Xi Jianhua looked at Tang Yi in contemplation, with a pleased smile on his face.

After a while, Tang Yi touched his chin with one hand, "Generally speaking, after receiving treatment, pneumonia patients show no fever and cough, no phlegm, it can be considered that the pneumonia is improving. Although the symptoms are gone, the root cause of the disease is still there. At this time, the body's metabolism accelerates, the body regulates itself, and finally induces chest pain. ”

Xi Jianhua took a sip of the teacup and spit out the tea leaves in his mouth, "Since pneumonia is induced, why doesn't the patient have symptoms of cough and phlegm?" ”

Faced with a question, Tang Yi answered methodically, "The lesion is located close to the periphery of the lungs, and it is not easy to produce phlegm. ”

"Well, that's a good answer. The reason why the patient has pain under the sword bone is actually another factor besides pneumonia, do you know what it is? Xi Hua affirmed Tang Yi's answer and threw out a question at the same time.

Aren't these three main causes of sword bone pain? How could it be, Tang Yi frowned, thought about it for a long time, and still didn't have any clue.

Seeing that Tang Yi didn't say anything for a long time, he didn't sell it anymore, "Have you noticed that the patient's skin luster is very poor?" Usually a day or two of staying up late is not good rest, and there will only be very serious symptoms of eye bags and malaise, but the patient is different, which is enough to prove that he often stays up late. Patients who often stay up late will not have good cardiovascular and liver function. In addition to the cause of pneumonia, it is no wonder that the patient's chest does not hurt. ”

"So you added lilies to your prescription." Tang Yi had a feeling of sudden realization.

Xi Jianhua nodded, "There is no unified name for pneumonia in traditional Chinese medicine, and when the name of the disease is approved, it is more called wind-temperature pulmonary fever." Lily cold, can replenish lung yin, clear lung heat, have a certain cough and expectorant effect, and can also nourish yin and clear the heart, calm the heart and promote sleep. ”

A single lily meets all the needs of the patient's condition. Tang Yi felt that even if he saw the cause of the disease and asked him to prescribe medicine by himself, he would not be able to wash the lead like this.

Tang Yi admired from the bottom of his heart, "Director Xi is really powerful, I still have a long way to go, and I hope you will give me advice in the future." ”

Nowadays, many recent college graduates come to the hospital for internships, and they still retain the habits of school. You need the teacher to supervise behind you, and ask for advice if you don't understand.

Xi Jianhua is very satisfied with Tang Yi, a young man who can recognize his own shortcomings and know how to think, "Your theoretical knowledge is the most solid of all the young people I have ever seen, and your brain is also bright, the only thing you lack is experience, this cannot be taught, it can only be accumulated through a large number of patients." ”

Fingers groped lightly on the thermos cup, and then I heard Xi Xianhua speak again, "The emergency department is the most important thing in this place is the patient, when you follow me to sit in the clinic in the future, you will first diagnose and prescribe medicine, if there is any deficiency, I will add it to you." ”

Tang Yi said respectfully, "I'm sorry to wash the director." ”

Wash the lead Hua waved his hand and said, "It's not troublesome, it's not troublesome to teach, you are talented and willing to learn, it's much easier than teaching those elm bumps." ”

It wasn't until a patient came in that the two stopped talking.

A young man with a pale face, hunched over, holding his stomach with one hand, sat down at the table, "Doctor, my stomach hurts." ”

Tang Yi, who received the signal from Xie Jianhua's eyes, opened his mouth and asked, "When did it start to hurt?" ”

The young man glanced at the young Tang Yi in front of him, a little uneasy, "Doctor, you should help me see it!" ”

Xihua said with a smile, "It's all the same, don't worry, I'll stand aside and check it." A hospital as big as the National Medical Hall, if he didn't have any skills, he wouldn't be hired, wouldn't he? ”

Tang Yi, who was sitting on the side, didn't feel embarrassed, isn't the hospital like this? Before the trust is established, the first thing the patient chooses when he arrives at the hospital is the chief doctor, and if he can't register, he will be postponed.

For doctors of the same level, patients will also choose some older ones.

In the eyes of the patient, the rank and age determine the medical skills of a doctor.

Although such a judgment is biased, it is also reasonable.

In addition to the exam, the doctor's level also requires a working age requirement. The longer you practice, the more experience you have.

The young man's stomach hurt terribly, and he nodded weakly and said, "It's eleven or twelve o'clock at noon!" ”

When Tang Yi stood up, he motioned for the young man to lie down on the observation bed, "What did you eat at noon?" ”

"Ate a bowl of noodles and an ice cream on the side of the street."

"Diarrhea?"

"La, I went to the toilet just now."

"How many times have I been to the toilet until now, and it's the water that pulls, or what?"

"Seven or eight times, right? It's okay at first, but it's basically water at the end. ”

Look at the time, it's only three o'clock now, that is to say, I went to the toilet seven or eight times in less than three hours, and the situation is a bit serious, "Have you ever vomited today, or do you have the urge to vomit?" ”

"I threw up once before I came to the hospital, and it will be fine, I can bear it."

The two of them asked and answered like this, and the Xihua who was sitting next to him nodded from time to time.

