Rebirth of Medicine Practices the World

Most patients think that doctors are hard-hearted and are only responsible for seeing patients and prescribing medicines, and do not care about the patient's treatment results. In fact, this is not the case, doctors do care about the patient's treatment results.

It can be said with certainty that the wishes of doctors are highly consistent with the wishes of patients and their families.

Because of this, doctors bear not only irregular and heavy work, but also tremendous pressure from patients’ families, patients and doctors themselves. These pressures can overwhelm any doctor at any time!

Even if patients and their families understand these pains, they are superficial. Only the doctors themselves understand how difficult it is.

When the whole society regards doctors as "angels", doctors have embarked on the "path of no return" in life and career.

"I believe everyone has heard clearly Dr. Liu's introduction just now. Such a patient is very dangerous and may die at any time. The shift handover of other patients is suspended. Let's focus on discussing the next step of handling this patient."

Ling Xiaoyun promptly interrupted. This is actually a routine operation in neurology.

In this era, when encountering this kind of patient, Dr. Liu's treatment is correct and standard. If such treatment is still uncontrollable, there seems to be no better way.

Therefore, everyone in the office, including Li Yun'e, did not dare to speak and did not know how to handle it.

"Doctor Lin, I have to see you again." Obviously, Ling Xiaoyun had no better way.

Lin Lin remembered that in his previous life, he also participated in the rescue of this patient. The difference was that Lin Lin in the previous life lacked experience in this aspect of rescue. In the end, the patient's condition was uncontrollable, and the family chose to take the patient to "discharge automatically"

.

After rebirth, Lin Lin has decades of experience and a solid foundation in dealing with such patients. Although he cannot guarantee that the disease can be controlled, he has enough ways to think about and implement them.

"I will say a few words, and I hope everyone will add to it later, and I also hope everyone will point out the shortcomings of what I said."

"This patient's treatment last night was effective, so why did he start having frequent attacks again this morning? I think there are several reasons that need to be considered." "First, this patient started having attacks yesterday afternoon, and he continued until we

The seizures were not under control before the hospital's emergency visit. Moreover, the patient's seizures were always tonic-clonic seizures."

"Every time such an attack occurs, the patient will suffer from hypoxia. And hypoxia will definitely cause hypoxic damage to brain cells."

"With frequent attacks, brain cell damage must be serious. After brain cell damage, brain edema will slowly appear. Before the brain edema is under control, the effect of the drug will be greatly reduced. Therefore, the current treatment effect of patients is not good, which is related to this

It must be related."

"Second, the patient's attack lasts for such a long time. Each time of hypoxia, each violent muscle twitching, and the metabolic disorders caused by each twitching can easily cause an acid-base imbalance in the patient's body."

"Generally speaking, in the case of acidosis, the effect of anti-epileptic drugs is greatly weakened. Therefore, this is another reason why the patient's current treatment effect is poor."

"The third possible reason is probably related to the characteristics of these drugs themselves. Diazepam is a fat-soluble drug. After entering the body, it will quickly dissolve in fat, and its efficacy will also quickly decrease."

"Lumina's intramuscular injection is slowly absorbed and has limited effect. Phenytoin is originally a good drug, but some patients are not sensitive to it."

"So, based on the above points, I suggest that you use mannitol to dehydrate immediately and use half the amount of sodium bicarbonate, that is, 125 ml of meridian drip. Before taking the medicine, draw blood to check the patient's acid-base status and electrolyte status. At the same time, immediately

Change the dressing.”

"Change the dressing? What kind of medicine? What other medicine do you think can be changed? Do we really need to use anesthetics?" Ling Xiaoyun asked a series of questions.

"Anesthetics must not be used. Anesthetics may be effective, but the anesthetics themselves may cause epileptic seizures. Besides, when using anesthetics, you must be put on a ventilator. We do not have this condition at all."

"The dressing change I'm talking about is changing to another benzodiazepine drug, clonazepam."

"Ah?! Use Clonazepam? We have never used this kind of drug, and isn't it also a benzodiazepine drug? What's the difference from the diazepam you just mentioned?" Ling Xiaoyun was very honest and didn't understand.

I just don’t understand. On this point, Lin Lin admires her very much.

"There is a difference. Clonazepam is not a strongly fat-soluble drug. Its fat solubility is much lower than that of diazepam, so it can maintain an effective concentration for a longer time."

"I feel that the patient is sensitive to benzodiazepines, but the fat solubility of diazepam is too strong and cannot maintain an effective concentration. Since other drugs have been used, I might as well use this one, combined with the method I just mentioned.

, maybe it will work.”

Lin Lin didn't dare to be too sure. After all, the individual differences between patients were so great that no one dared to say which drug each patient was sensitive to.

"I have a different view." Li Yun'e, who had been silent, finally spoke up.

Opportunities like this are hard to find, and Li Yun'e wanted to take this opportunity to vent her anger at being "pressed to the ground and rubbed back and forth" by Lin Lin in the outpatient clinic.

"Although Dr. Lin said there is a difference between diazepam and clonazepam, I don't think the difference is big."

"We must be vigilant about the inhibitory effect of clonazepam on breathing. I don't think this risk is worth taking."

"Besides, we have never had any experience using this kind of drug. The patient is so young, and if it fails, it will have a great impact on our department."

Li Yun'e was so furious that her words were already incoherent. Since the patient was young, it was even more inappropriate to let the patient die in constant attacks. Didn't she slap herself in the face by saying this?

"Dr. Li's concerns are not unreasonable. However, Dr. Li, if this patient does not take measures and continues to have attacks, he will definitely die."

"Since Dr. Li opposes Dr. Lin's opinion, I would like to hear Dr. Li's next treatment suggestions for this patient." Since knowing the reason why Li Yun'e asked to return to the ward, Ling Xiaoyun has been very dissatisfied.

"There's nothing I can do." Li Yun'e had an embarrassed expression on her face.

"Dr. Li has nothing to do, I have nothing to do, and everyone has nothing to do. The question now is, should we leave the patient waiting to die without trying Dr. Lin's method? Or should we take the risk and try what Dr. Lin proposed, which is reasonable and reasonable?

What’s the solution?”