Not convinced!

Dr. Wong was not convinced!

I'm also a resident!

Although, among the regular employees of the hospital, the rank of resident doctor is the lowest.

But you're just an intern!

Interns are even lower than regular trainees and advanced students!

I'm a resident doctor, so I can be regarded as the superior and leader of one of your interns!

You're going to have to call me a teacher!

Waiting here to find fault with the superiors!

It's so excessive!

Just as he was about to open his mouth to fight back, Dr. Huang couldn't help it again.

Wrong

Where did an intern get so much guts?

Dare to blame the teacher.

Don't

Is this another feast of Chinese medicine?

Because he came from within the gods, the Chinese medicine department also prepared for himself to get off the horse?

Let this intern come out and slap in the face?

Dr. Huang looked uncertainly.

There are only three people in the TCM department. The observation room was barely made up today, and several people were busy working separately, and no one had time to take care of themselves, right?

I didn't see anyone else around,

Dr. Huang was sure that he was thinking too much!

"I'm used to writing the rest of the book, and then add positive signs to the front, and you can go back to the clinic first. After making sure that there was no one around, Dr. Huang pulled down his face and drove people away unceremoniously.

Yun Tian smiled and stood quietly behind Dr. Huang without replying.

Just make up for the missing signs, there's nothing to argue about.

If you can't get rid of people, Dr. Huang can't do anything.

This little intern still has some skills, and he can't go too far.

"Xiao Huang, welcome to the Department of Traditional Chinese Medicine. How is the patient?" Director Lin hurried back, breaking the embarrassment between the two.

Looking at Director Lin's smiling face, the matter of asking people should be done.

"It is my honor to come to the Department of Traditional Chinese Medicine to study with Director Lin. Thank you, Director Lin, for giving me this opportunity. Dr. Huang immediately stood up and sincerely thanked Director Lin for his welcome.

Welcome ghost, who wants to go from the god of scenery to your desolate Chinese medicine department?

It's all been sent to the frontier, what else is there to welcome!

Both words of welcome sound sarcastic.

However, in the latter few sentences, Dr. Huang only dared to nag in his heart, but did not dare to say it.

"The patient was admitted with multiple lacunar foci of white matter in the center of the semiovale and the frontoparial lobe. Blood pressure is stable and the general condition is good. Urokinase thrombolysis, low molecular weight heparin anticoagulation, and aspirin antiplatelet are recommended. and symptomatic treatment. ”

Thanks to Director Lin for his care, Dr. Huang directly proposed a treatment plan.

As for why the treatment plan is directly proposed?

Isn't it the right thing to ask yourself to come from God?

Do you still expect this group of people in the Chinese medicine department to treat cavity infarction?

Although he was in trouble, yes, he was in trouble!

But as a person from a key department, Dr. Huang's arrogance cannot be hidden.

"Urokinase thrombolysis is not suitable. Yun Tian responded coldly beside him.

"The patient has been ill for more than six hours and has multiple old infarcts. Thrombolysis with urokinase makes little sense. Conservative use of hirudin and rhodiola extract is recommended. ”

Yun Tian disagreed with Dr. Huang's treatment plan and offered his own opinion.

Cerebral infarction is a disease condition in which a small blood clot in a blood vessel blocks the blood vessel and causes insufficient blood supply to the surrounding brain tissue.

Thrombolytic therapy refers to the treatment of dissolving blood clots in infarcted blood vessels with drugs in the early stage of cerebral infarction.

However, the drugs used to dissolve blood clots have strong blood circulation and anticoagulant properties, and there is no way to make the drugs only act on the infarct site, so they can only be used systemically.

Therefore, the use of thrombolytic drugs not only has strict time regulations, but also has great side effects.

The most common is bleeding of all kinds.

Bleeding gums and nosebleeds in mild cases, gastrointestinal bleeding, blood in stool, and blood in urine in severe cases. More serious is secondary intracranial hemorrhage!

In the case of Fang An, which was systematically given for the treatment of cavity infarction, the thrombolytic effects and application methods of several traditional Chinese medicine extracts were emphatically stated.

And a clear comparative data is given.

Many traditional Chinese medicines have two-way regulation, so the thrombolysis of traditional Chinese medicine is significantly better than that of various thrombolytic drugs of Western medicine in terms of effective rate and bleeding risk.

Therefore, Yuntian proposed the combination of two traditional Chinese medicines that are most suitable for patients.

.......

Is this little intern really here to wait for his own stage to be dismantled?

From entering the Department of Traditional Chinese Medicine to the present, I don't seem to have offended this little doctor, right?

Dr. Huang thought about it carefully.

Dr. Wong is a cautious person who does not offend people easily, and can even be described as a source of both sides.

Otherwise, he would not have squeezed into the Department of Neurology, a key department of Xihua, without any background and just an undergraduate.

Although he was transferred to the Chinese medicine department in the end, he was squeezed in after all.

That is to say, if the Chinese medicine department can ask for itself to come, change the department and ask for people, and he will definitely not leave the gods.

But even if he has a good temper, he can't stand the provocations of this intern again and again!

Not using urokinase thrombolysis?

The most important thing for patients with cerebral infarction to be admitted to the hospital is to seize the time to implement thrombolysis.

Magnetic resonance imaging showed that there was still a small area of low darkness at the edge of the infarction site, and there was ischemic brain tissue, so thrombolysis was necessary.

And what the hell is hirudin and rhodiola?

Is the blood circulation and blood stasis removal medicine of traditional Chinese medicine used to replace thrombolytic drugs?

Are little interns crazy?

"Cerebral infarction admission, there is a low dark area, there are no obvious contraindications, why not thrombolysis? Have you treated a patient with cerebral infarction?" Dr. Huang didn't want to deal with a small real livelihood, so he used a questioning tone.

The little intern was diagnosed with some cavity infarction and was drifting, and actually argued with himself about the treatment plan.

Have you treated a patient with a cerebral infarction?

Dr. Huang said this with a sense of superiority.

"It's not that it's not thrombolytic, hirudin has the same excellent thrombolytic effect, but the risk of bleeding is smaller. Combined with Rhodiola rosea, it can improve the oxygen content and the hypoxia tolerance of brain cells, which is more suitable for patients. Yun Tian continued to refute Dr. Huang.

"According to what Xiao Huang said, use urokinase, complete the patient's communication and signature as soon as possible, improve the examination, and carry out treatment as soon as possible. Director Lin interrupted Yun Tian's words and chose Dr. Huang's treatment plan.

The thrombolysis of traditional Chinese medicine extracts has a certain curative effect.

But after all, it has not been widely promoted, so it is better to follow the treatment guidelines, so that the heart is more generous.

After all, it was the first patient to be admitted to the observation room!

Yuntian's treatment plan was rejected, although it was a bit disappointing, but it was not bad.

After all, a new treatment cannot be used as soon as it is proposed.

This is the treatment of the patient, and any new ideas and treatments need to be implemented with caution and caution!

Moreover, the task given by the system is only to admit patients.

It does not say that it must be treated according to the combination of Chinese and Western treatment regimens given by the system.

"Jingle bell~~~" Yuntian's mobile phone rang.

It was Dr. Shen who called.

It was already the afternoon diagnosis and treatment time of the outpatient clinic, and the head nurse Zhao was about to shout, but Yuntian was not in place, and there were still a large number of allergic rhinitis patients waiting.

"Xiaoyun go to the clinic first, there are still so many rhinitis patients waiting. ”

"In the treatment of cavity infarction, if you have time in the future, come and see more, learn more, and after a long time, experience can be accumulated. Dr. Huang straightened the collar of his white coat and straightened his chest.