Zhang Yan didn't say anything else and followed Zhao Pengcheng to check in.

He and Zhao Pengcheng walked side by side in front, followed by a group of bed doctors and interns.

This is the highlight of the department director’s day and it is also a reflection of the status of all doctors. The more you line up, the higher your status in the hospital and in the department.

It won’t take long for my own Red Star Hospital to do this, bringing the lower-level doctors to round every day.

Zhang Yan thought to himself.

"Doctor Zhang, this is a patient with chronic appendicitis and abscess. After conservative treatment, the effect is not obvious. After communicating with the family, he is preparing to undergo an appendectomy." After walking to a ward, Zhao Pengcheng introduced to Zhang Yan.

.

"Yeah!" Zhang Yan nodded without comment. Isn't it necessary to do it yourself in an appendectomy case, right?

"Xiao Sun, please introduce the specific situation of the patient to Dr. Zhang." Zhao Pengcheng continued to name.

Xiao Sun is a female doctor in her twenties. When she heard Zhao Pengcheng's words, she took the case clip and started a serious introduction to her condition.

"yes!

The patient, whose name is Zhao Meilan, is a female, age 54 years old, from Shijingshan.

Long-term upper abdominal pain, abdominal distension, nausea, vomiting, and not taking medicine.

The pain stopped at the same time, and the pain worsened later. He was admitted to the hospital for 3 days due to metastatic right lower abdominal pain.

After investigation: Body temperature 36.8℃ breathe 20 times/minute pulse 78 times/minute blood pressure 120/80mmhg. Normal development, malnutrition, automatic position, mental fatigue, clear consciousness. The abdominal wall is soft, and there is tenderness and rebound pain in the lower right abdomen.

.

I have not seen any abnormalities.

Preliminary diagnosis of acute attack of chronic appendicitis...

"Okay, there's no need to read the medical records." Zhang Yan waved his hand.

If I keep reading this, I can’t finish checking the whole morning.

"Are you done the preoperative examination?"

"If you do it, it meets the signs of the surgery and you can perform the surgery."

"Um!

This aunt, I will give you a pulse!" After Zhang Yan nodded, he bent down and whispered to Zhao Meilan lying on the hospital bed.

"Okay, please trouble me!" Zhao Meilan nodded and raised her arm.

"Just put it down!" After Zhang Yan said that, he went around to the other side to take the vein to Zhao Meilan.

There was a bottle hanging on the arm over there just now.

The pulse is stringy and rapid.

"Auntie, I'll take a look at your tongue."

Zhang Yan used four Chinese medicine clinics to examine Zhao Meilan.

"The patient Zhao Meilan, although it had an acute attack of chronic appendicitis, did not develop to the end of the perforation.

I personally do not recommend an appendectomy, but it is recommended to use conservative treatment of traditional Chinese medicine." After the examination, Zhang Yan stood up and suggested to Zhao Pengcheng.

"Dr. Zhang, conservative treatment, how confident are you?"

"Well, appendicitis is called intestinal abscess in traditional Chinese medicine, and it is also a type of internal abscess.

According to the diagnosis of traditional Chinese medicine, intestinal abscess is divided into three development processes: stagnation syndrome, damp heat syndrome, and heat toxin syndrome.

The corresponding one is chronic appendicitis, with acute attacks of chronic appendicitis accompanied by abscess, and acute attacks of appendicitis perforation.

The first two courses of the disease can be completely treated with traditional Chinese medicine decoctions, and the effect will be very good.

Although Chinese medicine decoctions can also be used for the patient in the latter patient, I personally recommend an appendectomy." Zhang Yan explained patiently.

"Okay! Then let's take conservative treatment according to Dr. Zhang's opinion!" Zhao Pengcheng thought of a case that Zhang Yan treated before and nodded in agreement with Zhang Yan's plan.

"Give me the medical record!" Zhang Yan reached out to ask Xiao Sun for the medical record.

After taking the medical record, Zhang Yan took out a pen and wrote a prescription on it.

Add and subtract Huanglian Decoction: 3 qian Coptis chinensis, 2 qian dried ginger, 2 qian cinnamon twig, 2 qian Codonopsis pilosula, 3 qian Pinellia ternata, 7 jujubes, 2 qian roasted licorice, and 2 qian Scutellaria baicalensis.

"Auntie, you won't have surgery for appendicitis. You will take three doses of Chinese medicine first. After three doses of Chinese medicine, I will give you a follow-up visit." Zhang Yan told Zhao Meilan and her family.

"Doctor, can you really not have surgery?" Zhao Meilan and her family asked in surprise.

"Your disease is not as good as surgery, and traditional Chinese medicine can have a very good cure effect.

Director Zhao asked me to come here to give you the final diagnosis.

If you can do not have surgery, no one wants to perform surgery on you." Zhang Yan explained with a smile.

"Thank you, doctor! Thank you, doctor!" Zhao Meilan's son and daughter-in-law bowed to Zhang Yan and thanked him repeatedly.

Zhao Meilan sat on the hospital bed and said thank you with a grateful look on her face.

If the surgery is not done, the patient and his family will definitely not want to do the surgery. They always feel that the operation is to leave his life to God.

Zhao Pengcheng also spoke from the side: "Dr. Zhang is a Chinese medicine expert specially hired by our hospital and has cured several cases of acute appendicitis and abscess."

He explained this, but couldn't help but smile bitterly in his heart.

The first one directly rejected the surgical treatment. There were several appendectomy patients who had appendectomy. According to the course of the disease, they were not more serious than Zhao Meilan, which means that the surgery was not required.

As it turns out, Zhao Pengcheng is thinking too much.

After the entire round, the twelve surgeries he arranged were not in Zhang Yan's eyes that required surgery. They were all prescribed after diagnosis.

They also only prescribe three doses of medicine.

"Doctor Zhang, I found that why you only prescribe three doses of medicine?"

"The medicine is right. Three doses of medicine are enough to cure the disease. If there is no right, it will be useless. It will only delay your efforts in vain." Zhang Yan explained with a smile.

"Director Zhao, if there is nothing else, I will say goodbye first." Zhang Yan asked Zhao Pengcheng to say goodbye.

He treated all those who needed surgery with Chinese medicine, so naturally he had nothing to do.

Zhao Pengcheng couldn't help but smile bitterly. It seemed that the task assigned to him by Chu Yunlong was unable to be completed.

Yesterday, Chu Yunlong came up with a bit of a bad idea, which was to use surgery to delay Zhang Yan.

Aren't you Zhang Yan coming here?

Then I called him over for surgery and had 576 surgeries a day. I see what you should do.

There is basically no need to do anything else on this day, so Zhang Yan's time will be basically occupied by Xicheng Hospital.

Chu Yunlong is not afraid of the steel rolling mill refusal. If you dare to refuse, don’t blame me for refusing to treat the patients in your steel rolling mill.

Chu Yunlong is not afraid of any place where the lawsuit goes.

I said, if you don’t have enough skills, you can’t cure it. I suggest you transfer to the hospital. What can you do to me?

Not only that, the unlucky Deputy Director Liu became a victim this time. He, who originally lived in a single room, has now been added to two hospital beds in a single room.

Xicheng Hospital said it very well: the beds are tight during this period and there are many patients. I hope Director Liu will develop his style.

The people hospitalized are all the families of your steel rolling mill employees.
Chapter completed!