Chapter 96 Western medicine does not understand the pride of Chinese medicine(1/2)
In the afternoon, Zhao Pengcheng finally took time to transfer an assistant to Zhang Yan, Army.
A very domineering name.
He is a doctor who graduated last year and is considered to be the seniors of Zhao Shengli and Qian Hongying.
After going to work in the afternoon, Zhang Yan continued to concentrate on studying the English version of surgery.
Zhao Shengli, Qian Hongying, and the newly arrived Army stared at each other.
Zhao Shengli and Qian Hongying thought Xicheng Hospital would be very busy, so they did not bring their books.
"Brother Zhang, why are there more patients in Xicheng Hospital than our infirmary?" Qian Hongying muttered boredly.
"Bored? I'm bored? I'll go to the hospital library to borrow a few magazines and come back to read them, and study hard." Zhang Yan said without raising his head.
"But…"
"Nothing, I forgot what I said to you?
When there are no patients, read more books and study, and don’t talk nonsense.” Zhang Yan raised up and scolded.
"Oh!" Qian Hongying remembered the last time Zhao Shengli was talking nonsense, but she ended up busy for two days, so she quickly closed her mouth.
Three people went to the hospital library to borrow medical journals.
This is much better than Red Star Hospital.
Xicheng Hospital has a special library, which stores various medical books and domestic and foreign medical journals, which can be borrowed for free by the hospital doctors.
After two more hours of leisure time, a young nurse ran in, "Doctor Zhang, Director Zhao of General Surgery, asked you to go for consultation."
"I understand!" Zhang Yan nodded to nurse.
Then he said to the three of them: "Here you live, let's go."
Come to the general surgery ward on the third floor.
Under the guidance of the nurse, I came to a small conference room in General Surgery.
There have been several middle-aged and elderly doctors in it, all of which are the pillars of the general surgery department of Xicheng Hospital.
"This is typical cholecystitis!"
"No, according to the patient's performance, I think it's not just cholecystitis, but the possibility of gallstones is also very high, and it may even be cholecystitis accompanied by gallstones."
"I recommend direct surgery to remove the gallbladder. Medicine has proven that removing the gallbladder does not affect survival."
"It does not affect survival, but it affects the quality of survival!" Zhang Yan happened to walk into the conference room in one step. When he heard the other party's words, he ignored who the other party was and directly retorted.
"Doctor Zhang is here!" Zhao Pengcheng greeted with a smile.
"Yes!" Zhang Yan nodded to Zhao Pengcheng and continued: "When we doctors face patients, we cannot just consider how to treat this disease.
The dignity of the patient needs to be considered."
"There is no life, but the dignity of life still needs?"
"It is better to die with dignity than to live without dignity."
"Doctor Zhang, we are doctors. We have no right to decide how patients live. Our purpose is to cure diseases and save patients, and do our best to treat patients."
"Yes, Director Zhao is right. We should do our best to treat the patients.
However, I absolutely do not agree with it, and roughly remove the organs that have problems.
Every organ in our body is useful, and even the appendix and tonsils that seem useless have their indispensable role.
The doctor just now said that he would remove the gallbladder, but I really disagree.
The gallbladder is a very important organ in the human body. It is not a rotten spot on an apple. Dig it out and it will not affect consumption.
Have you ever studied what consequences will be caused after removing the gallbladder?
The patient's second half of his life is inseparable from the maintenance of drugs, and even his personality becomes timid.
Are you sure, this is the result the patient wants?" Zhang Yan said, and the doctors in the conference room closed their mouths.
In fact, they just said that if they really had the gallbladder removed, they wouldn't have the medical skills.
Otherwise, Zhang Yan would not have been invited to consult.
Seeing that everyone stopped talking, Zhang Yan's attitude eased for a moment, "Sorry, I was a little impulsive just now.
Everyone, forgive me, I am young and impulsive.”
Everyone cursed in their hearts, is it the reason you are young?
I am old, can I rely on my seniority?
However, Zhang Yan's medical skills are obvious to all in general surgery. His superb surgical skills have long convinced general surgeons.
So, although Zhang Yan spoke violently, no one dared to slap the table with him.
The army is the strong, and the hospital is the people with good medical skills.
Zhao Shengli and Qian Hongying had little stars in their eyes. If it weren't for the wrong occasion, they would have almost wanted to applaud Zhang Yan.
Too domineering.
"Director Zhao, what is the patient's situation?
I just discussed with you the important issue of survival or quality of survival. I still don’t know what the patient is like.” Zhang Yan asked with a smile.
"Oh! The patient, female, 47 years old, was admitted to the hospital six hours ago for severe abdominal pain, pain in the right upper abdomen and epigastric, intermittent back radiation pain, mild yellow scleral stain, accompanied by symptoms such as sweating and nausea.
After infusion treatment, the pain worsened and intolerable. After injection of petidine (DuLing Ding) was used, the pain was stopped.
After X-ray examination, it was suspected that it was cholecystitis and gallstones." Zhao Pengcheng briefly introduced the condition.
"Where is the patient? Let's take a look at the patient first!" Zhang Yan took the x-ray and took a look. Zhao Pengcheng and his team had no problem with the diagnosis.
Whether it is the symptom description just now or the x-ray, it shows that this is an acute cholecystitis or acute stone cholecystitis.
However, how to treat it, as the doctor just said, is to remove the gallbladder or treat it by medication, you need to look at the patient before talking about it.
But what the doctor said just now was not wrong.
Even in later generations, the surgical treatment of acute cholecystitis is a cholecystectomy.
The development of Western medical surgery seems to have been following a path: organs that could not be removed can now be removed; organs that could not be replaced can now be replaced.
"The patient is in the ward!"
Zhao Pengcheng brought Zhang Yan and a group of doctors attending the meeting to the ward.
The patient is undergoing an infusion.
Penicillin is naturally used.
Even in later generations, acute cholecystitis was chosen to use penicillin plus clindamycin for combined anti-inflammatory.
Because of injection of petidine, the patient has entered a state of drowsiness.
A young woman sat next to the hospital bed, probably the patient's daughter or daughter-in-law.
"This is Dr. Zhang, here to consult your mother." Zhao Pengcheng introduced Zhang Yan.
"Thank you, Doctor!"
"Don't be busy with thanks, I'll check it out for your mother." Zhang Yan said with a gentle smile.
After saying that, he walked to the hospital bed, pulled the patient's hand, and began to take her pulse.
The doctors following behind were all confused, including Zhao Pengcheng.
I just talked so much, but as a result, when you come to see the patient, just take her pulse?
Can traditional Chinese medicine treat acute cholecystitis?
"How long has your mother been not defecating?"
“Yes, it’s been three or four days?
I had said before that I would go to the health center to prescribe some laxative medicine.”
"Yeah!" Zhang Yan nodded and continued to take the pulse.
The pulse is deep, stringy, smooth and powerful.
Deepness is the internal syndrome, which is the internal syndrome, which is the internal syndrome, which is the internal fever syndrome, and the strong pulse is the internal heat syndrome.
While Zhang Yan was thinking, the patient opened his eyes.
"Who are you······"
"Mom, this is Dr. Zhang, here to see you."
"Please, doctor." The patient said politely.
“No trouble.
Have you been suffering from mouths lately?”
"It's quite bitter! I haven't felt bad lately, and I thought I couldn't pull it out..." The patient was halfway through and was embarrassed to continue.
To be continued...