Chapter 91: Disputes
After chatting for nearly ten minutes, Wang Ruoyun was late with a bouquet of roses.
I put the rose on the table, looked back and forth for a while, and then sat down satisfied.
Helped Liu Dagen to sit down at the consultation table.
Liu Dagen, who was covered in dirt in front of him and exuded a faint rancid smell on his body, made Wang Ruoyun frown uncontrollably, and squinted at Tang Yi next to him, the ninja's stomach was uncomfortable, "It's uncomfortable there?" ”
Liu Dagen pointed to his lower abdomen, "Here, here it hurts." ”
Wang Ruoyun covered his nose with one hand and glanced at the position he was pointing to, "How long has this situation lasted?" ”
Liu Dagen lowered his head, "It's been three days!" ”
The buttocks stacked towards the window next to him, and Wang Ruoyun tapped on the keyboard, "Have you eaten anything recently?" How about urinating? ”
Seventy-three years old and unmarried, was asked this question by a girl, Liu Dagen was a little embarrassed, "Okay, I haven't pooped for a few days." ”
The voice was so soft that Wang Ruoyun, who was already disgusted with the old man, didn't hear it clearly for a while, "What did you say?" Be louder. ”
Tang Yi, who had been serving beside him, said, "Uncle said, I haven't pooped for a few days!" ”
Wang Ruoyun glanced up at Tang Yi again, "How many days is it?" I see that you are also a doctor in our hospital, don't you know any professional knowledge? ”
Seeing that Tang Yi was complained about because of his answer, Liu Dagen hurriedly spoke, and his voice was a little louder, "Four days, counting today, it's been four days." ”
With a light snort, Wang Ruoyun turned his head and continued to record, "What did you eat before you got sick?" ”
"I haven't eaten anything special, the same as before, steamed bread and pickles, and occasionally stir-fried a plate of green vegetables." , Worried that Tang Yi would be complained about again, Liu Dagen replied very carefully, "Oh, by the way, the neighbor got married a few days ago, and packed some meals for me." ”
Hearing this, Tang Yi's heart ached.
What is Liu Dagen's identity? Kyoto natives, veterans of the Anti-Japanese War, live by eating steamed buns and pickles every day. I finally ate a meal of big fish and meat packed back by others, and I also had a problem with eating, how long has it been since I saw oil!
The old man's words not only did not get Wang Ruoyun's sympathy, but his face was even more contemptuous and mocking, "Gastrointestinal dysfunction is chaotic, causing constipation, you prescribe some medicine, go back and eat first." ”
had long noticed Wang Ruoyun's disgusted expression, Liu Dagen nodded, leaned on the table and was just about to stand up, when a piercing pain made him stumble under his feet, and he fell back on the chair again, and his body fell backwards.
Fortunately, Tang Yi's reaction speed was fast enough, and a brisk step forward and hugged the old man who was about to fall.
At this time, Liu Laogen's face was pale, gritting his teeth, his forehead was drenched in cold sweat, holding Tang Yi's arm, and trying to stand up, "Thank you, thank you!" ”
Tang Yi's hand touched the old man's skin, and it was cold in the hot summer, even if it blew under the air conditioner for a while, the temperature of the human body would not be so low.
"Don Jr., I, I'm fine!"
picked up Liu Laogen and put him on the observation bed, Tang Yi's expression was solemn, "Uncle, don't talk yet." ”
There are two reasons for sudden chills in the body, one is a real symptom and the other is a deficiency disorder.
When angry, the liver qi is uncomfortable, the liver qi is stagnant, the circulation of the body's yang qi is not smooth, and the yang energy cannot flow well throughout the body, at this time, there may be sudden chills, cold hands and feet, and in severe cases, there will be a temporary impairment of consciousness and fainting.
In addition, it is caused by diseases, which belongs to the scope of deficiency, and most of them are some heart yang bursts, and the heart yang qi suddenly leaves the body, and the whole body continues to be cold in the hands and feet, and even accompanied by cold sweat, and the body is wet.
