When everyone left, only Tang Yi and Xi Hua were left in the office.

Xi Hua found a place to sit down, "The patient has been sent to the emergency room, it will be useless for you to worry!" ”

Tang Yi sighed, it is true that he is a doctor in the National Medical Hall, but there is also the attending doctor, the deputy director, and Tang Yongming, the chief doctor.

Through the contact in the past two days, Tang Yongming has a deep opinion on himself, according to this situation, the treatment of Liu Dagen will not fall on his head at all, and he sighed, "Wash the doctor, I won't sit down, just say what you have to do!" ”

Xi Jianhua shook his head, looking helpless, "How can you talk back to Director Tang in front of so many medical staff today?" Do you know the consequences? ”

Tang Yi was a little unconvinced, "What's wrong with talking back?" In accordance with the rules and regulations of the hospital, the first physician must be responsible for the examination, diagnosis, treatment, consultation, referral, department transfer, hospital transfer and other clinical diagnosis and treatment of the patients he receives, especially for critical, urgent and serious patients. I have already formulated an effective treatment plan for the patient, and Director Tang transferred the patient to the emergency department without even asking. What is this behavior of his? He himself didn't follow the rules and regulations, so why should I give him face? ”

Xi Jianhua frowned and scolded in a deep voice, "What are you angry at me?" Don't I know the rules and regulations of the hospital? Are you the first to see a doctor? The first doctor is Wang Ruoyun, Dr. Wang, not you! ”

Tang Yi opened his mouth and swallowed back the words that came to his mouth unwillingly.

Wash the lead Hua pointed his finger on the table, "Not to mention whether Tang Yongming violated the principle of first diagnosis, as a doctor in the hospital, you must first obey the instructions of your superiors." If there is a problem with the treatment of the superiors, you can give your own opinion. Director Tang said what happened to sending patients to the emergency room? Can't you stay in the emergency room? ”

"Young man, don't be so angry!" Sighing, Xi Jianhua continued, "Yesterday morning, do you know how Director Tang mentioned you in front of me? ”

Tang Yi smiled bitterly, "I don't know, but it must not be a good word!" ”

Pointing his finger at Tang Yi, he washed the lead with a serious face, "You still have self-knowledge, yes, it's not a good thing!" Director Tang said to me, you relied on connections and spent money to come in. Are you? ”

Tang Yi shrugged, "It's not, it's not!" ”

Coming to work in the National Medical Hall is the meaning of Yan Nanbei, and the middle link is also operated by his old man. It would be a bit hypocritical to say that there is no relationship.

can come to the National Medical Hall, Tang Yi has this qualification, but it is not what he wants.

Xi Jianhua nodded, "Okay, then let's put these aside for now." Regardless of whether you rely on relationships or not, do you know how many people want to come to the National Medical Hall to become doctors? Those who have money can't find relationships, and those who have connections don't have money. If you can enter the Chinese Medical Hall, you must cherish the opportunity. ”

Tang Yi was disdainful in his heart, it was difficult to enter the National Medical Hall? That's for others, he wants medical skills to have medical skills, and he wants people to have connections. As long as you are willing, with Mayo's distinguished professor certificate, you will not be a guest at any Western medicine hospital.

What happened to the Chinese Medical Hall? He also has a medical qualification from the National Health Service. In addition to the three national players in the entire National Medical Hall, one hand that can obtain the qualification of this health bureau can be counted.

Pursing his lips, Xi Jianhua continued, "Through yesterday's observation, whether it is surgical sutures or diagnostic drugs, your level is not bad, and you are better than many young attending doctors. Today, you were called around, and I also learned about it privately, and everyone had the same idea as Director Tang, who had no medical skills, and came in through the back door by relying on relationships. ”

Tang Yi sneered, looking disapproving, "Whatever they think, I don't care!" ”

In a word, the choked lead wash didn't know how to answer for a while, "You, you don't care, what about the person who got you to the hospital?" Don't care? ”

Tang Yi really wanted to say to Xi Jianhua, that old guy doesn't care what you say behind your back, he only cares if I can work in the National Medical Hall.

Seeing that Tang Yi was silent, Xi Xianhua thought that he had listened, "I know your ability, but I know that you can't, let everyone know, let the whole courtyard know, prove yourself with your ability, and slap the faces of those who look down on you." ”

A slap in the face? Tang Yi touched his chin, as if he hadn't slapped anyone else in the face since returning to China, and he missed that feeling a little.

