Chapter 104: Priorities
"Fang Yan!"
As soon as Fang Yan walked into the Provincial Hospital of Traditional Chinese Medicine, he heard someone shouting to him, and following the sound, Fang Yan saw Zhou Yan.
"Doctor Zhou?"
Fang Yan was a little surprised, and joked: "Doctor Zhou won't wait for me here, right?" ”
"That's what I did here to wait for."
Zhou Yan smiled and said, "Don't you remember that I was in the Department of Internal Medicine?" ”
"Look at my memory."
Fang Yan smiled: "Dr. Lao Zhou is waiting in person, I am really flattered. ”
"Don't pretend in front of me?"
Zhou Yan said angrily.
Still flattered?
She had made her words very clear before, but Fang Yan was not happy and flattered.
And when he went to the Provincial University of Traditional Chinese Medicine, Fang Yan called him modest, but what he did was not modest at all.
"Save me some face."
Fang Yan said with a smile.
As he spoke, Fang Yan and Zhou Yan walked towards the inpatient department at the back together, and when they got out of the elevator, Nie Jinping was waiting at the elevator entrance.
"Doctor Fang."
Originally, Nie Jinping planned to go below to wait for Fang Yan in person, but Zhou Yan volunteered, and Nie Jinping was naturally very interested.
Zhou Yan was also present at dinner last night, but after eating, Zhou Yan stopped the car at the door of the hotel and went back, and she didn't know what happened later.
"Trouble Dr. Fang to run."
Nie Jinping was very polite, he was very polite to Fang Yan last night, and after meeting Gao Huiqiang this morning, Nie Jinping was even more polite.
"Boss Jin is polite, let's take a look at the patient first."
Fang Yan and Nie Jinping walked towards the ward while being polite, and when they entered the ward, You Guanglin, the director of the Department of Internal Medicine, was in the ward.
"Doctor Fang, let me introduce you, this is Director You Guanglin You."
"Director You, this is Doctor Fang Yanfang from Fusheng Hall."
You Guanglin had already looked at Fang Yan, and the first time he saw Fang Yan, You Guanglin was stunned for a moment.
You Guanglin had long known that Fang Yan was Fang Yuanlin's grandson, guessing that Fang Yan's age should not be very old, but he didn't expect Fang Yan to be so young, only twenty-seven or eighteen years old.
At this age, he is even younger than his son.
"Director You." Fang Yan greeted politely.
"Dr. Fang is really young."
You Guanglin said: "I was still looking at the medical records that Xiao Zhou was looking at just now, and one of the patients I treated before arrived at Fushengtang ........"
Saying that, You Guanglin told the patient's situation again: "Fortunately, I met Doctor Fang, otherwise the patient would have suffered." ”
The two of them were polite, and then Fang Yan arrived at the bedside.
On the hospital bed is Nie Jinping's father-in-law.
Nie Jinping's father-in-law is 73 years old this year, he was diagnosed with diabetes more than ten years ago, and has been taking hypoglycemic drugs to control it, and later he was found to have a heart attack, and some time ago he was found to have a cerebral infarction, brain atrophy, trembling hands, weakness, and unsteady gait, and then hospitalized in the Provincial Hospital of Traditional Chinese Medicine, and constipation in the past two days, blood sugar is also difficult to control, and the condition is getting worse and worse.
You Guanglin asked Zhou Yan to take Nie Jinping's father-in-law's medical records, let Fang Yan take a detailed look at it first, and at the same time told Fang Yan about the situation.
"During this period of time, I have been taking hypoglycemic treatment here, and at the same time promoting blood circulation and removing blood stasis, I have tried various methods, but the effect is not great."
Fang Yan read the medical records, sat on the edge of the hospital bed and checked the pulse of Nie Jinping's father-in-law.
The patient presents with trembling hands, weakness, constipation, fatigue and drowsiness, silence and little speech, difficulty in taking care of oneself, and the condition gradually worsens, the tongue is pale and green, and the pulse is astringent.
After checking Nie Jinping's father-in-law, Fang Yan groaned slightly.
"Doctor Fang, I've seen your previous medical records, don't hide it this time." You Guanglin said with a smile.
"Patients have old myocardial infarction, but also accompanied by cerebral infarction, cerebral atrophy, diabetes and other diseases, in the treatment, in accordance with the principle of urgency of the specimen, once the disease appears unfavorable to the urine and bowel movements, whether it is a specimen or a specimen, it should be regarded as the main disease, and the situation of unfavorable urine and urine should be solved first."
Fang Yan said: "Patients have constipation, at this time, you can put aside blood sugar and other symptoms first, and solve the problem of constipation first." ”
In terms of treatment, he took into account the lowering of blood sugar, taking into account the patient's myocardial infarction and cerebral infarction, and also taking into account the blood circulation and blood stasis, and at the same time solving the patient's constipation.
These situations are mixed together, You Guanglin can't take them into account at all, but he has to take them all into account, and the result is that no problems can be solved, but the patient's condition continues to worsen.
"I think blood sugar and other things can't be ignored, what if something else happens?" You Guanglin Road.
"You know, the symptoms affect the whole body, and constipation is also related to other conditions."
Fang Yan said: "Judging from the patient's pulse syndrome, the patient's constipation should be a yin knot, and you can use rhubarb aconite soup to warm and yang for laxative, and other problems can be alleviated as soon as the stool is cleared." ”
This is the case with You Guanglin, a new type of Chinese medicine, when distinguishing priorities, he often likes to use Western medicine as a reference, such as diabetes, myocardial infarction, and cerebral infarction, which are very tricky in You Guanglin's view, but it is easy to subconsciously ignore the small problem of constipation.
"Director You has taken the treatment of lowering blood sugar, invigorating blood and removing blood stasis in the past few days, and the effect can also be seen, and other problems have not been alleviated, right?" Fang Yan said.
"That's what Dr. Fang said, then follow Dr. Fang's method to treat first."
You Guanglin thought about it, and in addition to Fang Yan's treatment of patients with sweet mouth, he also recognized Fang Yan's analysis.
"Rhubarb aconite soup is flavored, first use three doses."
Fang Yan opened the prescription, and then handed the prescription to You Guanglin.
Just when Fang Yan was treating You Guanglin's father-in-law in the Provincial Hospital of Traditional Chinese Medicine, Lin Zhongxue also arrived at the hotel where Fang Yan and Fu Xuezhen met before.
Huang Zhengliang called in person, and Fu Xuezhen came again, and Lin Zhongxue had to give some face.
As Li Jingxian's apprentice, Lin Zhongxue can also be regarded as a person in the apricot forest, with Fu Hongsheng's status and reputation in the apricot forest, Lin Zhongxue is also a junior in front of Fu Hongsheng.
"Thank you, Lin Hall."
Fu Xuezhen warmly shook hands with Lin Zhongxue.
"Mr. Fu is polite."
Lin Zhongxue said politely: "Mr. Fu came to Qingcheng, it should be my reception." ”
"Lin Hall, uncle, don't be polite to the two of you, sit down first."
Huang Zhengliang greeted on the side, before Lin Zhongxue came, Huang Zhengliang had asked the waiter to change a new pot of tea, and removed the previous dish and changed the dish again.
It's still the same private room, but it's a different person, Fang Yan didn't eat a bite of food before, so he had a conversation with Fu Xuezhen, and I don't know what Lin Zhong's attitude is?