Chapter 482 The idea of opening a branch hospital
Zhang Yan looked at the young man and couldn't help feeling distressed for him.
It’s not easy for men!
Especially the man who is sandwiched between his wife and mother.
If the wife and mother are not worried, the man will have a more sad life.
Judging from the performance of this young man, you will know that the relationship between mother-in-law and daughter-in-law in this family is relatively delicate.
After chatting for a few more words, Zhang Yan said goodbye and left the ward.
"Tailing at around 10 am tomorrow morning, you can prepare in advance, don't be nervous! You have taught you everything you need to teach, you all know the acupuncture point for pain relief, and you can also use acupuncture!" After leaving the ward, Zhang Yan asked the money
Hongying explained.
"I know Master! This is the first time! I always feel a little confused!"
"Are you unsure about your medical skills or my teaching level?" Zhang Yan asked with a smile.
"Not either, it's just the feeling that I can't say it anyway!"
"It's okay. When I first sewed it on the battlefield, I felt like you. I'd better get used to it later.
Later, you may become busy. After you get busy, you will have no time to be nervous!
If you have any questions, please ask the head nurse more!" Zhang Yan said with a smile.
The head nurse of the obstetrics and gynecology department was dug by Zhang Yan from Xicheng Hospital. He turned out to be the head nurse in the obstetrics and gynecology department.
Before liberation, he worked as a nurse in the hospital and was an experienced head nurse.
An experienced head nurse sometimes works better than a young doctor.
"I know Master!" Qian Hongying and others nodded and responded.
After leaving the obstetrics and gynecology ward, Zhang Yan was stopped by Zhang Tongtian before he could return to the office.
"What's wrong?"
"Uncle Yan, Uncle Qiang asked me to invite you to come! There is a patient with bone disease, but Uncle Qiang is not sure."
"Oh! Let's go!" Zhang Yan nodded with a smile, and followed Zhang Tongtian to the orthopedic clinic.
"Brother Yan, you are here! I am not sure about this patient! Please show it!" Seeing Zhang Yan coming, Zhang Ziqiang quickly came up.
Zhang Yan glanced at the patient's hands and understood why Zhang Ziqiang asked him to come over.
The patient has rheumatoid nodules, and it is very serious. There are nodules on both hands, and the hands look scary.
"Is it painful to press like this?" Zhang Yan pulled up the patient's hand and gently touched the nodule.
"It doesn't hurt!"
The patient is an old man in his fifties, with his face full of years of wind and frost and wrinkles.
"Is it only on your hands? Are there any other places?" Zhang Yan continued to ask.
"There are also on the elbow!" A middle-aged man in his thirties came with him and spoke from the side.
"I'll take your pulse!" Zhang Yan did not look at the nodules on his elbow.
Just looking at the nodules on the hand, you can basically determine what the disease is.
Now, taking the pulse is just to prescribe medicine better.
Each person and each side should not only refer to the patient's physical condition, but also to the patient's physical condition.
The pulse is stiff and the tongue is dark and purple.
The rheumatoid nodules mentioned in Western medicine are called phlegm nucleus in traditional Chinese medicine, and are nodules formed by phlegm and stasis.
The treatment is also very simple, that is, to eliminate phlegm and promote blood circulation, and to search for wind and unblock the meridians.
Zhang Ziqiang was not sure about the reason why he did not dare to take treatment. Zhang Yan also understood that he had never been exposed to this disease, and the old man's nodules were more serious.
The largest nodule on the back of the hand has exceeded five centimeters.
It's about the same size as a small egg.
Zhang Yan considered it and was definitely treated both inside and outside.
External treatment is to perform surgery to pick out the nodules, which is the same as Western medicine's method of treating nodules.
However, this surgical treatment can only treat the symptoms but not the root cause.
If it cannot resolve phlegm and promote blood circulation, nodules will continue to grow after a period of time.
Internal treatment is naturally to eliminate phlegm and promote blood circulation, and to search for wind and unblock the meridians.
"Comrade, your nodule is quite serious. If you treat it, you need to undergo a minor surgery to remove all of your nodules, and then take oral decoction and external plaster for treatment." Zhang Yan gave the treatment plan to the old man and him
My son told it.
"How much does this disease cost?" the old man hesitated for a moment and asked.
"Don't you have any public medical care?" Zhang Yan asked.
"No, we are from the Yanjiazhuang Production Brigade of Beixin Commune, Shijingshan." The old man said.
"If your disease is cured, it will cost about twenty yuan!" Zhang Yan thought for a while and said.
"Twenty yuan?" The old man looked at Zhang Yan in surprise, with an expression of slaughtering people.
Now a production brigade and work points system have been implemented. A good work points can cost one cent, while the worse one is only three or four cents.
If you have ten work points a day, you will get one dollar a day for a production brigade with a high income.
It's bad, it's only a few cents a day.
Because there are many mountains in Shijingshan, the income is naturally not as good as that of the production brigades on the plains.
Twenty yuan may be the old man’s income for several months.
Naturally, it feels that twenty yuan is a very high price.
"Forget it, I won't be cured!"
"Let's treat!"
The old man and his son spoke almost at the same time.
"Old comrade, in this case, you can't do heavy work in the production team, right? You can only do some work such as raising pigs or grazing sheep in the production team, right?
How many work points can I get in a day?" Zhang Yan asked with a smile.
"I raise pigs in the production team, and I get six labor points a day." The old man didn't know what Zhang Yan said, but he answered truthfully.
Six points are less than Zhang Yan imagined. In this case, twenty yuan is almost half a year's income.
"You are not good at your hands and cannot do heavy work, so you can only get six points a day.
If you cure these nodules on your hands, you should be fine with your age and physical fitness, you should be fine with earning full marks.” Zhang Yan said with a smile.
Zhang Yan continued: "Think about it yourself, should you continue like this until you can't do the work and you can't make a single work point, which will become a burden for the children, or should you cure the disease and earn more work points?"
"Doctor, let's treat it!" the old man's son said firmly.
"What are you curing? I don't know how many years I can live! What should I spend this money?" The old man scolded his son anxiously.
"Old comrade, I'm not trying to make you money.
There is no problem in living for more than twenty years according to your body.
Let’s not talk about anything else. Once your health is cured, you can earn back the money for the treatment in one year.
Think about it yourself, is it reasonable for what I said?" Zhang Yan persuaded him.
Twenty yuan is already the lowest price given by Zhang Yan, and it is considered the cost price.
If you go to Xicheng Hospital or Union Hospital, it will cost more than twenty yuan just for surgical removal of nodules.
Zhang Yan had no choice but to reduce the medical expenses of the patients at will.
Chapter completed!