This doctor is not short of money

Chapter 648

With a smile on the corner of Du Heng's mouth, he was relaxed and happy. After searching around Li Jianwei's office, he did not find Li Jianwei.

In the corridor, he pulled a doctor from the Chinese medicine department and asked, "Do you know where Director Li has gone?"

"Maybe I went to the consulting room. I just saw someone looking for him."

"Oh, thank you."

"Dean Du is polite."

Then Du Heng wandered to the outpatient clinic, but there was no Li Jianwei in the consultation room, but Du Heng saw another familiar person, "Little Ma, why are you in the consultation room?"

"Senior Brother Du, the teacher has been called for a consultation, so let me stay here for a while."

Du Heng asked for a chair from under Xiaosu's butt, then pulled it to the opposite side of the table and sat down, and asked Xiao Ma to pull another chair from the inner position, "Oh, how long will it be back?"

"I didn't say this, but it's probably coming soon. I've been there for a while."

Xiao Ma was still talking when the door of the auscultation room was knocked. When he turned his head to look, there were two people standing at the door, a man and a woman. Always reach out for help.

Seeing this situation, Du Heng hurriedly said, "Let's talk after get off work, you should see the patient first."

Xiao Ma nodded, and immediately sat upright with his chubby body, and said softly to the door, "Come in."

Du Heng also sat up and straightened his body, took a case book at hand and read it.

Xiao Ma is one of Li Jianwei's postgraduates this year, and he is also the student who is serious but slow to react. It's just that there has been no news about this person before. Du Heng thought that this person was either studying for a Ph. D. or went back to his hometown directly. Silently, I went to see the doctor in the province.

After taking the medical card, Xiao Ma read the patient's information on his computer, and then asked the woman sitting on the stool in front of him, "What's wrong?"

The woman covered her chest with her hands, and said in a half-dead voice, "chest~mouth~hard~suffering."

As far as this voice is concerned, if you just listen to the voice without seeing anyone, you may think that it is someone who is about to die. Not only does Xiao Ma, an inexperienced novice, startle, but Du Heng, an old bird with seven or eight years of experience , was also taken aback for a while, and his eyes couldn't help but leave the case in his hand, and looked at this woman.

Just when Xiao Ma was about to ask again, the man who had been cautious behind the woman might have had enough of his wife's aggressiveness, and said directly to Xiao Ma, "Doctor, that's what happened.

We live in the countryside, and we eat when the weather is hot. The heat at home is unbearable, so we like to eat outside with a bowl.

I forgot that day last month. When we had dinner at night, my daughter-in-law was eating under the eaves with a bowl. There happened to be a spider under the eaves. Coincidentally, when my wife was pulling the rice into her mouth, it It fell and was picked up by my wife and pulled into her mouth. "

poisoned?
This was the pony's first reaction, "The little spider is fine, it's not very poisonous, and it should have been excreted after such a long time."

The man shook his head, "It's not a little spider, it's a spider the size of a finger egg. Our child saw it at the time, but my daughter-in-law picked up the rice too quickly, and before the child could say anything, she ate it into her mouth." .

My daughter-in-law swallowed two mouthfuls, and our child said it out, but at that time, no matter how much she vomited, there was nothing she could do, except for a spider leg, there was nothing left. "

Xiao Ma was typing on the computer while listening. Although Du Heng was sitting opposite, he didn't have the courage to ask Du Heng to come over and be his clerk.

Of course, Du Heng didn't have that self-awareness either, so he just listened to this 'relish' story on the opposite side.

Xiao Ma asked suspiciously, "Is the patient uncomfortable?"

The woman looked like she was about to die, as if she could exhaust herself to death if she said one more sentence, only the man continued behind her, "From then on, she always felt that there was something stuck in her chest, and she was suffocating, and Sometimes I still feel that this thing is always crawling out, and she keeps vomiting all the time.

When the vomiting was serious, I felt that she was about to vomit out the bitter bile. "

Hearing this, Xiao Ma showed a trace of relaxation on his face, and said with a smile, "This should be caused by a shadow in your heart and scaring yourself.

Come on, let me take your pulse and see if there are any other problems? "

The woman put her hand on the pulse pillow honestly, and Xiao Ma also used very standard movements to complete the whole set of checks.

"Judging from the pulse condition, you have a little spleen and stomach qi deficiency. It's because you vomit too often and hurt your stomach qi." Du Heng looked at the patient on the stool, and said softly, "Relax, eat what's in your stomach, it's already gone." Excreted by our digestive system.

I'll prescribe some medicine to invigorate stomach qi for you, don't think about this time when you go back, you will be fine naturally. "

After finishing speaking, Xiao Ma was about to start prescribing the prescription, but the woman who had been silent all this time suddenly spoke, "Doctor, what my man said is true, I didn't lie to you.

