Chapter 73 Internal Bleeding The protagonist appears little by little
Yesterday, her diagnosis and treatment of Grandma Wen was just temporary hemostatic treatment after the car accident, and she did not have a deeper understanding of the patient's condition.
Therefore, the first thing Chen Yin did when she sat down was to ask Zhong Rui, who was standing opposite her, about the patient's daily condition.
"Hello! I'd like to know about the patient's daily condition. What underlying diseases does he have?"
Zhong Rui didn't expect that Chen Yin would ask her questions in the order of the consultation. She glanced in Song Xu's direction in surprise, and found that the other party did not show any intention of stopping her, so she immediately told her about the old lady's daily situation one by one.
The old lady is nearly sixty years old and frail. Although her family has enough money to take care of her, she still has some underlying diseases.
The most serious case was that the old lady had an open abdominal surgery in Hong Kong a few years ago. She has been carefully cared for at home all these years. When she finally went out, she had the misfortune of a car accident.
"That's about it. The old lady mainly has some minor cardiovascular problems."
Chen Yin nodded to show that she understood and moved her body closer to the patient.
On the surface, it seemed that the patient had experienced a major hemorrhage, resulting in a pale complexion, listlessness, shortness of breath, and cold and clammy limbs.
However, this symptom caused by blood loss will not cause people to fall into a coma and remain unconscious until now.
Chen Yin reached out and, under the curious gaze of everyone, turned over the patient's eyelids, revealing the pale eyelids underneath.
Next is the mouth. A quick glance reveals that the tongue is pale white and tender, with teeth marks on the edges.
While Chen Yin was examining the patient, the other two doctors in the ward also bent down and checked the patient's condition together.
Song Xu didn't know Chen Yin very well, but based on the first two moves she showed, he thought Chen Yin's basic skills were pretty good.
Song Zhizi knew more about Chen Yin. As she watched Chen Yin's smooth movements, a sense of unfamiliarity flashed in her eyes.
If she hadn't confirmed it again and again, she would have found it hard to believe that the person in front of her was Chen Yin, whom she knew.
Although Chen Yin had demonstrated good professional level in professional courses before.
But compared to now, Song Zhizi always felt that there was an indescribable aura about Chen Yin, which made people feel trust when they looked at her.
Could it be possible that a small town clinic could train people in this way?
After the basic examination, Chen Yin began to take the patient's pulse.
She clasped three fingers firmly on the patient's wrist and increased the force so that she could feel the patient's weak pulse, especially the Guan pulse, which was extremely weak.
Then she let go of her hand and met the worried eyes of the Wen family.
"Due to a previous car accident, the patient has qi and blood deficiency, yang qi deficiency, and insufficient middle yang. In addition, the pulse shows spleen yang deficiency. The spleen governs middle qi, and qi is the commander of blood. I suspect the patient's superficial bleeding has stopped, but internal heat and blood are running rampant."
When these words were spoken, not only the Wen family, but also Song Xu and Song Zhizi could not hide the shock in their eyes.
After all, what Chen Yin implied was that she suspected that Grandma Wen was currently suffering from internal bleeding.
As the person who had been with the old lady the longest, Zhong Rui subconsciously wanted to refute, but thinking of Chen Yin's silver needle hemostasis technique, he quickly explained:
"Doctor Chen, when Director Liu was inspecting the ward this morning, he showed us all the X-rays taken yesterday. Aside from a cut on the old lady's leg from the fan she was carrying, there was nothing unusual about her body. She's still in a coma. Could there be something else causing it?"
It’s not that Zhong Rui doesn’t believe in Chen Yin’s medical skills, but more often than not, she believes in science more.
After all, the hospital's MRI can see through the human body inside and out at once. If the old lady really had internal bleeding, how could it be impossible not to see it at all?
So far, the old lady's blood pressure and heart rate are within normal range.
Chen Yin did not show any surprise at the family's idea. As a doctor, she was accustomed to this.
At this moment, the leaders who heard that Mr. Song had arrived at the hospital also rushed over.
Among them was the teacher Chu Xunzhang who was invited by Liu Feng.
