I can see the status bar

Chapter 1136

Although the supply of convalescent plasma has increased, the total amount is still relatively limited.

From the doctor's point of view, at least for now, the supply of plasma from convalescents is no longer a rare "ultimate weapon".Still... the lack of numbers is still a very real problem.Judging from the discharge speed of the recovered patients, in about one or two months, the blood plasma of these recovered patients will be able to increase by several orders of magnitude, and it can even be considered as a routine anti-infection method.

At this time, Sun Lien decisively chose to use convalescent plasma on Zhuang Xinhao, the fundamental purpose of which was to control the damage - he has not yet experienced an immune storm caused by infection, but his body functions are almost unable to hold on.If the infection is allowed to continue to deepen and progress, once the immune storm appears, it may be over soon.

As a diagnostician, Sun Lien's daily work has undergone tremendous changes.As long as the diagnosis is clear, it is not the focus of current work to explore the relationship between symptoms and make a more accurate diagnosis.

No matter what department the doctor is in, after more than a month of hard work in Yunhe's front line, there will be a huge change.Sun Lien is no exception - the fundamental purpose of all current treatments is to save lives from the new coronavirus infection.As long as the person can be cured, everything else can be relied on.

When the plan was concretely applied to Zhuang Xinhao, the fundamental principle remained unchanged.First of all, what Sun Lien has to do is to prevent him from changing from mild to severe.And the most reliable way to stop the transformation, so far, is the plasma of the convalescent.

Of course, the plasma itself of convalescents is precious, so don’t use it if you can.But compared with plasma, human life is more precious—as long as the patient can survive and recover, the recovered patients will need as much plasma as possible.

Sun Lien felt that Zhuang Xinhao had this need, and he was willing to work hard for Zhuang Xinhao.

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"Do a heart stent?" Zhuang Xinhao was very surprised when he first learned what Sun Lien meant, "Why?"

After Sun Li'en explained his heart condition, Zhuang Xinhao still seemed unacceptable, and he asked in a puzzled tone that many patients would have, "But I don't feel any heartache at all? Is it you?" Is there a problem with the inspection?"

"Mr. Zhuang, I am a doctor from Ningyuan Fourth Central Hospital." Sun Lien did not explain immediately, but explained his identity, "Our hospital is a large emergency center, and we receive a lot of patients like you. Most of them don't feel anything, they think they are in good health, and they refuse treatment."

Zhuang Xinhao vaguely understood the meaning of Sun Lien's words, but he still asked a little unwillingly, "And then?"

"About 24% of patients will be re-admitted within [-] hours after voluntarily asking to be discharged. They are often unconscious when they are admitted." Sun Lien said with a sigh, "Nearly one-third of these patients cannot be rescued. .In the remaining two-thirds, there are also many patients who will have various sequelae. For example, hemiplegia caused by hypoxia, cognitive impairment and so on.”

This serious consequence directly frightened Zhuang Xinhao's little thought of "eager to refuse", he pointed to himself cautiously, "Then I..."

"You are infected with a new type of coronavirus, and the area of ​​infection on your lungs is not small. Your symptoms may continue to progress." Sun Lien carefully chose his words, not only to get the patient to agree to receive treatment, but also not to scare them .Being a doctor also needs to master the art of language. "The palpitation you occasionally feel at present is a manifestation of the new coronavirus infection combined with heart problems. I suggest you undergo heart stent surgery to improve your heart blood supply."

"That is to say, others will be hospitalized if they get this disease, and I will need surgery if I get this disease?" Zhuang Xinhao was very depressed, "Why am I so unlucky?"

"It's not so much bad luck, I personally think it's more like luck." Sun Lien thought for a while and said, "Your heart problem is very hidden. If it wasn't for the infection of the new coronavirus, it would probably have remained hidden forever. Now because It is a good thing that we found out about your problem before the new coronavirus broke out completely."

Sun Lien's consolation helped somewhat.At least judging from his expression, Zhuang Xinhao seemed to relax a little.

Life is already very difficult, and it is actually a good adjustment to have a little bit of luck once in a while.

"Then... I'll do it." Zhuang Xinhao thought about it, and decided to follow the advice of the young director in front of him. "This...isn't there any danger?"

"Although PCI is a relatively safe treatment plan at the current stage, it is still considered surgery after all—it is indeed risky." Sun Lien explained the various contraindications of PCI surgery to Zhuang Xinhao, "The key points of PCI treatment are contrast imaging and anti-aging. Coagulation. You have had a contrast imaging today—you are not allergic to the contrast agent, which is a good sign. The second is that you are allergic to antiplatelet drugs and stent materials. So far, you should be fine.”

