National Physician: One Person Supports a Top-Tier Hospital

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?

Chapter 461 Questions

The ward of Shuguang Hospital is much larger than that of West Asia Community Hospital. When they arrived at the ward door, Qi Jianping was the first to walk in. Yun Heng noticed that not all the chief physicians and deputy chief physicians followed him in. Instead, the attending physicians and exchange students behind him all followed him in.

Although the ward was large, with the beds and the patients' families, there was definitely not enough room for so many people to stand. A deputy director followed in, while a chief physician, a deputy chief physician, and some senior attending physicians waited outside.

Yun Heng was no layman and immediately understood what was going on.

Several chief physicians and deputy chief physicians also have their own jurisdictions, and the same goes for attending physicians. When making rounds, resident doctors do not follow and wait in the area they are responsible for. Although attending physicians follow, they must stay nearby whoever is in the area they are responsible for. Other attending physicians and deputy chief physicians are not so particular. As for exchange students and interns, all of them have to follow the wards.

"Whose patient?"

Qi Jianping walked to the bedside and asked questions while examining the patient.

"Director Qi, my patient."

An attending physician nearby said hurriedly, "The patient was admitted to the hospital due to exogenous wind evil, dizziness, vomiting..."

The attending physician in charge explained the situation while Qi Jianping continued to examine the patient.

When Yun Heng was in school, he heard Xu Bo say that when a doctor enters the hospital, the attending physician's ward rounds are a small test, the associate senior physician's ward rounds are a medium test, and the director's ward rounds are a major test. It turned out to be true.

When Qi Jianping was making rounds, even the attending physician next to him was trembling with fear, fearing that he would be scolded by Qi Jianping.

"Who is the attending physician?"

After the attending doctor finished explaining the situation, Qi Jianping asked again.

"Director Qi, it's me."

"What is the cause of the patient's vomiting?"

"Weak spleen and stomach!"

The resident doctor hurriedly said, "The spleen and stomach are weak and cold, which has led to a decrease in the spleen and stomach's ability to absorb food. Irregular diet, coupled with external wind and cold..."

Qi Jianping didn't say anything, neither saying it was right nor wrong. After the inspection, he continued to move to the next bed.

"Whose patient?"

Every time he arrived at a bedside, Qi Jianping would ask questions as usual.

"Director Qi, my patient was admitted to the hospital with dizziness, headache, and soreness in the waist and knees. He suffers from hypertension, with a blood pressure of 160/100 mmHg, and yin deficiency and yang hyperactivity... The prescription is Qiju Dihuang Decoction combined with Zhengan Xifeng Decoction..."

The attending physician in charge hurried forward and explained the patient's condition.

Qi Jianping remained silent, and asked about the patient's condition while conducting the examination.

"Director Qi, this is my father's second time being hospitalized here. He came once three months ago and stayed for a few days. He took more than 20 doses of medicine and his condition improved. But now he's had another attack. He's been taking medicine for several days, but there's been no improvement. It seems to be getting a little serious."

The son of the patient next to him took the opportunity to speak to Qi Jianping.

"How many days have you been eating it?"

Qi Jianping asked.

"Director Qi, I've been eating it for four days."

The attending physician hurriedly said, "I used this prescription the last time you were admitted to the hospital, and it worked well. I used the same prescription again this time, but after two days, it didn't work. So I added Lithospermum officinale, Mother of Pearl, and Uncaria rhynchophylla to calm the liver and suppress yang. You've been taking it for two days since I changed the prescription."

Yun Heng couldn't help but shook his head.

The reason it worked last time was because the prescription was suitable for the condition. This time, the original prescription had no effect because it was not suitable for the condition.

Although the patient's symptoms were the same both times, the causes were completely different. The attending physician made a preconceived mistake.

Just by looking at the other party's description of the condition, including high blood pressure and blood pressure, Yun Heng knew that he was a Chinese medicine doctor who was influenced by Western medicine thinking, which was why he made such a mistake.

Although Qi Jianping was examining the patient and seemed to be paying attention to him, his eyes were very sharp and he could see Yun Heng's expression clearly.

"you!"

Qi Jianping pointed at Yun Heng and asked, "What's your name?"

"Director Qi, my name is Yun Heng."

Yun Heng didn't expect Qi Jianping to ask him, so he asked hurriedly.

"Can you tell me why the prescription worked so quickly last time, but it made the condition worse this time?"

Qi Jianping stopped looking at Yun Heng, but asked the question.

Liu Xizhong couldn't help but worry about Yun Heng.

This question is much more difficult than the questions Qi Jianping asked other young doctors before.

The associate professors and some senior attending physicians who followed in at this moment had actually already noticed the problem. There was something wrong with the prescription, but how could the young residents and interns be able to spot the mistakes made by the attending physician?

How old is Yun Heng? He looks to be only 27 or 28 years old at most. How can he answer such a question?

Not only Yun Heng, but several other exchange students and interns were also worried about Yun Heng.

After all, Yun Heng is a newcomer, and most hospitals need to give newcomers an adaptation period. But everyone else knows Qi Jianping's temper. Qi Jianping doesn't consider these things and will definitely scold him if he can't answer.

"The reason it worked last time was because the patient had symptoms of Yin deficiency and Yang hyperactivity, and Qiju Dihuang Decoction and Zhengan Xifeng Decoction were exactly the right ones for the condition, so they worked. Although the patient's symptoms this time are similar to last time, the relapse of the old illness is only superficial and different from the last situation. Using Yang-suppressing drugs again would violate the taboo of 'deficiency'..."

Yun Heng's expression remained calm as he spoke slowly.

"Um?"

Qi Jianping made a sound through his nose, then looked at Yun Heng, and his calm expression changed for the first time.

"Go on."

"After taking the medicine, the patient's appetite decreased, dizziness worsened, mental fatigue, and pale complexion. Judging from these symptoms, it should be due to the misuse of the Yin-Yang suppressant. If it was the right medicine for the condition, the patient would never have these symptoms."

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