Chapter 9: The Death of Liang Haiguo
Jiang Yu came to the ward and inquired about Chen Linlin's situation in detail, Chen Linlin's gum bleeding started last night and lasted until this morning, in addition to bleeding gums, it was also swollen, it was difficult to swallow food, and it was also very difficult to rest at night.
Bleeding gums are only a minor problem, but it is a fatal danger for Chen Linlin, a patient with aplastic aplasia. For patients with severe aplastic anemia, bleeding gums can easily cause intracerebral hemorrhage and become life-threatening if left unchecked.
In addition to bleeding gums, Chen Linlin also has fever, which means infection, which makes the condition even more difficult.
Jiang Yu had just finished examining Chen Linlin, and the experts from the Department of Traditional Chinese Medicine had also arrived, and the person who came was an old man in his early sixties, surnamed Yang, named Yang Xihe, a deputy director of the Department of Traditional Chinese Medicine, and an expert from the Provincial Party Committee Insurance Regulatory Bureau.
Although traditional Chinese medicine has not been in a recession in the past two years, the status of the traditional Chinese medicine department in the provincial hospital is still very high. After all, the provincial hospital is a hospital directly under the Department of Health, and often has to check the health of the leaders of the provincial party committee and be responsible for the health of the leaders of the provincial party committee, and the traditional Chinese medicine experts of the provincial party committee and the insurance regulatory bureau are the top experts in the entire Pinghai Province, and most of these experts are attached to the provincial hospital, which leads to the level of the traditional Chinese medicine department of the provincial hospital is much higher than that of other hospitals.
"Elder Yang, this is Director Jiang Yujiang, the new director of our emergency department, and it is also Director Jiang's intention to invite you to come for a consultation." Li Mengrong introduced Jiang Yu and Yang Xihe.
Yang Xihe looked at Jiang Yu in surprise: "I didn't expect Director Jiang to be so young, and he is a top student who graduated from Harvard Medical School in the United States, and he actually recognizes Chinese medicine so much?" ”
Yang Xihe is a very traditional Chinese medicine person, and his teacher is a highly respected national player, and it is precisely because of this that Yang Xihe likes Chinese medicine very much. Over the years, Yang Xihe has seen a lot of young rookies, especially some high-achieving students who have returned from abroad, most of these people have prejudices about traditional Chinese medicine, and young people like Jiang Yu who recognize traditional Chinese medicine are really rare, which is also the reason why Yang Xihe has a good impression of Jiang Yu.
"Don't hide it from Elder Yang, I myself am half a Chinese medicine person, and I have been studying Chinese medicine before I went to the United States." Jiang Yu said with a smile.
"Oh?" Yang Xihe was even more surprised: "I don't know who your teacher is?" ”
"Liu Qingsheng."
"It turned out to be Liu Lao." Yang Xihe obviously heard of Liu Qingsheng, and sighed: "Liu Lao Ke is a very great Chinese medicine doctor, if it weren't for his indifference to fame and fortune, he would definitely be a national Chinese medicine practitioner, but I didn't expect Liu Lao to have a successor." ”
Jiang Yu and Yang Xihe were simply polite, and then re-entered the ward to check Chen Linlin, Jiang Yu had already checked it, and there was no need to check it again, this time it was Yang Xihe who checked it himself.
After the examination, Yang Xihe's face was also a lot more solemn, and he walked out of the ward and said to Jiang Yu: "The patient's condition is not optimistic, and the bleeding gums must be stopped as soon as possible."
"That's what I mean, too." Jiang Yu nodded.
"Xiao Jiang, what do you think?" Yang Xihe asked, since it was a consultation, it was natural to discuss, and Yang Xihe didn't take a stand in front of Jiang Yu.
"According to the patient's situation, the measures that must be taken for blindness are to reduce fever and stop bleeding, I plan to inject Qingkailing injection into the patient, I don't know if Yang Lao has any opinions?" Jiang Yu said.
Yang Xihe was taken aback again when he heard this, he had a good impression of Jiang Yu before but because it was rare to have young people who like Chinese medicine now, as for Jiang Yu who studied Chinese medicine with Liu Lao, Yang Xihe didn't care much, after all, Jiang Yu was not yet thirty years old, but Yang Xihe didn't expect Jiang Yu to stop him as soon as he opened his mouth.
Chen Linlin's current situation actually needs to adopt the method of treating the disease and draining the blood downward, so that the blood on it will not be too abundant, and the bleeding gums can naturally stop.
Qingkailing Injection is derived from "Angong Niuhuang Pill", one of the three treasures of mild disease, and has a significant effect of clearing heat and detoxifying.
"Xiao Jiang, you really impressed me today, I didn't expect you to have such a deep attainment in Chinese medicine at such a young age." Yang Xihe sighed.
If Jiang Yu treated ordinary fever and typhoid fever, Yang Xihe would not be surprised, the problem is that Chen Linlin is suffering from apostleness now, this disease is not a minor disease, in the face of such a major disease, Jiang Yu can act decisively, and the prescription is unambiguous, it is not easy.
At this moment, Yang Xihe finally understood why Jiang Yu would invite the Chinese medicine department for consultation, it turned out that it was not that he was in a hurry to go to the doctor, but that Jiang Yu himself had not weak attainments.
"Yang Lao praised it, I'll come up with a recipe later, and I still need Yang Lao to check it." Jiang Yu said as he entered the office with Yang Xihe.
After writing the prescription, Jiang Yu handed the prescription to Yang Xihe, and Yang Xihe was full of praise after reading it, even if it was the prescription he came to prescribe himself.
