Rebirth 1977 Great Era

Chapter 623: Troublemakers vs. Troublemakers, Old Soldier Frostbite and Gangrene (Happy New Year)
Today's day shift successors are Deng Nanxing and Xie Guolai.

Although Lao Zhou and his family have already flown to Guangzhou at 24: in the morning, the hospital's -hour duty system has not changed for the time being.

The main reason is that there will be another wave of overseas Chinese businessmen coming to seek medical treatment soon.

So this system has not changed for the time being.

When handing over the shift, Fangyan introduced the two new followers who had joined.

"A new assistant."

Zhang Yanchang and Yang Jingxiang came up and greeted everyone.

Everyone was actually quite happy. It looked like they were going to split into two classes, which would mean four shifts and two shifts, giving them more time to rest.

Deng Nanxing couldn't help but ask:

"Brother Fang, is there any chance for the fourth shift and the second shift?"

"Don't join the class for the time being." Fangyan poured cold water on them, but everyone was not too disappointed. After all, Zhou Zhaoqin was gone, and they didn't have to be so nervous at night.

The dialect told everyone that it was just for them to say hello to everyone.

Then everyone realized that this was Brother Fang’s new brother.

"Hello everyone, I'm Zhang Yanchang. I've been learning Chinese medicine since I was a kid. This time I was admitted to Capital University of Chinese Medicine. I'm lucky to meet Brother Fang..."

"My name is Yang Jingxiang. I was admitted to Capital University of Chinese Medicine. I met Brother Fang at the last campus open day and was impressed by his medical skills..."

After the two introduced themselves, Deng Nanxing and Xie Guolai also realized that they were future classmates.

Although they had good scores in the college entrance examination, they would still have to lag behind in terms of seniority.

Xie Guolai and Deng Nanxing started learning Fangyan much earlier than the other two.

Deng Nanxing lowered his voice and said to Xie Guolai beside him:
"But Brother Fang is amazing. He accepted two patients during his free clinic last time."

The words were not spoken loudly, but Zhang Yanchang and Yang Jingxiang heard them.

Zhang Yanchang remained silent, but Yang Jingxiang stared at Deng Nanxing with a look of scrutiny and provocation in his eyes.

Deng Nanxing narrowed his eyes. He recognized this look, having seen it too many times in Deng's Clinic. The arrogance inherent in the children of aristocratic families was wrapped in a seemingly well-behaved appearance, ready to act.

After the morning meeting, Deng Nanxing said to Yang Jingxiang and Zhang Yanchang:
"My name is Deng Nanxing, you can call me Brother Xing from now on."

After that, he pointed at Xie Guolai and said:

"His name is Xie Guolai, so just call him Old Xie from now on."

"..." Yang Jingxiang and Zhang Yanchang looked at Deng Nanxing, somewhat confused about this boy's origins.

They subconsciously looked at Fangyan.

Fang Yan pointed at Deng Nanxing and said:
"This is Xiao Chengzhi, the descendant of a family of traditional Chinese medicine practitioners from Guangdong. He studied under his uncle Deng Tietao."

After saying this, he looked at Lao Xie:

"this……"

Old Xie immediately took over the conversation and said:

"I follow Brother Fang to make a living. I listen to Brother Fang in everything. Unlike everyone else, I am a Chinese medicine practitioner who has learned the art since childhood."

After hearing this, Zhang Yanchang greeted the two of them first:
"Brother Xing, thank you brother!"

Deng Nanxing nodded with satisfaction, then looked at Yang Jingxiang.

As an old troublemaker, he naturally has a sense when he sees his own kind.

Yang Jingxiang is obviously a troublemaker.

Deng Nanxing has complete faith in his intuition.

Yang Jingxiang took a deep breath and greeted the two of them:
"Thank you, Brother Xing!"

Yang Jingxiang accepted Lao Xie's non-aggressive attitude at first, but he was very dissatisfied with Deng Nanxing's attitude.

