Rebirth 1977 Great Era

Chapter 1377 All Admitted to Hospital, The Demands of the Mad Patients (Bonus Chapter for Monthly Tickets)
Seeing that the patient's wife had relented, Fang Yan immediately got up and took out a "Hospital Nursing Communication Form" from the drawer. This form is usually signed by people who live here permanently but do not have caregivers. He then said to them:

“I’m now sharing his situation with the inpatient department. We’ll admit him first, and we can arrange for TCM nursing care today. Our staff will conduct a basic assessment first, and you won’t need to worry about the follow-up care.”

The patient's mother was still a little worried and followed up, asking, "When can we come to see him? We don't need to come every day, two or three times a week is fine, right?"

"I can come, but please don't make the visit too long, 20 minutes is enough," Fang Yan replied.

Upon hearing this in dialect, the patient's family members exchanged glances, then finally nodded to each other and said:

"Okay, but we'd still like to send a personal assistant here to look after him. Is that alright?"

Fang Yan heard the personal assistant ask:
"Is this personal assistant his former assistant?"

The patient's wife nodded and said:
"Yes, she's been his personal assistant for several years."

Fang Yan shook his head and said:

"That won't work."

Seeing their surprised expressions, Fang Yan explained:
"It's not that we don't want people to take care of him, it's just that his current situation requires an unrelated environment, and his original assistant is not suitable."

The patient's wife frowned:

"But his assistant has been with him for five years and knows all his habits, such as what he likes to drink and what he likes to eat. How could a nurse possibly figure out these details all at once?"

“It’s precisely because we’re so familiar with each other that problems are bound to arise.” Fang Yan said with certainty, “You just said that his auditory hallucinations always mention ‘making dirty money,’ which shows that he is very sensitive to ‘people and things related to his work.’”

“His assistant usually helps him with work-related matters. Even if she only takes care of his daily life now, when he sees his assistant, he may subconsciously associate it with money and business, which makes him anxious. Maybe when his assistant serves him tea, he casually says, ‘You used to drink this when you talked business,’ and he will suddenly remember the argument, which will worsen his auditory hallucinations.”

The patient's mother paused for a moment, then subconsciously looked at the patient. He was still looking down, but the way he was fiddling with the hem of his clothes had noticeably quickened, indicating that he was responding to the conversation.

The dialect continued:
"Moreover, the nurse is a 'neutral' person and has no past emotional entanglements with him. Unlike an assistant, she won't unintentionally say 'You've never been like this before,' which would make him feel 'abnormal' and increase his psychological burden."

The patient's wife was silent for a few seconds, then asked:
"If he wants to drink water or turn over at night, will the nurse be able to come in time? We're afraid he'll be embarrassed to bother others and will just hold it in."

"Don't worry about that. The TCM nursing ward operates on a 24-hour shift system. There's a call bell at the door of each ward, and someone will definitely arrive within a minute of it ringing." Fang Yan pointed to the "Nursing Frequency" column on the communication form. "Moreover, the nurses will make rounds every hour to cover him with a blanket and pour him warm water, without him having to ask. We'll also teach him simple gestures, like making '1' if he wants to drink water and '2' if he wants to turn over. We can communicate without him having to speak, so he won't feel stifled."

Seeing that the family was still hesitant, Fang Yan added, "If you are really worried, you can have your assistant come to the hospital next week to explain his daily routine to the nurses, but don't let him enter the ward to see him. Wait until his auditory hallucinations decrease and his emotions stabilize before letting your assistant gradually get in touch with him. Right now, let him completely get away from the 'sensitive environment' so that he can recover faster."

The patient's wife wanted to say something more, but the patient's mother sighed softly:
"Okay, we'll do as you say, we'll follow the nurses' instructions, we won't make any random arrangements."

After she finished speaking, the patient's wife had no choice but to shut up.

Fang Yan breathed a sigh of relief, picked up a pen and added "Avoid mentioning work-related personnel" to the communication form, then said to the family member:
"Let's go get admitted to the hospital now. I'll be there in a bit."

He wrote the prescription while speaking in a dialect.

The core of the prescription is "clearing liver fire, nourishing yin and calming the mind", with the main purpose of relieving liver stagnation, clearing internal heat, nourishing yin fluids, and calming the mind.

Bupleurum 10g, White Peony Root 10g, Gardenia 8g, Scutellaria 8g, Rehmannia Root 12g, Ophiopogon Root 10g, Ziziphus jujuba Seed 10g, Polygala Root 6g, Poria 10g, Licorice Root 6g.

