My medical skills shocked the world
Chapter 94
With Su Maoyan's help, today's work progressed very smoothly. John is not a harsh boss. Anyway, today's task has been completed, so let's get off work if there is nothing to do.
Zhang Lei didn't expect that he could rest on the first day with the project, so he said quickly: "I'll check the patient's information again, and I'll leave after get off work later."
Speaking of which, he didn't know Su Maoyan's understanding of the patient yet, and that certainly wouldn't work. In the future, when other experts asked him about his condition, he might have to ask Su Maoyan.
John nodded and praised him for his hard work, then pulled Su Maoyan and said, "Come on, since you're off work, how about we go somewhere?"
Su Maoyan who was forced to leave work: ...
I don't want to go to get off work at all, and I want to continue reading.
But John seemed to be very excited, Su Maoyan could only pack up his things, and gave Zhang Lei a few instructions before leaving with John.
John actually made an appointment with a friend today, who is of course a doctor. He didn't expect Su Maoyan to finish the job so quickly, so he wanted to take Su Maoyan with him, which can be regarded as helping Su Maoyan expand his network.
After all, he now likes Su Maoyan more and more.
He is skilled and serious and can make incense, of course he likes it!
By the way, Su Maoyan also gave him the spices he promised to John yesterday.
John held the spice carefully and said, "Let's try this in a while."
Su Maoyan couldn't help asking: "Where are you taking me?"
John chuckled: "Go and meet the son of the director of this private hospital. He is my classmate and a cardiothoracic surgeon. He is amazing. Without him, the cardiothoracic surgery of this hospital would not be able to survive."
Su Maoyan said that the hospital they are currently in is called Ping An, and it is indeed famous for its cardiothoracic surgery, but I didn't expect there to be such a reason in it.
While driving, John said, "He and I are classmates and friends, so he made a connection and borrowed this venue for us."
Public hospitals are definitely not going to work, there are too many people, they want to borrow space, not only the space, but also various medical equipment, so John turned his attention to private hospitals.
Su Maoyan nodded, knowing that John was planning to take him to expand his network.
In fact, this is quite normal. Whether it is a doctor or any other industry, network is very important. Of course, it is okay to work alone and work behind closed doors, but communicating with equally excellent people will definitely be more helpful to your career.
This cardiothoracic surgeon is called Ping Zisi. Su Maoyan seldom heard the surname Ping, so he couldn't help but think of the witness Mr. Lei invited during the teacher apprenticeship ceremony - Ping Hongwen.
Unexpectedly, John quickly said: "Speaking of which, you have some fate with Ping Zisi."
Su Maoyan asked doubtfully, "What fate?"
John smiled and turned the steering wheel and said, "During the apprenticeship ceremony last time, there was an old expert in traditional Chinese medicine. Isn't that also surnamed Ping?"
Su Maoyan nodded.
John said: "That's Ping Zisi's grandfather, but Ping Zisi's father didn't study Chinese medicine, but opened a hospital instead."
Su Maoyan was a little surprised, he didn't expect such a relationship.
It seems that John, a foreign comrade, not only speaks Chinese well, but also has a lot of friends.
John smiled and said: "That's right, don't look at me as a person who stands in front of the operating table doing surgery every day. If I don't study medicine, I can definitely make money selling insurance and building real estate."
...that's going too far.
John and Ping Zisi had an appointment at a private restaurant near the hospital. He and Su Maoyan arrived first, and when they arrived, he took out the spices and prepared to light them.
This is incense sticks, just find any incense burner.
John had long been eager to enjoy the beauty of incense sticks again, so he lit the incense sticks without waiting for Ping Zisi.
This is the best incense stick sold by Su Maoyan's family. It can be seen that its smell is very popular, and few people don't like it. John is obviously not one of those few people. As soon as he smells the scent of this incense, his spirit is startled.
Although it is not as good as "Mountain and Sea", this fragrance also has a kind of tranquility and elegance at night, which makes people think of the mountains under the stars all over the sky unconsciously.
As soon as John smelled the smell, he stopped talking and slowly closed his eyes.
Su Maoyan also felt calm when he smelled it.
Seeing that John seemed to be falling asleep, Su Maoyan quietly left the room and went to the bathroom.
Unexpectedly, as soon as he went out, he saw a man and a woman quarreling in the hall, because it was not time for lunch yet, and this was a private restaurant, so there were only two of them, arguing quite loudly.
Su Maoyan was not very interested in this kind of thing, but he just turned around, and before he reached the door of the toilet, he heard a crackling sound, and then a man's cry.
He looked back subconsciously, and found that the man who was still alive just now fell to the ground, and the ground was covered with broken glass.
He was taken aback, and immediately stepped forward to help, intending to help the man up.
The woman was also taken aback when she saw this, but the man fell down by himself, and a few cups were also smashed by the man, so she just folded her arms in a funny way and said, "Look at you, a soft-footed shrimp can't even stand up. Steady, you dare to imitate other people's Bao Xiaosan, am I giving you a face? Don't you have any idea of what you are like? What can she fancy you? See you as a soft-legged shrimp? Isn't she attracted to you? my money!"
The amount of information in these words is too much, Su Maoyan did not expect to have a meal, and even encountered a big scene of tearing up a scumbag, but now this "scumbag" is full of blood, he has no way to turn a blind eye.
On the contrary, when the woman saw a handsome guy coming to help, she had a better attitude: "Leave him alone, I'll call an ambulance for him."
Isn't it just a piece of glass scum?Just right, it would be better if the butt is smashed, so as not to go outside every day to flirt with women.
However, Su Maoyan heard the man's more and more abnormal breathing, he helped the man up and said, "Are you alright?"
