Chapter 124 Migraine
Migraine is a chronic neurovascular disease that is often seen in daily life, and the incidence rate of migraine in women is much higher than that in men.
It is very common, but the mortality rate is extremely low. However, every time it strikes, it can cause the patient to suffer from a headache that is worse than death...
Unfortunately, there is no cure for this disease, and current medical technology can only alleviate and prevent it.
The female patient with migraine in front of me was wearing a royal blue loose shirt, straight black suit pants, and her slightly curly short hair. Her outfit was smart and low-key.
But the storm was so severe that even though someone held an umbrella for him, most of his clothes were still wet, and his originally delicate makeup was now a mess, like a withered flower, looking particularly ugly.
But it was these storms that exposed the other party's current condition. His brows were furrowed, his face was flushed, sweat mixed with rain rolled down his cheeks, and the blue veins on his temples were unconsciously tense and bulging.
She rubbed her temples hard to try to relieve the pain, but this action was obviously not very effective.
The other person looked anxious and listless. He walked from the dark rainstorm to the bright emergency room. He even showed obvious photophobia. He kept squinting his eyes, opening them hard, and squinting them again, over and over again...
Even though it was already past 11 o'clock in the evening, there were still many patients in the emergency department.
The woman was randomly helped by two nurses to Pan Yuhao's treatment table. Pan Yuhao looked at her, took out a pen and paper, and asked about her condition in detail as he did with every patient before making the following diagnosis and treatment: "What's your name? How old are you? Do you have a migraine? Are you feeling unwell anywhere else?"
Generally speaking, when being questioned by a doctor, many patients will give irrelevant answers, give unclear descriptions, mix in other unnecessary information, repeat descriptions, etc., which results in low communication efficiency between the two parties.
However, the woman in front of him didn't wait for Pan Yuhao to finish his last sentence.
The other party has described the situation in an efficient and accurate manner: "Wu Man, 34 years old, had migraine 4 years ago. Today, the headache is in the right temporal area, with a drilling-like pain, which has lasted for 6 hours. Please prescribe me □□□□... ibuprofen. Do not prescribe aspirin, which has a poor analgesic effect on me. In addition, I need a quiet place to rest. During the attack, I will be afraid of light and sound."
Wu Man rubbed her forehead while describing the condition precisely, without any redundant or repetitive information.
There was no need for Pan Yuhao to prescribe a prescription. He had already drawn up a medication plan for him, as if he were a medical staff who often worked on the front line of clinical practice.
Pan Yuhao had a blank expression on his face, holding a pen and paper in his hands, turning into a ruthless writing machine. Pan Yuhao seemed to have returned to the time when he was a rookie, facing the sick customer service manager, staring at him with wide eyes, and asking him to see a doctor and write a medical record.
But are you asking me to treat you? You are clearly using me as a tool!
There is no other way. In order to avoid suspicion, the Sixth Hospital stipulates that doctors are not allowed to prescribe for themselves or their family members.
However, many doctors tend to trust their own judgment more. After all, they are the ones who know themselves best. Therefore, there will be cases like Wu Man, who "treats" himself right from the start.
This kind of thing happens a lot after working in the hospital clinic for a long time.
Pan Yuhao didn't feel anything, but he wrote even faster out of helplessness.
Su Tang glanced at Wu Man's pale and haggard face, then looked at her wilted spirit and frowned.
She had just finished seeing her last patient and was about to eat some instant noodles. She had not had dinner until 11 o'clock and was already extremely hungry. Her stomach was growling. However, when she saw Wu Man's haggard appearance, Su Tang stopped in her tracks.
Diseases like migraines can often last for several days at a time, tormenting the patient mentally at all times.
Although many migraines can be cured without medication after women reach menopause, some will accompany the patient until death.
Su Tang carefully went through her memories in her mind.
She also thought about the scene when she treated the migraines of the empress and the empress dowager in the palace. Although she can't help patients cure migraines now, she can still relieve them with acupuncture. In addition, as long as the patients insist on long-term treatment and take the prescriptions she gives, they can basically avoid recurrence in the later stage!
Thinking of this, Su Tang cleared his throat and stepped forward, "Ms. Wu, any drug containing □□ is easy to become addictive if taken for a long time. Have you considered using traditional Chinese medicine for treatment, acupuncture and hot compress to relieve pain, and also use Uncaria centipede soup or Gastrodia elata pain relief powder, plus some medicated food for treatment, the overall effect is very good."
Su Tang smiled, her fair and tender face full of sincerity, but Wu Man only looked at Su Tang with her dark eyes for a moment, then shook her head and said, "I have consulted a Chinese medicine master before, but acupuncture didn't work very well for me."
Many migraines are hereditary, but Wu Man's migraines are caused by her husband who became a vegetable in a car accident four years ago. The mental stress and unstable emotions are too great. Although her husband has a nurse to help take care of him every day and a doctor is available 24 hours a day, even with the nurse to help turn him over, massage, feed and clean up every day, Wu Man finds it difficult to breathe when she thinks of her husband, who once loved her so much, lying in bed and never being able to open his eyes again.
