This doctor is not short of money

Chapter 730
On the way back, Director Wu smiled and asked Du Heng, "I didn't stop you just now, should you be comfortable now?"

Du Heng grinned, "It's not bad, it's a bad breath, and I don't feel panicked anymore."

The two looked at each other and smiled, and walked slowly towards the Department of Internal Medicine of Traditional Chinese Medicine together.

Halfway through, Du Heng suddenly asked Director Wu, "Director, do you think it is possible for Director Qian to play tricks on the family members' signatures? I have suffered from this before."

Director Wu smiled and shook his head, "Old Qian is a little narrow-minded and likes to listen to flattery, it's no secret in the hospital.

But this person has no problem with his level and professional ethics.

Especially for such matters involving medical disputes, he is actually very timid, and he doesn't have the problems you think of at all.

Do not worry. "

"That's good." Du Heng just asked casually.

Today's treatment, he is very, very rigorous, and he didn't leave any excuses.

For example, in the prescription just now, aconite was also used to restore yang and rescue the adverse, but the dose used was only [-] grams.Although this dosage is beyond the regulations, it is also within the acceptable range for common use.

If this was in Jinzhou, Du Heng would not be so careful, he would directly use more than [-] grams, or even more than [-] grams.

If it is really used in this way, the patient today will not have to wait for two hours, at most half an hour, he will be able to recover.

So, he was so cautious, he didn't believe that director Qian could still play tricks on himself in this matter.

As for Director Wu's professional ethics, Du Heng just laughed in his heart.

This thing is the most unbearable thing to study.

"By the way, the teacher said the day before yesterday that he would introduce a patient. Have they come yet?" Director Wu didn't want to talk about Director Qian anymore.

But it was precisely this topic that caused Du Heng's good mood to stagnate a bit, "When you called me in the morning, they came."

"what's the situation?"

"Which aspect are you asking about?" Du Heng was a little unhappy.

Director Wu seemed to hear Du Heng's emotions, and after glancing at Du Heng lightly, he asked, "What's the relationship with the teacher?"

"I don't know. Professor Lan didn't go into details, but just said he was an acquaintance." Du Heng curled his lips, "But the female family member who came together made a fuss, and she looked very good."

Director Wu couldn't help but tilt his mouth.

What he is most afraid of encountering is also the kind of family member who thinks he has entrusted him with a lot of relationship and is a little confused.

I feel that I have found someone and a relationship, and the doctor who treats them must treat them like their ancestors.

As everyone knows, their behavior will only keep the doctor away from the person who is looking for a relationship with them.If that person finds a doctor next time, the doctor will definitely find an excuse to shirk.

"Since it's a teacher's relationship, then you should take it easy."

"Don't worry about this director, I will definitely give Professor Lan's face." Du Heng sighed softly, "If it wasn't for Professor Lan's face, I would have kicked him out immediately."

"By the way, you haven't said what kind of disease they are."

"Osteosarcoma."

Director Wu stopped in his tracks, "Osteoma? Is it malignant?"

Du Heng pouted, "Hey, the patient is 68 years old this year, and it has only been half a year since the onset of the disease, and the onset speed is too fast.

Moreover, the location of the lesion was wedge-shaped, the bone was destroyed, and there was a protrusion on the right side; the lateral bone was also defective, and it was concave and changed, so it was a malignant osteolytic sarcoma. "

Director Wu's face also became serious, "What position?"

"The lumbar spine."

"Suck~~~~" Director Wu took a deep breath, "I'm afraid I can't do surgery?"

Du Heng nodded, "It can be done, but you will be completely paralyzed after doing it, and the chance of recurrence is too high, there is no way to cure it.

If it is really done, both the patient and the family members will suffer, and it will prolong the life span of a few months, which is not worth the candle. "

"Is it already serious?" Director Wu frowned when Du Heng said it was so serious.

"Let's put it this way, the patient took more than twenty painkillers in one day before going to another hospital, but it didn't work at all.

The pain was so unbearable that I went to the hospital for an examination. "

Du Heng shook his head sympathetically.

The pain, I really don't mean the pain like a broken skin, it really hurts to death.

"Then this family member is too irresponsible. If the inspection was done earlier, the old man would have suffered less." Director Wu was very unhappy with the behavior of this kind of child.

