In the afternoon, as soon as Chen Luo returned to the department, he saw that a patient had come, and a resident doctor was arranging for hospitalization procedures, and the person in charge was Dr. Li Changlin Li, whom Chen Luo had met in the morning.

"Xiao Chen!"

Dr. Li greeted Chen Luo with a smile.

"Dr. Lee!"

"Newly arrived patients, you go along to help, and check it out by the way."

Dr. Li smiled and said to Chen, "I'll be here soon." ”

"Okay Dr. Lee."

Chen slightly answered, followed Zhao Bin and another resident doctor to place the patient into the ward.

The patient is a middle-aged man in his fifties who is followed by his wife and son.

"The patient came from an outpatient clinic with paroxysmal severe abdominal pain."

Zhao Bin whispered to Chen Luo.

While speaking, the resident doctor had already begun to inquire about the patient's situation, while Chen Luo was also sitting on the edge of the bedside to check the patient's pulse, and Zhao Bin had no room for interference at all.

Zhao Bin, an intern, is a little brother in front of the Bancun resident, that is, Chen Luo, and the Bancun resident doctor does not dare to have any opinions.

"How's the diet?"

"I can't eat, I vomit when I eat." Patient tract.

"Is there any arrow?"

The resident doctor asked again: "It's a fart." ”

"Nope." The patient shakes his head.

Chen Luo was diagnosing the pulse while listening to the inquiring of the resident doctor, and the pulse was strong and powerful.

"Mouth open."

The resident doctor stepped forward to check the patient's tongue coating again, and Chen Luo also watched from the side, the tongue was pale red, and the tongue was yellow and tender.

"Which piece hurts?" The resident doctor handed the folder to Zhao Bin and asked.

"This one."

The patient pointed, and the resident doctor reached out and pressed it, and the pain just touched the patient.

"Pain refuses to press."

The resident doctor took the folder and wrote a few words on it.

"Yes." Patient tract.

The resident doctor was asking, and Li Changlin came in.

"Dr. Lee."

The resident doctor hurriedly handed the folder to Li Changlin: "Doctor Li, I just asked about some of the circumstances. ”

"Well, it's about the same as the outpatient clinic."

Li Changlin took the folder and looked at it, and asked Chen Luo: "Has Xiao Chen diagnosed his pulse?" ”

"The pulse is strong." Chen Luo said.

"Well, it seems to be empirical evidence, the intestines are not clear, there is no arrow, the diet is not good, and the heat is stagnant."

Li Changlin said: "You can use the method of capture." ”

As he spoke, Li Changlin also stepped forward to confirm the patient's pulse, and was about to give a prescription, but suddenly asked Chen Luo: "What does Xiao Chen think?" ”

"Dr. Li, if it is a real fever, the patient should generally have signs of fever, but the patient does not have a fever, is it also a real fever?" Chen asked in an inquiring tone.

This is really not the result of Chen Luo's questioning of Sun Wanqing, but Chen Luo's own thoughts.

At Chen Luo's current level, he still understands the appearance of some diseases, generally speaking, real fever is mostly accompanied by fever, but the current patient has no fever.

"And the patient is not dry, and the pain is paroxysmal." Chen Luo said again.

Li Changlin: "......."

Originally, Li Changlin just asked casually, but he didn't expect Chen Luo to really have an opinion, and if he had an opinion, he wouldn't say it, and it was obviously different from his judgment.

The resident doctors on the side all looked at Chen Luo in amazement, Dr. Li is going to capsize again?

"Xiao Chen, you may not have noticed the patient's other conditions."

Dr. Li said: "The patient was transferred from the outpatient department, I just checked the diagnosis there, and the patient also had an abdominal fluoroscopy, and a large amount of inflation was inflated, which is a manifestation of real heat stagnation and lack of qi in the intestines. ”

"Dr. Li, TCM syndrome differentiation does not need to look at the patient's abdominal fluoroscopy, and the syndrome differentiation can still be clear."

As soon as Chen Luo heard this, he knew that Dr. Li had committed the problem of applying Chinese medicine prescriptions to Western medicine again, and it could not even be said that he had committed it, but such a method could be said to be a common problem among doctors in major Chinese medicine hospitals now.

When he was in the central hospital before, Chen Luo checked patients in the ward every day, and he encountered a lot of situations, but most of the problems were not big, at most they were not fully considered, and Chen Luo, who had a larger deviation, asked Qin Xingchao to ask, and if the deviation was not large, Chen Luo regarded it as not seeing.

Chen Luo actually understands the rules of the hospital, that is, Cai Guoguo's problem yesterday was too serious, and Chen Luo could only stop the medication immediately.

Like this time, Li Changlin's mistake will inevitably worsen the patient's condition after taking the drug.

When he saw Li Changlin's explanation, Chen Luo knew that if he didn't convince Li Changlin, Li Changlin's thinking might not change for a while, and he had already begun to discuss it with Sun Wanqing.

"The husband's judgment is correct, the patient is indeed not a real heat stagnation."

Sun Wanqing said: "The husband can ask about the patient's medical history and the cause of the disease. ”

"Of course."

Li Changlin said: "The examination of Western medicine is only a reference, but in clinical practice, such situations are not uncommon, and they can still be distinguished. ”

Similar to Li Changlin's traditional Chinese medicine, some diseases of Western medicine are classified according to some similarities, and among the ten diseases in such a classification, there must be six or seven common points, so many doctors distinguish syndromes according to these six or seven common points.

