In the domestic medical field, the most seniority is seniority, and no matter how many illnesses are cured by young doctors, they will basically be classified as "accidental"; And the old doctors have cured the disease, but it is only an unintentional mistake.
Of course, if you can rely on a prominent senior to support you, age and seniority are not a problem.
Zeng Yi did not inherit the sect, secondly, he was ridiculously young, and thirdly, all of the people here were Western doctors, and when people saw the medicine box in his hand, they were not very willing to talk to him more, if it weren't for the unusual identity of the person who was sick this time, it was very likely that Zeng Yi would be hung here today.
"The basic condition is like this," said an old specialist in the medical team, who is in his fifties, with a ruddy complexion, and looks like a team leader or something, "The patient began to have anorexia a month ago, did not like to eat, and even smelled the smell of food, began to vomit, and then developed to the point that he could not sleep, the situation was more complicated and lasted for a long time.
Here is the medical record, you understand it first, and then we will go to the follow-up clinic together, and then discuss it after the review, you see how it is", Zeng Yi nodded and said: "Okay, I will look at the medical record first, and then go to the field to observe the specific situation of the patient." ” The chief pushed the medical record book down in front of Zeng Yi, "If there is anything special you need to know, you can ask me", if it is an ordinary person, the medical record book will record some of the person's past major medical treatment experiences, as well as the body Daily conditions, family medical history: But a person of the level of Qiao Wende can only be "one disease and one case", and doctors are never allowed to investigate and read Qiao Wende's past medical records at will, only doctors are unable to confirm the condition.
If you think it may be due to some reason, you can go through and consult your past medical records as needed.
Even the experts in Qiao Wende's allied medical team, and only people like the team leader and deputy team leader have the right to access all of Qiao Wende's medical records, while other doctors do not have this permission.
Zeng Yi was temporarily invited to show him the medical records this time, even if it was very good, as for the previous medical records, Zeng Yi could only ask, not read.
Not only this time, Zeng Yiping negotiated with the leader of Zhai Lao's full-time medical team, although he was personally authorized by Zhai Lao, but he could only ask and not read, and all the written things that the medical team would not show Zeng Yi to, this is a rule, unless Zeng Yi served as Zhai Lao's medical team leader.
So Zeng Yi didn't ask much, first calmed down and carefully flipped through Qiao Wende's medical records to see if he could find a clue.
From the moment the patient responds to the consultation, all the information, including the doctor's observation, the test results of the equipment, the doctor's diagnosis and speculation, the conclusion and the medical plan formulated, will be recorded in detail, so that any new doctor can clearly know the whole process of the patient's onset, as well as the treatment ideas of the previous doctor.
Traditional Chinese medicine also had medical records before, not only medical records, but also "blessings".
Zhu You here does not refer to the tricks of the Jianghu Zhu You Branch who pretend to be gods and ghosts.
"Wish" is to tell the "cause" is the reason, saying that the doctor must tell the patient what the cause of the disease is, so that the patient can know it in his heart.
It's a pity that the doctor didn't stick to it later, because he was afraid of medical disputes, he sent the patient away with a hasty prescription, and he didn't dare to name the prescription without explaining what the effect of the prescription was.
There are now some Western doctors in China, because they are afraid of medical disputes, they will also make trouble on the medical records, and the characters in one hand are written like the characters drawn by the ghost hunter, for fear that the patient will recognize what he wrote, but fortunately, the rule of writing medical records is still adhered to.
Zeng Yi was looking at the medical records, and someone walked in accompanied by the staff, an old man in his teens, with white hair, wearing a dark blue tunic suit, carrying an old-fashioned briefcase in his hand, wearing a sheep felt hat on his head, and a tube of fountain pens in the outer pocket of the tunic suit, which was completely the outfit of the old-school intellectuals in the past.
"Old Gu is here, please take a seat", Qin Yizhou stood up and gave up his seat to the old man.
"Director Qin sits, Director Qin sits", the old man laughed twice, and continued to be humble, but he was still let into the chair by Qin Yizhou, and after he sat down, he said apologetically: "I'm the latest to come, I'm really sorry, I have a routine task early this morning." ” "Understand, understand", Qin Yizhou poured a glass of water for Gu Lao with a smile, and put a box of yellow crane towers in his pocket in front of Gu Lao, and said, "On such a cold day, it is really hard to trouble Gu Lao to run in person." ”, "The duty is to run several times, but I can't relieve Qiao Lao's pain, I'm very ashamed", the old man waved his hand, and was about to touch the cigarette case, when he looked up, he saw Zeng Yi in the room, and said, "This is the new doctor."