The man said with a painful expression, "Butt hurts."
It really hurts.
Su Maoyan glanced back and found that there was indeed a lot of blood: "Hurry up and go to the hospital for treatment."
While talking, another man came in from the outside, it was Ping Zisi who had made an appointment with John.
Seeing this, Ping Zisi also stopped, as if he didn't understand what happened here.
Su Maoyan didn't notice that there was one more person, because the man kept shouting for pain. The glass slag sitting on his buttocks must hurt, but it won't hurt this much. Su Maoyan couldn't help but seriously said: "Where is the pain?"
He was a little worried that the man had broken a bone.
Unexpectedly, when he asked, the man said it was a pain in the heart, not a bone pain.
Not a bone headache?
Su Mao said, "Come on, I'll help you go to the bathroom."
Ping Zisi simply stepped forward and said, "I'm also a doctor, let's go together."
The woman had already put down her mobile phone: "I called 120, the ambulance will come soon, you don't need to talk to him."
But the two present were doctors, so they couldn't ignore it, so they helped the man to go to the toilet.
As a result, as soon as the man took off his pants, Su Maoyan had black lines all over his head.
Ping Zisi had the same expression.
The two couldn't help but glanced at each other, feeling that today's luck was not good.
Because the man's butt is obviously not just a wound made by glass slag.
The man was still asking, "doctor, am I okay?"
Su Maoyan said: "You may have perianal inflammation. When you go to the hospital, the doctor will definitely help you deal with it, but you may need an operation."
Perianal inflammation?
The man was taken aback for a moment, and then asked, "What kind of disease is this?"
Now it's Ping Zisi's turn to explain: "It's the inflammation around the anus. Sometimes this disease develops very quickly. You may feel itching two days ago, but after two or three days, half of your butt will be rotten."
And because of this disease, I died, so if you feel uncomfortable near the anus, you must see a doctor in time.
The expression on the man's face was already unreadable.
He didn't do anything recently, why did he have perianal inflammation?
Su Maoyan said: "It has something to do with living habits, you are fine, you can go to the hospital and take care of it in a while."
When the woman found out that the man had perianal inflammation, her expression became even more amused, but in the end she accompanied the man to the hospital.
Only then did Su Maoyan know that this woman was the owner of a private restaurant, no wonder there was not even a waiter around when they quarreled.
But also because of this somewhat oolong incident, Su Maoyan and Ping Zisi also knew each other.
John also heard the voice coming out now, and when he came out, he saw Su Maoyan and Ping Zisi chatting: "You two know each other?"
Only then did Su Maoyan realize that the person opposite was Ping Zisi.
Ping Zisi smiled and said: "I know, I just saw patients with this Doctor Su."
"That's right, come in and chat." John said.
As soon as he entered the door, a faint fragrance came from the tip of Ping Zisi's nose. The reason why he called it a faint fragrance was because this fragrance made people unconsciously associate it with the dark night at night. If he had to use an adjective to describe it, it should be in the quiet Hidden elegance, people can't help but be deeply intoxicated in it.
He looked in the direction where the smell came from, and it turned out that there was a stick of incense burning in the incense burner by the window, and the stick of incense had been half burned by now.
"What kind of fragrance is this?" Ping Zisi couldn't help asking, "I have been to this private kitchen many times before, but I have never seen them order this kind of fragrance. It smells quite good."
He usually doesn't like to use incense, and he doesn't like to smell the smell of spices, because most of the spices are too greasy for him, not only greasy, but also vulgar. It's the first time he has such a fresh and elegant smell. smell.
John smiled and said, "It's not from this shop, it's made by Su."
He once again introduced the situation of each other to Su Maoyan and the two of them.
Ping Zisi was surprised when he heard the words, "Are you Teacher Lei's new apprentice?"
It's really fate.
John said: "You didn't think about it either. You were originally involved in this project. I didn't expect a doctor in the project to worship your teacher Lei as his master under the auspices and witness of your grandfather."
Ping Zisi couldn't help feeling closer to Su Maoyan, and he explained: "I used to learn Chinese medicine from Teacher Lei when I was young."
Su Maoyan did not expect such a relationship.
John said: "Actually, I asked you out today, and I still have something I want to ask you for help."
Pingzi thought, "Say it."
John said: "I have a friend who is a foreigner and has a heart problem, coronary heart disease. He originally planned to go back to China for surgery, but now that his condition is getting worse, he can't take a long-distance flight, so he plans to have the surgery done in Huashi. And he can't go back to China after the operation, so I want to ask me to help him find a doctor for the operation."
John himself is a very powerful doctor, but this is Huaguo, and he is on a tourist visa, so he can't perform surgery on others casually, so he can only hire people he can trust.
Ping Zisi is a very good candidate. As a classmate, no one knows Ping Zisi's technique better than him. It can be said that the signboard of the Cardiothoracic Surgery Department of Ping An Hospital was laid down by this person.
Ping Zisi heard the words and said: "Okay, I understand what you mean, send the patient to the hospital first, I will arrange surgery for him as soon as possible."
John breathed a sigh of relief, "You're still interesting enough."
But John's request was not finished yet, he said to Su Mao: "As for the postoperative recovery, I want to ask you."
Su Maoyan asked suspiciously, "You mean cardiac rehabilitation?"
John nodded and said, "This friend knows that I'm working on this project, so please I must help him, but our project has not officially started yet, so I can only find a trusted Chinese medicine doctor to help him recuperate after the operation."
In fact, John didn't think about looking for Su Maoyan at the beginning. After all, there were three other experts in their team, but later Su Maoyan's performance was really good, and he and Su Maoyan were close friends, so they could be regarded as friends, but with the other three experts. The relationship between two experts is a general colleague relationship, so he trusts Su Maoyan more.
