"The patient, 43 years old, from He Xisha County, came to the clinic and complained of chest tightness, chest and back pain, shortness of breath, fatigue, insomnia, and stool knots."

Under Li Maoyang's gentle persuasion, Zhang Yazheng finally began to talk to Li Maoyang.

Although he rubbed his head and face from time to time and rubbed his hair messily, his tone was quite gentle.

"After I was diagnosed, I felt that He Xi had heart and kidney problems, but the heart problems were more serious.

In line with the principle of TCM to treat the symptoms when it is urgent, and to treat the root cause if it is slow, I mainly treat his heart problems......

……

But this can cure He Xi's grandson to uremia?

But He Xi's grandson insisted that his uremia was cured by me with Banxia!

……

Dr. Li, as a doctor, you should also know that the evolution of chronic glomerulonephritis and uremia takes a long time, and not a single drug factor can be caused in just ten days, even if the drug causes nephritis, it should be acute nephritis.

And He Xi's grandson was found to be chronic nephritis uremia!

Therefore, He Xi's grandson had uremia in advance!

This should be a matter of common sense, but I don't think so in the first instance, and I was brutally judged to have a causal relationship!

】

In the future, who would dare to prescribe these more biased drugs in Banxia! ”

……

The more Zhang Yazheng spoke, the more excited she became, her hair had been kneaded into a messy explosion of hair, her eyes widened, and her voice began to be hoarse and sharp!

……

"Banxia is poison?

But Banxia has always been an important medicinal material used to treat diseases and save people in the history of traditional Chinese medicine!

"Shennong's Materia Medica" records it, and in "Treatise on Typhoid Fever and Miscellaneous Diseases", there are 44 prescriptions containing Banxia, and most of them are used for raw Banxia!

Among them, the dolphin soup is four taels with half a summer!

Banxia Poria soup and small Banxia soup use Banxia to reach one liter!

Moreover, the first teacher Zhang Zhongjing used crude drugs and even fresh medicines is the basic operation!

Now, as we all know in traditional Chinese medicine, a large number of medical eucalyptus have repeatedly confirmed that the effect of concocted drugs, especially the over-processed drugs that are now prevalent, is not as good as fresh medicines!

For many diseases, even the purpose of curing diseases and saving people can only be achieved by using unprepared fresh medicines!

But now Sheng Banxia has been determined to be a poisonous herb!

However, modern pharmacological toxicity experimental studies have shown that one week after the injection of Shengbanxia decoction into mice, no toxic reaction was observed!

Today's TCM clinical doctors have also repeatedly proved that the therapeutic effect of Shengbanxia is remarkable, and it is used appropriately, and poisoning will not occur!

Even some patients took a decoction containing a large dose of raw banxia for a month, and there was no abnormality in the liver and kidney function tests.

Therefore, whether it is the results of modern pharmacological toxicity experiments, or the statistical results of ancient medical prescriptions and modern Chinese medicine clinical medical institutions, there is no causal relationship between Shengbanxia and uremia syndrome!

Of course, for patients with liver and kidney insufficiency, the use of Shengbanxia should still reduce the dose.

But I still use ginger Banxia, I didn't dare to use raw Banxia!

Even if the law only stipulates that Shengbanxia is a toxic drug for medical use, and only implements special management for Shengbanxia, but Banxia concocted products (Fa Banxia, Jiang Banxia, Qing Banxia) are all ordinary Chinese medicine decoction pieces!

But that's it, or let me take medical responsibility!

I'm not convinced! I really want to ......."

When Zhang Yazheng said this, he was stopped by his father Zhang Hengchu who came out of the bedroom: "Don't talk nonsense! ”

Zhang Yazheng's eyes widened, and he was about to say something more, when his father came over and slapped him and shut his mouth!

Li Maoyang turned a blind eye to this little conflict between the father and son of the Zhang family, and he sat there with his head tilted and a pensive expression.

Two elements are required for the determination of liability for medical damages: 1. The medical institution or its medical staff is at fault; 2. The patient is damaged in the diagnosis and treatment activities.

In order to determine element 2, it is necessary to require that there is a causal relationship between the doctor's diagnosis and treatment and the patient's harmful consequences.

But in this example, if Zhang Yazheng really used Jiang Banxia for the patient He Xi (ginger can make Banxia poison), then there is no toxicity at all, how can it cause the patient He Xi's uremia?

Moreover, even if it is Shengbanxia, the decoction process will destroy its toxicity, and it is basically impossible to produce any kidney toxicity when combined with other drugs to restrain the poison of Shengbanxia.

(From Zhang Yazheng's conversation just now, Li Maoyang felt that Zhang Yazheng's basic medical knowledge was also solid, and it was impossible not to even know how to restrain the poison of Shengbanxia through prescriptions.) ）

So why did this patient become uremia after only taking the prescription prescribed by Zhang Yazheng for more than ten days?

It's a strange thing!

At this time, Li Maoyang also tended to have uremia before coming to Zhangjia Clinic for treatment!

So, if this is the case, then the crux of the matter is how to prove that He Xi suffered from uremia before coming to Zhangjia Clinic for treatment!

As for asking lawyer Gao Ming to defend Zhang Yazheng, it is naturally also a way, but it is relatively troublesome.

If this is affected by some inexplicable factors, I am afraid that the role of lawyers is also limited......

……

"Dr. Li, we are all very happy that you can come to our house today, but now that this situation in my house is ......, I'm really sorry, why don't you come back another day, Dr. Li?"

Zhang Heng first saw him slap his son's mouth, this Li Maoyang was still sitting and not leaving, and he was depressed that this little offspring was really blind, so he could only give Li Maoyang an eviction order.

"It's okay, it's okay, Doctor Zhang, you don't have to be polite, I'll think about your family first." Li Maoyang waved his hand.

Now Zhang Hengchu is even more depressed, you are okay, we have something, are you so blind? Can't get rid of it?

"Doctor Li, you better take these things away, no one in our family smokes and drinks, it's a waste if you stay, you can take it back and return it to the store."

Zhang Hengchu continued to euphemistically drive Li Maoyang away.

This annoyed Li Maoyang: "Hey, you old man! Are you very idle when I Li Maoyang?

Let me tell you, my time is very tight, and this time I returned to Hetao from Qingcheng with a patient, and I don't know how many patients are waiting for me at home!

The reason why I took this time to come to your house once was also for the sake of my colleagues, because you have the strength of medical skills, so I wanted to come and pull you, why don't you know what to do?

Problems that you can't solve by yourself don't necessarily mean that others can't solve them, and you are too underestimate the heroes of the world! ”

Zhang Heng was annoyed when he saw Li Maoyang for the first time, sighed and smiled bitterly: "No, Doctor Li, you misunderstood me."

It's that this eucalyptus is too troublesome, I don't know how many people can't solve it for us, and you are not a Baoshi person, what can you do? ”

"Not necessarily!" Li Maoyang patted the coffee table, "Doctor Zhang, let's make a bet, I want to help you solve this matter, I mean, in the end, let your family's compensation amount be less than 500,000, and you will go to open a clinic with me, how about it?"

Well, I'll add one more condition, I'll help you see my aunt's illness!

Don't underestimate me, I'm very good at cancer now, and I should be better than you!

In addition, your salary, I will calculate 400,000 yuan a year for you, how about it? ”

Li Maoyang learned from the neighbors around Zhang's clinic that Zhang Hengchu's clinic has low fees, and he can earn more than 300,000 yuan a year after renting a clinic.

He gave him an annual salary of 400,000 yuan, which is not a disadvantage to him for the time being.