155 How can a patient change doctors at will?
"Do you want me to tell you the answer?"
"No!" Li Xiuli kept a straight face, he didn't like to be looked down on the most!
"Humph! Last time, I saw you perform quite well, but this time I realized that your knowledge is too narrow!"
Li Xiuli ignored her. His knowledge of Chinese medicine is narrow, which is his weakness.
"This rhizome is a pulsatilla. But I really don't know about this herb." Li Xiuli shook his head helplessly, bravely admitting his shortcomings.
"This is a Weiling dish."
"Oh." Li Xiuli was a little disappointed.
He really hadn't heard of Weiling cuisine.
There are hundreds of thousands of Chinese medicinal materials, how can you have the ability to remember so many.
In the Chinese medicine identification competition, there is no specified scope of traditional Chinese medicine, but all traditional Chinese medicine may be tested.
However, the key to the Identification Contest is not to be well-informed, but to be able to discriminate.
Such as distinguishing the authenticity from the fake, identifying the processing procedure, identifying the type of drug, and so on.
System?
Li Xiuli silently recited the name of the system in his heart.
[Does the owner draw a lottery, or upgrade skills?] γ
Help me upgrade my herbal skills!
[I'm sorry. The current skill points are 2 points, and the upgrade of advanced skills requires 4 skill points. γ
......
You can't upgrade anymore......
Why don't you give the raffle a try?
He tried the lottery system once and drew out the 'Pangolin Painless Delivery Technique', but I don't know if it will be so lucky this time.
Lottery? Draw a yarn!
Li Xiuli looked at Li Ju, seeing that the bridge of her nose was high, the eyes on both sides were deep, and her pink lips were pink, she showed a faint smile, "Sister Ju, you are so beautiful today!"
"Get out!" Li Ju rolled her eyes.
"You're a little kid, a decade younger than me, and you praise me for being beautiful, do you want young cows to eat old grass?" was tossed by Li Xiuli, Li Ju's serious expression had long since disappeared, and was replaced by some joy of being appreciated.
Little improper!
Li Ju continued to hold her chest, turned her head not to look at Li Xiuli, she pouted, "You want me to guide you, no way!"
Li Xiuli was stunned.
He didn't think about it at all, just to ease the tense atmosphere just now.
He lowered his head and looked at the second question.
The second question is a bunch of seeds.
The seeds are small, sorghum-like and have a smooth seed coat, and the ceiling light casts on these seeds, making them appear shiny.
There are many seed Chinese medicines commonly used in clinical practice, such as perilla seeds, cassia seeds, sulforaphane seeds, Evodia officinalis, Coix seeds, etc.
But he had never seen the seeds of sorghum.
He gently picked up a small seed, placed it in the palm of his hand, and looked at it carefully.
Oblate and round, two millimeters in diameter and one millimeter thick. The surface is reddish-brown, shiny, slightly concave on both sides, with a slightly raised line in the center, a spiny protruding column base at the apex, and a light brown slightly raised fruit stalk at the base, sometimes with a membranous tepal.
He gently poked the seed coat with his fingernail, and the seed was ejected like a marble.
The peel is thick and hard.
"Sister Ju, you can eat this, I don't need you to help me with artificial respiration later, right?" Li Xiuli looked at Li Ju with a smile.
"Bah, bah!" Li Ju lowered her head and made a spit gesture on the ground, "This is a hospital, and there will be male compatriots to help you mouth-to-mouth."
"That." Li Xiuli looked at Li Ju's tall jade peak, "Please remind me that Sister Ju is not poisonous, otherwise I will not be willing to die."
"Bah, bah!" Li Ju blushed slightly, and the front of his arms fell together.
Li Xiuli's words just now stimulated her heart, which had been calmed down for many years.
"It's not poisonous, it can't die."
Li Xiuli smiled innocently, pinched the small seed and sent it to his mouth.
Click!
seed
It's very hard, and when it is bitten by a tooth, it makes a clicking sound.
When I took it out, I saw the broken seed endosperm powdery, white, and the embryo was small and curved, slightly ring-shaped.
The taste of the seeds remains on the tongue.
Li Xiuli closed his eyes and savored the smell of the seeds that were about to disappear.
The breath is weak and the taste is light.
Li Ju rolled her eyes and stared at Li Xiuli.
She thought in her heart, her ability to identify is good, but she has mastered too few Chinese medicines, and she will suffer a lot to participate in the Chinese medicine identification competition!
