This doctor is not short of money

Chapter 479

After leaving the village committee, Du Heng asked Qiu Pingzhen, "Is there any medical team around here?"

Qiu Pingzhen immediately took out his small bag, "I remember Director Cao of the Department of Internal Medicine, it's in a village on our way back, I'll take a look now."

Du Heng didn't urge, just started the car, ready to return to the hospital.

Qiu Pingzhen quickly searched for the information he wanted, and was about to speak when Du Heng's phone rang suddenly.

Du Heng glanced at the caller ID, "Wait a minute, I'll answer the call."

After speaking to Qiu Pingzhen, Du Heng picked up the phone and said, "Director Zhou, hello...don't dare to use it? That's fine, I'll hurry over here as soon as possible. I'm going to the countryside now, and it may take four to 10 minutes to get there." arrive."

After hanging up the phone, Du Heng increased the speed of the car and said to Qiu Pingzhen, "Let's not go to Director Cao's side anymore, let's go to the Municipal First Hospital now."

"Go to the First City Hospital?"

"Well, Director Zhou of the emergency department of the city's No. [-] hospital called and said that there is a patient who needs to be re-diagnosed. We are rushing over now, hoping to make it in time."

Qiu Pingzhen glanced at Du Heng in surprise. He knew that Du Heng was the external deputy director of Provincial No. [-], but he didn't expect that Du Heng had not yet been invited by the No. [-] Municipal Hospital for intensive consultation.

Is this young man really so powerful?
It seems that I don't know enough about this wish.

While Du Heng was on his way, Zhou Yixian stood beside a doctor who was about his age, and an old doctor with gray hair.

"Old Zhang, you are an expert in our hearts, please tell us your thoughts."

"Coronary heart disease with heart failure and frequent ventricular premature beats and fibrillation has been rescued for an hour. I have used all the methods that should be used, but the ventricular fibrillation still cannot be eliminated. I try my best."

Director Zhang beside him frowned, "Old Zhou, give up, give up now, and save some money for the patient."

Zhou Yixian's lips moved slightly, and his masseter muscles kept shaking, "This is not a matter of saving some money. The patient is too young. He is only 36 years old. You saw it when he first came in. His wife is still disabled and has limited mobility. Now we bring the two children to kneel at the door. If we give up with one word, how will the remaining one big and two little ones live?"

"But now there is really no other way. The patient's heartbeat has always been maintained at 240 beats per minute. If it weren't for our hard work during this period, the patient would have disappeared. If this delay continues, what effect will it have besides spending more medical expenses?
Lao Zhou, we are doctors and individuals. Manpower is sometimes poor. Giving up now is also a good thing for the family.I can't do this kind of thing if I know that I can't save him but insist on saving him. "

Zhou Yixian took a deep breath, he wanted to give up now, but looking at the mother and son at the door, he really couldn't make up his mind.

He still has one final choice, Du Heng.

But Du Heng said that it takes four to ten minutes to arrive, but can the patient last for four to ten minutes?

The heartbeat is 240 beats per minute, and the ventricular fibrillation comes as soon as it is said. It is really a matter of heaven and hell every second.

After thinking about it, Zhou Yixian took out the prescription that Du Heng had used before, looked at the gray-haired doctor in front of him, and said, "Director Li, please take a look at this prescription, it was used by Du Heng to treat two other pulmonary heart disease patients before." The prescription, can you see if it can be used now?"

Director Li reached out to take the prescription, but when he saw the name and dosage of the first medicine, his hand trembled.

Two hundred grams of aconite! ! !
I am going to retire soon, but adding up the amount of aconite I have used in my life, it is not more than half of this prescription.

Looking at the compatibility of other medicinal materials, Director Li swallowed involuntarily. He has been cautious all his life and never dared to use such a dosage of medicine.

But fortunately, his level is still good, so he calmed down, read the prescription carefully, and after thinking for a while, he said, "According to the two cases you mentioned, and looking at the combination of this prescription, it should be effective for the patient. "

Zhou Yixian's face immediately had a happy face, but before he could fully show his happy face, Director Li continued, "However, the patient has the symptoms of excessive urination but not thirsty, red tongue with little moss, and sleepy waist. The manifestation of yin deficiency, but there is no medicine to save yin in this prescription, it just restores yang to save adversity, and I am a little uncertain about this point."

Zhou Yixian said in a hurry, "Director Li, let's see, I'll have someone prepare it now if you want to add the yin-saving herbs you mentioned."

