Chapter 238 This person must not drift away
"Yes, ask carefully, observe carefully, dialectically accurate, use the method decisively, and be very good."
After the patient left, Yun Heng sincerely commented.
The patient just now used Western medicine to say that it was an ordinary cold and the condition was not serious, but Xu Bo was able to clearly understand the prescription, and there was basically nothing wrong with using it. This performance was quite good.
When he was in Xihua Hospital, although Xu Bo was also a doctor in charge of the bed, he also understood the patient's situation. However, the doctor's main responsibility was to execute the doctor's instructions, use prescriptions, medications, and treatments left by the attending physician. The doctor in charge of the bed was just a room check to deal with some special circumstances, and his autonomy was not high.
In the emergency department, there are still opportunities for resident doctors to operate independently, but in specialized departments, residents are basically under the supervision and guidance of the attending physician.
Today's patient is the first time Xu Bo has faced a patient independently, and Yun Heng has not given any advice just now.
"Old Xu, it's not bad!"
Tian Zengming also said in an envious tone: "It seems that Lao Xu, you are not far from being an independent doctor."
After coming to the community hospital for a while, Tian Zengming knew Yun Heng's level very well. Xu Bo followed Yun Heng during the day and after get off work, which meant he had the opportunity to ask Yun Heng for advice at any time. Now Yun Heng teaches Xu Bo step by step. Such envy of treatment really made Tian Zengming envious.
"hehe."
Xu Bo laughed twice, then began to call the second patient.
The first patient was dialectically accurate and the correct use of the prescription also gave Xu Bo a little more confidence and confidence in an instant.
The second patient was an old man in his early sixties. The old man also knew Yun Heng, and of course Xu Bo.
The old man was a retired teacher. When he entered the clinic, he saw Xu Bo who was attending the clinic and joked with a smile: "Doctor Yun is starting to take the students?"
"Uncle, please sit down."
Xu Bo hurriedly greeted him.
When the old man sat down on the stool, Xu Bo observed the old man's complexion, expression and mental state while asking the old man to put his arms on to take his pulse.
"Uncle, where are you feeling uncomfortable?"
"I went to my daughter's side two days ago. When I was there, I didn't know what happened. My legs and feet were sore and weak, and my head was a little dizzy. My daughter knew that I was in poor health. She also used a red ginseng. After that, she felt a little swelling all over her body, which felt heavy..."
"Are you chest tight?"
Xu Bo asked.
"Chest tightness, abdominal distension, no appetite for eating, and I feel irritable..."
"Open your mouth, I'll look at your tongue."
After four or five minutes of diagnosis, Xu Bo also asked a lot of questions, asking in detail, and then he got up to check the old man's tongue coating.
"The patient complains about chest tightness, abdominal distension, irritability and restlessness... The tongue coating is white and yellow, and the pulse is floating and stringy. It should have been the symptoms of wind and cold invasion of the muscle surface, forming a symptom of wind and cold. It is treated to dispel wind and cold, so that the evil can relieve the exterior symptoms. However, the patient takes red ginseng himself, causing the exterior evil to be blocked due to replenishment, which leads to stagnation and poor breathing..."
Xu Bo still said his judgment first, but when he saw Yun Heng, he didn't say anything, so he started printing the prescription on the computer...
After printing the prescription, Xu Bo looked at Yun Heng again, and Yun Heng nodded.
Xu Bo then stamped and signed the prescription and handed the prescription to the old man.
“Very good, very good.”
After the patient left, Yun Heng commented: "Xu Bo, you can diagnose this disease clearly. It's really amazing. The external infection disease in which the cold has external evil invaded the surface should be mainly used to relieve the exogenous evil, but the patient used red ginseng, which caused the exogenous evil to be blocked due to replenishment. You can find this, which shows that your dialectics and understanding of the disease are quite accurate."
Xu Bo's understanding can be seen in two consecutive diseases.
Compared to the previous one, this disease is actually difficult. When Xu Bo was diagnosed just now, Yun Heng also made a judgment in his mind that Yun Heng felt that if he had the level of his first arrival at the community hospital, he might not be able to handle this disease.
It is said that studying medicine requires talent, and Xu Bo really has talent in this area.
"Don't praise me like that, I'm a little proud."
Xu Bo laughed.
There were two consecutive patients, and there was no mistake. Xu Bo's guilt was wiped out at this moment, and he had a little more confidence.
When he was in school, Xu Bo was the kind of student who liked to play but had not bad grades. Sometimes he really had to get too much grades, and he could catch up with it with a little effort.
The family is rich and the study is good, but Xu Bochang is so big, it’s really smooth sailing.
After entering the hospital, he didn't like to be a doctor very much. The most important thing is that being a doctor was a requirement at home. Xu Bo himself was a little resistant, so he has not made much progress. When he went to Xiya Community Hospital, even though he made great progress with Yun Heng and Ren Xuedong, Xu Bo did not realize that he was just a doctor.
But now, two patients have been treated in a row, and nothing went wrong. For a moment, Xu Bo found the state he had when he was in school and became interested in being a doctor in an instant.
"Yun Heng, don't say anything. I think the masters are quite accurate now. I really have the fate of becoming a great doctor."
