This doctor is not short of money

Chapter 920 I hope to know the shame and be brave

Du Heng was a little confused, how Director Xing said these words.

Is it possible that if I leave one day, they will have to go out of business immediately when they encounter such a difficult disease?

Du Heng sighed helplessly, "It's not convenient for me to come back right now, so please tell me the specific condition of that patient."

"Vice President Du, I can't answer the question you asked." Director Xing also had a little helplessness in his tone, "The accompanying family members put them in the lobby directly, crying and shouting to see you." you.

Our doctor also went up to check, but nothing was found. It just looked exactly like the boy before, just lying upright. "

Listening to Director Xing's nonsensical words, Du Heng really had the urge to rush back and slap a few times.

Taking a deep breath, Du Heng asked patiently, "Tell me first, why did the patient become deeply comatose?"

With Du Heng's reminder, Director Xing found the direction to answer.

As soon as Du Heng finished speaking, he hurriedly said, "The patient is 41 years old, and he was found to have signs of cerebral infarction and high blood pressure last year.

Sudden cerebral hemorrhage last month, directly sent to the hospital for emergency treatment.Later, due to the excessive bleeding and the formation of blood clots, a craniotomy was performed.

According to the case records brought by the patient's family, the patient's performance on the operating table was normal, and the doctor's operation was also very successful, without any accidents during the whole process.

But after the operation, the patient never woke up.

The family members of the patient were recommended by their attending doctor, saying that they had read the news in the newspaper. "

Brain hemorrhage?

Craniotomy?
If the cerebral hemorrhage exceeds a certain amount, or if the hemorrhage continues, it will put pressure on the brain tissue around the bleeding point and produce a significant mass effect. At this time, a craniotomy is required.

In this case, even if the operation process is very smooth, after treatment, the patient will still have a high probability of experiencing symptoms such as hemiplegia, aphasia, or even total paralysis, and cannot take care of himself at all.

As for the situation of being unconscious and directly becoming a vegetative state after the operation, this will happen, but the probability is very small.

If it is just the case of being rescued after bleeding but leaving sequelae, let alone the current Du Heng, even Wu Buwei and others who are far away in Jinzhou can bring the patient back to life within a similar period of time. .

But in this deep coma, Du Heng was not sure, because it was the first time he saw it.

"How long have you been in a coma?"

"38 days."

After a little silence, Du Heng turned his head to look at Wu Shengnan who was holding the child in the back row.

Wu Shengnan met Du Heng's gaze, smiled softly and said, "Don't look at me and the child, we will spend a lot of time playing together in the future.

At this time, the patient needs you more, and your heart is not here anymore. "

Hearing Wu Shengnan's considerate words, Du Heng's heart suddenly relaxed, "I'll go and see the situation first, and try to get it done as soon as possible."

After speaking to Wu Shengnan, Du Heng picked up the mobile phone that was not hung up and said to Director Xing, "You stabilize the emotions of the family members, and make arrangements for the patients for the time being, and I will be right back."

After hanging up the phone, Du Heng apologized to Kang Zhirong again, and asked him to drive around with Wu Shengnan and the child, while he took a taxi back to the acupuncture clinic.

The first time she saw the patient's family members, the female family members brought their two children and began to cry. While crying, she was about to kneel down and beg Du Heng to save the patients on the hospital bed.

Fortunately, Du Heng has experience and directly stopped the female family members.

The woman was haggard, with disheveled hair.

There are two children, the older one is a boy, about fifteen or sixteen years old, he looks like a small adult, very calm.

The other is a girl, about seven or eight years old, timidly always trying to hide behind the female family members.

The patient is lying on a hospital bed that is not an acupuncture clinic, with drips and nutrient solution hanging on it, and a portable oxygen bag on the bedside.

Just in front of the hospital bed, there were two transfer doctors from other hospitals, who should have come to take care of the patient with the car.

Du Heng can understand the feelings of the patient's family members, but this kind of behavior is extremely rejected by Du Heng.

This is a completely taken-for-granted mentality, and you can do whatever you want.

The patient had just undergone a craniotomy for cerebral hemorrhage, and was still in a deep coma. There are problems with breathing and other aspects.