Du Heng sighed and said, "You can't completely blame the children.

The old man and his wife live in their hometown, the girl is in the capital, and the son is working in the south, so they are not around.

At the beginning of the period, he had a backache, so he thought it was a herniated disc or something, so he didn't take it seriously.

He didn't call his son until he couldn't get up from the pain and was lying in bed for more than a month, and taking painkillers was useless. "

Director Wu expressed disdain for such an explanation, "It's all an excuse.

As a child, although you can't stay with your parents, it's okay to call and ask every few days, right?

Why do they have to wait until the old man can't stand it and say it himself? "

Du Heng was silent, and he didn't say anything more about it.

He can understand the behavior of the old man and his children.

Rural people don't have the convenience in the city, and they don't know how to use video to communicate with their children, which is an elderly phone.

For the elderly, they are more concerned about their children, for their children to work hard and earn money, so when they talk on the phone, they will definitely report the good news and not the bad ones, so that the children will not worry.

There is an old saying that the hearts of parents are on their children, and the hearts of children are on rocks.

So generally in this case, it is basically what the old man says, and the children will believe it, and rarely think about it.

The slight difference in communication and psychology between the two parties has caused the current situation.

Seeing that Du Heng had stopped talking, Director Wu knew that he was too emotional. After taking a deep breath, Director Wu asked, "Then can you cure it?"

Du Heng nodded unambiguously, "The patient is nearly [-] years old, and has been working all year round, so his body is severely depleted.

But on the whole, the cause is easy to find, the pathogenesis is clear, and it can be cured. "

Regarding Du Heng's answer, Director Wu was slightly silent, but it was within his expectations.

If Du Heng said that he could not be cured at this time, he would be most surprised.

Otherwise, Lan Changhua wouldn't have traveled thousands of miles to invite Du Heng to the capital.

"Where are you going to start?"

Du Heng's walking steps were slightly sluggish, but he followed Director Wu's pace immediately, and then said slowly, "The patient's pulse is slow and weak, which can reach [-] beats per minute, and his tongue is pale and fat. Considering the patient's age, It can be seen that it is a situation where the kidneys are deficient and the eight channels are not nourished.

Moreover, the waist is the palace from the kidney hall to the yin, the spine belongs to the governor vessel, and the waist and spine are dominated by the kidneys, so I plan to start with the kidneys. "

While talking, the two had already returned to the Internal Medicine Department of Traditional Chinese Medicine. Director Wu turned to invite Du Heng, "Go to my office and tell me in detail."

"Okay." Du Heng agreed without hesitation, but he didn't go directly to Director Wu's office, but went to the next door first, brought a teacup in his own office, drank two sips of water, and then entered Director Wu's office.

"Let's talk about it in detail, why do we need to start the treatment with the kidneys." After the two sat down, Director Wu couldn't wait to ask.

Bone disease is cured from the kidney, he knows this saying.

However, he was a little uncertain about how to treat it and what needs to be paid attention to.

Especially for such a serious disease, he was never given the chance to experiment.

If the diagnosis is accurate and the medication is correct, the patient will recover.

However, once a problem occurs, the patient's condition does not allow him to make remedies; the patient and his family members will also distrust the doctor emotionally, and even induce distrust of Chinese medicine; the most important thing is that the patient in this situation, What is needed is time, so it is impossible for patients and their families to give time for doctors to try and make mistakes.

Under normal circumstances, when patients come to Chinese medicine practitioners, the situation is out of control, and they are the last resort.And they lack experience, and they cannot be precise in diagnosis and medication.

Therefore, the final result can be imagined.

Du Heng didn't do what he thought, but just wanted to explain the treatment of this disease.

"The patient reported that the back pain is the lightest in the morning and gradually worsens during the day, but it is tolerable.

But at night, the pain will be unbearable, severe pain, so painful that it is difficult to sleep. "

Du Heng leaned back in the chair with a serious and solemn expression, "The time of the disease change coincides with the running time of the kidney meridian, so it can be inferred that the patient's kidney yin is weak.

