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

This time, Zhong Dongyang came to perform two operations in a row. He did not have much rest after operating on the first patient last night, and went on to the second operation.

The two operations were completed more than six hours later.

It was nine o'clock in the morning when I entered the operating room, and now it is already past three o'clock in the afternoon.

"Not bad."

After coming out of the operating room, Zhong Dongyang was still full of praise for Chen Yang.

Chen Yang’s current surgical skill level is already quite high, and with the game’s skill system, his proficiency will continue to increase when he performs the same surgery.

As he has performed similar operations more and more times, Chen Yang's proficiency has become quite high. According to Zhong Dongyang, even if Chen Yang is the lead surgeon now, he is definitely more than qualified.

"Director Zhong, shall we go eat something first?"

Si Zhenhua said to Zhong Dongyang with a smile.

"I'm really starving." Zhong Dongyang nodded without refusing.

After performing two consecutive operations, Zhong Dongyang, Chen Yang and Si Zhenhua simply ate a few bites of bread and other things in between. They were really hungry now.

Generally speaking, doctors will not eat or drink too much before performing surgery, especially for longer surgeries, to avoid having to go to the toilet suddenly during the operation.

Today there are two flying knives being performed consecutively. Zhong Dongyang naturally wants to finish them once and then take a break. He will not take a special meal in between.

The operating room has a special passage. Si Zhenhua took Zhong Dongyang and Chen Yang to dinner and invited Zhong Dongyang with a smile: "Director Zhong, would you like to go to my office for some tea?"

"also."

Zhong Dongyang looked at the time. After dinner, it was already past four o'clock in the afternoon, so he agreed, ate, drank some tea, rested for a while, and then went back.

Before the three people reached Si Zhenhua's office, they learned that there was an emergency patient in the department and doctors from other departments came here for consultation.

Si Zhenhua is the director of the emergency department. There is more than one chief physician in the emergency department. There are also many experts in the hospital during the day, so one or two emergency cases during the day will not immediately alarm Si Zhenhua.

"Director Zhong, would you like to go over and listen together?" Si Zhenhua asked Zhong Dongyang.

Zhong Dongyang was not interested at first. He was just a surgeon, and a hepatobiliary surgeon at that. He was a layman when it came to other types of patients.

Modern medicine divides departments into more detailed categories, making it easier for some doctors to specialize in a certain field and avoid distracting their attention. However, it also causes specialized doctors to become more isolated from other fields.

Especially for a surgeon like Zhong Dongyang, he is really the type of academic nerd with a very serious academic bias.

However, Si Zhenhua's other words aroused Zhong Dongyang's interest.

"This disease might fall on Xiao Chen."

Si Zhenhua has talked a lot about Chen Yang's level of traditional Chinese medicine today. Zhong Dongyang is now half-believing and half-doubting. Since Si Zhenhua said so, Zhong Dongyang simply went over to take a look and see what Chen Yang's level is.

Entering the consultation room, Gao Jingyun was explaining the patient's condition to the doctors who came for consultation from other departments.

"The patient has started to have fever, body temperature 39.1C, rigidity, increased muscle tension in the limbs, brain CT scan, right internal capsule and ventricular hemorrhage, and the patient also has hypertension..."

"We have just performed a drainage operation on the patient. After the operation, the blood pressure is stable and the breathing is stable, but the high fever has worsened..."

Gao Jingyun continued speaking.

The patient arrived at the hospital just as Chen Yang entered the operating room. Chen Yang, Zhong Dongyang and Si Zhenhua had been in the operating room for almost seven hours, including before and after the operation. The craniotomy, decompression and drainage surgery takes different amounts of time depending on the patient's condition. It took about two hours here.

That is, when Chen Yang and three others finished the first operation, the patient had already completed craniotomy decompression and other treatments. Now, five hours have passed since the patient's operation, and a group of people are discussing the patient's postoperative treatment.

The patient currently has a severe high fever, which is a very tricky problem.

Si Zhenhua, Zhong Dongyang and Chen Yang walked into the consultation room and stood at the back listening to Gao Jingyun talk about the patient's condition.

"I just checked the patient's tongue coating. The patient has a rather bad breath, and the tongue is dark red, with a thick, yellow coating, cracks and thorns."

Zeng Yunhui said: "This shows that the patient has severe heat in his body."

"Why does the patient have cold hands and feet?" asked a doctor nearby.

"If the cold is deep, the heat is also deep; if the cold is mild, the heat is also mild."

Wen Manlu said: "It has long been explained in the Treatise on Febrile Diseases that when there is real heat in the patient's body, the heat evil can stagnate the Qi mechanism, preventing the Yang Qi from reaching the end of the body, thus causing cold hands and feet. This is the so-called 'all coldness is caused by the inability of the Yin and Yang Qi to connect smoothly. Coldness is the condition of cold hands and feet.'"

......

Listening to Wen Manlu's explanation, Zeng Yunhui opened his mouth slightly, a little stunned.

Zeng Yunhui was clear about Wen Manlu's level, which was not low, but when Wen Manlu was explaining, she casually quoted passages from "Treatise on Febrile Diseases", which showed that Wen Manlu was very familiar with "Treatise on Febrile Diseases".

"Treatise on Febrile Diseases" is a must-read medical book for medical students. This is not the first time that Wen Manlu has read it. However, since Chen Yang gave Wen Manlu a jade bracelet, Wen Manlu's efficiency in reading has increased a lot compared to before.

During this period of time, Wen Manlu felt that both her memory and comprehension abilities seemed to have improved a lot.

This is the benefit that enhancement items bring to Wen Manlu.

"However, to determine whether the patient's cold hands and feet are caused by cold or heat, other factors must be considered."

Wen Manlu said: "When I examined the patient just now, I found that the patient's abdominal skin was burning hot, and there was a sense of resistance when pressing hard. In addition, the patient's pulse was not strong enough when taking the floating pulse, but was solid and strong when taking the sinking pulse, and the pulse was sluggish and not smooth..."

"Combined with the patient's extreme fever, delirium, cold limbs, and dry yellow tongue coating, it can be judged that the patient has Yangming Fu Shi syndrome."

Hearing this, Chen Yang felt that if Wen Manlu continued to analyze this disease, it could basically be explained dialectically.

"It has only been five or six hours since the patient underwent surgery. We cannot yet judge whether his bowel movements are smooth. Isn't it a bit too early to conclude that the patient has Yangming Fu Shi syndrome?" Zeng Yunhui said.

"When I examined the patient just now, I felt a mass in the left lower abdomen. It was cord-like with smooth edges..."

Wen Manlu said: "The patient was admitted for emergency surgery and did not have enough time to prepare for the surgery. In addition, the anesthetic during the surgery weakened the patient's gastrointestinal motility. After the surgery, the patient was unconscious and could not excrete the anesthetic residue through exercise. Under this situation, the patient's constipation will only get worse."

Zeng Yunhui: "..."

Damn, is this what they mean by "birds of a feather flock together".

Is the bedside effect so terrifying?