"The patient's pulse is strong and rapid, and the left posterior pulse is significantly stronger than the right posterior pulse."
Yun Heng said as he walked, "Although a swollen pulse is often seen in external febrile diseases, this symptom is clearly an internal injury."
"Internal injuries?"
Liu Yanjun was stunned for a moment.
“Have you considered the patient’s actual situation?”
Yun Heng said, "The patient's family is poor, and the elderly couple has no one to rely on. According to the old lady's description, the patient went out to scavenge early in the morning and didn't even have breakfast. When he returned, it was already past two in the afternoon."
"Doctor Yun, are you saying that the patient is suffering from hunger, an empty stomach, fatigue from scavenging all morning, and a cold?"
Liu Yanjun finally understood where he went wrong.
"The patient has caught a cold, has a fever, a headache, and is not sweating. The general direction of using a diaphoretic is correct."
As they spoke, they had already entered the duty room. Yun Heng did not get angry, but patiently explained to Liu Yanjun: "However, in actual clinical practice, we must also consider the actual situation of the patient. Even if there are no internal injuries, when using diaphoretics on elderly patients, we must be particularly careful."
"Understood, Doctor Yun."
Liu Yanjun responded hurriedly, acting as obediently in front of Yun Heng as a child being scolded by his father.
In the profession of doctor, technology is king. When technology is overwhelming, professional titles are sometimes meaningless.
People in this department of our hospital are better off. After all, they are leaders and we have to give them face. But people from other hospitals really have no scruples.
It would be even more embarrassing if you have a high professional title but are left speechless by a young person in academic and clinical refutation.
Liu Yanjun knew Yun Heng's level. In front of Qin Dajiang, Liu Yanjun could still have some thoughts, but in front of Yun Heng, Liu Yanjun really didn't dare.
It would be really uncomfortable if Yun Heng pulled me out as an example tomorrow.
Moreover, Yun Heng did not scold him, but explained the things to him. Liu Yanjun was so grateful that how could he have any other thoughts?
"I just talked about the four combined examinations the other day."
Yun Heng pulled out a stool and sat down. Liu Yanjun hurried to the side and stood upright.
"If you understand the patient's medical history, pre-illness conditions, and family circumstances, and take all of these into consideration, you should be able to assume the patient has internal injuries."
"Yes, I didn't think it through."
Liu Yanjun smiled and said, "I've gotten used to some things, and it's been a while since I've gotten used to bad habits. I'll definitely be more careful in the future, and I hope Doctor Yun can give me more advice."
"Well, when dealing with patients, you can never be too cautious."
Yun Heng nodded: "We tried our best to take all the circumstances into consideration. Fortunately, the medication was not used for a long time, and the general direction was not too far off. Otherwise, with a patient this old, it would be easy for problems to arise."
"For elderly patients, you must not induce violent sweating to dispel the cold. You should first replenish the body's deficiency. Once the stomach qi is sufficient, the body will naturally sweat and the symptoms will be relieved."
As he spoke, Yun Heng had already printed out the prescription on the computer, signed and stamped it, and handed it to Liu Yanjun.
"Take it every three hours. You need to keep a close eye on it tonight. On the one hand, you should pay attention to the patient's condition, and on the other hand, you can closely observe the effects of the medication on the patient. Elderly people's illnesses are often difficult to treat, and treatment cannot be based on conventional methods. You should personally monitor this, and you will gain something."
"I understand, Doctor Yun."
Liu Yanjun took the prescription and nodded hurriedly, saying embarrassedly: "It's all because of my carelessness that I disturbed Doctor Yun's rest. It's your birthday today."
"It's okay, we are all doctors, isn't this normal?"
Yun Heng smiled and said, "Doctor Liu, is there anything else you don't understand?"
"No, thank you, Doctor Yun. I'll go get the medicine myself right away."
Liu Yanjun said something and then left the duty room. Han Jianxiong also followed Liu Yanjun out.
After leaving the duty room, Han Jianxiong whispered to Liu Yanjun, "Doctor Liu, Doctor Yun is so kind."
"Yes, and he's very patient."
Liu Yanjun nodded.
This was the first time that the doctors left behind by the inspection team were trained individually by Yun Heng.
It was group mode before, but now it has become individual training mode, which gives Liu Yanjun, Han Jianxiong and others a different feeling.
Some doctors appear to be quite friendly when giving lectures in front of many people, and they give people the impression that they are not arrogant, but in private, they are not necessarily so approachable.
Although Liu Yanjun was Qian Zhongzhong's student, whenever something went wrong, Qian Zhongzhong would never be in a good mood. There were almost no times when he was as patient as Yun Heng.
There is no harm without comparison.
Before, Liu Yanjun really didn’t want to stay. The West Asia Hospital has its own advantages, but their Dongjiang Provincial Hospital of Traditional Chinese Medicine also has its own advantages. They are the center of attention over there, so why should they be a younger brother here?
But today, Yun Heng patiently explained, without saying anything or scolding, Liu Yanjun felt that——
Mm, it smells so good.
If Yun Heng could teach me like this more often, I would definitely make greater progress.
"Yes, he was very patient with us and explained the condition in detail."
Han Jianxiong said, "No wonder the doctors at West Asia Hospital have made such rapid progress. We are really lucky to be able to stay here. I didn't expect there is such a place in Xihua City."
"Study hard."
Liu Yanjun said, "I'll go get the medicine and stay at the ward tonight. You must be tired, so go to bed early."
"I'm not sleepy either, I'll accompany you."
Han Jianxiong smiled and said, "I also want to see how the patient fares after taking the medicine. Reading ten thousand books is not as good as traveling ten thousand miles."
When Yun Heng was talking to Liu Yanjun just now, Han Jianxiong was also listening beside him. Only now did Han Jianxiong feel not sleepy.
Being a trainee is a life of hard work. If you want to learn something, you must be self-conscious and proactive. Otherwise, how can you learn anything?
If you are always sneaking around and hiding away when something happens, what's the point of studying?
Han Jianxiong and Liu Yanjun had both gone to other hospitals for further studies before. In order to learn things from others, they ran around and were even scolded. Now they are really happy here at West Asia Hospital.
"Doctor Yun, you can go back now that you're alright."
Qin Dajiang walked in from outside holding a thermos cup.
"Don't worry. I usually go to bed late at night. If it doesn't work, we can just stay in the hospital. Director Qin, you can go back and rest if you're tired. I'll take over the shift."
Yun Heng said with a smile.
It was already late, past eleven o'clock in the evening, and Yun Heng didn't plan to go back and disturb others' rest.
"I'm actually fine."
Qin Dajiang sat across from Yun Heng, holding a thermos cup. "That's perfect. I'll chat with Doctor Yun. I hope I don't disturb you from studying."
"That's what Director Qin said."
Yun Heng smiled and said, "You are the leader."
"What kind of leader am I? I'm just here to serve you, Doctor Yun. I'm not even up to the task of being on duty tonight."
Qin Dajiang said hurriedly.
Since Dr. Yun gave him face, Director Qin naturally had to cover for it.
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