Zhang Yan chatted with the old man for a long time before satisfying his interest, and then gave him a detailed physical examination.

"Director Zhao, the patient has chronic appendicitis, but there is no abscess. Considering the old man's physical condition, I still recommend conservative treatment."

"Conservative treatment?

Dr. Zhang, I also considered conservative treatment before, but after a week of treatment, the effect was not very good."

"I know that the patient has been injured in the past and has developed a certain resistance to antibiotics due to long-term antibiotic treatment, so the antibiotics are not effective.

I suggest using traditional Chinese medicine treatment, using a combination of traditional Chinese medicine decoction and external application, and the effect should be better."

It is absolutely rare that antibiotic resistance can appear in this era.

It can also be seen from here how many times the patient has been injured and how much pain he has experienced.

In fact, according to the patient's self-report, the old man used a large amount of antibiotics for treatment because of his injuries after changing jobs, which led to the development of drug resistance.

Before I changed my career, antibiotics were worth more than gold in those days, so I would definitely not be willing to use them more.

It was only after the founding of the People's Republic of China that domestic production of antibiotics was achieved. Although the price is still relatively high, even the elderly can afford it.

"Okay, let's follow Dr. Zhang's advice and start with conservative treatment.

Doctor Zhang, please give me a prescription!" Zhao Pengcheng was persuaded by Zhang Yan and decided decisively.

"No problem!" Zhang Yan nodded, then turned to the old man and said: "Old monitor, I just discussed with Director Zhao and decided to give you conservative treatment.

Let me take your pulse."

"Young man, do you still know about Chinese medicine?" the old man asked curiously.

"Our 118 Division produces talented people. Is it normal for me to know Chinese medicine?" Zhang Yan said with a smile.

"Yes, yes! Our 118th Division not only produces heroes, but also talents!" The old man nodded with a smile and extended his hand in cooperation.

Zhang Yan took the old man's pulse and looked at the tongue coating.

Only then was the third officer prescribed the addition and subtraction of Dajianzhongtang.

Dajianzhong Decoction is a representative prescription for treating consumptive abdominal pain in the "Treatise on Febrile and Miscellaneous Diseases" by Zhang Zhongjing, a medical sage of the Han Dynasty.

In traditional Chinese medicine syndrome differentiation, the symptoms of chronic appendicitis are severe pain in the epigastrium and abdomen, pain that reaches the heart and chest, a feeling of cold air rushing up and down in the abdomen, non-palpable pain, vomiting and an inability to eat, and white and slippery tongue coating.

Therefore, using Da Jianzhong Decoction to treat chronic appendicitis in the elderly is just right.

In fact, the secret of traditional Chinese medicine lies in this addition and subtraction.

Those who say that traditional Chinese medicine is slow to be effective mean that they have never met a good traditional Chinese medicine doctor. They only know how to take medicine according to the prescription without adding or subtracting.

Traditional Chinese medicine emphasizes one person's prescription and one disease's prescription. This does not mean that the doctor randomly ponders the prescriptions, but based on the inherited prescriptions, adjustments are made according to the patient's constitution and condition, which is what Chinese medicine calls additions and subtractions.

After prescribing Da Jianzhong Decoction, Zhang Yan prescribed a traditional Chinese medicine prescription for external application: aconite root, dried ginger, passepartout, salt eucommia, loranth, psoralen, etc.

"Old squad leader, this is a prescription for external application." Zhang Yan specifically explained.

"Doctor, I am the patient's daughter-in-law, just tell me!" a middle-aged woman in her thirties said from the side.

"Okay!" Zhang Yan nodded.

"You put these medicines in a medicine bag and steam them in a pot. After steaming for 30 minutes, when there is still a certain amount of moisture, wrap it in a towel and put it on the appendix for hot compress. After it cools, return to continue steaming.

It takes about 30-40 minutes at a time.

Apply hot compress once a day, and after three days, I will adjust the medication according to the situation."

"Thank you, doctor!" The patient's family members sincerely thanked Zhang Yan.

In this era, no one is willing to take a knife on themselves unless it is a last resort.

This is not only due to the high risk of surgery, but also some feudal ideas in it.

The body, hair and skin are affected by the parents, and if they go under the knife, they are no longer a complete person.

Why did the ancient eunuchs put things in bottles after castration?

Just so that when I die in the future, I can bury those things together, so that I can be considered a complete person.

"You're welcome, it's a doctor's duty to treat illnesses and save lives." Zhang Yan smiled and nodded to everyone.

"Old monitor, please rest first. I have to go to the ward for rounds. Let's talk later." Zhang Yan said hello to the old man and left the ward.