I really feel that there is something blocking this nest, which makes me feel uncomfortable. "

Immediately, his face became even uglier, and he put his hand on his chest and said, "Here it is again, it's all crawling up to my chest..." Before finishing the last sentence, he immediately turned his head and started to retch, really that kind of hiccup Feeling full of retching, it doesn't look like it's pretending.

The woman's exaggerated movements made Xiao Ma numb, and he even had self-doubt. He might have made a wrong diagnosis.

But his rationality was telling him that he was not wrong, and thinking with his toes, the food he ate had been eaten for a month, unless it turned into roundworms, or even a scorpion, let alone a spider, would have to die. Then flushed down the toilet.

Is it ascariasis?

However, the patient's pulse condition is that of a weak spleen and stomach. Xiao Ma is very confident about this, and he is sure that he will not make a wrong diagnosis.

However, it is impossible for ascariasis to only have a weak spleen and stomach, and the feeling of vomiting is so obvious. If it is ascariasis, the liver and gallbladder must also be affected.

Therefore, it can be confirmed [-]% now that this lady, she is simply having a shadow in her heart.

But the performance of the female patient also showed that she didn't believe her diagnosis at all. She just thought that the spider was stuck in her chest and was still crawling out.

Xiao Ma looked at Du Heng for help, but Du Heng smiled brightly and didn't respond to Xiao Ma at all.

In desperation, Xiao Ma could only look at the female patient again, waited for her vomiting to subside a little, and said, "You may not believe me when I say this, or I will give you an examination, and we will give you a B-ultrasound or color Doppler ultrasound. Take a look and you'll see if there's anything there."

This is a very good suggestion, but the man behind the patient didn't think so, and shook his head with a bitter face and said, "Doctor, we have already done these checks, and we have also done a gastroscopy."

Xiao Ma smiled, "Did the doctor who examined you also tell you that there is nothing in the patient's stomach?"

"Yes, the doctor said at that time that my daughter-in-law is fine and healthy, and she doesn't have what she said." The man sighed sadly, "My daughter-in-law also saw it, but she just felt something crawling in her stomach." , she is still disgusting.

Later, the doctor couldn't help it, saying that my daughter-in-law had some kind of delusional disorder and asked us to go to a mental hospital. "

Xiao Ma couldn't help but pursed his lower lip, aren't you delusional?

But I want to think about it, but I can't say it directly, and judging by the expressions of the couple, they came to see a Chinese medicine doctor today, which shows that they don't believe in paranoia at all.

Xiao Ma really had no choice for a while, he still couldn't do the behavior of just fooling around and passing by, but now he really had no choice, so he could only look at Du Heng for help again.

Now, only his cheap senior brother can save the situation.

Du Heng also saw Xiao Ma's gaze again, and then smiled and said, "This patient, what do you think the thing in your stomach looks like?"

The patient turned his head to look at Du Heng, his eyes were full of doubts, he didn't know why he interrupted, and he didn't wear a white coat yet, so he didn't know what he was doing.

When Xiao Ma heard Du Heng speak, he immediately breathed a sigh of relief, and quickly introduced, "This is Du Heng, the deputy chief physician of our Department of Traditional Chinese Medicine, and he is also the dean of the city's women and children.

If you have any questions, you can tell Dean Du. His level is very high, and he won the Provincial Science and Technology Progress Award not long ago. "

Hearing this explanation, the originally puzzled couple immediately turned into surprise. The man hit his wife from behind, "Ask you, tell me quickly."

The woman turned around and said to Du Heng, "I always feel that it has many claws and is soft."

Du Heng's expression was very serious, and he didn't show the expression of a woman telling lies, and after finishing speaking like a woman, he continued to ask seriously, "Can you feel how big this thing you are talking about?"

Seeing Du Heng's earnest questioning, the woman seemed to have found a bosom friend, and felt that she had finally found a genius doctor, and said seriously, "A finger with a thumb is as big as an egg." After speaking, she gestured to Du Heng very seriously a bit.

Du Heng was still as serious as before. After carefully watching the patient's hand gestures, he said, "It's not a big problem. I'll give you a prescription. After you drink it, the disease will be cured immediately."

The female patient asked in surprise, "Doctor, do you know what my disease is?"

Du Heng smiled mysteriously, "Of course I know, this disease can't help me."

The female patient was very pleasantly surprised, and hurriedly asked, "Doctor, what is my disease?"

Du Heng looked at the woman with a smile, "Don't you know it yourself? All right, I'll prescribe it for you now, you wait outside for a while, and when the medicine is ready, I'll ask you to come in and drink it."

The woman suddenly asked, "Doctor, is this medicine expensive?"