Why don't I guide him a thing or two?
"Sister Ju, you are super outline! I've never seen this flavor of Chinese medicine, so where can I identify it!" Li Xiuli was speechless. He had mastered advanced materia medica skills, but he didn't even know the Chinese medicine in front of him.
"This is a saffron seed!"
"It's slightly cold and salty. Return to the liver meridian and stomach meridian.
It has the effect of eliminating stasis and accumulation, strengthening the spleen and dampness, and relieving pain throughout the body.
Treat flank syndrome, wateriness, stomach pain, lack of appetite, bloating, burning eyes, sores and scrofula."
Li Ju hugged her chest with a smug smile on her face.
Pretending to be a master in front of juniors, this feeling is good!
She shook her head helplessly, "You're about to compete, and it's still at this level. It seems that my previous assessment of you was too easy!"
"Sister Ju, don't jump to conclusions! Isn't there still 23 Chinese medicines that have not been identified?" Li Xiuli didn't care what Li Ju said about himself, he was already staring at the third Chinese medicine.
The third herb is a liana, which has been cut into small pieces.
Identification of decoction pieces!
This type of identification is more difficult than the identification of raw materials.
After all, it was cut into sections, and there was no overall effect, and the difficulty of identification skyrocketed.
Li Xiuli picked up a small rattan segment and pointed the xylem to his eyes.
In the identification of decoction pieces, xylem identification is an extremely important part.
The section is oval, yellowish-brown, the heteromorphic vascular bundles are flower-like or lumpy, and the xylem ducts are punctate.
To put it simply, the middle is the shape of a stamen, and the periphery is the shape of a petal.
It was the first time he had seen rattan like this.
Li Xiuli frowned and looked at Li Ju.
He didn't ask much, but simply watched.
Li Ju showed a faint smile.
She knew that Li Xiuli was ready to ask for help.
"You! When you play, you don't have to ask for help, you have to rely on yourself!"
At this time, she already regarded Li Xiuli as an escort for the exam, which was used to fill the number.
"Do you want me to remind you?"
"No! Let me guess!" Li Xiuli grinned, at this time, he was already a little impressed, but he was not very sure.
"I'd like to hear it."
"This is a liana, it looks like Tripterygium wilfordii, but the section does not match Tripterygium wilfordii at all.
I think this thing can be named Ding Gong Teng."
Li Ju was stunned for a moment, and then explained, "Don't mess with names, the name of each Chinese medicine is fixed, unless you discover a new variety of Chinese medicine yourself, you can name him."
Li Xiuli said poorly, "Then Sister Ju, I made up the name, right?"
"Yes! But you're wrong! Where are you making up the name of Chinese medicine, be careful that you are kicked out on the spot during the competition!"
γDing! γ
[The system detected a negative review from Li Ju.] γ
[System determination: false.] γ
[Bonus Skill Point: 1 point.] γ
[Excuse me? γ
When Lolita said this, she stopped, as if she was waiting for Li Xiuli to speak.
Keep it, don't smoke it, and don't upgrade it.
After giving an order in his heart, Li Xiuli moved his footsteps to the right and looked at the fourth flavor of Chinese medicine.
"You, don't guess later, it's really embarrassing for our hospital!" plum
Ju looked at Li Xiuli helplessly, she had the heart to guide Li Xiuli, but the time was too tight recently, and she couldn't leave to guide.
Moreover, even if they guide others, they cannot increase the reserves of traditional Chinese medicine in such a short period of time.
It seems that this Dr. Li is mainly involved.
At this time, she looked at Li Xiuli lightly, with a strange calm face.
A heavy participant, no matter how tossing, will not make waves.
"It's a blackberry."
"It's dry paint."
"This is Panlong ginseng."
......
Li Xiuli said all the remaining Chinese medicine in one breath.
Li Ju looked at Li Xiuli in a daze, and didn't react for a while.
He couldn't answer the first four Chinese medicines just now, how could he suddenly change as if he was a person!
Coincidentally, the remaining twenty-one Chinese medicines were all known to him, so he could answer them so simply.
Li Ju quickly regained her composure.
"Don't get complacent. The remaining 21 Chinese herbs are occasionally used in clinical practice, so it's not a new thing for you to identify."
"That's what Sister Ju said."
Sister Ju is from the past.
This is like a knowledge competition, the more you see a certain type of knowledge, the more you will know the answer.
There's a bit of luck in that.
