Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Seeing that Guan Xiaoyue looked wrong, the patient's daughter also panicked.

"Director Guan, do you have any questions?"

"Who told you to take this medicine?" Guan Xiaoyue asked again.

"Before... my mother had taken it before, and the blood pressure lowering effect was pretty good. I just thought that if I take it again, I can recover better." The patient's daughter said weakly.

"Since I'm in the hospital, I wonder what medicine I can take and what medicine I can't take? I don't know how to ask the doctor?" Guan Xiaoyue suppressed her anger.

Guan Xiaoyue couldn't get angry when facing the patient's family. If she were a doctor in the department, Guan Xiaoyue might have scolded the other person bloody by now.

"I thought the doctor had prescribed it before, so I didn't ask," the patient's daughter said.

In fact, there was something she didn't say because she was afraid that if she asked, the doctor wouldn't let her eat it.

The patient was right when he was admitted to the hospital, but the patient's daughter had other ideas in mind.

Being hospitalized, that was not medicine prescribed by the hospital doctor, and the hospital would definitely not allow her to take it. Maybe she wanted her mother to stay longer and spend more money.

She thought that her mother had been taking this medicine for many years. After all, she had a history of high blood pressure for many years, and it had been fine for so many years. If she took it now, she might be able to recover faster.

If they recover quickly, they can be discharged from the hospital sooner.

"Naoliqing Pill is an antihypertensive drug, but it is also a Chinese patent medicine. It contains Chinese medicinal ingredients and requires syndrome differentiation."

Guan Xiaoyue said: "Even if it is a simple antihypertensive drug, you cannot take it randomly."

"Your mother had a cerebral hemorrhage and had a history of high blood pressure for many years. That's true, but low blood pressure doesn't mean you won't have a cerebral hemorrhage."

"This is like a tube. High blood pressure is caused by many reasons. Slow blood flow, congestion inside, and high blood lipid viscosity can all cause high blood pressure. High blood pressure may burst the tube and cause bleeding. "

Guan Xiaoyue paused as she spoke: "However, blindly lowering blood pressure may also cause bleeding again, just like the flow rate of water. If it is too fast, there will be problems, and if it is too slow, there will be problems. Your mother is weak and still Taking antihypertensive drugs before it recovers will cause cerebral infarction."

"Clinically, Naoliqing Pills can treat symptoms such as dizziness, tinnitus, sore throat, restlessness, difficulty sleeping, and high blood pressure caused by hyperactivity of liver yang. However, it is also contraindicated. Patients with weak constitutions are prohibited from taking it. You don't have to ask. doctor......."

Guan Xiaoyue didn't tell the patient's family anything about traditional Chinese medicine, she just talked about lowering blood pressure, and the consequences were very serious.

As a doctor, you can really meet many smart people in clinical practice.

Originally, the doctor treated the patient well, but some smart people took it upon themselves to make the patient eat some taboo fruits, or thought the patient was weak and gave him some supplements, or similar to this, randomly asking the patient to take antihypertensive drugs... .....

"Director Guan, I..."

The patient's daughter stammered.

"It was this medicine that caused your mother's condition to get worse today. It was discovered earlier now. I will prescribe a prescription first. No matter what happens in the future, you must communicate with the doctor."

After saying that, Guan Xiaoyue turned around and scanned all the patients in the ward: "I won't say anything about doctors' benevolence here. I will just say something very practical. You are in the hospital and follow the doctor's instructions completely. What went wrong? , the responsibility lies with us doctors and the hospital, but if you make your own decisions and something happens, you spend more money and bear the consequences, you are responsible for it."

After being a doctor for so many years, Guan Xiaoyue is very aware of the psychology of some patients and their families.

Most of the patients' families won't listen to you if you tell him about great principles, about the benevolence of doctors, about responsibility, about how our hospital is and that we will never cheat patients.

That is to say, if you listen to it on the surface, you may still sneer in your heart.

If it is reversible and he talks about responsibility, spending more money, and who will bear the consequences, then patients and their families will listen. It is very realistic.

In other words, if it is the patient or the patient's family who makes their own decisions and something goes wrong and they want to blackmail the hospital, they will not be able to do so. If they follow the doctor's instructions completely, they can still bring trouble to the hospital if something goes wrong.

This is a very realistic statement.

Although some words are realistic, they can indeed avoid some unnecessary consequences.

Some people say that behind many weird regulations are weird things. This makes sense.

For example, paraquat.

A really good herbicide was suddenly discontinued. Who would have thought that?

Originally, the main ingredient of paraquat was colorless and odorless, so people were afraid of drinking it, so various additions made it ugly in color and smelly, but people still drank it.

"Director Guan, I know I was wrong, I know I was wrong."

The patient's daughter quickly said: "I will definitely ask the doctor in the future."

"Director Guan."

As he was talking, the patient began to sweat and gasp violently.

"Liu Xi, go grab the medicine yourself, control the heat, and deliver the medicine as soon as possible."

Guan Xiaoyue handed the prescription to Liu Xi. Seeing that Liu Xi had walked out of the ward, she said, "Xiao Chen, you are going too."

Chen Yang and Liu Xi left the ward and went to the pharmacy. They grabbed medicine and went to the Jian Pharmacy together.

"Have you ever encountered such a battle in the county hospital before?"

While frying the medicine, Liu Xi asked Chen Yang.

"This is really the first time." Chen Yang said.

"So, the forest is big and there are all kinds of birds. You must pay more attention in the future."

Liu Xidao: "Thanks to our good skills, Director Guan, we just noticed the abnormality, and you also discovered the medicine the patient took. Otherwise, the consequences would be disastrous."

The patient's dizziness worsened this morning. When Guan Xiaoyue asked, the patient's daughter told him that Guan Xiaoyue also noticed abnormalities when diagnosing the pulse. This kind of change, if the level is not enough, may be ignored. When the patient develops cerebral infarction, it will be more dangerous.

"And Naoliqing Pills are not just antihypertensive drugs. Chinese patent medicines also contain traditional Chinese medicine ingredients. You must differentiate your symptoms when taking them." Liu Xi said with emotion.

"Ah."

Chen Yang nodded.

Most of the illnesses he encountered at Jiping Town Health Hospital were minor illnesses, and serious illnesses could not be dealt with by the town hospital. It had not been long since he arrived at the county hospital. It was indeed the first time for Chen Yang, a family member of a patient, to encounter such a patient today.

The two people talked and waited for the medicine to be boiled and hurriedly sent it to the ward. Guan Xiaoyue watched the patient take the medicine, leaving Chen Yang and Liu Xi to continue to look after him, and then led the doctors to continue the ward rounds.

After the patient took the medicine, it took half an hour for his breathing to stabilize and his sweating to stop.

The patient's daughter next to her was so frightened that her face turned pale.

Seeing her mother breathing rapidly and sweating just now, the patient's daughter panicked. If something happened to her mother, it would be her fault.