Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 1028 Chen Yang’s Shortcomings

Morning!

Wen Manlu brought Xun Jiahong, Lin Yi and others into Jiang Linlin's ward.

There was a little follower following Wen Manlu, and it was Hanhan.

Today, Wen Manlu brought Hanhan to the hospital to play with Linlin.

There aren't many patients at the medical center right now, but there aren't many colds, fevers, or infectious diseases. Wen Manlu brought Hanhan here because she wanted the little girl to have a companion and make her happier.

The little girl was drinking the warm rice soup her mother fed her. Although her movements were still a little slow, her eyes had regained the lively look of a child, no longer filled with confusion and pain.

"Doctor Wen!"

When Xu Xiuxiu saw Wen Manlu, a grateful smile immediately spread across her face. "Linlin looks much better today. She even said she wanted to eat wontons this morning!"

“This is a good sign.”

Wen Manlu also smiled, walked to the bedside, and asked softly, "Linlin, how do you feel? Does your mouth still hurt? How about your legs?"

Linlin shook her head and said in a thin voice: "My mouth is much better, it hurts a little bit, and my legs... are still a little swollen." She stretched out her thin arm, and the dense needle holes on it were still shocking.

"I brought you a little sister."

Wen Manlu smiled and said to Hanhan, "Didn't you bring a gift for your sister?"

"Hello sister, my name is Hanhan, and I brought you a gift."

Hanhan handed a furry little bear to Linlin and said, "Sister, what's your name?"

"My name is Linlin, Jiang Linlin."

"My name is Hanhan, Chen Yuhan." Hanhan said with a smile.

"Doctor Wen, is this your child and Doctor Chen's?" Xu Xiuxiu asked.

"Yes."

Wen Manlu smiled and said, "It just so happens that today is a holiday. I was originally planning to send her to her grandmother's house, but I thought Linlin didn't have any playmates here, so I brought her here."

"Thank you, Dr. Wen." Xu Xiuxiu said gratefully.

Seeing this, Linlin was indeed happy.

"Sister, are you feeling unwell? Can't you get out of bed?" Hanhan asked with concern.

"My sister has leg pain and can't get out of bed to walk. Mom and Dad are treating her. You can tell her stories and jokes." Wen Manlu said to Hanhan with a smile.

"Okay, okay, I also brought a storybook." Hanhan said happily.

Hanhan doesn’t know how to read now, but the little girl has a very good memory. She can read the storybooks that Chen Yang, Wen Manlu and Tao Ying used to tell her stories. She can hold the book and look at the pictures, and tell the story from the first page to the last page.

Although he can't read, his speech is basically correct and fluent. People who don't know him would think he can read.

"Mom, let me check my sister first." Wen Manlu said to Hanhan with a smile.

"Ah."

Hanhan nodded and said, "I want to be a doctor when I grow up and treat many older sisters and brothers."

Wen Manlu smiled, touched Hanhan's head, and then examined Linlin.

Wen Manlu carefully examined the tongue and pulse, and gently pressed several swollen joints. Xun Jiahong and others also took turns to check.

"Saliva gradually appeared on the tongue surface, the cracks did not deepen, and the yellow greasy coating became noticeably thinner."

Wen Manlu said, "The pulse remains deep and fine, but the rapidity and agitation have greatly decreased, and the deficiency of Yang is gradually subsiding. Although the joints are still swollen, the skin temperature has decreased, and the tension to the touch has eased. Overall, the Yin fluid is being nourished, the deficiency heat is gradually receding, the dampness and stasis are loosening, and the spleen and stomach qi are beginning to awaken."

Xun Jiahong nodded and praised sincerely, "Doctor Wen's prescription adjustment is just right. It combines both clearing and nourishing methods, which not only strengthens the foundation but also leaves a way for the evil spirits to escape. Yesterday, after adding the prince ginseng and roasted barley malt, the child's appetite improved significantly, which laid a key foundation for subsequent long-term conditioning."

