You see, even if the doctor is familiar with the patient's medical history, it is easy for the doctor to forget it at critical moments.
The importance of doing your work step by step is that it allows you to maintain a clear mind and avoid making stupid mistakes.
As Dr. Xie Wanying emphasized, wait a minute. In fact, it is the professional habit of being a doctor step by step for two generations. The so-called strong aura of the boss is all cultivated in this way.
Dr. Zhang Desheng, who was re-examining the patient, was confused again.
The reason was that he remembered that before performing cardiopulmonary resuscitation on a patient, he was accustomed to check the patient's pupils first.
There are no obvious signs of the patient's pupils being larger or smaller. This can only confirm that there may be no cerebral hemorrhage or cerebral infarction, but it does not mean that there is no brain tumor.
The sudden arrest of the patient's heart and breathing is a state of shock.
Rescuing patients without machine-assisted examination is simply too difficult a skill.
The confused Dr. Zhang Desheng looked at Dr. Xie Wanying.
Based on Dr. Xie’s previous performance, we can determine the patient’s most likely problem.
The point that Dr. Xie struggles with is what she mentioned before: the use of rescue medication.
It does not mean that you can survive the crisis safely if you know the cause of the disease and know how to take medication. The most difficult thing is taking medication.
Many medicines in Western medicine are highly targeted. However, being too specific makes doctors don’t know how to use them on patients with complicated conditions.
For example, in the current patient's eyes, Dr. Xie's initial judgment is that the patient has a recurrent brain tumor and should be cautious about taking vasopressor medication.
The patient had gastrointestinal bleeding, which was one of the causes of shock.
Gastrointestinal bleeding may be caused by gastroduodenal stress ulcers caused by brain tumors. The specific pathogenesis is that central nervous system problems lead to excessive secretion of gastric juice. Excessive gastric juice damages the patient's own gastrointestinal mucosa, leading to ulcers and even bleeding.
perforation.
The patient's feet showed signs of acute edema.
Bleeding requires rehydration, and edema requires diuresis. How do you think this can be balanced?
Drawing blood for testing and getting a bunch of indicator data also requires discussion. Ninety-nine times of such a complicated situation requires inviting experts from various specialties for consultation and discussion for a long time. Moreover, whether the plan that the big guys come up with after the quarrel is feasible or not is feasible.
Asking for further confirmation.
The patient's heartbeat can stop at any time, so where does this waste of time come from?
In medicine and all walks of life, it is important to determine the way to solve problems.
Is Dr. Duan here?
Dr. Duan probably wouldn't be able to come up with a plan before he got the Western medicine data.
Maybe Dr. Duan would make the same choice as Dr. Xie, so it would be better to ask a big TCM doctor.
Dr. Wen Zihan's traditional Chinese medicine theory based on clinical experience is very accurate in judging the position and development direction of the patient's condition.
"Are you sure she only started getting sick in the afternoon? Were there any other symptoms or signs before she fainted?" Dr. Wen Zihan asked.
Family members struggle to remember.
"Five o'clock in the afternoon?" Aki's mother said.
"I remember you said it was not five o'clock when you told Dr. Tao." Yaxi's father reminded his wife.
"It was my younger sister who was looking for my older sister. I went over to see her and found out that she was unconscious on the ground."
"What time?"
"Maybe three o'clock, four o'clock, five o'clock? My sister and I were taking a nap at the time."
Never expect family members to be able to explain all the patient's conditions clearly.
It doesn't matter, Chinese medicine has known this for a long time. The reason why Chinese medicine's description often makes people feel mysterious is because it is not specific to the minute.
Dr. Wen Zihan went on to praise his sister first: "Doctor Xie is right. This patient has a chance to be saved."
Regardless of the research summaries of Chinese and Western medicine, most patients die at night. The reason is not only that it is difficult to detect the death of patients at night, but also that there are nurses patrolling the hospital at night.
If the rescue is used accurately, there is a high chance that a critically ill patient will be rescued during the day.
According to the theory of traditional Chinese medicine, a certain dose of diuretics can be tried first.
Thank you for your support, good night, dear friends~