One dose per day, decocted in water to obtain about 300ml of juice, taken in two warm doses, 150ml each after breakfast and dinner.

When decocting the medicine, first soak the herbs in cold water for 30 minutes, then bring to a boil over high heat, then simmer over low heat for 30 minutes, and then extract the juice.

The dregs can be decocted again for 20 minutes each time. After mixing the two decoctions, the medicine can be taken.

After finishing writing, Fang Yan began to supplement the medical records, and the patients were taken by their families to complete the admission procedures.

Once Fang Yan finished supplementing the medical records, the treatment of the five patients for today was considered complete. Of course, there would be follow-up treatment afterwards.

Fang Yan will make detailed arrangements later. Now I need to call the dean and Director Liao to report the situation.

After Fang Yan left the clinic, he saw that the doctor next door was resting. There was no one at several windows around. It was only a little past ten o'clock, and they had already started to rest.

The scene was quite different from yesterday's lively one. Seeing Fang Yan walk past the door, Lu Donghua greeted him:
"finish watching?"

"Okay, I've finished reading it. I'll call and report the situation now," Fang Yan replied.

Upon hearing this, the old man came out of the room and said:
"Come on, I'll go with you to make the call. There's no one around right now."

Fang Yan immediately agreed and went to make the call with the old man.

"Are there no more patients today?" Fang Yan asked the old man.

Lu Donghua said:
"I only saw two patients. That's how it is during holidays. The first day is the busiest, and there are hardly any patients afterwards."

"It's the same at Xiyuan Hospital, only it was different when you were at Tongrentang."

After saying that, he asked in dialect:

"So, what kinds of difficult and complicated illnesses are the patients today?"

"A patient with tuberculosis in the fourth and fifth lumbar vertebrae, accompanied by an inguinal ulcer, has an eight-year history of the disease and has undergone multiple surgeries in the United States without success."

"A patient with acute renal failure, accompanied by coma, convulsions, and a dry, black tongue coating, had a two-month history of the disease and had not responded to treatment in the United States."

"There is also a myasthenia gravis 'flaccid syndrome', with a three-year history of the disease. Treatment in Singapore and the United States has been ineffective. Symptoms include eyelid weakness, limb weakness, poor appetite and poor sleep."

"There's also spinal stenosis, which is actually 'rheumatism,' manifesting as weakness in the lower limbs, difficulty walking, and a cold feeling in the lower back. The condition has been present for two months, and treatment at a neurology clinic abroad has been ineffective..."

"Another case was diagnosed with schizophrenia abroad, but I re-diagnosed it as 'depression syndrome' caused by liver stagnation transforming into fire and yin deficiency with internal heat. It manifested as auditory hallucinations, emotional apathy, and sleep disorders, with a medical history of about one year."

All five of them have been admitted to the hospital.

When the old man heard that these were all strange illnesses, he asked in the local dialect how they were treated.

Fang Yan simply handed the medical records he had brought to the old man and let him look at them himself. Then he picked up the phone and started making calls. After reporting to Director Liao, Fang Yan also reported to Dean Cui.

After he finished speaking, the old man also finished reading Fang Yan's detailed medical records.

He felt some sympathy for the last one and said:
"This is too tragic. He was actually driven crazy by his own wife."

"I wonder what happened?"

It was obvious that the old man also knew that his family members would not tell him everything in Fangyan, and he would only mention the arguments with his family members in passing.

Lu Donghua closed the medical record, tapped the page on "depression" lightly with his finger, and said with regret, "The family said 'they argued because of money.' It sounds simple, but there are probably many unspoken things hidden in it. Either the amount of money is too large, and he can't bear the pressure; or they said some harsh words during the argument, which touched a sore spot. Otherwise, he wouldn't have been so pent up."

Fang Yan nodded upon hearing this: "I also think it's not that simple. The fact that he keeps mentioning 'making dirty money' in his hallucinations means that he feels guilty about 'making money'. He may have had some struggles in doing business before, or been criticized by others. The argument was just a trigger that brought out all the things that had been weighing on his mind."

"So you're not letting family members and assistants get close because you're afraid of stirring up his old feelings again?" Lu Donghua asked, his eyes filled with approval.

