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Chapter 639 The incumbent is here

"Dr. Fang!"

After about forty minutes, Chen Yuan walked into the duty room with red eyes.

"Dr. Fang, thank you."

"The child is fine?" Fang Han asked while tidying up his things.

"After taking the medicine, I urinated once, and my stomach stopped hurting. I was already asleep now."

"This is a conditioning recipe, I will take it for two days." Fang Han picked up a prescription from the table and handed it to Chen Yuan.

"The reason why the child has stomachache and has damp and fever is mainly because of irregular diet these days and the weather these days is also abnormal. It rained two days ago, and the temperature suddenly rose yesterday..."

"It's all my fault. There is nothing at home. I'm not a qualified father." Chen Yuan sighed.

"It's getting late, go take a break."

Chen Yuan glanced at Fang Han, then turned around and left the duty room, his eyes turned red unconsciously. If he had met a leader like Fang Han back then, perhaps his current life would be another situation...

It’s a pity that there is nothing in this world.

......

After lunch, Fang Han had just returned to the bone injury division, and Ye Kai called.

"Doctor Fang, Gao Suyun suddenly started to get fever, the result of the CT tablet was also revealed, and the pancreas was still dying."

After hanging up the phone, Fang Han hurried to the iQu. Before he entered the door, Fang Haoyang also arrived, and Kuang Mingzhuo was also with him.

The three of them entered the ICU together, conducted a comprehensive inspection of Gao Suyun, and checked Gao Suyun's ct film results.

"High fever of 40°C!, the pancreas is still dying, and the situation is very bad." Fang Haoyang's face was solemn.

"It seems that the toxins we eliminated before were only cleared of toxins that have been produced in the intestines. However, the root cause problem has not been solved. The patient's pancreas is still continuing to necrotize and pancreatitis still exists, so new toxins will continue to be produced." Kuang Mingzhuo analyzed.

"Director Kuang said it well." Fang Haoyang nodded and looked at Fang Han with relief: "Xiao Fang's ct is very timely."

Fang Haoyang and Kuang Mingzhuo both followed Gao Suyun. ICU patients had doctors above the level of associate senior level to understand the situation every day. Gao Suyun woke up this morning, and Fang Haoyang also felt that it was a good phenomenon. He was relieved at the time, but he didn't expect that there was a new situation.

Fang Han saw the patient awake in the morning, but was not blindly optimistic. Instead, he instructed Chen Yuan to do a CT follow-up. Sure enough, the patient's body temperature was still normal when he was CT, which means that after eating, the body temperature began to rise.

"The previous Daxianxiong Decoction was mainly focused on Tongli attacking, which mainly targeted patients' stomachs and abdominal fluid accumulation, but neglected to promote blood circulation, remove blood stasis, clear heat and detoxify. This time, we can try to attacking Li Tongli, promote blood circulation, remove blood stasis, and clear heat and detoxify?"

"What prescription are you going to use?" Fang Haoyang asked.

"Try it with Qingpian Chengqi Decoction?" Fang Han suggested.

Qingpeng Chengqi Decoction is based on Da Chaihu Decoction.

Anyone who knows traditional Chinese medicine knows that Chaihu Decoction is divided into sizes and sizes. Chaihu Decoction is made of Chaihu as the main medicine, and it also has Scutellaria baicalensis, Banxian, Ginger and Date. The only difference is that Xiao Chaihu Decoction has ginseng and licorice, and Da Chaihu Decoction has rhubarb and Citrus aurantium.

Both Chaihu Decoctions are from Zhang Zhongjing's famous prescriptions in "Treatise on Febrile Diseases". The song says that Xiao Chaihu Decoction reconciliation and reconciliation, Pinellia ginseng and licorice, and Scutellaria baicalensis, ginger and jujube, and all kinds of Shaoyang diseases are the prescription. Da Chaihu Decoction Scutellaria rhubarb, Citrus Peony Pinellia jujube, and ginger, and Shaoyang Yangming combined with the disease, which is unparalleled in reconciliation and attacking the lining.

It can be seen from this that the difference between Xiao Chaihu Decoction and Da Chaihu Decoction is one of the reconstitutions and the other is the double decomposition of the exterior and interior.

The exterior and interior are a pair of principles for traditional Chinese medicine to distinguish the external and inner depth of the disease. The exterior and interior are relative concepts. For example, the body and the internal organs are relative to each other, and the internal organs are relative to each other; the internal organs are relative to each other, and the internal organs are related to each other; the meridians and the internal organs are relative to each other, and the internal organs are related to each other; the three yang meridians and the three yin meridians in the meridians are relative to each other, and the three yang meridians are related to each other; the skin and muscles are relative to each other, and the skin is the surface and muscles are the inner.

Xiao Chaihu Decoction can only solve the disease between the exterior and half of the exterior and half of the interior. When the disease has penetrated the exterior and penetrated into the interior, then Da Chaihu Decoction is needed at this time, and the effectiveness of Xiao Chaihu Decoction is insufficient.

"Qingxuan Chengqi Decoction?"

Kuang Mingzhuo said: "I have read some papers on the treatment of pancreatitis in Qingpian Chengqi Decoction. Qingpian Chengqi Decoction can reduce intraperitoneal pressure, reduce the incidence of infection, reduce the mortality rate, increase the cure rate of sap, and improve the prognosis. I think you can give it a try."

Fang Haoyang was a little surprised: "I didn't expect that our Director Kuang also began to understand traditional Chinese medicine?"

