The Western medicine doctors next to me looked at this scene and looked at each other in blank dismay: Well, fortunately, I am not a doctor of Chinese medicine. No, it’s so miserable.
Doctor Zhou almost lost his breath.
The family member of the patient is an old lady. She may not understand you after explaining to her for a long time. Forgive the old man for being less flexible when he gets old.
Is what the old lady said wrong? To laymen it sounds right.
Only an insider knows that something is wrong.
The current TCM doctors are modern TCM, and the education system of modern TCM follows the divisions of Western medicine, including TCM Internal Medicine, Surgery, Orthopedics, Acupuncture, Massage, Nursing, etc.
The old lady probably meant that you should use all the techniques of traditional Chinese medicine, including traditional Chinese medicine, surgery, acupuncture, massage and so on.
Dr. Zhou can only spread her hands, she is just a doctor of internal medicine.
Maybe I have taken other professional knowledge in the School of Traditional Chinese Medicine. When I studied the problem, it was an elective course. I must not be good at it. If you really need other Chinese medicine skills, you can ask colleagues in that specialty for help.
Like Western medicine, Chinese medicine is separated by mountains.
"Let me tell you, you want me to prescribe traditional Chinese medicine to the patient and let him eat traditional Chinese medicine. The medicine he drinks must not be as fast as the intravenous injection. The Chinese patent medicine injection also needs to be taken back to the hospital for a clear diagnosis before being given to him. This is for the safety of his medication." No matter what, Dr. Zhou first explained the difficulties of the doctor to the patient's family members.
Well, as she was worried, the old lady directly said to her: "Acupuncture. Give him two needles. I know acupuncture is very effective. I have seen it in the acupuncture department."
Your old lady will say that it is acupuncture.
Dr. Zhou said: "I am not from the acupuncture department, and I am not good at acupuncture."
The old lady was stunned: what should I do now? She begged a doctor of traditional Chinese medicine to treat her husband's illness, but the skill card he played was no different from that of western medicine.
"It is important to bring the patient back to the hospital." Dr. Zhou said.
The nurse has given the patient an intravenous access according to the doctor's order. Other staff at the scene assisted and prepared to carry the patient onto a stretcher and transfer it to an ambulance.
During the transfer process, the patient suddenly twitched his limbs, like a shofar.
The old lady panicked and called the doctor: "What should I do?"
what to do?
Patients with hepatic coma and convulsions are different from patients with general brain disease convulsions in terms of drug selection, and there are special requirements. Some narcotic sedative hypnotics are prohibited, such as morphine.
Because the patient's family members were afraid that they would be difficult to deal with, Dr. Zhou looked at the medicine box opened by the nurse and did not dare to use An Ding.
Patients with hepatic coma also have certain risks when using diazepam. If the dose is reduced, the patient has not undergone any other laboratory tests at all, and under the condition that the test value is not given to the doctor as a reference for medication, how much should the doctor reduce the dose of this drug as appropriate?
Dr. Zhou is not sure about this.
The amount of medicine is really important. If you use less, it will have no effect. If you use too much, you will have problems. If you use less for the first time and then use more, the risk will double.
"Quickly, look for chlorpromazine." Dr. Zhou instructed the nurse to quickly find the medicine while turning the patient's head on one side to prevent the patient from vomiting and suffocating.
Nurses rummaged through the medicine box with both hands to find medicines that met the doctor's requirements.
In such a situation, it can be seen that it is the most important thing to bring the patient back to the hospital as Dr. Zhou emphasized earlier in the morning.