He had originally come here just for Chen Yin today, but he didn't expect to meet Mr. Song as well. He immediately followed the people from the Traditional Chinese Medicine Department into the ward.
When everyone entered, they saw Song Xu standing at the end of the bed and Chen Yin standing beside the bed.
It was obvious that it was Chen Yin who had just been receiving treatment in the ward.
Seeing this scene, everyone present was shocked.
You have to know that Mr. Song is one of the famous traditional Chinese medicine practitioners in the country. How dare a junior show off his skills in front of Mr. Song?
I really don’t know what’s going on!
At this moment, this is Chu Xunzhang's truest thought. Even a capable person should be respectful in front of the seniors in the field of traditional Chinese medicine.
He actually dared to attack in front of Mr. Song. He will definitely make a fool of himself later.
Young man, you still have a lot to learn!
Just when Chu Xunzhang was dissatisfied with Chen Yin for setting up the drum thunder gate before Mr. Song, Zhong Rui told Chen Yin's diagnosis of the old lady and wanted to ask the trauma surgeon who performed the operation on the old lady to express their thoughts.
When Director Liu heard this, he immediately frowned. Their department was almost very nervous about treating Old Madam Wen.
How could such a serious condition as internal bleeding be ignored?
His first reaction was that the little girl Chen Yin was talking nonsense, but when he thought about how the other party used silver needles to stop bleeding and help the operation go smoothly, he would not easily say anything that would offend others.
Director Liu thought for a moment, then turned to look at Liu Qiang, who was operating on Madam Wen, and asked:
"Doctor Liu, what do you think of Doctor Chen's diagnosis?"
"Doctor Chen has her reasons, and I trust her judgment."
As soon as these words were spoken, Director Liu, who was about to let Liu Qiang take the lead, froze in an instant.
Zhong Rui also looked at Liu Qiang with some confusion. You know, the other party is not only the old lady's surgeon, but also the old lady's current attending physician.
If the old lady really had internal bleeding and the other party failed to detect it, the other party would have to bear all the responsibility.
In an instant, Zhong Rui also began to believe Chen Yin's judgment.
She glanced at Chen Yin a little embarrassedly and asked Liu Feng:
"Since Dr. Liu also believed that the old lady had signs of internal bleeding, why did she wait until she was unconscious all night before speaking out?"
"We didn't see any signs of bleeding in the patient's imaging. Now, after hearing what Dr. Chen said, I have a vague suspicion that the patient has experienced internal bleeding."
"It's just that this case is so minor that the instrument is ineffective. We can only infer it based on other test reports, such as stool sample examination. But so far, the patient has not defecated. We were negligent in this regard, and it was our fault."
Ever since witnessing Chen Yin's god-like skills, Liu Qiang has taken Chen Yin's diagnosis as his guiding principle.
Therefore, he began to suspect that the patient had signs of bleeding in his body, otherwise he would not have shown any signs of waking up for such a long time.
Now Liu Qiang seems to be betting his entire career on Chen Yin.
If he makes a mistake in following Chen Yin's judgment this time, neither the Wen family nor the hospital will let it go easily.
Director Liu watched his favorite doctor act rashly, and beads of sweat kept appearing on his palms from nervousness.
Facing the Wen family's inquiring gazes, he could only smile foolishly in response.
When Zhong Rui heard the two of them say this, he could only place his hopes on Old Song. If it weren't for his son causing trouble, the problem would have been resolved long ago.
"Mr. Song, please help me take a look."
"I'm here at the invitation, Madam Wen, there's no need to be so polite." Song Xu said in a cold voice.
The next second, he turned his gaze to Chen Yin and asked:
"Since it is heat and blood running wild, and the spleen and stomach are the sea of qi, blood, water and grain, governing the Chong and Ren meridians and controlling their descent, why doesn't the blood overflow and cause vomiting and nosebleeds?"
"Because epistaxis is caused by the upward inflammation of the fire element, and Qi reversal is fire. However, this patient was in a car accident, and neither pulse nor tongue examination showed any signs of liver fire rising."
Facing questions from traditional Chinese medicine practitioners in the industry, Chen Yin's tone did not change at all, and she told her specific diagnosis of the patient.
