This doctor is not short of money

After hearing the cry, Du Heng saw that the ward rounds here were over, so he didn't stay any longer, and went directly to the ward where the call was made.

"what happened?"

Du Heng led a mighty group of people, pushed aside the crowded people, and came to the place where the sound came out.

Just when he came to him, Du Heng felt that it was unnecessary for him to ask this question.

Because the patient sitting on the hospital bed had his folded hands completely soaked in blood.

But what makes people speechless is that the old lady on the hospital bed just kept wailing loudly, but she just didn't move her nest, letting the blood on her hands drip all over the quilt on the hospital bed.

Du Heng was startled. Could it be that an old lady who was left alone and felt lonely wanted to commit suicide?
He strode forward, grabbed the old lady's hand and began to check, and at the same time shouted, "Gauze... find some toilet paper first, hurry up."

When he got to the old lady, Du Heng could see clearly that there was a bloody knife and a bottle in the folds of the blood-stained quilt. . .can.

It's not short-sightedness!

Du Heng's heart immediately relaxed, but then he became even more annoyed.

Knife?

Where did you get the knife?

What canned food do you eat in the morning?
Is it necessary, or is it because of greed?

This is too disturbing.

But this is not the time to talk about these things, Du Heng just quickly took the toilet paper handed over behind him, put it under the bleeding hands, and then hurriedly helped the patient on the bed to get off the ground.

And at this time, the nurses finally rushed over with something to stop the wound.

At this time, Du Heng was at the front, and he didn't put on a show, saying that he couldn't do the work of hemostasis and debridement, so he directly asked the nurses behind him to cooperate with him to do these tasks.

In the hospital, hemostasis, debridement, and suturing are all skills that a doctor can do. The difference lies in proficiency.

The first is the department of traditional Chinese medicine, because of its work content and methods, it is difficult to encounter these jobs under normal circumstances; the next is the internal medicine of western medicine, and the last is surgery.

Especially in emergency surgery, where doctors and nurses do these jobs, it is as common as eating and drinking with others.

If you’re lucky, you’ll have to perform the process of stopping the serum wound and suturing a dozen times a day. If you’re unlucky, you’ll have to perform this process dozens of times.

Du Heng is quite proficient in doing these things, and he does it in an orderly manner. It's just that when cleaning up, the aunt's mouth kept wowling, which affected Du Heng's ears and emotions to a certain extent.

While Du Heng was busy, other bed family members watching behind him told the whole story.

The old lady has been suffering from cold for the past few days, has a fever, dizziness and diarrhea, and has no taste in her mouth, so she asked her daughter to send a canned yellow peach last night.

It is said that this thing can not only make the mouth taste a little bit, but also relieve gluttony, and I don't know where I heard it, it is said that canned yellow peaches can cure all diseases.

It's just that the doctor said that raw and cold food should not be eaten, and should be avoided, so his son didn't prescribe it to her, and even told his sister to take it home.

But the old lady was greedy, so she cooperated with her daughter and secretly hid the canned food. When her son left for work in the morning, she did not know where to take out a knife to pry the lid of the canned food loose and eat the canned food .

Then with a lot of strength, the tip of the knife slipped out from the seam of the bottle cap, and then there was a 'pop', and blood started to bleed from the hand.

The family members next to him, with very sympathetic words, said something that made them gloat, but Du Heng was very angry when they heard it.

At the same time, there were still a few sweaty foreheads, namely the bed nurse, the team management nurse, and the doctor in charge of a patient.

But Du Heng held back his anger, and he didn't care whether those few were sweating or not, he just concentrated on doing hemostasis, because the head nurse would take care of it.

After the wound was cleaned up, a wound about five centimeters long from the middle of the palm to the outside of the thumb appeared before everyone's eyes.

Du Heng took a light breath, the old lady almost picked her hand tendons.

"Whose patient?" Du Heng threw away the disposable gloves on his hand, straightened up and asked.

At this time, the female doctor who was joking with Dr. Liu before, that is, the Dr. Li who had just stayed behind, hurriedly stood up and said in fear, "I, she is my patient."

Du Heng just glanced at it and didn't say anything serious, just asked softly, "Can you sew?"

Doctor Li nodded quickly, "Yes."