"I also consulted Leiyu, and she also told me that you must have no problem." John said, "My friend is also very powerful in the medical industry abroad. If you can help him recover, you will be able to do some foreign projects in the future. If you want to participate, you can find him."
This is another reason why John approached Su Maoyan, the fat water does not flow to outsiders.
In fact, as his friend, he didn't need to go through him to find a good hospital and doctor in Huaguo, but because he didn't want other people to know about it, he didn't use his relationship.
Su Maoyan nodded and said, "Yes."
Under normal circumstances, he will not refuse the patient's request for consultation.
John breathed a sigh of relief.
The next day, the patients of the project came.
At this time, several experts also arrived. They were also a little surprised when they heard what happened yesterday. They didn't expect Su Maoyan to sort out the information himself.
However, I was surprised and felt that young people are really motivated. If they spend seven or eight hours sorting out the materials, it will be impossible.
Because they have long been accustomed to having their assistants organize them and browse through them directly, several experts were a little embarrassed to see Su Maoyan like this.
Zhang Lei had already put today's patient list and previous medical records on the desks of several experts, and began to introduce the situation of the first patient.
Su Maoyan is still very familiar with the conditions of the fifteen patients to be seen today, because after returning last night, he carefully read the medical records again.
The first patient, surnamed Li, is 45 years old. He had just undergone PCI surgery. After the operation, he developed arrhythmia. However, the quality of life after discharge from the hospital is considered to be very poor. One is the excessive psychological pressure and the other is the poor physical condition. That's why the patients actively participated in this project research.
After the patient surnamed Li came in, he looked really bad from the look on his face. After greeting several people in the clinic, Expert Ning began to ask about the patient's symptoms.
Su Maoyan listened to expert Ning asking questions while carefully recording the patient's condition.
Judging from the symptoms reported by the patient, it should be that his foundation is relatively poor, and complications of arrhythmia appeared after the operation. Therefore, after discharge from the hospital, his vitality was severely injured, the symptoms of deficiency of the origin aggravated, and Qi and blood could not be reconciled. Feeling that the quality of life is declining.
After Ning finished asking questions, he began to feel the patient's pulse. After two or three minutes, he let go of his hand, pondered for a while, and said, "You guys also have to take a look."
There are a total of four doctors of traditional Chinese medicine here, and of course they all want to diagnose the pulse.
Su Maoyan was the last to get started. Although his experience in treating heart disease is the shallowest among them, he still has a certain advantage in pulse diagnosis because of the magnified sense of touch.
For example, now, the pulse under his fingertips clearly tells him the condition of the patient.
After all four people have been diagnosed, it must be a discussion on dialectics.
Regarding the etiology and pathogenesis after PCI, there are mainly several mainstream theories in the field of traditional Chinese medicine at present, but fortunately, the four present here all agree that the lack of righteousness and the inability to reconcile blood and blood lead to blood It is said that blood stasis and phlegm are turbid and endogenous, and blood stasis blocks the veins.
Therefore, the four people have similar opinions on the cause of this patient's pathogenesis.
Expert Ning said: "Coronary heart disease is a kind of pathological change. PCI surgery can only treat the symptoms, not the root cause, so restenosis is a very normal thing. For the patient's current lack of righteousness and evil in between, I think it's still a good idea." It should be based on strengthening the body and supplemented by expelling evil.”
Su Maoyan nodded. Expert Ning's judgment is similar to his, and they are all from the perspective of Chinese medicine to make up for the symptoms of deficiency caused by the introduction of treatment.
The other two experts also nodded to express their approval of Ning's statement.
"What are your thoughts on medication?" Expert Ning asked.
Although he already has his own ideas in his heart, he still needs to ask for other people's opinions.
The other two experts both chose the prescription for warming yang and promoting blood circulation, including cooked aconite, angelica, raw cattail, etc. Although the prescriptions are not exactly the same, the general idea is still the same.
Expert Ning nodded, expressing his approval of the level of the two experts, because these two prescriptions are good at first glance, and they are also suitable for the patient's situation.
He looked at Su Maoyan again and said, "What do you think?"
He originally thought that Su Maoyan's thinking was probably similar to the previous two experts, but Su Maoyan proposed another prescription.
"The patient's condition is mainly deficiency in nature, with evil excess in between, so I think the prescription is based on Sijunzi Decoction, adding Astragalus membranaceus to enhance the efficacy of the medicine, and for this patient's severe congestion, I choose the medicine for breaking blood. Do both."
The basic formula of Su Maoyan's prescription is Sijunzi Decoction, which is ginseng, Atractylodes macrocephala, Poria cocos and licorice. It is the most commonly used formula for invigorating qi, and because it is commonly used, its curative effect is beyond doubt, otherwise it would not have spread so widely. , Many people who don't know much about Chinese medicine also know this prescription.
Adding Astragalus to this prescription is based on the patient's current degree of deficiency.
Speaking of this, the other two experts still agree with this prescription. Although it is different from the prescription they prescribed, the idea is still similar.
But when it comes to the medicinal materials that break the blood later, they disagree a little.
Because it is obvious that Su Maoyan is different from them in judging the patient's congestion.
They were talking about invigorating blood, and they also used a prescription for invigorating blood, because the two of them thought that the patient's congestion was not serious, and they didn't need to use too much force, just invigorating blood.
However, Su Maoyan believed that the patient's congestion was serious, so he had to break the blood.
Disagreement, the three of them could only look at Expert Ning, the person in charge of the prescription at the same time.
Expert Ning is the oldest among them and has the longest working time, so this project research is also based on him, and his qualifications and level can also convince the public, so in terms of prescriptions, they must It is more willing to refer to the opinions of Ning experts.
