Chapter 131: Broken Meridian
"Doctor Li, please go check on the patient named Huang Ximei. If her pneumonia gets worse, I will ask Doctor Yang Yu to come over and take care of her immediately."
Not only has Wang Lishu changed the way he addresses Li Quan, but his attitude has also become much more polite.
No longer that cold, commanding tone.
Huang Ximei's condition is very critical, but Doctor Wang asked Li Quan to check it out. What does this mean? First of all, it must be trust. He has trust in Li Quan's medical skills.
Secondly, I am also worried about another accident.
When it comes to diagnosing pneumonia, whether Dr. Wang admits it or not, Li Quan is indeed better than him.
Li Quan went to check on the old man's condition. Through inspection and pulse feeling, he found that the old man's condition was relatively stable and had not deteriorated further.
Due to limited medical resources in the emergency room, vital signs monitoring equipment is mainly placed in the emergency room, ICU, and operating room.
Therefore, no life monitoring equipment has been installed for the elderly yet.
Even semi-nasal oxygen was not given.
This is not because there is no oxygen supply equipment, but because the patient's condition has not yet developed to that stage.
Giving oxygen too early is equivalent to harming the patient.
Just like many people rush to get an IV and antibiotics when they have a minor cold. When they really need antibiotics, it's too late, there is no medicine left.
In addition, the abuse of antibiotics can cause the body to become seriously dependent on them and reduce the body's immunity.
"Old man, where are your children? In your current situation, it would be best if you had family members to accompany you." Li Quan asked the old man.
"Alas... my child died in the line of duty more than 30 years ago. My husband and I passed away early, and there is no one left at home." The old man shook his head and sighed.
"Then what if you need to be admitted to the hospital at night? The hospital will not admit you without someone to accompany you." Li Quan felt a little sympathetic towards the old man.
According to hospital regulations, patients like this who are unable to take care of themselves or who may even be in danger of their lives must be accompanied by a caregiver before they can be admitted to the hospital.
"Young man, it's okay, just go and do your own thing. If I really need to be hospitalized, I can just hire a nurse." The old man was surprisingly clear about these procedures and had plans to deal with them.
It seems that this is not the first time he has been hospitalized.
"Then you lie down here and rest. If you need anything, call us."
Li Quan gave some instructions and went back to report to Doctor Wang.
"Doctor Wang, the condition of the elderly woman named Huang Ximei is relatively stable and has not deteriorated further."
"That's good! We are so lucky this time." Doctor Wang was obviously relieved, and his brows relaxed a lot.
This incident must have put some psychological pressure on him.
The emergency department is a tiring and dangerous department.
If you are not careful, accidents may happen.
“Ah…ah…”
The young woman had finished the examination and came back, her screams becoming even more terrifying, attracting the attention of countless people along the way.
"Doctor, doctor, please help my daughter. Here are the B-ultrasound report and the blood routine test result report." The girl's father was so anxious that he almost cried.
"Don't worry, don't worry, let me take a look! Only when the cause is identified can we treat it accordingly."
Doctor Wang took the test results and checked them.
For modern doctors, test data and advanced imaging technology can help them diagnose the cause of the disease.
Li Quan took two steps forward and put one hand on the woman's wrist.
"Be patient for now. As doctors, we can only treat you if we find out the cause of your illness." While Li Quan was comforting her gently, he was also carefully feeling her pulse.
The formula of pulse diagnosis automatically emerged in his mind.
The pulse has three parts, yin and yang multiply, nourishing blood and qi, in the human body, up and down, in the middle, due to the breath, the body fluids flow. Move at any time, the effect is described, spring stringy autumn floating, winter deep summer flood. Observe the color and pulse, the size is different...
"The patient's pulse is not right. It is rapid and fierce, but it also beats regularly. What's going on?"
Li Quan couldn't help but think of the diagnosis he made on the woman using his zodiac diagnosis technique.
The lesion is in the large intestine, but there is a regular pulse beat, which means that there is blood flow obstruction in the large intestine.
An effective circuit cannot be formed, so the pulse is broken.
If the main pulse is blocked, the pulse interruption phenomenon will be more serious.
"Unfortunately, my pulse diagnosis skills are still at the minor level, so I can't find the specific cause of the disease."
Beads of sweat appeared on Li Quan's forehead, which showed that he was anxious.
Failure to find the cause of the disease means there is no way to cure the patient.
This woman's pulse is extremely abnormal .
When something is abnormal, there must be something wrong.
Facing this screaming female patient, Li Quan dared not be careless or overly trust the ability of the senior doctor.
The old lady named Huang Ximei is the best lesson for us.
Li Quan just squatted down and put his hand on the female patient's wrist, and the family members didn't say anything yet.
I think this is just a normal medical diagnosis.
But Li Quan kept holding the female patient's wrist, which made her family members somewhat dissatisfied.
"Young doctor, this is a modern hospital, right? Why are you still using such outdated methods of taking pulses?" The family member rudely pushed Li Quan's hand away.
In addition to doubts, he was also wary of Li Quan.
It is no wonder that the current medical community is mixed, with those with corrupt morals doing some shameless bad things, causing patients and their families to have a bad impression of the entire medical community.
When Doctor Wang saw Li Quan being treated so rudely by the patient's family, he felt a little bit resentful of Li Quan for being nosy.
He still spoke up to defend Li Quan, and said to the family in a calm voice, "Although there are many advanced instruments for diagnosis now, pulse diagnosis is the foundation of Chinese medicine. The combination of Chinese and Western medicine has a higher accuracy rate and can reduce the occurrence of missed diagnoses and misdiagnoses. Our doctor Li took your daughter's pulse with a responsible attitude."
At the critical moment, Dr. Wang spoke up for Li Quan and defended his dignity, which made Li Quan grateful to Dr. Wang.
The woman’s father also seemed to realize his mistake. “Doctor Li, I’m sorry for what happened just now. I misunderstood you!” He quickly apologized to Li Quan.
"It doesn't matter, just explain it clearly!" Li Quan waved his hand, but his mind was still thinking about the pulse he had just taken.
Why does pulse interruption occur?
He couldn't help but think of the pulse of Ms. Yang who had a severe hemorrhage last time. After Ms. Yang's severe hemorrhage, her blood pressure could not rise no matter what, because her heart arteries were blocked and blood flow was weak.
However, Ms. Yang's pulse is very different from that of this woman.
It can only provide Li Quan with a direction for thinking.
Weak pulse and broken pulse are two completely different concepts.
"The heart artery is blocked but not completely occluded, causing the pulse to be weak. So what if the blood vessels are completely blocked?"
A flash of inspiration came to Li Quan's mind.
This woman has a pulse interruption. Could it be that a blood vessel is blocked?
If the lesion is in the large intestine, then the blocked blood vessels must also be in the large intestine. At least it is related to the large intestine.
Which blood vessel is blocked?
There are three main blood vessels in the large intestine: the superior mesenteric artery, the inferior mesenteric artery, and the mesenteric vein. Varicose veins are the most common.
If the varicose veins of the large intestine are severe, the ultrasound angiography report should be able to reveal some clues.
Varicose veins can directly block blood vessels, so they must be very serious.
Li Quan subconsciously looked at the ultrasound report in Doctor Wang's hand.
B-ultrasound imaging technology is relatively crude and has poor clarity.
Li Quan looked for a long time but could not find any signs of varicose veins. However, the large intestine is tortuous, so even if there are varicose veins, it is not easy to distinguish.
