053 Doctor's Order

"Uncle Chen, don't mess around with Xiao Ran, Aunt Zhang should go to our department. I've had the wards cleaned up. As soon as Grandpa Chen and Grandma Zhang arrived at the ward, Director Shi hurried over.

"No need, let Xiaoyun try it in the Chinese medicine department. Grandpa Chen rejected Director Shi's suggestion.

"The Department of Traditional Chinese Medicine has only set up an observation room, which has just been built, and many things are not perfect. That Xiaoyun is just an intern. Aunt Zhang in case there is any situation, it is better to go to the gods to rest assured. "Director Shi is not only not at ease, but even a little angry!

I am the authority of the Southern Provincial Department of Neurology!

Uncle Chen, who watched himself grow up since he was a child, didn't believe in himself and wanted to let an intern treat!

In Director Shi's opinion, this is simply ridiculous!

"The Department of Traditional Chinese Medicine carries out the treatment of cavity infarction, and so many patients with cavity infarction can live here, won't there be any accidents? Or is it just you, Aunt Zhang, who will have an accident?" Grandpa Chen asked with a tiger face.

"Patients with cavities and infarctions are generally in a stable condition, even if something happens, this is the original emergency observation room, and the emergency ICU has a corridor opposite, which is enough to deal with special situations. But if conditions permit, it is better for Aunt Zhang to go to our department. "Uncle Chen's temper is very clear to himself, and Director Shi has to be patient and explain carefully.

Xiao Ran is too nonsense, how can he come to the Chinese medicine department because of Uncle Chen!

And let an intern take over the treatment!

What nonsense!

"No, it's in the TCM department. Grandpa Chen turned his face away and didn't intend to continue the conversation.

"Uncle Chen......" Director Shi didn't give up and wanted to fight again.

"Did Aunt Zhang heal in your god last time? Don't say it again, it's in the Chinese medicine department, you can go back." "Grandpa Chen directly ordered the eviction of customers this time.

"The prognosis for aphasia is indeed poor......"

Director Shi felt that he was really hard to tell.

The prognosis for aphasia is inherently poor.

Even with active rehabilitation, the recovery was not satisfactory.

What's more, there is no suitable language rehabilitation center in the country!

"If you can't cure it, let Xiaoyun try, you go back first. "Grandpa Chen obviously didn't want to understand Director Shi's difficulties.

For patients and families, efficacy is everything.

There is no cure, everything is just a sudden talk.

Grandpa Chen was stunned, and directly hit Director Shi's words.

Director Shi could not be dissuaded. You can only leave.

"What kind of aphasia can you cure! It's just nonsense!" Director Shi couldn't persuade Grandpa Chen, rushed to the doctor's office, and pushed the door open with a "bang", and the door panel smashed against the wall and bounced back. Close it with a "bang" again.

The three people in the office were so frightened that they almost jumped.

Director Shi is not like Li Lishan, he has always been a humble gentleman and a gentle and polite appearance.

But at this time, it was like being possessed by Li Lishan, and his fiery temper was even more violent than that of Director Li Lishan.

Dr. Huang has been in Shennei for a year and has never seen such a slamming door.

So I was so frightened that I was stunned directly.

Xiaoyun is sure of it, so let him try, Aunt Zhang's general situation is still relatively stable. What's more, we've been staring. Director Lin was the first to react.

After all, Mr. own must be the one who knows best.

So Director Lin stepped forward to take Director Shi's hand as he spoke, wanting to soothe Director Shi's anger.

"Are you stupid in the Chinese medicine department?" Director Shi shook off Director Lin's hand and said angrily.

"He's an intern, how sure is he? What can he be sure of?"

"Don't you know how low the probability of recovery from aphasia is?"

"What's more, Aunt Zhang is still completely phathasia this time! I see that you are not sober-minded!" Director Shi rarely scolds, and he looks like he is smiling when he sees everyone.

Even if his doctors did something wrong, Director Shi criticized him with a serious expression at most.

When have you ever seen a situation like this when you are pointing at people and scolding them?

At least Dr. Huang has been in the gods for so long and has never seen him.

"The doctor's order is here. After Director Shi scolded, he was still a little sensible.

It seems that Uncle Chen can't be persuaded anymore, so he can only keep an eye on himself.

That's why I came to the doctor's office on purpose, the purpose of which was to prepare for Aunt Zhang's treatment plan.

The doctor's order is in Yuntian's hand.

It's just that Yun Tian pinched the doctor's order and didn't want to hand it over.

Director Shi's contemptuous words of traditional Chinese medicine are still vivid in his mind that day.

If it is given to Director Shi, the treatment plan will inevitably be changed.

In the past few days, several patients with cerebral infarction have been admitted, and the effect of thrombolysis of traditional Chinese medicine preparations has been reflected.

Therefore, Yuntian is convinced of the systematic treatment plan.

Now the medical orders on the doctor's order list are made after repeated deliberation by themselves.

It is the most suitable for Grandma Zhang's condition!

This is not only related to whether you can complete the task of 90% recovery, but also related to the health of a patient!

Yun Tian didn't think of how to refuse Director Shi, so he pinched the doctor's order and didn't move!

"Bring the doctor's order. Director Shi asked again, and when he saw that the three of them did not respond, he stretched out his hand and asked again.

"Here in Xiaoyun. Dr. Huang was quick to see and snatched the doctor's order from Yuntian and handed it to Director Shi.

"Safflower extract, rhodiola extract, ligustrazine injection, oxiracetam ......" Director Shi quickly browsed Yun Tiankai's doctor's instructions.

"Don't use several traditional Chinese medicine preparations first, and don't use oral Chinese medicine prescriptions for the time being. If there are no contraindications, let's go directly to urokinase. Director Shi took out a pen and drew several traditional Chinese medicine preparations listed by Yuntian and the prescribed oral prescriptions one by one.

Turn around, bend over the table, and start adding more items to the table.

Two days ago, when the first patient was admitted to the TCM department, urokinase was used and bleeding occurred, and Director Shi also suggested that the TCM department should not use urokinase on patients with luminal infarction.

But for his relatives, Director Shi did not hesitate to choose urokinase thrombolysis.

In the eyes of clinicians, very early thrombolysis to rescue ischemic brain cells is the most effective treatment.

Director Shi danced on the medical order list in Yuntian.

The doctor's order written by Yuntian has long been changed beyond recognition.

It's not uncommon for a chief physician to make changes to an intern's order!

Yun Tian's mind was spinning, but he still couldn't think of a way to stop Director Shi.

Urokinase has a large side effect and can easily cause bleeding.

The first patient who was admitted last time had intracranial hemorrhage after using urokinase, and I asked Director Shi to come down and deal with it.

When bleeding occurs with urokinase thrombolysis, coagulation drugs must be used.

In this way, the probability of recurrence of small vessel infarction is increased by more than 30%.

Even if Director Shi is experienced, bleeding may not occur.

However, from the comparative data provided by the system, the thrombolytic effect of traditional Chinese medicine is far better than that of thrombolytic drugs such as urokinase and heparin.

It's just that what he has in his head is the data given by the system, and Yun Tian can't take it out and can't confirm it to Director Shi.

Even if there is relevant literature in hand, Director Shi will definitely not listen to it.

After all, Chinese medicine has always been marginalized and most people don't recognize it.

Dozens or hundreds of cases are not enough for clinicians to accept Western medicine.

Taking advantage of the time for Director Shi to rewrite the doctor's order, Yun Tian quietly withdrew from the doctor's office.