Chapter 69: Pediatric Tuina
As the chief doctor of the hospital, I have long heard that a powerful young man has come to the hospital.
At first, I thought it was just a rumor, but now the person concerned is standing here, attracting the attention of many people.
Wang Zhenhua cleared his throat and gave a brief introduction to the chief doctor present, "Tang Yi, tell me your treatment opinions!" ”
"MOF is a multiple, complex pathogenesis, high mortality rate of clinical syndromes, multi-organ failure refers to severe damage, such as disease, drugs, surgical infection, shock, etc., resulting in two levels of more than two organs dysfunction, or even functional failure."
Before Tang Yi could finish speaking, a pediatric doctor interrupted him to continue speaking, "Everyone here understands what you said, you should talk about the treatment plan!" ”
Glancing at the person who spoke up, Tang Yi nodded, "The patient has a high fever caused by a cold and fever that does not go away, and the wrong medication of the family members causes the child to have multiple organ attenuation, and the wind evil enters the body and causes the high fever to not go away. ”
"Knock Knock"
The chief doctor of pediatrics put his fingers on the desk again, "What do you do so much?" I'll just ask you about the treatment plan, how to use the medicine! ”
Interrupted again and again, Tang Yi's fist under the conference table clenched slightly, "I haven't seen the patient, how do you tell me to use medicine?" ”
"So what are you talking about here?" The chief doctor of pediatrics slapped the table, stood up and pointed at Tang Yi, "It's a complete waste of time, I suggest that you treat it according to the plan you just made." ”
Qi Waitian picked up the teacup and took a sip, squinting at Tang Yi, the corners of his mouth leaking a vague curvature.
As an expert in cardiology, Tang Yi is very aware of the burden that dialysis will cause to the heart, "Since you are a pediatrician, you know the baby's condition best. Hemodialysis, which is very likely to cause a drop in blood pressure, what is the baby's blood pressure now? The baby's heart is not fully developed, and the child has not yet developed symptoms of heart failure, what if the child has heart failure on dialysis? ”
Feng Feihong was questioned by a junior pointing his nose, his face couldn't hold back, "What did you ask to come over?" As a cardiologist, shouldn't you be looking for a question? ”
Tang Yi was not used to the other party, "According to what you just said, nephrology, hepatobiliary and other departments have to bear a certain amount of responsibility because of your decision?" ”
The nephrology, hepatobiliary, and cardiology departments came over this time for completely combined treatment, and more importantly, it depends on the pediatric doctor.
Before the disease has been treated, the pediatric department has the meaning of sharing the responsibility outside, which makes the chief doctors of several other departments a little uncomfortable!
Feng Feihong saw that the faces of his colleagues around him were not very good, and hurriedly explained, "I don't mean anything, he is completely messing around!" ”
Clear-eyed people knew that Tang Yi was messing around and deliberately misinterpreting the meaning of Feng Feihong's words. But this is a dispute between cardiology and pediatrics, and it has nothing to do with myself and others, so I simply don't answer, you quarrel with you, and no one will be offended when we sit and drink tea.
Qi put down the teacup and leaned back on the chair with his shoulders hugged, "The previous treatment plan has been determined, it's not impossible to modify it, but you also have to come up with a feasible plan, can't you just let the patient lie in the ICU?" ”
The conversation was pulled back to the child's treatment plan, and the room fell silent again.
Tang Yi snorted lightly, "I need to go to the intensive care unit to see the baby before I can make up my mind!" ”
As a participant, even if Wang Zhenhua wanted to help Tang Yi say a word or two, he couldn't do anything, so he simply stood up, "Many of the directors present have not seen the patient's situation, so you might as well go to the intensive care room to have a look!" ”
Several professors and chief doctors of the Department of Cardiology took the lead in standing up and expressing their support for Tang Yi.
Some people stand up, and others can't continue to sit.
Under the leadership of Wang Zhenhua, experts who had not seen patients before successively examined the baby's physical signs.
As for the consultation? Don't count on it, otherwise people in the industry will not have the saying that pediatrics is called "dumb medicine"!
As a physical examination, several experts walked out of the intensive care unit with solemn expressions.
The baby's parents looked at the expressions on the doctors' faces, their faces were full of anxiety, and they pulled the doctor to ask, and then asked the doctor to understand the treatment plan.
The doctor who was asked could only say some words of relief, or even silence.
The secrecy of the doctors has only made the parents of the babies more worried.
"It's all my fault, it's all my fault, I knew that this was the case, and I should have brought the child to the hospital!"
The woman slumped to the ground, refusing to stand up despite the help of those around her.
Tang Yi, who was standing in the intensive care unit, looked at the painful expression on the family's face through the glass window, "If the child is not rescued, this mother will always live in self-blame, right?" ’
Chen Zhou put aside the case report in his hand, bumped Tang Yi with his shoulder, and whispered in his ear, "Don't be reckless, do your best!" ”
Tang Yi just nodded, did not answer, and waited until the last chief doctor finished the examination and took a few steps forward.
Pediatric pulse diagnosis is different from that of adults, because the child's mouth is shorter, and it is difficult to take the pulse. Tang Yi hesitated for a long time, and finally chose the method of designating one and three levels.
