You see, even if doctors are familiar with the patient's medical history, they still tend 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 low-level mistakes.
As Dr. Xie Wanying emphasized, "wait a little longer" is actually the professional habit of following the rules in two lifetimes as a doctor. The so-called powerful aura of the boss is all honed in this way.
Doctor Zhang Desheng, who was re-examining the patient, was confused again.
The reason was that he remembered that he had to check the patient's pupils before performing cardiopulmonary resuscitation on the patient.
The patient's pupils do not show obvious signs such as one being larger than the other, which only confirms that there may not be cerebral hemorrhage or cerebral infarction, but does not mean that there is no brain tumor.
The patient's heart and breathing suddenly stop, which is a state of shock.
It is extremely difficult to rescue patients without machine-assisted examination.
Bewildered, Dr. Zhang Desheng looked at Dr. Xie Wanying.
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Based on Dr. Xie's previous performance, he can determine the patient's most likely problem.
The point that Dr. Xie is concerned about is what she mentioned earlier: the use of rescue medication.
It doesn't mean that you can safely get through the crisis by identifying the cause of the disease and knowing that you need to take medicine. The most difficult part is taking medicine.
Many Western medicine medications are highly targeted, but this is so targeted that doctors don’t know how to use them on patients with complicated conditions.
For example, in the eyes of the current patient, Dr. Xie's preliminary judgment is: the patient has a recurrent brain tumor and the use of pressor drugs should be cautious.
The patient had gastrointestinal bleeding, which was one of the reasons for the patient's shock.
Gastrointestinal bleeding may be caused by gastric and duodenal stress ulcers caused by brain tumors. The specific pathogenesis is that problems with the central nervous system lead to excessive secretion of gastric juice, which damages the patient's own gastrointestinal mucosa, leading to ulcers and even bleeding and perforation.
The patient had signs of acute edema in both feet.
Bleeding requires fluid replacement and edema requires diuresis. How do you think this can be balanced?
A bunch of indicators and data from blood tests also need to be discussed. For a complex situation like this, 99% of the time, it will take a long time for experts from various specialties to discuss. And whether the plan that the bosses come up with after the argument is feasible or not needs to be verified.
The patient's heart may stop beating at any time, so there is no need to waste time.
In medicine and in all walks of life, it is important to determine the order in which problems are solved.
Is Doctor Duan here?
Dr. Duan probably won't be able to come up with a solution until he gets the Western medical data.
Maybe Dr. Duan will make the same choice as Dr. Xie, so it’s better to ask the master of traditional Chinese medicine.
Dr. Wen Zihan's previous Chinese medicine theories based on clinical experience were very accurate in judging the location and development direction of the patient's condition.
"Are you sure she started to get sick in the afternoon? Were there any other symptoms or signs before she fainted?" asked Dr. Wen Zihan.
The family members tried hard to recall the past.
"Five o'clock in the afternoon?" said Yaxi's mother.
"I remember you said it wasn't five o'clock when you told Dr. Tao." Ya Xi's father reminded his wife.
"It was the younger sister looking for her older sister. I went over to see her and found that she was unconscious on the ground."
"What time?"
"Maybe three, four, five? My sister and I were taking a nap."
Never expect family members to explain all of a patient's conditions.
It doesn't matter, Chinese medicine has known this for a long time. The reason why Chinese medicine's descriptions often seem mysterious is that they are not specific to the minute and second.
Doctor Wen Zihan said again, praising Sister Xie first: "Doctor Xie is right, this patient has a chance of being saved."
Regardless of whether Chinese or Western medicine has conducted research, most patients die at night. The reason is not just that it is difficult to detect patients who have died at night, but that there are nurses patrolling in the hospital at night.
If the rescue is used accurately, there is a high chance that critically ill patients can be saved during the day.
According to traditional Chinese medicine theory, a certain dose of diuretics can be tried first.
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