"Figured it out?"

Tang Yi looked at Wash Lead Hua and replied, "Well, it's okay!" ”

At the same time, the emergency room.

Tang Yongming just finished taking Liu Dagen's pulse, "The patient's family?" ”

The doctors around the observation bed looked around, and the nurse who was still at the reception desk at the beginning said, "The patient is alone!" ”

Hearing the answer, Tang Yongming's face was a little unsightly, "The pulse is weak, the lower abdomen is painful, accompanied by bowel sounds, and intestinal obstruction is considered." 1g of Gansui powder, 9g of peach kernel, 9g of woody fragrance, 9g of raw hyssop, 15g of Chuanpu, 15g of red peony, 15g of rhubarb. ”

An attending doctor next to him thought for a moment and nodded, "Da Chengqi soup has the effect of circulating qi and invigorating blood, and chasing water." It has a good effect on patients with severe intestinal obstruction, abdominal distension and pain, nausea and vomiting, constipation, and more intestinal effusion. ”

"Director Tang is Director Tang, it's really amazing."

"That is, Director Tang's medical skills are natural and unquestionable."

"You're talking about the newcomer in the second half of your sentence, right? As for his guy who came in by connection, he didn't know anything about himself, he just didn't know what to do. ”

"Isn't it? If the patient is cured by Director Tang's medicine, do you think he still has the face to continue to stay in the hospital? ”

A resident doctor pouted, "Anyway, if it's me, I don't have the face to stay." ”

Another young doctor standing next to the resident doctor shook his head, "Hey, that's not for sure, I heard that guy spent a lot of money to come to our hospital." If I were him, I would continue to stay even if I endured the white eyes and was ostracized. ”

Although the voice of the doctor below was small, Tang Yongming listened to it sincerely, and he was complacent, but there was no expression on his face, "Since everyone agrees with my medication plan, let the pharmacy boil the medicine!" ”

Yan Huafeng, who was the first to taunt Tang Yi, raised his hand, "Director Tang, I'll go and inform the pharmacy to boil the medicine." ”

Qi Mingqiang, the deputy chief doctor, looked at the old man's pale face, "Director Tang, the patient's pulse is weak, his qi and blood are lacking, his limbs are cold, and he is sweating, do you want to inject a pulse injection first?" ”

Tang Yongming said, "Shengmai Injection has the effects of replenishing vitality, restoring the pulse and strengthening the body, invigorating qi and blood intake, nourishing yin and nourishing the body, moistening the lungs and clearing the heart, which is indeed suitable for the patient's current situation." ”

Yan Huafeng came out of the emergency room and trotted all the way.

If you want to have a chance to get started in the hospital, you must learn to slip around and make the leader comfortable.

Yan Huafeng has been in the hospital for three years, and compared with the residents in the same period, the level can only be regarded as average.

Because he knows how to read words and looks and has a sweet mouth, he is the only one who has been qualified to stay in the hospital among the interns who came.

"This time I should make Director Tang very comfortable, and work harder to win the opportunity to learn from the national players next week."

Yan Huafeng was thinking about beautiful things, and he didn't notice the front, and happened to collide with Wang Ruoyun, who had just come back from boiling medicine.

As a woman, where could Wang Ruoyun hit Yan Huafeng, who was more than 160 pounds, she took several steps back, almost fell to the ground, and saw the person who hit her clearly, "Yan Huafeng, don't you look at the front when you walk?" ”

Yan Huafeng knew that because he was distracted just now, he really didn't notice the front, "Sister Wang, I'm sorry, I'm sorry, I'm not in a hurry to go to the pharmacy?" You don't remember the villain, forgive my brother this time, and invite you to dinner another day! ”

Wang Ruoyun waved his hand angrily, "Forget it, seeing that you are in such a hurry, there should be some serious patients in the emergency department, hurry up and get busy!" ”

Yan Huafeng smiled, "Sister Wang, there is a large number of patients, there is an intestinal obstruction patient in the emergency department, and the situation is critical, I will go to the pharmacy to boil the medicine first, I can't let Director Tang wait in a hurry." ”

Looking at Yan Huafeng's back, Wang Ruoyun turned around with the medicine, "It won't be that old man, right?" ”

"Hiss~"

As soon as he turned around, a heart-piercing pain was transmitted from his ankle to his brain, and the collision just now made Wang Ruoyun stop his foot, although he did not fracture and displace, but he also injured his tendons.

limped to the emergency room and pushed the door open, at this time, the doctors, including Tang Yongming, had not left, and were anxiously waiting for the decoction.

