that Zhang Renjie said in his mind: persistent high fever, without any organic lesions, then it is simple diarrhea, and according to the results of various examinations, the problem is most likely to be in the intestines.
After sorting out his thoughts, Li Zhengkun came to the bedside, first looked at the label on the hanging bottle, confirmed what liquid the patient was infusion, then bent down, carefully observed the patient's complexion, opened his eyelids and checked the fundus, and finally asked softly: "How do you feel now?" β
"Tired, cold, no energy......"
Feng Yuqin had been tossed by endless diarrhea at this time, and she was extremely weak, and when she heard Director Li's question, she needed to take a strong breath before she could barely answer.
When Li Zhengkun heard the patient's feelings, he already had a basic judgment in his heart, he saw that the patient's condition was not good, and he didn't ask any more, turned his face to Zhang Renjie and said, "Let's go out and discuss, let the patient have a good rest!" β
According to the regulations, doctors are generally not allowed to discuss the condition in front of the patient, so as not to disturb the patient's emotions.
While everyone was going out, Zeng Yi had the opportunity to observe the patient, he didn't know the identity of the patient, otherwise he would definitely be surprised, the patient lying on the hospital bed in front of him, in addition to being weak at this time, how could there be a little bit of the posture of the first lady.
The bedside device showed that the patient's temperature was 38.3 degrees and had been going on for several days.
If the average person burns for so long, the body will dry up to some extent, such as dry mouth, red face, and even coma in severe cases. But Zeng Yi noticed that the patient in front of him did not show the slightest sign of fluid damage, and when she answered Li Zhengkun's question just now, her mind was also very clear, and even her lips were faintly blue at the moment.
Zeng Yi's brows furrowed, which showed that although the patient had a fever, it was not a symptom of heat and dryness, on the contrary, there was still a cold in her body. All the doctors had already gone out, and Zeng Yi couldn't make further observations, so he could only follow the back of the team and walk out.
As soon as the door to the ward closes, the reception room outside becomes a makeshift consultation room.
Li Zhengkun then asked, "How is the patient's bowel movement?" β
"Yellow-green thin watery, foamy, and accompanied by bowel sounds, the frequency can be seven to twenty times a day." Zhang Renjie replied.
Li Zhengkun nodded slightly, it seemed that the situation was basically in line with his judgment, he said: "The patient's intestines are likely to be infected by a variety of bacteria, let's take a smear first!" β
Zhang Renjie took out a report, "Elder Li, this is the result of what we did before, please take a look!" β
Li Zhengkun took the report, first helped the frame, and then shook the report twice, with extremely skillful techniques, just like the habitual movements of many doctors before watching CT films, and finally squinted his eyes.
After a moment, he put down the report, "It seems that my judgment is correct, according to the quantitative and qualitative analysis of the smear, the number of resident bacteria that should have parasitized in the intestines has become negligible; At the same time, very large groups of passers-by, such as Staphylococcus, Candida albicans and Streptococcus, were detected. Obviously, the proportion of microflora in the patient's gut has been severely imbalanced, which is very typical of intestinal dysbiosis! β
Zhang Renjie immediately showed admiration, he really deserves to be a full-time doctor under the leadership of the central government, and his level is high!
Usually everyone says that Western medicine is difficult, but what is the difficulty? It's hard to diagnose it! As long as the diagnosis can be confirmed, Western medicine has a very standard plan for the treatment of all diseases. Although Director Li's conclusion is consistent with the medical team of the Provincial People's Hospital, the Provincial People's Hospital had to change the conclusion after making a mistake, and Director Li just read the report.
"I completely agree with Elder Li's conclusion!" Zhang Renjie was the first to agree. Other doctors agreed.
Zeng Yi also secretly admired in his heart, if he only used the diagnostic methods of Western medicine, if he was replaced by himself, he would also come to this conclusion. Although Zeng Yi is engaged in traditional Chinese medicine, he is not completely ignorant of Western medicine, on the contrary, his level of Western medicine is even better than that of most doctors, but Shao Haibo doesn't know it.
After Chen Gaofeng was unwilling, he praised with a smile: "Elder Li is experienced, his eyes are like torches, no matter how complicated the disease is, it is easy to get into your hands." Now that the condition is clear, you can give a treatment plan! β
This sycophant made Li Zhengkun very useful, but he was not in a hurry to come up with a plan, but looked at Zhang Renjie, "Have you used antibiotics?" β
"Yes, I used 1.2 times the prescribed dose, but ......," Zhang Renjie shook his head, indicating that antibiotic therapy was ineffective against Feng Yuqin.
"What about flora enhancers? Do you use it together? β
"I've ......used it too," Zhang Renjie shook his head again.
Li Zhengkun's face showed a solemn expression for the first time, antibiotics are ineffective, and microbiota promoters are also ineffective, if this is the case, things are a little tricky. At present, the patient's condition is already very dangerous, and the patient is afraid that he cannot wait with a milder conservative treatment, but with the radical treatment, the patient's body is difficult to meet.
There is a quick-acting remedy, but it ......
Li Zhengkun's right hand involuntarily crossed his waist, and then paced slowly, which was his habit when thinking. After a full two minutes, he stopped, "Have you tried the enema?" β
Zhang Renjie's face immediately showed a look of embarrassment, if it was an ordinary patient, he would have used it a long time ago, but now it is the wife of the secretary of the provincial party committee who is sick, how dare he try this kind of treatment easily.
Li Zhengkun understood at a glance, and he also knew Zhang Renjie's difficulties, but after thinking about it, he still felt that the quick-acting therapy was the most reliable and the best treatment plan at this time. Let's try to do the patient's work! β
The doctors in the room are all silent, who dares to do Director Feng's work, they can do it, they can't do it! In the future, the wife of the secretary of the provincial party committee will be cured, as long as she thinks of this, it will definitely be like a fish in her throat, how can we people have a good life at that time?
Zhang Renjie's shoulders also shrank back, "Enema therapy is indeed the best choice at the moment, it's just ...... Well, to be on the safe side, everyone will discuss it. β
"The condition is clear, what else to discuss!" Li Zhengkun was very dissatisfied, he has always said a good plan, that must be the best plan after careful consideration, no one dares to question it, "At this moment, the patient is lying in bed, and the condition is like fire, it may deteriorate further at any time, when are you going to discuss it!" Who is responsible for the delay in the optimal treatment time? β
There was a chill in the room, and no one dared to respond.
"If you don't think it's easy to speak, I'll talk to the patient!" Li Zhengkun was furious.
Just as he was stalemate, the door of the No. 1 ward was pushed open, and a person who came in said softly: "The secretary of the provincial party committee will be here soon, everyone prepare, and the secretary will listen to the treatment plan." β
After speaking, he specially advised: "Secretary Fang has a lot of opportunities, and if it has nothing to do with his condition, don't talk about it." β