"Since the second day of admission, I have increased the number of ginseng and peony capsules. ”

"From the second day of admission, acupuncture treatment has been added, and acupuncture points have been taken: ......"

Time passed little by little, and Yuntian quickly carried out the final adjustment of the treatment plan.

The direction of kidney tonic therapy is not wrong, and the overall score in the upper right corner of the system panel reached 85 points for the first time.

However, judging from the completion of these tasks, the score should reach more than 90 points before it is possible to complete the task.

It's five points off!

But no matter how Yuntian adjusts, the score has always been around 85 points, and there is not much change!

What's lacking?

There are only five minutes left!

The lights in the entire examination room began to flicker, accompanied by a rhythmic "toot, toot, toot" chime.

The patient has only cerebral ischemia, normal blood pressure, normal blood lipids, and clear symptomatic medication for each symptom.

The beads of sweat on his forehead condensed into a large one, and one after another slid down the angular face of Yuntian.

There are still three minutes left.

Yuntian is still carefully checking his treatment plan to see if there is anything missing.

At the last minute, there was no omission, and there was still a gap of five points, and Yuntian tried to add anticoagulant drugs again. Instead, the score dropped from 85 to 80.

"Cancel the last group of anticoagulants. Yun Tian quickly canceled the anticoagulant he had just added.

The rating has increased from 80 to 85.

And the last twenty seconds!

"Ask the patient to take the Turtle Age Set Formula for a long time!" In the last ten seconds, Yun Tian suddenly blessed his soul and said the last long-term medical advice.

"The patient's cerebral blood supply was significantly improved, the recurrence rate of stroke and luminal infarction was reduced by 70%, and the clinical symptoms of luminal infarction were restored by 90%. Extend the patient's self-care period by 10 years.

The overall score of the treatment plan is 90 points. ”

The cold voice of the system's machinery sounded, and it was like a heavenly sound in Yun Tian's ears at this time.

The score reaches 90 points, and the patient's self-care period is extended for 10 years!

The treatment plan has finally met the requirements of the system task!

With a flash in front of him, Yuntian returned to the duty room.

Glancing at the time, it was still the time just before entering the system.

Sure enough, the system training only consumes system time, and has no impact on the real time.

Although the real time has not changed, the fatigue is real.

Although he finally took a bottle of energy-restoring potion, the pressure on the last set of treatment options was too great, and Yun Tian couldn't help but let out a long breath.

Opening the door of the duty room, Yuntian returned to the doctor's office to prepare to adjust Qu Yongning's medical orders.

"Aren't you going to sleep?" Dr. Huang, who was burying his head in filling in the medical records, was a little surprised to see that Yuntian was back.

"Rework the doctor's order. Yun Tian replied, turned on the computer and started working.

"QU YONGNING'S DOCTOR'S ORDER, THAT CARASIL PATIENT?" DR. HUANG LEANED OVER AND ASKED WHEN HE SAW YUNTIAN OPEN QU YONGNING'S CASE.

"Hmm. Yuntian's fingers flew on the keyboard, quickly issuing his system-proven treatment plan.

"Tonifying Yang and returning five soups? Turtle Age Collection Formula? Aren't these all kidney-tonifying these? CARASIL syndrome, what is the use of tonifying the kidney, even if it is treated, it is just to do one's best to obey the destiny of heaven. Even if it is conventional anticoagulation thrombolysis, I dare not let go of my hands, after all, there is arterial vascular hypoplasia there, and it will be troublesome if you accidentally get a cerebral hemorrhage. ”

"However, your method is very good, simply do not anticoagulant or thrombolysis, after all, the treatment of CARASIL syndrome is of little significance, we can safely replenish the kidneys, and save the risk of anticoagulation and bleeding. Dr. Huang is very much in favor of Yuntian's treatment plan.

AFTER ALL, FOR A HEREDITARY DISEASE LIKE CARASIL SYNDROME, THERE IS SIMPLY NO EFFECTIVE TREATMENT FOR IT.

Patients not only have the risk of cerebrovascular accident at any time, but even if the patient does not have any cerebrovascular accident safely, with the progressive disease of the disease, the patient's cognitive function will be impaired, and finally it will become a vascular dementia, and the age of occurrence will not exceed 45 years old!