In fact, the most ideal situation should be to perform stent implantation on Zhuang Xinhao immediately after the first coronary angiography is performed, and coronary artery blockage and hyperplasia are found.However, due to his uncertain situation, Chen Xuerong did not choose to implant a stent for him during the operation - Zhuang Xinhao was infected with the new coronavirus. Under this premise, other treatment options must be cautious.

"So, we have to wait until the contrast agent in your body is metabolized before performing the second contrast surgery." Sun Lien said to Zhuang Xinhao, "Before that, let's do the conventional treatment for the new coronavirus."

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For the routine treatment of the new coronavirus, the main reference is still the recommendations in the sixth edition of the trial plan released on the 18th.For Zhuang Xinhao, the current main treatment plan is α-interferon 500 million units atomized inhalation BID, lopinavir/ritonavir 200mg/50mg two capsules BID, chloroquine phosphate 500mg BID, intestinal microecological regulator 5 Grain TID.

Other treatment options are not currently used—strictly speaking, Zhuang Xinhao cannot be considered a severe or critical case.Since he doesn't have serious immune problems, he doesn't need triple therapy or hormones.At the same time, since he did not show diarrhea, the significance of using intestinal microecological regulators for him is not great.However, out of caution, Sun Lien still gave a small dose of prescription.

Regulating the intestinal microecological balance is a good thing in itself, where the input far outweighs the output.Gut microbiome regulators tend to taste pretty good.If conditions permit, the tablet can even be dissolved in milk not exceeding 37 degrees Celsius and given to the patient.The only possible side effect is "over-regulation" of the microbiome, which can lead to constipation.Compared with the benefits of intestinal microecological regulators that can regulate immune levels and prevent bacterial infections, these side effects are nothing to mention.

In addition to the western medical treatment prescribed by Sun Li'en, the Chinese medicine practitioners of the national medical team stationed in the North Fifth District also prescribed suitable Chinese medicine decoctions.

按照这位姓付的中医医师的判断，庄新浩目前体温37.1摄氏度、干咳无痰、乏力胸闷的状态符合寒湿阻肺证的判断。因此使用了苍术15g、陈皮10g、厚朴10g、藿香10g、草果6g、生麻黄6g、羌活10g、生姜10g、槟榔10g的组方。一剂汤药水煎400ml，分早晚两次服用即可。

Dr. Fu is now the most popular figure in North Fifth District.Whether it's the doctors and nurses of the medical team, or the patients receiving treatment in the North Fifth District, everyone likes to hand over their wrists to Dr. Fu when he is not so busy, and then ask others to help diagnose and treat other minor problems.Even Xu Yourong went to see Dr. Fu - she wanted to ask if the wound on her face could be healed with traditional Chinese medicine.

Bruen was also curious and wanted to see Dr. Fu, but he couldn't figure out what was wrong with him for a long time.Later, he finally came up with a "symptom", and then he went to Dr. Fu full of hope.In less than 3 minutes, he was kicked out by Doctor Fu.

When Dr. Fu threw Brun out, he cursed dumbfoundedly, "I'm a Chinese medicine practitioner, but Chinese medicine practitioners can't see how you hurt your pork knuckle!"

After prescribing the prescription, Dr. Fu approached Sun Lien on purpose and asked, "When I felt the pulse of this patient just now, I felt that his pulse was stringy and astringent. The patient's qi was stagnant and cold. Have you checked his electrocardiogram and enhanced CT? I think he might There is a problem with the coronary artery, and the possibility of stenosis is high."

Sun Li'en was a little confused in the first half of Dr. Fu's words, but in the second half, he was completely confused.

Traditional Chinese medicine... still need to check the electrocardiogram and enhanced CT?

"Uh... We have already planned to do PCI for him tomorrow." Sun Lien took a while to come back to his senses and said, "His left descending artery has a narrowing, which is about 97% blocked. Currently, there are six small hyperplasias. Blood vessel."

"No wonder." Dr. Fu nodded, "I see that your doctor's order did not add drugs such as nitroglycerin to prevent coronary heart disease. Is it possible that the patient is allergic to nitroglycerin? Do you need me to prescribe some Suxiao Jiuxin Pills?"

"No need." Sun Lien shook his head with difficulty, "The angiography shows that his condition is still stable at present. We consider performing PCI mainly to solve the problem in advance to prevent malignant arrhythmia that may be caused by hypoxia..." Sun Lien really couldn't bear it Stopped, he asked cautiously, "Doctor Fu, aren't you a Chinese medicine practitioner? Chinese medicine practitioners also look at... ECG and CT?"

Dr. Fu was taken aback by Sun Lien's actions, and he asked cautiously, "This... can't we watch it?"

Both of them watched each other cautiously, and didn't dare to say anything for a long time.

