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

"Is there a patient?"

Chen Yang was browsing the Reputation Mall when he heard the sound of ambulances approaching from far away.

Chen Yang lives in the family home of Fenghai Central Hospital, which is very close to the hospital. At this time, the sound of the ambulance is even more harsh, and people near the hospital can hear it clearly.

"It's still two cars."

Chen Yang hurriedly went to get his coat. While putting on his coat, Chen Yang was getting ready to go out.

Although it was already off work at this time, although the hospital did not call Chen Yang, although under this situation the hospital would not call a trainee like Chen Yang.

But this does not prevent Chen Yang from going on his own.

For medical students, any opportunity is an opportunity to learn, as long as you are diligent, and in many cases, opportunities are earned by yourself.

Anyone who has worked in a hospital knows that in fact, the busier it is, the more doctors are not available, only some small doctors may get the chance to do something.

For example, surgeons usually have no chance to operate, but when there are not enough manpower, they may be pulled to retract the hook.

When there are not enough people, even a dog would want to be used, let alone a doctor with a certain foundation. With a certain foundation, but not enough manpower, this is a rare opportunity.

What's more, Chen Yang also has a system that allows him to gain experience whenever he has the opportunity.

Also, Chen Yang is now in the emergency department and has met some of the doctors in the emergency department. They are not completely strangers.

"Director Gan."

An attending doctor hurriedly walked to Gan Xinping's side.

"Two patients, one was urgently transferred from the city's Traditional Chinese Medicine Hospital with postpartum hemorrhage...the other was in coma after a car accident..."

120 will definitely notify the hospital in advance when sending patients, but the person who got the news was another attending doctor in the department, and he did not know that Gan Xinping was there.

"I have already notified the obstetrics and gynecology and surgery doctors." the attending doctor said.

"Be prepared first."

Gan Xinping frowned and couldn't help but cursed: "The city's Traditional Chinese Medicine Hospital didn't even know to tell them in advance. Didn't they say hello only after the patient was transferred to another hospital?"

If there were no car accident patients, it would be fine if there was only one patient, but two were sent this evening...

In particular, one patient was urgently transferred from the Municipal Hospital of Traditional Chinese Medicine. If he could be transferred from the Municipal Hospital of Traditional Chinese Medicine urgently, you can imagine the patient's condition.

As he spoke, an ambulance stopped at the emergency passage, the door opened, and a doctor from the Municipal Hospital of Traditional Chinese Medicine got out of the car first.

"Director Gan."

The doctor who came down greeted Gan Xinping.

"Doctor Ma."

Gan Xinping also knew the other party, a senior attending doctor at the Municipal Traditional Chinese Medicine Hospital.

"Let's talk about the patient's condition first."

"The patient had a miscarriage two years ago and was diagnosed with anemia. However, she did not take it seriously. She stopped menstruating half a year ago and was found to have twins in early pregnancy in the uterus. She has been undergoing regular prenatal check-ups in our hospital."

Dr. Ma said: "Three months ago, I discovered a rash on my left arm and leg, accompanied by itching. The symptoms were relieved under treatment in our hospital. One month ago, I found a stillbirth without abdominal pain. After that, the patient developed unprovoked fever... ..”

"I had an abortion plus uterine evacuation a week ago. The amount of post-operative bleeding was small. The bleeding stopped three days later, accompanied by mild lower abdominal pain... The patient gradually developed chest tightness, breathlessness, dizziness, fatigue and palpitations from the day before yesterday. Symptoms, I had syncope once, which lasted only a few seconds..."

As he spoke, Dr. Ma handed Gan Xinping a list.

"Hemoglobin 26?"

Gan Xinping took one look and frowned.

"Positive cold agglutination test, severe anemia?"

Dr. Ma didn't say anything, as it was clearly written on the checklist.

"Is there any cause for severe anemia?" Gan Xinping asked.

"Autoimmune hemolytic anemia? Systemic lupus erythematosus? Antiphospholipid syndrome?"

Doctor Ma said: "Miscarriage + uterine evacuation."

"Dry!"

Gan Xinping looked ugly: "In this case, you sent us to the hospital?"

The several situations mentioned by Dr. Ma are not juxtaposed at the same time. The first three situations are all marked with a question mark and are pending investigation. In other words, if there is such a situation, the only sure cause is miscarriage + uterine evacuation.

But no matter which one of the first three, this is quite tricky.

And according to what Dr. Ma just said, Gan Xinping had already vaguely guessed that the most likely cause was systemic lupus erythematosus.

Systemic lupus erythematosus, autoimmune hemolytic anemia!

A complication of systemic lupus erythematosus is autoimmune hemolytic anemia.

Is this something their hospital can solve?

"Contact the blood bank, prepare plasma...notify the hematology department."

Gan Xinping handed a list to an attending doctor and gave instructions at the same time.

While talking, the second patient was also delivered.

"The patient is unconscious, has no call response, has normal pupils, has an impact on the brain, and has a fracture of his left lower limb..."

"Notify the Department of Orthopedics and Traumatology, the Department of Neurology... urgently conduct a cranial CT scan."

Suddenly, the originally quiet emergency department suddenly became busy.

When Chen Yang came to the department, the two patients had already been sent to the emergency room.

"Dr. Chen?"

Zhou Junfei was busy running around when he suddenly saw Chen Yang and was surprised: "It's so late, Doctor Chen, why are you here?"

"I live nearby. I heard an ambulance coming, so I came over to take a look." Chen Yang said.

"Okay, I'll be busy first."

Zhou Junfei smiled and thought to himself, what help can Chen Yang bring now?

At most, it's just an errand.

Zhou Junfei admitted that Chen Yang was pretty good, but Chen Yang really couldn't help him with this matter tonight. One of them might have cerebral hemorrhage accompanied by lower limb fractures, and the other might have autoimmune hemolytic anemia caused by systemic lupus erythematosus.

Both patients are quite difficult.

Chen Yang did not influence Zhou Junfei, but went directly to the door of the emergency room.

"Xiao Chen."

Gan Xinping walked out and was equally surprised when he saw Chen Yang.

"Xiao Chen, are you there too?"

"I heard the sound of an ambulance. Come over and see if you can help." Chen Yang said.

"When other doctors heard about this situation, they all wanted to shut down their phones. It would be better for you to do it yourself."

Gan Xinping smiled and said: "Xiao Chen, you're here at the right time, come on."

With that said, Gan Xinping called Chen Yang into the emergency room.

Compared to Zhou Junfei, Gan Xinping knew Chen Yang's level better.

"The patient suffers from systemic lupus erythematosus and autoimmune hemolytic anemia. After abortion + uterine evacuation, he developed chest tightness, breathlessness, dizziness, fatigue, palpitations, and even had a syncope..."

Gan Xinping told Chen Yang about the patient's condition.

"Who is this?"

The two emergency doctors who were still in the emergency room looked at Chen Yang strangely. They, Director Gan, went out for a trip, brought in such a young doctor, and explained the situation to each other in such detail.

With this attitude, they, Director Gan, were treating each other as doctors of the same level.