Of course, because the other two experts had the same opinion, even though Expert Ning hadn't spoken yet, they had their own answers in their hearts.
Needless to say, their judgment is sure to be correct. After all, Su Maoyan is so talented. In terms of dialectics, Su Maoyan has judged patients, perhaps not as many patients as they have cured.
But they can also understand this kind of dialectical error. After all, when they were young, two or three out of ten patients could completely dialectically correct, which is already extraordinary.
Just when the thoughts in the hearts of the two of them followed one after another, Expert Ning spoke.
"I personally think that the patient's blood stasis is a relatively serious type."
As soon as Expert Ning finished speaking, he saw the other two experts looking at him together.
However, he is also used to being bullied, so he continued: "So I agree with Mao Yan's judgment. Among the prescriptions, it should be based on supporting Qi and supplementing blood loss. Of course, it can also be based on the patient's needs. The situation is complemented by intravenous injection of Shengmai Injection to strengthen the effect of replenishing qi."
After expert Ning finished speaking, the other two experts had opinions, and began to ask why expert Ning thought that the patient's congestion needed to break the blood, not activate the blood.
The effect of promoting blood circulation is indeed slightly weaker than that of breaking blood, but they think that judging from the current patient's condition, promoting blood circulation is more suitable.
Expert Ning explained: "The patient's heart collateral stasis is quite serious. It can be seen from the pulse condition that the patient's pulse is very fine and astringent. In addition, the ecchymosis on the tongue is also very serious. I I agree with Mao Yan because I also think that the current patient is suitable for a heavy prescription, because in his condition, the chance of subsequent restenosis is very high."
In fact, before asking everyone, Expert Ning thought this way, and he guessed that maybe the other three people would have different opinions from him, because the former is more stable in the choice of promoting blood circulation and breaking blood, while the latter is more important. It seemed a little extreme at this time, but from his years of practicing medicine, his accumulation of knowledge told him that for this patient's condition, breaking the blood is the best way.
It's just that he really didn't expect that Su Maoyan's thoughts and judgments were the same as his.
This also made him feel bright.
Because Su Maoyan's prescription was different from his, but the overall thinking was the same, so although his expression didn't change much, he was still very happy.
After listening to expert Ning, the other two experts still felt that it would be better to be more conservative, so they had reservations. However, expert Ning was responsible for this prescription, so the final prescription for the patient still followed expert Ning's opinion.
It’s just that during the entire rehabilitation process, only prescriptions are definitely not enough, and acupuncture must be supplemented.
Expert Li is in charge of acupuncture, so he was the first to put forward his own idea.
In terms of acupoint selection, he believes that dialectical acupoint selection is more suitable for this patient surnamed Li.
Su Maoyan also nodded when he heard the words, he also thought so, the patient mainly suffers from qi deficiency and blood stasis, so the choice of acupoints should be Guanyuan, Qihai, Qimen, and Xuehai.
He had just written down the names of these four acupoints on the paper, and Expert Li had already said the names of these four acupoints.
The other two experts also had no objection to the acupuncture plan after hearing the words.
Expert Li nodded and said, "That's how the acupuncture plan is determined."
According to his idea, acupuncture treatment should be done once a day, a course of five days, with two days of rest in between, and then continue to adjust the acupuncture points according to the situation.
After the two most important treatment methods are determined, there are several aspects such as diet, exercise, sleep, and emotions.
Diet and exercise are difficult to say, easy to say, but sleep and emotion are new things proposed by Su Maoyan, so everyone pays more attention to his method.
Su Maoyan thought about it, and in terms of emotions, he first adopted the method of music therapy. He had already prepared the specific music the day before, so he didn't even have to think about it at this moment, and he just came up with the plan .
As for sleep, he did not use sleeping tea for the time being, because the patient is currently taking medicine, and several sleeping tea prescriptions are not very suitable. In the end, he found a spice in the Spice Encyclopedia, but now there is only a formula, There is no finished product, so the sleep therapy will not be implemented until next week.
Although the other three experts did not understand spices, they all understood pharmacology. After reading the prescriptions one by one, they couldn't say anything against it.
Because although they have never seen this spice formula, the combination of Chinese medicinal materials in it is obviously very ingenious, and Expert Ning is even a little fascinated by it.
This is also because Su Maoyan participated in this project, so the system allows him to show the prescription to other doctors for reference, but the specific production method must not be passed on to the outside world. After all, the spice recipe book is authorized by the original author. But there is no such authorization.
Expert Ning sighed: "Your prescription is really ingenious, and I don't know how you came up with it."
Su Maoyan can only be said to have been passed down from his ancestors, and he is only a beneficiary.
But no matter what, Su Maoyan's performance today made Expert Ning feel amazing. He just felt that he had found a good seed for treating heart disease.
As a thunder blow, he couldn't help sighing at Mr. Lei's eyes.
Among so many Chinese medicine doctors, how could Mr. Lei find out this treasure with his eyesight and discernment?
Expert Ning handed the spice formula to Su Maoyan and said: "The two treatment methods you proposed were not reflected in the previous plan, so it is also a starting point for us to improve the rehabilitation treatment plan this time. As long as it is done well, the research results Publish it, and the response will definitely not be bad.”
He encouraged Su Maoyan and said: "So you are also the key to the success of our project. I was a little worried before, but after today, I have completely let go of my heart."
No matter what the other two experts think, expert Ning has already recognized Su Maoyan very much.
So things in the Chinese medicine circle are sometimes so simple. If you want people to respect you, appreciate you, and look after you, other means are small shortcuts, and you may go astray if you walk. Character and technology are the only way to conquer your colleagues. .