In addition, after her husband became a vegetable, the Song Group returned to the Song family according to the pre-marital property agreement, and she was required to earn money to cover the expenses of her husband's treatment. She often had no time to rest as she ran between hospitals and shops. Her migraine problem became even worse. She consulted many doctors in and outside the province, but there was no improvement. She could only take painkillers during each attack.
As time went by, Wu Man became less and less concerned about the treatment of her migraines.
Since I can neither die nor get better, I might as well just drag it out.
Wu Man had a negative attitude towards the treatment of migraines, which was reflected in her tone: "Doctor, this disease can't be cured anyway, and there's no way to cure it. Please prescribe some medicine for me, and I'll take it and have a good sleep, and I'll feel better tomorrow. As for the rest, I don't want to bother."
Taking care of a vegetative patient is troublesome enough, and with the store damaged by the typhoon, how could Wu Man have the energy to treat her migraine?
"Uh..." Su Tang blinked and sighed. It was rare to find a patient who could explain his condition clearly but was unwilling to cooperate with treatment. However, considering the fact that migraines could not be cured, Su Tang could understand Wu Man's concerns.
"Here, the prescription and medical records... are for you." Seeing that Su Tang had hit a wall, Pan Yuhao shrugged helplessly, wrote the last word on the treatment prescription, and handed it to the other party.
Wu Man took the prescription, took a look at it, then handed it to the middle-aged driver next to her.
Driver Zhou Hai quickly took the prescription and followed the nurse to register and get the medicine.
The sky outside the emergency department was covered with dark clouds and it was raining heavily. The sound of rain hitting the glass on the ground was like a sad concert.
Big, urgent, and loud.
At the treatment table No. 13, it was unusually quiet for a moment.
Su Tang and Pan Yuhao looked at each other, and both saw helplessness in each other's eyes.
Never mind, this isn't a big deal...
After seeing this patient, they both hurried to eat something. They had started working at around 7 o'clock today, and have been working for fifteen or sixteen hours straight. They will have to continue to help in the emergency department after the night shift. If they don't eat something, they won't be able to bear it.
However, not long after, the driver came back with a sad face, and his hands were empty except for the medical records.
A nurse followed the driver anxiously, holding a prescription.
Su Tang, Pan Yuhao: "......?"
The nurse walked over to Pan Yuhao in two or three steps, returned the prescription to him, and frowned and said, "Alas, Doctor Pan, we don't have this medicine in our department's pharmacy now. It ran out in the afternoon. For pain relief, you can only change to another medicine. Aspirin, phenylbutazone, etc. will be fine. □□ is also fine..."
"Uh...Ms. Wu, what do you think?" Pan Yuhao was stunned when he heard this, and could only turn his head to look at Wu Man: "How about changing the medicine?"
This is what happens in hospitals sometimes, so in most cases, the stock of common drugs is always kept in stock, but sometimes accidents happen, such as now...
"Then give it to me..." Wu Man was obviously very familiar with other analgesics. Among these analgesics, Wu Man chose the more effective opioids without hesitation.
Seeing that Wu Man was in so much pain, with veins bulging on her forehead, sweat all over her head and her face flushed, Pan Yuhao nodded and wrote down the prescription she needed. However, for drugs like this that can be addictive, the Sixth Hospital basically prescribes the dosage that the patient needs, and usually never prescribes an extra pill for the patient.
The same thing happened this time...
After the driver followed the nurse to the pharmacy, he took out a pill from the pharmacy and handed it to Wu Man along with some boiled water.
Su Tang also made some instant noodles and sat in front of the clinic table, preparing to slurp them.
Generally speaking, analgesics are very effective, especially strong opioid analgesics such as □□, which are even more effective.
However……
An hour later...
Wu Man covered her forehead and came to the emergency department lobby from the rest area at the back again, and sat in front of Pan Yuhao.
Wu Man looked haggard: "Doctor, this medicine doesn't work... Can you prescribe me some other medicine? This medicine can't relieve my headache at all! I can't bear it if it goes on like this."
This time, Wu Man's condition was obviously worse than before. Not only was her face flushed and she looked haggard, but even her eyes began to have red bloodshot! She looked like she had been severely traumatized and had stayed up late and had not slept for a long time!
"Doctor..." Wu Man was obviously getting anxious, and even her tone became hurried: "How about you give me another tablet of pethidine? Not only do I have a headache now, but I also feel like vomiting..."
"Gah!——" As soon as the last word was uttered, a feeling of nausea surged up. Wu Man grabbed a corner of the treatment table, hunched over, and began to vomit.
Su Tang frowned, quickly stood up and stepped forward, grabbed Wu Man's hand, and pressed down hard on the Hegu point at the base of her thumb!
Hegu point can relieve pain, dredge menstruation, and at the same time treat vomiting and other conditions!