The Western medicine doctors nearby looked at this scene and looked at each other: Well, it's a good thing that I'm not a Chinese medicine doctor. No, this is so miserable.
Dr. Zhou almost lost his breath.
The patient's family member is an old lady. It is estimated that if you explain to her for a long time, she may not understand it. You have to forgive the elderly who may not be as flexible as they get older.
Is what the old lady said wrong? To a layman, it sounds like she is right.
Only an expert knows how wrong it is.
Today's TCM doctors are modern TCM doctors, and the modern TCM education system is modeled on the divisions of Western medicine, including TCM, Internal Medicine, Surgery, Orthopedics, Acupuncture, Massage, Nursing, etc.
The old lady probably means that she wants you to use all traditional Chinese medicine techniques, including traditional Chinese medicine, internal surgery, acupuncture, massage, etc.
Dr. Zhou can only show her hands, she is just a doctor of internal medicine and traditional Chinese medicine.
Maybe you have taken other specialized knowledge in the College of Traditional Chinese Medicine. If you are studying the problem in the elective courses, you will definitely not be able to learn well. You will have long forgotten it when you have no use for the job after graduation. If you really need other traditional Chinese medicine skills, you can always ask colleagues in this major for help.
Just like Western medicine, Chinese medicine has different specialties.
"Let me tell you, if you want me to prescribe Chinese medicine to the patient and make him take Chinese medicine, the medicine he drinks will definitely not work as quickly as the medicine injected intravenously. Injections of Chinese patent medicine also need to wait until he returns to the hospital for examination to confirm the diagnosis.
This is for the safety of his medication." No matter what, Dr. Zhou first explained the doctor's difficulties to the patient's family in a sincere manner.
Well, as she feared, the old lady directly said to her: "Acupuncture. Give him two needles. I know acupuncture is very effective. I have seen it in an acupuncture department."
Even your old lady will say it is an acupuncture department.
Dr. Zhou said: "I am not an acupuncturist, and I am not good at acupuncture."
The old lady was stunned: What should I do now? She desperately asked a traditional Chinese medicine doctor to treat her husband, but the technical cards they played were no different from those of Western medicine.
"It's important to get the patient back to the hospital," Dr. Zhou said.
The nurse has connected the patient with an intravenous channel according to the doctor's orders. Other staff on site are assisting and preparing to lift the patient onto a stretcher and transfer him to an ambulance.
During the transfer process, the patient's limbs suddenly twitched, as if he had horny wind.
The old lady suddenly panicked and called the doctor: "What should I do?"
what to do?
Patients with hepatic coma and convulsions are different from patients with general brain disease and convulsions in choosing medications and have special requirements. Some anesthetic, sedative, and hypnotic drugs are prohibited, such as morphine.
Because the patient's family members were afraid that the patient would be difficult to deal with, Dr. Zhou looked at the medicine box opened by the nurse and was hesitant to use Diazepam.
There are also certain risks when using diazepam in patients with hepatic coma. If the dosage is reduced, this patient has not had any other laboratory tests at all, and there is no test value for the doctor to use as a reference for medication. How much should the doctor reduce the dosage of the drug as appropriate?
Dr. Zhou was not sure about this.
The dosage of medicine is really important. If you use less, it will have no effect. If you use too much, problems will occur. If you use less for the first time and then use more, the risk will double.
"Quickly, look for chlorpromazine." Dr. Zhou turned the patient's head to one side to prevent the patient from vomiting or suffocating, while instructing the nurse to quickly find the medicine.
The nurse rummaged around in the medicine box with both hands, looking for medicines that met the doctor's requirements.
From this situation, it can be seen that as Dr. Zhou emphasized early in the morning, it is most important to bring the patient back to the hospital as early as possible.