Wang Ruoyun carried the medicine, "Director Tang! ”

Tang Yongming looked at Wang Ruoyun's inconvenience, "Doctor Wang, what's wrong with you?" ”

Glancing at the patient on the hospital bed, it was Liu Dagen, and Wang Ruoyun replied, "On the way back from the prescription, I bumped into Dr. Yan and injured my foot. ”

Tang Yongming looked at the medicine in Wang Ruoyun's hand, "If you are injured, pay attention to rest, which patient the medicine is for, let other doctors help send it." ”

Wang Ruoyun was a little embarrassed and pointed to the hospital bed, "It's for him!" ”

"Oh?" Tang Yongming was a little curious, "Doctor Wang, what kind of medicine are you prescribing?" If it's symptomatic, don't wait for Yan Huafeng! ”

"No, it's not my medicine!" How dare Wang Ruoyun say that he prescribes medicine, 30g of rhubarb, if the patient really takes this medicine, he will be responsible for what happens, "It's the new doctor." ”

Hearing the new doctor again, Tang Yongming immediately thought of Tang Yi, and the smile on his face was a little stiff, "Who are you two prescribing for when you two quarreled in the consultation room before?" ”

It would be good if it was to fight for who to prescribe, Wang Ruoyun was bitter in his heart, he didn't even cut his pulse at that time, he just simply inquired about the condition, and misdiagnosed it as indigestion, if Director Tang knew about it, he wouldn't be scolded for being a bloody dog, "Yes, yes, we both chose Dachai Hu soup, but there was a little dispute over the dosage of rhubarb." ”

"Da Chai Hu Soup?" Tang Yongming nodded, "Da Chai Hu Tang has the effect of treating incomprehensible stool, helping to relieve heat, and vomiting, and it is also symptomatic." Tell me, where are the differences between the two of you? ”

Wang Ruoyun breathed a sigh of relief, this level was finally fooled, "I have 10g of rhubarb in my prescription, and the amount of rhubarb in the new doctor's prescription is as high as 30g." ”

30g？ One of the doctors present counted one, and they all gasped.

Modern medical students, all of whom are representatives of the academy, use drugs in strict accordance with the provisions of the pharmacopoeia, which is why they gasp.

The pharmacopoeia stipulates that rhubarb cannot exceed 12g in a single extrusion.

New doctors, where does the courage come from? 30g of rhubarb, is it really not afraid of patients pulling prostration?

Tang Yongming sneered, "I don't know what to say, 30g rhubarb really dares to use it!" ”

Several resident doctors on the side hurriedly answered, "Isn't it?" It's just nonsense, people like this don't deserve to stay in our hospital at all! ”

"If I'm not mistaken, Dr. Wang is the patient's first doctor, right? As a resident, new doctors are expected to obey Dr. Wang's advice. ”

"Yes, that newcomer is simply unorganized and undisciplined."

Tang Yongming waved his hand and asked the resident doctors below to be quiet, "Since Da Chai Hu Tang is also symptomatic and the medicine is decoctioned, let's use it for the patient!" ”

Wang Ruoyun carried the medicine and didn't move, "Lord, director!" This, this medicine is still not allowed to be used by patients! ”

"What's wrong?" Tang Yongming frowned and asked!

"This medicine is fried according to the prescription of the new doctor, that is, 30g of rhubarb!" Wang Ruoyun lowered his head and whispered.

If it weren't for the fact that she was a woman, Tang Yongming would have scolded a long time ago, "How can you catch medicine according to the prescription he prescribed!" ”

Wang Ruoyun lowered his head in shame, "He, he said that he needed serious medicine and medicine for a serious illness, and he also said that he was responsible for something." ”

"Do you need a serious doctor? This is true, but it depends on who prescribes the medicine! Dr. Wang, you have been coming to the Chinese Medical Hall for 4 years, and you can be regarded as an old qualification. How can such a low-level mistake be made? Tang Yongming laughed angrily, "Besides, he said that he would bear the responsibility, what would he take?" You are the first patient, and you went to the pharmacy to fry the medicine, but he didn't admit it at that time, and you were the last to bear the blame! ”

"This, this ......" Wang Ruoyun raised his head, his face was pale, he couldn't say a word for a long time.

Tang Yongming shook his head, waved his hand, and said no more.

