Chapter 276 Pneumoconiosis Specialist(1/2)
Clinic
The ward of the pneumoconiosis patient is today the clinic where Feisu gave the pneumoconiosis patient a follow-up visit.
Seeing Huang Su bringing Li Yan, Fu Jing comes in.
"Isn't this Director Huang, the King of Hell, afraid of? Welcome to our respiratory medicine department to guide our work."
After getting familiar with each other, Director He could also make a few harmless jokes with Huang Su.
Director He is now really impressed by Huang Su's medical ethics and skills.
Ask yourself, when the patient is critically ill, Director He himself cannot do such unswerving treatment.
Huang Su also joked: "Director He, why are you here to join in the fun?"
Hahaha!
Director He smiled heartily and said, "Didn't everyone say that these two days?"
Huang Su successfully rescued two critically ill patients for two days. The rumor that "The King of Hell is going to be killed, please ask Director Huang first." spread throughout the hospital.
Everyone knows who is making small moves behind the scenes.
Director He Gaoxing said to Huang Su: "Doctor Huang, Lin Quanyou took the medicine you prescribed. Now the dry cough has been relieved a lot, and the palpitations have basically disappeared."
Huang Su nodded and came to Lin Quanyou's bedside.
Lin Quanyou's son became very enthusiastic this time, and got up and moved a stool and greeted enthusiastically: "Director Huang, sit down!"
Huang Su sat down and asked, "Did the patient's sleeping and eating improve after taking the medicine?"
This is the difference between traditional Chinese medicine and Western medicine in cognition of diseases.
In Western medicine, eating is not good, sleeping poorly, physically tired, and mentally weak are not considered a disease.
So just now, Director He only introduced the improvement of dry cough and palpitations to Huang Su, without mentioning other symptoms.
However, in traditional Chinese medicine, symptoms such as food, sleep, and fatigue are more important. Whether these diseases improve depends on whether the patient's body's positive energy is consolidated.
Some people who often feel weak and have no energy should have a deep understanding of it. When they do Western medical examinations, the physical examination indicators are all normal, and the doctor will also tell you that you are not sick.
"Director Huang, you are simply a living god. Since my father took the medicine you prescribed, his health has been getting better and better every day. Just three days ago, my father was the first to sleep after falling ill. These few
The appetite of the day has also increased a lot."
Lin Quanyou's son's joy could no longer be suppressed. When talking about his father's physical condition, he talked endlessly and saliva flew everywhere.
Just when Huang Su was consulting, the patients on the two beds next door also listened carefully to the conversation here.
They are the ones who feel the most about the changes Lin Quanyou has after drinking Chinese medicine.
Every day, watching Lin Quanyou's body improve day by day, and seeing the efficacy of traditional Chinese medicine in alleviating pneumoconiosis symptoms, everyone is looking forward to the day when Fei Su comes for a follow-up visit.
Fei Su continued to ask: "Have the patient's current physical fatigue improved?"
Fearing that Lin Quanyou's son wouldn't understand, Huang Su said more carefully: "Is there still serious gasps when walking? Will you still sweat?"
Lin Quanyou's son said, "I still feel very panting when I walk, but I've been much better and my sweating situation is basically gone. Now after my father has eaten, he can walk a few steps to get rid of the food."
"The loss of Qi deficiency cannot be compensated in a short period of time. You need to be patient." Huang Su nodded and explained, and continued to ask: "Are there any new situations after the patient takes the medicine?"
Lin Quanyou's son thought for a while and said, "My father will sweat at night and have a low fever in the afternoon."
"The symptoms of pneumoconiosis in the patient are deficiency of Qi and Yin. Night sweats at night and low fever in the afternoon are all symptoms of Yin deficiency. In the original prescription, I am adding 10g of turtle shell to the patient and taking it for seven days to see if the symptoms have improved."
After explaining, Fei Su took out the newly changed prescription written on the prescription sheet and handed it to the nurse who came with him.
"Thank you, Director Huang!"
Lin Quanyou's son hurriedly stood up to thank him.
Seeing Huang Su getting up and leaving, the two accompanying families in the next bed hurriedly came over and said, "Director Huang, can you show us too?"
Huang Su did not agree immediately and turned to seek Director He's opinion.
After all, are these patients all patients in the respiratory department? Director He invites him to participate in treatment, which is called joint consultation. If he treats the patient without his consent, it is a transgression.
"I'm waiting here today, and I'm already planning to ask you to have a Chinese medicine clinic for pneumoconiosis patients in these wards."
Director He explained with a smile: "In recent years, the integration of Chinese and Western medicine has become a trend. I also want to write a paper on the treatment of pneumoconiosis through these cases of patients. At that time, Chinese medicine will be
I will have to trouble Director Huang, don’t worry about this paper signing the names of our two people.”
Hospital doctors also have essay requirements, especially when improving professional titles, the essay requirements are still very strict.
Although Director He is the department director of the respiratory department, he is just an associate chief physician. This consultation with Huang Su showed him the possibility of his promotion.