"The patient already had a number of underlying diseases and had undergone laparotomy. Furthermore, yesterday he suffered a significant loss of Qi and blood, which damaged his vital energy. He already had accumulated internal injuries, and the sudden accident prevented his Qi from absorbing blood. Furthermore, the spleen Yang was damaged, causing excessive heat and blood to flow inside."
Chen Yin, the person involved, spoke eloquently, but the people watching on the side were so stunned that they dared not even breathe.
Especially Chu Xunzhang who was invited by Liu Feng. You have to know the status of Mr. Song in the country. Perhaps only his master, Mr. Wen, could show such momentum in front of Mr. Song.
Even he would bend his back slightly in front of Mr. Song to show respect.
As her roommate, Song Zhizi looked at Chen Yin with surprise. Based on the diagnosis just now, she realized that Chen Yin had made rapid progress in the past six months.
She herself doesn’t dare to say that her medical skills are better than the other person’s, but how did Chen Yin grow?
After hearing Chen Yin's diagnosis, Song Xu did not continue to ask questions, but walked forward, took Chen Yin's position, and took the patient's pulse.
Seeing a familiar scene, Song Zhizi immediately stepped forward and handed over the pulse pillow in her hand.
Just like that, Chen Yin walked back and stood next to Wen Nian, watching Mr. Song taking the patient's pulse.
At this time, Wen Nian had already realized how serious the consequences of his reckless behavior would be for Chen Yin. His heart felt like it was soaked in pepper water, and his eyes were sore with worry.
He moved his feet carefully, narrowing the distance between them.
"I'm sorry, Doctor Chen. I just thought that my mother should respect you according to the first-come-first-served principle, so I asked you to see grandma first. I didn't expect it to turn out like this."
Chen Yin felt an itch in her ear and subconsciously stepped back to keep some distance.
Compared to Wen Nian's uneasy and almost crying look at this moment, her expression still remained calm and peaceful, as if she could not feel the power brought by the name of Mr. Song.
"It's okay, it was an unintentional mistake."
In Chen Yin's mind, even if the family asked two doctors to come, they would not come on the same day. Today's incident was just an accident.
Although she was invited here unintentionally, she didn't want to embarrass Huimin Hall since she had bumped into them.
Moreover, she has confidence in her medical skills and the teachings of her ancestors.
As time passed, everyone's heart was in their throat. They didn't understand why this treatment by Mr. Song took so long.
Song Zhizi looked at her grandfather in surprise as he was obviously absent-minded in taking her grandfather's pulse, and couldn't help but twitch the pulse pillow below to remind him.
At the same time, a whispered, "Grandpa?"
The corners of Song Xu's stiff mouth curved slightly, he shook his head slightly, and slowly stood up.
When Zhong Rui and Wen Qihua saw this scene, they thought that something serious had happened to the old lady, and their hearts were in their throats.
"Mr. Song, my mother is..." Wen Qihua asked nervously.
"The old lady is fine."
Hearing this, Wen Qihua wanted to calm down, but suddenly heard Old Song speak again.
"Your mother is old and frail, her Qi and blood are deficient, but she's not unconscious. Therefore, judging by her pulse and other symptoms, there are indeed signs of internal bleeding. Doctor Chen's judgment is correct."
As soon as these words were spoken, everyone present gasped in surprise.
"hiss--"
In an instant, everyone's eyes were on Chen Yin, and even Wen Nian who was standing beside her was noticed by everyone.
Among them, the looks that Chu Xunzhang and Liu Feng, master and apprentice, gave Chen Yin were the most complicated.
The two of them looked at Chen Yin's youthful face, then looked at their own age, and almost cried out loud.
How could there be such a gifted person in Traditional Chinese Medicine? Why not me?
Just when the two were doubting their lives, Song Xu spoke again.
"In my opinion, Doctor Chen's diagnosis is very accurate. Why don't we ask Doctor Chen to prescribe a prescription?"
Hearing this, Wen Nian was the happiest. He looked at Chen Yin excitedly and said:
"Since Elder Song has said so, please ask Doctor Chen to prescribe a prescription for my grandma."
Chen Yin nodded as a response to the two of them.
