Chapter 42: Strength slaps in the face
Fortunately, at this time, Deng Ruoyan's father came out, he first thanked the experts who participated in the consultation today, and of course he couldn't help but look at Wang Yinan twice, after all, such a young expert, it is still very rare.
Most of the experts are not first-time visitors, except for two foreign experts from the Davis Medical Society and Wang Yinan. Deng Ruoyan's father took out two medical records and asked the experts to study them first, but in fact, they were mainly two foreign experts who had not read the medical records before. Wang Shouren also took out his TCM medical records and let Wang Yinan take a look. How can Wang Yinan understand this, with Deng Ruoyan's consent, he used his mobile phone to take a picture of the traditional Chinese medicine medical record written by Wang Shouren and sent it to Li Wenjing in front of the elder brother, Li Wenjing entered the photo into the elder brother's doctor, and the elder brother doctor will automatically recognize the text and enter it as a symptom.
After reading the two experts from the Davis Medical Association, Wang Yinan also took the medical records of Western medicine, took pictures and passed them to Li Wenjing. A few respected experts can't get used to seeing this young man, is this here for a consultation, or for a tourist photo? Don't study the medical records well and take pictures?
Deng Ruoyan's grandfather's illness is very simple, that is, anorexia, unable to eat, at first he could drink some porridge or something, and then he vomited what he ate and vomited, and even vomited when he drank water, and then he had insomnia at night, and he couldn't sleep all night. It can only rely on infusion to maintain normal physiological functions, which is ordinary glucose, zinc, and vitamin supplements.
Western medicine has consulted many times, but from the physiological indicators and various examinations, there is no abnormality, except for the common high blood sugar and mild diabetes in the elderly, no other problems can be detected.
For this kind of patient with no clear symptoms, Western medicine is the most headache, and the experts of the medical team have tried to break their heads, and there is no good way, the patient relies on glucose to maintain, of course, he is losing weight day by day, and his spirit is getting worse and worse.
After the two experts from the Davis Medical Society read the medical records, Deng Ruoyan's father took them into a bedroom, where an old man, described as haggard, was resting with his eyes closed. There were two nurses beside him, who were taking routine heart rate, body temperature, etc., when they heard someone coming in, the old man opened his eyes slightly and closed them again.
Two foreign experts should be the protagonists of this consultation, one of them can also speak fluent Chinese, he roughly asked the nurse some basic information, and simply asked the patient two questions, then stepped aside, Wang Shouren went up to check the pulse, and then looked at the old man's tongue, and also retreated.
Wang Yinan walked over, took out a bracelet and put it on the old man's wrist, the pulse detected by the bracelet will be sent directly to the brother doctor through Wang Yinan's mobile phone, he picked up the mobile phone again, took a photo of the old man's tongue coating and sent it to the brother doctor, and then also retreated.
Deng Ruoyan's father saw that their basic diagnosis was completed, so he motioned for everyone to withdraw first, and then held a simple medical seminar in the conference room on the first floor. First of all, the experts of Western medicine spoke, they said for a long time, anyway, the final meaning is that the patient's physiological indicators are not abnormal, and there is some inflammation, which is also a very normal thing, so not being able to eat should be a psychological problem.
Deng Ruoyan's father has a good upbringing, Deng Ruoyan can't help it, what is a psychological problem, can it be said that my grandfather is looking for death by himself and is on a hunger strike? I almost didn't beat a few experts in Western medicine.
"We believe that the patient should have a digestive problem," says an expert from the Davis Medical Society.
"Judging from the current phenomenon, the patient's physiological indicators, in addition to being very weak, are still relatively normal, which proves that it is not an organ lesion",
"We suspect it is caused by a physical lesion."
The experts of Western medicine have quit, and we have done all kinds of fluoroscopic examinations, including B-ultrasound, X-ray, and even MRI with 3D imaging, and if there are physical lesions, they have been detected long ago.
