It was said that Ye Nan calmly unbuttoned the patient's clothes and asked Comrade Xun Bin, the director of the turtle, to examine the patient. Watching the turtle gently lower his head and look at the chest of the old lady on the bed, and then touched the tip of the heart pulse under the shriveled and drooping ** with his hand, stretched out his hands and gently buttoned the heart out neatly at the heart, and then picked up the stethoscope and listened according to the position of the five heart valves.

Looking at Director Turtle's neat methods, Ye Nan also sighed in his heart: this Xun Bin still has some skills, a set of heart sight, touch, percussion, and listening diagnosis methods, which are indeed in place, but I don't know if the clinical experience is enough to be recognized.

After listening to Xunbin in his heart for a minute, he looked at the monitor next to the bed, then raised his head and asked Han Ling, "What is the number of nitroprusside drops in the patient now?"

"10 drops/min!" replied Han Ling neatly.

"Speed up the number of nitroprusside drops, and now the patient's blood pressure is still bearable, just keep her blood pressure under control to 90/60mmHg!"

Ye Nanshun looked at the patient's blood pressure, and now it is maintained at about 95/65mmHg, even if the sodium nitroprusside is adjusted, it can be added to 11 drops / min at most, even if it is good, the effect of this drop difference has almost no effect, and if it is adjusted again, it is purely a fart to take off his pants, and this is a big move.

It seems that this is a matter of using some things as surnames abroad, and I am familiar with it, and I am not too proficient in real clinical practice.

Han Yan also seemed to have seen the bottom of the turtle director, but she understood it very well in her heart, and did not raise this question, but quickly agreed, anyway, just tune it, he is the director, as long as it has no impact on the condition, listen to him.

Seeing that Han Yan nodded in agreement, the turtle director nodded, and was about to turn around and leave to see another patient, when suddenly a strange look suddenly flashed in his eyes, and he quickly coughed again: "Hmm...... Also, the patient needs to strengthen anti-infective treatment, and the effect of cefoperazone sodium is not good, so replace it with Kaifulong!"

"Uh......" Han Ling heard this, and was obviously stunned, the cefoperazone sodium used very well in the past three days, and the infection was well controlled, why did he suddenly have to change the dressing, this Kaifulong is also a drug of the third generation of cephalosporin, and the Second Affiliated Hospital just came in, although it is imported, it may be stronger than cefoperazone sodium but not too much, is it more popular to use this abroad?

But she didn't think much about it, the director's order, this is still well implemented, and quickly nodded in agreement! Director Turtle nodded with satisfaction, and then turned around and walked towards bed 29.

Bed 29 is Ye Nan's patient, seeing Ye Nan and a large group of doctors coming over, the family member smiled and said: "Doctor Ye, I just came to check, and now I want to trouble you again!"

Ye Nan nodded and smiled, and then gestured to the family: "This is our Director Xun, specially here to check on your father!" Ye Nan took a step back and let Xun Bin step forward.

Ye Nan still pays great attention to these details, although he doesn't need to be taboo Xun Bin, but after all, he is now the deputy director of the emergency department, and he is his senior doctor, representing the face of the department and the hospital.

After all, it is extremely taboo for all hospitals to resist the face of senior doctors, especially the director, in front of patients for some small problems of personal face, because the hierarchical concept of the hospital is extremely strict, and facing the confrontation is tantamount to challenging the dignity of all directors and leaders.

Although Ye Nan is not afraid of this, but he has to think about his own hospital, the leaders of the hospital are very good to him now, especially Professor Huang, who is holding him in one hand, Ye Nan is even more reluctant to let him lose his face, so he took the initiative to suppress his emotions, and his personal face is small, but he must not make such a big joke.

So he took a step back, waited for Xun Bin to step forward and stood still in front of the bed, and the patient's son hurriedly smiled and greeted Xun Bin: "Director Xun is bothering you!"

Xun Bin nodded slightly, in response, Ye Nan saw that Xun Bin no longer spoke, so he began to take the initiative to report the medical records: Patient Zhang Zigen, male, 58 years old...... He was admitted to the hospital for cough for more than 10 days with chest tightness and shortness of breath for 5 days...... Diagnosis is considered "severe pneumonia"...... After giving "levofloxacin" and "cefoperazone sodium" to fight infection, "aminophylline" to relieve spasmodic asthma, and "dopamine" to improve pulmonary circulation, the patient's cough and shortness of breath are better than before!

Ye Nan finished reporting the medical records, looked at Director Turtle, and said with a faint smile: "Please find Director Xun to check the instructions!"

"Hmm......" Xun Bin nodded coldly, and then watched Ye Nan untie the patient's clothes before starting to check.

A few minutes later, Xun Bin raised his head after the examination, Ye Nan hurriedly pulled down the patient's clothes again, after all, it was only February, although the air conditioner was turned on indoors, but it was still a little cool, if this patient with severe pneumonia was cold, it might be aggravated again.

