Chapter 1631 has a good son
Consulting room.
Fang Han and the members of the medical team, as well as Director Liu from the Department of Neurosurgery of the Second Hospital, and several doctors on duty were discussing the patient's condition.
"Doctor Fang, patients are a common glioma, and their current symptoms are headache, nausea and vomiting, and mild blurred vision."
A deputy director of neurosurgery talked about the situation while playing the patient's craniocerebral CT on the screen.
"We can see from CT that the patient's tumor is not too big, but the placeholder is quite special."
For patients with glioma, the symptoms and signs caused mainly depend on their placeholding effect and the brain area function they affect. On the one hand, it is related to the size of the tumor, and on the other hand, it is related to the location of the tumor.
For example, optic glioma can lead to vision loss in patients, spinal glioma can cause symptoms such as limb pain, numbness and weak muscle strength, central glioma can cause movement and sensation disorders in patients, language glioma can cause difficulties in patients' language expression and understanding, etc.
The current symptoms of the patient are occasional headache, nausea and vomiting, accompanied by mild food blur, and the location of the glioma is more special.
"The operation is actually not difficult?" Chen Yuan asked from the side.
"Well, just for the patient's situation, the difficulty of the operation is relatively not too great. In fact, with the level of our hospital, this operation can be completely done."
Director Liu nodded: "It's just that when we are doctors, we must respect the opinions of the patients' families to a large extent."
When talking, Director Liu couldn't help but feel a little sad.
This is actually caused by the poor hospital level and the poor reputation of doctors.
For patients and their families, most patients and their families are not very picky about general diseases. They do not pick people if they have an expert account.
However, once a disease with relatively high risk and relatively difficult conditions occurs, eight out of ten patients and their families will choose the hospital.
The same surgery can be performed by both municipal and county hospitals, so municipal hospitals are naturally the first choice.
Several hospitals in Ganzhou Province, people's hospitals, provincial second hospitals, heart stents, and craniotomy are all possible, but the patients believe in Xijing Hospital and Tangdu Hospital. Most patients with conditions in Ganzhou will go to Xijing or Tangdu for treatment, rather than choosing local tertiary-level A hospitals.
Even if you are working in a local hospital, those who are capable want to invite experts from Xijing or Tangdu to come and do the shooting instead of choosing a doctor in a local hospital.
As for Zhang Xiaofei's father's situation, Director Liu can actually do it, but the patient's family is not very happy, and Director Liu has no choice.
The doctor does not knock on the door.
Many people don’t understand this sentence very much. As a doctor, heals the wounded. Can he stand by and watch when he encounters a patient?
For some patients with obvious symptoms, it is okay for the doctor to take the initiative, but for some patients with less obvious symptoms, the doctor is too proactive and the patients may not believe you.
When you have a good temper, you scold you, say you curse someone, and when you have a bad temper, you may be hit.
The story of Bian Que meeting with Duke Huan of Cai is a very typical example. This story tells the story of avoiding illness and avoiding doctors, but at the same time, there is also the reason why doctors do not knock on the door. Bian Que sent him to his door, but Duke Huan of Cai did not believe it at all.
Duke Huan of Cai is quite a good temper. If he meets Cao Cao, he will directly put you in prison. Will he still be your turn to run away?
The same is true for the operation. The patient's family questioned that Director Liu could not keep moving forward. If the operation went smoothly, it would be fine. If something happened, Director Liu would be responsible.
Then the patient's family will stop saying, "I will say I won't let you do it at that time. You have to do it. Look, you are just taking human life and practicing with my dad."
By then, Director Liu has no place to make any reason.
If the doctor does not knock on the door, it means that there is no doctor who comes to the door. If the patient asks to come to the door, then he will listen to you. If you take the initiative to come, the patient will become more and more distrustful.
Being a doctor must not make yourself worthless.
Workaholics are good, but they can pay attention to patients, but they can't be too bad. If you make yourself worthless, the patients will not trust you anymore.
In fact, it’s not just doctors, but all walks of life. The more you make yourself worthless, the less anyone pays attention to it, and this will happen to licking dogs.
People lick dogs are still pursuing their own goddess. Some people lick them happily and willingly, but the doctor has never had a relationship with you, so why should they lick you?
Since Zhang Xiaofei invited Ishiro Murakami, Director Liu went with the flow and lived in his own hospital, but the expenses were still in his own hospital.
Zhang Niujun asked Murakami Ishiro to do it if he was willing to do it. If Fang Han was willing to do it, he asked Fang Han to do it. Anyway, he was at a higher level than him, so he had no objection.
Chen Yuan asked, but stopped asking, but looked at Fang Han.
"What do you think about Dr. Ruan?" Fang Han asked Ruan Yunfei.
"From the pulse and symptoms, the patient's condition should be caused by external wind and cold and internal heat evil. Cold will cause blockage, and coupled with the invasion of internal heat evil, it will lead to blockage of the qi and signs of blinding the gods."
Ruan Yunfei said his opinion.
