Chapter 236: Determine the treatment plan
"You are Mr. Guo, what's your full name?" Li Keqi looked at the young man, looking at the polite and polite, how much hatred, and did something to splash paint.
"Guo Fei. Guo Fei said coldly.
"Okay, Guo Fei, you know what is going on, please cooperate with our investigation and get in the car!"
Guo Fei knew that his affairs were exposed, the policeman who questioned him gave himself a lot of face, and he didn't expose himself to his face, Huang Liya was expressionless, and she was already happy in her heart, Guo Fei was good for herself when something happened, watching several policemen and Guo Fei's departure, many medical staff came to ask Huang Liya about her situation, and Huang Liya couldn't greet her a little.
Huang Liya returned to the office, she didn't understand Chen Guo, what did it mean that she hadn't shown up, could he not know about this? Just kidding, how could it be possible, two people wearing a pair of pants would not know, it was really a big call.
Someone knocked on the door and said that Cao Cao arrived, and Cao Cao arrived.
"Huang Dong, what did Mr. Guo do like this, why was he taken away by the police?" Chen Guo looked a little anxious.
This expression made Huang Liya laugh, okay, if you pretend to be stupid, then I will also pretend to be stupid.
"I don't know, I just took it away, I don't know what the situation is, whether I gave that little girl up, and someone else is looking for trouble. Huang Liya teased Guo Fei in front of Chen Guo.
Chen Guo's face flushed when he heard this, his boss was the boss after all, if he had changed people, he would have been on fire a long time ago.
"No, I understand Guo Fei, it's not that kind of person, could it be that the police made a mistake?"
"I don't know about this, Dean Chen, the police arrest people, what can I do, after work, it's better for you to understand the situation." ”
"That's right, that's a bother, Huang Dong. ”
"It's fine. ”
Chen Guo wanted to try Huang Liya's tone, but this woman was very shrewd, in Huang Liya's heart, she just treated Chen Guo as a chess piece, and when Yingying came back, she praised it, this thing is too beautiful.
……
"Doctor Su, has Du Jun's emotions calmed down?" I asked.
"Go back and cook, I'll come over later, how are you there, is there any strange treatment for Du Fuguo's cerebral hemorrhage?"
"I looked through my father's previous clinical records, and I mentioned less about cerebral hemorrhage, but more about the sequelae of stroke, acute cerebrovascular diseases in Western medicine, including ischemic stroke and hemorrhagic stroke, such as transient ischemic attack, localized cerebral infarction, primary cerebral hemorrhage and subarachnoid hemorrhage. I took the test sheet and the report sheet of enhanced CT, and I used the knowledge of traditional Chinese medicine to roughly analyze the etiology and pathogenesis of Du Fuguo, wind, fire, phlegm, and stasis are the main causes, the disease is located in the brain, and the lesion involves the heart, liver, spleen, kidney and other viscera. In the case of yin and yang imbalance, due to anxiety and anger, fatigue, sexual exertion and other reasons, resulting in wind and yang fanning, wind and fire fanning, qi and blood upwards reversed; or due to the thick taste of posture and food, spleen deficiency and phlegm dampness, turning fire and wind, wind and yang and phlegm on the upper body of the clear mind, resulting in dysfunction of the viscera, yin and yang qi reversal is closed; if the positive qi is weakened, it can lead to the separation of yin and yang, such as the flow of wind and phlegm through the meridians, and the flow of qi and blood is blocked, then the symptoms of meridian disorder appear. This is the etiology and pathogenesis, maybe the language is somewhat official, but I have memorized it for a long time. ”
Su Lin said: "It's okay, what about the diagnosis?"
"First, it has specific clinical manifestations such as sudden fainting, unconscious, hemiplegia, hemibody numbness, crooked mouth and slanted eyes, and slurred speech. Mild symptoms only include dizziness, hemibody numbness, mouth and eye vortex slanting, hemiplegia, etc. Second, it is more acute onset, more likely to occur at the age of 40 years old, third, there is a history of dizziness, headache, palpitations and other medical conditions before the onset of the disease, and the onset of the disease is mostly caused by emotional disorders, improper diet or fatigue. Fourth, there are many precursor symptoms such as dizziness, headache, and numbness on one side of the limb before the onset of the disease. Fifth, after rescue treatment in the acute stage of stroke, the consciousness gradually clears up, and the phlegm and fire gradually subside, but there are symptoms such as hemiplegia, mouth vortex, and loss of voice enter the stroke recovery period. Sixth, cerebrospinal fluid and head CT and MRI examinations are helpful for diagnosis. ”
Su Lin continued to ask, "How to diagnose and treat according to the methods of traditional Chinese medicine?"
"Three needles of the brain, three needles of the temporal, three needles of the tongue, three needles of the hand, three needles of the foot This is the main acupoint, which is divided into the brain, the left and right brain holes, the temporal needle is 2 inches on the hairline on the tip of the ear, the temporal two needles are opened one inch horizontally and forward, the temporal three needles are opened one inch horizontally and backward, the tongue is the Lianquan acupoint, the second tongue needle is 0.8 inches to the left, the three needles of the tongue are 0.8 inches to the right, the three needles of the hand include Hegu, Quchi, and Waiguan acupoints, and the three needles of the foot include the three points of the feet, the three yin jiao, and the Taichong acupoints. According to Du Fuguo's situation, the wind and phlegm are blocked, the qi deficiency and the liver and kidney deficiency are all accounted for, Fenglong, phlegm and wind, qi sea, blood sea is beneficial to qi and blood, liver and kidney deficiency plus Taixi, Fengchi, Liver Yu, Kidney Yu nourish the liver and kidney, nourish yin and latent yang. Use electroacupuncture treatment five times, see the effect, try the acupuncture points to inject she, select the above limb acupuncture points such as Taichong, Zusanli, Quchi, Waiguan to use the lantern flower injection SHE liquid or compound Angelica injection SHE liquid 2-4 ml, each acupuncture injection SHE 1 ml, once every other day, 10 times for a course of treatment, the end of the course, stop for a week, continue the second course of treatment, this effect on hemiplegia is very good, this is the treatment I want, I will refer to your opinion!