Then there was a burst of awkward laughter from both sides.

"I am a doctor of traditional Chinese medicine, but I am also a new-age Chinese medicine trained by our new China's medical education system. I am still in the eight-year system." Dr. Fu sighed, "In addition to the education courses of Chinese medicine, we also need to learn Anatomy, physiology, histology, biochemistry, diagnosis, and surgery of Western medicine..."

Sun Lien was immediately full of sympathy for Dr. Fu's schooling journey.

Learning Chinese medicine is already a lot of brain work, but in the end I have to learn Western medicine.It doesn't matter if you study Western medicine, but you still have to study physiology and biochemistry...

Wouldn't the eight years of college be worse than a dog?

"I thought that our current Chinese medicine doctors are still the same as before, and they can see a doctor just by asking questions." Sun Lien said a little embarrassedly, "I didn't expect you to also learn Western medicine."

"It's about seeing and hearing." Dr. Fu first corrected Sun Lien's words and said, "Actually, modern inspection methods and imaging studies are not in conflict with traditional Chinese medicine. Look at me..." He pointed to himself The protective suit I was wearing now said, "If you say it like this, there is no concept of virus in Chinese medicine. Then if I am a Chinese medicine through and through, I should wear a long robe and mandarin jacket now, and then I don’t even wear a mask to see a doctor? "

Dr. Fu sighed, "I think that Chinese medicine and Western medicine have different methods and guiding ideology. We learn Chinese medicine, use Chinese medicine, and practice Chinese medicine... It's not anti-science!"

Sun Li'en laughed twice, "I'm just a little... stereotyped."

"This stereotype is quite hurtful." Dr. Fu glared at Sun Lien, pointed to his chest to express "sadness", "Our current research direction in Chinese medicine is all about fluorescent labeling of drug components... Back then I When I was studying Chinese medicine, I never thought that I would have to go to the laboratory every day!"

Sun Li'en held Dr. Fu's hand, and said with tears in his eyes, "Me too!"

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In Chinese society, science and materialism are the core guiding all development.Serving the people is the fundamental purpose.Regardless of whether you are dissecting tissue embryos or yin and yang and the five elements, you must first meet one requirement-the people need and are useful to the people.

Under this core guiding ideology, Western medicine majors cannot escape the introduction to traditional Chinese medicine, and students majoring in traditional Chinese medicine cannot escape physiology and biochemistry.

When Sun Lien was in school, at least the course of Chinese medicine was still an elective.Dr. Fu graduated five years earlier than Sun Lien. When he was in school, Western medicine was already a compulsory course for students majoring in Chinese medicine.

Anyway, based on Dr. Fu's personal feeling, the study of Chinese medicine does require some "talent".After the western medicine major becomes compulsory, it can at least ensure that those students who do not have any "talent for traditional Chinese medicine" can still master enough knowledge and technology to provide reliable medical services to patients after graduation.

"Traditional Chinese medicine... You know Dr. Sun, he is very famous, but his reputation is mixed." Dr. Fu was chatting with Sun Lien in the corridor.He himself seems to have a lot of dissatisfaction with the current state of the industry. "Anyway, I've heard of scammers pretending to be old Chinese medicine heirs to practice medicine illegally. Have you heard of people pretending to be Western medicine doctors and practicing medicine illegally?"

"I've heard of it." Sun Lien spread his hands, and he saw Brunn smashing one with his own hands. "But it's true...there are many liars pretending to be Chinese medicine practitioners."

Dr. Fu said helplessly, "It is a headache for our TCM patients to admit patients all day long. Either they have end-stage tumors, or some rare diseases, or they have extremely poor compliance - let him not eat spicy food, and the result is my Bargained and said that at least let him eat spicy food..."

Sun Li'en smiled wryly, and expressed sympathy for what happened to the doctor, "I had a doctor before, only to find out that he was lying because of illness."

Regardless of whether it is traditional Chinese medicine or western medicine, there are a lot of complaints to be made in clinical application.

"There are also those colleagues who are not very capable, but have a big temper and a loud voice... Those people are simply driven into their brains by external evil!" Dr. Fu shook his head and said, "I persuaded a patient with obvious chest pain on the Internet to hurry up I went to the emergency room to see a doctor, but was scolded as a "traitor of Chinese medicine" by several people who claimed to be Chinese medicine practitioners. Looking at this person's account, he actually advised cancer patients not to listen to the hospital, and came out to find him for treatment—isn't that Murder for money!"

　After today's anti-theft, the replaced chapter will give you an extra 378 words of content.Take it as an apology for Luo's anti-theft.

　　There is a recommendation on the 22nd, and it will start at 1W on that day, everyone remember to come and join us~
　　


(End of this chapter)