Chapter 88 The young doctor questions traditional Chinese medicine
Sun Xiaoming's high fever entered the fourth day.
Jiang Meilan stood outside the glass of the intensive care unit, looking at her son lying on the hospital bed crying hoarsely.
"Son, you have to work hard. Your mother is your only child. You can't abandon your mother. If you leave, your mother will not live anymore~~"
Sun Shu, a father, could no longer calm down at this time. He looked coldly at the surgeon next to him, Director Jin, and asked:
"Dr. Jin, my son only has a small case of appendicitis. How can he be sent to the ICU for rescue now?"
Director Jin was a little embarrassed. After all, this problem should be a matter of the anesthesiology department, but the patient was admitted by the surgery department, so he was the only one to comfort the family members on behalf of the surgery department.
"The thing is like this. Malignant hyperthermia is a complicated disease. 70% of it is related to the patient's RYR1 gene mutation. Then under the action of inducing drugs, the concentration of calcium ions in the muscle cytoplasm rapidly increases, causing muscle contracture and a sharp increase in heat production. Body temperature rises rapidly
When the body temperature rises, a large amount of lactic acid and carbon dioxide are produced, and a series of changes such as acidosis, hypoxemia, hyperkalemia, and arrhythmia occur. This condition is still very serious and indeed life-threatening, so this critical illness notice You still have to sign the form. ”
Sun Shu became angry immediately after hearing this:
"What do you mean? What is this acid and which potassium? I don't understand. Your hospital just wants to shirk responsibility now, right? Anyway, I understand what you mean. My son is not developing well. He deserves it, right?"
As soon as these words came out, some relatives of the Sun family and the Jiang family gathered around and cursed.
Director Jin was sweating, knowing that this was going to be troublesome. After all, this was a 14-year-old boy, the treasure of his parents and relatives, and it was really difficult to accept that he was critically ill with appendicitis.
But no matter how hard it is to accept, this is true.
"This, this, the patient's current situation is not what we want to see, but from a medical point of view, it is indeed the patient's own genes that are defective."
"You're eating shit!"
A relative next to me couldn't help but curse:
"You just said it yourself, 70% is related to genetic mutation, but that's not 100% right? The other 30% is caused by other reasons, so why don't you talk about this reason?"
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"A perfectly good person came to your hospital, but now his life and death are unknown. Didn't you kill him by using the wrong medicine?"
"Yes, the hospital will lie to people. If Xiao Ming is fine, it's okay. If something happens to Xiao Ming, we are not finished!!!"
"It's absolutely not over. My eldest brother only has one child in his family. If Xiao Ming dies, you will pay for it with one life!!!"
"My Mingzai!!!"
There was a mess outside the custody room. Director Jin was pushed around by his family members but had no choice but to continue his explanation work.
In the intensive care unit, ICU director Li Ruiqi was also discussing the condition with experts such as Xu Huanghui, director of the anesthesiology department.
As a doctor, you definitely don’t want your patient to die. Huadu No. 1 Hospital also attached great importance to Sun Xiaoming’s malignant hyperthermia, and the whole hospital rescued him.
Director Xu Huanghui frowned and asked:
"Old Li, the patient has had a high fever of 40℃ for 4 days. He is in a delirium state and has convulsions and convulsions from time to time. If we look at these data, he will die from circulatory failure. Can your ICU be used?"
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Xu Huanghui is a female doctor and tends to be more direct when facing her male colleagues of the same age. Li Ruiqi was also dumbfounded:
"Old Xu, what you said is right. I have given you a priority on your patients. Look, the two best doctors in our department are guarding the bedside 24 hours a day. How much do you think we should pay attention to?
Now not only is the body temperature unable to come down, but there are also symptoms of heart failure and respiratory failure. If you look at the kidney function, kidney failure will appear soon. We also used the special-effect dantrolene injection early, and we thought of everything we needed to do. ”
Xu Huanghui glanced at the glass of the intensive care unit. Outside the glass, the family members were already arguing with Director Jin Limin.
Thinking again about this big pot belonging to the anesthesiology department, she felt powerless again. If the little patient died, it would not only be a burden on her conscience, but it would also mean that the anesthesiology department would have a huge deduction in bonuses this year.
Although medical dispute compensation is covered by insurance, hospitals often impose heavy fines on corresponding departments and individuals. The degree of punishment depends on whether the patient's family members are violent or not.
Forget about canceling the evaluation of excellence and advanced evaluation, and still have to fine a large amount of money, or deduct money from all employees, who can bear this?
So Xu Huanghui changed her usual serious look, clasped her hands together and begged:
"Old Li, Director Li, Brother Li, I beg you, nothing can happen to this patient. He is only 14 years old, and he still has many good years to live. It's so pitiful, and the family members can't explain it to them."
Director Li Ruiqi also sighed:
"Now that all the medicines that should be used are available, only Ye Kemo is left. However, the cost of maintaining Ye Kemo per day is tens of thousands of yuan. Whether the family is willing to bear it is a question. What's more, even using Ye Kemo can only treat the symptoms. It’s not the root cause.
But Huang Hui, I have another idea here. Since Western medicine is powerless, do you think we should try Chinese medicine? What do you think? ”
Several young doctors nearby couldn't help but question:
"Director Li, Chinese medicine? They are all lies. What can be done?"
"Yes, Chinese medicine is too toxic to the liver and kidneys. Now the patient has circulatory failure. I am afraid that Chinese medicine will only aggravate the condition?"
Several young doctors discussed it one after another. In short, they said: they are not optimistic about traditional Chinese medicine and do not believe in traditional Chinese medicine.
Generally speaking, doctors who have graduated from medical schools and are engaged in clinical Western medicine do not believe in traditional Chinese medicine. To the extreme, they equate traditional Chinese medicine with liars.
Xu Huanghui is thoughtful...
Director Li ignored the young doctor’s objections:
"For us doctors, the debate between Chinese and Western medicine is meaningless. It doesn't matter whether it's a white cat or a black cat, the one that can cure diseases is a good cat..."
Before he finished speaking, Sun Xiaoming suddenly started convulsing again in the hospital bed. His muscles were tense, his face turned black, he was foaming at the mouth, and his whole body was shaking violently.
The family members outside became even more excited when they saw it, especially the parents of the children. They were crying and making trouble, and they were almost hysterical.
Xu Huanghui watched the ICU doctors immediately put in rescue efforts, and then looked at the increasingly worse numbers on the monitor, knowing that she didn't have much choice.
So she pinched Li Ruiqi's hand tightly and asked eagerly:
"Lao Li, let's try Chinese medicine. Who should we look for? Which Chinese medicine doctor in our hospital is better?"
Li Ruiqi thought for a moment:
"Dr. Mao Yichen from the Department of Traditional Chinese Medicine specializes in treating typhoid and fever. He is a craftsman from his ancestors. Xiao Zhang, please go to the Department of Traditional Chinese Medicine immediately and ask Dr. Mao to come for consultation. He said it is an emergency and cannot be delayed."
(End of chapter)