However, such a basis is detached from the foundation of traditional Chinese medicine, and when it encounters the opposite, it will often make a big mistake.

Chen Luo did not argue with Li Changlin, but asked the patient: "What is the reason for the illness, and the abdominal pain begins to occur when the patient is good?" ”

"My dad was repairing the sewers, and when he was working overtime, the water pipe burst, and he poured cold water all over his body, and then he had a stomachache."

The patient's son said.

"Do you feel heavy?" Chen asked the patient.

"Yes, yes, when it hurts, it's like something is falling."

Patient tract.

Li Changlin: "......."

As Chen Luo inquired about the patient's medical history, the patient had been doused with cold water before his illness, and at the same time, he felt a heavy fall in abdominal pain, and Li Changlin knew that his previous judgment was wrong.

"Although the patient's initial symptoms resemble the empirical evidence of Yang Mingfu, it is not the case, which can be judged from the fact that the patient has no fever, tongue coating and pulse, and the abdominal pain is labor pain, and there is a feeling of heaviness, which should be cold and damp abdominal pain."

Chen Luo said.

After discussing with Sun Wanqing, Chen Luo already knew everything about the condition.

Just now, Chen Luo asked Sun Wanqing in a low voice: "Is this performance too showy?" ”

Chen Luo also felt that he was still only a medical student, and the specific argument was still because of Sun Wanqing, so he didn't want to be too high-profile, just remind Li Changlin.

Sun Wanqing said: "Husband forgot what happened yesterday? ”

"If you want to be recognized, your husband must show sufficient level and ability, and sometimes it is okay to be high-profile."

Thinking of yesterday's scene, Chen thought about it for a while, so he didn't hide his secrets, and began to talk about the symptoms in detail.

"Oops."

Li Changlin was amazed at the moment: "Chen Luo is worthy of being Chen Luo, worthy of being the champion of this year's clinical skills competition, I just gave it a try, but I didn't expect it to really let me try it." ”

While trying his best to save his face with jokes, Li Changlin couldn't help but break out in a cold sweat.

The patient is a cold syndrome, but he distinguishes the syndrome as a hot syndrome, which is hot and cold, which is very different.

Although this patient is not as serious as Cai Guoyou's patient yesterday, and his life is not in danger, Cai Guoguo's incident only happened yesterday, and if he makes another mistake today, it will be a crime against the wind.

"It's just some of my opinions, not necessarily correct, thank you Dr. Li." Chen Luo also gave Li Changlin a step.

The inpatient on the side was dumbfounded.

Although Li Changlin tried his best to cover it up, the resident doctor had been with Li Changlin for two years, and he still knew Li Changlin's temper, and Dr. Li should have really made a mistake just now.

Yesterday, Cai Guo had something, and some people speculated that Chen Luo might have met a dead mouse, but look at it today, what kind of blind cat is this, people are really level.

Zhao Bin also sighed with emotion, no wonder Chen Luo was able to defeat Shang Xuewen and win the championship of the clinical skills competition, which is really amazing.

Li Changlin re-prescribed the prescription, and while walking out of the ward with Chen Luo, he said to Chen Luo with a smile: "Xiao Chen, how about following me in the future?" ”

Chen Luo's level Li Changlin can be regarded as having seen it, rather than letting Chen Luo run around in the ward every day, Li Changlin feels that it is better for him to take Chen Luo with him, so that even if there is any mistake, Chen Luo can still check and fill in the gaps.

"Thank you, Dr. Lee."

Chen thanked him slightly.

I communicated with Sun Wanqing just now, Sun Wanqing supported Chen Luo to come out in the hospital, since he wants to come out, he must have a chance, and Chen Luo himself has no prescription rights, so there is nothing wrong with following Li Changlin.

Sun Wanqing's attitude towards Chen Luo is that no matter what the symptoms are, Chen Luo must judge by himself first, Chen Luo is really not capable enough, Sun Wanqing only helped, with Chen Luo's current level, Chen Luo can deal with some basic diseases, and with Li Changlin, he can also exercise Chen Luo well.

"Okay, then let's say so, you will follow me in the future, and I will say hello to Director Ling later."

After receiving Chen Luo's reply, Li Changlin was also in a good mood.

Li Changlin is seven years Chinese New Year's Eve old today, he is a senior director, Chen Luo's level is good, and he is a top student, so it is a good thing to be able to have a friendship with Chen Luo in advance.

"Chen Luo, you are so powerful."

Back in the duty room, Zhao Bin sighed.

Based on Chen Luo's judgment just now, Zhao Bin felt that he was completely confused.

He is a senior this year, Chen Luo is only a junior, and he is still a skipping student, and the gap between the two is so big.

"Chen Luo, do you have any tricks to teach to everyone?" The resident doctor also came over.

Don't talk about Zhao Bin, the resident doctor didn't understand it too much just now.

Zhao Bin opened his mouth, Ban Cun is an official resident doctor, he has to call a teacher when he sees it, this is directly to Chen Luo?

"Actually, there is no trick, just read more books, accumulate more, and then use them in clinical practice." Chen thought for a while.

Zhao Bin: "......."

Ban Cun opened his mouth and said, "I seem to have heard that there are hands." ”

"I heard that, too."

Zhao Bin nodded.

Chen Luo said it is so simple, but why do they think it is so difficult, what Chen Luo just said is really good for having hands.