152 How do you know
The patient has now been diagnosed. Do another MRI, hundreds of dollars. If you can save it, you can save it.
I can only try to treat it first.
Yuntian didn't think about trying a few more times in the system space, but there is not much special in the treatment of diabetes insipidus caused by cerebral infarction, and now the key is to look at the blood supply to the patient's infarction site.
Sometimes, many diseases may not be cured by the efforts of doctors, and it depends on the luck of the patient.
Smoothly return to the TCM department with the patient.
Ask the little nurse to arrange a place for the patient and handle the relevant procedures such as transferring departments.
When I returned to the doctor's office, Director Lin was still there.
"Director Chen decided to send someone to our department for further study for a period of time, and Xiaoyun is very handsome today! Well, he looks good again. Director Lin happily praised Yuntian.
Obviously, Director Lin's level of joy in today's loss is incomparable to the usual good news.
......
But what the hell is it if you look good for three points!
Tomorrow nodded, um, and counted as an answer.
"In addition, a new nurse will be coming to report soon, and the neurology department has seconded Dr. Yang. Today is a double blessing. ”
"Let's go out to eat hot pot to celebrate, last time Nurse Mao came to report, and she didn't welcome it seriously. Director Lin suggested.
"Wow, there is hot pot to eat, let's go to Jiang Qiurou's house. Take care of their business, maybe the boss will pay Jiang Qiurou more wages. Zhuang Zhuyue proposed.
"Jiang Qiurou, is it the granddaughter of the uremia patient last time?" Director Lin has a very strong memory, and he asked Director Lin to apply for a discount for Jiang Qiulu tomorrow, but he didn't expect Director Lin to remember.
"How's Jiang Qiurou's condition? Director Lin asked again.
"Yes, the record is very comprehensive, and all indicators have improved. "Answer tomorrow.
Dr. Xiaoyun said that if Jiang Qiurou continues to receive treatment, she can prolong her life for at least 1~2 years. It's a pity that their family has no money, and I said to lend them money, but they don't want it. Obviously, Jiang Qiu's gentle actions made Zhuang Zhuyue very emotional.
"Can you actually prolong your life by 1~2 years?" Xiaoyun, you sort out the information, and I'll take it to the nephrology department in two days to show it!"
Yun Tian still hummed and counted it as an answer.
Director Lin went to eat with a full number of people in the department.
Yun Tian took the initiative to stay.
Eat everything the same, go out to eat, and everyone will make trouble for a while. In two or three hours it was gone. What a waste of time.
If you read a book in the office for two or three hours, you can gain a lot of knowledge.
Yun Tian stayed, and Lu originally wanted to stay. But he was coaxed away by everyone.
So the other two nurses on the night shift stayed.
Patients with diabetes insipidus have a significant reduction in urine output after the use of amtomine.
Dehydration and electrolyte imbalances were also corrected.
He is now in stable condition, but he is significantly safer with long-term use
However, it is not the solution, and it is crucial to restore the white blood supply to the ischemic or necrotic area as soon as possible.
Yuntian has used traditional Chinese medicine preparations for anticoagulation and thrombolysis, and appropriately increased the drugs to tonify the kidney, and it would be better if some Angong Niuhuang pills were used.
Now is the emergency period, Angong Niuhuang Pill can effectively ensure that the nutrition of brain cells is improved. However, there are hundreds of Angong Niuhuang Pills, depending on the patient's family conditions.
It's just too expensive.
Gave up the idea of giving Angong Niuhuang pills to patients with diabetes insipidus.
Yun Tian went to the ward again.
When he turned to Professor Zhang's side, he was stopped by Professor Zhang.
Because it is cerebellar infarction, Professor Zhang's anti-vertigo drug treatment effect is not good, and the vertigo symptoms are still very serious.
It is also necessary to wait for the local blood supply to the cerebellum to improve slightly, and the symptoms of vertigo will not improve.
Professor Zhang was lying on it with his eyes closed, very uncomfortable.
"Doctor Xiaoyun, I'm curious how you determined that I had a cerebellar infarction and not vertigo?"
Even lying on it with his eyes closed, Professor Zhang still pulled Yuntian to ask for an understanding.
