Just after 3:40 in the morning, Li Xiaofei, Ye Kai, Jiang Feng and others came 66. Some were holding fried dough sticks in their hands, and some were carrying soy milk, eating and chatting. The emergency department, which was originally a little quiet, became lively in an instant.

"To be honest, Dr. Fang has been injured these days, and it's really a bit uncomfortable not to check the room in the morning." Li Xiaofei said while eating buns.

"Shapeful." Wu Lei muttered softly, I wonder who said yesterday that he had a good sleep these two days, but in a blink of an eye the style changed.

"Everyone has arrived."

Fang Han was the last one to come, with empty hands, and he slept a little late last night and got up a little late. In fact, Fang Han felt that it had nothing to do with sleeping late. The main reason was that he hadn't checked the rounds these days, and his biological clock almost got disordered. In the past, he opened his eyes every day, and the time was just right.

"Doctor Fang, eat buns."

"Dr. Fang, I brought you fried dough sticks."

"Dr. Fang, I personally stewed the porridge."

Several people hurriedly stepped forward to present the treasure, and each brought an extra breakfast, and never repeated it.

"Eat quickly, have been warding off." Fang Han took the breakfast, sat next to the triage desk and started eating. The nurse next to him hurriedly made a cup of tea for Fang Han, and Dr. Fang also liked to drink tea.

Fang Han ate very quickly. After eating and drinking two sips of tea, he took everyone to the observation room.

Today is the last day of the temporary task, and there are less than ten hours left before the end of the task. If Fang Han's hearing skills cannot reach the primary level this morning, then this temporary task will be considered a failure.

So this morning, Fang Han checked very carefully. Every patient had to come and listen carefully to the patient's breathing and tone to judge the patient's condition.

Through this period of rounds, Fang Han also summarized some rules, not just to gain a lot by speed, but to really understand things by yourself.

For example, consultation skills.

Fang Han thought carefully, explored and summarized several patients yesterday, so that the consultation could reach the primary level first.

Of course, Fang Han had to admit that the reason why consultations have made rapid progress is that he exchanged psychological skills. If he can master the patient's psychology, he can master the rhythm of the conversation to a large extent.

Otherwise, no skill does not exist independently, but complement each other.

A comprehensive Chinese medicine practitioner is often more powerful and more effective than a lame leg.

This is like the blind patient yesterday. He has been to many ophthalmic hospitals, but why can't he treat his eye diseases well?

Because his eye disease is not caused by eye problems, but specialized ophthalmology hospitals always check the eyes, and treatment is also aimed at the eyes.

Fang Han passed by one bed after another. As soon as he arrived at a bed, a girl lying on the bed opened her eyes, looked at Fang Han in surprise, and asked uncertainly: "You... are you Fang Han?"

"Well, I am." Fang Han nodded and looked at the patient on the hospital bed carefully. It looked familiar, but he just couldn't remember where he had seen it.

"I haven't seen you for a few years, and you have changed a lot." said the female patient.

"Is that true?" Fang Han was a little embarrassed and subconsciously looked at the patient information card at the bedside.

"Ma Meiling!"

It turns out that this one is his high school classmate Ma Meiling, Ma Biao's dear aunt and nephew, who were born in two days and went to school in the same class.

"You have changed a lot, I almost didn't recognize you."

Ma Meiling forced a smile: "When you get sick, can there be no big changes?"

Yes, a girl has now become bald, her face is pale and haggard.

"Who is responsible for this bed patient?" Fang Han turned around and asked a few people.

It has been several days since Fang Han was hospitalized, and this is the first time Fang Han has seen someone, mainly because he has been hospitalized for several days.

"I'm responsible." Li Xiaofei said hurriedly.

At that time, Fang Han called Li Xiaofei directly when he was in the Binjiang Hotel, so after Ma Meiling arrived at the hospital, Li Xiaofei was always in charge. The beds in the internal medicine department were tight, so Fang Haoyang arranged Ma Meiling in the emergency room.

"How is the patient's condition these two days?" Fang Han asked.

"The situation is quite stable. Director Fang and Director Qin held another consultation yesterday." Li Xiaofei said.

Fang Han nodded and looked through Ma Meiling's medical records. The doctor's rounds must naturally know the patient's condition. Otherwise, how do you check it and how do you know if the patient's symptoms are sudden symptoms?

As an intern, Fang Han has no right to read all the medical records of all patients at will, but Ye Kai is as a hospitalization officer. This is also one of the reasons why Fang Haoyang appointed Ye Kai as the hospitalization officer and gave Fang Han the greatest convenience.

At that time, Ma Biao called and said that his aunt had leukemia. The diagnosis on the medical record was somewhat different from Ma Biao's statement. Ma Meiling did have a blood disease, but it was not leukemia, but aplastic anemia, severe aplastic anemia.

Severe disorders and leukemia are both blood diseases, and they are the most troublesome diseases among blood diseases, but there are essential differences between the two.

