Chapter 254: Pharmacological menstruation, patients with persistent upper abdominal pain

Author: Jiangbian Yuweng

Chapter 254: Pharmacological menstruation, patients with persistent upper abdominal pain

In addition to this patient being successfully cured and discharged, the gastric cancer patient has also been discharged. However, he still needs to come to the hospital regularly for chemotherapy and review.

The female lawyer with cirrhosis of the liver had significant therapeutic effects after surgical treatment.

He was discharged from the hospital three days ago.

However, cirrhosis is a common clinical chronic progressive liver disease, a diffuse liver damage caused by the long-term or repeated effects of one or more causes.

This damage is often irreversible.

The liver and kidneys are very similar in this regard.

Once damaged, it is difficult to recover.

The best way is to detect and treat it early.

However, compared with the kidney, the liver has a strong regenerative ability. If the quality of the liver is good, even if 80% of the liver is removed, it can be restored.

Because the liver of patients with cirrhosis has entered the compensatory stage of disease, its regeneration capacity will definitely be affected and is far inferior to that of a normal liver.

If it develops into the late stage of cirrhosis, which is the decompensation stage, the liver is basically useless at this time.

Not to mention cutting off part of the liver, even other operations must consider whether the patient's body can bear it.

The 79-bed female lawyer is a blessing among misfortunes. Her liver cirrhosis is still in its early stages. After the real cause was found, the hidden danger was eliminated after surgery.

From now on, she only needs to take long-term medication to protect her liver, and her life will not be greatly affected.

Speaking of which, Zhou Can gave this female patient a discharge order and successfully earned a reward of 100 pharmacological syndrome experience points!

This is also the first time he has given discharge instructions to a patient with liver disease.

His pharmacological syndrome differentiation has been successfully promoted to level four. His current experience value is 227/10000, which is lower than the level of the attending physician.

This level is not enough compared to the previous level, but it is more than enough compared to the lower level.

Not to mention among the regular trainees, even among the group of residents, he is definitely outstanding.

All doctors know that pathological diagnosis and pharmacological syndrome differentiation are the two most difficult medical skills to promote, competing with the promotion of anesthesia. Many doctors study medical skills all their lives, but always stay at the level of attending.

It is not simply because medical papers have blocked their promotion to deputy chief physician. It is indeed because many doctors are slack and lazy after work because of their limited understanding, and are unwilling to study and study as hard as they did when they were in school.

In the end, I was unable to understand high-level pathological diagnosis and pharmacological syndrome differentiation even after I retired.

If it's traditional Chinese medicine, in addition to pharmacological syndrome differentiation, there is also a more difficult medical skill called meridian tropism.

It is equivalent to the advanced medical skills of using medicine.

After learning pharmacological syndrome differentiation, you can only treat the disease according to the disease. You know which medicine to use for each disease, its compatibility, dosage, and usage, and you can achieve precise control.

But compared with real masters of traditional Chinese medicine or internal medicine, there is still a clear gap.

Because they all know the medical skills of meridians.

Also referred to as Gui Jing.

For example, Director Tan from the Department of Internal Medicine has specialized in studying the theory of traditional Chinese medicine. I heard that he also had many veteran traditional Chinese medicine doctors as his teachers, in order to learn more about the meridians of medicinal effects.

If someone can become a first-class professor, be elected as an academician, and securely hold the top position as director of a department of internal medicine, it is natural that he has earned his reputation in vain.

Director Tan's medical achievements in the field of internal medicine are ranked among the top internal medicine experts in the country.

It's just that he usually keeps a low profile and doesn't pursue false fame, so he is not as famous as Wu Baihe.

Even Director Yin Hua of the Department of Neurology is more famous than Director Tan.

But Yin Hua is usually as respectful as a student in front of Director Tan.

Like Director Tan, after achieving certain medical achievements, there are many scholars who specialize in studying traditional Chinese medicine. Almost all famous internal medicine experts have taken this path. Just like all famous scientists, they eventually embarked on the path of theology.

Newton, Einstein, Edison... these people all turned from scientific research to theology in their later years. No one can explain the reason.

Everyone speculates that they may have believed in the existence of God because they knew too much and found that many things could not be explained by science.

According to this logic, after Chinese physicians achieved certain achievements, they began to conduct in-depth research and study of traditional Chinese medicine. It seems that they also discovered that many medical phenomena cannot be explained by the theory of Western medicine.

On the contrary, the answer can be found in the theory of traditional Chinese medicine.