At the same time, the patient is sick all the year round and suffers from a deficit for a long time, while prolonged illness will lead to yin loss, which inevitably leads to the loss of yang attachment. Under the double superimposition, the patient not only has yin decline, but also yang decline. "

Director Wu frowned slightly, and after thinking for a moment, he asked again, "Is there any other supporting evidence, just this point, saying that the patient's kidney yin and kidney yang are both weakened, is a bit untenable."

"Yes." Du Heng said immediately, "The patient also said before that every time after eating, as long as he sits and rests, he will have a feeling of hot and cold in his body, but once he moves a little, this feeling will return. disappear."

As soon as Du Heng finished speaking, a thought popped up in Director Wu's mind. I'm afraid it's not caused by external evils, the body is affected by the conflict between evil and good, right?

And Du Heng seemed to know that Director Wu would have this idea, he took a slight breath, and continued, "The patient also confessed that he often feels dizzy and wants to sleep when sitting or lying down.

But once he moves a little bit, he will feel hot and irritable in his body. "

Upon hearing this, Director Wu immediately understood.

This is really not a dispute between evil and good, but a problem with the ups and downs of yin and yang in the human body itself, and it is no longer possible to do a good job of self-regulation, and there has been a mess.

When Du Heng saw Director Wu's expression, he knew that he understood, so he didn't write too much on this question, and went on to say, "So the patient has dry stool and urination like strong tea. The situation, in fact, is not really lit.

But after kidney failure, it will affect the viscera of the whole body and weaken together, so that the spleen and stomach will lose their luck, and the fire will not produce soil.

The spleen governs the central qi, and if the central qi is deficient, it will lead to drowning in urination and dry stool. "

Director Wu couldn't help but nodded at this time, "Then how do you plan to start treatment from that aspect?"

Du Heng didn't speak directly this time, but after a moment of contemplation, he slowly said, "The patient is old and the disease is developing rapidly, judging from the current situation, it is not an exaggeration to say that it is in the advanced stage.

The most important thing is that many organs in his body are weak now, and his body has already shown a feeling of powerlessness.

So at this time, I think it doesn't make much sense to start from the point of 'cancer'.

I am going to start from the whole body, support yang and yin, protect the spleen and stomach, and then use flesh and blood to nourish the eight extraordinary meridians.

As long as he can recover his appetite and regenerate his stomach qi, then the problem should not be a big deal. "

Looking at Du Heng who was talking eloquently, Director Wu was a little absent-minded, and was in a daze for a while, not following Du Heng's train of thought.

After regaining consciousness, Director Wu gave a wry smile in his heart, and had to praise Du Heng for his clear and clear thinking, and at the same time he had to sigh that he was really inferior to others.

Then I asked myself the last question, "Is this sure?"

"The spinal cord belongs to the kidney, so the kidney essence is sufficient and the spinal cord is rich." Du Heng said confidently, "As long as the patient's stomach qi is not lost, the spleen and stomach are in order, and both kidney yin and kidney yang are nourished, then there must be no problem."

At this time, Director Wu also had no doubts, and while taking a deep breath, he said to Du Heng, "The thinking is clear, dialectical and orderly, so let's follow your own thinking.

If you need me to do anything, you can just come to me directly. "

Director Wu knew what he should do, and he also knew his level, so even if he knew Du Heng's treatment idea, he would not rush to try it.

He knows that he just needs to do his own thing well.

Originally speaking like this, whether it was to him or Du Heng, it was a bit of politeness.But just after he finished speaking, Du Heng really frowned, "I have something to do, I really need you to come forward."

Director Wu frowned, and said in surprise, "Tell me what's going on."

"It's like this. According to my current estimate, I will use a lot of expensive medicinal materials. Such as cannon armor beads, velvet tips and so on."

Du Heng wrung his fingers and said slowly, "However, I just saw that the patient's son may be in poor condition, and his daughter is too ostentatious, so I'm afraid that something will go wrong.

Why don't you communicate with their families first and deal with these messy things.

There are Professor Lan in it, and there are some things that I really can't say. "

Director Wu said belatedly, "Who are they calling the shots?"

Du Heng gritted his teeth and said with a bit of pain, "Based on what I observed in the morning, my son's condition is not good, and he is relatively dull and honest. My daughter's condition is good, and she is also aggressive and bluffing.

From the beginning to the end, it was this woman who communicated with me again, and she should be the one to call the shots. "

(End of this chapter)