And now Su Maoyan is obviously walking on such a wide and straight road.
Zhang Lei didn't expect that he could rest on the first day with the project, so he said quickly: "I'll check the patient's information again, and I'll leave after get off work later."
Speaking of which, he didn't know Su Maoyan's understanding of the patient yet, and that certainly wouldn't work. In the future, when other experts asked him about his condition, he might have to ask Su Maoyan.
John nodded and praised him for his hard work, then pulled Su Maoyan and said, "Come on, since you're off work, how about we go somewhere?"
Su Maoyan who was forced to leave work: ...
I don't want to go to get off work at all, and I want to continue reading.
But John seemed to be very excited, Su Maoyan could only pack up his things, and gave Zhang Lei a few instructions before leaving with John.
John actually made an appointment with a friend today, who is of course a doctor. He didn't expect Su Maoyan to finish the job so quickly, so he wanted to take Su Maoyan with him, which can be regarded as helping Su Maoyan expand his network.
After all, he now likes Su Maoyan more and more.
He is skilled and serious and can make incense, of course he likes it!
By the way, Su Maoyan also gave him the spices he promised to John yesterday.
John held the spice carefully and said, "Let's try this in a while."
Su Maoyan couldn't help asking: "Where are you taking me?"
John chuckled: "Go and meet the son of the director of this private hospital. He is my classmate and a cardiothoracic surgeon. He is amazing. Without him, the cardiothoracic surgery of this hospital would not be able to survive."
Su Maoyan said that the hospital they are currently in is called Ping An, and it is indeed famous for its cardiothoracic surgery, but I didn't expect there to be such a reason in it.
While driving, John said, "He and I are classmates and friends, so he made a connection and borrowed this venue for us."
Public hospitals are definitely not going to work, there are too many people, they want to borrow space, not only the space, but also various medical equipment, so John turned his attention to private hospitals.
Su Maoyan nodded, knowing that John was planning to take him to expand his network.
In fact, this is quite normal. Whether it is a doctor or any other industry, network is very important. Of course, it is okay to work alone and work behind closed doors, but communicating with equally excellent people will definitely be more helpful to your career.
This cardiothoracic surgeon is called Ping Zisi. Su Maoyan seldom heard the surname Ping, so he couldn't help but think of the witness Mr. Lei invited during the teacher apprenticeship ceremony - Ping Hongwen.
Unexpectedly, John quickly said: "Speaking of which, you have some fate with Ping Zisi."
Su Maoyan asked doubtfully, "What fate?"
John smiled and turned the steering wheel and said, "During the apprenticeship ceremony last time, there was an old expert in traditional Chinese medicine. Isn't that also surnamed Ping?"
Su Maoyan nodded.
John said: "That's Ping Zisi's grandfather, but Ping Zisi's father didn't study Chinese medicine, but opened a hospital instead."
Su Maoyan was a little surprised, he didn't expect such a relationship.
It seems that John, a foreign comrade, not only speaks Chinese well, but also has a lot of friends.
John smiled and said: "That's right, don't look at me as a person who stands in front of the operating table doing surgery every day. If I don't study medicine, I can definitely make money selling insurance and building real estate."
...that's going too far.
John and Ping Zisi had an appointment at a private restaurant near the hospital. He and Su Maoyan arrived first, and when they arrived, he took out the spices and prepared to light them.
This is incense sticks, just find any incense burner.
John had long been eager to enjoy the beauty of incense sticks again, so he lit the incense sticks without waiting for Ping Zisi.
This is the best incense stick sold by Su Maoyan's family. It can be seen that its smell is very popular, and few people don't like it. John is obviously not one of those few people. As soon as he smells the scent of this incense, his spirit is startled.
Although it is not as good as "Mountain and Sea", this fragrance also has a kind of tranquility and elegance at night, which makes people think of the mountains under the stars all over the sky unconsciously.
As soon as John smelled the smell, he stopped talking and slowly closed his eyes.
Su Maoyan also felt calm when he smelled it.
Seeing that John seemed to be falling asleep, Su Maoyan quietly left the room and went to the bathroom.
Unexpectedly, as soon as he went out, he saw a man and a woman quarreling in the hall, because it was not time for lunch yet, and this was a private restaurant, so there were only two of them, arguing quite loudly.
Su Maoyan was not very interested in this kind of thing, but he just turned around, and before he reached the door of the toilet, he heard a crackling sound, and then a man's cry.
He looked back subconsciously, and found that the man who was still alive just now fell to the ground, and the ground was covered with broken glass.
He was taken aback, and immediately stepped forward to help, intending to help the man up.
The woman was also taken aback when she saw this, but the man fell down by himself, and a few cups were also smashed by the man, so she just folded her arms in a funny way and said, "Look at you, a soft-footed shrimp can't even stand up. Steady, you dare to imitate other people's Bao Xiaosan, am I giving you a face? Don't you have any idea of what you are like? What can she fancy you? See you as a soft-legged shrimp? Isn't she attracted to you? my money!"
The amount of information in these words is too much, Su Maoyan did not expect to have a meal, and even encountered a big scene of tearing up a scumbag, but now this "scumbag" is full of blood, he has no way to turn a blind eye.
On the contrary, when the woman saw a handsome guy coming to help, she had a better attitude: "Leave him alone, I'll call an ambulance for him."
Isn't it just a piece of glass scum?Just right, it would be better if the butt is smashed, so as not to go outside every day to flirt with women.
However, Su Maoyan heard the man's more and more abnormal breathing, he helped the man up and said, "Are you alright?"
The man said with a painful expression, "Butt hurts."
It really hurts.