1. Specify the three passes, this method is to press the index finger or thumb at the same time to press the three parts of the ruler, and then according to the different finger strength, take the float and sink to experience the changes in the child's pulse.
Tang Yi had only heard this method from Master Gu Fan, and this was the first time he had used it in practice.
Tang Yi adjusted his breathing, held his breath and concentrated, so that he could concentrate, and then he started.
Nearly ten minutes passed, and some experts and professors standing outside the intensive care room waited impatiently.
Feng Feihong looked at Tang Yi, who was sitting there motionless, and said mockingly, "It is ridiculous that an expert in the cardiology department of the Mayo Clinic actually uses the pulse control technique of traditional Chinese medicine to treat people. ”
Qi waited and laughed, "What Director Feng said is not right, who stipulated that Tang Yi can only know one medical skill?" People may be geniuses, but what about Chinese and Western medicine? ”
These words seemed to be helping Tang Yi, but the look on his face was a posture of watching a play.
Wang Zhenhua knew that Tang Yi knew how to use traditional Chinese medicine, and in the face of multiple organ failure, if it was just skin kung fu, it would not be very useful.
Ten minutes later, Tang Yi withdrew his hand, picked up the case on the table and looked at it a few times, before walking out of the intensive care unit.
Seeing Tang Yi come out, Qi and the others asked in a weird manner, "Doctor Tang, the patient has also seen it, is there a treatment plan?" ”
Tang Yi touched his chin, thought about the prescription, and didn't pay attention to the other party at all.
Feng Feihong had a little disdain on his face, "Dean Qi, don't worry, Tang Yi is a professor at the Mayo Clinic, and his level is naturally stronger than ours domestic experts, let him think about it for a while." ”
The baby's family members, who had been on the side, heard Feng Feihong's words, as if they had grasped a life-saving straw, and grabbed Tang Yi's arm, "Doctor, please save my child, I will kneel down for you!" ”
Before Tang Yi, who was in deep thought, could react, the baby's family knelt down together.
Wang Zhenhua's pupils shrank, and he hurriedly stepped forward to pull the family up.
The arrival of a group of chief doctors in the intensive care unit was enough to attract attention, and now the families of the patients are kneeling down in unison, praying for a young man. If this matter is photographed and spread on the Internet, if the facts are distorted, it will not be a good thing for the hospital or Tang Yi himself.
Feng Feihong walked in front of the patient's family and pretended to help pull the patient's family, "Please rest assured, Dr. Tang is all-powerful in Chinese and Western medicine, and he will definitely be able to treat your child well!" ”
This will Wang Zhenhua had a gloomy face, glared at Feng Feihong, who was still chattering, and pulled Tang Yi's arm, "How is it?" Are you sure? ”
Looking at the patient's family members who were pulled up, Tang Yi thought for a while, "Atractylodes macrocephalus 20g, parsnip 15g, ephedra 15g, dandelion 30g, American ginseng 10g, ginseng 10g......"
After talking about nineteen flavors of traditional Chinese medicine in a row, the more Tang Yi said the more feasible he felt, "Combined with pediatric massage, three pairs of medicines should be effective." ”
What are the effects of three side drugs? In the eyes of the surrounding experts, this is completely impossible.
In addition to the name of traditional Chinese medicine, the effect is slow, a pair of medicines a day, three days to take effect, this speed is not much slower than Western medicine.
Before Feng Feihong could speak, Chen Zhou took a step forward, "Tang Yi, is there too little for the three medicines?" ”
This is a deliberate reminder to Tang Yi not to be too full of words, so as not to give hope to the patient's family and then heavy disappointment.
"Pediatric massage is similar to adult massage, both of which make the meridians smooth and the circulation of qi and blood, so as to adjust the function of the viscera and cure diseases and health care! With the drug, the three pairs of drugs come down, not to mention the cure, but the effect is definitely there. ”
At this time, Tang Yi didn't care so much, and his mind was all on the baby's condition.
The words have been spoken, and they are already covered with water.
"Good, good, good!" Qi waited and seized the opportunity, "Since Dr. Tang has said so, it is better to try according to his treatment plan!" ”
Wang Zhenhua didn't expect Qi to wait so impatiently to kill Tang Yi, and wanted to determine the treatment plan so quickly.
"After all, the patient is still young, and the treatment is still more cautious, why don't we go back and discuss it again?"
Qi Wait's face leaked a look of grief, "What are you discussing?" How much impact does dialysis have on your child's future now, and now that there is a good method, you might as well try it! ”
Hearing that it would have an impact on her child's future, the child's mother grabbed Wang Zhenhua's arm, "We don't do dialysis, until the last step, we don't do dialysis, use medicine first, use medicine first!" If not, you're on dialysis! ”
Looking at the appearance of the family, Wang Zhenhua sighed heavily, turned his head to look at Tang Yi, "Are you sure?" Do you want to think about it again? ”
"It's confirmed!"
Handing the prescribed prescription to the nurse next to him, Tang Yi sat at the door of the intensive care unit, rubbing his hands with each other, rubbing, pushing, taking, pinching, and pointing.
Wang Zhenhua looked at Qi Wait, who was leaving triumphantly, and was still a little uneasy in his heart, so he walked to the safe passage alone and reported today's incident to Zhan Youcheng.