Why do experts and directors from various top-tier hospitals frequently appear at a community clinic? Why do nationally renowned experts and professors often visit a township-level health center?
"If you want to make a case an ironclad case, then it must withstand layers of scrutiny and leave no room for doubt. Similarly, when diagnosing a disease, if you want to confirm it, the condition must also withstand layers of scrutiny and leave no room for doubt. Although I initially judged that the patient might have heat entering the blood chamber, I couldn't be 100% certain. So, while examining and thinking, I was also looking for something that could overturn this judgment..."
"When I saw that the patient had previously used drugs to regulate qi and blood, I thought that if the patient had heat entering the blood chamber, then the condition might also change after taking the drugs..."
Ji Fengwen smiled with satisfaction and said, "Okay, since you have such an idea, Xiaoyun, you are actually ready to start your apprenticeship."
For doctors, especially Chinese medicine doctors, some things can be improved through learning and long-term accumulation, but the thinking mode cannot be improved. Not to mention Yun Heng's level, just talking about the thinking mode, many people cannot compare with him.
After praising Yun Heng, Ji Fengwen continued, "I don't know if you've ever heard of some of the modern police investigation methods. I've watched some crime dramas myself, and many of them have this kind of thinking: first, they lock on to a suspect, then question him, and use this suspect as the core to see if they can perfectly outline the entire case. If they can, then the suspect can basically be identified. Then, with this suspect as the focus, they look for evidence to prove his guilt..."
"On the other hand, if we focus on this suspect and there are numerous doubts during the investigation, then this suspect is very likely the wrong one. Even if we focus on this suspect and there are no doubts, we still need evidence to convict him. Both are indispensable..."
"I think this idea is very practical in our clinical practice. Even if it's preconceived, we still have to be skeptical. As Yun Heng just said, it has to withstand layers of scrutiny. But what about you all? You're so preconceived and you just jump to conclusions. Does anyone question it? Does anyone try to think things through?"
Faced with Ji Fengwen's questioning, everyone lowered their heads.
As for the patient's condition, Yun Heng and his team were able to determine that the patient might have heat entering the blood chamber, which was actually a very good performance. The patient had seen other Chinese medicine practitioners before, and the reason why some doctors prescribed drugs to regulate qi and blood was because they couldn't even find that the patient had heat entering the blood chamber. Otherwise, the patient would have recovered long ago with three doses of Xiao Chaihu Decoction.
People like Yun Heng and Dang Siping are just residents, and it is really great that they can reach this level.
But Ji Fengwen is teaching now. When he encounters a problem and solves a problem, if any mistakes are made, he must let everyone learn from them.
Moreover, when it comes to this disease, if Dang Siping and Yue Shaojiang had at least paid a little more attention and not had preconceived notions, and had looked at the patient's medical records in detail like Yun Heng, they would have been able to detect the abnormality.
What Ji Fengwen wants to teach them now is thinking.
Zhang Haihua and Liu Kexiang, who were standing at the door of the ward, were also listening very attentively.
If we don't involve theories, in terms of thinking patterns, Chinese and Western medicine can actually learn from each other at times.
Even Liu Kexiang, the director of the emergency department, felt that he benefited greatly from what Ji Fengwen and Yun Heng had just said.
"Director Zhang, your junior fellow apprentice is even better than I thought."
Liu Kexiang whispered to Zhang Haihua.
After listening for a while, Liu Kexiang was more and more shocked, and became more and more interested in Yun Heng.
"yes."
Zhang Haihua nodded and thought to himself that the teacher was really lucky to have met such a genius.
Zhang Haihua couldn't understand why Yun Heng had only graduated last year and had been working in a community hospital. Where did he learn so much, especially his way of thinking, which even some experienced senior doctors might not be able to match.