Su Maoyan glanced back and found that there was indeed a lot of blood: "Hurry up and go to the hospital for treatment."
While talking, another man came in from the outside, it was Ping Zisi who had made an appointment with John.
Seeing this, Ping Zisi also stopped, as if he didn't understand what happened here.
Su Maoyan didn't notice that there was one more person, because the man kept shouting for pain. The glass slag sitting on his buttocks must hurt, but it won't hurt this much. Su Maoyan couldn't help but seriously said: "Where is the pain?"
He was a little worried that the man had broken a bone.
Unexpectedly, when he asked, the man said it was a pain in the heart, not a bone pain.
Not a bone headache?
Su Mao said, "Come on, I'll help you go to the bathroom."
Ping Zisi simply stepped forward and said, "I'm also a doctor, let's go together."
The woman had already put down her mobile phone: "I called 120, the ambulance will come soon, you don't need to talk to him."
But the two present were doctors, so they couldn't ignore it, so they helped the man to go to the toilet.
As a result, as soon as the man took off his pants, Su Maoyan had black lines all over his head.
Ping Zisi had the same expression.
The two couldn't help but glanced at each other, feeling that today's luck was not good.
Because the man's butt is obviously not just a wound made by glass slag.
The man was still asking, "doctor, am I okay?"
Su Maoyan said: "You may have perianal inflammation. When you go to the hospital, the doctor will definitely help you deal with it, but you may need an operation."
Perianal inflammation?
The man was taken aback for a moment, and then asked, "What kind of disease is this?"
Now it's Ping Zisi's turn to explain: "It's the inflammation around the anus. Sometimes this disease develops very quickly. You may feel itching two days ago, but after two or three days, half of your butt will be rotten."
And because of this disease, I died, so if you feel uncomfortable near the anus, you must see a doctor in time.
The expression on the man's face was already unreadable.
He didn't do anything recently, why did he have perianal inflammation?
Su Maoyan said: "It has something to do with living habits, you are fine, you can go to the hospital and take care of it in a while."
When the woman found out that the man had perianal inflammation, her expression became even more amused, but in the end she accompanied the man to the hospital.
Only then did Su Maoyan know that this woman was the owner of a private restaurant, no wonder there was not even a waiter around when they quarreled.
But also because of this somewhat oolong incident, Su Maoyan and Ping Zisi also knew each other.
John also heard the voice coming out now, and when he came out, he saw Su Maoyan and Ping Zisi chatting: "You two know each other?"
Only then did Su Maoyan realize that the person opposite was Ping Zisi.
Ping Zisi smiled and said: "I know, I just saw patients with this Doctor Su."
"That's right, come in and chat." John said.
As soon as he entered the door, a faint fragrance came from the tip of Ping Zisi's nose. The reason why he called it a faint fragrance was because this fragrance made people unconsciously associate it with the dark night at night. If he had to use an adjective to describe it, it should be in the quiet Hidden elegance, people can't help but be deeply intoxicated in it.
He looked in the direction where the smell came from, and it turned out that there was a stick of incense burning in the incense burner by the window, and the stick of incense had been half burned by now.
"What kind of fragrance is this?" Ping Zisi couldn't help asking, "I have been to this private kitchen many times before, but I have never seen them order this kind of fragrance. It smells quite good."
He usually doesn't like to use incense, and he doesn't like to smell the smell of spices, because most of the spices are too greasy for him, not only greasy, but also vulgar. It's the first time he has such a fresh and elegant smell. smell.
John smiled and said, "It's not from this shop, it's made by Su."
He once again introduced the situation of each other to Su Maoyan and the two of them.
Ping Zisi was surprised when he heard the words, "Are you Teacher Lei's new apprentice?"
It's really fate.
John said: "You didn't think about it either. You were originally involved in this project. I didn't expect a doctor in the project to worship your teacher Lei as his master under the auspices and witness of your grandfather."
Ping Zisi couldn't help feeling closer to Su Maoyan, and he explained: "I used to learn Chinese medicine from Teacher Lei when I was young."
Su Maoyan did not expect such a relationship.
John said: "Actually, I asked you out today, and I still have something I want to ask you for help."
Pingzi thought, "Say it."
John said: "I have a friend who is a foreigner and has a heart problem, coronary heart disease. He originally planned to go back to China for surgery, but now that his condition is getting worse, he can't take a long-distance flight, so he plans to have the surgery done in Huashi. And he can't go back to China after the operation, so I want to ask me to help him find a doctor for the operation."
John himself is a very powerful doctor, but this is Huaguo, and he is on a tourist visa, so he can't perform surgery on others casually, so he can only hire people he can trust.
Ping Zisi is a very good candidate. As a classmate, no one knows Ping Zisi's technique better than him. It can be said that the signboard of the Cardiothoracic Surgery Department of Ping An Hospital was laid down by this person.
Ping Zisi heard the words and said: "Okay, I understand what you mean, send the patient to the hospital first, I will arrange surgery for him as soon as possible."
John breathed a sigh of relief, "You're still interesting enough."
But John's request was not finished yet, he said to Su Mao: "As for the postoperative recovery, I want to ask you."
Su Maoyan asked suspiciously, "You mean cardiac rehabilitation?"
John nodded and said, "This friend knows that I'm working on this project, so please I must help him, but our project has not officially started yet, so I can only find a trusted Chinese medicine doctor to help him recuperate after the operation."
In fact, John didn't think about looking for Su Maoyan at the beginning. After all, there were three other experts in their team, but later Su Maoyan's performance was really good, and he and Su Maoyan were close friends, so they could be regarded as friends, but with the other three experts. The relationship between two experts is a general colleague relationship, so he trusts Su Maoyan more.
