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 471 Pneumonia?

The patient was a little girl of about twelve or thirteen years old. When Liu Xizhong, Yun Heng and Wang Xuemeng arrived at the ward, He Yongfei, another resident doctor under Liu Xizhong, was learning about the patient's condition.

"Doctor Liu, Doctor Yun!"

Seeing Liu Xizhong and Yun Heng come in together, He Yongfei hurriedly greeted them and then talked about the patient's condition: "The child started coughing and having a fever after catching a cold half a month ago. He was then treated in a community hospital, receiving antibiotic drips and nebulization treatments, but his condition has been getting worse..."

"I was then treated at the district hospital. I had blood tests, a chest X-ray, and sputum culture. I was diagnosed with Mycoplasma pneumonia, but the treatment was ineffective..."

Yun Heng and Liu Xizhong were listening to He Yongfei while observing the child's condition. While He Yongfei was speaking, the child suddenly started coughing violently. Yun Heng looked carefully and could see that the child had obvious symptoms of shortness of breath and his face turned red instantly.

"Have you taken your temperature?"

Liu Xizhong reached out and touched the child's forehead, then turned around and asked He Yongfei.

"Just took it, 38.5℃."

He Yongfei said hurriedly.

"What medicines have you used before?"

Liu Xizhong asked the child's parents again.

The child's mother hurriedly said, "We've tried a lot of penicillin and cephalosporins, but they haven't been very effective."

Liu Xizhong didn't say anything. He sat beside him and began to take the child's pulse. He Yongfei checked for omissions and continued to ask questions.

"Have you used erythromycin?"

"I think I've used it."

The child's mother is a little uncertain because he has been using too many medicines recently.

“No, definitely not.”

The child’s father said affirmatively.

"Mycoplasma pneumoniae is the smallest microorganism that can grow independently between cells and viruses. It has no cell wall and is very sensitive to antibiotics. Erythromycin is the first-line drug for treating mycoplasma infection and should be the first choice."

Yun Heng listened to what He Yongfei said without saying anything. Nowadays, in major traditional Chinese medicine hospitals, even in the traditional Chinese medicine departments, some doctors understand traditional Chinese medicine. In actual clinical treatment, it is very common to use both traditional Chinese medicine and Western medicine, or even to use traditional Chinese medicine as an auxiliary to Western medicine.

Liu Xizhong examined the child and stood up and said, "The pulse is floating, strong, and rapid. The throat is red, the edges and tip of the tongue are red, the tongue coating is thin and yellow, the forehead is sweating, and the breath sounds in both lungs are coarse..."

He Yongfei, who was standing by, hurriedly wrote down what Liu Xizhong had said.

After taking note, He Yongfei waited for Liu Xizhong to stand up and asked tentatively, "Doctor Liu, do you want to give the patient erythromycin?"

Liu Xizhong glanced at He Yongfei, then at Yun Heng: "What do you think, Doctor Yun?"

"Children this age who use erythromycin will experience severe digestive tract reactions, and some may even be unable to tolerate it."

Yun Heng glanced at He Yongfei and said slowly, "There's a reason why the district hospital didn't consider using erythromycin before."

Although Yun Heng said this politely, his meaning was actually a bit impolite. He was almost saying that no matter how poor the doctors at the district hospital were, they knew that erythromycin was the first-line drug for treating mycoplasma infections.

No matter what the current situation is in major hospitals, in Yun Heng's opinion, the Department of Traditional Chinese Medicine is still purer. The child is currently in the Department of Traditional Chinese Medicine of Shuguang Hospital. The patient is hospitalized and nothing is wrong yet. The doctor considered using erythromycin first?

Just as Yun Heng is disgusted by some Western doctors who casually prescribe Chinese medicine to patients, Yun Heng is also disgusted by some Chinese medicine doctors who prescribe Western medicine to patients without any serious consequences.

As far as the doctor group is concerned, the number of doctors with dual degrees in traditional Chinese and Western medicine in major hospitals is the least. Even if there are some, most of them are of relatively low level. Some Western medicine doctors prescribe Chinese medicine for patients but they themselves may not be qualified to prescribe Chinese medicine. Similarly, some traditional Chinese medicine doctors prescribe Western medicine for patients but they themselves may not be qualified to prescribe Western medicine.

In some departments combining traditional Chinese and Western medicine, patients are treated by either experts in the field or by doctors of both Chinese and Western medicine who consult at the same time. Yun Heng was a little skeptical about whether He Yongfei was qualified.

He's still just a resident, but his thinking is already incredibly biased.

If He Yongfei also graduated from a college of integrated Chinese and Western medicine, his previous remarks would be understandable. But if he graduated from a college of pure Chinese medicine, it is clear what he has learned during this period of time.

"Did you hear that?"

Liu Xizhong asked with a serious face.

"I heard it."

He Yongfei hurriedly said, "Doctor Liu, Doctor Yun, I was inconsiderate."

He Yongfei then added, "It's just that the patient has mycoplasma pneumonia, and this situation must be contained."

"What does Doctor Yun think?"

Liu Xizhong ignored He Yongfei and asked Yun Heng politely.

"The main symptoms of the child are cough and asthma. The disease is located in the lungs and is of a hot nature. It is a lung-heat cough."

Yun Heng said slowly, "Since the patient's main symptom is fever, it is suitable for the differentiation of Yingwei Qi and blood in febrile diseases. If the patient was initially diagnosed with fear, then the evil qi has now entered the Qi stage."

"Doctor Yun means that Ma Xing Gan Shi Tang can be used for treatment?"

Liu Xizhong asked.

"Well, you can try Ma Xing Gan Shi Tang. Take three doses first and see the effect."

Yun Heng nodded.

"Doctor Yun, I know Ma Xing Gan Shi Tang, but it doesn't contain any heat-clearing and detoxifying herbs. Can it treat Mycoplasma pneumonia?"

He Yongfei asked Yun Heng in confusion.

Yun Heng glanced at He Yongfei and said, "I didn't treat pneumonia. Did Doctor He make a mistake?"

He Yongfei was stunned: "The patient?"

"Doctor He, it seems you didn't listen to my analysis just now. My diagnosis was that the patient had lung heat and cough. I didn't mention pneumonia, did I?"

My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!