Therefore, they will naturally start to explore traditional Chinese medicine.

Although Western medicine has developed very rapidly in pharmacy, Western medicine still suppresses traditional Chinese medicine and belongs to the mainstream of the market.

But when it comes to meridians, foreigners shake their heads like rattles and can only say NO, NO.

Because there are no such things as meridians and acupuncture points in Western medicine.

They don't even understand the meridians. If you talk to them about the meridians of medicinal effects, isn't this just playing the piano to an ox?

Zhou Can's pharmacological syndrome differentiation is currently at Level 4, and his understanding of pharmacology and medicinal properties has reached a new level. However, compared with medical experts such as Director Tan of the Department of Internal Medicine, his level is still far behind.

Therefore, he is still very vague about the concept of meridians of medicinal effects.

But it is much better than foreigners. He at least knows some basic knowledge about meridians and acupuncture points.

On this day, Zhou Can came to the ward early as usual to check on the patients he managed.

The number of patients assigned to him by Director Shang has increased from seven to 11. In the past seven days, some of the patients under his care have been discharged and some have been newly admitted.

So far, all the patients he has treated have received effective treatment, and no intractable diseases have yet been encountered.

When endoscopic surgery is needed, surgery is performed, interventional treatment is performed when interventional treatment is needed, and medication is used when medication is needed.

Without exception, the patients he has managed can basically receive formal treatment within two days of admission.

It is precisely because he has done an excellent job in management that Director Shang will continue to put more responsibilities on him.

Zhou Can does not reject anyone who comes.

Especially after his pharmacological syndrome differentiation skills were upgraded to level four, his ability to prescribe various medical instructions to patients has significantly improved. The selection, compatibility, and dosage control of drugs can be more precise.

For example, there are many drugs to choose from to reduce fever, such as ibuprofen, aspirin, acetaminophen, indomethacin, nimesulide, celecoxib, etc.

When taking medicine, his previous resident medical level only focused on the fever-reducing effect.

Now that he has been promoted to the level of attending physician, he will take into account the patient's age, gender, underlying physical diseases, the cause of the fever, and other factors.

Obviously more thoughtful and detailed than before.

The advantage of this is that it can better reduce the harmful effects of drugs and truly treat diseases according to their cause.

From this aspect, the prescribing levels of attending physicians and resident physicians are really not at the same level.

"Dr. Zhou, can you please help me look at the patients in bed 65?"

Zhou Can was checking the bed in the ward when Yu Xin, a female trainee in the team, came over.

"What's the matter?"

Zhou Can turned around and asked.

Since he entered the gastroenterology department, all the patients under his care have received effective treatment. This is a fact that is obvious to all.

Many people didn't say it, but in their hearts they admired his abilities.

Not to mention Yu Xin in the group.

"The aunt who was infected with salmonella last time has just been transferred back from the Department of Critical Care Medicine. I think her condition is still very scary. My level is limited and I am worried that something will happen. Please help me check it. I can feel more at ease."

Yu Xin explained.

Now whenever she encounters a patient she is unsure about, or a situation she is not sure about, she will ask Zhou Can for help.

It is much easier to find help from Zhou Can, who is also at the regulatory training level and is more capable than the chief physician, than to find Director Shang, Huang Xinggui.

There is no psychological pressure either.

"Oh, that aunt is really true. It would have been great if she had been diagnosed and treated as soon as possible when she was infected with salmonella! She had to be seriously ill before she would seek medical treatment. It would be a good thing to have saved her life."

Zhou Can shook his head and sighed.

Follow Yu Xin to the ward where bed 65 is located.

Auntie's husband has been discharged from the hospital long ago.

On the contrary, she, the escort, ended up in the intensive care unit due to ignorance and luck.

"Auntie, can you speak now?"

Zhou Can looked at the sickly aunt on the hospital bed, who had lost a lot of weight, and felt very complicated.

Auntie almost shed tears when she saw him.

"Dr. Zhou... If I had listened to your advice, I wouldn't have stepped half way through the door of hell. My heart was filled with panic, and my intestines were filled with regret. I had harmed my family..."

The aunt's voice was sobbing, and her tears couldn't stop flowing.

The daughter next to her who asked for leave to take care of her quickly wiped her tears.

"Money and money are all external things. Saving your life is the best result. Isn't there a saying that if you survive a catastrophe, you will be blessed later? I believe you will live a happy life in the future. Look, your daughter is so filial. Please
To be continued...