"I also consulted Leiyu, and she also told me that you must have no problem." John said, "My friend is also very powerful in the medical industry abroad. If you can help him recover, you will be able to do some foreign projects in the future. If you want to participate, you can find him."
This is another reason why John approached Su Maoyan, the fat water does not flow to outsiders.
In fact, as his friend, he didn't need to go through him to find a good hospital and doctor in Huaguo, but because he didn't want other people to know about it, he didn't use his relationship.
Su Maoyan nodded and said, "Yes."
Under normal circumstances, he will not refuse the patient's request for consultation.
John breathed a sigh of relief.
The next day, the patients of the project came.
At this time, several experts also arrived. They were also a little surprised when they heard what happened yesterday. They didn't expect Su Maoyan to sort out the information himself.
However, I was surprised and felt that young people are really motivated. If they spend seven or eight hours sorting out the materials, it will be impossible.
Because they have long been accustomed to having their assistants organize them and browse through them directly, several experts were a little embarrassed to see Su Maoyan like this.
Zhang Lei had already put today's patient list and previous medical records on the desks of several experts, and began to introduce the situation of the first patient.
Su Maoyan is still very familiar with the conditions of the fifteen patients to be seen today, because after returning last night, he carefully read the medical records again.
The first patient, surnamed Li, is 45 years old. He had just undergone PCI surgery. After the operation, he developed arrhythmia. However, the quality of life after discharge from the hospital is considered to be very poor. One is the excessive psychological pressure and the other is the poor physical condition. That's why the patients actively participated in this project research.
After the patient surnamed Li came in, he looked really bad from the look on his face. After greeting several people in the clinic, Expert Ning began to ask about the patient's symptoms.
Su Maoyan listened to expert Ning asking questions while carefully recording the patient's condition.
Judging from the symptoms reported by the patient, it should be that his foundation is relatively poor, and complications of arrhythmia appeared after the operation. Therefore, after discharge from the hospital, his vitality was severely injured, the symptoms of deficiency of the origin aggravated, and Qi and blood could not be reconciled. Feeling that the quality of life is declining.
After Ning finished asking questions, he began to feel the patient's pulse. After two or three minutes, he let go of his hand, pondered for a while, and said, "You guys also have to take a look."
There are a total of four doctors of traditional Chinese medicine here, and of course they all want to diagnose the pulse.
Su Maoyan was the last to get started. Although his experience in treating heart disease is the shallowest among them, he still has a certain advantage in pulse diagnosis because of the magnified sense of touch.
For example, now, the pulse under his fingertips clearly tells him the condition of the patient.
After all four people have been diagnosed, it must be a discussion on dialectics.
Regarding the etiology and pathogenesis after PCI, there are mainly several mainstream theories in the field of traditional Chinese medicine at present, but fortunately, the four present here all agree that the lack of righteousness and the inability to reconcile blood and blood lead to blood It is said that blood stasis and phlegm are turbid and endogenous, and blood stasis blocks the veins.
Therefore, the four people have similar opinions on the cause of this patient's pathogenesis.
Expert Ning said: "Coronary heart disease is a kind of pathological change. PCI surgery can only treat the symptoms, not the root cause, so restenosis is a very normal thing. For the patient's current lack of righteousness and evil in between, I think it's still a good idea." It should be based on strengthening the body and supplemented by expelling evil.”
Su Maoyan nodded. Expert Ning's judgment is similar to his, and they are all from the perspective of Chinese medicine to make up for the symptoms of deficiency caused by the introduction of treatment.
The other two experts also nodded to express their approval of Ning's statement.
"What are your thoughts on medication?" Expert Ning asked.
Although he already has his own ideas in his heart, he still needs to ask for other people's opinions.
The other two experts both chose the prescription for warming yang and promoting blood circulation, including cooked aconite, angelica, raw cattail, etc. Although the prescriptions are not exactly the same, the general idea is still the same.
Expert Ning nodded, expressing his approval of the level of the two experts, because these two prescriptions are good at first glance, and they are also suitable for the patient's situation.
He looked at Su Maoyan again and said, "What do you think?"
He originally thought that Su Maoyan's thinking was probably similar to the previous two experts, but Su Maoyan proposed another prescription.
"The patient's condition is mainly deficiency in nature, with evil excess in between, so I think the prescription is based on Sijunzi Decoction, adding Astragalus membranaceus to enhance the efficacy of the medicine, and for this patient's severe congestion, I choose the medicine for breaking blood. Do both."
The basic formula of Su Maoyan's prescription is Sijunzi Decoction, which is ginseng, Atractylodes macrocephala, Poria cocos and licorice. It is the most commonly used formula for invigorating qi, and because it is commonly used, its curative effect is beyond doubt, otherwise it would not have spread so widely. , Many people who don't know much about Chinese medicine also know this prescription.
Adding Astragalus to this prescription is based on the patient's current degree of deficiency.
Speaking of this, the other two experts still agree with this prescription. Although it is different from the prescription they prescribed, the idea is still similar.
But when it comes to the medicinal materials that break the blood later, they disagree a little.
Because it is obvious that Su Maoyan is different from them in judging the patient's congestion.
They were talking about invigorating blood, and they also used a prescription for invigorating blood, because the two of them thought that the patient's congestion was not serious, and they didn't need to use too much force, just invigorating blood.
However, Su Maoyan believed that the patient's congestion was serious, so he had to break the blood.
Disagreement, the three of them could only look at Expert Ning, the person in charge of the prescription at the same time.
Expert Ning is the oldest among them and has the longest working time, so this project research is also based on him, and his qualifications and level can also convince the public, so in terms of prescriptions, they must It is more willing to refer to the opinions of Ning experts.
