For obstetricians and gynecologists, what they fear most is when a pregnant woman experiences an emergency and the family members disagree with the doctors.
Especially on the issue of prioritizing the survival of the elderly over the survival of the young.
Most of the mothers' families chose to prioritize saving the baby and were unwilling to sign the consent form.
This makes it difficult for obstetricians and gynecologists to immediately provide emergency care to pregnant women, leading to some medical accidents. As a result, obstetrics and gynecology is one of the departments with the most patient disputes.
Zhu Jiangcai frowned and sighed softly, saying, "Let's communicate with the mother's family again, otherwise it might be too late."
"Dr. Wu is currently communicating with the mother's family. The problem is that the fetus in the mother's womb is not yet full-term. If a cesarean section is not performed as soon as possible, both the mother and the fetus may be in danger of death!"
Wu Shiping also looked helpless; the mother's family was really too difficult to communicate with, especially her mother-in-law.
Su Zhengnan stood aside and listened for a while. He silently took the pregnant woman's examination report from Zhu Jiangcai's hand and looked at it. Suddenly, he said, "Director Zhu, shall I take a look? I think the mother and the baby can be saved!"
"You? Are you sure?"
Zhu Jiangcai paused for a moment, looking at him with some surprise.
Wu Shiping, the head of the obstetrics and gynecology department, looked Su Zhengnan up and down with great curiosity, and asked Zhu Jiangcai, "Director Zhu, who is this?"
Zhu Jiangcai snapped out of his daze and quickly introduced, "I almost forgot to introduce you, Director Wu. This is Dr. Su Zhengnan, a doctor on secondment in our emergency department. His main job is as the school doctor at Beijing Film Academy."
"The school doctor at the Beijing Film Academy?"
A look of surprise flashed in Wu Shiping's eyes. He couldn't understand why Zhu Jiangcai would let a school doctor into their emergency department. Either he was crazy or this young man really had medical skills.
Wu Shiping didn't think Zhu Jiang was a fool; after all, he was the director of the emergency department.
Su Zhengnan didn't reply, but instead asked Wu Shiping, the head of the gynecology department, "May I take a look?"
"Okay!"
Wu Shiping did not object and nodded in agreement to Su Zhengnan's consultation.
Without hesitation, Su Zhengnan walked directly to the woman in labor, grabbed her wrist, and began to take her pulse.
Upon taking the pulse, Su Zhengnan discovered that the woman's pulse was wiry and strong.
This is not a good sign.
Su Zhengnan's heart sank. He then looked at the new mother's tongue and saw that it was pale white with a hint of red.
Fortunately, Su Zhengnan's experience in "Traditional Chinese Medicine Gynecology" had already reached a level of proficiency, allowing him to instantly diagnose the pulse signs of this type of difficult labor.
As the saying goes: "When the pulse at the cunkou point is wiry and large, wiry indicates deficiency, large indicates hollow, deficiency indicates cold, and hollow indicates weakness. When cold and weakness combine, this is called 'Ge' (革). In women, it indicates miscarriage or vaginal bleeding. Xuanfuhua Decoction is the main treatment."
This passage is a medication regimen recorded by Zhang Zhongjing in his book "Women's Pregnancy Diseases".
Thinking of this, Su Zhengnan looked up and immediately said to Wu Shiping, the director of the obstetrics and gynecology department, "Director Wu, can we give the mother Chinese medicine? I have a prescription that might stop the mother's heavy bleeding and save the baby until the cesarean section is completed!"
"Um?"
Wu Shiping frowned and looked at him, saying, "Traditional Chinese medicine? Are you sure that drinking the Chinese medicine you prescribed will stop the postpartum hemorrhage?"
Wu Shiping also knows a little about traditional Chinese medicine. After all, she had learned a bit about the application of traditional Chinese medicine in obstetrics when she participated in gynecology training, but she was not an expert.
Mastering traditional Chinese medicine is no easy task; it's not something you can learn simply by attending a few training sessions.
However, during those few training opportunities...
This broadened Wu Shiping's horizons and allowed him to witness the power of traditional Chinese medicine.
Therefore, Wu Shiping did not object to Su Zhengnan's suggestion to take traditional Chinese medicine. Her only concern was whether the prescription would actually work.
Su Zhengnan nodded seriously and said, "I am absolutely confident. If you don't believe me, Director Wu, you should at least believe Director Zhu, right?"
As he spoke, Su Zhengnan turned his gaze to Director Zhu, who was standing to the side.
What the heck?
How did this get involved with me again?
Zhu Jiangcai glared at Su Zhengnan with a helpless expression. He knew that Su Zhengnan wanted him to vouch for him, otherwise Director Wu would not believe Su Zhengnan's argument at all.
But should I side with Su Zhengnan?
It's important to understand that this patient wasn't from their emergency department, and Su Zhengnan was just a doctor on temporary assignment in their emergency department.
Although Zhu Jiangcai trusted Su Zhengnan's medical skills, it seemed that the current situation didn't warrant Su's intervention...
However, some things cannot be judged in this way.
After all, this involves two lives. As a doctor, I cannot watch two lives perish just because I am afraid to take responsibility, nor can I give up any idea of saving them.
Thinking of this, Zhu Jiang nodded and stood on Su Zhengnan's side.
"I believe Dr. Su's diagnosis; perhaps traditional Chinese medicine really works."
"Since you've said so, Director Zhu, then let's prescribe the medicine according to Dr. Su's suggestion!"
After receiving Zhu Jiangcai's affirmative answer, Wu Shiping nodded and agreed to Su Zhengnan's treatment. She also did not want the pregnant woman to continue waiting.
After all, it's unclear when the pregnant woman's family members will agree to sign the consent form!
Upon seeing that Director Wu had agreed, Su Zhengnan immediately said, "Prescribe Inula Flower Decoction: Inula flower 15g, prepared licorice root 20g, oyster shell 15g, Solomon's seal 30g, Aster tataricus 16g, Platycodon grandiflorus 20g, Rehmannia glutinosa juice 19g..."
"Another prescription is the Four-Substance Decoction for Pregnancy Support: Rehmannia glutinosa 12g, Angelica sinensis 10g, Paeonia lactiflora 12g, Ligusticum chuanxiong 8g..."
"These two prescriptions should be decocted separately and taken orally. First, take the Inula Flower Decoction, then take the Four Substances Decoction!"
Inula japonica has the effect of removing blood stasis and promoting blood circulation.
Normally, this kind of prescription is not suitable for postpartum hemorrhage, but the bleeding in this case is caused by blood stasis in the body, so it is necessary to first remove the blood stasis and then stop the bleeding, while also taking measures to protect the pregnancy.
"As the saying goes: one should not be bound by the method of pregnancy, nor should one be bound by the number of months. One should follow the symptoms and the menstrual cycle and treat the disease accordingly. This is the best approach."
Siwu Decoction has the effects of regulating qi and blood, nourishing blood and calming the fetus.
Therefore, Su Zhengnan prescribed two formulas, one to eliminate and one to replenish, in order to achieve a balance of Yin and Yang and avoid causing any harm to the mother's body.
"Okay, I understand."
Wu Shiping nodded, then turned to a female nurse behind him and instructed her:
"Go to the Chinese medicine pharmacy and have them decoct the medicine according to the prescription that Doctor Su just wrote. Be quick!"
"Yes, Director, I'll go right away."
The nurse responded and quickly ran out.
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