Especially knowing that he and that idiot Xiao Chengzhi are from the same sect.

Yang Jingxiang was even more unhappy.

However, he didn't dare to show it in front of Fangyan, so he had to call Deng Nanxing to express his dissatisfaction.

Deng Nanxing smiled and pointed at Zhang Yanchang and Yang Jingxiang, saying:
"Brother Fang, these two have great personalities."

Fang Yan smelled the tension between them, but he did not stop them. With more people and subordinates, this kind of situation will naturally happen. As long as it is controlled within a controllable range, it is okay to let them fight. He said to Deng Nanxing:
"Don't underestimate them. They are among the top students this year. They all come from traditional Chinese medicine families and have their own unique skills."

Deng Nanxing shrugged:

"Doing well in the college entrance examination doesn't mean your medical skills are really great. You still have to practice to know."

At this time, Yang Jingxiang finally couldn't hold it in any longer, and he said:
"Brother Xing, can we spar with each other sometime?"

Deng Nanxing smiled and nodded after hearing this:
"Spar? Sure, let's spar if you have time!"

Fangyan watched coldly and could see that the two people's auras did not match from the beginning.

Afterwards, Fang Yan took the two new arrivals to do rounds, and asked them to look at the medical records of each patient and understand the previous treatment methods.

Both Yang Jingxiang and Zhang Yanchang felt that they had learned a lot.

Especially the girl with hemangioma, the hemangioma she had since she was in her mother's womb for 19 years was beyond their understanding.

There is also an overseas Chinese couple who were suspected to have been drugged by their family members.

They never imagined that rich families abroad were so vicious.

I admire even more how the dialect can piece together the true nature of things.

If it were them, they would definitely still be wondering if they had made a wrong argument.

Only dialects are so confident that they are sure that there must be problems somewhere else.

After checking the ward, Fang Yan took the two of them to say hello to the dean. The main reason was that the dean was now directly in charge of Traditional Chinese Medicine, so Fang Yan should let him meet the new members today.

And today there is one more person, Yang Jingxiang.

I must definitely talk to the dean about this.

So after Fang Yan arrived at the dean's office, he asked Zhang Yanchang and Yang Jingxiang to wait outside while he went to tell the dean about Yang Jingxiang's matter first.

The dean thought the same as Fangyan.

"Since you introduced him, and he is from a family of traditional Chinese medicine practitioners, and he is one of the top students admitted to Capital University of Chinese Medicine, then you can just become a full-time employee like Xiao Zhang." The dean gave Fang Yan unlimited support. Fang Yan told the dean:

"This guy is a thorn. I plan to leave him alone for a while."

Hearing Fangyan's words, the dean understood and said with a smile:

"Okay, then just do as you say."

After that, the dean said:
"By the way, after the groundbreaking ceremony yesterday, quite a few people wanted to come and see you for treatment..."

Fang Yan said directly:
"Okay, just notify them to come over."

After hearing this, the dean immediately nodded and said:
"One of them is a patient admitted to our own hospital yesterday. I'll ask him to come over first."

Fangyan was a little surprised after hearing this and asked:

"He was admitted to Peking Union Medical College Hospital yesterday. Did they determine that he cannot be cured?"

The Dean said:

"No, he came last night. He didn't want to have surgery. After hearing about your situation, he asked us to switch to a Chinese doctor to treat him."

"I just heard what they said in the orthopedics department."

"What's the problem?" Fang Yan thought of the orthopedics department. Wouldn't it be best to send the patient to Old Mrs. Luo's place?

The Dean said:

"Frostbite, an old injury. He's a veteran. I don't know the details."

When Fangyan heard that it was an old soldier, he said:
"Then I'll go directly to the inpatient building to find him."

The Dean said:

"That's fine, just... Never mind, I'll just take you there."

After saying that, he stood up and walked out speaking in dialect.

The dialect called Zhang Yanchang and Yang Jingxiang who were at the door:

"Let's go and have a look together."

