Chapter 837: Consultation 19,000
"Xiao Fang, wait a moment."
Qian Xiaolin shouted, then turned around and asked Mei Shuqin: "What suggestions do Director Mei have?"
Mei Shuqin was somewhat embarrassed and said, "Do you ask people from the Chinese medicine department and respiratory department to have a consultation together?"
Qian Xiaolin did not answer, looked directly at Fang Han and sought Fang Han's opinions.
"If Director Mei insists on it, it's not impossible. The patient's condition will be stable after injecting Shenfu injection." Fang Han thought about it and replied.
Doctors should treat the patient's family with caution, and even if they disagree, they should convince the patient's family.
"I would like to inform the Chinese medicine department." Qian Xiaolin gave Wang Haobo instructions, and then said to Mei Shuqin: "Director Mei, you are an expert in respiratory diseases. I don't need to notify the respiratory department, right?"
Hospital and department consultations are often divided into several situations.
One is consultation in the learning sense. When there is already a treatment plan, the department organizes discussions within some rare diseases or difficult diseases to deepen its understanding of the diseases during the discussion.
Another way is to check for omissions and fill in the gaps. If you have a big treatment idea, you still have doubts about some aspects. At this time, some experts from relevant aspects are invited to check for omissions and fill in the gaps.
Another thing is that there is no way to confirm the diagnosis, so we will discuss it together.
Today, Mei Shuqin's consultation advice actually belongs to the second type, at least in Qian Xiaolin's opinion.
Mei Shuqin proposed a consultation, and was obviously worried about Fang Han's level. At this time, she didn't want to invite a respiratory department.
"Director Qian is polite. I'm already in chaos now."
Mei Shuqin said this, but she still agreed with Qian Xiaolin's suggestion: "But since Director Qian said this, there is no need to worry about respiratory departments. I also know that the doctors in Yanjing Hospital are busy."
The patient's family is definitely not a decision for the consultation, when to consult, and whether to consult, and whether the patient's family can decide. Mei Shuqin is very clear about this.
Qian Xiaolin was kind to her, because she was all because everyone was in the industry and she was also an expert in the industry. She was so kind.
If it is an ordinary patient, should we consult or not, who should we invite, how could the patient's family be able to interfere? How many patients are hospitalized? The patient's family can't even see the director from beginning to end, and they don't know him.
As a family member of a patient, who doesn’t want to find the best doctor for their loved ones?
If the patient's family members call for treatment, they will be treated, and the directors will not die of rushing.
It is true that patients have the right to choose a doctor, but this premise is within the range you can choose. You can’t even see some doctors, so what to choose?
People from traditional Chinese medicine come slowly. About ten minutes later, experts from traditional Chinese medicine arrive.
The person coming was Du Yuntao.
When Du Yuntao entered the door, he didn't even see Mei Shuqin, so he spoke first: "I said to Director Qian, Fang Han is in your emergency department. You are also calling for the Chinese medicine department for consultation. Did Fang Han not go to work today?"
The traditional Chinese medicine department of Yanjing Hospital is quite famous, so the traditional Chinese medicine department participates in emergency department consultations quite often. Not to mention that there are always two or three times a week.
But since Fang Han arrived at the emergency department, it has been nearly a month since the Chinese medicine department has rarely received consultation invitations from the emergency department.
Several directors of the Department of Traditional Chinese Medicine also knew Fang Han's level. As long as Fang Han was in the emergency department for one day, they really didn't have to worry about the emergency department. If Fang Han couldn't handle it, it would be a difficult disease if they went there.
"Director Du."
Fang Han, who was beside him, hurriedly greeted him.
“Huh?”
Du Yuntao was surprised and said, "Where are Xiao Fang?"
Mei Shuqin's face was quite embarrassing.
She also recognized Du Yuntao. What do Du Yuntao mean when he entered the door? As long as he is not a fool, he basically understands it.
"Director Du."
Qian Xiaolin also greeted him and introduced to Du Yuntao: "This is..."
"Director Mei is here, have seen it, have seen it."
Before Qian Xiaolin could finish his words, Du Yuntao greeted Mei Shuqin.
They are all experts from Yanjing. After so many years, I have seen them several times. As for whether they are familiar with each other or whether they have a good personal relationship, that is something else.
As a female doctor, Mei Shuqin has a natural advantage. Even if she has never dealt with her before, there will never be any conflicts.
"Director Du."
Mei Shuqin greeted Du Yuntao, and then said awkwardly: "The patient is my lover, and I am also concerned about it, so I specially asked Director Qian to ask Director Du to come over and check it."
These words are just polite words. Du Yuntao was not serious. He looked at the patient and asked, "What's the situation?"
"H7n9 avian flu." Qian Xiaolin said.
Du Yuntao didn't ask any more questions when he heard this and walked up to check the patient's condition.
Du Yuntao knew what h7n9 was like.
At this moment, the patient was taking a drip and wearing an oxygen hood. Du Yuntao couldn't take his pulse, so he just did a simple examination and asked Fang Han: "Xiao Fang, what do you think?"
"Heat and toxins block the lungs, internal occlusion and external dysfunction."