Of course, because the other two experts had the same opinion, even though Expert Ning hadn't spoken yet, they had their own answers in their hearts.
Needless to say, their judgment is sure to be correct. After all, Su Maoyan is so talented. In terms of dialectics, Su Maoyan has judged patients, perhaps not as many patients as they have cured.
But they can also understand this kind of dialectical error. After all, when they were young, two or three out of ten patients could completely dialectically correct, which is already extraordinary.
Just when the thoughts in the hearts of the two of them followed one after another, Expert Ning spoke.
"I personally think that the patient's blood stasis is a relatively serious type."
As soon as Expert Ning finished speaking, he saw the other two experts looking at him together.
However, he is also used to being bullied, so he continued: "So I agree with Mao Yan's judgment. Among the prescriptions, it should be based on supporting Qi and supplementing blood loss. Of course, it can also be based on the patient's needs. The situation is complemented by intravenous injection of Shengmai Injection to strengthen the effect of replenishing qi."
After expert Ning finished speaking, the other two experts had opinions, and began to ask why expert Ning thought that the patient's congestion needed to break the blood, not activate the blood.
The effect of promoting blood circulation is indeed slightly weaker than that of breaking blood, but they think that judging from the current patient's condition, promoting blood circulation is more suitable.
Expert Ning explained: "The patient's heart collateral stasis is quite serious. It can be seen from the pulse condition that the patient's pulse is very fine and astringent. In addition, the ecchymosis on the tongue is also very serious. I I agree with Mao Yan because I also think that the current patient is suitable for a heavy prescription, because in his condition, the chance of subsequent restenosis is very high."
In fact, before asking everyone, Expert Ning thought this way, and he guessed that maybe the other three people would have different opinions from him, because the former is more stable in the choice of promoting blood circulation and breaking blood, while the latter is more important. It seemed a little extreme at this time, but from his years of practicing medicine, his accumulation of knowledge told him that for this patient's condition, breaking the blood is the best way.
It's just that he really didn't expect that Su Maoyan's thoughts and judgments were the same as his.
This also made him feel bright.
Because Su Maoyan's prescription was different from his, but the overall thinking was the same, so although his expression didn't change much, he was still very happy.
After listening to expert Ning, the other two experts still felt that it would be better to be more conservative, so they had reservations. However, expert Ning was responsible for this prescription, so the final prescription for the patient still followed expert Ning's opinion.
It’s just that during the entire rehabilitation process, only prescriptions are definitely not enough, and acupuncture must be supplemented.
Expert Li is in charge of acupuncture, so he was the first to put forward his own idea.
In terms of acupoint selection, he believes that dialectical acupoint selection is more suitable for this patient surnamed Li.
Su Maoyan also nodded when he heard the words, he also thought so, the patient mainly suffers from qi deficiency and blood stasis, so the choice of acupoints should be Guanyuan, Qihai, Qimen, and Xuehai.
He had just written down the names of these four acupoints on the paper, and Expert Li had already said the names of these four acupoints.
The other two experts also had no objection to the acupuncture plan after hearing the words.
Expert Li nodded and said, "That's how the acupuncture plan is determined."
According to his idea, acupuncture treatment should be done once a day, a course of five days, with two days of rest in between, and then continue to adjust the acupuncture points according to the situation.
After the two most important treatment methods are determined, there are several aspects such as diet, exercise, sleep, and emotions.
Diet and exercise are difficult to say, easy to say, but sleep and emotion are new things proposed by Su Maoyan, so everyone pays more attention to his method.
Su Maoyan thought about it, and in terms of emotions, he first adopted the method of music therapy. He had already prepared the specific music the day before, so he didn't even have to think about it at this moment, and he just came up with the plan .
As for sleep, he did not use sleeping tea for the time being, because the patient is currently taking medicine, and several sleeping tea prescriptions are not very suitable. In the end, he found a spice in the Spice Encyclopedia, but now there is only a formula, There is no finished product, so the sleep therapy will not be implemented until next week.
Although the other three experts did not understand spices, they all understood pharmacology. After reading the prescriptions one by one, they couldn't say anything against it.
Because although they have never seen this spice formula, the combination of Chinese medicinal materials in it is obviously very ingenious, and Expert Ning is even a little fascinated by it.
This is also because Su Maoyan participated in this project, so the system allows him to show the prescription to other doctors for reference, but the specific production method must not be passed on to the outside world. After all, the spice recipe book is authorized by the original author. But there is no such authorization.
Expert Ning sighed: "Your prescription is really ingenious, and I don't know how you came up with it."
Su Maoyan can only be said to have been passed down from his ancestors, and he is only a beneficiary.
But no matter what, Su Maoyan's performance today made Expert Ning feel amazing. He just felt that he had found a good seed for treating heart disease.
As a thunder blow, he couldn't help sighing at Mr. Lei's eyes.
Among so many Chinese medicine doctors, how could Mr. Lei find out this treasure with his eyesight and discernment?
Expert Ning handed the spice formula to Su Maoyan and said: "The two treatment methods you proposed were not reflected in the previous plan, so it is also a starting point for us to improve the rehabilitation treatment plan this time. As long as it is done well, the research results Publish it, and the response will definitely not be bad.”
He encouraged Su Maoyan and said: "So you are also the key to the success of our project. I was a little worried before, but after today, I have completely let go of my heart."
No matter what the other two experts think, expert Ning has already recognized Su Maoyan very much.
So things in the Chinese medicine circle are sometimes so simple. If you want people to respect you, appreciate you, and look after you, other means are small shortcuts, and you may go astray if you walk. Character and technology are the only way to conquer your colleagues. .
And now Su Maoyan is obviously walking on such a wide and straight road.
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