Just as he was about to help the patient button up his coat, the family member next to him hurriedly reached over to button the patient's clothes, and said with a smile: "Doctor Ye, I'll come, I'll let you do it!" Ye Nan smiled, then withdrew his hand, and waited for Xun Bin to give instructions to the patient.

Seeing that the family members were so polite to Ye Nan, Xun Bin felt a little unhappy in his heart, and the family members just said hello to themselves just now, but they were extremely enthusiastic about Ye Nan, could it be that I, the director, are not as good as an ordinary doctor?

Speaking of this Xun Bin is also pitiful, when he was abroad, he was a doctoral student, always following behind his mentor, and in the face of his mentor's reprimand, no one regarded him as a thing, which made him really inferior for two years. And after returning to China this time, relying on his name as a doctor of emergency medicine and the help of his uncle, he became the deputy director of the emergency department of the Second Affiliated Hospital.

Thinking of his mentor's grandeur in the hospital, this Xun Bin felt itchy in his heart, now it's okay, he also turned over, in his thirties, he was mixed with the deputy director of a provincial hospital, which is rare. Since then, Xun Bin thinks that there are no tigers in China, and he, a returnee doctor, can also be the overlord.

Today, the slave turned over and became the director, so before going to work, this Xun Bin wiped his hair with gel water and wiped his head like a little brother, and even his eyes that had just undergone myopia laser surgery were stunned to put on a pair of flat brand-name gold wire glasses, which made the director's style full.

The slave who suddenly turned over, his mood suddenly changed greatly, and he felt that his tail had been cocked to the sky, and he had no eyes left, so as soon as he entered the department, his nostrils were facing the sky, and he passed the director's strength in high spirits.

He stood in front of the bed, according to the style of the tutor abroad, and waited for Ye Nan, who was standing opposite, to undress him from the patient, and waited until he didn't see Ye Nan move, and felt that he was not taken seriously by the director, so he reprimanded Ye Nan for a while.

Originally, after seeing that Ye Nan was trained for a while, he seemed much more respectful, so he breathed a sigh of relief. But the patient's family was more enthusiastic about the doctor than they were about their own director, and they felt unhappy again.

This Xun Bin didn't want to think about it, people greeted him warmly, but he just snorted, people will stick your cold ass with a hot face, and Ye Nan has taken care of this patient a lot in the past few days, of course people are enthusiastic about Ye Nan.

It's just that this Xun Bin didn't have a good seizure at the moment, so he had to sprinkle his breath on Ye Nan again, in front of the patient's family, to show his authority, and reprimanded Ye Nan with a straight face: "How did you do it, the patient has been in for a few days, there are still so many rales in the lungs, and the antibiotics are all used with some low-level drugs, how can the patient be well, how can you be a doctor?"

Hearing this Xun Bin's reprimand, all the people were stunned, Han Ling and Zhang Ying behind them were all frowning, how could this Xun Bin talk like this, even if Ye Nan used the wrong medicine, but he could only make suggestions or criticize and communicate in private, how could he reprimand his doctors in front of the patient for having a problem with the medication, if the patient found the hospital because of this, it would be a big trouble! Besides, according to the patient's situation, there is nothing wrong with using the medicine in this way, and the patient's condition is also better than before, how can he talk like this?

And the patient's family was also panicked when they heard this, but he was not worried that Ye Nan's medicinal use was wrong, his father had been treated here for two days, and the situation had been significantly better, but what did the director say that the medicinal use was too low-level, how could this be good, according to the first usage, the money he prepared should be able to last for another two or three days and wait for his father's patient to stabilize before going home, but if this is a high-grade medicine, I don't know if my money can last until tomorrow.

At that moment, the family members hurriedly smiled and said: "Director Xun, that's the case, our family is not too rich, I have repeatedly told Dr. Ye not to use imported medicines, and besides, my father has been much better, can you just use the current medicine, this medicine works very well, do you think it's okay?"

Seeing the patient's family defending Ye Nan with such words, Xun Bin was even more angry, he had never been a director, he didn't have a sense of the overall situation at all, he wouldn't take care of other things, he only thought that he, the director, criticized a junior doctor's medication, and did he want others to intervene?

Ignoring the family members at the moment, he shouted angrily at Ye Nan: "If the family asks for it, you will listen to him? Are you a doctor or is he a doctor? If you become a doctor like this, then what qualifications do you have to work in our hospital? For an irresponsible doctor like you, I will suggest to the dean in the name of the head of the department that you be fired!"

Ye Nan looked at Xun Bin calmly and frowned slightly, he was thinking about how such a person could get mixed up with the deputy director...... After smiling lightly, Ye Nan said, "......"

(To be continued)