Chapter 16: Uniqueness
Liu Longsheng sighed heavily, and smiled reluctantly: "Brother Song, don't be modest, excessive modesty equals pride, don't you know?" ”
Song Qian was embarrassed when he heard this, and said with an embarrassed smile: "What's the matter, you are using strong words." ”
Liu Longsheng smiled on his face, and said seriously: "Okay, brother, I won't talk about such useless nonsense." I take the liberty of asking, Brother Song, can you teach me this skill? ”
"Unique?" Song Qian was stunned when he heard this: "I can be regarded as a unique skill, I have it all in the books." ”
"Really? How come I can't remember which book has it on? ”
"It's all on Diagnostics, and if you go back and look for it, you'll definitely find it."
Liu Longsheng was a little embarrassed and said: "Hehe, I don't know that the book was thrown into that mess by me, and it may even be sold by me as scrap." I'll just bother you to tell me about it. ”
"Ugh." Song Gan couldn't help but sigh secretly, at this moment he just realized the feeling of "eating people with a short mouth", fortunately, the other party's request was not too much, and it didn't hurt to tell him, and then said: "You should always know the color of phlegm, right?" ”
Liu Longsheng pondered for a moment when he heard this, nodded and said: "Well, I still know a little about this, there are yellow, white, clear, rust, brick red, pink, and bloody phlegm. The traits can be divided into foamy sputum, jelly sputum, purulent sputum, dilute sputum, etc."
Hearing this, Song Qian nodded with a smile while eating, "Well, Doctor Liu is still good." ”
Song Qian said and took out his mobile phone to look at the time, and continued: "Doctor Liu, you are older than me, and your clinical experience must be richer than mine, so naturally I don't need to repeat the clinical significance behind these phlegms, so we won't discuss it here." Let's talk about something related to what you just talked about. ”
"Hmm."
"I don't know if Dr. Liu has paid attention to yellow sputum, jelly sputum, brick-red sputum, as well as thick sputum and white sputum, is it difficult for patients to cough out when they cough, and it takes a lot of effort for the old nose to cough out?"
Liu Longsheng's face turned embarrassed when he heard this, and he scratched his head with one hand and said, "I'm really sorry, I really haven't paid attention to this situation." Who cares about such useless stuff when it's okay. ”
Song Gan couldn't deny what he said, and said with a smile: "Clear phlegm, foamy phlegm, and thin phlegm are very easy to cough out, and even some patients can't stop coughing, and they can spit out a spittoon, you should have seen it, right?" ”
Liu Longsheng nodded like a chicken pecking at rice when he heard this: "What you said, I have seen a lot in clinical practice, and I do vomit non-stop, not to mention the spittoon, some patients can spit out the trash can!" It looks disgusting and disgusting. Fortunately, I didn't have to deal with them, but the nurses ....... ”
As soon as the word "nurse" was mentioned, Liu Longsheng suddenly looked at Zhu Na with a look of empathy: "Beauty, you should have encountered it too, right?" ”
Zhu Na smiled and nodded: "Well, when I was in the respiratory department, I encountered this kind of patient, which is quite exaggerated. But it looks quite pitiful, sickly. ”
Speaking of this, Zhu Na stopped with interest, with her vision and clinical experience, she was not yet able to participate in the discussion between doctors.
Liu Longsheng frowned slightly, looked at Song Gan with some puzzlement: "Brother Song, you have said so much, but you haven't taught me a trick!" ”
Song Qian couldn't cry or laugh when he heard this, and secretly despised this Liu Longsheng in his heart, he said everything so clearly and understood, why didn't he open his mind!
However, he was angry, and the conversation had to continue, forcibly suppressing the resentment in his heart, and said with a smile: "I want to ask Dr. Liu, have you used ambroxol for these patients with a lot of phlegm?" ”
"Huh?" Liu Longsheng obviously didn't expect Song Qian to ask this question, and couldn't help but be a little stunned, to be honest, there are a lot of things in the hospital, who still has the leisure to remember these details.