“Well, let’s get him out of his old environment first. Once he’s calmed down, he might talk about it himself.” Fang Yan paused and continued, “I wrote ‘psychological counseling once a week’ in his medical record. We’ll have someone talk to him about something lighthearted, like gardening or playing chess, and guide him slowly. Eventually, we’ll figure out where the problem lies.”

Lu Donghua turned to the prescription page in the medical record and pointed to the herbs "Bupleurum 10g, White Peony Root 10g": "This prescription is stable, clearing the liver without harming Yin, which is just right for the symptoms. However, we have to keep an eye on his tongue coating. If the coating is not so dry, the amount of Ophiopogon japonicus can be reduced to avoid it being too nourishing and cloying and irritating to the stomach."

Fang Yan nodded and said:
"I know that. I make rounds every morning and adjust accordingly after checking on the patients' physical condition."

Just then, Anton's voice came from afar:
"Master! A patient has arrived!"

Lu Donghua and Fang Yan looked up and saw that a patient had arrived.

Lu Donghua quickly agreed:
"Okay, here we come!"

He greeted Fang Yan and then went over to see the patient.

Then Fang Yan went to the Chinese medicine pharmacy. At this moment, three pharmacists were gathered around the workbench, making the "Waste God Pill" according to the ancient process Fang Yan had devised. The workbench was covered with clean white gauze, and the medicinal materials were neatly arranged in the order of "principal, assistant, adjuvant, and guide," with each step strictly following the processing standards.

Upon seeing Fang Yan arrive, they immediately greeted him:

"Director Fang is here!" "Is there new medicine to be decocted?"

Fang Yan nodded and took out the prescription in his hand. This was for treating the last patient.

The pills here are almost ready. The medicine for the first and second patients has already been decocted and sent to the inpatient department.

Fang Yan gave them some instructions and then hurried to the inpatient department.

The two people in front should have already taken their medicine; now we should see how they react.

Once we arrived at the inpatient department, it became quite lively, with people filling the corridors.

Family members, assistants, and a bunch of other people were coming and going. Some were greeting each other, and some had already started giving red envelopes to the medical staff, mainly wanting their own people to be more comfortable here.

Once one person took the lead, the others couldn't sit still and started doing the same. They even thought it was a good deal, since they no longer needed to donate buildings to support the dialect, and now they could just give out some red envelopes, which was very cost-effective.

When they saw Fang Yan arrive, the family members stuffed red envelopes into Fang Yan's hands.

Everyone else got one, so he, as the attending physician, definitely couldn't be left out.

In this dialect, there was no need for formalities; after receiving the medicine, they immediately started asking the person who had just taken the medicine how they were reacting.

First, there's Ms. Sun. She had already placed a medicated wick inside the sinus tract and has now drunk the Yanghe Decoction.

"Now I feel my waist getting warm, and the place where I put the medicated wick is already wet with pus," Ms. Sun said to Fang Yan, while showing Fang Yan the oozing fluid from her ulcer.

Looking around, it was currently a pale yellow, thin pus, far from the effect that the dialect wanted.

After reading it, Fang Yan said:
"The pus may become thicker in the afternoon, and the low-grade fever may subside. Please pay attention and cooperate with our nurses to register the case."

Ms. Sun nodded in agreement.

Then, following the dialect, we went to Mr. Fei's ward, where he was in a coma due to acute renal failure.

He just fed the medicine through a nasal tube.

There are no other changes yet.

The nurse was alerted by the dialect, as this person would most likely need to defecate soon.

After all, it had been blocked for seven or eight days, and my stomach was full of stone-like stool.

If this medicine doesn't work, then we'll have to try other methods.

As soon as he finished speaking, his family members exclaimed that Mr. Fei's eyes had started to move and his fingers were showing signs of movement.

Fang Yan was also surprised that it wasn't defecation that came first, but rather a reaction of consciousness.

However, Mr. Fei's physical reaction has only reached this level for now, and there has been no further manifestation.

However, this change also made the patient's family quite happy.

Then, the third patient with myasthenia gravis and "muscle weakness" also received his medicine, the "miracle cure."

Fang Yan watched as he swallowed the medicine.

After he finished drinking, Fang Yan asked him:

"How do you feel now?"

The young man touched his leg and said:
"I have a slight fever!"

Fang Yan nodded and said:
"This is the effect of kudzu root lifting up clear qi and achyranthes root guiding the medicine downward, indicating that qi and blood are beginning to flow smoothly. You should continue to observe. Atrophy requires long-term conditioning. This first dose of medicine is mainly for 'clearing damp heat', and the tonifying effect will be greater if it is sustained."

