She has had appendicitis for decades, and she has long been unable to undergo surgery, and her abdominal pain has been repeated, and when it is severe, she has to go to the hospital for intravenous drips.

Li Xiuli has a big head, and it stands to reason that this disease cannot be cured in three days and two heads, and it is best to be hospitalized.

But they are acupuncture and moxibustion departments, not surgery, and rashly admitting such patients may cause dissatisfaction among the surgeons, and even let the hospital know about it, and they will be administratively punished.

Last year, the Department of Surgery admitted a patient with lumbar disc herniation, initially considering urinary stones, but later after a series of tests, it was diagnosed.

The doctor in charge asked the patient to be transferred to another department, but the patient was not happy and asked to stay in the surgery department.

Although the patient's symptoms were alleviated after a series of treatments, the hospital knew about it, and not only deducted all the patient's hospitalization expenses, but also deducted one-tenth of the performance reward of the doctor in charge.

Li Xiuli was a little worried, if he was also reported by some people, he couldn't eat and walk.

"Auntie, you are recommended to be hospitalized, and you need to take Chinese medicine and cooperate with acupuncture."

For this kind of chronic appendicitis for more than ten years, simply taking traditional Chinese medicine, even if Zhongjing is alive, the treatment effect will be greatly reduced.

In Li Xiuli's eyes, a Chinese doctor who does not know acupuncture can only be regarded as a Chinese doctor.

Ancient masters, which one is not the power of acupuncture and medicine.

Middle-aged women can't manage it for so many years, no matter how Li Xiuli arranges it, she just has to do it.

This is the patient who has been introduced by others, and there is an advantage that the compliance will tend to be higher than that of the average patient.

"Okay. Dr. Li, just help me with my treatment, and I will cooperate." The middle-aged woman looked at Li Xiuli with hope. She has been to many places for treatment, injections, Chinese medicine or something, tried a lot, the effect was good at that time, but it will not be long before it will recur.

So repeatedly, she had already lost confidence. If her former patient Deng Qinglu had told her that the latter's chronic appendicitis had been cured, she would have thought it was just false propaganda on the Internet.

"Auntie, you sit in the office and wait, your disease is in the category of surgery, I'll go and make a phone call to the leader of the hospital first."

"Okay." The middle-aged woman nodded in agreement. She runs to the hospital all year round, how can she not know that her illness is a surgical disease.

It's just that Chinese medicine doesn't seem to be divided into disciplines, right?

Isn't TCM all general practice?

That's the truth, but she doesn't want to embarrass the doctor in front of her.

Li Xiuli walked out of the office and stood in the open space outside the door of the department's office, he deliberately found a place with few people and took out his mobile phone.

The last time the surgeon admitted a patient with lumbar disc herniation without authorization, it was an administrative punishment issued by the medical department.

Auntie's chronic appendicitis must also be reported to the medical department and the latter's consent must be sought.

Otherwise, it can only be treated on an outpatient basis.

The hospital does not limit the types of diseases that doctors can see in their outpatient clinics, even if you are an orthopedic surgeon, you can also see paediatrics.

However, once hospitalized, the hospital intervenes.

Li Xiuli silently felt sorry for the kind-hearted surgeon, and said that there was a policy and a countermeasure. As long as it is a reasonable treatment, without applying medical insurance funds, and a proper operation, you can avoid the punishment of the hospital.

It's a pity......

"Director Yang, I'm Li Xiuli." The phone was connected, and Li Xiuli introduced himself first.

"Oh. It turned out to be Dr. Lee." Yang Zhizhi, director of the medical department on the other end of the phone, replied with a smile.

He didn't save Li Xiuli's number, although he knew that the hospital had this number before, but the mediocre Li Xiuli did not attract his attention.

But this time is different.

During the free clinic, he received a pennant from the patient, and the Chinese medicine cured the acute appendicitis of Xiao Liu, a nurse in our hospital, and the acute myocardial infarction patient was revived by the first aid of traditional Chinese medicine......

The many news about Li Xiuli in a short period of time made him a little suspicious of whether Li Xiuli was taken away.

It's incredible!

"Director Yang, I have a patient here who has chronic appendicitis for more than 10 years, and has been hospitalized in many places, including the surgery department of our hospital, but he has not been cured repeatedly."

Yang Zhizhi was a little sluggish.

Hearing you say this, are you ready to grab a job in surgery?

If I agree, will the head of surgery agree?

"Doctor Li, as you know, the hospital has a rule that you can't admit patients across departments, otherwise there will be severe punishments."

"I know all about that."

"Then you still want to take in this kind of patient!"

Yang Zhizhi was speechless, this Li Xiuli was so bold that he dared to ask for instructions with himself!

"No. You can send the patient to the surgery and ask you to prescribe Chinese medicine and acupuncture."

「......」

Li Xiuli was speechless. If you think the same way, will you call and ask for instructions?

"You, don't think that if you have a little ability, you will underestimate other people's departments. Let me tell you, the surgery of our hospital is still a key specialty in the city! It's even better than the surgery of the county people's hospital!"

Li Xiuli sneered.

Although the overall strength of Yicheng Traditional Chinese Medicine Hospital is much worse than that of the County People's Hospital, the comprehensive strength of several departments far exceeds the latter.

The four departments of surgery, acupuncture and rehabilitation, orthopedics and dentistry are far ahead of the county people's hospital.

"Director Yang reminded me." Li Xiu bowed, "But that patient is already suffering from chronic appendicitis, and he has been hospitalized in our hospital before, so he can't do surgery."

"I know what you mean. You just want Chinese medicine and acupuncture."

"Yes, that's what I was going to do."

"You! Traditional Chinese medicine is indeed possible to treat chronic appendicitis, but at most it is to relieve the symptoms, and it is difficult to cure it!"

"Director Yang, you can't be so pessimistic, you haven't started yet, how can you make up your mind." Li Xiuli replied with a smile.

"Are you sure you want to receive your department?" Yang Zhizhi knew that there was no way to move Li Xiuli, so he could only use specialized treatment to stop Li Xiuli, "You know, nowadays, hospitals specialize in treatment, surgery cannot admit patients with herniated discs, and acupuncture and moxibustion departments cannot admit patients with appendicitis, these are all regulations."

"I use Chinese medicine and acupuncture for treatment, why can't I?"

Yang Zhizhi shook his head, it was right for ancient Chinese medicine to treat all diseases, but at that time, there was no division, and now the times have changed.

"Then let me ask you, can your acupuncture department treat patients with angina?"

"Yes. Acupuncture and Chinese medicine for angina pectoris are not much worse than pure Western medicine!"

「......」

Yang Zhizhi knew that he couldn't persuade Li Xiuli, so he suddenly thought of a rhetoric.

So, he kindly reminded, "I'll call the chief surgeon and see if he agrees."

"Okay." Li Xiuli readily agreed.

「......」

Yang Zhizhi was a little confused. This Li Xiuli, why did he agree so quickly?

The surgical office at this time.

A group of surgeons stand in front of the reading light.

Liu Ming stood in front of the crowd and was staring at the film to report the medical records.

"My suggestion is elective surgery." He had a serious expression, and after reporting his opinion just now, he looked at Huang Xuejun, the section director.

Huang Xuejun looked at the other doctors, "What do you other doctors think?"

"I recommend transferring to a higher-level hospital for surgery, because it is too risky to operate in our hospital, and we don't have an ICU in our hospital." At this point, another doctor objected.

"I recommend surgery, you have to dare to take risks, otherwise how can you progress." Huang Xuejun looked at the person just now coldly and said in a deep voice.

At this moment, his cell phone rang.

"That's the end of today!" After dissolving the difficult case discussion, he answered the phone.

The caller was Yang Zhizhi.

"Hey, Director Yang."

"Lao Huang."

"Get out!" Yang Zhizhi suddenly shouted angrily, "Just say something, don't think how good the relationship between the two of us is."

Yang Zhizhi laughed dryly, the two usually have an excellent relationship, often drinking and playing cards together, he knew that Huang Xuejun was just pretending to be angry, "I know that you are still angry because of the last time our medical department punished you for surgery, don't I want to ask for your opinion?"

"Oh. You drunkard, you know that you have done something wrong!" Huang Xuejun grinned and quipped.

"Bah, bah. I'm old, what can I do?"

"Okay, don't embarrass our department next time, I'll take you to a place where you must not have drunk the tea."

"Ahem, ahem. Working hours, don't talk about that." Yang Zhizhi had a straight face, and there were beautiful colleagues standing next to him, how bad it was for others to hear it.

"Get out! Old and unserious. If there's anything, just say it!"

Subsequently, Yang Zhizhi told Li Xiuli about the situation just now.

"Okay!" Huang Xuejun nodded in agreement.

"! Lao Huang, you agreed so easily?"

