Wang Lishu now has changed the name of Li Quan, even his attitude is much more polite.
is no longer the cold command tone.
Old man Huang Ximei’s condition is very dangerous, but Dr. Wang is now asking Li Quan to check it out. What does this mean? First of all, it must be trust. It is because of the trust in Li Quan's medical skills.
Secondly, I am also worried about another accident.
In terms of pneumonia diagnosis, whether Dr. Wang admits it or not, Li Quan is indeed better than him.
Li Quan inspected the old man’s condition in the past, and through both inspection and pulse cutting, he found that the old man’s condition was fairly stable. No further deterioration.
Due to limited medical resources in the emergency room, vital signs monitoring instruments are mainly placed in the rescue room, ICU, and operating room.
So for the time being, no life monitoring equipment has been installed for the elderly.
I didn’t even do semi-nasal oxygen delivery.
This is not because there is no oxygen supply equipment, but because the patient’s current condition has not yet progressed to that point.
Premature oxygen delivery is tantamount to harm the patient.
Like many people who have a little cold, they go to infusion and get antibiotics. When antibiotics are really needed, it's over and there is no medicine available.
In addition, the abuse of antibiotics will cause the body to become heavily dependent and reduce the body’s immunity.
"Old man, where are your children? Like your current situation, it is best to have family members to accompany you." Li Quan asked the old man.
"Oh... my child was sacrificed on duty more than 30 years ago. My wife and I also left early, and there was no one at home." The old man shook his head and sighed.
"Then what if you have to go through the hospitalization procedures at night? If you are not accompanied, the hospital will not handle the hospitalization procedures for you." Li Quan had some sympathy for the old man.
According to the hospital's regulations, patients like this who are difficult to take care of by themselves, and may even be life-threatening, must be accompanied by an before being admitted to the hospital.
"Boy, it's okay, you can do your job. If I really need to be hospitalized, just hire a caregiver." The old man is very clear about these procedures and has some countermeasures.
It does not seem to be the first hospitalization.
"Then you lie here and rest first. If you have anything, call us."
Li Quan exhorted and went back to report to Dr. Wang.
"Doctor Wang, the old man named Huang Ximei, his condition is fairly stable and he has not deteriorated further."
"That's good! This time is really lucky." Dr. Wang was obviously relieved, and his brows stretched a lot.
There must be some psychological pressure on him.
The emergency department is a tired and dangerous department.
A little carelessness, accidents may occur.
"Ah...ah..."
The young woman had returned from the examination, and the screams became more terrifying. It attracted the attention of countless people along the way.
"Doctor, doctor, please help my girl see it. This is a B-ultrasound and blood test result list." The woman's father was so anxious that he almost shed tears.
"Don't worry, don't worry, let me see! Only when the cause of the disease is found, can the symptoms be treated."
Doctor Wang took the inspection documents and checked.
For modern doctors, each item of test data, as well as advanced imaging technology, can help them diagnose the cause.
Li Quan took the first two steps, clasping one hand on the woman's wrist.
"Forbearance first, we as physicians can only treat the symptoms after finding out the cause of your disease." While Li Quan calmed her warmly, he was also feeling her pulse with heart.
The pulse formula automatically appeared in his mind.
The pulse has three parts, yin and yang multiply, Rongwei's blood qi, bows in the human body, moves up and down in the middle, travels through the body due to breath, and fluids circulate. Action at any time, description of the effect, spring and autumn, winter and summer. Observe color and veins, different sizes...
"The patient's pulse method is wrong. The pulse is rapid and fierce, but the pulse jumps regularly. What's the matter?"
Li Quan couldn't help but think of the diagnosis he had made on the woman with the vision diagnosis technique.
The lesion is in the large intestine, but regular pulse pulses appear, indicating that there is blood in the large intestine.
Cannot form an effective circuit, so the pulse is broken.
If the main pulse is not connected, the phenomenon of broken pulse will be more serious.
"It's a pity that my pulse diagnosis is only in the Xiaocheng state. I can't find out the specific cause when I'm not at home."
Li Quan’s forehead was sweating, which was urgent.
The cause cannot be found, which means that the patient cannot be cured.
The pulse of this woman is extremely abnormal.
If something goes wrong, there must be demons.
Faced with this female patient who has been screaming constantly, Li Quan even dare not to be negligent. Don't even dare to be too superstitious about the ability of superior physicians.
The old man named Huang Ximei before is the best lesson for us.
Li Quan just started to squat down and put it on the wrist of the female patient. The family did not say anything.
thinks that this is just a doctor’s normal diagnosis behavior.
But Li Quan kept clasping the wrist of the female patient, and the family members were a little dissatisfied.
"Little doctor, are you a modern hospital? Why do you still use this old-fashioned pulse diagnosis technique?" The family members rudely removed Li Quan's hand.
In addition to doubts, he is also full of vigilance towards Li Quan.
It’s no wonder that the current group of doctors is uneven, and people with bad morals have done some unscrupulous bad things, causing patients and their families to have a bad view of the whole group of doctors.
Doctor Wang saw that Li Quan was treated so rudely by the patient’s family, even though he was a bit blamed for Li Quan’s troubles.
He still spoke out to defend Li Quan, and said calmly to his family, "Although there are many advanced instruments for diagnosis, pulse diagnosis is the foundation of Chinese medicine. The comprehensive diagnosis of Chinese and Western medicine is more accurate and can be Reduce the occurrence of missed and misdiagnosed incidents. Our doctor, Li, is taking the pulse of your daughter in a responsible attitude."
At the critical moment, Dr. Wang spoke for Li Quan and safeguarded his dignity, which made Li Quan grateful to Dr. Wang.
The woman’s father also seemed to realize the error,
Doctor Li, I’m sorry just now, I misunderstood you!
He quickly apologized to Li Quan.
"It's okay, just explain it clearly!" Li Quan waved his hand, but he kept thinking about the pulse that he had just cut.
Why is the pulse broken?
The pulse of Ms. Yang who had hemorrhage last time appeared in his mind. After Ms. Yang suffered heavy bleeding, her blood pressure couldn't rise alive and deadly. The reason was that the heart pulse was blocked and the reflux was weak.
However, Ms. Yang’s pulse is very different from this woman’s.
can only provide Li Quan with a direction for thinking.
Weak pulse and broken pulse are completely two concepts.
"The heart pulse is blocked but not completely occluded, resulting in weak pulse. What if the blood vessels are completely closed?"
A flash of light flashed in Li Quan's mind.
This woman has a broken pulse. Could it be that a blood vessel is blocked?
The lesion is in the large intestine, so the blocked blood vessel must also be in the large intestine. At least it is also related to the large intestine.
Which blood vessel will be blocked?
There are three main blood vessels in the large intestine, superior mesenteric artery, inferior mesenteric artery and mesenteric vein. The most common occurrence is varicose veins.
If the mesenteric varicose veins are severe, the B-ultrasound sheet should be able to tell some clues.
can directly block the blood vessel, this varicose vein must be very serious.
Li Quan subconsciously looked at Dr. Wang’s B-scan.
B-ultrasound imaging technology is relatively good, and the definition is poor.
Li Quan did not find any signs of varicose veins after watching for a long time. However, the large intestine is inherently tortuous, and even if there is, it is not easy to distinguish.
