natural doctor

To perform a major heart operation, that is absolutely honorable.

It is shameful to be beaten as a doctor who saves lives.

The tension between doctors and patients is a real social problem.

In the process of seeing a doctor, it is not uncommon for doctors and patients to have opposing views.

There may be many reasons for the conflict between doctors and patients. For example, the patient is in an emergency, the mood is more irritable, and there may be a lack of trust in the doctor.Faced with a large number of patients every day, doctors also feel a lot of pressure.

If both doctors and patients can empathize, tolerate and understand each other, and can rationally realize that quarreling will not only fail to solve the problem, but will also intensify the relationship and cause more people to be hurt. If both doctors and patients can abide by social morality Constraints, and being able to think differently when encountering troubles, this kind of contradiction can be avoided.

However, the conflicts that Gu Feng and Yan Xinyue encountered were basically unavoidable.So apart from being unlucky, I can only blame myself for not being good at learning, but when it comes to this, it is even more helpless. Patients are humans, doctors are humans, and doctors are not gods. They don't have the ability to predict what the future will be like in advance. .

……

No matter how much impact and shock this operation has brought to the doctors and nurses of the provincial affiliated hospital, and no matter whether people will change their feelings about the five emergency surgery departments after this operation, for the medical staff of the five emergency surgery departments, this is a big deal. Things are over!

After the past, there is no need to discuss and entangle.So the five departments of emergency surgery have returned to their original state, what should everyone do.

As for Gu Feng, there was no excuse to be lazy, and he went to and from get off work honestly from eight in the morning to six in the morning.

In free time, the work in the emergency department is still not too busy, and in busy time, Gu Fengyi is still busy with leg cramps.

For example, right now, Gu Feng just got off a surgery, and the nurse immediately came to tell him, "Doctor Gu, a new patient is here, and he is breathing very fast. Would you like to come over and have a look?"

As an emergency doctor, you should be able to come as soon as you call, and you can fight if you come, and you can win if you fight.It's just that in the fifth department of emergency surgery, there are not many doctors who have this responsibility, and Gu Feng is just the most outstanding of the few, so now when the doctors and nurses in the fifth department of emergency surgery have something to do, they almost go to him immediately .

Hearing that the nurse was in a hurry, Gu Feng didn't care about the exhaustion after the operation, so he brought his full-time nurse Liu Shiya over without saying a word!

At this time, it was already [-]:[-] in the evening. At this time, the doctors and nurses on the day shift were basically off work, but the emergency department, a special department, did not leave work as soon as they wanted to. Sometimes the illness was dangerous. , one step late, one second late, I am afraid it is a life.

Gu Feng rushed to the patient's bedside, and immediately picked up the stethoscope and sphygmomanometer to examine the patient.

Under Yan Xinyue's oppression, Gu Feng has become accustomed to using Western medicine methods for examination first, and finally supplemented by Chinese medicine's observation, hearing and questioning. This double combination of examination methods can reduce the possibility of misdiagnosis and missed diagnosis!You know, things like diseases are sometimes quite cunning.

The patient was an elderly man, 88 years old.

At this time, he is in a semi-recumbent position, and his blood pressure is 11o7ommhg, which is still a normal value, but he is breathing like a sigh, which is unexpected!

The bilateral pupil diameter was about 3 mm, the light reflex was slow, the lips were cyanotic, the breath sounds of both lungs were reduced, dry and wet rales could be heard, arrhythmia, the abdomen was soft, and the lower extremities were edematous.

This is a critical and complicated patient, Gu Feng didn't dare to claim to be a big one, so he hurriedly asked his family members.

After asking, I found out that the patient has a history of copd and diabetes, and usually uses insulin to control blood sugar.