It's too risky to forward it so recklessly.

Du Heng ignored the crying female family members, but stared at the two doctors who came with the car and said, "I said two, the patient is not an emergency, and our city's medical system is interoperable, you can call to contact For a moment, I can go over for a consultation.

You send the patients here in such a hurry, if something happens, whose fault is it? "

An older doctor also had a helpless expression after Du Heng finished speaking.

Glancing at the crying woman, he sighed and said, "Vice President Du, this is not our decision.

After seeing your deeds, our director recommended you to the patient's family and also suggested inviting you for consultation.

But this family member didn't listen to what they said, and insisted on pushing the patient to your hospital, saying it was so sincere.

Let's stop her for a while, she is a fuss about life and death. "

Sincerity?

Du Heng was stunned for a moment, probably because she no longer trusts you?
As for the doctor, he spread his hands as he spoke, and said very speechlessly, "There is no way, I'm afraid we will spoil the patients, so we can only discharge them.

Later, our director was still worried and arranged a car to transfer the patient, and let the two of us follow along to take care of the patient's situation at any time.

And our director said, if Vice President Du has nothing to do with you, and if the patient's family members agree, then let them go back. "

As soon as the explanation here was finished, Du Heng also looked at the crying female family member speechlessly.

How to put it this way, some people look quite normal, but they are mentally ill. Normal people can't understand their brain circuits, and you can't figure out what they are thinking at all.

Moreover, there is another point about this female family member that makes Du Heng very disgusted and curious.

That is, it has been a month since the patient had an accident. Where did she come from so many tears, so much sadness, why did she cry endlessly?

You see right now, ever since Du Heng entered the door, she has been crying and shedding tears, which made Du Heng very irritable.

And she cries too rhythmically, even if you want to interrupt and stop her, it becomes very difficult.

Just waited until she felt comfortable crying, and had enough of crying, Du Heng had the opportunity to ask some more basic information.

There is nothing to say about the patient's external manifestations, so Du Heng checked the patient after seeing the case and the video data brought over.

Red tongue with white and greasy fur, stringy and rapid pulse.

The tongue of a normal person is light red, but this patient's red is that kind of deep red, which means that the patient is most likely suffering from excessive heat and damaging yin.

Among the pulse conditions, the counting pulse is yang-heat; the stringy pulse is mainly for dredging disorders and qi stagnation;

Therefore, based on comprehensive dialectics, the patient's situation is that the liver-fire encases the phlegm, and the phlegm-fire accumulates in it, eventually forming a situation where the phlegm covers the orifice and the clear yang does not rise.

From this point of view, the patient is now unconscious and has little to do with his surgery.

The reason for this situation is still caused by his own problems.

Now the patient's problem is that the excess heat causes qi stagnation and blood stasis, the Qingyang does not rise, and the heart orifice is blocked by liver fire and phlegm, so he cannot wake up.

Can it be cured?

Can the previous treatment process on the young man be replicated again?

Du Heng fell silent, sat on the stool and began to think slowly.

The others watched Du Heng bow their heads in thought, and they dared not speak one by one, for fear of causing interference to Du Heng.

Even the female family member, who had been sobbing before, tightly shut her mouth at this time, and looked at Du Heng anxiously.

After a while, Du Heng moved.

But he frowned and picked up the CT again to look at it.

After looking at it for a while, Du Heng called the doctor who spoke just now, pointed to a place on the film and said, "This place is the left ventricle triangle, right?"

The called doctor stepped forward, looked carefully at the location Du Heng was pointing at, and then nodded affirmatively, "That's right, it's the left ventricular triangle."

"What about here?"

"Temporal insular cover."

"It's all occupied by low-density shadows here, shouldn't this be normal?"

The doctor who was asked looked at Du Heng in surprise.

He didn't expect such a pure Chinese medicine practitioner to be able to watch movies better than he expected.

You must know that many Chinese medicine practitioners, especially those with a higher level, are basically beginners in watching movies, and some even fail to reach the level of beginners.