The topic was brought up by himself, Liu Longsheng didn't dare not answer Song Gan's question, so he had to rack his brains to recall the treatment plan at that time, and after thinking for a while, he said with some uncertainty: "I seem to remember that I used ambroxol for patients at that time, but it basically had no effect." ”
"Okay." Song Qian was speechless: "Doctor Liu, then you definitely don't remember the condition of patients who cough up yellow sputum, white sputum, and jelly sputum." ”
Liu Longsheng was so speechless by Song Gan's questioning that he wanted to end the conversation quickly, but he was still patient after all, and said with a smile on his face: "I'm sorry, Brother Song, I really don't have any impression of these." ”
Song Qian sighed lightly when he heard this, he was very disappointed in Liu Longsheng's behavior of asking questions and not knowing, and even very disgusted, especially the disgust shown by the patient, which was not the attitude that a doctor should have at all, regardless of whether he expressed his heart in front of the patient or not.
"Then ......, that, Brother Song, I'm confused by you, can you answer my question directly? I just wanted to know when ambroxol works best. ”
Song Qian sighed secretly, he had no intention of going around in circles with the other party, the typical "eight tricks have seven tricks, only one clue remains", and then said: "When the phlegm is viscous and it is difficult to cough up phlegm, the effect is the best, it can be said that it is immediate, and the instructions for ambroxol are clearly written." ”
When Liu Longsheng heard this, he finally understood what was going on, and suddenly realized, and then seemed to realize his clumsy performance just now, and his face showed embarrassment: "So that's the case, thank you Brother Song for solving my doubts." ”
After finishing speaking, Liu Longsheng thought for a moment, and then said: "Brother Song, how can you judge that a patient's sputum is viscous and difficult to cough up phlegm?" Can't I just stand by and wait for the patient to cough up the phlegm, and then squat next to the trash can to observe the color and shape of the sputum? ”
"Listen."
"How do you listen?"
"Didn't you have the experience of thick sputum and difficulty coughing up phlegm just now?"
Liu Longsheng's face was embarrassed, and he smiled awkwardly: "I'm just a big old man, how could I think of these details." I only know that I can't cough to death, and I always feel that something is sticking to the wall of my throat, and I always want to cough it out. ”
Song Qian nodded with a smile when he heard this: "Well, phlegm sticky and difficult to cough is what you feel, coughing is generally violent and frequent, coughing is very loud, coughing is rough and short, coughing hoarse or turbid, you can often hear phlegm in your throat, in this case, the effect of using ambroxol is very good." ”
Finally waited for Song Qian to say the key point, Liu Longsheng couldn't hide the excitement in his heart, took out a pen and paper from his briefcase, and said while remembering: "Brother Song, I'm bothering you to speak slowly." Oh, can you tell me that again? ”
Finally got the information he wanted, Liu Longsheng looked satisfied, and put away the pen and paper with a smile.
Zhu Na sat on the side, listening carefully to the discussion between the two of them, one by one, and still recognized some of what Song Gan said, but had reservations about Song Gan's ability to make judgments based on coughing.
I heard my grandfather say last night that a lot of people who are engaged in traditional Chinese medicine are magic sticks, and they can pull a lot of nonsense, and they are all ethereal things, as for the level of nonsense, it depends on the vision and arrangement level of the parties.
Therefore, Zhu Na categorized Song Qian as a kind of god stick, and the level of is quite good, true and false, false and true, almost made her mistakenly think it was true.
Zhu Na decided to expose Song Gan's true face: "Doctor Song, you said that phlegm sticky cough only needs to use some ambroxol?" ”
Song Qian was stunned when he heard this, he didn't expect Zhu Na to misinterpret what he meant. smiled at the moment: "What's the matter, I just said that if you add ambroxol to your phlegm and cough, the treatment effect will be much better, and as for other related treatments such as antibiotics, you have to do it." ”
Zhu Na was speechless, especially when there was a living example in front of her, which couldn't help but make her a little suspicious of her grandfather's words, but it was just a little, and in the end she felt that what her grandfather said made sense.
What is fake is fake after all, and there will always be flaws.
Zhu Na didn't give up and continued to ask, "How to deal with the cough with a lot of phlegm?" ”
"That's right, Brother Song, how to treat a cough with too much phlegm?" As soon as he heard Zhu Na mention it, Liu Longsheng realized that he had forgotten such an important issue.
"If there is a lot of yellow phlegm and thick phlegm, it is generally a real heat syndrome, and antibiotics to reduce inflammation plus traditional Chinese medicine and Chinese patent medicine to clear heat and detoxify can do. However, white phlegm, clear phlegm, foamy phlegm, and dilute phlegm need to be treated differentiated. ”
"Dialectical arguments?" Liu Longsheng looked at Song Qian puzzledly: "How to argue?" And how to deal with it? ”