Rural Chinese Medicine Li Maoyang

Chapter 573 Groove, it’s the first time I’ve seen someone who dared to blow such a big cowhide casually

The emergency department of a larger hospital seems to be always busy.

When Li Maoyang and Zhang Yazheng arrived at the emergency department, they saw a flat bed being quickly pushed in from the door. On the hospital bed, there was also a nurse kneeling and performing cardiopulmonary resuscitation on the patient!
She folded her hands together, pressing the chest of an elderly patient in a standard and rhythmic manner, and beads of sweat were still rolling on her forehead!

Zhang Yazheng stopped in a daze for a moment, and the nurse who was kneeling on the flat bed and doing CPR on the patient was none other than Li Xianglan!

The door is next to each other, and the two families usually have contacts, and occasionally meet and chat with each other in the corridors and elevators when they go home. The impression Li Xianglan left on him is that of a girl who is a bit polite and straightforward.

He has never seen her who is so focused and hard-working in rescuing someone like this!
For a moment, it actually made him a little dazed!
"What are you doing in a daze? Do you know CPR? Go replace her!"

Li Maoyang patted Zhang Yazheng on the shoulder and said.

"Oh, okay!" Zhang Yazheng hurried forward and said to Li Xianglan who was doing CPR, "I'll do it!"

Li Xianglan looked up at Zhang Yazheng, was slightly taken aback, then nodded and got off the bed, and Zhang Yazheng was going to perform CPR.

Li Maoyang also strode over afterward, checked the face of the elderly patient on the flat bed, took his wrist to feel his pulse, shook his head and said to Zhang Yazheng: "No need to do it."

Zhang Yazheng looked up at him suspiciously.

"There is a lot of blood loss in the body, it should be something like a ruptured arterial dissection." Li Maoyang explained.

In this case, the gods are hard to save.

It was too late to even go to the operating bed, and it was basically impossible to save him if he did.

Hearing that it might be a ruptured arterial dissection, Zhang Yazheng was taken aback, quickly stopped her hands and jumped out of bed!
Grass, if the arterial dissection is really ruptured, doing cardiopulmonary resuscitation at this time will make the situation worse!
Li Xianglan and the two nurses pushing the flat bed looked at Li Maoyang suspiciously.

"Oh! Why didn't you rescue my dad? Hurry up!" A middle-aged woman shouted from the patient's family members who followed the flat bed!
"It's useless to rescue now. I went to the rescue room and asked the doctor to check the precise rescue."

The three nurses including Zhang Yazheng and Li Xianglan were still in a daze, and Li Maoyang replied vaguely to the patient's family.

Now telling the patient's family members that there is no value in rescuing, the middle-aged woman will be anxious with him, and there is no way to explain the patient's specific situation to her, so she can only answer in such a "technical" way.

In the end, the patient was pushed into the emergency room, and the doctor arrived immediately. The emergency room was very busy, and finally put on the oxygen mask, hung up the water, and pushed to do CT and MRI. Li Xianglan and an intern were busy all the way. Zhang Yazheng was also busy.

Li Maoyang didn't get involved anymore.

About half an hour later, both Zhang Yazheng and Li Xianglan came back.

The patient went to CT, and left without even having the CT done.

It is estimated that this CT trip was also the doctor's last move to shirk responsibility.

"It's really a ruptured arterial dissection!" Li Xianglan looked at Li Maoyang in a daze and said, "Your pulse is so powerful."

"Traditional Chinese medicine pulse diagnosis is a basic exercise." Li Maoyang said flatly.

Now most of his small pulse diagnosis skill points have been promoted to intermediate skills, and he can't even read the pulse of a ruptured arterial dissection, so what else is he playing!

That patient's pulse was weak and feeble, and felt like a thin thread (a kind of thin pulse, sometimes called a silk pulse). This is not a pulse of massive blood loss in the body. Now he has a clear understanding of this kind of pulse up.

The reason for the massive blood loss in the patient's body must be the rupture of the large blood vessels.

