Chapter 37 Sharing Clinical Experience
Song Qian couldn't help but shake his head secretly, and then continued to feel the pulse beating at his fingertips: the pulse was thin and weak, and astringent; Looking at the tongue and the bottom of the tongue, the tongue is thin, the color is green, the tongue coating is white and thick, and the surface is lubricated.
As soon as the patient was examined, he saw that the patient kept coughing, the cough was not high, it could be said that the cough was weak, and then spit out a lot of thin sputum.
"Do you see a name?" Doctor Xie on the side glanced at Song Gan with disdain, he scoffed at Song Gan's whole set of examinations, and felt that he was playing tricks.
Song Qian glanced at Doctor Xie goodbye, did not pay attention to the other party, turned his head to Liu Longsheng and asked for a stethoscope, listened to the lungs, and then pressed the skin on the tibia of the calf, and then picked up the case control again, and already had a general understanding in his heart.
Seeing that Song Qian was busy, Liu Longsheng asked with a look of hope, "How is it?" ”
Hearing this, Song Qian smiled and pouted at the patient on the hospital bed, and then walked towards the outside of the ward, and only after everyone had left the ward did he speak: "Dean Liu, I want to ask, who is in charge of this patient?" ”
Before Liu Longsheng could speak, Doctor Xie on the side stood up and looked at Song Qian with a provocative expression: "It's me, what's wrong?" ”
Song Qian doesn't care about people like Dr. Xie, it's not that he has a good temper, but he feels that it's a bit out of his identity to deal with this kind of person, just like a gentleman scolding the street with a crazy shrew on the street, but he can't stand the other party challenging his bottom line again and again.
Seeing Dr. Xie's expression, the corners of Song Gan's mouth twitched, and he snorted coldly: "It's really not good, it feels like a prescription from an intern, even slightly worse than what an intern prescribes!" ”
Hearing Song Qian's evaluation of himself, Dr. Xie was so angry that the blue tendons on his forehead burst out: "You say I'm not as good as an intern?" Tell me, what was wrong with me? If you're going to talk nonsense, there's something for you. ”
Song Gan smiled faintly when he heard this: "How dare I, a recent graduate, dare to make an axe in front of a senior who has been crawling and rolling in the clinic for many years, if you want me to say, it is necessary for you, a senior who has been crawling and rolling in the clinic for many years, to share your clinical experience and ideas with us, so that we can learn and learn." ”
"Hmph, I don't think you're capable, so you can't say why!" Doctor Xie looked at Song Qian proudly, and his expression was purely provocative.
Song Gan still had a smile on his face when he heard this, and said lightly: "Let's not talk about whether I have the ability or not, let's take this patient for the time being, it has no effect for half a month, which is enough to explain one thing." ”
"You ......." Dr. Xie was so angry that Song Qian's face turned pale, but the facts were in front of him, and there was no way to refute it, so he could only quibble: "This patient has a weak constitution, which is different from ordinary people, even if he goes to a big hospital, the effect is similar to my treatment." ”
Speaking of which, Dr. Xie seemed to have found a reason: "Let me tell you, although the antibiotic level in our health center is not enough, I gave him two antibiotics as soon as the patient came, and the anti-inflammatory must have been eliminated in place." ”
Hearing this, Song Qian couldn't deny it, and said with a smile: "Well, what's more, tell me what you think you have done well in treatment, and let us learn too." ”
"Hmph, it's okay to tell you, I'm afraid you won't understand." Doctor Xie glanced at Song Qian coldly when he heard this: "I have used all the conventional treatments for this asthma patient, ambroxol to relieve cough and phlegm, and aminophylline to relieve cough and asthma." ”
As soon as "Ambroxol" was mentioned, Dr. Xie suddenly remembered Liu Longsheng's praise of Song Gan, and immediately sneered: "I heard that Dean Liu learned from you that Ambroxol is very effective for coughing, so I added Ambroxol to the patient according to your ideas, but it didn't work, it was a waste of medicine." ”
Song Qian glanced at Liu Longsheng, undeniable, it seems that these guys either have problems with their comprehension ability, or they are obedient and listen to half of them, and throw the other half out of the clouds.
Seeing Song Qian's strange gaze looking at him, Liu Longsheng's old face was a little unbearable, when he told them at the beginning, he didn't say that, but asked them to adapt to the situation and choose according to the situation.
