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

"Xiao Chen, come here!"

Qin Dongliang had just walked to the next patient when he found that Chen Yang had shrank back again. He frowned and waved to Chen Yang.

After being inspired by Chen Yang twice in a row, Qin Dongliang had already made some vague judgment in his mind that Chen Yang's level should not be worse than his.

First, let’s talk about the patient in the obstetrics department yesterday. Qin Dongliang had read the prescription written by Chen Yang at that time. As far as the prescription was concerned, Qin Dongliang felt that there was no problem, but the medicine that Chen Yang added at that time was definitely something Qin Dongliang had not expected.

But never underestimate the difference of a single medicine, and don't underestimate the medicine guide. In many cases, the medicine guide is crucial to whether a dose of medicine can be effective.

Then there is the condition of the patient just now.

After Qin Dongliang learned about the patient's condition, his judgment was the same as Lin Rui's. Of course, Qin Dongliang might realize the problem later, but at this stage, Qin Dongliang did not realize it.

On the one hand, the patient was admitted to the hospital only yesterday and took the medicine once last night. If he continues to take the medicine today, it would be equivalent to taking the medicine for the second time. In such a short period of time, even if there is no obvious effect, Lin Rui and Qin Dongliang would not think too much about it.

Only when the patient's condition did not improve after three or five doses of medicine, Qin Dongliang might think more deeply and discover the problem.

As mentioned in the previous article, sometimes doctors cannot make 100% accurate judgments. When the current treatment is ineffective, after excluding the most likely scenario the doctor considers, he will review the situation again. This is also a common situation in clinical practice.

On the other hand, the patient is Lin Rui's patient. While Qin Dongliang is understanding the patient's condition, Lin Rui's diagnosis results will affect Qin Dongliang's judgment to a certain extent.

After all, Lin Rui is also an associate chief physician. After Qin Dongliang looked at Lin Rui's prescription, he would subconsciously check the situation first. If he felt that there was no big problem, he would not think too much about it.

After all, the director's ward rounds are very tight, and he has to rush through many patients, so it is impossible for him to be too careful with every patient.

This is just like a teacher marking homework. He will take a quick look at the key points, and if there is no major problem, he will draw a √. Therefore, there is a certain error rate when manually marking the papers.

After realizing that Chen Yang's level might not be worse than his, Qin Dongliang knew that he had picked up a treasure.

As expected of Wu Yaolin's disciple, he did not disappoint him.

Given Qin Dongliang's age and position, and Chen Yang's background, Qin Dongliang would definitely not suppress or be jealous of Chen Yang.

Qin Dongliang is already the head of the department, and there is no room for him to be promoted or advanced. Moreover, he is more than 20 years older than Chen Yang, and they are not of the same age, so there is no competition between them. Moreover, Chen Yang is Wu Yaolin's apprentice, so he is not without foundation.

When Qin Dongliang meets a subordinate like Chen Yang, he will only like him and will never suppress him or be jealous of him.

"what's the situation?"

In contrast, the group of young doctors who were following the ward rounds were even more confused.

Chen Yang’s performance just now was already very good. Director Qin is still not planning to let Chen Yang go?

After all, no one at the scene knew that Director Qin didn't know how to do it just now, and only a few people such as Lin Rui and Jiang Yanliang could see Chen Yang's level from the medical records just now. Most of the newbies didn't actually know how difficult the disease analyzed by Chen Yang just now was.

This is like a group of first grade students. They don’t know how to solve questions above first grade level. They don’t have a clear idea whether they are third grade or sixth grade questions.

Some people felt that Qin Dongliang's question just now was directed at Chen Yang. Chen Yang answered very well, but Qin Dongliang still called Chen Yang to his side. Was he planning to continue asking questions?

Even though Chen Yang is Wu Yaolin's apprentice and has a good level of skills, there will always be times when he can't answer the questions, right?

Many people in the department said that Director Qin was promoted by Director Zeng, so he was very caring towards Tang Shaowei. Now it seems to be true. Maybe Director Qin really favors Tang Shaowei.

"The patient was hospitalized due to gastrointestinal bleeding and was diagnosed with liver cirrhosis combined with esophageal venous bleeding. After two weeks of treatment in another hospital, the bleeding stopped. However, his abdomen gradually swelled, ascites was obvious, his waist was straight and his navel was flat... He was transferred to our hospital for treatment."

The attending physician in charge of the patient was talking about the patient's condition.

"Ascites occurs after esophageal varices rupture, which is already a symptom of late-stage liver cirrhosis."

Many doctors couldn't help but whisper when they heard this.

Late-stage liver cirrhosis is a very difficult condition and is considered a very serious illness in Western medicine.

Although this is a traditional Chinese medicine department, many patients have a history of Western medicine diagnosis and treatment before coming here. Therefore, when introducing the patient's condition, if the patient has been diagnosed in other hospitals before, the doctor needs to understand these situations.

Moreover, the Traditional Chinese Medicine Department of the Medical Affiliated Hospital is actually not that different from those of other hospitals. Even the department director Qin Dongliang and chief physician Jiang Yanliang do not have such pure thinking in treatment.

In other words, due to the current prevalence of Chinese medicine, the level of Chinese medicine is actually very high.

According to Chen Yang's system of classification, the chief physicians of tertiary hospitals should have a level of at least eight or nine to be qualified. But in fact, because of impure thinking and a lot of wateriness, the level of many chief physicians in tertiary hospitals is only level six or seven as recognized by the system. Even at this level, there is still a discount in actual clinical performance.

For example, Chen Yang, who is at level 6, can only perform at level 6. However, some doctors in the Department of Traditional Chinese Medicine, even at level 6, can only perform at level 5.

"How's your bowel movement going?"

Qin Dongliang asked while taking the patient's pulse.

"The bowel movements are frequent and the urination is small." said the attending physician on the side.

"Ah."

Qin Dongliang nodded, stood up, and asked Chen Yang: "What do you think, Xiao Chen?"

Unlike the previous patient, who was admitted to the hospital only yesterday, Qin Dongliang did not know the patient's condition before today. However, this patient has been hospitalized for ten days and has ascites due to liver cirrhosis, so Qin Dongliang is very clear about the patient's condition.

The reason why Qin Dongliang called Chen Yang over again was because he understood the patient's condition and he also wanted to hear Chen Yang's opinion.

"???"

Many young doctors were instantly filled with question marks.

Director Qin seems a little abnormal today.

Can a 30-year-old attending physician like Chen Yang know about or solve the problem of patients at this level?

How much hatred and resentment does Director Qin have against Chen Yang that he would target Chen Yang so much during today's ward rounds?

Isn’t it said that Chen Yang is the talent that Director Qin specifically asked Professor Wu to recruit?

I don’t understand, I don’t understand.

Many people just felt that what happened today was too weird and was totally beyond their comprehension.