Ten minutes later, Yan Huafeng came back with the freshly boiled medicine, and without Tang Yongming's instructions, he volunteered to help Liu Dagen take the medicine.

After a pair of medicines were used up, Tang Yongming said, "Wait, the patient should be able to defecate in about half an hour!" ”

"Puff~"

"Poof~"

Twenty minutes into the clock, there was a constant sound of farting in the emergency room.

"Fart, fart, I think the patient will excrete soon!"

"Director Tang is Director Tang, I don't think it will take half an hour for the patient to defecate."

Being watched by a group of resident doctors, Tang Yongming felt more proud in his heart, and left the emergency room flutteringly, "When the patient's condition improves, remember to let him go to the payment office to pay!" ”

Ten minutes passed, and the patient did not have a bowel movement.

For another ten minutes, Yan Huafeng, who had been standing by and waiting, was a little anxious, glancing at his watch from time to time and glancing at Liu Dagen.

Half an hour passed, Liu Laogen suddenly breathed rapidly and his whole body convulsed.

This frightened Yan Huafeng, who had been beside him, and hurriedly called the nurse next to him, "Go and inform Director Tang!" ”

In the No. 1 clinic, Tang Yi, who had been educated, sat honestly on the side, watching the lead wash to diagnose and treat the patient.

"The patient's tongue is thick, the mouth is light and not thirsty, the feces are not formed, the limbs are sore, and the pulse is slow, which is an obvious disease of internal dampness. After summarizing the previous patient, he took a sip from the teacup, "There are many prescriptions for internal dampness, Changjian's desmodium dampness medicine prescription, and flat stomach powder can treat dampness, and the price is relatively cheap, I will test you, why did I choose the Four Gentlemen's Soup in the end?" ”

Tang Yi leaned back in the chair, dragged his chin with one hand, and made a thinking motion, "The patient is old, the gastrointestinal function is not good, and the prescription of desmodium to remove dampness needs to be taken on an empty stomach, which is easy to hurt the stomach." Pinggassan can only treat dampness, but it has no effect of warming yang. Simply treating the dampness for a while may recur in the future. ”

Xi Jianhua nodded, becoming more and more satisfied with Tang Yi's performance.

"Da Da Da!"

Outside the hallway, there was the sound of hurried and chaotic footsteps.

Xi Xianhua glanced outside, and just saw Tang Yongming walking by the door in a hurry, "What kind of seriously ill patient is here?" ”

"Why don't you just go and see it?" All afternoons were ordinary emergency patients, which made Tang Yi feel bored.

Wash the lead Hua thought for a while, a little uneasy, and advised, "When you get to the emergency room, stand in the back and listen, don't interject!" ”

Tang Yi didn't care about any serious patient, he just wanted to take the opportunity to go to the emergency room to see Liu Dagen.

The two came to the emergency room, and at this time, Liu Dagen's bed was already full of people.

Tang Yi didn't step forward to get involved, and swept through several beds in the emergency department, but didn't find Liu Dagen, and his heart sank suddenly.

stepped forward and stood on tiptoe to see that it was Liu Dagen who was surrounded by a group of doctors.

At this time, Tang Yi had long forgotten what he had promised in the clinic, and he was about to squeeze in.

Wash the lead and grabbed Tang Yi's arm, "What are you doing?" Forgot what I told you in the office? Don't worry, with so many doctors present, can't they come up with a practical and effective treatment plan? When it is really a crisis, Director Tang will invite experts from the gastroenterology department to come for consultation. ”

"The pulse is weak, the pulse is 138 per minute!" Tang Yongming finished taking his pulse and stood up, "Didn't the patient have a bowel movement after taking the medicine?" ”

Yan Huafeng stood up from the crowd, "It's just a fart, no defecation." ”

Qi Mingqiang put his hand on his pulse, his brows tightened, "Director Tang, the patient's condition is not optimistic. Why don't you invite a gastroenterology specialist to come and have a look? ”

Intestinal obstruction belongs to the category of gastroenterology or general surgery, as a pure Chinese medicine hospital, there is no surgery, naturally there is no general surgery.

Tang Yongming thought about it for a while, but in terms of the patient's current situation, he was really helpless, and reluctantly using medication would only delay the best rescue time for the patient, "I understand those people in the gastroenterology department, and they can't do anything about this kind of serious illness." I'll give Yan Lao a call to see if he has time. No, I had to transfer to the hospital. ”

Qi Mingqiang glanced at Tang Yongming, nodded lightly, and agreed.

