morning.
Around 9:30.
Instead of receiving news of an inspection from health department leaders, Su Zhengnan received a message that the Department of Integrated Traditional Chinese and Western Medicine needed to conduct a consultation.
Tap tap tap...
Feng Xuegong rushed into Su Zhengnan's office, looking flustered, and said urgently, "Director Su, the Department of Integrated Traditional Chinese and Western Medicine just called and needs us to come for a consultation. What do you think of this..."
"A consultation? Let's go then!"
Su Zhengnan nodded, didn't ask any more questions, got up and followed Feng Xuegong downstairs to the Department of Integrated Traditional Chinese and Western Medicine.
In general, when consulting within the hospital, the chief physicians of each department are called in.
Because most of the other doctors in the hospital are on duty, only the department head does not need to go to the outpatient clinic or supervise the inpatient department, so he has more personal time.
Soon, Su Zhengnan followed Feng Xuegong to the ward area of the Department of Integrated Traditional Chinese and Western Medicine.
Shao Ruijie, the director of the Department of Integrated Traditional Chinese and Western Medicine, personally came out to greet Su Zhengnan, and shook hands with a group of doctors, saying:
"Director Su, right? I'm so sorry to have called you over for a consultation at this hour. The patient's condition is really bad. We've tried everything to stop the diarrhea, but we can't find the specific cause."
"Oh, what exactly is the situation?"
Su Zhengnan didn't exchange pleasantries with the other party and went straight to inquiring about the patient's condition.
As Shao Ruijie led him into the ward, he explained:
"The patient's name is Liu Qiang, male, 40 years old. He had severe diarrhea and poor appetite when he was admitted to the hospital. He has been hospitalized here for three days."
"When we were making rounds early this morning, we suddenly found that this patient, in addition to the symptoms mentioned above, seemed to have suddenly become a different person. He wouldn't respond when we asked him questions and would just smile at us like an idiot."
"This is the first time we've encountered a situation like this; the diarrhea has left the patient mentally impaired."
Listening to Director Shao's introduction.
Su Zhengnan looked at the patient sitting on the hospital bed and found that the other person was looking at him with a silly grin, looking very honest!
"Could this guy have gone crazy from dehydration due to diarrhea?"
A look of surprise flashed across Feng Xuegong's face as he stared at the other person for a long time before speaking.
"It shouldn't be."
Su Zhengnan waved his hand, stepped forward, grabbed the other person's wrist, and began to take their pulse.
Upon taking the pulse, it was found to be floating, thin, and wiry, a rather peculiar pulse pattern.
Su Zhengnan raised an eyebrow slightly and said to the patient Liu Qiang, "Open your mouth, let me see your tongue."
"hey-hey....."
Liu Qiang chuckled foolishly, but didn't open his mouth.
Su Zhengnan carefully observed the other person's expression and found that there was not a trace of turbidity in the other person's eyes. On the contrary, the eyes were just like those of a normal person, very clear.
However, after he spoke, the other person did not stick out their tongue as instructed.
That's really strange!
Feng Xuegong, who was standing to the side, blinked and said, "Why don't we pry open his mouth and take a look?"
"......."
Su Zhengnan rolled his eyes at him, speechless, and said, "Do you think this is like torturing a criminal? Aren't you afraid that after you pry open the patient's mouth, the patient will turn around and report you for lacking medical ethics?"
"Hehe, I was just joking!"
Feng Xuegong chuckled and quickly waved his hand.
Su Zhengnan ignored his joke, took out a hard pen from the pocket of his white coat, wrote a sentence on a blank medical record, and handed it to the patient Liu Qiang.
"Open your mouth and look at your tongue."
Liu Qiang glanced at the words Su Zhengnan had written, then opened his mouth and stuck out his tongue.
"ah....."
Clearly, the other party was not stupid and was of sound mind.
The other person couldn't control the corners of their mouth and their speech was unclear, so they looked a bit like they were in a daze.
Su Zhengnan glanced at the other person's tongue and saw that it had a thick, greasy coating and a bluish-purple tinge.
"A bluish-purple tongue coating—doesn't this indicate internal blood stasis?"
Shao Ruijie stepped forward and took a look. He hadn't examined the patient's tongue coating before, so when he saw that it was bluish-purple, a look of surprise flashed across his face. He said:
"Could his diarrhea be caused by some kind of chronic illness? But we haven't found any chronic cause!"
"It's not caused by a chronic disease."
Su Zhengnan waved his hand and said, "The patient's diarrhea may be caused by an intracranial infection, which in turn led to aphasia. That's why the patient's pulse shows blood stasis, and the patient's mouth is out of control, indicating impaired speech function..."
"Intracranial infection? Impossible, right?"
A look of shock flashed across Shao Ruijie's face, and he said in disbelief:
"The patient had already undergone a comprehensive examination upon admission, and no external injuries were found. How could an intracranial infection have occurred?"
