They don't do their professional work well, but they have a lot of small ideas about other things. Such people are not uncommon in all industries.
"It is said that you two classmates have a good relationship." Doctor Tang took out some of the patient's medical records and said, "I think the Zeng family probably wouldn't mind asking you to take a look."
Some things need to be made clear first. She and her classmate Zeng Wanning do not have a good relationship.
"It's okay. I asked the woman's family, and when they heard that you are great doctors from the National Association of Chinese Medicine, they are very willing to let you come to consult with the patient." Doctor Tang smiled and explained that the necessary procedures had been completed.
The reason why the Zeng family was mentioned specifically shows that the Zeng family may care more about this matter.
The Zeng family has always wanted doctors to repeatedly perform brain death tests on the patient.
"I have talked with Dr. Zeng privately. This determination of brain death is not something that can be made every day. He studied medicine, so he should know this clearly." Dr. Tang frowned and said this angrily.
The determination of brain death itself is very strict. If a patient is determined to be brain dead in the first examination, he or she must undergo one or more brain death examinations, and several doctors must determine that he or she is brain dead before a final diagnosis of brain death can be made.
If a patient is initially diagnosed as not brain dead, any neurologist will know that it is impossible to say that the patient is brain dead upon examination the next day, unless the patient's brain has really suffered substantial and irreversible damage.
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In fact, in most clinical cases like Mrs. Zeng, there are brain waves in the examination, and no further damage to the brain is found in the CT scan. It is basically impossible to change the diagnosis to brain death in the short term. To really be brain dead, it will take a long time until the patient's own body has serious problems that affect the brain. For vegetative patients, the more dangerous thing is death caused by infection of other organs in the body due to improper post-care, rather than brain death.
It is conceivable that the Zeng family may have thought that it would take a long time for Mrs. Zeng to die from other reasons, and they could not wait any longer. Moreover, Mrs. Zeng's family was unwilling to give up the patient and would not let Mrs. Zeng leave the hospital.
Dr. Tang said that what made him most angry was that Zeng Wanning, a medical student, knew the situation well, but when he consulted with him, a senior, about the patient's condition, he did not use his medical advantage to think about how to treat the patient. On the contrary, Zeng Wanning's brain must have been kicked by a donkey, and he was asked by his family to use the senior's backdoor to declare the patient brain dead.
Xie Wanying remembered a saying: The three greatest joys for a man are promotion, wealth and death of his wife.
Doctor Tang is just a doctor and doesn't like to be involved in the patient's family affairs. He doesn't like it, but he has to follow the procedures. If he doesn't follow the rules, he is more afraid that the Zeng family will find something wrong with him, and then kick him out as the attending doctor, and let the patient die.
Therefore, in clinical practice, doctors are sometimes very cautious and only follow the rules, in fact, it is to protect the patients.
"Last time when we talked about fMRI, their family members were full of contradictions and kept going back on their words." Dr. Tang said regretfully that the doctor wanted to further clarify the patient's diagnosis and take medical measures as soon as possible. The family members had too many concerns, and some might think that it was beneficial to them today, but it was not beneficial tomorrow, which led to their going back on their words.
The specific description is that Zeng's family initially supported the patient to undergo fMRI, thinking that the test could be used to determine the patient's brain death. Later, when they learned that the test might reveal counterproductive effects, they immediately changed their minds and decided not to do it.
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