Wang Ruoyun did have inappropriate words in the process of diagnosis and treatment of the old man, but through more than half an hour of contact, the old man's temperament was not so great.
Not the first one, that is, the disease causes the elderly to suddenly feel unwell, simple gastrointestinal disorder, stomach fullness, epigastric pain or epigastric burning. There may also be irritable bowel syndrome, abdominal pain, diarrhea, difficulty defecation, and even rectal and anal obstruction or obstruction. Some of the above can not involve the heart, causing cold hands and feet.
After taking the pulse, Tang Yi's brows furrowed even deeper, "Uncle, open your mouth, let me take a look at the tongue coating!" ”
Liu Laogen half-squinted, his mouth slightly open.
Fortunately, the old man's teeth are almost gone, otherwise at this size, the tongue coating would not be visible at all.
Wang Ruoyun's brows furrowed slightly, and her face was disgusted, "Do you want to send it to the emergency room?" ”
"Not yet!" Tang Yi didn't raise his head, lifted the old man's shirt, and gently patted his abdomen with his hand, his voice was dull.
After a careful inspection, Tang Yi casually opened the drawer next to the observation bed and took out the silver needle, "15g of Bupleurum chinensis, 10g of skullcap, peony, banxia, and citrus aurantium, 20g of ginger, 6 jujubes, and 30g of rhubarb." ”
Wang Ruoyun is very familiar with the prescriptions prescribed by Tang Yi, not to mention prescribing one or two pairs a day to patients who come to see a doctor, there are still four times a week, "The old man's body is already weak, although rhubarb can be laxative, but your 30g rhubarb is likely to cause other diseases, making the patient's body worse!" ”
Scooped up the old man's trouser leg, pricked the needle for three miles, twisted his fingers slightly, and the silver needle pierced into the skin little by little, Tang Yi was still in the mood to explain to the other party at this time, "Go quickly, I'll be responsible for something." The medicine was boiled in the fire, and it was sent after three boils. ”
"Are you the grandson of the old man or something? The person who wears himself looks like a dog, and the old man is sick and knows that he is in a hurry? Tang Yi's tone was impulsive, and Wang Ruoyun's temper was not good, "It's the same as the truth, responsible, are you responsible?" 30g rhubarb, do you think you are a big doctor? I have no objection to using Dachai Hu soup, but the measurement of this rhubarb cannot exceed 10g at most! ”
Non-famous doctors don't use heavy drugs and fierce drugs.
Heavy drugs and strong drugs mean that the amount of drugs is large, and there may be conflicts between drugs and medicines, and the balance cannot be reached.
When the balance is broken, what was supposed to save people can become a poison that kills people.
Stopping the action of disinfection in Hegu Acupoint, the old man's condition is critical, and there is no room for delay.
Tang Yi wanted to perform needles to promote gastrointestinal function and relieve Liu Dagen's pain at the same time, so he could only ask Wang Ruoyun to help him run, but looking at her posture, it seemed that it would not work without explanation, "The patient's main symptoms: abdominal distension and pain, low speech, stop bowel movements, and no arrows." The tongue is fat and slippery, and the pulse is weak, and acute intestinal obstruction is considered. The elderly are old and have been malnourished for a long time, resulting in a deficiency of qi and blood, and their lives may be in danger at any time if they continue to drag on. Therefore, it is necessary to allow the patient to defecate as soon as possible and replenish qi and blood. ”
Wang Ruoyun bit her lip, "Then you can't use 30g of rhubarb!" ”
"The old man is now in a serious condition. Serious illness requires heavy medicine! Also, this is the first time the old man and I have met, and there is no blood relationship, so if something happens, you can put all the blame on me! In order to dispel Wang Ruoyun's concerns, Tang Yi opened his mouth and explained again.
There are no relatives, and the prescription is prescribed by Tang Yi, so he doesn't have to be responsible for the accident, and Wang Ruoyun didn't say much if he understood this, "Okay, this is what you said, don't really have an accident at that time, push two five or six, and clear the responsibility." ”
Tang Yi turned around and continued to carry out the needle, "If something really happens, I have no chance to shirk my responsibility at all, and the old man in the family will beat me to death!" ”
Don't look at Tang Yi as the only seedling of the Tang family, but if he makes a mistake, the crutches in Tang Tian's hand have no trace of affection at all.
Because of the previous quarrel, many nurses were awakened and stood at the door one by one, poking their heads out and looking inside.
Tang Yongming, who was resting in the lounge, received a call from the nurse, and only halfway through listening, a nameless fire surged up, "What did you say?" The new doctor quarreled with Wang Ruoyun? A relationship is a relationship household, and if you have a little relationship, you don't take people seriously. Wait, I'll go down right away. ”
After hanging up the phone, Tang Yongming put on his shoes, grabbed the clothes hanging on the hanger, and walked downstairs quickly to the No. 3 consultation room.
Zhongguan, Dashu, Neiguan, Hegu, with the last silver needle falling.
"Zusanli, the two acupoints in the middle and the belly promote gastrointestinal function, Neiguan, Hegu, calm the heart, calm the nerves, regulate qi and relieve pain! The application of acupuncture points at five acupuncture points should improve the uncle's condition! Looking at the silver needle on the old man's body, Tang Yi thought in his heart.
Tang Yongming walked into the consultation room and glanced at Liu Dagen lying on the hospital bed, his originally gloomy face was dripping at the moment, his face was pale, he was short of breath, and there was cold sweat on his forehead, this was a serious illness, and his life could be in danger at any time.
At this time, he was still in the mood to reprimand Tang Yi, and hurriedly instructed the nurse outside the house, "Hurry up and send the patient to the emergency room!" ”
"Wait!" Tang Yi stopped, "The patient is suffering from acute intestinal obstruction, coupled with the deficiency of qi and blood caused by malnutrition, I have applied needles to relieve the patient's pain......"
Before Tang Yi could finish speaking, Tang Yongming turned around and scolded, "Who gave you the right to treat privately?" When you encounter a seriously ill patient, don't you know that it is like a report from your superiors? Who is responsible for what happened? ”
Looking at the silver needles on Liu Dagen's body, Tang Yongming looked disdainful, "At the level of your relationship, do you understand acupuncture?" If the medical skills are not proficient, don't give this fingers, I don't need you to teach me to do things! ”
"Uncle Zai has no medicine, no one is allowed to move!" Tang Yi glared at this Tang Yongming angrily, his fists clenched, and he jumped out word by word.
Tang Yongming took a step forward and met Simu, "Do you still want to do it?" Let me tell you, this is the National Medical Hall, which is a hospital directly under Kyoto, if you dare to do it, I will let you not want to mix in the medical industry in your life. ”
"Director Tang, don't be so angry! Xiao Tang is still young and collided with you, I will take him to apologize to you! "Xi Jianhua also came over, and hurriedly stopped between the two, "Tang Yi, although you use the needle, will you ensure that the patient's condition is relieved?" ”
Tang Yi's brows furrowed slightly, he thought about it for a while, took a deep breath, and slowly released his clenched fists, "No, but I've already asked Dr. Wang to cook the medicine!" ”
Xi Jianhua smiled and patted Tang Yi's shoulder, "It will take a while for the decoction to be delivered, and it will be sent to the emergency room first, where there are professional instruments, equipment, and experienced clinical doctors, which can better ensure the safety of patients." ”
Seeing that Tang Yi was silent, Xi Xianhua turned around and beckoned outside, "Come on a few people and send the patient to the emergency room." ”
Tang Yi wanted to step forward to help, but he took his hand, "Xiao Tang, you stay first, I have something to say to you!" ”