"It hurts, it hurts, doctor, you do it lightly!"

Tang Yi's palm moved away from the patient's lower abdomen and took off the sterile gloves, "You have acute gastroenteritis caused by eating unclean things and frozen food." ”

"Your condition is more serious, I will prescribe some medicine for you first, take it, and observe it in the hospital for a few hours." Tang Yi said as his fingers tapped quickly on the keyboard.

"Ah~" The young man sat up on the edge of the bed, and the pain in his abdomen made him gasp, "After the doctor takes the medicine, will the pain be reduced?" ”

Tang Yi said, "It's just a special medicine for the treatment of gastroenteritis, not a painkiller, and it won't relieve the pain quickly, but it can be gradually relieved as the drug is absorbed by the stomach and intestines." ”

Maybe because it was too painful, the young man said, "Oops~ My stomach hurts so much, why don't you prescribe me some painkillers first!" ”

"Any drug that has a pain-relieving effect actually has some side effects." Stopping the movements in his hand, Tang Yi turned around and noticed the expression on the young man's face, "I'll give you a few stitches to relieve your pain." ”

A smile of joy leaked out of the young man's distorted face, "Okay, okay, what do I need to do?" ”

took the young man to the disposal room, motioned for the other party to lie on the bed, turned around and washed the lead Hua had already handed a few silver needles in front of him.

Tang Yi was not pretentious, opened the outer packaging of the silver needle, lifted the young man's shirt, disinfected it with one hand, and pierced the Tianshu acupoint with the needle in the other.

The silver needle will be pricked, twisted, and lifted, and the skillful action will make the lead wash standing aside also slightly surprised.

Hearing the gasp of the young man on the hospital bed, Tang Yi spoke, "Ninja point, it is normal to have swelling pain or soreness during acupuncture treatment. ”

Upper navel acupoint, middle navel acupoint, Zusanli, Hegu, every time the needle is pulled, there is not a drop of blood oozing from the acupuncture point.

Tang Yi held the silver needle in one hand, "How do you feel now?" Is it still painful and unbearable? ”

The young man rubbed his stomach with a look of surprise, "Hey, it doesn't hurt anymore, it feels like it's better!" ”

Tang Yi nodded, and threw the silver needle package in his hand into the trash, "Get up!" ”

The young man lowered his head and glanced at his stomach, which was originally painful, and asked, "Doctor, my stomach doesn't hurt anymore, don't I need to take medicine?" ”

Tang Yi smiled, "What do you think, although acupuncture has the effect of treating gastroenteritis, the effect is not as good as medicine." Then there's a lot of water loss in your body and a slight electrolyte mess that needs to be replaced. If left untreated, it is likely that you will pass out on the road while walking. ”

The young man scratched his head, "Okay, okay, listen to the doctor." ”

Back in the consultation room, Tang Yi finished prescribing the prescription, "Director Xi, please take a look." ”

Wash the lead Hua stepped forward with a smile, looked at the prescription prescribed by Tang Yi on the computer, and sighed more in horror in his heart, "Yes, grab the medicine according to the prescription!" ”

The young man took the card, probably because of the reduction of abdominal pain, and at this moment he had a smile on his face, "Thank you, doctor." ”

Sending the patient away, Xiehua said with a smile, "Banxia Xingxin soup has a very good effect on abdominal distention, diarrhea and vomiting caused by gastroenteritis, and it is also equipped with bergamot, and stomach pain, antibacterial, anti-inflammatory, anti-vomiting, stomach cold phlegm, the prescription is impeccable, very good." ”

Tang Yi said modestly, "It's all taught by Director Xi!" ”

Although Xihua's heart blossomed, he said, "This is all your own credit, and it has nothing to do with me." ”

While the two were touting each other, Tang Yongming was in the office, and Shi Yan looked expectantly at Director Tang sitting opposite.

Leaning on the boss's chair, Tang Yongming's eyelids lifted slightly, "Shi Yan, you are now the general inpatient of our department, responsible for all matters in the ward, the workload is extremely heavy, do you still have the energy to learn laparoscopic surgery?" ”

Shi Yan hurriedly spoke, "Director, it is precisely because I am a resident that I need to learn laparoscopic surgery. You also know the situation in our hospital, as a hospitalist, I basically have to be in the hospital 24 hours a day. During the day, it is good to say that there are still people who can do this surgery when they encounter patients who need to do laparoscopy. But at night, no one will do it, so will the patient be transferred to the hospital or delayed until the next day? ”

Fingers lightly tapped on his knee, Tang Yongming nodded, "Well, what you said is not unreasonable." Laparoscopic surgery cannot be left in the hands of just one or two people, which can lead to a waste of resources. I'll go back and tell that over there, and you will learn too. ”

Walking out of the office, Shi Yan couldn't hide the smile on his face, "Xiao Wang, have you sorted out the cases that you sorted out at noon today?" ”

Xiao Wang, who was busy, stagnated in his hand, "Mr. Shi, I'm sorry, I'm done, I'll go write." ”

Shi Yan waved his hand, "It's okay, don't worry, just hand it over today, by the way, take it easy when you work, don't get tired." ”

Xiao Wang looked flattered and said, "Okay, okay! ”