Chinese medicine: from rural hospitals to top three hospitals in Kyoto

While Chen Yang was talking to Tian Jikang and Wu Yaolin in the office, Zhou Qinghua was chatting with Li Ziyang and Jiang Dongfei in another group.

This group was a small group they formed last time when they went to Jialin County to have Yang Binfeng's wedding banquet. The main purpose was to discuss how many gifts would be included.

When a classmate like this gets married, if everyone goes together, they will discuss it and give the same gift money, so as not to make it look a little ugly if this one is too much and that one is too little.

There were not many people in the group, just three people, Zhou Qinghua, Li Ziyang, Jiang Dongfei, and no Chen Yang.

"Chen Yang came to our hospital today and is in our department."

"Did Chen Yang go to your hospital?" Jiang Dongfei asked.

"I said I made an appointment with Professor Wu today. It should be Professor Wu who brings Chen Yang to our hospital to study." Zhou Qinghua said.

"I admire it, I admire it." Li Ziyang also expressed envy.

"That's not the main thing."

Zhou Qinghua said: "After Chen Yang came here, he actually met Dr. Wen, who is Mr. Wen's grandson, and they have a very good relationship. Our squad leader was acting cool all night last night, and it was embarrassing on the spot."

Naturally, it would be difficult for Zhou Qinghua to talk about this topic in another group. Chen Yang was also in the group, so it seemed like he was a bit of a jerk.

However, several people didn't have a good feeling about Zhang Kai. Zhou Qinghua was holding it in all by himself and must find someone to share it with.

"Chen Yang still knows Dr. Wen?" Li Ziyang was surprised.

Didn't it say that Wen Haodong was Wen Xiuping's grandson? He came from Kyoto. How come Chen Yang also knew him?

"We do know each other, and we have a good relationship."

Zhou Qinghua said: "Chen Yang calls Dr. Wen directly the second brother. Dr. Wen seems to be the second eldest brother in the family."

Li Ziyang was envious when he heard it.

The title Chen Yang is obviously much closer than Zhang Kai's pretense last night.

"Zhang Kai kept talking about Dr. Wen in front of Chen Yang last night, and he will definitely..."

Jiang Dongfei couldn't help it anymore: "Hahahaha..."

He directly sent a string of "hahaha".

Thinking that he was embarrassed in front of Chen Yang last time, and this time it was Zhang Kai's turn, Jiang Dongfei couldn't help but feel happy. He didn't know why, but he just wanted to laugh.

"Chen Yang is really silent."

Li Ziyang said: "I really don't know what Chen Yang has been through in the past few years, why does he seem so mysterious?"

"+1!"

Jiangdong Feidao.

Indeed, when Jiang Dongfei saw Chen Yang again this time, he also felt that Chen Yang was very mysterious and couldn't see through it.

You finally feel like you understand something, but suddenly you realize that what was so great before seems to be just the tip of the iceberg.

"Professor Wu is here."

Zhou Qinghua was talking in the group when someone suddenly shouted. Zhou Qinghua looked toward the door and saw that it was Wu Yaolin. Chen Yang was beside Wu Yaolin, accompanied by the department director Tian Jikang.

The three people just passed by the door of the duty room.

When Zhang Kai saw this scene, his pupils subconsciously shrank.

Chen Yang.......

Doesn't Chen Yang work in the county hospital below? How come he knows Wen Haodong, Director Tian and Professor Wu?

Zhang Kai was still in a daze when a nurse came in and shouted: "Zhang Kai, Zhou Qinghua, Director Tian calls you over."

The two people stood up hurriedly, and the nurse said again: "Bring the medical records of the patients you are responsible for."

After saying that, the nurse turned and left.

People who don’t know hospitals may think that nurses in hospitals are subordinate to doctors. In fact, doctors and nurses are two systems, independent of each other and not subordinate to each other.

Nurses are under the jurisdiction of the head nurse and are working partners with doctors. They are not subordinates of doctors and only cooperate with doctors in their work.

So in the hospital, some senior nurses can point their fingers at new doctors and scold them, but new doctors don't dare to have any opinions.

Because doctors' orders and various medical care tasks are all done by nurses. If the doctor's skills are not good enough, he gives the wrong order, or makes any mistakes, it will increase the workload of the nurse.

It can be said that nurses really worry about doctors endlessly. They worry about it and do more work. If you scold you for your poor skills, you really have to admit it.

Moreover, some inspections are also done by nurses, and doctors must also abide by the system.

Except for nurses at the deputy senior level or department director level who will respect them a little more, in the eyes of nurses, junior doctors are just a burden, unable to do anything and making the number one mistake.

Zhang Kai and Zhou Qinghua hurriedly took the medical records of the patients they were responsible for out of the duty room and caught up with Tian Jikang, Wu Yaolin and Chen Yang.

The current medical record is not yet a formal medical record, but the patient's examination, syndrome differentiation, and medication must be registered. Even a pill or an examination cannot be missed. Afterwards, the bedside doctor will sort it out and submit it to the attending doctor for review, and the deputy director or director Sign and file.

The final medical record is the basis for the patient's treatment in the hospital. If a medical accident occurs, the medical record is the evidence.

After entering the ward, Tian Jikang asked: "Who is responsible for the patient?"

"Director Tian, ​​it's me."

Zhang Kai hurriedly came forward with the folder.

"Tell me about the patient's condition." Tian Jikang said.

Tian Kai hurriedly opened the folder and began to talk about the patient's condition.

"The patient had a history of kidney stones and underwent surgery. When he came in, the B-ultrasound examination found stones again. Both kidney stones were 7mmx3mm in size in the left kidney and multiple in the right kidney..."

“The first stenotic part of the right ureter is a stone disease with mild hydrops in the right kidney, a single calcification lesion in the anterior connection, soreness and discomfort in the waist, frequent nocturia, dripping and painful urination, dry stool for three days, and a dry and bitter taste in the mouth... .”

"The patient is treated by Dr. Wen. The syndrome is damp-heat and heat."

When Zhang Kai said this, Chen Yang was already sitting on the edge of the hospital bed, diagnosing the patient's pulse.

After Chen Yang finished the examination, Wu Yaolin asked: "Xiao Chen, what do you think of this disease?"

"Urinary tract stones belong to the category of Shilin in traditional Chinese medicine."

Chen Yang pondered for a moment and said: "Acute attacks are generally characterized by symptoms of dampness and heat. Dr. Wen's syndrome differentiation is very accurate."

"How long has the patient been taking the medication?"

Wu Yaolin asked.

"I have been taking medicine for two days." Zhang Kai said hurriedly.

"Have you had loose stools in the past two days?" Wu Yaolin asked.

"Yes." Zhang Kai nodded.

"Well, for the symptoms of dampness and heat, it is indeed good to use large doses of heat-clearing, diuretic, and anti-inflammatory drugs, combined with drugs to dispel turbidity in the bladder."

Wu Yaolin said: "In the treatment of traditional Chinese medicine, we must first determine the scope of the disease and dialectical treatment. Is Dr. Wen the grandson of Mr. Wen?"

"Correct."

Tian Jikang smiled and said: "Dr. Wen has been in our department for a month and his skills are good."

"Ah."

Wu Yaolin nodded, and then looked at the next patient. This patient, Wen Haodong, had good dialectics and accurate medication.

"You still need to exercise more, cooperate with stone removal, and don't lie in the hospital bed all day." Wu Yaolin warned.