The young man spoke in dialect:

"It's okay, I already feel it's very effective, and I feel more energetic when I get warm."

As the medication continued to take effect, the young man felt stronger and was no longer in a state of having no strength at all.

Mr. Wang's fourth prescription hasn't been decocted yet. Since you have raw aconite in his prescription, it should be the one that takes the longest to prepare.

The fifth man driven mad by his wife was surnamed Wei. When Fang Yan went to see him, he had already regained his senses. His family was still by his side, and he was nervously looking around, as if he had no idea where he was.

Fang Yan walked in and asked:

"Why haven't you left yet?"

Upon hearing Fang Yan's words, Mr. Wei's wife showed a hint of embarrassment on her face and quickly stood up to explain, "Dr. Fang, we just wanted to stay with him a little longer. We couldn't help but stay a few more minutes after we saw that he was awake. We didn't dare to talk to him too much."

Mr. Wei's mother chimed in, "Yes, Dr. Fang. He just woke up and his eyes are glazed over. We're worried and want to watch over him until he's calmer before we leave."

Fang Yan looked at Mr. Wei on the hospital bed. He was gripping the blanket tightly with both hands, his eyes full of vigilance. When he heard his family members speaking, his fingers unconsciously tightened. He was clearly not used to the hospital environment yet, and his family members' presence made him even more nervous.

“I know you’re worried, but now is not the time to spend more time with him.” Fang’s tone was gentle but firm. “He has just regained consciousness and is still very sensitive to his surroundings. If you are here, he will subconsciously tense up, which will affect his emotional stability. I told you before that the visiting time should be limited to 20 minutes, and this has already exceeded that. Let him stay alone for a while to get used to the ward environment. It’s not too late to visit him tomorrow.”

Before Mr. Wei's wife could say anything more, Mr. Wei suddenly shook his head slightly and said in a hoarse voice, "You... go first, I want to rest for a while."

These words stunned the family members, who then showed expressions of both heartache and relief. This was the first time he had spoken to his family since being admitted to the hospital, and although his voice was soft, at least he was willing to communicate.

“You see, he wants to be alone too,” Fang Yan said, seizing the opportunity. “Don’t worry, the nurses will check on him every hour, and they will contact you immediately if he has any needs. Let him relax now; it will be better for his recovery.”

The family members nodded in agreement. Mr. Wei's wife bent down to tuck the blanket around him and said softly, "We'll come see you again tomorrow. Get some rest and listen to Dr. Fang and the nurses." After saying that, she and her family quietly left the ward.

After the family left, Fang Yan sat on a chair by the hospital bed and said softly to Mr. Wei, "It's very safe here. No one will bother you. If you feel uncomfortable, or want to drink water or turn over, just press the call bell by the bed, and the nurse will come quickly."

Mr. Wei glanced at Fang Yan, then quickly lowered his head, murmured an "Mm," and his tense shoulders relaxed slightly.

Just as Fang Yan was about to leave, the patient said to him:

"doctor!"

"Huh?" Fang Yan was taken aback and turned around.

"Could you please stop them from coming to see me?" Mr. Wei asked Fang Yan.

Fang Yan was somewhat taken aback. Wasn't it said that he was completely mentally unstable?

The logic is very clear now!
They are already able to make correct requests to those around them.

"Why don't you want them to come see you? Do you feel uncomfortable, or do you have other ideas?" Fang Yan asked tentatively.

Mr. Wei lowered his head even further, his fingers digging into the patterns on the blanket. After a few seconds of silence, he whispered, "They're here... My mind is a mess... They're gone, and I feel like the world is clean now." His voice grew softer and softer, the last few words almost inaudible, but his shoulders trembled slightly uncontrollably.

Fang Yan immediately said:

"Okay, I'll communicate with them."

Mr. Wei looked up abruptly, a flicker of disbelief in his eyes. He then nodded vigorously, his tense body finally relaxing a little, and his voice becoming clearer: "Thank you, doctor... thank you, doctor. Please, you must persuade them. I... I really can't take it anymore."

Fang Yan nodded, now the source of his mental stress has been identified.

It was given to him by the patient's family, and now they should communicate in their local dialect.

PS: I've gained another 100 monthly votes, so I still owe you 56,000 words after finishing this chapter.

The 5,000-word chapter is now complete. That's all for today. Please come back early tomorrow.

(End of this chapter)