Chapter 488(1/2)
"Ward rounds!"
Early in the morning, Lin Xuehong came to the duty room. A large group of people were already waiting in the duty room. After entering the duty room, Lin Xuehong said hello, then turned around and left the duty room, and the others hurriedly followed behind.
Qi Jianping is the chief director, and the time for ward rounds is not fixed. He only does ward rounds once or twice a month. Lin Xuehong is mainly responsible for the inpatient department, and Lin Xuehong does ward rounds once a week.
Lin Xuehong's ward rounds were followed by slightly fewer people than Qi Jianping's ward rounds, but the battle was still huge. After all, she was the second-in-command in the Department of Traditional Chinese Medicine. If the outpatient and inpatient departments of some hospitals were separated, Lin Xuehong was completely within the authority of the first-in-command.
While walking, Lin Xuehong asked: "Did the emergency department admit a patient last night?"
"That's what happened."
The deputy director who was following Lin Xuehong nodded, and then hurriedly waved to Zhao Jindong: "Xiao Zhao!"
Zhao Jindong followed behind. When he heard the greeting, he hurriedly walked a few steps and reached Lin Xuehong's side: "Director Lin!"
"A patient was transferred from the emergency department last night?"
Lin Xuehong asked.
"Yes, Director Lin."
Zhao Jindong said hurriedly: "He was transferred from the hospital below. He has thrombocytopenic purpura."
Lin Xuehong is naturally aware of this disease. If it turns over overnight, the patient's condition should not be optimistic. Otherwise, how could he turn around at night?
"Are you responsible for the patient?"
Lin Xuehong asked.
After she came in the morning, she only heard that a patient was transferred from the emergency department last night, but she did not hear that the director was notified last night. This means that the doctor who was on duty last night for the transferred patient was completely
It can be done.
Thrombocytopenic purpura is not a minor illness in itself. Generally, county-level hospitals can rarely deal with it. Moreover, the disease can be major or minor, and the patient was transferred from the emergency department, but did not seek help from a superior doctor. This situation
Still rare.
"It's a patient admitted by Dr. Yun."
Zhao Jindong knew Yun Heng's background, but he did not dare to take credit, and said hurriedly: "Dr. Yun also gave the prescription. The patient took a dose of medicine after settling down last night, and his condition is stable."
"Xiaoyun!"
Lin Xuehong was stunned for a moment. She had forgotten that Yun Heng was on duty last night. If it was Yun Heng, he could indeed take it.
In the past few days, Yunheng has been treating several patients with water gas disease and edema. He even went to see a patient in the first renal department. The conditions of several patients are not simple.
Zhao Jindong didn't know much about Yunheng, but Lin Xuehong had been paying attention to him. Yunheng's level was definitely much better than Zhao Jindong.
"Let's go see this patient first."
Lin Xuehong said.
"Director Lin, this way!"
Zhao Jindong hurriedly led the way.
The director's ward rounds are mostly carried out along the ward, but if there are new patients or more serious patients, they will be placed at the front. This is all decided by the director himself. He is the boss, so he can sleep wherever he wants.
Sleeping is not about starting from wherever you want.
When we entered the ward, the child had woken up and was lying on the bed. The child's parents were beside him, asking for help.
Lin Xuehong entered the ward and went straight to the bed where the child was. Yunheng also hurriedly walked forward. This was his patient, and he must be by his side.
The child's parents also stood up in a hurry and stood by the side without saying a word. When they saw Yun Heng, they both smiled politely at Yun Heng.
"Director Lin..."
Yun Heng walked to the bedside and took the initiative to talk about the patient's condition without waiting for Lin Xuehong to ask.
"Spleen deficiency, weak blood, insufficient Qi and Yin..."
While Lin Xuehong was examining the child, she asked with a smile: "Tell me what you think."
Yun Heng said hurriedly: "The child usually catches colds easily, which means that the child's constitution is relatively weak and the righteousness is insufficient. In addition, the child has repeated epistaxis, which further impairs blood drinking and can easily cause Qi and Yin deficiency.
....."
"The spleen is the foundation of acquired spleen. If the spleen is insufficient, it will not be able to absorb blood. If the blood is not controlled, it will also be difficult to integrate the yang and the five internal organs. Therefore, children will have symptoms such as palpitation, lack of appetite, and loose stools."
"Um!"
Lin Xuehong nodded, examined the child, then straightened up and said to others: "In daily treatment, everyone must pay attention to various details and make clear dialectics before using the right medicine."
"Xiaoyun's diagnosis is very careful, dialectical and accurate, and he is also very particular about the medication."
As she spoke, Lin Xuehong looked at Zhao Jindong: "Dr. Zhao learned about the prescription last night. Can you analyze this prescription for everyone?"