"It's not expensive, only a dozen dollars."

"Oh."

Not only the woman breathed a sigh of relief, but also the man behind her.

She has gone around many places with this illness, and she has spent a lot of money. To be honest, she is a little bit overwhelmed.

Du Heng looked at Xiao Ma and said, "I'll prescribe a prescription, and you can prescribe it for the patient."

The pony immediately agreed and got ready.

"Guardi, licorice, radish seeds, Pinellia..."

When Du Heng mentioned a medicine, Xiao Ma hurriedly took another medicine. After writing a few words, he suddenly became confused, but he didn't have the nerve to ask because the patient was in front of him.

After Du Heng finished the prescription, he stood up with a smile, "You issue a bill to the patient, and I'll go out and make a phone call." After speaking, he walked out of the consulting room, and then stood at the farthest end of the corridor to make a phone call.

After making the phone call and returning to the consulting room, Xiao Ma had already started the next patient's consultation, so Du Heng quietly sat down in the position just now, picked up the case folder next to him and looked at it.

But soon after get off work was approaching noon, the number of patients increased one after another. Before one went out, the people in the queue behind had already opened the door and walked in, leaving no time for the two of them to talk.

About forty minutes later, the door of the consulting room was pushed open, and a nurse from the Department of Traditional Chinese Medicine came, holding a sealed bag of medicine, "Director Du."

Du Heng responded with a smile.

Then the female nurse put the medicine in her hand in front of Xiao Ma, "Doctor Ma, this is the medicine you just prescribed."

Xiao Ma looked at the female nurse and smiled, "Why did you send Sister Li here?"

The female nurse gave Xiao Ma a blank stare, "You give the doctor's order, and the nurses in our department won't deliver the medicine to you, so why are you still waiting for the people in the pharmacy to deliver it to you?
If you want to be so beautiful, your face will be better than Director Du's.

Also, don't give this kind of doctor's order to send medicine to the outpatient clinic. If it weren't for Director Du's face this time, we wouldn't send you a special trip. "

Xiao Ma still laughed along with him, and couldn't stop saying thank you.

This kind of thing is not the original job of other nurses, and Xiao Ma is a new doctor. At this time, in front of Nurse Li, he really has no temper at all.

Of course, it is impossible for him to have a temper. Doctors and nurses are two lines, one belongs to the medical department and the other belongs to the nursing department.Moreover, doctors use nurses in many places, and nurses are required to help with many things, so some people say that doctors can lead nurses, and that is Xiaobai who doesn't understand anything.

But in the hospital, the ecological system is a perfect closed loop. Patients can complain to nurses and yell at nurses, but they will obediently listen to the doctor. They dare not go west when the doctor says to go east; but nurses can direct Walking around with the doctor, sometimes when he does something wrong, he can still yell a few words, but the doctor is like the current pony, who dare not fart.

It's just that in this closed loop, the director of the department and the head nurse have to be taken out separately, they are not in this closed loop.

Xiao Ma's sincere attitude made Nurse Li, who delivered the medicine, very comfortable, and then she stopped talking to Xiao Ma, but turned to look at Du Heng, and then took out something in her hand and asked Du Heng, "Director Du, what did you buy?" gone."

Du Heng glanced at the things in Nurse Li's hand, and the corner of his eyes jumped immediately, "Throw it into the trash can behind the door."

Nurse Li asked a little puzzled, "Throw it away?"

"Yes, throw it away."

Nurse Li said regretfully, "Director Du, if you don't want it, I'll take it away. It cost me five yuan." Then she put the things in her pocket.

Du Heng looked at Nurse Li's movements and said quickly, "Don't, I tell you to throw it in the trash can, I'm useful."

"what?"

"It's really useful, just throw it in, cover it with paper, don't show it. Also, the five dollars I asked Xiaoma for, it's for him to help."

Nurse Li looked back to get off the horse, and then threw the things into the trash can behind the door in doubt.

Seeing that everything was ready, Du Heng said to Xiao Ma, "Go, call someone in."

And when Xiao Ma saw the things in Nurse Li's hand, he had a little understanding of what Du Heng was going to do. Hearing Du Heng's order, he immediately stood up and walked to the door, calling the couple in.

Du Heng picked up the medicine that had just been put on the table, cut it open with scissors, and handed it to the female patient, "The medicine is ready, drink it quickly, your problem is not serious, and this dose of my medicine will be effective."

The female patient took the medicine apprehensively, looked at Du Heng, then at her husband behind her, and then drank it with a raised neck.

After drinking it in one gulp, before she put down the bag in her hand, she started hiccupping again, and the sound of "uh uh" became more and more frequent.Feeling that I can't bear it any longer, I grab the bag in my hand and run out.