Although Chinese medicine students are taught in this aspect when they are in school, everyone knows the effect, which is to let you know that there is such a thing and understand some of the most basic content.

As for anything more advanced, it's impossible.

But Du Heng didn't wait for the answer he wanted to hear, so he couldn't help but looked back.

When he saw the doctor's surprised gaze, he smiled slightly and said, "Are you surprised that I can understand the film?"

"No, no." The doctor quickly denied.

But Du Heng slowly put down his raised hand, and said emotionally, "The reason why traditional Chinese medicine is not as good as modern medicine, except for the theory and curative effect, the biggest difference is that modern medicine has a very powerful auxiliary medicine. department.

For example, the current imaging, pathological testing, blood testing and other departments can easily find out where the patient's problem is.

This is also your young doctor in modern medicine, who can easily diagnose independently.And doctors of traditional Chinese medicine, even when it comes to attending, often make mistakes. "

Speaking of which, Du Heng slightly shrugged his shoulders, "Since there are such powerful auxiliary tools, why can't our Chinese medicine practitioners use them?

Didn’t you say that these auxiliary means can only be used by your modern medicine?

Of course, the production of these auxiliary methods is based on the foundation of modern medicine, and there must be a mismatch with the dialectics of traditional Chinese medicine.

But these methods can directly find out the problem, and our Chinese medicine practitioners only need to be able to understand what went wrong, which makes our dialectics easier.

So, am I surprised that I understand this? "

After all, Du Heng sighed quietly, picked up the film again and said, "Forget it, it's a little bit farther, you still tell me, is it normal for this area to have low-density shadows?"

The doctor on the opposite side also shrugged his shoulders, and then said softly, "It must be abnormal.

Brain CT low-density shadows generally represent ischemia in local brain tissue. "

"Ischemia?" Du Heng frowned slightly, "What impact will this cause?"

The doctor on the opposite side first glanced sideways at the female family member and the two children, then turned to Du Heng and said, "The left side of the brain controls people's movement, sensation, language and other functions, so..."

Du Heng sighed silently.

There is no accident. Even if this patient can be revived, he will still suffer from sequelae such as hemiplegia and aphasia like other cerebral hemorrhage patients.

In addition, he is still in a deep coma, and his qi and blood are not flowing smoothly, causing secondary damage to the brain network.

This caused the recovery period of the patients after waking up to be much longer than those patients treated by Du Heng before.

If the ischemia in this area is too severe, causing irreversible damage, then the patient may have to stay with sequelae that cannot be cured for a lifetime.

Du Heng told the patient's family about the possible situation, and the patient's family said that what Du Heng said was not a problem.

Because this is something that hasn't happened yet, the final result is either yes or no, so her request is to wake up the person first, and then talk about the future.

With such affirmation, Du Heng naturally did not have any worries, and immediately went through the hospitalization procedures for the patient.

But on the issue of whether the patient can be revived, Du Heng did not give the patient's family a guarantee.

After all, this is about the brain and consciousness, and no one can guarantee the final result.

Today the patient has been tossed around a lot, and he is no longer suitable for treatment, so Du Heng asked Xiao Peifa and others to do an examination first, and then start formal treatment after going to work tomorrow morning.

Du Heng was about to leave when he finished his work here, but when the boy's mother heard that Du Heng was coming, she kept following Du Heng, and wanted Du Heng to check on her child in person.

Judging from her attitude and the lines she spoke, it is clear that she has a deep distrust of the people in the current acupuncture department.

This made Du Heng very honored, but at the same time, when he looked at the people in the acupuncture department around him, he also felt a little bit embarrassed.

And the most embarrassing one was Director Zhen of the Acupuncture Department.

It is already very uncomfortable to walk behind Du Heng at an old age, and now the patient who has worked hard for more than a week has been expressed distrust in person, and his face is extremely ugly.

And Du Heng saw Director Zhen's pig liver face, but Du Heng also said that he couldn't help.

Who made them not work hard in the past two months, and they were charged more than 20 yuan after their illness was not cured.

According to what Du Heng said in his heart, he deserved it.

However, Du Heng also hoped that with this incident, these people would realize their shame and be brave.

(End of this chapter)