"Junior, Zeng Yi, was invited by Director Meng to come and give it a try."
Zeng Yi smiled, stood up and said hello to the old man.
The old man was a little puzzled, looking at the medical box at Zeng Yi's feet, it should be an authentic Chinese medicine doctor, why did he look at the medical records of Western medicine, he was a little puzzled for a while, so he opened his briefcase, took out a medical record from it, and said, "There are still medical records I wrote here, let's take a look."
Handing over the medical record book to Zeng Yi, the old man sat there and started smoking, chatting softly with Qin Yizhou, waiting for Zeng Yi to finish reading the medical record.
This old man's name is Gu Yisheng, Doctor Yisheng, as his name suggests, he is a standard Chinese medicine practitioner in the medical team, and the "doctor" is also one of the health advisers of the old cadres of the central government.
Nowadays, the fault line in the Chinese medicine industry is very serious, the older generation of national players have passed away one after another, and among the rising stars, there are few talents who can take charge of themselves, and even Pan Baojin, the proud disciple of Shui Xingzhou, can not be selected as a traditional Chinese medicine expert of the Central Health Commission, the reason for this is because of the low diagnosis rate and the treatment effect can not be guaranteed.
It's okay to sit in a hospital and practice medicine, but it's a bit reluctant to take on the health care task of a national leader.
Therefore, there is a shortage of traditional Chinese medicine experts in the Central Health Commission, and the few remaining achievements must give priority to ensuring the health care needs of the current national leaders and previous important national leaders.
Take Gu Yisheng as an example, he now has to be responsible for the health care tasks of seven or eight retired old leaders, which is why Qin Yizhou attaches so much importance to it.
At the age of almost 80 years old, a big country has to fly around the world all day long, performing various diplomatic and health care tasks, which is also a great disaster for a big country in traditional Chinese medicine.
Zeng Yi looked at it very carefully, and it took him twenty minutes to read the medical records, which made the big experts next to him impatient, "Xindao, you kid is quite capable of pretending, and you can also read the medical records of Western medicine."
"This", the team leader thought for a long time, and even forgot Shan Yi's name again, so he had to say: "I have read the medical records now, I believe you also have a preliminary understanding of the condition" I don't know if you have any different views" Zeng Yi said: "Why don't you have a follow-up consultation first, when the diagnosis is over, I am slowly arguing with a few seniors."
The team leader said in his heart, your kid is quite cautious, okay, the follow-up will be re-examined, and he said to Qin Yizhou: "Director Qin, do you think it is convenient for the follow-up now?"
"Have several experts finished communicating their condition" Qin Yizhou stood up and said, "If there is no doubt, we can go over to see Qiao Lao now" Everyone stood up, put on their white coats, followed Qin Yizhou out of the door, and then went up the stairs.
Zeng Yi walked behind and "stepped forward to help Gu Yisheng carry the old-fashioned briefcase" and said: "Gu Lao, I am a junior, I will carry the bag." ” Gu Yisheng laughed, snuffed out the cigarette butt in his hand, and said: "Thank you for your hard work, it seems that "you are proficient in both Chinese and Western medicine, and you can do it at a young age, which is amazing" Gu Yisheng has a good impression of Zeng Yi's modesty and politeness, unlike other Western medicine experts in the expert group, who are polite to him when they meet, but they are not like that at all in his heart.
"Just understand a little, in terms of experience, it is definitely not as good as Gu Lao" Zeng Yi smiled and asked Gu Lao to go first, and said: "When the follow-up is completed, I will ask Gu Lao to add more nonsense." ” "Hmm" Gu Yisheng nodded, he knew that what Zeng Yi said was not referring to medical skills, his medical records had already been shown to Zeng Yi, what was the conclusion, this kid had already known, what was the matter, what was the matter.
This kid refers to letting himself mention more of the rules for seeing a doctor here, he has eyesight, and he doesn't have the recklessness of a young man at all.
The experts of the medical team went up to the second floor and into Jowende's bedroom.
There were two nurses in the room, who had already checked Qiao Wende's routine physiological data today, and when they saw the experts coming in, they handed over the record book, and then stood aside.
