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

"Director Chen's insight is brilliant!"

Old Master Sun couldn't help but clap his hands in admiration: "Such diagnosis, such prescription, bold yet meticulous, I admire you! If this plan can be strictly implemented, the patient may have a glimmer of hope."

With even the highly respected Elder Sun expressing such a stance, no one else naturally had any objections.

Dean Hao Rencai's expression changed several times before he finally forced out an extremely enthusiastic smile: "Brilliant! Absolutely brilliant! Listening to Director Chen's words is truly worth more than ten years of study! We will fully cooperate with the plan agreed upon by Director Chen and Dr. Zhuang!"

At this moment, Hao Rencai seemed to have completely forgotten his previous subtle attitude and became more cooperative.

After the meeting, Hao Rencai warmly invited Chen Yang to dinner, saying that he wanted to have an "in-depth exchange," but Chen Yang declined, saying that he needed to lead the trainees in a summary and review.

Back at the guesthouse, the trainees were excited and gathered in Chen Yang's room to discuss today's case.

"Brother Zhuang, you were amazing today!"

Yu Shiyun's eyes shone with admiration: "How come I didn't think of the 'damp-heat and blood stasis' aspect in that dialectical thinking?"

Zhuang Qiwen rarely showed a slight smile as he looked at Chen Yang: "It was Director Chen who gave me the opportunity, and it was Director Chen's additions that made the plan more perfect."

Looking at this group of energetic young people, Chen Yang said with satisfaction, "Everyone performed very well today, daring to think and daring to question."

"Dr. Zhuang's diagnosis was indeed accurate and he grasped the key point. But we must also understand that grassroots hospitals have their own difficulties, and it is understandable that they are more cautious with such critically ill patients. The purpose of our trip is to exchange and learn, to identify problems and try to solve them, not to show off our personal abilities."

He paused, his tone turning serious: "However, judging from today's situation, the Hebei Provincial Hospital of Traditional Chinese Medicine does indeed have some problems in adhering to the principles of traditional Chinese medicine and in the degree of involvement of traditional Chinese medicine in critical care. In the next few days, everyone should observe more, ask more questions, and think more, but remember to be humble. We are here to help, not to cause trouble."

"Yes, Director Chen!" everyone responded in unison.

"Dr. Zhuang, how did you feel about this?" Chen Yang asked Zhuang Qiwen with a smile after saying that.

"Director Chen, I know what you mean. I am indeed a little reserved, but I will gradually adapt," Zhuang Qiwen said.

In fact, given Zhuang Qiwen's skill level, Chen Yang didn't need to supplement this case at all. You have to understand, Zhuang Qiwen is a famous doctor who is on the list of famous doctors, ranking among the top 100 in the country. That's a high level of expertise.

Just look at Chen Yang's master, Wu Yaolin, and you'll know. He holds a very high position in Shanzhou Province and has solved many difficult and complicated cases.

When he was in the countryside, Zhuang Qiwen was able to treat patients with ease, but now he feels hesitant. The reason for this is that Zhuang Qiwen does not have an accurate understanding of his own abilities. In a large hospital, he tends to overthink and worry, which makes him feel constrained.

In ten or twenty years, Zhuang Qiwen might be more composed and have the demeanor of a renowned doctor. But right now, when facing experts from major hospitals, Zhuang Qiwen tends to feel that these experts are more famous and capable, and subconsciously tries to accommodate their judgments too much, which in turn affects his own.

"Ah."

Chen Yang nodded and said to everyone, "You all come from different places and have different experiences. This special training is to let you meet more TCM experts and learn more about the situation of hospitals. In the process, I hope you can have a clear understanding of yourselves."

Everyone nodded.

The next day, the cirrhosis patient who had adopted the new treatment plan brought good news.

Under close monitoring, the patient did not experience any adverse reactions after taking the medication, and the previously stubborn ascites began to show signs of receding, albeit slowly, but the trend was positive.

More importantly, the patient's irritability was relieved, the dry mouth symptoms were reduced, and the dry coating on the tongue became slightly moist.

This news thrilled the doctors in the ICU of Hebei Provincial Hospital of Traditional Chinese Medicine and quietly enhanced the prestige of Chen Yang's team within the hospital.

Over the next few days, Chen Yang led the trainees to various departments to participate in ward rounds, outpatient clinics, and case discussions.

Their solid theoretical foundation, flexible dialectical thinking, and especially Chen Yang's insightful guidance at crucial moments, have impressed many young doctors, and even some middle-aged backbone doctors have begun to humbly seek their advice.

Zhuang Qiwen, Yu Shiyun, and others completely let go of their initial shyness and fully immersed themselves in learning and exchanging ideas, eagerly absorbing different clinical experiences.

However, Dean Hao Rencai's "enthusiasm" only increased.

He invited Chen Yang to dinner almost every day, but Chen Yang always declined with various excuses.

That afternoon, Hao Rencai personally visited the guesthouse where Chen Yang and his group were staying.

"Director Chen, you've been in our province for so many days, and I haven't been able to properly show you hospitality. I feel really bad about it."

Hao Rencai smiled and said sincerely, "I've prepared a simple dinner at home tonight, just my wife and me, absolutely no outsiders. I would be honored if Director Chen would join us so we can have a private chat and catch up."

Hao Rencai deliberately emphasized "in private" and "without outsiders," his eyes carrying a certain implication.

Chen Yang's mind raced. He knew that avoiding the issue wasn't a solution, and perhaps he could glean some information from this family dinner.

After a moment's hesitation, Chen Yang nodded in agreement: "Dean Hao's hospitality is too kind to refuse, so I'll take the trouble to trouble you."

In the evening, Chen Yang went alone to Hao Rencai's home in the city. The Hao family home was not luxuriously decorated, but it had a touch of elegance in its simplicity.

Hao Rencai's wife is a seemingly gentle and intellectual middle school teacher. She prepared a sumptuous meal and treated everyone with warmth but not excessiveness, providing just the right amount of hospitality.

After the meal, Hao Rencai invited Chen Yang into the study.

Closing the study door instantly shuts out the noise from outside.

Hao Rencai's smile faded slightly. He personally poured Chen Yang a cup of tea and sighed.

"Director Chen, I know you might feel that I was a little... a little neglectful a few days ago." Hao Rencai got straight to the point: "To be honest, I had no choice in the matter."

Chen Yang picked up his teacup, gently blew away the foam, and asked calmly, "Oh? What makes you say that, Dean Hao?"

"Director Chen, you are young and promising, a powerful force to be reckoned with."

Hao Rencai lowered his voice: "But in our place, the water is shallow and there are many turtles. Some relationships are very complicated, and many things are not as I wish to do them."

"What does Dean Hao mean?" Chen Yang asked with a smile.

Chen Yang had already guessed what Hao Rencai was thinking based on his behavior over the past few days. Hao Rencai was struggling with his decision, and Chen Yang had been waiting for the same thing.

Hao Rencai must have made a decision today; he plans to tell Chen Yang something.

Hao Rencai paused, observed Chen Yang's expression, and continued, "Take our hospital for example. I may seem to be the hospital director, but in reality, many decisions... especially those involving the procurement of medicines and equipment, and even personnel arrangements, are being watched by others."

"Is Dean Hao referring to... Official Zhang?" Chen Yang took a sip of tea and asked casually.

Hao Rencai was shocked, a look of horror flashing in his eyes. He hadn't expected Chen Yang to know about the existence of Official Zhang.