She opened the backpack in her hand, revealing silver needles, alcohol, pills and other instruments and medicines used for traditional Chinese medicine treatment.
At this moment, everyone realized that what she was holding were all the necessary tools for a doctor.
Although there were five or six Chinese medicine practitioners present, none of them had the same complete equipment as Chen Yin.
Song Xu and Song Zhizi, the grandparents and grandchildren, brought silver needles and other medical instruments with them because they were invited to see the doctor.
Just by looking at the preparation of her backpack, you can tell that Chen Yin is not an ordinary doctor.
When everyone was surprised, Chen Yin had already written her own prescription.
"Although the patient is suffering from internal bleeding, his condition is not serious and he is rather weak. He only needs to replenish Qi and blood. I prescribed a dose of Buzhong Yiqi Decoction, which replenishes the middle Qi, raises Yang and lifts the sunken, and harmonizes the spleen and stomach."
In response, Song Xu nodded in agreement.
When the Wen family saw this scene, they finally felt relieved.
The patient's treatment plan has been decided, and the hospital no longer needs to worry about the coma. Director Liu was embarrassed to stay any longer, so he nodded to Wen Qihua and immediately left with his men.
Chu Xunzhang and Liu Feng looked at the increasingly spacious ward, knowing that the purpose of their visit today would probably not be achieved. They walked up to Song Xu and Chen Yin, said hello, and turned to leave.
In a flash, only the Wen family, the Song Xu family and Chen Yin were left in the ward.
Zhong Rui smiled embarrassedly at Chen Yin, took the freshly prepared prescription, walked towards the door, and asked the bodyguard at the door to take it to the pharmacy.
Wen Qihua knew that what he had done today was somewhat offensive to both Mr. Song and Chen Yin, and he apologized immediately.
Song Xu and Chen Yin waved their hands nonchalantly. Both sides understood that their collision was just an accident.
And Song Xu quickly expressed his goodwill to Chen Yin.
"I never thought that our little girl had such an outstanding classmate like you when she was studying at Xuhua. She hardly mentioned it when she went home. It's fate that we met today."
"My grades in school aren't very good, and I'm afraid I'll disappoint Mr. Song."
"Oh?" Song Xu looked at Chen Yin in surprise, then turned to look at his granddaughter, wanting to get an answer from her.
Song Zhizi closed her eyes to indicate that Chen Yin was right.
Now Song Xu became even more curious about Chen Yin, and immediately signaled his granddaughter to keep her.
Even if grandpa didn't say it, Song Zhizi was very curious about Chen Yin's experience after leaving school. Moreover, as friends, they hadn't seen each other for such a long time, and they really wanted to have a good chat.
"School is just a textbook, there's nothing much to say. It's been so long since we last met, Chen Yin, why don't we go out and talk?"
"Walk."
Since they had already been caught, there was no way to escape, so Chen Yin readily agreed.
The two walked out of the ward, came to the rest area nearby, and sat opposite each other.
Song Zhizi looked at Chen Yin in front of her carefully and admitted again that the other party had changed a lot.
But what she is most concerned about at the moment is Chen Yin's employment issue.
"I thought that after you left school, you would be stopped by that scumbag Qian Jin and would come to Yangcheng to find me. Could it be that you forgot the phone number I left for you?"
Whenever Chen Yin saw Song Zhizi saying warm words with a cold face, she couldn't help but smile.
Now Song Zhizi seems to be saying that she did not come to Yangcheng to look for someone, but in fact she is saying that she forgot to contact him.
"I'm sorry, I've been so busy reopening the clinic since I got home that I forgot to contact you all. I'm sorry I made you worry."
"From what you said, you are still running the family clinic?"
Chen Yin nodded heavily, expressing her inner resolve, "The clinic is running well and operating normally."
"Indeed, with your current medical skills, I believe many people would ask to see you. How can you not open a clinic?"
Feeling the searchlight sweeping over from the opposite side, Chen Yin's body froze and she said jokingly:
"If you keep talking like this, I'll be embarrassed to continue chatting with you."
"Okay, okay! Let's not talk about that anymore. Why don't you tell me about your clinic? I'm curious about how you manage it and how you've been able to grow it so quickly."