In Western medicine, leukemia is a malignant clonal disease of hematopoietic stem cells, while aplastic anemia is a group of bone marrow hematopoietic failure syndromes caused by various causes. It is characterized by decreased bone marrow hematopoietic cell hyperplasia and whole blood loss of peripheral blood. Anemia, bleeding and infection are the main manifestations of clinical manifestations.

Although these two diseases are different, they also have the same characteristics, with a high mortality rate. To some extent, leukemia also has some clinical manifestations of severe disorders. Augmented leukemia cells proliferate and accumulate in the bone marrow and other hematopoietic tissues due to mechanisms such as loss of control of proliferation, disorders of differentiation, and obstructed apoptosis, and accumulate in large quantities in the bone marrow and other hematopoietic tissues and organs, and at the same time inhibit normal hematopoietic function. Clinically, varying degrees of anemia, bleeding, infection heat, liver, spleen, lymph node swollen and bone pain can be seen.

At present, the World Medical Organization does not have any effective medical measures for leukemia and severe disorders. The only radical method is bone marrow transplantation.

aIg therapy is also a treatment method for treating severe disorders, but the cure rate is not very high, and the cost is very large. The cost of aTg is more than 200,000 yuan or 300,000 yuan.

The same is true for bone marrow transplants, which cost amazingly and are not something that ordinary families can afford.

Although my country's various medical insurances are now very comprehensive and have made great progress compared to previous years, it is still difficult for my country's huge population base to afford medical treatment.

Some rural-level social security and medical care have great limitations. Most of the social security and medical care at this level have regional restrictions. The highest proportion of treatment reimbursement in county-level hospitals will be the highest, and the municipal level will be reduced accordingly, and the provincial level will be reduced again.

But in fact, the best hospitals in each province are in the provincial capital. For some patients with serious illnesses who are cross-city medical treatment, even if they only bear 50% of the medical expenses, that is an astronomical figure.

Not to mention many medical treatments for serious illnesses, such as imported medicines, imported equipment, imported equipment, etc., are not included in the scope of medical insurance.

Fang Han carefully looked at the medical record, then sat down beside the bed and started to check Ma Meiling. Ma Meiling stretched out her arm and asked Fang Han to take her pulse, while saying, "I didn't realize that you are doing so well now."

Ma Meiling has been staying in the hospital for several days. In addition to the department's directors coming, this is the first time she has seen such a big round of rounds. Just now, she thought it was the director's rounds again, but she didn't expect it was Fang Han.

She had seen Ye Kai next to Fang Han, and she seemed to be a little leader, but now she was standing behind Fang Han.

"Are there any special symptoms in the past two days?" Fang Han smiled slightly and asked while listening to the pulse.

Ma Meiling's father next to him still didn't come back to his senses. This is his classmate who is his daughter and grandson, and he looks amazing.

Hearing Fang Han’s question, he hurriedly said: “Everything is fine, the doctors are very responsible, and the leaders have come several times.”

Ma's father expressed his gratitude to Fang Han. After they moved into the observation room, they also looked at the treatment of patients on other beds and what treatment they were. Almost every morning, Fang Haoyang would ask in person, and several experts would come to check together one or two days.

Why is this happening is not because of the face of the young man in front of him.

Ma's mother said carefully: "Lingling seemed to have some bleeding gums last night, so this is OK."

"How many times have you been?"

Fang Han hurriedly asked, this is not a minor symptom. For patients with severe disorders, the most feared thing is bleeding, because patients with severe disorders have low platelets and poor coagulation function. Any minor bleeding will cause serious major bleeding.

Especially for female patients, every period of menstruation is a very dangerous thing.

"It was once again last night, and it was once two hours ago, but the amount of bleeding was not large." Ma Mu said.

Fang Han picked up a pen and wrote down this symptom. This problem cannot be ignored. Fang Haoyang must talk to Fang Haoyang when he goes to work later.

Fang Han has probably read about Ma Meiling's treatment of Fang Han. Judging from the medications over the past few days, the situation is quite stable. It is not impossible to completely cure this disease by relying on traditional Chinese medicine therapy, but it is a long process.

"Stay good rest and take good care of your illness."

Fang Han stood up and looked at Ma Meiling with a smile: "As a classmate and a doctor, I seriously advise that any disease has a lot to do with the patient's mood. He is optimistic and has a strong desire to survive. Even a terminal illness may be cured, not to mention that your disease is not a terminal illness, so you must have confidence."

"Well, I will." Ma Meiling nodded, with a smile in her beautiful eyes.

Fang Han didn't say anything more and went to the next patient.

He did not redeem any advanced skills or master skills, because it was unnecessary. Ma Meiling's illness was not something that happened overnight. With the level of several experts from the Jiang Intermediate People's Court, even Fang Han could not help much even if he exchanged one or two master skills.
Chapter completed!