Start as an Emergency Physician

Zhou Yuan was curious about what the scene would be if these two women met together.

Soon, Qian Haobo's head CT and cerebrovascular examination reports came out.

A CT scan of the head is done to rule out intracerebral hemorrhage. After the onset of stroke, the infarct area will show significant hypodense changes after 24 to 28 hours of onset.

The CT results of the head were more optimistic, not intracerebral hemorrhage.

Cerebrovascular examination showed a significant decrease in blood flow to the large arteries in the brain, and some blood vessels were distorted.

This is a clear clinical manifestation of ischemic stroke.

Ischemic stroke is a disease caused by narrowing or occlusion of the arteries supplying the brain, such as the carotid artery and vertebral artery, and the cerebral blood supply is insufficient, resulting in necrosis of brain tissue.

In general, there are four types of cerebral ischemia.

Transient ischemic attack, reversible neurological deficits, progressive stroke, and complete stroke.

Transient ischemia usually lasts no more than 24 hours and resolves spontaneously without leaving positive neurological signs, i.e., undetectable after the attack.

Reversible neurologic deficits are somewhat similar to transient ischemia, but onset takes more than 24 hours and takes about a week to recover.

As for progressive stroke and complete stroke, which are already very serious cerebral ischemia, the progressive ones are mainly narrowing and occlusion of the internal carotid artery and middle cerebral artery.

Localized neurologic deficits that occur after a complete stroke are more than moderate and persist for a long time, making recovery almost impossible. The main manifestation is Qian Haobo's current hemiplegia.

Some of the more severe ones will have hemianopia, aphasia, sensory impairment, consciousness impairment, and so on.

Zhou Yuan looked at Qian Haobo on the bed, his face was a little serious, and said: "You still need to do some tests to confirm your severity, if it is too serious, you must undergo surgery to unblock the blood vessels." "

The corners of Qian Haobo's mouth were crooked at the moment, and he couldn't speak, and his wife was worried on the side, and said, "Doctor, do it quickly! Money is not a problem!"

Zhou Yuan nodded, glanced at Qian Haobo, and then said, "Our director will come to help you deal with the following problems in a while." "

Qian Haobo's wife opened her mouth.

Obviously, she wanted to know what was going on.

But seeing her husband's painful face at the moment, she could only hold back her curiosity.

More than half an hour later, Zhou Yuan returned to the ward.

Qian Haobo has softened, and the results of the ischemic stroke have come out.

"The situation is still relatively optimistic, and you can take medication to alleviate and control it. Zhou Yuan said.

Qian Haobo's wife frowned tightly and said, "Do you want to prescribe thrombolytic drugs?"

Zhou Yuan was slightly stunned.

Indeed, to deal with this ischemic stroke, suppositories are the best way to control it.

Thrombolytic drugs themselves promote fibrinolysis, which can increase the opening rate, and in addition to ischemic stroke, they also have good results for deep vein occlusion.

"I prescribed him some thrombolytics and took them on time. "

Qian Haobo's wife hesitated, "Doctor, what kind of medicine are you prescribing?"

"It's general thrombolytic drugs, aspirin, clopidogrel and the like. Zhou Yuandao.

"Aspirin again, how do you feel that you can take aspirin for any illness?" Qian Haobo's wife was a little surprised.

Zhou Yuan nodded: "It can prevent blood clots." "

Qian Haobo's wife is right, aspirin does have a wide range of applications, such as small fever, cold, joint pain, rheumatism, large inhibition of platelet aggregation, prevention of thrombosis, and relief of cataracts, prevention of cancer, prevention of diabetes, etc.

For this reason, aspirin is also known as a miracle drug.

"These are all cheap, aren't they?" asked Qian Haobo's wife, cluelessly.

"It's cheap, aspirin costs a few dozen dollars, and clopidogrel is about the same. "

Qian Haobo's wife hesitated for a moment and said, "Won't there be a problem with such a cheap medicine..."

"After many years of clinical medicine, the vast majority of people have no problem taking it. Zhou Yuan patiently explained.

"I'm not reassured... I heard that there is a new thrombolytic drug recently, which seems to be very expensive, it costs more than a few thousand a box, or should I prescribe that drug?"

Zhou Yuan was stunned for a moment.

New thrombolytics?

It won't be the new thrombolytic drug of Huiwei Pharmaceutical Group...

Zhou Yuan shook his head: "There is no saying in medicine that the more expensive the better, only the most suitable medicine." There is no need to waste money on new drugs. "

Qian Haobo's wife wanted to say something more, but finally nodded and said, "It's the first time I've seen a doctor like you... Don't you get a commission for prescribing expensive medicines?"

Zhou Yuan didn't answer, left the ward, and hurriedly ran to He Jianyi's office.

"Teacher, has the drug of Huiwei Pharmaceutical Group been on the market?" Zhou Yuan asked directly.

He Jianyi stood up, his face was a little heavy, and said, "The Food and Drug Administration has approved the listing..."

Zhou Yuan said with some concern: "The hospital..."

He Jianyi sighed: "There are already many hospitals that have purchased this medicine, and the hospitals of those expert groups were the fastest before, and they have already used it on patients..."

"Do we have one in our hospital too?"

He Jian nodded: "New drugs are on the market, it is impossible not to buy them because of the wishes of President Fang or the two of us, we are hospitals, many thrombosis patients, the existing thrombolytic drugs are useless for them, they want to try new thrombolytic drugs, we have to have..."

After all, it is a drug that has passed the review of the Food and Drug Administration, and the hospital cannot lack any kind of drug.

Zhou Yuan was a little worried, "I picked up a patient today, and the patient's family asked for the use of new thrombolytic drugs. "

"Qian Haobo, right?" He Jianyi asked.

"Teacher, do you know?" Zhou Yuan asked rhetorically.

"His wife talked to me, and I talked to her briefly and told her that the new drug might be risky... Of course, I couldn't have told her the truth, and if I did, I would get into trouble. It was implied that her new drug was still in the clinical use stage, and there were many unknown risks, so she should not use it, but she didn't seem to care and strongly demanded to use this drug. "

Zhou Yuan shook his head helplessly: "What are the quirks of rich people?"

"Don't worry about it so much, just prescribe him basic thrombolytic drugs, and then consider others if he relapses. He Jianyi was still quite worried about something.

"Good. "

Zhou Yuan left He Jianyi's office and returned to the consultation room.

After a while, another man came in with a beautiful woman.

"How is it a male doctor... Husband, I'm going to change doctors..."The woman was a little reluctant.

The man smiled and said, "This is Dr. Zhou's last time to meet him when he is free, this is the best doctor in the hospital, show him, it will definitely be fine immediately!"

Feilu reminds you: there are three things to read - collection, recommendation, and points