Lin Yi also said: "It also avoids the drawbacks of using only coldness to suppress evil spirits or excessive nourishment to promote dampness. The timing is precisely controlled."

In front of patients, Xun Jiahong also called Wen Manluwen "Dr. Luwen" instead of "Lulu".

"This is the result of everyone's collective efforts. Today, the prescription can be fine-tuned. Gypsum is reduced to 15 grams, Coptis chinensis is reduced to 3 grams, and 10 grams of Dendrobium are added to enhance the ability to nourish yin and promote fluid production. Gentiana macrophylla and Morus alba continue to be used, and 10 grams of loofah is added to unclog the meridians. In addition, since the child's spleen and stomach have just awakened and their ability to transport and transform is weak, pediatric massage can be started, focusing on tonifying the spleen meridian, kneading the Banmen meridian, and moving the inner eight trigrams to aid in transportation and transformation."

"Okay, I'll arrange a masseur right away." The head nurse responded immediately.

"Thank you, thank you." Xu Xiuxiu's eyes turned red with emotion.

Here, my daughter's condition not only began to improve, but she also felt the taste of home.

......

At the same time, the Cardiothoracic Surgery Department of Kyoto International Medical Center also welcomed its first official patient.

Qiu Yunshan, director of the Haizhou Provincial Cardiothoracic Surgery Department, personally escorted the patient and his family to the scene.

The patient, Zhang Tiezhu, 58 years old, was tall, but at this moment his face was dark, his lips were cyanotic, his breathing was rapid, and he was half leaning on a wheelchair, pushed by his son.

Just the short distance from the parking lot to the ward made Zhang Tiezhu so tired that he was out of breath and his forehead was covered with sweat.

"Director He! Director Chen! Sorry to bother you!"

As soon as Qiu Yunshan saw He Yonghua and Chen Yang coming towards him, he shook their hands tightly.

"Director Qiu, you're too polite."

He Yonghua simply shook hands with Qiu Yunshan and arranged for Zhang Tiezhu to be hospitalized.

After settling the patient, Qiu Yunshan couldn't wait to pull out a thick file bag. "Director Chen, Director He, this is a backup of all our hospital's imaging data and examination reports, including the latest three-dimensional reconstruction of cardiac CT and dynamic images of transesophageal echocardiography (TEE). I hope this will be helpful in surgical planning."

Chen Yang and the doctor from the Department of Cardiothoracic Surgery of the Department of Traditional Chinese Medicine also came to the consultation room to check Zhang Tiezhu's medical records.

The patient, Zhang Tiezhu, aged 58, had severe mitral regurgitation (secondary to severe mitral annular calcification MAC, involving the subvalvular structure and left ventricular posterior wall), significant left ventricular enlargement (LVEDD 78mm), and left ventricular dysfunction (EF 35%).

Heart function class IV (NYHA), hypertension stage 3, type 2 diabetes, chronic kidney disease CKD stage 3.

It was really a tangle of various symptoms, especially "severe mitral annular calcification (MAC) involving the subvalvular structure and left ventricular posterior wall" and "critical stenosis of the left ventricular outflow tract (LVOT)", which further confirmed the huge risks of preoperative evaluation.

"This situation..."

"It's a really complicated condition."

In the consultation room, everyone was whispering to each other, and the patients were suffering from various illnesses. Under such circumstances, it was no wonder that Haizhou found it difficult.

"I heard that Dr. Chen is in charge of this operation?"

"Doctor Chen is also proficient in cardiothoracic surgery?"

"I'm not surprised at all. Dr. Chen is proficient in Traditional Chinese Medicine, hepatobiliary surgery, and cardiothoracic surgery. Isn't that normal?"

"I'm really curious, is there anything Chen Yang can't do? Does he have no weaknesses?" Li Chengjie wondered.

"Yes, there are shortcomings," said Zeng Yunhui.

Several people nearby looked at Zeng Yunhui.

"Chen Yang has a poor alcohol tolerance and gets drunk after just one glass," said Zeng Yunhui.

Everyone: "..."