Of course Chen Yin would not tell everyone about the true dream teaching, so Song Zhizi got the same answer as everyone else.
That is because Chen Yin absorbed the medical books and medical records from her family, and combined them with a variety of case diagnoses, she has grown to what she is today.
Song Zhizi heard that there was something being concealed, and did not continue to ask questions. Instead, she became curious about why Liu Mengxi was also in the clinic with Chen Yin.
Even Chen Yin herself found it unbelievable.
Liu Mengxi clearly came to Tongxi Town to relax, but while relaxing, he accompanied her in free medical consultations and patient consultations. Eventually, he gave up his position in a large hospital and chose to grow with Huimintang.
Song Zhizi could feel the joy and liveliness in Chen Yin's words, and couldn't help but imagine the scene of the two of them communicating and studying together in her mind.
The next second, the scene of himself studying in his own clinic suddenly appeared in his mind, and the smile on his face gradually disappeared.
But soon, she reaffirmed her original idea and decided to continue working in the clinic.
"That sounds wonderful. It's not bad for you two to be doctors in a small town."
"I think it's great, too. Although we occasionally encounter some reckless patients, most of the time, everyone is willing to follow our medication recommendations. Seeing illnesses disappear in the small town where I grew up, I feel good every day."
When Chen Yin talked about the clinic and the small town, there was a hint of happiness in her eyes and eyebrows, which made Song Zhizi very envious.
As the two were talking, it was noon and someone started delivering meals to the ward.
Song Zhizi glanced at her cell phone and found that it was getting late, so she immediately called Chen Yin back to the ward to take a look.
The two of them came to the ward and glanced at Grandma Wen lying on the bed. They found that her energy and blood were gradually recovering, and her blood pressure and heartbeat had also increased slightly. It seemed that the medication was effective.
Zhong Rui looked at Chen Yin gratefully and said, "Thank you, Doctor Chen. Without you, we don't know what would have happened to our mother."
"Your kindness is so great that our Wen family cannot repay you. Please accept this small token of your gratitude."
Without waiting for Chen Yin to refuse, Wen Nian snatched the VIP gold card from his mother's hand and stuffed it directly into Chen Yin's hand.
"Doctor Chen, the card is not worth much. It's just a discount card that you can use to buy products related to our Wen family."
When Chen Yin heard this, her first reaction was that it was of no use to her at all.
There seemed to be no businesses related to Wen in their small town.
Just as she was about to refuse and ask for her own medical fee, Song Zhizi, who was standing behind her, whispered in her ear.
"Chen Yin, please accept it. The Wen family's businesses span energy, urban construction and operations, healthcare, industrial finance, and emerging technologies. Even if you don't need it now, you'll need it someday. Even if you don't use it, you can keep it as a souvenir."
Chen Yin didn't expect that Wen Nian, who looked clear-eyed, and his family had made achievements in politics and were also very successful in the business world.
A brief hesitation made her lose the chance to refuse, and she had no choice but to put it in her bag, just to reassure the Wen family.
For a family like this, they probably wouldn't want anyone to repay a favor.
As for when to use it, Chen Yin really can't think of it at the moment. Making people feel at ease can barely be considered a use for it.
Afterwards, after confirming that Grandma Wen's condition was under control, at the enthusiastic invitation of Song Zhizi and Mr. Song, Chen Yin followed them out for dinner.
After dinner, they went to Jishidiang, which was run by the Song family.
Standing in front of Jishidiang, Chen Yin couldn't help but reveal an expression of surprise on her usually calm face.
The scale of the Jishiditang in front of them was really too large. It looked even bigger than their county hospital. The plaque on the gate looked magnificent, making people unable to help but stop and admire it.
There are patients coming and going in front of the door, and the flow of people is only slightly inferior to that of Yangcheng People's Hospital.
This is enough to show the status of Jishidiang among the people of Guangzhou. It is definitely the first choice for people of Guangzhou to see Chinese medicine.
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The author has something to say: ① "Li Ke, a veteran Chinese medicine practitioner, has a special collection of his experience in acute, critical, and difficult diseases"
② Baidu Encyclopedia
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