"Did the patient take the medication?"

Chen Luo said in surprise: "Didn't Director Ling tell you not to use it for the time being?" ”

"That Director Cai didn't listen."

Sun Wanqing said: "The patient has been taking medication for a quarter of an hour. ”

A quarter of an hour is fifteen minutes.

"I'll go find Director Ling."

Chen Luo said that he hurriedly walked towards Ling Zhengyang's office, and without knocking on the door, he pushed the door directly and entered.

Ling Zhengyang was looking at the patient's admission records and medical records, and the resident doctor standing on the side of the bed saw Chen Luo pushing the door in, even if Ling Zhengyang had a good temper and got Fang Yunxian's advice, he was a little angry at this time.

"Xiao Chen, you really don't have any rules."

Ling Zhengyang suddenly got up.

"Director Ling, the patient has taken the medicine." Chen Luo hurriedly said.

"What!"

Ling Zhengyang's face changed, and he hurriedly walked out.

Through Chen Luo's explanation just now, coupled with the understanding at this time, Ling Zhengyang has almost made some judgments, and all that remains is to look at the patient's situation again and confirm it.

If it weren't for Cai Guo's face, Ling Zhengyang wouldn't need to be so troublesome.

Unexpectedly, after such a short period of time, the patient had already taken the medication.

Hearing that the patient had taken the medicine, Ling Zhengyang didn't have time to think about Chen Luo's attitude, and said to the resident doctor: "Let Director Cai go to the ward." ”

With that, Ling Zhengyang hurried to the ward, and Chen Luo followed behind.

"What's the situation?"

Seeing Ling Zhengyang in a hurry, the doctors and nurses in the department were a little strange.

Chen Luo is still following behind, is there really a problem?

There was speculation.

If something really goes wrong with the patient, that's fun.

First Chen Luo questioned, and then Director Cai insisted on giving medicine to the patient, if something happened, Cai Guoguo would be more responsible, and it could not be explained by misdiagnosis and neglect.

In clinical practice, misdiagnosis and mistreatment are unavoidable, if it is simply misdiagnosis and mistreatment, the doctor's responsibility should be lighter, after all, this kind of thing cannot be guaranteed, such a mechanism is to protect the doctor, but also to protect the patient.

If the responsibility of misdiagnosis and mistreatment of doctors is too great, then doctors still dare to be dedicated, and do they dare to treat at will, they are more conservative.

But if someone reminded that Director Ling Zhengyang would not allow medication for the time being, then the matter would not be simple.

At the smallest level, it is an illegal operation, and at the largest level, it is a careless disregard for human life, and it is a bit serious to say that intentional homicide is a bit serious, but the seriousness of the problem is definitely not small, not to mention the career, if the patient's family is held accountable, it will be criminally responsible.

In the ward, the patient has taken medicine, and he is lying against the hospital bed at this time, and he will have to wait for the nurse to hang the bottle.

"Director Ling!"

The patient and the patient's family also met Ling Zhengyang once and knew that Ling Zhengyang was the head of the department.

"Lie down, I'll see how it goes."

Ling Zhengyang sat down on the edge of the bed, observing the patient and checking the patient's pulse.

When the patient first came in the morning, Ling Zhengyang had seen the patient, but because the patient was handed over to Cai Guoyou to be responsible, Ling Zhengyang did not pay too much attention, Cai Guoyou is also the chief physician, with different positions and the same title, Ling Zhengyang can't interfere too much, unless it is a consultation.

Unless the patient is a difficult patient, the attending doctor in charge does not have a good grasp and consults together, otherwise they will not intervene with each other, and the department director has many things, and it is impossible for every patient to take care of them.

"Pulsed and astringent."

Ling Zhengyang felt the patient's pulse, judging from the pulse, the patient did belong to yin deficiency and bulging, Chen Luo said it well.

Ling Zhengyang checked the pulse, and then looked at the patient's tongue coating, there were purple spots on the tongue, judging from the tongue coating, there was indeed blood stasis witness, plus the patient's symptoms, if you just consider blood stasis and yin deficiency, it is not completely unreasonable to use peach kernel Siwu decoction to add or subtract.

Through modern medical research, Taohong Siwu decoction has the functions of vasodilation, anti-inflammatory, anti-fatigue, anti-shock, regulating immune function, lowering lipids, supplementing trace elements, anti-allergies, etc., and has a wide range of clinical use for patients' symptoms.

Ling Zhengyang also understood why Cai Guoyou used peach kernel soup for patients.

It is the so-called modern medical research, the so-called modern medical research on traditional Chinese medicine and traditional Chinese medicine prescriptions, which is really indescribable.

In some diseases, it is indeed effective, but it can be separated from the basis of syndrome differentiation in traditional Chinese medicine, and it is easy to have problems without considering the bias of the drug, as Chen Luo just said, Taoren Siwu decoction invigorates blood circulation and dissolves blood stasis, and yin deficiency and swelling are easy to bleed in clinical practice.

Whether it is yin deficiency and swelling and easy bleeding, or Taoren Siwu soup to invigorate blood and eliminate blood stasis, these two points are based on traditional Chinese medicine, but Cai Guoyou completely ignored them.

As the chief physician, this is still the case, and other doctors can imagine.

"Director Ling!"

Ling Zhengyang had just checked it, and Cai Guoyou had arrived, and his face was ugly.

What do you mean?

What did Ling Zhengyang mean by calling him?

Believe Chen Luo, don't believe him?

For a while, Cai Guo's anger came up again, if it weren't for Ling Zhengyang being the section director, Cai Guo might have scolded his mother.