After approving Jiang Yu, Yang Xihe also had a lot of words, and after arranging for Chen Linlin to take medicine, Yang Xihe was not in a hurry to leave, and sat in the office with Jiang Yu to communicate, and invited vigorously: "Xiao Jiang, it is a waste for you to stay in the emergency department with such a high level of traditional Chinese medicine, why don't you go to our traditional Chinese medicine department?" ”
As soon as Zhang Yuwen entered the door, he heard Yang Xihe digging his corner, and while marveling in his heart, Jiang Yu could make Yang Xihe pay so much attention, and said with a smile: "Old Yang, our emergency department is not well staffed, can you dig the foot of the wall." ”
Jiang Yu also smiled: "Elder Yang, first aid is also my specialty, and when I first studied Chinese medicine, Liu Lao told me that Chinese medicine is not only slow Langzhong, but also can be used for first aid, and I proved this in the emergency department." ”
"Hahaha, you Xiaojiang, that's it, then you will continue to be in the emergency department, if you don't want to stay here at any time, come to me at any time." Yang Xihe said with a smile, the more he chatted with Jiang Yu, the more he appreciated Jiang Yu, this young man was amazing.
"Don't worry, Elder Yang, I'll go back to the Chinese medicine department to ask for advice when I have time, but I know that we have a lot of powerful old experts in the Chinese medicine department." Jiang Yu smiled and nodded.
"Hey, now that Chinese medicine is in a recession, although our hospital is better, it is not much better, especially a while ago, a deputy director of the Land Bureau had an accident in the Chinese medicine department, and now the Chinese medicine department is still being talked about by many people." Yang Xihe waved his hand.
The speaker is unintentional, the listener is intentional, the deputy director of the Land Bureau, is it Liang Haiguo?
Jiang Yu pretended to be very casual and said: "Now people's mentality is like this, as the so-called Chinese medicine is useless to save people, Western medicine is not guilty of murder, they are all doctors, where in this world is there a cure for all diseases, Western medicine has diseases that cannot be cured, and Chinese medicine naturally has it." ”
Yang Xihe nodded: "Xiao Jiang, what you said is too right, but some people just don't understand this reason." ”
Jiang Yu nodded, and asked at the same time, "I don't know what kind of illness that deputy director is." ”
"Stroke." Yang Xihe sighed: "But to be honest, this time it is indeed the responsibility of the Chinese medicine department. ”
Jiang Yu asked a few words again, and roughly understood the origin of the matter, what Yang Xi said about the deputy director of the Land Bureau at the mouth of the river was indeed Liang Haiguo, Liang Haiguo suffered from a stroke, and he was treated and recuperated in the Chinese medicine department, but he never thought that the treatment would become more and more serious, and finally died.
The conclusion given by the hospital on this matter was a misdiagnosis, and the doctor who treated Tian Junwu at the beginning was also an old Chinese medicine doctor with old qualifications in the Department of Traditional Chinese Medicine, who was rehired by the provincial hospital, and had left the hospital after the accident.
"Elder Yang, the medical records at that time are still there, can you let me take a look?" Jiang Yu said tentatively: "Don't get me wrong, I don't mean anything else, I just want to learn more things." ”
Yang Xihe didn't think much about it, and said with a smile: "Since you want to see it, I'll let people sort it out and send you a copy when the time comes." ”
It is said that the patient's medical record belongs to the patient's privacy and should not be disclosed casually, but Jiang Yu is an insider, which is not a violation, and it is normal for the hospital's medical records and special cases to be studied internally.
After sending Yang Lao away, Jiang Yu asked someone to inquire about the situation at that time, Liang Haiguo's matter was not a secret, and there were many people in the hospital who knew about it, so Jiang Yu easily inquired about some news.
About lunchtime, a little nurse came and sent Jiang Yu a copy of the medical record, but the patient's life and information were erased, and only the process of treatment remained.
According to the medical records, Liang Haiguo himself has a history of high blood pressure, and often takes compound Luobuma tablets to control blood pressure and relieve dizziness and headaches. About a month and a half ago, Liang Haiguo suddenly fainted, accompanied by mouth and eyes? Diagonally, the root of the tongue was hard and sent to the hospital, and finally arranged in the Chinese medicine department.
According to the diagnosis, Liang Haiguo's tongue was red at that time, with little lichen, thin pulse, and head CT showed cerebral infarction, and the clinical diagnosis was cerebral thrombosis. The drugs used for the treatment include Mai Luoning Injection, Wei Brain Road Tong Intravenous Infusion, and at the same time, the addition and subtraction of the Zhen Liver Quenfeng Decoction that nourishes Yin and Latent Yang and Xifeng Tongluo.
However, after the medication, the patient's blood pressure was stable and the limb function recovered, but he had loose stools, listlessness, paleness, abdominal pain and bloating.
After the diagnosis, the doctor thought that the dose of medication was insufficient, and then increased the dose and took it again, for three days, but did not expect the patient's symptoms to worsen, but at this time the doctor increased the dose again, which finally caused the patient to have shortness of breath, abdominal distention, and difficulty swallowing, which caused various complications and finally died.
After reading the medical records, Jiang Yu frowned, from this symptom, he could clearly see that the doctor misdiagnosed, and the medicine of bitter cold was overdosed, but the doctor did not realize his mistake, thinking that the amount of medicine was insufficient, and the dosage was increased twice, causing the patient's condition to worsen and die.
At first glance, there is nothing wrong with this medical record, but it is a misdiagnosis caused by the doctor's inexperience, but on closer inspection, it is not.
According to Yang Xihe, the doctor who treated Liang Haiguo at that time was surnamed Liu, an old Chinese medicine doctor in his sixties, with rich experience and great prestige in the provincial hospital.
"If it's not a misdiagnosis, then it's murder." Jiang Yu made up his mind, and it seemed that he would have to meet this Doctor Liu in person to make a decision.