"All the medicines that can be used have been used by Du Fuguo, because I told you before, there are big problems with the entire digestive system and circulatory system, and the medicine does not work, but the more you eat, the more serious it is, there is no better way to acupuncture at present, and it is troublesome to supervise Feng!"
"Okay, you can arrange it, see how long it will take to have acupuncture treatment, and give me an electroacupuncture device, the best one." ”
"Acupuncture can be done after dinner in the evening, and the electroacupuncture device is no problem. ”
"Okay, that's it! The treatment plan will be implemented according to this, I hope it will be effective, the lawsuit will be very long, and it will have a lot of impact on the reputation of the hospital. ”
"Yes, Director Feng, in fact, think about it empathically, it is not easy for the patient's family, so much treatment cost, not every family can take it out, Du Jun is said to have opened more than a dozen supermarket chains in this city, the family background is okay, and he is also a filial son, and I am also an unshirkable responsibility as the person in charge of the emergency department. ”
"Doctor Su, don't complain, there are some things that you and I can't control, let's go to dinner, you don't need too many people to watch when you treat later, just you and me, let's get Du Fuguo to the VIP ward at half past six." ”
When I returned to the office, I suddenly felt dizzy, I was studying medicine, this was due to insufficient blood supply to the brain, I didn't eat well, and I couldn't keep up with nutrition, can I not get dizzy? I kept softing my temples, hoping to relieve the dizziness, and at this moment, two people came in, Qiqi and Wang Yirou.
"Brother Wind Chime, are you hungry, what's wrong with you? are you dizzy?" Kiki said worriedly.
Wang Yirou saw that something was wrong with me, so she went out, what kind of famous girl is this girl.
"It's okay, have you eaten?"
"I ordered a few small stir-fries, added some nutrition to you, and a glass of high-calcium milk to replenish your vitality, seeing that you are languishing all day long for the hospital, I feel distressed. ”
"It's better to be Qiqi, there's no way around it, Sister Yan is not here, I don't take the responsibility, who bears it, Sister Yan will be much easier when she comes back." ”
"But......" Before Qiqi finished speaking, Wang Yirou came in.
In his hand, he took two sticks of infusion liquid and kiwifruit, what does this mean.
Wang Yirou looked at me with a confused look and said with a smile: "Director Feng, this is glucose and kiwifruit, glucose supplements energy, kiwifruit returns to the stomach, bladder meridian, inositol and amino acids supplement the nutrient cells consumed by brain power, recently you have used your brain too much, eat more, not enough for me here." ”
"You get so many red heart nuts from there, it's not the season to eat red heart nuts yet!" It stands to reason that the red heart fruits in your hometown should not be ripe yet!
"Red heart fruit, isn't this called kiwifruit?" Wang Yirou was a little puzzled.
"My hometown is rich in pears and kiwifruit, kiwifruit will be sold in large quantities to the world in July, August and September every year, because the varieties of kiwifruit are different, most of the kernels are red, so it is called red star fruit, of course, there is kiwifruit with higher nutritional value than red heart fruit?"
"What's that?" Kiki wondered.
"Purple cloud kiwifruit, the core is light yellow, the flesh is very fresh, the nutritional value is particularly high, of course, it is also very expensive, next time I will bring you more." ”
Wang Yirou asked: "Thank you, Director Feng, the matter of Du Fuguo has spread, many patients' families say that the current hospital is a vampire, and it is not necessarily good to sell a house to see a doctor, and if it is not good, it will owe the hospital a lot of money, all kinds of dissatisfaction, Du Jun's remarks have affected the families of other patients, and I don't know how the follow-up development will be?"
Kiki also looked at me helplessly, not sure what to do.
"The negative effects caused by this thing cannot be avoided, the only thing we have to do is to dispel such remarks, so that the people have trust in our hospital, charge the treatment fee, and let the patients see the effect This kind of speech will naturally disappear, otherwise it will be counterproductive, about Du Fuguo's treatment plan, I and Dr. Su have confirmed, you should go home after work, I will tell you about the progress of Du Fuguo's treatment. ”
Wang Yirou said: "Okay, although I have not been in the hospital for a long time, I also want to contribute, so let's do it, Qiqi, didn't you learn nutrition with Liu Changxin? Let's design a nutrition package for Du Fuguo after treatment!"
Qiqi looked at Wang Yirou and did not refuse, and nodded.
Wang Yirou knew the relationship between me and Kiki, and didn't stay in my office for a long time, just when the meal ordered by Kiki came in, I asked Kiki to eat together, Kiki said that she had already eaten, and she was willing to wait for me to go back after work, no matter how late.
I'm really blessed to have a virtuous girl like Kiki, which doesn't look like depression. I looked at the time and there were less than two hours before the treatment, I took a big bite of rice, the taste was really good, Kiki knew what flavor I liked, roast beef, fish-flavored shredded pork, kung pao chicken, roasted winter melon, too much, I couldn't eat it at all, I didn't get dizzy after the food, and I squinted for a while after drinking a cup of honeysuckle.