"Then you sew up the patient's wound."

"it is good."

The wound looked scary, but it was actually not a big problem, so after Du Heng finished making arrangements, he no longer cared about this patient, but went to the next patient.

This time, when Du Heng walked to the side of the patient's bed, the previous Dr. Liu stood beside Du Heng, and he didn't need Du Heng to ask any questions. A few days ago, I went to the market to buy vegetables and had a sudden angina pectoris.

He went home to rest and did not feel relieved, and was admitted to the hospital for treatment accompanied by his family. "

Du Heng didn't speak, but lowered his head and continued to check the patient's condition, "Open your mouth and look at the coating on your tongue."

The patient was a little nervous seeing such a large group of doctors coming in, but now he saw the doctor who treated him so honestly and respectfully. It was what Du Heng said, and she did what she did immediately.

Body of the tongue is purple, and tongue coating is thick and greasy.

After taking a careful look, Du Heng continued calmly, "Roll up your tongue, and let me look under the tip of your tongue."

The old lady did so immediately.

And the moment she rolled up her tongue, two blue and black lines on the back of her tongue clearly appeared in front of Du Heng.

What's more exaggerated is that these two blue and black lines are a bit too thick.

"The diagnosis was angina pectoris caused by insufficient blood supply to the heart, and the dialectic was heart-blood stasis, accompanied by mutual obstruction of phlegm and blood stasis. Therefore, a prescription for promoting blood circulation and removing blood stasis was used, and drugs for removing dampness and phlegm were added to the prescription."

When he said these words, what Dr. Liu said was quite smooth, which formed a world of difference from the answer just now.

From this point of view, although he didn't care about other doctors' patients, he still worked hard on his own patients, which made Du Heng feel better.

Just thinking that after five days, the patient still had such thick blue-black lines under his tongue, Du Heng was not so happy.

Just when Du Heng was about to ask a question, Du Heng glanced at his side from the corner of his eye.

When he saw Dr. Li who was about to suture the wound, because the thread couldn't go in, he put the end of the suture thread in the corner of his mouth and squeezed it like sewing a needle.

I am!

Is that how the sutures are worn?

Not to mention the sterile and non-sterile operation, the thread ends are squeezed from the corner of the mouth, which has nothing to do with whether it is hygienic or not.

As for internal medicine of traditional Chinese medicine, the requirements for wound suture are not so fine, but is it too much for you to do so?

This time, Du Heng was scared away when he was about to ask Dr. Liu. He turned around and yelled at Dr. Li in a low voice, "Stop, put down what's in your hand."

"what?"

Looking at the furious Du Heng, Dr. Li, who was still working hard to thread the thread, shivered in fright.

Holding the needle in one hand and the thread in the other, he looked at Du Heng in a daze.

In fact, not only Du Heng saw what Dr. Li did just now, but other doctors also saw it.

They wanted to remind them, but they never expected that Du Heng's eyes were so sharp that he was actually seen, and before they reminded him, he had already spoken to stop Dr. Li's ridiculous behavior.

Du Heng let out a low cry, which not only frightened Dr. Li, but also the two patients in the ward, as well as the family members of the old lady beside him, all staring at Du Heng nervously.

This made Du Heng, who was about to say something, immediately realize something was wrong.

Originally, the old lady on the opposite side scratched her hand, which is already a difficult accident to deal with. If there is another incident of licking the suture with her mouth, then the old lady's family members may make a mess of the department.

Immediately, Du Heng took a deep breath, looked at the middle-aged attendants in the crowd, and asked softly, "Which of you took her?"

The attending physician wearing glasses raised his hands helplessly, "Me."

"Then you go and guide Dr. Li to complete the suture. If you feel that you can't do it, don't force it. Go to the surgery and find someone who can do it."

Du Heng's voice was flat, as if he was arranging an ordinary matter.

The attending doctor wearing glasses glanced at Dr. Li, then nodded, and then walked away from the crowd to Dr. Li.

After Du Heng glanced at Dr. Li again, he turned his head to look at Dr. Liu in front of him, and continued the topic just now and asked, "Tell me about the prescription you used and the idea of ​​adding medicinal materials."

As soon as this question came out, Dr. Liu's answer was not as smooth as before. It can even be said that the whole answer was stuttering.