Du Heng quickly stopped, "Don't spit in the corridor, there is a trash can behind the door, spit there."

The woman is also obedient, or maybe she really couldn't help it, she just kept the trash can and started to "uh". After retching for a few seconds, she suddenly vomited out, and the black concoction she just drank was also all He spat into the trash can, and then he spit more and more. In the end, every time the sound of "vomiting" came to mind, the woman's body would curl up and her back would arch.

It felt like he had spit out bile.

At this time, Du Heng had already put on the mask, and he also took a chopstick handed over by Xiaoma in his hand. When the woman was supported by her husband to stand up, Du Heng began to use the chopstick to pick up the trash can, without pulling twice. Then he stood up and said to the woman, "Look at what you vomited, is it this thing?"

The woman glanced into the trash can, only to see a big, soft black spider with several long legs underneath.

In an instant, her eyes widened. Just as she was about to squat down to take a closer look, Du Heng kicked the trash can sideways, took off her gloves and threw them into the trash can, just covering the black one. Spider, and then said to the pony, "What are you doing in a daze, why don't you hurry up and fall down."

Xiao Ma snorted, quickly put on his gloves, picked up the trash can, and went to the bathroom outside, but the woman stretched her neck to take a look.

After Du Heng washed his hands in the sink next to him, he walked to the woman with a smile, and took a few pieces of paper from the pony's table and handed them to the woman, asking her to wipe her mouth.

And when the woman was wiping her mouth and thinking about something, Xiao Ma walked in, but his face was not very good-looking, it seemed that he was hit by the trash can just now.

Xiao Ma looked at Du Heng with a calm expression, and couldn't help admiring in his heart, a senior is a senior, not only did he not respond to that pair of filth, but he could still poke and pull in it calmly, which is really not something ordinary people can do.

Du Heng watched the woman tidy up, and looked at Xiao Ma's ugly face, then he laughed happily, and then asked the female patient, "How do you feel now, is there anything crawling in your stomach?"

The woman reached out and pressed her chest, then pressed it down again, and said in surprise, "It's gone, I don't feel anything anymore, it's smooth."

"Hehe, I've already vomited it out, so of course there's no problem." Du Heng smiled, "Eat more soft batter these two days, and your body will soon recover."

The female patient's spirit is much stronger than before, and she is no longer in the state of dying immediately. Hearing Du Heng's words, she nodded her head simply, but then asked with doubts, "Doctor, what happened to that thing just now? Is that what's crawling in my chest?"

Du Heng nodded seriously, "Of course, the trash can is full of things you spit out, there's no way you can make a mistake."

"But... But why do I look a little bigger than I feel?"

Seeing the woman's puzzled expression, Du Heng laughed again, "When it's inside your body, you can't see this thing, and it's wrapped by your esophagus, so you feel it's relatively small.

Now that it spits out, there is nothing to restrain it, and of course it grows bigger. "

The woman suddenly realized, with an expression that she understood, "I see, I see, thank you doctor."

"You're welcome, the most important thing is that your illness is cured. After you go back, eat softer food for two more days, so that your stomach can take care of itself. That's all, let's go back."

"Thank you, doctor. Thank you so much. Everyone else said I was insane, and I was looking for a doctor when I was not sick. Only you believed in me and cured me, genius doctor."

The couple walked out of the consultation room thankfully, both of them were talking about the miracle doctor, but Du Heng could hear that the miracle doctor mentioned by men and women were not the same thing.

When the two of them exited the consultation room, Du Heng smiled and looked at Xiao Ma, "Do you understand?"

Xiao Ma nodded slowly, "I understand, senior brother, you chose to believe the patient's words, and then asked the patient to trust you and agree with your treatment.

Then you used emetic drugs and the rubber spider toy Sister Li bought just now, so that the patient mistakenly thought that the thing was vomited out by herself, and her heart disease healed without medicine. "

Du Heng chuckled, "We have been saying that heart disease needs heart medicine. From the patient's narration just now, we can all understand that she is heart disease and has psychological shadows. So if you find out the root cause, this disease will be very simple. .

If you let this kind of heart disease go unchecked, it will cause a heavy psychological burden on the patient, which will affect the movement and transformation of the five internal organs of the patient. If there is no disease, it will become a disease, and if the root cause is not solved, the disease will be very difficult to solve.

If it is really treated according to "delusional disorder", the patient will become mentally ill even if he is not mentally ill. "

Xiao Ma sighed and said, "The teacher used to say that the dialectic is the etiology and pathogenesis, and only by finding the etiology and pathogenesis can we cure the disease.

Today, after watching my brother's treatment process, using the simplest method, he cured the disease that I was helpless, and then I realized the importance of the etiology and pathogenesis. "

(End of this chapter)