Du Yuntao knew that this was a serious illness.
Heat and toxins block the lungs, which refers to a symptom that causes heat and evil to stagnate inside, leading to lung qi stagnation and depression.
The internal closure and external dysfunction syndrome is a further development of the pericardial syndrome, and is a critical syndrome formed by the transformation from the two burnts of Qi and Ying to functional failure.
Du Yuntao still believes in Fang Han's diagnosis and dialectics. Since Fang Han has already reached a conclusion, I think there is a way.
Thinking of this, Du Yuntao subconsciously swept it and saw the decoction next to him.
"Has already been prescribed?"
"Yeah!" Fang Han responded.
From the internship to now, Fang Han has been accustomed to it because of his age problem and is not angry.
People often say that if you want justice, to be inverted and think from the perspective of others, if Fang Han himself is a patient's family, he would not easily trust the young doctor.
Correspondingly, among young doctors, there are only a few experts, and geniuses are only a few, and it is not so easy to encounter.
Du Yuntao walked over and picked up the decoction and sniffed it gently: "Raw rhubarb, whole melon wilt, fried sausage, raw gypsum, ginseng..... Add and subtract Xuanbai Chengqi Decoction?"
"At the same time, it is accompanied by intravenous infusion of Shenfu injection." Fang Han said.
Du Yuntao is worthy of being Du Yuntao. Just by smelling this, you can smell what prescription is used for prescriptions. Many Chinese medicine practitioners cannot do this trick.
"Detoxify and relieve lungs, invigorate qi and strengthen loss of energy. This prescription is very good. How......"
After saying this, Du Yuntao guessed the reason and changed his words: "Just follow this recipe."
Qian Xiaolin knew Fang Han's level, so why didn't this medicine be used? Du Yuntao was easy to guess, Mei Shuqin was not trusting Fang Han.
...........
Wanbao was rescued and after it stabilized, he was transferred to the observation room of the emergency department.
While talking to his wife in the observation room, Wanbao noticed the movement outside.
"What's wrong?"
"I'll go and have a look."
Wanbao's lover stood up and walked to the door of the ward to take a look, then walked over and said, "It seems that the hospital infection department is disinfecting."
Although Wanbao's lover is not a doctor, she has a doctor's husband, so she is half an expert.
"Disinfection Department of Hospital Infection?"
Wanbao frowned: "Why is the good hospital infection department disinfected? An infectious disease appeared in the emergency department of Yanjing Hospital?"
Thinking of this, Wanbao couldn't stay there.
As a doctor, Wanbao naturally knows the horror of infectious diseases. If it is a new virus, it will be even more troublesome. Although the emergency department of Yanjing Hospital has not notified or closed, it may notify the hospital infection department to disinfect. This virus should not be underestimated.
If it were normal, Wanbao was not very worried, but he is a patient now, and he is still a patient. The most taboo thing about bronchitis is to have a cold or a fever. Once infected with the virus, other patients may be able to rescue them. Patients with bronchitis will be in a life of death.
Thinking of this, Wanbao said to his wife: "Go and call the doctor and be discharged from the hospital."
Wanbao's wife didn't say much, stood up and left the ward to find a doctor.
After a while, Wang Haobo came back with Wanbao's lover.
"Doctor Wan is going to be discharged from the hospital?"
Wang Haobo is still very polite. No matter what, Wanbao is an expert in the field of burns and is still well-known in the medical field. If such a person is not offended, he will not offend him.
"I want to go back to Shuitan Hospital, where is the best conditions, the situation is familiar, and the maintenance is convenient." Wanbao said.
"Okay, I'll go and go to the discharge procedures for Dr. Wan."
Wang Haobo did not force it. What Wanbao said was the truth. Shuitan Hospital is a private hospital, and the environment is indeed good. Of course, the cost is also high. Wanbao himself is the burn director of Shuitan Hospital. There is no need to consider the hospitalization fee when going to the hospitalization fee. Doctors and nurses will definitely take care of it with all their heart. The only disadvantage is that Shuitan Hospital is a burn specialist hospital and is not good at respiratory diseases.
"Mr. Wang, let me ask if there is any infectious disease? I saw the hospital infection department disinfecting it." Wanbao asked in a low voice.
“h7n9.”
The patient is Wanbao, and Wang Haobo did not hide it. Ordinary patients do not know enough about this disease and may panic when they hear it. But Wanbao is an expert in the industry. Although he is not a respiratory specialist, he will not be like others.
“Is it serious?”
When Wanbao heard that it was h7n9, he was relieved. What he feared the most was a new virus. If it was a new virus and the emergency department was blocked, it would be troublesome. With h7n9, there was no human-to-human transmission. The disinfection of the emergency department of Yanjing Hospital was just a cautious approach.
"Doctor Fang is responsible for the treatment of severe illness and respiratory distress syndrome," said Wang Haobo.
"Fang Han?"
Wanbao's face was quiet, but he was very surprised. The emergency department of Yanjing Hospital was also relieved to hand over this severe illness to Fang Han?
"Yes, that's Dr. Fang."
Chapter completed!