"Vertical nystagmus, dilated pupils, and significantly increased muscle tone in the limbs. "Yun Tian reported a set of signs very fluently.
Professor Zhang smiled wryly.
So many of the doctors present were anxious to deal with their own emergencies, and were accustomed to thinking that they were suffering from an old sickness and vertigo.
Only this young man actually noticed such subtle signs of himself when he was giving himself emergency treatment.
And this is precisely the most important trait that a doctor should have.
"Shi Jingnian has accepted a good apprentice, you are very good. In the afternoon, I talked to my friends in the ward. ”
"Your traditional Chinese medicine preparation thrombolytic and anticoagulant treatment is indeed very good, and I have already called in the afternoon to express my opinion. ”
"The project should be decided. ”
Professor Zhang's words were bitter.
"Hmm. After listening to Professor Zhang, Yun Tian hummed lightly and counted as an answer.
Professor Zhang was very surprised, if he was close to admitting defeat, this kid actually only hummed?
Shouldn't something be said at this time?
Forced to endure the discomfort, Professor Zhang struggled to open his eyes.
I just saw the back of Yuntian preparing to leave.
"Didn't you notice the gap between me and your teacher, Director Lin, this morning, and why did you take the risk of failing to set up a project to remind me of a diagnosis?" Professor Zhang's doubts had not yet been answered, so he raised his voice and asked.
Although Yun Tian said that he was very sure that he had cerebellar infarction. But how can something about the future be 100% certain?
If it were me, even if I was only 1% unsure in that situation, I would not take such a risk.
I should have changed my way, maybe I would remind it tactfully.
It's just that if that's the case, your recovery after yourself should be much worse.
"I'm a doctor, and you're first and foremost a patient. Yun Tian didn't look back, paused, replied, and strode away.
"Doctors and patients?" Professor Zhang muttered.
A soft place that had been sealed in my heart for many years seemed to shake.
Leaving Professor Zhang, Yun Tian continued to inspect the patients.
Pregnant women with Veckney encephalopathy with basic recovery. Under the conditioning of Yuntian Chinese medicine, the complexion gradually improved.
When I enter the ward tomorrow, the patient is eating with a rice bowl.
The eldest lady saw Yuntian coming in.
In a panic, he snatched the food from the patient's hand and prepared to stuff it into the drawer of the front cabinet.
"Her gastrointestinal function has recovered, and she can eat and drink some porridge properly, but remember to only be thin and not too fat. Yun Tian had already seen clearly that the basin in the patient's hand was filled with thin porridge.
It seems that nothing can stop the aunt from worrying about the child in the patient's womb.
The patient was asked about some basic conditions.
The patient's answers have been very accurate, and his awareness and consciousness have basically recovered.
"I can be discharged from the hospital tomorrow. ”
The patient's condition has basically recovered, and now the important thing is to recuperate.
There are a lot of inconveniences in the hospital.
When they return home, patients should be better cared for.
When I heard that I could be discharged from the hospital, my aunt's family was very happy.
began to pull Yuntian and thank him repeatedly.
"Thank you so much, Dr. Xiaoyun, you are our lifesaver. The eldest lady said this over and over again.
"Remember, if you have severe diarrhea, vomiting, abdominal pain, you must come to the hospital in time. Yun Tian interrupted the eldest mother's words of thanks.
"She is pregnant, in a special physiological stage, you must pay close attention to her condition, no matter what the symptoms, as long as it is too serious, you must go to the hospital to see. ”
Yuntian was not at ease and explained again.
If morning sickness had been controlled earlier, it would not have caused such a dangerous form of Veckney's encephalopathy.
"Dr. Xiaoyun accepts patients. A little nurse on night duty found the ward and said to Yuntian.
"Zhou Weihua, this is the third hospitalization. His cavity has been recurring, and it's not a way to live like this. The nurse's nagging words caught Yuntian's attention.
The Department of Traditional Chinese Medicine has carried out the treatment of cavity infarction, and it has been less than 4 months, and there is actually a patient who has been admitted to the hospital for the third time?
Such a frequent infarction?
Should I try a new treatment?
"New Mission: Cure a case of recurrent infarction. The mechanical sound of the system suddenly sounded in Yuntian's ears, and a new task was released.