Zhao Jindong was stunned for a moment, and sweat immediately appeared on his forehead.
Lin Xuehong asked suddenly, catching Zhao Jindong off guard.
It is quite common for the director to ask questions during ordinary ward rounds, but most of the people being questioned are resident doctors. Those at the attending level are rarely asked questions in public unless they make mistakes. Zhao Jindong did not expect Lin Xuehong to ask him at all.
"Dr. Zhao!"
"ah!"
Zhao Jindong responded and said hurriedly: "The child has weak spleen and qi, insufficient qi and yin, and lacks control. He should strengthen the spleen and nourish blood, replenish qi and yin, yam, polygonatum, stone lotus seeds, etc. all focus on strengthening the spleen and nourishing blood."
, Ligustrum lucidum, Rehmannia glutinosa, etc. are authentic products for nourishing yin, black plum, white peony root, Gaocai liver Huayin..."
Although he was caught off guard and was a little nervous at the time, Zhao Jindong immediately stuttered and began to answer.
While answering, Zhao Jindong was also happy. Fortunately, in order to please Yun Heng, he specifically asked Yun Heng for advice on this disease last night, and Yun Heng also explained it in detail, otherwise he would be embarrassed again.
He made a mistake last time, and he can't answer it this time. Two times in a row, even if he is the attending physician, he will be very embarrassed in the department, and some residents may despise him.
"good."
Lin Xuehong nodded, and then said to the child's parents: "This disease recovers slowly, so you have to be patient. Continue to use this prescription and wait until you have taken seven doses before taking another look."
"Well, thank you, Director Lin!"
The child's father nodded hurriedly. He had just looked at Lin Xuehong's badge and knew he was the chief physician.
The child had just arrived, and the child's father didn't know who the director of the department was. Lin Xuehong was leading the ward rounds, and he was also the chief physician. He must be a great expert in the department.
"Well, Xiaoyun is pretty good."
Lin Xuehong praised Yun Heng again and moved on to the next patient.
...
"Ward rounds!"
Emergency Department Director Zhu Yuzhe walked into the duty room and shouted, and then a large group of doctors followed him out of the duty room.
Deputy Director Chen Kanghe followed Zhu Yuzhe, explaining the situation to Zhu Yuzhe as he walked.
"Last night we sent one in critical condition and one in critical condition. After rescue, they were both sent to the ICU. The critical condition is not completely out of danger yet..."
Shuguang has a dedicated intensive care department. The intensive care department is not under the jurisdiction of the emergency department. There are specialized doctors there. After the patient is sent to the intensive care unit, the emergency department does not need to worry too much.
"Well, Lao Chen, you worked hard last night."
Zhu Yuzhe nodded.
Zhu Yuzhe didn't have time to come back last night. Chen Kanghe was in charge of the department. After the patients were delivered, both patients still had vital signs, and Zhu Yuzhe breathed a sigh of relief.
"Director Zhu, this way."
As he was talking, a group of people entered the observation room and began to check the wards.
When the four patients from last night were found, Chen Kanghe said to Zhu Yuzhe: "Director Zhu, these four were also sent here last night. There were 12 people with mild to moderate injuries last night, and eight of them were taken away after treatment.
Yes, the four of you are still observing in our observation room."
At the same time, Chen Kanghe also told Zhu Yuzhe about the conditions of the four patients.
"fracture?"
Zhu Yuzhe was stunned for a moment: "Didn't the people from the Orthopedics and Traumatology Department transfer the patients away after they came?"
"Director Zhu, there were only two attending doctors on duty at the Orthopedics and Traumatology Department last night, and the patients were handled by others."
As he spoke, Zhu Yuzhe also ordered the resident doctor next to him: "Open the bandage."
The resident doctor hurriedly brought the bandage. Chen Kanghe smiled and said to Zhu Yuzhe: "Director Zhu, please take a look."
Zhu Yuzhe thought there was something wrong with the wound he had treated. He stepped forward and saw that the wound was treated very well. What did Chen Kanghe mean?
Chen Kanghe showed the sutured wound. Zhu Yuzhe looked at it and commented: "The suturing is very good. Is there any problem?"
"I wish you, Director, to look at the others."
Chen Kanghe asked the other patient's wound to be opened again, and Zhu Yuzhe also looked at it in detail. There was nothing wrong with it, it was very good.
For a moment, Zhu Yuzhe was a little confused as to what kind of medicine Chen Kanghe was selling in this gourd.
Could it be that Chen Kanghe was showing his merit to him?
Last night, two people were in critical condition, and there were so many external traumas, but they were able to handle it so well, which is really rare.
To be continued...