From the dialectical point of view of traditional Chinese medicine, the patient is indeed kidney deficiency.

Kidney deficiency and kidney supplementation are completely reasonable.

As for anticoagulation thrombolysis, it's not worth the risk.

How did you come up with this solution!

Sure enough, there are two brushes.

Huang someone admires, admires!

Yun Tianfei quickly flew on the keyboard, ignoring Dr. Huang, who looked impressed.

"XIAOYUN, HOW IS THE CARASIL SYNDROME PATIENT DOING?" BEFORE YUNTIAN'S ORDER WAS PROCESSED, DIRECTOR SHI WALKED IN FROM THE DOOR.

Because he had not been exposed to CARASIL syndrome before, and CARASIL syndrome itself is a relatively complex disease, Yun Tian still made a phone call to report to Director Lin after being diagnosed.

Director Shi is obviously the rescuer moved by Director Lin.

"At present, the patient's general condition is stable, only the back pain is more severe, after admission, general anticoagulation and blood activation therapy has been carried out, the headache has been relieved, and the left limb movement disorder has not improved at present. Yun Tian described the patient's situation in a clear manner, and at the same time took out the patient's case and handed it to Director Shi.

"Yes, recurrent infarctions can be associated with CARASIL syndrome based on the patient's back pain and hair loss, and your diagnosis is very clear and open, and you are also very attentive to the common subtle symptoms. Very good. Director Shi looked through the admission records and praised Yuntian.

This kid is indeed talented!

THE PATIENT HAS BEEN HOSPITALIZED FIVE TIMES SINCE THE FIRST ONSET OF THE DISEASE IN 2016, AND AT LEAST A DOZEN DOCTORS HAVE BEEN TREATED, BUT NONE OF THEM HAVE CONSIDERED CARASIL SYNDROME.

THIS KID CAN ASSOCIATE CARASIL SYNDROME WITH A PATIENT JUST AFTER CONTACTING HIM, WHICH IS INDEED VERY GOOD.

To diagnose a disease, an internist must first have a comprehensive analysis of the patient's condition, and finally check and confirm the diagnosis through auxiliary examinations. Therefore, the diagnostic idea is often the most important factor in determining the professional skill level of physicians.

In this regard, Yuntian is clearly doing very well.

It's good that such a good seedling didn't let Li Lishan go,

Sure enough, Mrs. is amazing!

"Are you dealing with the doctor's order?" Director Shi sighed with emotion, and turned his head to see Yuntian filling in the patient's medical order. Raised his hand and slapped Yun Tian on the shoulder, signaling Yun Tian to get out of the way, and sat down on Yun Tian's seat and began to check Yun Tian's doctor's orders.

"Turtle Age Collection? These seem to be kidney-based medicines. "Although Director Shi is engaged in Western medicine, he has a wife of the director of the Chinese medicine department, and he is obviously very familiar with Chinese medicine.

"Traditional Chinese medicine kidney tonifying therapy is used for the treatment of cardiovascular and cerebrovascular diseases, and the total effective rate is more than 80%. Moreover, according to the dialectic of traditional Chinese medicine, patients with back pain and hair loss all belong to the category of kidney deficiency. Genetic mutations, strictly according to the dialectical theory of traditional Chinese medicine, also belong to the situation of congenital deficiency of essence. Yun Tian explained.

"Well, kidney tonification is indeed very helpful in the treatment of cardiovascular and cerebrovascular diseases. Director Shi agreed with Yuntian's statement.

"But you almost did not choose anticoagulant thrombolytic drugs in the entire treatment plan, the patient not only has acute cerebral ischemia manifestations, the main cause of CARASIL syndrome is insufficient blood supply, and from the previous treatments, anticoagulant thrombolysis is very effective for the patient's condition. Director Shi put forward his own opinion.

Dr. Huang was confused, what is TCM kidney tonic therapy?

The total effective rate for the treatment of cardiovascular and cerebrovascular diseases is more than 80%?

If Yun Tian told him that he might laugh at him, but Director Shi actually agreed?

Therefore, although Yuntian's treatment plan is mainly based on tonifying the kidney, it is not what I imagined?