Doctor Zhang Desheng was the first to be stunned.
"As I said, she is not the type of Chinese medicine doctor we often see." Dr. Pan Shihua repeated what all his colleagues who had met Dr. Wen said about Dr. Wen.
Most Chinese medicine doctors are more like Dr. Wang, who are proud of their Chinese medicine skills.
Don't just talk about Chinese doctors. Most Western doctors are the same. They brag about the Western medicine techniques they have learned.
Dr. Wen Zihan’s second sentence: “Give the patient medicine quickly, it’s better than anything else.”
"Would you like to boil some Chinese medicine?" asked Dr. Zhang Desheng.
When Chinese medicine talks about using medicine, doesn’t it mean using Chinese medicine?
The Chinese medicine was boiled too slowly, and it was wrong to say that boiling Chinese medicine was wrong. Dr. Zhang Desheng immediately corrected himself: "Do you give the patient Chinese patent medicine?"
Chinese patent medicine injections are used for clinical rescue, such as the famous Shenfu injection. Shenfu injection, in the academic terms of traditional Chinese medicine, is called Huiyang Jiuni, Yiqi Gutuo, and is used for syncope caused by sudden loss of yang qi, which corresponds to shock patients in Western medicine.
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Embarrassedly, Dr. Zhang Desheng reminded the other party: "We don't have it here."
The National Association is a mainstream Western medicine school, unlike Chinese medicine hospitals, which have Chinese patent medicine injections everywhere. The adverse reactions of Chinese patent medicine injections are most criticized by Western doctors in famous Western hospitals.
Doctor Wen Zihan said honestly: "She is not suitable for promoting ginseng and aconite either."
Boss Wen is a boss who has no temper and seems to have a very magnanimous heart. In comparison, what about classmate Zhang?
Doctor Zhang Desheng was so embarrassed.
"Promoting Western medicine is definitely the fastest way," said Dr. Wen Zihan.
After hearing this, Dr. Zhang Desheng and others almost doubted whether the legend was wrong. Was this man a Western medicine doctor or a Chinese medicine doctor? Why did Dr. Wen support Western medicine instead of Chinese medicine?
When it comes to how to use Western medicine for patients, the Western doctors on site are definitely more qualified.
Doctor Zhang Desheng thought so too. The standard rescue mode must be to perform cardiopulmonary resuscitation while directing the nurses to use medication.
There was no way out. The patient's condition was too sudden. In addition, an inexperienced trainee nurse would not proactively ask him about medication like an experienced emergency department nurse, so he was unable to pay attention to the instructions for a while.
Perhaps, this "misunderstanding" actually saved the patient's life.
Looking back, if he had remembered to give the patient medicine at the beginning, what rescue medicine could he have given the patient?
Commonly used rescue drugs in clinical practice are usually epinephrine, dopamine, atropine, etc., most of which are used to increase the patient's blood pressure and heart rate.
After some thought, Dr. Zhang Desheng felt a little sweaty on his back.
The patient said that the tumor had metastasized to the brain and had Gamma Knife surgery. However, Gamma Knife cannot cure. It is very likely that the patient fainted again because of another tumor in the brain.
Patients with brain diseases should be careful when stimulating their blood pressure and heart rate.
Intracranial mass, not hypotension but hypertension and possible cerebral hemorrhage. Can you raise your blood pressure again?
If Western medicine is not assisted by technical means of examination, treating diseases blindly is just a matter of luck.
Dr. Zhang Desheng quickly picked up the flashlight and re-examined the patient's pupils.
As soon as the patient arrived at the emergency room, he immediately told them to send him to the ICU first, which resulted in him not having enough time to check the medical records.
All we can say is that young doctors lack experience.
Dr. Tao is not saying this to tell young doctors not to do the most basic examinations when they see patients.
The first step for a doctor when receiving a patient is to measure the patient's blood pressure and heart rate, ask about the patient's onset of illness, and do other basic examinations, as long as the patient is not in a state of cardiac and respiratory arrest. He or she must also hand over the work to the ambulance medical staff.
We cannot say that we know the patient’s medical history very well, and just omit it if a senior doctor says it is not necessary.
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