Director Li shook his head, "The prescription is too strong, I dare not change it randomly. If medicinal materials are added indiscriminately and the other medicinal properties of this prescription are changed, saving people will become killing."

Zhou Yixian who said this was immediately anxious. Isn't it equivalent to not saying anything after talking for a long time.

Zhou Yixian was also helpless now, and Director Li put down the prescription in his hand, sighed and said, "Xiao Zhou, I can understand your feelings, although this prescription did save two people, but the dosage is so large that it is I have only seen it in my life. And as I said just now, this prescription is only possible to be effective.

But let me be honest, with this amount of medicine, if there is a problem, you will be held responsible.So, I also advise you to give up. Ventricular fibrillation has been repeated for an hour, and there is really little hope. "

At the beginning, Director Zhang also said at this time, "Our suggestion is to give up, don't make the patients suffer too much, and don't let the family members suffer.

Hurry up and explain the situation to your family members, I believe they are already mentally prepared. "

Director Zhang paused for a moment, "Let's leave first, the ward is still busy."

After finishing speaking, he walked out the door with Director Li.

Du Heng was very lucky along the way, he basically didn't run into any red lights, and he never took off the foot on the accelerator.The original journey of more than 40 minutes took less than [-] minutes for Mr. Feng to arrive at the place.

After parking the car, Du Heng quickened his steps to go upstairs, and Qiu Pingzhen followed Du Heng up at a trot.

When he arrived at the door of the emergency room, the first thing Du Heng saw was a woman kneeling on the ground facing the emergency room by the side door of the emergency room, and there were two young children beside her. Stop muttering something softly.

Every time Du Heng came to the emergency department of the First Hospital of the city, he would see a few cases of such scenes. Zhou Yixian even told Du Heng that there were more people in the aisle next to the emergency operating room and on the roof than here, and more people than these people. pious.

He once jokingly told Du Heng that if there were an incense burner and a god tablet at the entrance of the emergency department, it would probably be the most prosperous place in the world for incense.

Du Heng just glanced at it, and stopped paying attention. Instead, he directly grabbed a nurse who had just passed by, and began to ask where Zhou Yixian was.

Although Qiu Pingzhen works in a hospital and is also called a doctor, he really doesn't know how to treat diseases. He has never been to the front line, and he has never seen what the emergency department looks like.

The most exciting thing he has ever seen is the husband and family members waiting anxiously at the door of the delivery room.

The first thing he saw now was the kneeling of the obviously disabled woman and the two children. For the first time, he felt that being a doctor might really be more than just doing examinations, prescribing prescriptions, and taking medicines.

This scene made his heart shrink severely.

But before he had time to think about it, two steps away from him, there was a burst of unbridled howling, which made him shiver.

Relatives are gone?!!!
Even though I have worked in the hospital for more than ten years, I have never heard such sad crying.

No wonder doctors are reluctant to come to the emergency department. Who can stand playing with human life every day.

"What are you doing in a daze, don't you come in?" Qiu Pingzhen, who hadn't recovered yet, was suddenly called out by Du Heng, and when he looked again, Du Heng had already walked into the closed door of the emergency department.

"Here we come." Qiu Pingzhen didn't dare to delay, and quickly followed Du Heng's pace.

At this time, Zhou Yixian's office door had just been opened, and Du Heng had just rushed to the door, "Director Zhou, how is the patient?"

As Du Heng's voice came to mind, Zhou Yixian finally felt a little moved, "President Du, you are here."

Du Heng didn't know the two people at the door. After nodding, he looked at Zhou Yixian again, "Director Zhou, how is the patient? I flew back almost all the way."

"The patient still has vital signs, but the condition is very bad. We diagnosed coronary heart disease with heart failure and frequent ventricular premature beats and fibrillation. Ventricular fibrillation occurs frequently, 248 beats/min. Severe pain in the heart area, profuse sweating and wheezing. serious."

Zhou Yixian and Du Heng have also cooperated several times, and they are familiar with Du Heng's routines. They directly began to pick the key points and said to Du Heng, "The family members said that the patient had a lot of urination before admission, and he was sleepy. Director Li of our Chinese medicine department I also did a physical examination, the patient's tongue is red and less moss, and the pulse is... Director Li, what is the patient's pulse?"

Director Li entered the door from Du Heng, and looked at this young man seriously. He couldn't figure out how this young man would have such courage and courage to use such a heavy prescription.

Hearing Zhou Yixian's question at this time, he immediately answered, "The bird pecks at the pulse."

Bird pecking at the pulse?

Du Heng frowned, and saw Jue pulse again.

"Take me to see the patient."