"Trauma isn't the only cause of intracranial infections, is it?"
Su Zhengnan retorted, saying, "Various microorganisms invading the brain can cause intracranial infections, including bacteria, fungi, viruses, parasites, spirochetes, rickettsiae, and low immunity, among others."
At this point, Su Zhengnan paused for a moment and asked:
Has the patient had a brain CT scan?
"Uh, no."
Shao Ruijie replied with a frown.
Su Zhengnan nodded and said, "Then let's get a brain CT scan done to see!"
Upon hearing this, Shao Ruijie did not press the matter further and quickly instructed several nurses to take the patient to the CT room for examination.
In reality, when one department head is assigned to another department head, the other department head usually won't object to having the patient undergo further examinations, since they don't have to pay for the examinations themselves.
Soon, Li Qiang was taken to the CT room for a brain CT scan.
When Shao Ruijie received Li Qiang's brain CT scan results, he frowned slightly as he looked at the images on the CT scan and said:
"There is a shadow in the intracranial area, indicating that there is indeed an intracranial infection, but... Dr. Su, how did you determine that it is definitely an intracranial infection?"
Shao Ruijie looked at Su Zhengnan with curiosity, seemingly very curious about his argument.
It's worth noting that as the director of the Department of Integrated Traditional Chinese and Western Medicine, Shao Ruijie has a considerable understanding of traditional Chinese medicine; otherwise, he wouldn't have become the director of the department.
"Naturally, it was diagnosed from the patient's pulse and tongue coating."
Su Zhengnan smiled slightly and said, "The patient's pulse and tongue coating indicate that he has blood stasis. Director Shao, you noticed that too, right?"
"Ah, yes, I noticed that too."
Shao Ruijie nodded in agreement.
Upon hearing this, Su Zhengnan smiled and continued to explain, "But when you were observing the patient's tongue coating just now, Director Shao, you didn't pay attention to the patient's teeth. The swelling of the gums clearly indicates inflammation."
"This shows that the patient's body did indeed have an inflammatory infection."
"Although it was only inflammation of the gums, based on the patient's pulse and tongue coating, it can be inferred that the intracranial infection was caused by bacteria in the patient's dental cavity."
"You should know that there are seven orifices in life, and you must understand all seven orifices."
"The ear is the orifice of essence, the eye is the orifice of spirit, and the mouth and nose are the orifices of breath. The orifices of breath are connected to the ear, and the ear is connected to the brain."
"Of course, the bacteria that grow in swollen gums can also potentially invade the brain."
As he spoke, Su Zhengnan pointed to the shadowy area on the film and said:
"The shadowed area may be an intracranial abscess. I suggest you start with anti-infection treatment, observe for a period of time, and then have a follow-up CT scan. If the abscess does not shrink, then surgery should be considered."
"I see....."
Shao Ruijie nodded as if he had just realized something, finally understanding Su Zhengnan's dialectical thinking.
Therefore, the dialectical approach of traditional Chinese medicine is far superior to the hypothetical inference of Western medicine.
Shao Ruijie pondered for a moment, then said to the doctors behind him, "Write down Director Su's diagnostic reasoning and the patient's symptoms. Let's follow Director Su's instructions and start with anti-infection treatment!"
"Yes, Director, we understand."
Several chief physicians from the Department of Integrated Traditional Chinese and Western Medicine nodded in unison, and they couldn't help but be surprised by the dialectical viewpoint that Su Zhengnan had put forward.
After all, he's not a professional traditional Chinese medicine doctor.
They mainly study the integration of traditional Chinese and Western medicine, so they don't have much energy to specialize in just one medical technique.
In fact, it is not uncommon for doctors in the integrated Chinese and Western medicine department to question traditional Chinese medicine.
Because Western medical instruments can more intuitively show changes in a patient's condition, they prefer to believe the machine's tests rather than the wisdom of their ancestors.
Tap tap tap...
Just as everyone had finalized the patient's treatment plan.
A nurse rushed in from outside and said urgently to Shao Ruijie:
"Director...it's terrible! Leaders from the Ministry of Health have arrived here for an inspection, and Dean Feng is...he's coming this way with them!"
"Hmm? You've come to inspect our area?"
Shao Ruijie was stunned for a moment. Just as he was about to say something, he heard a series of neat footsteps outside the ward.
Without a doubt, the leaders from the Ministry of Health have already arrived.
Shao Ruijie turned and exchanged a glance with Su Zhengnan, then said, "Why don't we go out and take a look together?"
"Okay!"
Su Zhengnan nodded and followed the other person out of the ward.
As soon as they stepped out of the ward, they saw a group of people walking towards them from not far down the corridor.
Leading the way was a middle-aged man who looked to be in his fifties, with an imposing and authoritative air about him. Dean Feng followed closely behind him.
Clearly, this group of people must be the leaders who came to inspect the area.
............................................
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Author: (^_^;)！！
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