Thinking about getting admitted to the chief physician, the hospital was rated as a tertiary hospital, and I will be the chief physician of a tertiary hospital in the future, Director He felt happy when he thought about it.
"No problem, we can discuss it when Director He writes the paper." Huang Su said beautifully.
After all, after graduating from Dr. Huang Su, the title of chief physician also requires a paper.
Although this paper may be the second most quality among his papers, who would dislike the number of published papers?
Hearing Huang Su's agreement, Director He's smile became even brighter: "Then I want to thank you, Director Huang."
The family members of the patient who were waiting anxiously heard Director He agree to Huang Su to treat his family.
A family member said first: "Director Huang, please show my father first. He is already in his seventies. If he is tortured by illness like this, I am really worried that he will not be able to listen."
The family of another patient heard that the other party had already moved out of their age and had no objection.
It’s just a matter of watching it early and late. Director He hasn’t said that Huang Su will diagnose all pneumoconiosis patients today.
Director He cooperated to take the patient's medical record from the nurse and gave it to Huang Su: "This is Zheng Laifu's medical record."
Feng Su took the medical record and roughly looked through it, approached the hospital bed to check the old man's condition.
This is a thin old man tortured by the disease, with a pale complexion and purple lips.
Zheng Laifu looked at Feng Su who was walking over and struggled to sit up and Feng Su.
Zheng Laifu has always seen the clinical treatment effect, and this is his savior.
But as soon as she left, Huang Su clearly heard Zheng Laifu's clear shortness of breath, and then a violent cough.
Huang Su quickly stepped forward to stop Zheng Laifu from getting up, and clearly saw that he was covered with a thick quilt and was still wearing a long-sleeved underwear. It was already summer in the grassland city.
Huang Su touched Zheng Laifu's right hand, and it turned out that his right hand was cold.
With the help of Zheng Laifu's family, Zheng Laifu lie down slowly.
"Stethoscope!"
Huang Su took his stethoscope from Li Yan's hand.
Flavin placed the earpiece in the patient's lungs, and only noticed damp rales in both lungs were heard, and the breathing sounds in both lungs were very low, which means that the patient had phlegm in the lungs and severe lung lesions.
Put down the stethoscope, and put three fingers on Zheng Laifu's pulse with his right hand.
Li Yan habitually came to the other side of the hospital bed and reached out to Zheng Laifu's left hand.
After a long time, Li Yan looked at Huang Su and said tentatively: "Master, the patient has a thin pulse, which is a pulse of deficiency syndrome."
Huang Su did not rush to comment on Li Yan's pulse diagnosis, and stood up: "Come here and treat the patient's right hand."
Li Yan sat in Huang Su's position and took the pulse again. Three or four minutes later, Li Yan looked up and said, "Master, the patient's right hand is also a thin pulse."
Huang Su said: "You are carefully diagnosing the patient's inch gate and seeing if there are slippery pulses in addition to the thin pulse."
Li Yan closed her eyes gently, and let all her perceptions focus on her three fingers.
After two or three minutes, Li Yan opened her eyes and nodded slowly.
Although Li Yan learned knowledge very quickly, she also showed amazing talent for pulse diagnosis.
But after all, it is a beginner. It is difficult for her to diagnose a combination of pulses like thin pulses.
Huang Su reminded her at this time that it would deepen her feelings about this pulse.
The slippery Cunguan pulse indicates that the patient has phlegm congested in the spleen and lungs.
Feisu also examined Zheng Laifu's tongue image. The tongue is dark red, the tongue coating is white and greasy, the surface of the tongue is uneven, and there is obvious depression in the front of the tongue. This is a manifestation of severe qi deficiency in the spleen and lungs.
After seeing the tongue coating, flavin examined the patient's legs. Sure enough, edema was also present, and edema was the most common complication of pneumoconiosis.
Because the heart and lungs are damaged, the qi and blood cannot circulate normally, and swelling of the lower limbs will occur, and in severe cases, swelling of the whole body will occur.
After the examination, Feisu asked, "How long has the patient been pneumoconiosis?"
Zheng Laifu's family replied: "It's almost twenty years."
Huang Su asked in a daze: "When your father was young, he must have worked in a coal mine, right?"
Zheng Laifu's family replied in surprise: "Director Huang, how did you know?"
Huang Su did not answer the questions of Zheng Laifu's family and continued to ask: "Does the patients usually cough up phlegm?"
Whether Western medicine recognizes the theory of the five elements of traditional Chinese medicine or the country believes that the Yin and Yang and Five Elements of Traditional Chinese Medicine are feudal superstitions and the dregs of traditional Chinese medicine.
Among pneumoconiosis patients, people who work in metal mines generally have both qi and yin deficiency, which is mainly manifested as dry cough, no phlegm, or yellow phlegm, because this metal belongs to fire, which is the source of dry metal.
Most of the patients with pneumoconiosis who are not metal mines have white phlegm.
To be continued...