The team leader glanced at it, passed the record book to the experts in the back, walked to Qiao Wende's bed, and asked, "Old Qiao, how do you feel today?"
Qiao Wende looked very weak, opened his eyelids, and saw that it was the leader of the medical team who was questioning, so he said: "Ask once a day, can I be cured without treatment?"
The team leader was a little embarrassed, it wasn't that he didn't do his best, but Qiao Wende's disease was relatively special, and his physiological data were relatively normal, but he just didn't eat or sleep, and this was not an emergency and serious illness, so he couldn't use emergency methods; There are no organic lesions in sight, and everything can be operated on; And there is no organ failure, how do you treat it, how can you treat it The treatment team followed up for a month, except for finding that Qiao Wende had a very slight gastritis, there was nothing to find, they could only take the most conservative treatment plan, and they did not dare to use too many drugs, because Qiao Wende's anorexia was the cause I haven't found it yet, and many drugs can cause more serious anorexia, and the medical team doesn't want to treat Qiao Wende's anorexia more and more, so they can only infuse some glucose every day, and then add a little zinc and vitamins The medicine to maintain the normal physiology of Qiao Lao's body.
It can be said that Qiao Wende's body is under the noses of the experts of the medical team, and it is not as good as day by day, but he can't do it yet.
When the experts in the back saw the data, they also had a headache, strange, what kind of disease is Qiao Lao, it can't be psychopathic anorexia, he is in a high position, calling for wind and rain, and what can't he think about It is necessary to know that psychopathoxia generally belongs to those who are extremely misanthropic, or crazy to lose weight.
Qiao Wende saw the reaction of the team leader, so he snorted and said, "The doctor recommended by the group of students, has you arrived?"
Qin Yizhou immediately went up and said, "I've arrived, I just finished reading the medical records, and I'm about to make a diagnosis in person." ” "Let him come" After Qiao Wende finished speaking, he closed his eyes again, his current spirit is very poor, that is, he is a young man, who does not eat or sleep for a month, "I am afraid that he will collapse long ago, not to mention an old man who is over eighty years old, he can survive until now, and he is also a person with extremely strong willpower."
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Qin Yizhou raised his hand towards Zeng Yi, "Doctor Zeng" and then moved a stool and put it next to the bed, and he stood next to the stool, dealing with the situation at any time.
Zeng Yi stepped forward with the medical box, not busy with his hands, but first observed Qiao Wende's complexion, it was indeed very poor, the whole person was weak, and it seemed that he was tortured by this illness a lot.
After reading Qiao Wende's complexion, Zeng Yi stretched out his hand and pressed Qiao Wende's gastrointestinal area, and then suddenly leaned forward and almost touched Qiao Wende's face, and said, "Come, please Zhang." ” Qiao Wende didn't open his mouth, but he opened his eyes all at once, although he was lying on the bed, although the whole person was very weak, but once the eyes were opened, Qiao Wende suddenly had a terrifying momentum, he stared at Zeng Yi for a long time, and found that Zeng Yi was just looking at himself lightly, as if he was waiting for himself to open his mouth His eyes eased slightly and asked: "You are the doctor invited by the group of students", "Yes", Zeng Yi replied.
"Okay", Qiao Wende only said one word, then closed his eyes again, and then opened his mouth.
He was a little unhappy in his heart, he was surprised when he heard Zeng Yi's young voice just now, Meng Qunsheng was too immature, and he expected him to be able to collapse Mount Tai in the future without changing his face, who knew that such a small illness, he was completely exposed, and began to rush to the doctor, in the end, it came out of a small place, and it was useless Zeng Yi looked at the shape and color of the tongue coating, sniffed closer, and immediately smelled Qiao Wende's mouth, there was an extremely heavy smell of bad breath, and he probably had a bottom in his heart.
"Okay, that's it" Zeng Yi asked Qiao Wende to close his mouth, then sat down on the stool next to him, took his pulse, and after savoring it for two minutes, he stood up and retreated to the side.
At this time, Gu Yisheng came over again, also sat on the stool, tasted the pulse, and then retreated with a solemn face.
Qin Yizhou saw that everyone had finished the diagnosis, so he raised his hand and motioned for the experts to speak downstairs.