"Dr. Lee has a knack for treating appendicitis, and I have a lot of confidence in him."

"Okay. This is what you said, if Li Xiuli is admitted to appendicitis this time and is reported or complained, your surgery department will also bear half of the responsibility!"

「***！」 Huang Xuejun was completely angry, what does the acupuncture department have to do with me?

"Don't you know that the case of lumbar disc herniation that was admitted to your department was reported by someone. Otherwise, with the friendship between the two of us, *** I have to punish your department."

"Get out! Don't fool me with this. The patient's illness has been cured, who would be so bored to report us!"

"Didn't I remind you. Are you willing to take half of the responsibility?"

"Get out!" Huang Xuejun shouted angrily and hung up the phone directly.

Yang Zhizhi shook his head helplessly.

Huang Xuejun's meaning is very clear, that is, he is unwilling to take this responsibility, Li Xiuli wants to toss like this, it is his own business, and it has nothing to do with surgery.

Reporting is a headache, especially in the city, you must attach great importance to it, and you must give a satisfactory answer to the above.

"Hey, Dr. Li, you can take it, the chief surgeon has agreed."

"Thank you so much, Director Yang."

Hanging up the phone, Li Xiuli was quite excited.

He got the inheritance of Zhang Zhongjing and Zhu Danxi's carbuncles, and he couldn't just leave it in vain.

Write the hospitalization certificate and ask the middle-aged woman to go through the hospitalization procedures.

Emergency Department Nurse's Office.

Li Jie sat in front of his desk.

Today is busy, there are already four inpatients in the acupuncture department, and she, as a mission nurse, is already too tired to move much.

"Nurse, is this the acupuncture inpatient department?"

"Yes." Li Jie straightened his face and got up, "Is there something wrong?"

"I'm going to be hospitalized." The middle-aged woman took the hospitalization certificate and put it on the desk in front of Li Jie.

"Li Yujie, chronic appendicitis?" Li Jie let out a long breath, fortunately he was not a new patient in his department, "You, you're in the wrong place." She walked out the door, facing the direction of the hospital gate, "Auntie, you walk all the way down this small corridor, and at the end of it is where you will be hospitalized."

"Oh." Li Yujie nodded in response.

This was the first time she came to Yicheng Hospital of Traditional Chinese Medicine to see a doctor, and her patient Deng Qinglu just told her that she could just go to the acupuncture department to find Dr. Li, and she didn't know where she was hospitalized.

"I'll go. I've been working for so many years, and it's the first time I've met an inpatient in surgery, and it's funny to come to me for missions!" Li Jie sat back on the stool, drooped his eyelids, and took a nap.

Surgical Inpatient Unit.

"Doctor Liu, the patient is here, the mission has been done, you can come out and have a look." The nurse on duty in the surgical department faces the office

Yell.

"Okay."

Liu Ming walked out of the office.

Just now, in the discussion of difficult cases in the department, his insights were affirmed and supported by the director, which made him feel a sense of accomplishment.

As a backbone surgeon, he works diligently every day, and specializes in business after work, and is now deeply loved by the department director.

"Hello, I'm your doctor in charge, Liu Ming." Liu Ming smiled and introduced himself politely.

"Liu Ming?" Li Yujie muttered.

She looked at the nurse who had just preached, "Nurse, I was looking for Dr. Li to see a doctor, how did I become Dr. Liu?"

"Xiao Li, which outpatient doctor issued the hospitalization certificate?"

Outpatient doctors have an index of admissions every month, and if the number is insufficient, they have to deduct money.

Nowadays, there are several medical outpatient clinics in the surgical outpatient clinic, and it is common to admit a few patients to the surgery from time to time.

"It was Li Xiuli who took it." The nurse muttered, and when she saw Li Xiuli's signature, she suddenly woke up.

Li Xiuli is an acupuncturist, not an outpatient doctor, and it stands to reason that he is unlikely to help the surgeon prescribe an inpatient certificate.

It turned out to be Li Xiuli again!

Liu Ming scolded angrily in his heart.

Li Xiuli will not help the surgeon to prescribe a hospitalization certificate for no reason, this must be a misunderstanding!

"Xiao Li, show me the hospitalization certificate."

"Give." Xiao Li cringed and handed the hospitalization card to Liu Ming.

"The ward is acupuncture, the TCM diagnosis is intestinal carbuncle, and the Western medicine diagnosis is chronic appendicitis." Liu Ming read word by word.