"Those who are close to the vermilion are red, and those who are close to the ink are black." Kuang Mingzhuo said with a smile: "It's hard not to be affected by staying with you like a group of traditional Chinese medicine doctors all day long."

"Then try it with Qingpian Chengqi Decoction according to Xiao Fang's meaning." Fang Haoyang made the decision.

.........

During the day, Chen Yuan didn't sleep at all. After thanking Fang Han, Chen Yuan sent his child and his former mother-in-law back to his residence, and then went to the supermarket to buy a lot of daily necessities, such as firewood, rice, oil and noodles. The old lady is almost seventy years old, but cooking is still OK. Even if there is nothing at home, the old lady dares not go too far. If she walks too far, she will lose her.

As soon as I bought the food, I hadn't eaten yet, Chen Yuan received the call and hurried back to the hospital.

"Dr. Fang."

When Chen Yuan arrived, Fang Han and Fang Haoyang had just discussed the follow-up treatment plan.

"You one?"

Fang Haoyang looked at Chen Yuan panting and asked, "Didn't the patient's mother come?"

"I haven't come, I'm watching the child at home." Chen Yuan was still breathing.

"But the subsequent treatment must be signed by the family." Fang Haoyang looked at Chen Yuan.

"I'll sign..."

Halfway through, Chen Yuan couldn't continue. He was also a doctor, not a naughty man. Naturally, he knew that this kind of thing was not qualified if you miss you.

The domestic medical system implements the family responsibility system. It can be said that to many extents, the family’s decision-making power is more important than the patient’s own decision-making power. What if something happens if there is no signing of the patient’s family?

Don’t mention that the hospital is difficult to explain, if the patient’s current husband is retrieved, Chen Yuan will not be able to take care of him.

Although the husband is missing at the critical moment, if something happens to the patient, the husband of the patient can stand up with confidence and then regard himself as the patient's family, looking for the hospital and Chen Yuan.

A few days ago, there was such a joke on the Internet.

It was said that a middle-aged man in his forties had a cerebral infarction and was sent to the emergency department of the mistress. The mistress was not a family member of the patient and did not take responsibility and dared not sign, so he called the patient's original wife.

After the original wife came here, she learned about the situation and directly refused to sign, refused to thrombolysis, refused to pay for her own medicine, refused to intubate the ventilator, refused to rescue her. The signing was like a flowing water, and it left in less than five minutes, leaving a group of confused doctors.

Although this is just a joke, it shows how much decision-making power is for the patient's family?

There is a saying that I can’t support you, but I can decide whether to pull out your oxygen tube.

"I called the old lady and obtained the old lady's authorization." Chen Yuan said.

"The old lady can't write either, so I signed the previous signature on my behalf."

"Remember to record it." Fang Haoyang reminded.

Chen Yuan walked upstairs to call his ex-mother-in-law, obtained the authorization of his ex-mother-in-law, and recorded the sound. Then he came back to sign on behalf of the patient's family.

"What a silly and cute man." Fang Haoyang shook his head.

"Yes, silly and cute." Kuang Mingzhuo nodded.

......

After three days of treatment, Gao Suyun's condition finally stabilized, and the necrotic pancreatic tissue began to recover. After Fang Han examined the patient, Gao Suyun was transferred from ICU to the general ward, which was completely devastating. Accordingly, it had been a full week since Gao Suyun transferred to Jiang Intermediate People's Court.

For a week, Chen Yuan stayed by Gao Suyun's bed almost most of the time, and many nurses in the emergency department were crying.

On the third day after Gao Suyun was transferred to the general ward, Fang Han had just checked the room and came out, a nurse came to inform Fang Han: "Doctor Fang, Gao Suyun's husband is here and he has a quarrel with Dr. Chen."

"What?"

Jiang Feng's eyes widened: "It's so shameless to come here."

"I'll go, the patient has turned into peace. I'm here to find a wife. I'm really a talent." Li Xiaofei was also stunned. He had seen shameless people, but never seen such shameless people.

"Say a few less words."

Fang Han talked about the doctor and walked towards the observation room. Before he could enter the door, Fang Han saw several people pushing and shoving Chen Yuan at the entrance of the observation room.

"What are you? What qualifications do you have to question me? Oh, that's my wife, not your wife."

A young man of 37 or 38 lit Chen Yuan with his finger and cursed, "This is the attitude of your hospital doctors. This is how they treat patients and their families. If you believe it or not, I will go to the Medical Administration Department to complain to you and ask you to pull out this skin."

Chen Yuan's eyes were red, his fists were clenched, but he gritted his teeth and said nothing.

If he hadn't been wearing a white coat, if he hadn't remembered that he was still a doctor, he would have punched Chen Yuan.

"What are you doing? This is a hospital, not a vegetable market."

Li Xiaofei scolded the doctor, and the group of people finally calmed down. The young man who had pointed at Chen Yuan and scolded him turned around and looked at Fang Han and the others.

"Doctor Fang." Chen Yuan lowered his head and greeted Fang Han.

"It's okay." Fang Han walked over and patted Chen Yuan on the shoulder, and turned around and asked, "What's going on?"

"What are you doing?" The young man looked at Fang Han, a young boy in his twenties.

"This is our doctor." Jiang Feng stepped forward and said, "What are you quarrels in the hospital? You are planning to cause trouble. The police station is not far away. Do you want to call the police here?"

"Call me."
Chapter completed!
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