"We have the latest endoscopic technology that we can consider," advises experts from the Davis Medical Society.
"No, endoscopes are damaging to patients, and with the patient's current condition, can they withstand the toss?"
"Then you are proposing a treatment plan, who wouldn't just say that others can't do it, and after so long of treatment according to your so-called conservative treatment plan, what is the result?"
The experts of Western medicine themselves began to scare themselves.
One of the white-bearded old men may have been looking at Wang Yinan for a long time, and after arguing with the experts of the Davis Medical Association, he put down a sentence, "Anyway, we resolutely disagree with the endoscope", and then aimed his fire at Wang Yinan,
"This little brother worked very hard just now, it's just a matter of patting the tongue, I haven't seen anyone who can see a doctor by taking a medical record,"
"By the way, I used the bracelet to check the pulse just now, it's very trendy, I just want to ask you what you think."
Wang Yinan is not stupid, "Wang Shouren's national hand is here, I am here to learn from him", which means that you don't look for me, the boss is in front.
Wang Shouren looked like this, he couldn't escape it,
"Judging from the pulse and the situation of Deng Lao's tongue, I still insist on my judgment that the patient has a disease of eating and drinking, which is commonly known as eating a bad stomach",
"But from the X-rays of the stomach, there is no sign of damage", someone immediately retorted.
"I've been eating it for two days according to the recipe you prescribed, and it still hasn't had any effect, can you come up with something new?"
Wang Shouren was speechless, indeed, his prescription Deng Lao had already taken several doses, and the situation had not improved at all.
Wang Yinan whispered to Wang Shouren, "Can Fang Zi show me?"
"Of course you can", Wang Shouren thought that Wang Yinan wanted to show his master, it was the foreigner called Doctor Ge, so he gave the recipe to Wang Yinan.
Wang Yinan took a picture with his mobile phone and passed it to Li Wenjing.
The seminar reached an impasse, Deng Ruoyan's father also became anxious, the importance of the old man Deng to the family, needless to say, now the Deng family is thriving, with the old man to escort, after three or five years, he and Deng Ruoyan's uncle can stand firm.
But at this time, if the old man has three longs and two shorts, the consequences will be unimaginable.
Looking at the old man's appearance, if he can't eat for another three or five days, after all, when he is old, all kinds of problems will definitely come out.
At this time, Wang Yinan's mobile phone made a ticking sound, Wang Yinan glanced at it, it was Li Wenjing who analyzed the symptoms of the elder brother and Wang Shouren's prescription for Mr. Deng, and sent the running results.
Wang Yinan opened the message, and in the prescription prescribed by Wang Shouren, four flavors of tangerine peel, banxia, magnolia bark, and rhubarb were used. The elder brother did not ask any questions about the four herbs, and seemed to fully agree with Wang Shouren's diagnosis, but the dosage was very different.
In Wang Shouren's prescription, tangerine peel is the main medicine, one or two tangerine peels, three coins and half summers, three coins of magnolia bark and one money of rhubarb. But the dosage of the elder brother doctor is completely opposite, one or two taels of rhubarb, three coins of banxia, three coins of tangerine peel and three coins of magnolia.
Wang Yinan has studied Chinese medicine for so long, and probably has a little understanding, obviously the elder brother agrees with Wang Shouren's diagnosis, and Old Man Deng is indeed a disease of food injury. However, there are differences in the focus of treatment, Wang Shouren believes that warming the stomach and reducing cold is the main medicine, so he uses tangerine peel as the main medicine, while Doctor Ge Da thinks that it is more important to clean up the stomach and intestines, so he uses rhubarb as the main medicine.
Of course, Wang Yinan can also understand Wang Shouren's painstaking efforts, because rhubarb is known as the fierce Zhang Fei in the four kings of traditional Chinese medicine, and has always been known for its medicinal effect of rushing and striking. The so-called older you are, the less courage you have, because of the quick effect, so most young doctors like to use it, but when it comes to the level of a big player like Wang Shouren, cherish the feathers, of course, you don't need to use it.