"The outside cold invades, the inside heat spreads, blocking the qi."
Li Xiaofei suddenly interrupted and said, "Teacher, can you use Tongluo and Quxie Decoction?"
Ruan Yunfei was stunned, looked at Li Xiaofei, and said, "Doctor Li said it well. In this case, the patient can indeed use Tongluo Quxie Decoction. The Tongluo Quxie Decoction created by the doctor prescription targets the meridian blockage, strengthening the body and eliminating evil, and balancing the internal organs..."
"Doctor Ruan, what do you mean is that patients don't actually need a craniotomy?"
Director Liu then realized it.
"Well, there is no need for craniotomy."
Fang Han nodded and said, "Although the patient has a glioma, the disease is located in the internal organs. The heat evil invades, poison enters the blood, blocks the qi mechanism, and blocks the qi mechanism. If the qi mechanism is blocked, the meridians will be poor, and the external wind and cold will be blocked. This is the root cause of brain tumor formation."
While talking, Fang Han also glanced at Li Xiaofei slightly.
At this time, Li Xiaofei was able to think of Tongluo Quxie Decoction at the first time, which surprised Fang Han.
Tongluo Quxie Decoction is indeed the most appropriate for this situation.
The patient's situation is not simple. Ruan Yunfei and Jinbo are not sure. However, after listening to Ruan Yunfei's analysis, Li Xiaofei was able to think of Tongluo Quxie Decoction, which is really surprising.
Li Xiaofei suppressed his excitement.
In other aspects, Li Xiaofei may still lack something, but Li Xiaofei is familiar with some of the medical records that Fang Han has treated, and even memorizes them like a stream. Especially Fang Hanchuang's Tongluo Foxe Decoction, even Ruan Yunfei and Jin Bo do not know much about it.
But Li Xiaofei studied Fang Han's prescription repeatedly many times.
It is said that one minute on stage and ten years of hard work off stage are actually the same for doctors, especially for traditional Chinese medicine practitioners. Every wonderful idea and every analysis of difficult diseases are actually the result of normal accumulation.
With such a great teacher as Fang Han, Li Xiaofei is undoubtedly the first to get the moon. Li Xiaofei can see the medical records that Fang Han has treated, the researched prescriptions, and some of the experiences summarized. If you have any doubts, you can ask for advice at any time.
Of course, it is not Li Xiaofei who has this convenience, there are actually people like Jiang Feng, Lin Guangcai and Chen Yuan, but there are really not many people who can work as hard as Li Xiaofei.
"Okay, it's getting late, let's get here today."
Fang Han looked at the time and said to Director Liu: "Director Liu can communicate with the patient's family first in this situation. There is no need for surgery. Of course, the patient has a brain tumor and may not have much confidence in conservative treatment. If the patient's family has any doubts, you can ask Dr. Chen directly."
"Okay, I get it."
Director Liu nodded.
Director Liu kept sending Fang Han and his group away. When he returned to the department, Zhang Xiaofei walked back and forth in the corridor near the office.
"Mr. Zhang."
Director Liu shouted.
"Director Liu."
Zhang Xiaofei walked up to him with a little embarrassed look.
"Mr. Zhang, I have already communicated with Dr. Fang. Dr. Fang has also learned about the situation. However, Dr. Fang has had surgery for one day during the day and is tired now. Let's talk about it tomorrow morning."
Director Liu said politely.
"Director Liu, not..."
Zhang Xiaofei didn't know how to communicate with Director Liu, and stammered: "My dad...hey..."
How many years have Director Liu worked in the hospital?
It has been at least twenty years. What kind of patients have never seen before?
Seeing Zhang Xiaofei's affection, Director Liu guessed it: "Have your dad changed his mind again?"
"It's not that."
Zhang Xiaofei said bitterly: "My father just saw Dr. Fang, and he felt that Dr. Fang was young, and his heart began to get up and down again."
"Oh!"
Director Liu was so angry: "Mr. Zhang, the hospital is not for one person, and so many experts cannot revolve around one person."
"Director Liu, I know, I understand."
Zhang Xiaofei hurriedly accompanied him: "I have agreed to Dr. Murakami, but now I have changed my mind, which makes me unable to speak to others. Now my dad...
"Director Liu, I have always agreed to let Dr. Murakami do it. My father has been trying hard. I have no choice but to cure it. I agree with Dr. Fang, but who knew that he had changed his mind again. He looked like that, and he still had a headache from time to time, and I didn't dare to anger him."
"Your dad was waiting for a good son, so he can do it."
Director Liu said angrily.
Zhang Niujun has been hospitalized for several days. Director Liu also knows what Zhang Xiaofei is doing. Small business owners can earn 20 to 3 million yuan a year, and their income is not low. They are really good for Zhang Niujun. They need a special ward, find relationships, and find experts.
Zhang Niujun is just waiting for such a good son, and he is very willing to do it. If he changes his son, he is a little unfilial, what a fool would you do?
The cost of surgery is a lot of money. Not many people can take out this money, so you can't stand it?
Chapter completed!