The patient came here due to the acute exacerbation of chronic obstructive pulmonary disease. When Gu Feng asked about the medical history, the family members of the patient repeatedly told Gu Feng that if the situation was not good, in order to alleviate the patient's pain, he would refuse to intubate the trachea and ventilator before dying. Assisted ventilation and other invasive treatments, but also refused blood biochemistry, chest netbsp; Although Gu Feng was a doctor in the past and present, this is the first time he has encountered such a request, but he saw that the patient was indeed too old, with various body parts. The failure of the system is also extremely serious, and we have to resign ourselves to it!

Although the family members obviously have the intention to give up the treatment, Gu Feng, as a doctor, must do his duty. After a detailed examination, he gave the patient a diagnosis. Considering the possibility of pulmonary encephalopathy caused by type II respiratory failure, he immediately administered intravenous infusion of stimulation agent.At the same time, the patient's family members were also informed that the patient's condition was critical and death might occur at any time, and the family members had a better understanding of the patient's condition and prognosis.

After the doctor's order was issued and Liu Shiya went to execute it, Gu Feng was about to leave, but he glanced at the old man lying on the bed again, feeling a little unbearable, because breathing stimulants might not wake him up, so he couldn't help but ask the family members again , "How's his diet these days?"

This is a dispensable, insignificant, and even superfluous sentence.However, it was this sentence that made the patient's situation turn for the better.

The family members reported that the patient's appetite was extremely poor in the past two days, and said that after the subcutaneous injection of insulin at around ten o'clock in the morning, he ate a few tablespoons of gruel.

This detail opened Gu Feng's mind suddenly, and a word "hypoglycemia coma!" crossed his mind.

Gu Feng hurriedly stopped Liu Shiya, who was about to carry out the doctor's order for respiratory stimulants, and asked her to check her fingertip blood sugar immediately.

The test of the portable blood glucose machine is very convenient. The result comes out in less than 2 minutes. The blood glucose value at the fingertips is: o.6mmo11!

This result surprised all the doctors and nurses present, not to mention that this is a diabetic patient, even if it is a normal person, the fasting blood sugar should be at least 6.1mmo11, while the fasting diabetic patient should be 7. ommo11.

This was the lowest blood sugar level that the doctors and nurses present had ever seen, and it also confirmed Gu Feng's judgment!

Now that the judgment has been confirmed, the treatment is much simpler. Eighty milliliters of glucose with a content of 50.00% is injected intravenously, and at the same time, glucose with a content of [-]% is instilled for maintenance.

Three to ten minutes later, surprisingly, the patient's mind gradually cleared up.Not only did he wake up, but he could also say his name and the names of relatives present. What was even more surprising was that the patient was able to write down his latest and blood sugar values ​​verbatim.

It is really gratifying that the effect of the treatment is so miraculous. Perhaps in terms of coma caused by many causes, the treatment of hypoglycemia coma may be the most immediate. Just a little common glucose can wake up the severe coma.

As a doctor, Gu Feng felt shocked while feeling accomplished.

Because when he diagnosed the patient, he first thought of pulmonary encephalopathy caused by respiratory failure, and at the same time considered that the patient had diabetes, so he habitually instilled normal saline and respiratory stimulants intravenously.Just think about it, if you don’t ask more questions to check your blood sugar, only the blood sugar of o.6mmo11 will disappear very quickly. Even if you actively treat it, the curative effect will be greatly reduced, and it may even lead to the death of the patient. The consequences will be unimaginable. .

After waking up, the patient was transferred to the Department of Endocrinology. It is said that the patient got better and was discharged within a few days.It's just that this incident left Gu Feng and the doctors under him with a lot of insights. When diagnosing a disease, don't take it for granted. Grasping every clue may improve the patient's condition at the corner of thinking, and the prognosis will be completely different. different.Every step of treatment will directly or indirectly affect the patient's condition. There is no trivial matter in the clinic, and continuous improvement is worthy of the sacred duty of a doctor and every doctor's order and clinical decision.

After dealing with the patient, Gu Feng saw that there was nothing else to do, so he went back to his office. After a while, Liu Shiya also walked in...