It can be seen that this old man still has some status and lives in a single room.

There were a lot of family members in the ward.

However, Zhang Yan didn't care about this. He suggested conservative treatment, which was completely based on the patient's body and the development of the disease.

After coming out of the old man's ward, he continued his ward rounds.

Patients in general surgery basically require surgical treatment. Some have undergone surgery and some are waiting for surgery.

Unknowingly, I came to the ward of the patient where he had an appendix surgery yesterday.

Seeing Zhang Yan, the other party thanked Zhang Yan enthusiastically.

"You're welcome, just take good care of yourself.

In the future, even after you get better, don't overeat and eat less spicy food." Zhang Yan explained and left the ward.

Then we came to Xu Meizhen’s ward.

"Xu Meizhen, how do you feel?" Zhang Yan asked with a smile.

"It just feels a little awkward, nothing else." Xu Meizhen said with a blush.

"It must be awkward to have two extra tubes on my body.

Just be patient! Wait three to five days to check the situation. If no pus flows out, you can remove the tube." Zhang Yan checked Xu Meizhen's incision and then explained with a smile.

"Thank you, Dr. Zhang!" Xu Meizhen quickly thanked her.

At this time, Xu Meizhen can be regarded as risking her life. After all, she is already like this, where can she be embarrassed again?

It took about more than an hour to complete the ward rounds.

"Dr. Zhang, which surgery do you think you are going to do today?" Zhao Pengcheng asked.

"I will perform abdominal abscess drainage surgery and duodenal repair surgery." Zhang Yan thought for a moment and said.

Including hemorrhoidectomy, other surgeries are not challenging.

Zhang Yan simply chose abdominal drainage and duodenal repair, which was a good opportunity to improve his gastrointestinal surgery skills.

For every operation, in addition to the experience rewarded by the system, Zhang Yan's own surgical skills can also gain experience.

"Okay! I'll have someone notify the patient to prepare." Zhao Pengcheng was also cheerful.

At the same time, I am very grateful. There are eight surgeries in total today. Although Zhang Yan is only responsible for two surgeries, these two surgeries are also the most complex.

After Zhang Yan took over these two surgeries, his pressure suddenly eased a lot.

He is not the only one who can perform surgeries in the general surgery department. There are others who can perform other surgeries such as hemorrhoidectomy, subcutaneous tumor drainage, and appendicectomy.

All in all, he only needs three surgeries today. If everything goes well, it can be completed in half a day.

Zhang Yan went into the operating room and changed into surgical clothes. Zhao Shengli and Qian Hongying had already changed into surgical clothes and were waiting for him with Xiao Li and Xiao Yuan.

Peng Dahai couldn't be his assistant today, so Zhao Pengcheng arranged the surgery alone, which was the hemorrhoidectomy surgery that day.

"You two will be my assistants in a while. Follow my instructions and don't panic when something happens. I will take care of everything." Zhang Yan told Zhao Shengli and Qian Hongying.

"I know, Brother Zhang!"

Having performed several surgeries with Zhang Yan, Zhao Shengli and Qian Hongying had great trust in Zhang Yan.

"Xiao Li, Xiao Yuan, not everyone can adapt to surgery. The main reason for you to come in today is to feel the atmosphere of the operating room.

If you feel unwell after a while, you can go out directly without forcing yourself." Zhang Yan specifically explained to Xiao Li and Xiao Yuan.

The main purpose of bringing three young nurses here is to gain experience. I don’t expect them to become surgeons or operating room nurses in the future.

The first operation was duodenal repair surgery.

Duodenal repair is mainly a surgery to repair duodenal perforation.

The patient is forty-two years old, but looks like he is in his fifties.

The patient had a history of intractable ulcers. After being admitted to the hospital yesterday and undergoing conservative treatment, his condition did not improve. Gastrointestinal perforation was suspected, so surgical treatment was performed.

The patient was already in a coma when he was sent to the operating room.

Zhang Yan sighed, this disease is an emergency, and the surgery should have been arranged yesterday.

However, this is not Red Star Hospital, and Zhang Yan cannot question Zhao Pengcheng's arrangements.

"General anesthesia!" Zhang Yan explained to the anesthesiologist.

No need to think about it, this kind of disease will be directly treated with general respiratory anesthesia.

Zhang Yan took it upon himself to position the patient.

"For this kind of gastrointestinal surgery, the position is usually in the supine position, but the patient suspects duodenal perforation, so the supine position is required." Zhang Yan gave instructions to the four people while doing it.

"bite!
To be continued...