The Western medicine doctors nearby looked at this scene and looked at each other in confusion: Oh my god, it’s a good thing we are not Chinese medicine doctors, otherwise this is so miserable.
Dr. Zhou almost fainted.
The patient's family member is an old lady. I guess she may not understand even if you explain to her for a long time. You have to forgive the elderly for the fact that their brains may not be so flexible when they get older.
Is the old lady's words wrong? To an outsider, it seems to be correct.
Only insiders know that this is a big mistake.
Today's Chinese medicine practitioners are modern Chinese medicine practitioners. The modern Chinese medicine education system imitates the divisions of Western medicine, including internal medicine, surgery, orthopedics, acupuncture, massage, nursing, etc.
What the old lady probably meant was that you should use all the Chinese medicine techniques, including internal medicine, surgery, acupuncture, massage, etc.
Dr. Zhou had no choice but to spread her hands. She was just an internal medicine doctor.
Maybe you have taken other specialized courses in the College of Traditional Chinese Medicine. When you study, you will definitely not learn them thoroughly. After graduation, you will forget them if you don't use them in your job. If you really need other traditional Chinese medicine techniques, you can ask colleagues in that major for help.
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Just like Western medicine, Chinese medicine is as different from other specialties as the world.
"Let me tell you, if you want me to prescribe Chinese medicine for the patient, the medicine he drinks will definitely not work as quickly as the medicine injected intravenously. Chinese patent medicine injections also need to wait until he is taken back to the hospital for examination and a clear diagnosis before they can be used for him. This is for the safety of his medication." No matter what, Dr. Zhou first explained the doctor's difficulties to the patient's family with great patience.
Well, as she worried, the old lady said to her directly: "Acupuncture. Give him two needles. I know acupuncture is very effective. I have been to the acupuncture department."
You old ladies would say that it is acupuncture.
Doctor Zhou said, "I am not an acupuncturist, so I am not good at acupuncture."
The old lady was stunned: What should I do now? She begged a Chinese doctor to treat her husband, but the doctor's technology was no different from that of Western medicine.
"It's important to get the patient back to the hospital," said Dr. Zhou.
The nurse had already given the patient an intravenous line according to the doctor's instructions. Other staff members on the scene assisted and prepared to lift the patient onto a stretcher and transfer him to the ambulance.
During the transfer process, the patient's limbs suddenly convulsed, as if he had an epilepsy.
The old lady panicked and called the doctor: "What should I do?"
what to do?
Patients with hepatic coma and convulsions have different medication requirements from those with general brain disease and convulsions. Some anesthetic sedatives and hypnotic drugs are prohibited, such as morphine.
Because the patient's family was afraid that the patient might be difficult to deal with, Dr. Zhou looked at the medicine box opened by the nurse and was hesitant to use Valium.
There are also certain risks in using diazepam in patients with hepatic coma. If the dosage is reduced, and this patient has not undergone any other laboratory tests, and there are no test values for the doctor to use as a reference for medication, how much should the doctor reduce the dosage of this drug?
Dr. Zhou was not sure about this.
The dosage of medicine is extremely important. If you use too little, it will be ineffective. If you use too much, it will cause problems. If you use too little the first time and then increase the dosage, the risk will double.
"Hurry, look for chlorpromazine." While Dr. Zhou tilted the patient's head to the side to prevent him from vomiting and suffocating, he instructed the nurse to find the medicine quickly.
The nurse rummaged through the medicine box with both hands looking for medicine that met the doctor's requirements.
In this situation, it can be seen that getting the patient back to the hospital as soon as possible is the most important thing, as Dr. Zhou emphasized early on.
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