"Okay." Liu Ming returned the hospitalization card to Li Yujie, "Auntie, you go directly to the nurse's office in the emergency department and say that you are Li Xiuli's patient."

"Huh?" Li Yujie was stunned, just now he went to the inpatient department of the acupuncture department, and someone else told her to go to the surgical inpatient department, and this time he asked her to go to the inpatient department of the emergency department.

"Auntie, you'll walk down this corridor to the end, step out a small door, and you'll be in the emergency department in a short time." Liu Ming explained patiently.

"Oh. That's where I came from." Li Yujie nodded hurriedly. For Liu Ming, who has no style in front of her, she likes it very much.

"Thank you, Dr. Liu."

After Li Yujie left.

Nurse Xiao Li looked at Liu Ming, "Doctor Liu, the patient just now was obviously from our surgical department, how did he become an acupuncture department, and if he accepts patients across departments, he will be punished."

"Xiao Li, don't worry about so much, Li Xiuli has real skills, let him give it a try." Liu Ming smiled, then left the nurse's office.

Xiao Li touched his forehead, a little unaware of what Liu Ming meant.

Emergency Department Nurse's Office.

Li Jie's eyelids drooped, and suddenly her mobile phone rang.

"Hey, Dr. Lee." She had a soft, smiling voice.

"I have a patient named Li Yujie who has chronic appendicitis, why hasn't he finished his mission?"

"Li Yujie?" Li Jie looked up at the ceiling and shook his swarthy head, "I didn't see this person."

But the next moment, her eyes widened, "What, you say it again, is it chronic appendicitis?"

"yes."

"You, that patient came to me, I told her to go to surgery."

"! What do you want to do?"

"I, I'm ......," Li Jie hesitated, "I thought it was the inpatient in the surgery who went to the wrong place."

She looked out the door, a look of guilt.

At this time, a middle-aged woman appeared at the door.

"Auntie, are you Li Yujie?" Li Jie was a little impressed, but not sure.

"That's me."

"Dr. Li, Li Yujie is back." Li Jie was relieved, got up, and hurriedly went out to greet him.

Hanging up the phone, Li Xiuli muttered, "What's the situation, I actually called the patient to go to surgery, and now I call the patient again."

It's back......

There was a bit of a false alarm.

Twenty minutes later.

Li Yujie got down from the nurse's office in the emergency department and entered the acupuncture office.

Li Xiuli sat in the office and smiled at Li Yujie, "Auntie, please stick out your tongue."

The tongue is light, and the lichen is thin and white.

"Excuse me, roll your tongue."

I saw that Li Yujie's veins under the tongue were pale red, not obvious, like a dry canal, and the veins on both sides were clear but no water flowed through.

The fullness of the veins benefits from the heart, liver, and spleen. The heart is the main blood, and the flow of blood is inseparable from the merits of the heart.

The liver mainly stores blood, and the veins are full and stable, which is inseparable from the storage role of the liver.

The spleen is the source of qi and blood biochemistry, and the impaired function of the spleen will inevitably lead to a deficiency of qi and blood, and the qi and blood in the veins are naturally insufficient.

Subsequently, Li Xiuli briefly asked about his medical history.

To put it simply, Li Yujie was not in proper postpartum care more than ten years ago, and her physique has not been good.

Later, I had low-grade fever, abdominal pain and other discomforts for no reason, but the symptoms were not particularly obvious, and I didn't get better after taking medicine at home for a few days, and then I went to the hospital and found out that it was appendicitis. br>

After several days, the best time for surgery had already been missed, and the abdominal pain had flickered from time to time, which was unspeakably painful.

"Trouble Aunt put her hand on the pulse."

Li Xiuli stretched out his hand, and the inches fell on Li Yujie's hand.

During pulse diagnosis, the patient must be at rest, and the pulse image must not be disturbed by the outside world.

Under normal circumstances, asking about the patient's illness can estimate the patient's pulse, which is why many doctors can rely on superb consultation and analysis through TCM diagnostic analysis, although many doctors do not know how to sign the pulse.

However, unlike skilled Chinese medicine practitioners, it is necessary to combine the pulse and symptoms in order to have the most accurate dialectic.

"Jingyue Quanshu Pulse God Chapter" said: "The method of curing diseases is to give up the symptoms and follow the pulse, and there are those who give up the pulse and follow the symptoms." Why? There is truth and falsehood in the cover syndrome, and there is also truth and falsehood in the pulse. "