Now, it seems that the effect is not obvious, and it seems that the learning needs to be strengthened.
Dr. Xie didn't notice the strangeness on Liu Longsheng's face at all, and continued to boast about his treatment experience: "In addition, I see that the patient's disease course is very long, and the hormone must be durable, so I gave him 20mg as soon as I came. Otherwise, I don't know if I can achieve the immediate effect! ”
Song Qian picked up the case and took a look, dexamethasone really used 20mg, alas, what kind of people are they, only care about the treatment effect, but don't care about the adverse reactions, dare to love the patient is not his own family!
However, Song Qian is a person who can endure his temperament, since the other party wants to perform a clown, let the other party behave well, and when the clown is finished, it is not too late to talk about it.
Song Qian put down the case and said with a faint smile: "What do you think is anything remarkable, continue." ”
Seeing the unchanged smile on Song Gan's face, Dr. Xie felt angry, he really wanted to raise his fist and beat the other party, so that this annoying guy could no longer laugh.
MMD, I said so much, in the eyes of the other party, shouldn't it be a monkey show?!
Thinking of this, Dr. Xie was not angry, and when Lao Tzu finished talking about the treatment ideas, when it was your turn, see how Lao Tzu hurt you!
Lao Tzu has to lose your face, and lose the face of your ancestors for eighteen generations!
Let's see how you can laugh when the time comes!
Laugh and make you laugh to your heart's content!
Thinking so, Dr. Xie grabbed the case in Song Qian's hand, flipped to the prescription of traditional Chinese medicine with the other, and said smugly: "Do you know what I prescribe to the patient?" Little green dragon soup! ”
"Little Qinglong Tang knows, right?" The more Dr. Xie spoke, the more proud he became, and the spit in his mouth splashed out without money: "He is a good way to relieve the cold and warm the lungs." It is very effective for patients with asthma caused by external wind cold! ”
Song Qian nodded when he heard this: "Well, that's why you didn't choose to shoot dry ephedra soup?" ”
Hearing Song Gan's affirmative reply, Doctor Xie said proudly: "Yes, the effect of shooting dry ephedra soup is strong in expelling phlegm and reducing qi, but the strength of relieving the cold is too small, so I chose Xiaoqinglong soup." You don't understand the difference. ”
Song Qian smiled faintly when he heard this: "May I ask if this senior who has been crawling and rolling in the clinic for many years has finished speaking?" Nothing to add, right? ”
Hearing Song Gan repeatedly emphasize the words "predecessors who have been crawling and rolling in clinical practice for many years", it seems that he is praise, praise, and affirmation, but in Liu Longsheng's opinion, it is not a good thing, and he feels that this Song brother does not take Dr. Xie seriously at all!
Especially Liu Longsheng is very clear about the whole story, before inviting Song Qian over, Dr. Xie can be said to have done enough homework, otherwise, with his urine, how could he be able to talk like a river and talk endlessly!
If he really has such ability, with his family background, it is impossible to get mixed into a township health center.
After talking about the difference between "Xiaoqinglong Soup" and "Shooting Dry Ephedra Soup", Dr. Xie not only failed to see any stage fright from Song Gan's face, but still had that annoying smile to the extreme, and he felt an inexplicable "chuckle" in his heart, combined with the patient's treatment effect, which made him inexplicably have a bad premonition.
However, seeing Song Qian's extremely young age, a stunned young man who has just graduated can see what is famous, I am afraid that I can't even understand the treatment plan, let alone criticize and advise. That is, after opening a clinic for a few months, I have a deeper understanding of "ambroxol".
Liu Yu, the fat man on the side, stole a glance at Dr. Xie, he was quite satisfied with Dr. Xie's performance at the moment, and he was still secretly happy in his heart, Dr. Xie was usually lazy and lazy, but he still dared to work hard at the critical moment, and he spent a day studying the patient's information, and he played well in front of Xiao Young (Song Gan).
Zhu Na on the side felt a little uneasy, although she couldn't understand what Dr. Xie said, but from the calmness on the latter's face, it could be seen that these guys must have done their homework, just waiting for Song Qian to send them to the door to embarrass people.
After all, this is their main battlefield!