Then he introduced them:

"This is the dean."

Zhang Yanchang quickly responded and said:
"Hello, Dean! My name is Zhang Yanchang!"

Yang Jingxiang followed suit and shouted:

"Hello, Dean. My name is Yang Jingxiang!"

The dean looked at the two of them separately, then nodded and said:
"Follow Doctor Fang and work hard. I am optimistic about your future."

The two nodded repeatedly when they heard this.

But I was curious about where they were going, so I asked in a low voice in Fangyan.

The dialect told them:

"Go see the patient, he has frostbite."

The two were stunned for a moment. Frostbite is quite common in the north.

But the difficulty is different.

In the early stage of frostbite, the cold evil has just invaded the human body, and the stagnation of Qi and blood has not yet formed serious pathological changes. At this time, timely intervention of traditional Chinese medicine treatment, through methods such as warming the meridians, dispersing cold and relieving pain, can quickly dispel the cold evil, restore the circulation of Qi and blood, and prevent further development of frostbite. The treatment is less difficult and the effect is more significant.

If frostbite is not treated promptly, the condition is delayed, and the cold evil penetrates deeply, leading to prolonged stagnation of qi and blood, tissue necrosis, and even systemic symptoms such as chills, fever, fatigue, etc. At this time, treatment must not only remove necrotic tissue, but also regulate the body's qi and blood and correct organ dysfunction. The difficulty of treatment is greatly increased, and sequelae such as local dysfunction may be left behind.

Most people don’t dare to take on the latter type of treatment. Only traditional Chinese medicine practitioners who specialize in treating frostbite dare to take it on.

But since it has been sent to Union Medical College, the situation is probably not very good.

Soon they arrived at the inpatient building under the leadership of the dean.

I saw patients with frostbite here.

This is a middle-aged man in his fifties, and the accompanying family member is a female soldier in her forties wearing a military uniform.

When the doctor in charge saw the dean coming with Fangyan, he knew that they were here to take over.

The patient's information was immediately given to Fang Yan and others.

The patient is currently 46 years old. At the end of 1950, he suffered frostbite on both feet during the Battle of Chosin Reservoir. He recovered after treatment at the time, but he often suffers from cold and pain in his lower limbs, and the pain has gradually worsened in winter in recent years.

At the beginning of last year, I was diagnosed with thromboangiitis obliterans at the military hospital, but the treatment was ineffective.

Then in September last year, I accidentally injured the big toe of my right foot and it became infected. I had to undergo two toe amputation operations in the military hospital. The wound has not healed yet. The military hospital recommended transferring me to another hospital for treatment. Yesterday, I heard about the overseas Chinese businessmen donating two buildings to Union Hospital, so I wanted to come here to try to find Fangyan, but it was already evening when I arrived, so I have to wait until now.

Last night, the preliminary diagnosis was that this was thromboangiitis obliterans.

This is what traditional Chinese medicine calls gangrene, which mainly refers to necrosis of the extremities and, in severe cases, gangrene and shedding of toe (fingers) joints. It is a chronic peripheral vascular disease, also known as bone-destroying gangrene.

After understanding the situation, Fangyan came to the patient and began to check the wound on his foot.

It was found that the big toe bone was exposed, the granulation tissue was not fresh, there was not much pus, and the surrounding skin was reddish purple.

Western medicine’s judgment is not wrong.

This is gangrene, but his condition is really serious.

Fangyan smelled a rotten smell.

Zhang Yanchang and Yang Jingxiang also frowned as they looked at the creepy wound in front of them and found that it was indeed the worst case scenario.

At this time, the old soldier saw the expressions of several people, so he asked Fang Yan:

"Doctor Fang, can you cure my condition?"

Fang Yan glanced at him and said:

"Don't worry, it's easy to treat."

PS: The 6000-word basic chapter has been updated.

There will be more tomorrow during the day.

(End of this chapter)