I hope the doctor will be lucky this time and won't let him score zero!
"If it's okay, I'll leave first."
Li Xiuli is very depressed here, Li Ju is a person who does not eat oil and salt, and when she stays with her, there is always a feeling of being a little child.
"Get out! The next time we meet, we will be at the City Hospital." Li Ju grimaced and sorted out the Chinese medicine on the table.
"City Hospital." Li Xiuli muttered in his mouth, and his heart was a little longing.
Nowadays, traditional Chinese medicine has become a niche medicine.
The traditional Chinese medicine competitions in the city are all held in the city's traditional Chinese medicine, including the Chinese medicine identification competition and the prescription medicine competition. The participating units are all traditional Chinese medicine hospitals in the city, including the county traditional Chinese medicine hospital and the municipal traditional Chinese medicine hospital.
As for the TCM departments of other hospitals, they generally do not participate in these competitions. According to Li Xiuli's understanding, the traditional Chinese medicine department of the Western Hospital has now been reduced to an auxiliary department, and its position in the hospital is very embarrassing, either helping patients in other departments to prescribe traditional Chinese medicine, or helping patients in other departments to do acupuncture.
Fortunately, several leading doctors in their department used to be in the internal medicine department of the hospital, and now they have also built their department into a department based on traditional Chinese medicine internal medicine.
In Li Xiuli's eyes, the scope of Chinese medicine is too big, how can a small Chinese medicine department accommodate all the categories of Chinese medicine.
He didn't think about it much, what he wanted to do now was to brush up on some more skill points in this time.
The advanced materia medica skills and advanced prescriptions are still a little low, and this time in front of Li Ju is because the knowledge is too narrow, and the first four tests have not been identified, so don't underestimate it in the end.
Li Xiuli returned to the department, entered the office door, and saw Kuang Li chatting with the middle-aged man.
"Dr. Lee, you're back." Kuang Li showed a faint smile, he looked at the middle-aged man in front of him, "Li Jun, this is your doctor in charge, Dr. Li."
Li Jun looked at Li Xiuli, he frowned, and there was no superfluous expression on his hesitant face, "Doctor Li is good."
"Hello." Li Xiuli showed a faint smile.
Kwong Li promised herself that she would help her substitute in the afternoon, and it stands to reason that all the patients admitted in the afternoon belong to her.
Now, Kwong Li took the initiative to hand over the patient to herself, and it was not good for her to refuse in front of the patient, otherwise the patient would be a little uncomfortable.
"Doctor Li, Li Jun burst three days ago, and he has already gone to the Municipal People's Hospital for examination, considering neurological tinnitus, and he was advised to do acupuncture and take Chinese medicine, so he came to our hospital for consultation."
"Okay. Thank you." Li Xiuli looked at Kuang Li with a smile.
"You're welcome." Kuang Li seemed to have returned to her usual carefree state, the corners of her mouth were slightly curved, and she looked at Li Xiuli with burning eyes.
"Where did you go in the afternoon, you said you would come back within an hour, it's been two hours!" Kwong Li muttered a small mouth and complained.
"I've kept you waiting. Thank you."
"I'll go home first." Kwong Li beckoned to Li Xiuli, took off her short-sleeved white coat, hung it behind the office door, and then entered the corridor.
Bursting is a TCM term and is a type of tinnitus in TCM.
The tinnitus referred to in traditional Chinese medicine is equivalent to the nervous tinnitus in Western medicine. If tinnitus is caused by ear sclerosis, Meniere's disease, acoustic neuroma, high blood pressure, anemia, etc., the primary disease must be treated.
TCM tinnitus (neurogenic tinnitus), also known as sensorineural tinnitus, emphasizes the subjective feelings of the patient. Refers to the abnormal sound sensation that people produce without any external stimulus.
To put it simply, it is the feeling of tinnitus, but in fact there is not much problem with the ear.
This disease is a headache, and the longer it drags on, the harder it is to treat. It is even more helpless to use Western medicine methods.
Li Xiuli briefly inquired about Li Jun's situation, roughly three days ago, because of a quarrel with his wife, he was furious at that time, and then suddenly had tinnitus like a cicada on the right side, the sound was endless, and most of the hearing on the right side was reduced.
After opening the basic examination, Li Xiuli instructed Li Jun to go for the examination first.
Then he sat in his office and began to think about Li Jun's situation.
Tinnitus is very common, especially in the department, where there are so many patients that it is impossible to see them all.