Xu Bo called the next patient and said to Yun Heng with a smile.
"Okay, just cheat Ren Xuedong, and you're still taking it seriously?"
Yun Heng said angrily.
What kind of masters tell fortunes? Ren Xuedong doesn’t know the inside story, how can Yun Heng not know?
That was completely Xu Bo’s slander, so there was no master.
Xu Bo's father asked Xu Bo to be a doctor because Xu Bo's grandfather passed away early. At that time, medical treatment was not developed and transportation was inconvenient. Xu Bo's grandfather was delayed, so Xu Bo's father had a dream of medical science. Unfortunately, Xu Bo's father studied averagely and had a low diploma. He just graduated from junior high school, so he placed his hope on his son.
As for the master who tells fortunes, he says that Xu Bo's father can make a fortune in the medical industry, and Xu Bo's own life as a doctor, it's all Xu Bo's own lies and funny things.
In other words, Ren Xuedong believed it, and Tian Zengming replaced it, and he really didn't know.
Well, now Xu Bo himself seems to feel that there is such a master.
Is this what people often say that if you want to deceive others, you must first deceive yourself?
"There is really a master, I haven't told you before?"
Xu Bo himself believed it anyway, so there must be a master, and he will definitely be a great doctor. Look, this talent...
At this moment, Xu Bo wanted to ask loudly, who else?
Although Xu Bo knew that he could not compare with Yun Heng, he had no imbalance in his heart. How did Yun Heng study all day long and how did he study?
With different efforts, Yun Heng is better than him, so Xu Bo feels at ease.
This is also a common problem for many smart students like Xu Bo.
Because of his cleverness and his love to play all day long, he doesn't feel panic even if he gets behind in the exam. He actually looks down on students who are ahead of him and who study harder than him.
It’s not that my grades are not as good as yours, but that’s because my brother gives in. If I get serious, I’m afraid that you will believe it or not?
It is precisely this mentality that students like Xu Bo can be calm when facing classmates who have grades ahead of them.
At this moment, Xu Bo even had an illusion that if he worked as hard as Yun Heng, would he be better than Yun Heng?
Xu Bo felt a little fluttered, and the third patient also entered the clinic.
The patient who came in was a woman in her thirties. When the woman came in, she seemed a little unconscious. Xu Bo hurriedly greeted: "Sit down."
While greeting the woman to sit down, Xu Bo observed the woman's situation and signaled the other party to put his arms up.
"Where are you feeling uncomfortable?"
Xu Bo asked while taking the pulse.
Because I often see Yun Heng in the clinic, whether Ren Xuedong or Xu Bo in the clinic, I am a little familiar with Yun Heng. I am very polite to the patients and speak with you. I speak with you and have a bit of a style like Yun Heng.
"cough."
The woman said: "I caught a cold a while ago and had a fever. I have been coughing since then. I coughed more severely at night."
"Does there be phlegm?" Xu Bo asked
"No phlegm, it's just a dry cough."
"Dry mouth or not, are there any chest tightness?"
"I feel a little dry throat, chest tightness, and this part is still traction when I cough."
As he said that, the woman pointed to the part, which was caused by rib pain.
“Sweat?”
“No sweating.”
"How about urination and defecation."
“The stool is dry.”
Xu Bo still asked very carefully. After asking, he saw the patient's tongue coating.
"The moss is thin and white, and the pulse is deep and thin and weak... It should be a fever that damages the lung yin, and treat it with Qingji and Pian Fei Decoction..."
Xu Bo still told the situation first, but this time he didn't go to see Yun Heng again, so he started typing on the computer.
While Xu Bo was typing, Yun Heng, who had been sitting next to him without saying a word, suddenly asked: "How long have you been having a cold and coughing?"
"It's been almost half a month."
Xu Bo, who was typing, stopped quickly.
"You have been in poor health before, right?" Yun Heng asked again.
"Well, yes, I have always been in poor health and I am prone to illness. I have also seen this cough in other clinics and have never been cured. I heard that Dr. Yun was good at it here, so I came here specifically. Are you Dr. Yun?"
"Well, I'm Yun Heng." Yun Heng nodded.
The patient came from a slightly farther place. He heard that Dr. Yun was very young, but he had never seen Yun Heng.
When he entered the clinic just now, Xu Bo greeted him. The patient thought that Xu Bo was Yun Heng, so he didn't say much. Yun Heng spoke just now. No matter how stupid the patient was, he could guess that Dr. Yun might be the one who was talking at this moment.
"Most patients with physical deficiency have a fever over time, and external evil has been eliminated, which damages lung qi and lung yin internally. They often have two symptoms: lung qi deficiency and lung yin deficiency, which means that coughs of lung qi deficiency and lung yin deficiency..."
"Although people with dry cough after fever and yin deficiency are mostly caused by heat damage to the lung yin, most of them are not equal to all..."
Xu Bo's face was swollen and red.
Tian Zengming opposite, suppressed his smile: "Old Xu, after seeing two patients in front, he got floating. This is the third one. According to your calculations, the error rate is 30%, and the probability is not low."
"go."
Chapter completed!