"it is good."

Zhou Yixian led the way first, and Du Heng followed closely behind. Director Zhang and Director Li of the Department of Traditional Chinese Medicine in their hearts walked to the emergency bed next to them without saying that their departments were busy.

Qiu Pingzhen swallowed quietly. He really didn't expect Du Heng's words to be so effective here. The emergency director of a tertiary hospital didn't ask much. He just entered the bamboo tube and poured beans, and told Du Heng everything.

How much did you trust Du Heng to achieve such a reaction?

Surprised, but also followed the footsteps of several people.

Du Heng came to the patient, and when he saw the patient's face, he frowned again, "So young?"

Coronary heart disease, he thought it was an old man.

"The patient is 36 years old this year and worked overtime for half a month before the onset of the disease. According to his wife, he basically sleeps for 2-3 hours a day."

Zhou Yixian is now a follower. Whatever Du Heng asks, Zhou Yixian will quickly tell Du Heng the answer he wants.

Du Heng sighed. He worked overtime for half a month and slept for two hours. There was no sudden death.

After clearing up his mood, Du Heng immediately started his own inspection.

The pulse is indeed a sparrow pecking pulse, but not all, and it is also accompanied by signs of house leaking pulse.

Senior doctors have said that for those who are critically ill, the Cunkou pulse is difficult to rely on. The real thing to look at is the lower three Fuyang, Taixi, and Taichong pulses. It's gone, it's useless.

The three meridians of Fuyang, Taixi, and Taichong control stomach qi and anger. Du Heng was able to save Li Qiuhua and the other two in Zhou Yixian's emergency room because these three meridians are still there.

And this kind of sudden emergency due to fatigue, under normal circumstances, the three channels will not disappear too quickly, and it should be curable.

Therefore, when Du Heng touched the three meridians of Fuyang, Taixi and Taichong, he really felt a beating, but it was already very slight.

When it comes to ventricular fibrillation, the patient will experience ventricular fibrillation two or three times, and he will definitely not be able to recover.

Now, the speed must be fast, without delay.

"Director Zhou, is the prescription you used last time still there?"

"exist."

"Other dosages remain the same, adding 15 grams each of Ophiopogon japonicus and Schisandra chinensis is used to save the yin. Fry for [-] minutes on high fire, and take... [-] ml is enough."

"Okay, I'll arrange it right away."

Zhou Yixian immediately turned around and started calling for someone, arranging for someone to decoct and get the medicine himself.

At this time, Director Li couldn't help asking. "Du... Dean, right? Hello, I'm Li Aiguo from the Department of Traditional Chinese Medicine of the Municipal First Hospital."

"Hello, Director Li."

"I have a question to ask you. Your original prescription is very mature and stable. If you add the two herbs of Ophiopogon japonicus and Schisandra chinensis now, will it change the effect of the prescription itself?"

Du Heng glanced back at the patient on the hospital bed, and saw that the patient hadn't changed much, so he turned around and said, "The patient is sweating profusely, add Schisandra chinensis to stop sweating and nourish kidney yin, and because it is a heart disease, add Ophiopogon japonicus to nourish heart yin, To achieve the effect of nourishing yin and promoting body fluid.

As for these two medicinal materials, we can usually make tea and drink them to achieve the purpose of nourishing the body, so the medicinal properties of these two medicinal materials are relatively mild and will not compete with the main ingredients in the original prescription. "

Director Li continued to ask, "Then why is it [-] grams? You must know that the aconite in your prescription has reached [-] grams. If you use [-] grams, won't their medicinal properties be blocked or changed?"

"Well~~~ How should I say this?" Du Heng hesitated, "Director Li, you may only notice that the amount of aconite used in the prescription has reached two hundred, but you have not noticed that the other medicinal materials are between ten and thirty grams. between."

Following Du Heng's reminder, Director Li suddenly remembered that the doses of other medicinal materials in the prescription were indeed not high. Although some of them still exceeded the doses stipulated in the Pharmacopoeia, the excess was within an acceptable range, such as dried ginger thirty gram, [-] grams of roasted licorice, [-] grams of Korean ginseng, etc.

Suddenly, Director Li laughed at himself.

I have been a Chinese medicine practitioner all my life, and I have prescribed traditional Chinese medicines to patients all my life. I didn't expect to be distracted by the use of two hundred grams of aconite today, which made me ask such a question about dementia.

He thought about it clearly, but whether Du Heng's prescription would work, he wanted to see for himself.

And there is Director Zhang in his heart who has this idea.

(End of this chapter)