"Let's go, go out and talk."

Ling Zhengyang walked outside the ward, Cai Guoyou and Chen Luo followed behind him, and went to Ling Zhengyang's office together.

"Cai Guoyou!"

When he entered the office, Ling Zhengyang slapped his desk and shouted.

"I specially told you to postpone your medication, do you take my words as a deaf ear?"

Cai Guoyou was originally angry, but he was taken aback by Ling Zhengyang.

"Director Ling, do you believe that Chen Luo, a medical student who has not yet graduated, do you believe me?"

Cai Guoguo is in disbelief.

"It's not a question of who to believe or who not to believe, it's a question of you taking my words as a deaf ear."

Ling Zhengyang said angrily: "And I just came from the ward, your prescription is indeed not safe enough, there is a risk of bleeding, once the patient bleeds, how should you deal with yourself?" ”

"How so?"

Cai Guoyou said: "The patient has blood stasis, I use the medicine Hongsiwu decoction to target the yin deficiency and swelling, which is completely symptomatic." ”

Saying that, Cai Guoyou hurriedly explained: "Taohong Siwu soup does have the effect of invigorating blood and removing blood stasis, which is aimed at the patient's blood stasis, although there may be a risk of bleeding, but clinical medication is risky." ”

"It's completely avoidable, so why take the risk?"

Ling Zhengyang said: "According to the patient's situation, try to use as little blood as possible to promote blood stasis and dispel stasis, start with yin deficiency and swelling, it can be completely avoided, blood stasis testimony is not the main evidence, nor is it the main factor causing the patient's swelling, you have been a doctor for so many years, you don't understand this reason?" ”

Cai Guoyou was scolded by Ling Zhengyang for a while, and he had no temper.

If Chen Luo said this, Cai Guoguo wouldn't be able to listen to a word, but Ling Zhengyang said that he couldn't take it seriously.

is also the chief physician, Cai Guoyou is younger and less qualified, and more importantly, who will be the director of the department after Ling Zhengyang's retirement, Ling Zhengyang's factor is also very important.

Generally, when the department director retires, most of them will not be involved in the personnel changes of the department, and some department directors will recommend the deputy director who they like to be optimistic about, so it depends on the mood of the old director.

So Cai Guoyou didn't want to offend Ling Zhengyang at all.

"Director Ling, let's think of a way now."

Chen Luo reminded: "In case of bleeding." ”

"The patient has already taken the medication, and with the patient's condition, he can't stand the toss, and now he can only pray that there is no risk of bleeding."

Ling Zhengyang sighed, and then looked at Cai Guoyou: "If the patient is in danger of bleeding and cannot be saved, Cai Guoyou will be criminally responsible." ”

At that time, Ling Zhengyang told him to postpone the medication, and Chen Luo said that there was a problem with the prescription, and many doctors in the department were there, and if the patient's family inquired, they would definitely be able to inquire.

According to the authority of the superiors and subordinates, Ling Zhengyang said to suspend it, and Cai Guoyou insisted on using drugs, which was an illegal operation.

For a while, Cai Guoyou's face changed a little.

He didn't think about this aspect at all before, and just now Ling Zhengyang reminded that Cai Guoyou also felt that even if there was a probability, the probability was not large.

However, when Ling Zhengyang said that he was criminally responsible, Cai Guoyou's face changed, he was not afraid of 10,000, he was afraid of what happened.

In case the patient has a good deal, if he can't be saved, let alone become the head of the department, there will be nothing.

"Is there any other way?"

Chen Luo also asked Sun Wanqing in his heart.

"Now we can only take one step at a time."

Sun Wanqing said: "If there is no bleeding, it is a bit risky to take a plan at this time, and if it bleeds, it is very likely that it will be too late at that time." ”

Chen Luo: "......."

Sun Wanqing said: "The most difficult and complicated thing is syndrome differentiation, because you can't judge the direction of the disease. ”

If it is a normal medication, the doctor can probably judge, but if the wrong medicine is used, everything may be available, like this time, Cai Guoguo's prescription is risky, but it is not absolute, Chen Luo just wanted to strangle the risk in the cradle at that time.

The patient has already taken medication, and the effect of the drug has not fully worked when Ling Zhengyang checked it just now, and there is nothing abnormal for the time being, so there is no way to treat the symptomatic medication at this time, after all, the medication should also be based on the symptoms and pulse.

But once the pulse symptoms change, it means that it has worked, and it may be too late.

"You just pray that the patient is okay."

Ling Zhengyang glanced at Cai Guoyou.

"Director Ling!"

As soon as Ling Zhengyang's words fell, a doctor hurriedly pushed open the door of the office.

"Director Ling, Director Cai, the patient in bed No. 6 suddenly developed epistaxis."

When Ling Zhengyang heard this, he subconsciously slapped the desk and hurriedly walked out, while Cai Guoyou's legs were weak, and he almost sat on the ground, staggering to follow, and Chen Luo also followed.

When I came to the ward, the patient was bleeding from the nose, and the resident doctor and nurse in charge of the bed next to him were helping, but they couldn't stop it, and the blood had stained the quilt and bed sheets red.

"Director Ling, Director Cai."

The patient's family hurriedly said, "How could it be, how could it suddenly be like this." ”

Looking at the patient's unstoppable nosebleed, Cai Guoyou's face was pale, and he was bleeding for a while, and he was really bleeding.

As a doctor, Cai Guoguo is well aware that epistaxis may be just one of the symptoms, and the most dangerous may be internal bleeding, coupled with the patient's liver disease.......