People say, "Rhubarb saves people in vain, and ginseng kills people without sin", which is what they say.
For the sake of insurance, Wang Yinan made a phone call to Li Wenjing,
"Wen Jing, you set the dosage of rhubarb according to the dosage of one dollar, two dollars, five dollars and one tael, and then let the elder brother simulate the patient's state to see what the difference is."
Then Wang Yinan found Deng Ruoyan and Wang Shouren and showed them the results of the doctor's analysis.
"According to Dr. Ge's analysis, there should be no problem with Wang Guo's diagnosis, and Mr. Deng is suffering from food injury," Wang Yinan said.
"However, there is a difference in the judgment of the focus of treatment, one in the stomach and the other in the intestines",
"I asked my brother doctor to simulate the dosage of rhubarb, and I estimate that Wang Lao's recipe has no effect, it should be that the dosage has not reached the critical point."
Wang Shouren was a little dizzy, "None of your team understands traditional Chinese medicine?" ”
"Well, I basically don't understand, it's just that when I developed my brother doctor some time ago, I probably understood the theory of Chinese medicine."
"These are the results of AI analysis?" Wang Shouren shook his head, "It's outdated, I can't keep up with the times",
"It seems that the development of Chinese medicine in the future really needs to rely on modern science."
At this time, Wang Yinan's phone rang, Wang Yinan picked up the phone, and after a few rings, he turned back to Deng Ruoyan and Wang Shouren and said,
"It seems that my guess is correct, just now the brother doctor did a simulation, the dosage of rhubarb is less than five yuan, and the patient's symptoms show no signs of improvement",
"It seems that five dollars is the tipping point for effect".
Wang Shouren thought for a long time, "It's true that the older you get, the less courageous you are, when you are young, you do often use rhubarb as a flavor medicine, but when you are older, you don't dare to use it",
"Now that I think about it, if the crux is in the intestines, a penny of rhubarb really won't have any effect."
After speaking, Wang Shouren corrected the prescription according to the analysis of the elder brother, signed it, and handed it to Deng Ruoyan, "Just follow this prescription, I will pay the responsibility".
Wang Yinan snatched the prescription and signed his name on it, "How can you take all the credit alone, I will sign it on behalf of my brother."
"This is the first time that the elder brother has officially come out of the mountain."
As expected, Wang Shouren and Doctor Ge's prescription sparked a heated debate, and the debate between Chinese and Western medicine never ended. What's more, using rhubarb when the patient has not eaten anything for nearly a month is even more dangerous.
However, Deng Lao's illness has reached a point where it can no longer be delayed, and all Western medicine experts, including the Davis Medical Association, have not been able to come up with a symptomatic plan, and in the end it is Deng Ruoyan's father who makes the decision, and now the old man still has the capital to take risks, and if he drags it out, he will have no money to take risks, so he will use this Chinese medicine prescription.
After decocting the medicine, the people were like facing a great enemy, and they watched with trepidation as Deng Lao finished drinking a bowl of medicinal soup, and the doctors and nurses on the side were ready to be rescued. Luckily, I didn't throw up.
After a while, I heard Deng Lao's stomach gurgling for a while, and said that it was time to have diarrhea, and the nurse was about to help Deng Lao deal with it, but saw that the old man's breathing gradually stabilized, and he fell asleep.
You know, Deng Lao had insomnia for more than ten days before, and Wang Yinan's heart was finally put back in his stomach, and it seems that this time the elder brother did not embarrass him.
Everyone retreated outside, and the Western medical experts who consulted them, as well as the two foreign doctors from the Davis Medical Society, hurriedly said goodbye, and they looked faceless to continue to stay here. Wang Shouren and Wang Yinan were left behind to see if Deng Lao needed medicine and how to use it after he woke up.