In the absence of trauma, it can cause rupture of large blood vessels, such as aneurysm rupture and arterial dissection rupture. However, the patients he interviewed did not have tumors in their bodies, so it was basically arterial dissection rupture. This is the case.

This is a simple logical line that even Li Maoyang's toes can deduce.

Not worth mentioning.

"Brother Yazheng, can you name me?" Li Xianglan turned to Zhang Yazheng and asked.

The brilliance shone in a pair of big eyes.

"You underestimate Brother Zhang. Such a simple pulse is a piece of cake for Brother Zhang. He was too tired to see you just now, so he was busy taking over from you so he didn't have time to give the patient a pulse diagnosis." Li Maoyang laughed, "Zhang Brother's current pulse diagnosis skills are much better than many middle-aged doctors."

"Brother Yazheng, is it true?" Li Xianglan asked with a smile again.

"It's okay." Zhang Yazheng scratched her head and smiled, "After all, I learned pulse diagnosis from my father very early."

Now is not the time to be modest, and at the same time, he gave Li Maoyang a comprehensible glance. This guy can change his name to "Brother Zhang" at this time, and even help him out.

"Oh, I've always wanted to learn some Chinese medicine, and now I want to learn even more!" Li Xianglan said.

"Isn't it convenient for you to learn? For the time being, I will learn from Brother Zhang. When I learn more, I can also ask Uncle Zhang. What a good condition." Li Maoyang laughed.

Today he beat the drum very hard.

And he can't leave for the time being, otherwise Zhang Yazheng is a thin-skinned guy, once he leaves, this guy probably won't stay for long.

"How is your second aunt now?" Zhang Yazheng asked Li Xianglan.

"I took oral and intravenous potassium injections in the afternoon, but the cause of the hypokalemia has not been found yet," Li Xianglan said.

In the treatment of hypokalemia, in principle, the primary disease causing hypokalemia should be treated first, followed by symptomatic potassium supplementation.

(Potassium supplementation can be taken orally, infusion, or eat more potassium-rich foods such as potatoes, jujubes, and bananas.)
However, there are many primary causes of hypokalemia, so hypokalemia is also an intractable disease among endocrine system diseases in Western medicine.

It may be insufficient intake, it may be excessive excretion, or it may be abnormal distribution.

Long-term nausea, vomiting, profuse sweating, and the application of insulin to lower blood sugar, etc., may cause hypokalemia.

If the cause cannot be identified for a while, the symptomatic treatment of potassium supplementation can only be carried out temporarily.

However, this may miss the main condition of the patient, causing the patient to suffer from hypokalemia next time, and may even cause greater hidden dangers to always exist in the patient's body and cannot be ruled out.

"Why don't you ask your second aunt to come tomorrow, and we'll check it out for her?" Zhang Yazheng said.

"Oh, I wanted you to check for her again, but my second aunt had something to do at home and was busy going home. I didn't persuade her, so she went back. When she comes next time, I'll come back to you.

Western medicine is too troublesome to check. The various instruments seem to be advanced, but there are many times when the cause cannot be found clearly. Try Chinese medicine to see if it works. "

Li Xianglan said.

"Anyway, your house and mine are opposite each other, so it's convenient anytime."

Zhang Yazheng shook her head melancholy and said, "It won't happen in the future, our family is going to Hetao."

"Ah? Going to Hetao? Why?" Li Xianglan asked in surprise.

Zhang Yazheng hesitated for a while, not knowing what to say, after all, he couldn't tell about the bet with Li Maoyang, and he couldn't find a more reasonable reason if he didn't mention this reason.

Li Maoyang saw that he was going to be jealous, rolled his big eyes, and said with a serious face: "Because I will set up a hospital in Hetao in the future, I invited Uncle Zhang and Brother Zhang to go. To run a hospital requires a lot of talents."

Hearing what Li Maoyang said, Zhang Ya looked at him in a daze, shit!It was the first time he had seen someone who dared to brag so casually!

　The third update today.33 chapters are owed plus changes, the remaining 30.88 meters are rewarded, and 76 monthly tickets.

　　
　
(End of this chapter)