There is a difference between tinnitus and reality, and the treatment method is completely different.
Sudden detonation, short in time, is generally empirical.
If the illness does not heal for a long time, it will be prolonged for a long time, and the liver and kidney will be deficient, which can become a deficiency disease.
Just as Li Xiuli was about to write a medical record, Deng Qingmei walked into the office, she looked at Li Xiuli, and was speechless with anger.
"Doctor Li, I've just been out for a day and a half, and you're going to give me a toss!"
"Director, you know everything?"
"I don't know what's wrong!"
"You, don't be fooling around all the time, don't think that your skills are awesome, chronic appendicitis is a surgical disease, and if you want to be treated, you have to go to surgery, you just honestly help them prescribe Chinese medicine and acupuncture!"
"Director, I asked the Medical Affairs Division, and the Medical Affairs Division agreed."
"Agreed?" Deng Qingmei also knew that people agreed, but she was still not at ease, "Interdisciplinary treatment of patients, even if the medical department agrees, in case others complain about you, this matter will be in the city, you still have to finish the calf."
γ......γ
The truth is this.
But who would be so boring that they have to embarrass him.
"You're still too young, it's good to want to treat the sick, but you also have to take care of yourself. When you don't have enough wings, it's better to be honest."
"That's what the director said." Li Xiu bowed his head.
"Okay, I'll call Yang Zhizhi later." Deng Qingmei knew that there was no way to persuade Li Xiuli, so she could only call Yang Zhizhi to communicate first.
Back at the outpatient clinic on the first floor, Deng Qingmei took out her mobile phone and dialed Yang Zhizhi's number.
"Hey, Director Yang, Li Xiuli from our department admitted a patient with chronic appendicitis today, why did you agree?"
"Hey, hey. Why can't you say yes?"
γ......γ
Deng Qingmei was speechless, why can't she agree.
"Why can't surgery treat patients with herniated discs? And Li Xiuli can just admit patients with chronic appendicitis?"
"Director Deng, you don't know. I asked the chief surgeon about this patient, and he agreed."
"Would you agree?" Deng Qingmei was very surprised.
If a stroke rehabilitation patient is admitted to the internal medicine department, the doctor over there takes the initiative to ask her if she can accept her, and she will definitely refuse.
Although, the internal medicine department admits stroke rehabilitation patients, and it is very common from beginning to end
But that didn't change her mind.
After a stroke, many patients are not sharp enough to use their hands and feet, and from time to time they will go to the internal medicine department to hang a hanging needle, which is the so-called dredging blood vessels.
This kind of thinking is very common in both traditional Chinese medicine and western hospitals.
But in Deng Qingmei's eyes, these are just psychological comforts, and they are useless.
What is really useful is to do acupuncture and moxibustion from time to time and take Chinese medicine to recuperate, this time is the best way to improve the sequelae.
"I'm surprised, too."
"Okay. If someone really complains or reports Li Xiuli, how will your medical department deal with it?"
"Don't worry, our medical department will come forward."
"You're so relieved that Li Xiuli is so foolish?" Deng Qingmei only felt that Yang Zhizhi's head was funny. She thinks that Li Xiuli is obviously messing around, not to mention whether the acupuncture department can admit this kind of patient, let's just say that the treatment effect of traditional Chinese medicine must be average! It's not going to be much better.
"You. Don't you remember Xiao Liu's incident?"
"You even mentioned that matter to me. It's just nonsense, if it is not cured, it will not delay the timing of other people's surgery. Her dad isn't easy to mess with!"
"Okay, that patient, you can rest assured that you will leave it to Li Xiuli."
After that, Yang Zhizhi hung up the phone.
"Ugh. Dr. Li is also lucky, otherwise your father would easily fire you, after all, the entire hospital will be theirs soon......
At this time, Li Xiuli was sitting in the office, and the new patient Li Jun had returned to the office.
Basic tests such as electrocardiogram and blood routine are normal.
"That Doctor Li, can you help me change doctors?" Li Jun turned his head and glanced at the office before asking in a low voice.
"Why, change doctors?"
"That disease of mine needs to be recuperated by Chinese medicine, I want to find a more careful doctor, and the female doctor is the most careful."
γ......γ
Li Jun's implication is to replace it with Kuang Li.
"Which doctor do you want to change?"
"Is that the doctor okay?"
"That, you need people's consent." Li Xiuli did not directly agree.
"Then please ask the beautiful doctor."