As Du Heng listened, he became even more unhappy.

It's not because of Dr. Liu's stuttering answer, but because of his understanding of the prescription and the use of added medicinal materials, which made Du Heng unhappy.

The prescription Dr. Liu chose was "Xuefu Zhuyu Decoction", and there was nothing wrong with it.

Moreover, when Du Heng was in Yangcheng some time ago, Dean Wada talked about the characteristics of this prescription in depth.

Promoting blood circulation and removing blood stasis, promoting qi and relieving pain, so there is nothing wrong with choosing a prescription.

However, Chinese medicine prescribes are not something that can be taken and used directly, but additions and subtractions should be made according to the actual situation, and it should be suitable for the actual condition of the patient.

And this addition and subtraction is to adjust the dose and optimize the adjuvant of the drug.

But after hearing Dr. Liu's words, Du Heng only had one feeling, that is rigidity and craftsmanship.

Not to mention the adjustment of the adjuvant medicine, even the dosage of the prescription, he used as many grams as the prescription recorded.

Just under the old lady's tongue, there are two thick blue and black lines. Just by looking at it, you can tell how serious the blood stasis is. The effect of stagnation of symptoms.

However, he didn't.

In addition, in "Xuefu Zhuyu Decoction", licorice is used to reconcile various medicines, and secondly, it is also used as a medicine, and some medicines are added later, so the dosage can be slightly increased accordingly, as much as possible play its part.

However, he didn't adjust either.

That is, whatever the original formula is, he will use it.

As for the formula for using the prescription, maybe in his eyes, it is just a formula.

There is also the medicine for removing dampness and reducing phlegm that he added later, in Du Heng's opinion, it is even more of a pile of rubbish.

Leaving aside the issue of compatibility with the original prescription, one can tell by looking at the medicines used. He didn't even figure out the degree of phlegm dampness of the patient himself.

From this point alone, it can be seen that the same three people stayed together, but the gap between them is really big.

And this gap, in addition to their personal ability, Du Heng also felt that it was inseparable from their tutor's ability and teaching experience.

Although Cao Binghe can't make the perfect diagnosis that Du Heng thinks, and can't prescribe a 100% suitable prescription, but at least the diagnosis and prescription made by others are correct and effective.

Just look at Dr. Liu's current patient. It has been five days since the treatment, but the problem of blood stasis has not been resolved, or it has been alleviated. This is a good indication of the problem.

But after thinking about it, Du Heng still thinks it's okay, after all, he is just a doctor who has just started working independently, so don't be too harsh, and don't make it too difficult for him.

Furthermore, for all kinds of problems with the doctors under him, if you only blame the new doctor, it is not completely right. At least half of the responsibility should be attributed to Director Wu, the head of the department.

A department director, in addition to being the manager of the department, should also be the business leader of the department, the guide and supervisor of the younger generation's learning.

It is not a big problem to count on one person to revitalize the department.

But if you want to rely on only one person to make the department bigger and stronger, make it a characteristic department of the hospital, and make it a well-known department in the society, it would be a bit of a dream.

Especially in a hospital like Good Friends, one person really can't do this kind of thing.

Director Wu treats Du Heng very well and trusts him very much, but Du Heng also has all the complaints and complaints that he should have.

When Dr. Liu's stuttering voice stopped, Du Heng didn't say anything, even though his face was grim.

"Where does the angina occur?"

"The precordial area."

Dr. Liu's answer this time was very quick.

But when he finished speaking, Du Heng didn't respond, and was still waiting for his answer later.

But Dr. Liu was taken aback. What do you mean, did you answer it yourself?

Doesn't angina pectoris occur in the precordial area?
Can it be called angina pectoris if it hurts in other places?

With his hesitation, Du Heng's mood that had just calmed down was provoked again, "Does the pain behind the sternum count? Is the pain under the xiphoid process possible?"

Dr. Liu lowered his head and did not dare to speak.

Du Heng squinted his eyes, and decided not to be harsh on Dr. Liu just now, he was about to withdraw, "How do you divide the severity of moisture, and what level does your patient belong to?"

Listening to Du Heng's non-stop questions, Dr. Liu's throat became dry again.