Back in the previous small meeting room, the experts probably felt a little embarrassed, so they pointed the finger at Zeng Yi in an attempt to resolve their embarrassment, "Doctor Zeng, you have read your medical records and diagnosed them personally, is there any conclusion?"
Zeng Yi ignored the experts' inquiries, but pondered for a moment with a solemn expression, and then asked Qin Yizhou, "According to the medical records, the patient had a cold before he got this disease, did he take medicine to treat it at that time, and did he eat any food with a strong taste?"
Qin Yizhou really didn't take Zeng Yi in his eyes before, but when Zeng Yi asked, he was a little shocked, and said: "I didn't take the medicine, I only ate a bowl of spicy soup This is Qiao Lao's habit, every time he has a cold, he doesn't take medicine, eats a bowl of spicy soup, sweats, and the cold is naturally cured", Zeng Yi asked again: "After the patient doesn't like to eat, did he make spicy soup for him?"
Yizhou said: "Yes, Qiao Lao used to like to eat spicy soup the most, but after he got sick this time, he made spicy soup for him to eat, but he said that the soup was stinky, and he wanted to vomit when he smelled it, and he couldn't eat it at all."
It's just a few other foods that he usually likes It's the same thing, you can't eat anything, and you have to vomit when you smell it.
This is also what Qin Yizhou is most puzzled about, Qiao Lao is a person who is not spicy or happy in his life, who knows that with this recent illness, he actually said that chili peppers stink like, how How can you eat it, this is really an evil thing, what kind of disease can it be, making people lose their tastes Zeng Yi nodded, but didn't say anything more, just stood aside, and kept silent.
Gu Yisheng felt that Zeng Yi's action was very strange, and said, "Doctor Zeng, do you have any opinions?"
Zeng Yi shook his head and said, "I don't have any opinion."
Gu Yisheng doesn't think so, Zeng Yi's question just now seems ordinary, but it is very in line with the views of traditional Chinese medicine, and he must have a conclusion.
"Doctor Zeng, but it doesn't matter, we are just doing a demonstration of the condition here, you know everything, you don't have any worries", Gu Yisheng thought that Zeng Yi was afraid of making any taboos, so he "mentioned it" and took a look.
Zeng Yi smiled bitterly and said: "Old Qiao's disease can be treated, but the medicine I prescribed, Old Qiao will definitely not take it, so whether you say it or not, it's the same."
The Western medicine experts at the scene glanced at each other, and they all sneered in their hearts, which is a doctor, it is clearly a god stick in the rivers and lakes, and it will not be cured if it cannot be treated, it has to be said that the patient refuses to take medicine, do you dare to prescribe arsenic, crane top red Yizhou thought that Zeng Yi was deliberately manipulating, and said: "Doctor Zeng, it doesn't matter whether it works or not, or you prescribe the prescription first, and when the prescription is prescribed, everyone will discuss it together to see if it is suitable or not", "Yes, you talk about it first, it's up to you."
Diagnosis, what kind of evidence is this, what medicine should be used" Gu Yisheng said, he was also very curious about what confidence Zeng Yi had, and dared to say that this disease could be cured, could it be that he was really old, and his vision was not as good as that of a young offspring A West The medical expert also immediately spoke: "Doctor Zeng, you are not right, you can't do it, then you have to tell it first, everyone will know", this is completely cynical, he has already regarded Zeng Yi as a liar, how can there be this Young Chinese medicine, even if you understand medical skills, don't you understand Gu Lao, who is standing here, everyone says that Gu Lao's medical skills are superb, but if you change a few prescriptions, it is not the same as our Western medicine, or even inferior to us "Then I'll have the courage to say a few words" Zeng Yi put the medicine box at his feet and said: "If I am not mistaken, Qiao Lao's illness is evidence of food injury, and in layman's terms, it is to eat something bad and be injured by food."
When people are injured by food, their bodies will naturally hate food and reject food, and Qiao Lao now doesn't want to eat, smell and vomit, and even feel that the food stinks so much that it is difficult to swallow, it is for this reason that Qiao Lao does not want to eat, smell and vomit, and even feel that the food stinks so much that it is difficult to swallow, it is for this reason" "Then what kind of medicine do you think should be used", Gu Yisheng asked again.
"It can't be cured if it's not rhubarb," Zeng Yi said.
At this moment, Gu Yisheng's face changed, and the courage of the young posterity was also a little bigger, Qiao Lao couldn't eat for a month, and you still dared to use laxatives: