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Chapter 132 Medical ethics and medical style

Chapter 132 Medical ethics and medical style
When I returned to the internal medicine office, I saw that the two doctors who went to and from work together had returned.

"Dr. Xiao and Dr. Yang, you have also come back from rounds!" Huang Su greeted politely.

Dr. Xiao looked up at Huang Su, put down the pen in his hand and said, "We just came back, how are the five newly admitted patients in charge of you recovering?"

Huang Su replied: "Four of them are recovering well, and they will be discharged from the hospital in a few days after taking a few doses of blood-activating and stasis-clearing, heat-clearing and blood-cooling medicine. It's just that one patient had a sudden acute increase in intracranial pressure yesterday. The intracranial pressure was stabilized with a dehydrating agent..."

Before Huang Su finished speaking, Dr. Yang said in a slow and sarcastic tone: "Only the surnamed Hu in the emergency department can do this kind of thing. In the theory of Chinese medicine, concussion is caused by blood stasis and heat, and heat hurts the yin. Dare to use dehydrating agent, it is indeed the great wisdom of Chinese and Western medicine."

Huang Su thought: Dr. Yang really guessed right, the doctor who wrote the prescription was Dr. Hu from the emergency department.

This is also the first time when Huang Su was on night shift. When he went to the emergency department to help, he met Dr. Hu who treated convulsions as Japanese encephalitis.

"Doctor Yang, you don't have to be angry. The emergency department did nothing wrong. For acutely elevated intracranial pressure, using dehydrating agents is the quickest way to control intracranial pressure." Doctor Xiao has a good personality. The doctor acts as a peacemaker.

Elevated intracranial pressure is a very dangerous type of sequelae of concussion. If it is not treated in time, brain herniation will occur and the life of the patient will be endangered.The commonly used treatment methods in Western medicine are dehydrating agents and diuretics to eliminate cerebrospinal fluid or brain tissue edema.

Although traditional Chinese medicine can also treat elevated intracranial pressure based on syndrome differentiation, it is more focused on treating chronic elevated intracranial pressure. For the characteristics of sudden onset, rapid deterioration, and short treatment time of acute intracranial elevated pressure, Western medicine will treat it more quickly. efficient.

Although from the theory of traditional Chinese medicine, sometimes there will be inappropriate medication and the condition will worsen afterwards, but it is necessary to act urgently.

Perhaps Dr. Yang also knew that what Dr. Xiao said made sense, he snorted softly, turned his head and continued to be busy with the work at hand.

Huang Su was actually curious about why Dr. Yang had such an unfriendly reaction to Dr. Hu from the emergency department.

But since the person involved was at the scene, Huang Su couldn't ask Dr. Xiao directly, so she could only hold back the gossip in her heart.

Huang Su returned to his work station, opened the medical record folder, and began to update the patient's medical record according to the prescription he re-prescribed to the patient, mainly Jiang Chengbin and five concussion patients.

For patients not treated by himself, Huang Su simply performed tongue and pulse examinations to confirm the patient's physical condition, and did not change their doctor's prescription.

After sorting out the medical records, Huang Su got up and moved her sedentary body a little, walked to Dr. Xiao and said, "Dr. Xiao! I will go to the inpatient area of ​​the oncology department. If there is something urgent, go to the oncology department to find me."

"Okay! You go, I will find you if I need something!"

Dr. Xiao nodded. Now everyone knows that Huang Su will definitely become Professor Sun's disciple in September and will not stay in the internal medicine department. Naturally, he is willing to make things easier.

Before Huang Su walked out of the office, the mobile phone in the pocket of the white coat suddenly rang.

Taking out his mobile phone and seeing that it was Wang Xinlu calling himself, Huang Su quickly pressed the answer button.

Wang Xinlu asked anxiously when he heard the phone call: "Huang Su, where are you now?"

Huang Su returned: "Professor Wang, I'm in the office now!"

Wang Xinlu's anxious voice came from the mobile phone and said: "A patient with mercaptan poisoning is being transferred from Xiehe Hospital to our hospital. Please help the patient go through the hospitalization procedures first. I am having a meeting with Director Li outside. I will return to the hospital immediately after the meeting is over." , if I don't come back in time, you should treat the patient first."

"Professor Wang, I see."

Speaking of Huang Su hung up the phone, a pair of eyebrows were already wrinkled together.

Seeing that Huang Su answered Wang Xinlu's call, Dr. Xiao's face instantly became serious, and he stopped there, not going to the oncology inpatient.

Doctor Xiao got up and walked to Huang Su's side and asked, "Doctor Huang, what happened?"

Huang Su seemed to have figured it out in an instant, and explained to Dr. Xiao: "A patient with mercaptan poisoning will be sent from Xiehe Hospital in a while, and we need to receive treatment."

Upon hearing that the patient was poisoned by chemicals, Dr. Xiao and Dr. Yang who had just walked over both frowned slightly.

Chinese medicine has never treated this kind of poisoning.

Dr. Xiao frowned and said, "This kind of mercaptan poisoning has never been seen in the whole country. Neither Chinese medicine nor Western medicine has experience in treating it. This patient is a bit tricky."

snort!
Dr. Yang also frowned and snorted coldly: "These western doctors take it easy. All the patients who can be cured are left to themselves, and all the difficult and miscellaneous diseases are thrown to the Chinese medicine practitioners. Just try your luck with a Chinese medicine doctor for your disease. Dismissed the patient."

What Dr. Yang said is not a lie, it's just that the common people have developed the habit of seeing Western medicine first when they are sick, and Chinese medicine often treats difficult and miscellaneous diseases that Western medicine cannot cure.

Western medicine is like a sieve, keeping all the patients who are easy to treat and those that can be treated by Western medicine in the sieve, and those who flow out of the sieve are left to Chinese medicine for all kinds of intractable diseases that cannot be treated by Western medicine.

After hearing Dr. Yang's words, Dr. Xiao frowned even tighter.

Seeing that the two seemed to be troubled by this poisoning, Huang Su said: "No matter what the disease is, it is nothing more than the six diseases of wind, cold, heat, dampness, dryness, and fire. When a patient comes, we only need to treat it according to the syndrome differentiation of traditional Chinese medicine. It’s just a matter of tricks and tricks, there’s nothing to worry about.”

After hearing Huang Su's words, Dr. Xiao laughed at himself: "It's all my fault. When I think of chemical poisoning, I fall into the treatment thinking of Western medicine. It was Dr. Huang who woke me up with a word."

In fact, Huang Su himself just heard that the patient was poisoned by chemicals, and fell into a misunderstanding for a short time.

"Which one of you will go with me to the nurse's station and wait for the patient to come." Huang Su swept across the two of them and asked.

As doctors, everyone is very interested in this kind of medical records that they have never seen before, so Huang Su left the choice to the two.

Dr. Xiao said: "I'd better go with you. There is always someone left in the office. I'll call Dr. Yang when the patient arrives."

Huang Su and Dr. Xiao walked out of the office.

When there were only two people left now, Huang Su's spirit of gossip burned again and asked, "Dr. Xiao, how do I see Dr. Yang has a lot of opinions on Dr. Hu from the emergency department, and he is also a little hostile to Western medicine."

Dr. Xiao also wentssip and carefully said: "Dr. Yang and Dr. Hu used to be students of Beijing University of Traditional Chinese Medicine. I heard that they were classmates in the same class and dormitory. Because of their poor family background, they often went out to work together. , Gradually the two became best friends, because the two of them were from a poor family and were often taken care of by a professor, the two decided to take the postgraduate entrance examination of this tutor together after graduation.”

"Isn't the relationship between the two of you pretty good? Why is the relationship so stiff now?" Huang Su asked puzzled.

"Doctor Huang, don't worry, listen to me!" Doctor Xiao paused for a while and continued: "However, the combination of Chinese and Western medicine was the most popular specialty in those years, and it was even more politically correct. Qiantu finally violated the agreement with Dr. Yang."

"Dr. Yang felt that Dr. Hu was ungrateful and forgot the kindness of the professor. Later, because Dr. Hu saw patients and saved lives, he mainly used Western medicine examinations to save lives. As the saying goes, they have different ways and do not conspire with each other, so the relationship between the two became more and more rigid. , meeting is like an enemy."

After hearing Dr. Yang's story, Huang Su could only sigh slightly.

Now that medical students are selected on the basis of their college entrance examination scores and meritocracy, don't expect all medical students to have extremely high moral standards.

It can be seen that Dr. Yang's mentor should have observed the two for a long time, and was finally moved by their hard work and work-study behavior, and planned to accept them as disciples.

The older generation of Chinese medicine practitioners still put medical ethics first when choosing their graduate students.

That generation of Chinese medicine practitioners still adheres to the principle that as a Chinese medicine practitioner, one cannot be trusted unless one is a caring person, one cannot be trusted unless one is smart and rational, and one cannot be trusted unless one is honest and honest.

However, after this group of old Chinese doctors with faith have aged, the new Chinese medicine practitioners are all Chinese medicine practitioners cultivated by meritocracy. Not surprisingly, it is really a disgrace to Chinese medicine.

"That's not right. Even in this way, Dr. Yang is at most related to Dr. Hu, so he doesn't have such a big opinion on Western medicine. If he has an opinion, it should be Chinese and Western medicine." Huang Su asked puzzled.

"This is another story." Dr. Xiao continued to tell: "In fact, the story is very simple. Dr. Yang's tutor took over a patient who could not be cured by Western medicine. After Dr. Yang's tutor cured the patient. Western medicine published a paper on the treatment of this disease by Western medicine. The paper did not mention that it was cured by Chinese medicine, and attributed all the curative effects to Western medicine. Since then, Dr. Yang has a great dislike for Western medicine.”

After listening to the story told by Dr. Xiao, Huang Su felt ten thousand alpacas galloping past.

It turns out that Western medicine didn't do this kind of work since [-], it's an ancestral skill!

Just when Huang Su was feeling emotional, the elevator on the floor opened slowly, and a transfer bed was rolled out from it, and a young man was lying on the transfer field.

(End of this chapter)

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