Tang Yongming took out his mobile phone and walked out of the emergency room, and it took about two minutes to come back, "Yan Lao will be here soon." ”

Hearing that Yan Nanbei was coming, Tang Yi's hanging heart finally fell.

As a national player, not to mention the treatment of the dead, flesh and bones, as long as the patient is still angry, he can grasp the remaining glimmer of life.

In the midst of the anxious waiting, hurried footsteps sounded outside the door.

"Old Yan, your legs and feet are not good, slow down!" The assistant beside him helped Yan Nanbei, and kept persuading him.

Yan Nanbei held a cane with a pestle in one hand, and the pace under his feet did not slow down at all, "Slow or slow, the patient's condition is critical, and every minute and every second may be life-threatening." ”

Outside the door, Yan Nanbei's angry voice sounded.

Yan Huafeng hurriedly trotted to the door of the emergency room, opened the door, and had a flattering smile on his face, "Old Yan!" ”

Yan Nanbei didn't even look at him, "Where is the patient?" ”

The doctors around the hospital bed hurriedly made a way.

Tang Yongming stepped forward, "Old Yan, I'm sorry for you!" ”

Yan Nanbei waved his hand, walked to the bed and sat down, and took the pulse with one hand, "What's the patient's condition?" ”

"The patient came to the emergency room at noon with confidence! It was Wang Ruoyun from the emergency department who received the treatment! ”

Tang Yongming was about to continue, but Yan Nanbei stretched out his hand to interrupt, "That means you're not the first doctor, are you?" ”

"Yes!"

"Let the first doctor come out and talk!" Yan Nanbei did not give Tang Yongming face at all.

As the first doctor who comes into contact with the patient, he or she often knows more comprehensively and clearly than the second-time doctor.

Tang Yongming glanced at Wang Ruoyun next to him awkwardly, "Doctor Wang, come and tell Yan Lao about the patient's situation!" ”

Wang Ruoyun in the crowd cried with a sad face, she was the first doctor, but many examinations were incomplete, "I, I only did a simple examination, and I have to ask the newcomer if it is more detailed." ”

One or two couldn't tell the patient's situation, which made Yan Nanbei a little annoyed, "Let the new doctor come out and speak!" ”

"The patient is 73 years old, the main symptoms are: abdominal distension and pain, no bowel movements for four days, low speech, and no qi at all. 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! Tang Yi stood up from the crowd at this time and quickly said the results of his diagnosis.

Yan Nanbei turned around and saw that it was Tang Yi, and the expression on his face was much better, "Have you prescribed medicine?" ”

"It's on!" Tang Yi replied without hesitation.

"Say!"

Tang Yi hurriedly spoke, how could he still think about it at this time, "15g of Bupleurum chinensis, 10g of skullcap, peony, Banxia, and citrus aurantium, 20g of ginger, 6 jujubes, 30g of rhubarb"

"Da Chai Hu soup, yes, the medication is very symptomatic, and the dosage of rhubarb is just right!" Yan Nanbei commented on the medicine prescribed by Tang Yi, "If this medicine is used, the patient's condition should have improved after taking it, why does the patient's condition not get better, but becomes more and more serious?" ”

Some of the doctors present looked at Tang Yi and were surprised that his medication had been affirmed by Yan Lao.

Some people glanced at Tang Yongming, and quickly withdrew their gaze.

Facing Yan Nanbei's questioning, Tang Yongming sat on pins and needles, "The amount of rhubarb is too large, so I, I didn't agree to use it." Instead, I chose the big Chengqi soup. ”

Yan Nanbei withdrew his hand, "Rhubarb dosage?" ”

"Rhubarb 15g." Tang Yongming wiped the cold sweat from his forehead and replied.

"That's all?"

Qi Mingqiang stood up, "The patient's pulse was weak at that time, his qi and blood were lost, his limbs were cold, and he was sweating, so he injected another raw pulse fluid. ”

"Bang bang bang!"

Yan Nanbei's crutches knocked the ground a few times, "Nonsense, nonsense, a director, the medicine is not in place." A deputy director used drugs indiscriminately, the patient did not have a bowel movement for four days, and he also used Shengmai injection, which will only aggravate the patient's gastrointestinal discomfort, don't you understand this common sense? ”

In the face of Yan Nanbei's reprimand, the people present did not dare to breathe.

Shame on you, you threw it to your grandmother's house.

A newcomer has been praised by the national hand for his medication, but he has been trained like a grandson.