12: Acupressure to relieve pain, can this be explained by medicine?
Chapter 012 Acupressure for Pain Relief, Can This Be Explained by Medicine!
"What's the patient's condition?"
When Lin Yi and Fang Xiaoran pushed the patient into the Emergency Department, Lu Chenxi, who was on rounds, immediately came over.
She listened to the patient's chest while asking about her condition.
[Hint: The patient has adhesive intestinal obstruction.]
"The patient has an acute perforated appendicitis, complicated by adhesive intestinal obstruction, and emergency surgery must be initiated."
According to the additional system prompt,
Lin Yi immediately explained the patient's situation.
"A patient transferred from the General Surgery Department? Are their operating rooms not enough?"
"And no accompanying General Surgery doctor!"
Lu Chenxi's face immediately darkened.
"Who is the lead surgeon? If something goes wrong, whose responsibility will it be!"
During the Central Hospital's expansion, operating rooms were specifically set up in the Emergency Department.
Generally, surgical operations that the Emergency Department can perform are handled internally within the department.
If other departments have full operating rooms and a patient urgently needs emergency surgery, they can, in principle, also use the Emergency Department's operating room for the procedure.
However, the possibility of this happening is extremely slim.
Even the smallest surgery carries the risk of unforeseen complications.
Borrowing operating rooms from other departments and then encountering problems makes the division of responsibility a troublesome matter.
Lin Yi described the patient's condition in such detail.
Lu Chenxi naturally assumed the patient must have been transferred from the General Surgery Department.
"Teacher Lu, the patient was not transferred from the General Surgery Department."
Facing Lu Chenxi's stern questioning, Lin Yi cautiously replied.
"She experienced a sudden emergency while waiting in line outside the Emergency Department."
"What!"
Lu Chenxi's voice suddenly rose an octave.
She stomped on the brake of the gurney, bringing the vehicle to a steady stop at the operating room door.
"Are you saying the patient just developed this condition?"
"Then what examinations have you done? And how did you determine?"
"The patient's abdominal pain is due to acute perforated appendicitis, accompanied by adhesive intestinal obstruction!"
Lu Chenxi felt her scalp nearly explode.
Even if the patient had already undergone some routine examinations, these two couldn't make such a definitive diagnosis based on their own judgment.
And then initiate an emergency surgery mechanism.
Where did these two junior resident doctors get such confidence to act on their own?
At least they should have consulted her, their teacher!
"Yeah!"
"How did he diagnose it?"
Fang Xiaoran, who was following the gurney, also looked at Lin Yi with a bewildered expression.
There are many causes of abdominal pain.
This patient, from beginning to end, had her teeth clenched, not revealing a single hint, right?
"The patient's abdomen is distended and hardened, her pulse is slow and obstructed, her breath is foul-smelling..."
"All signs indicate that the patient has severe perforated appendicitis and must undergo immediate surgical treatment."
The existence of the system prompt, of course, couldn't be revealed.
Lin Yi could only combine his experience from two lifetimes of studying medicine to organize his words and explain his diagnostic method.
"What kind of bizarre diagnostic method is this!"
Lu Chenxi and Fang Xiaoran looked at Lin Yi as if he were an idiot.
Bloated stomach, foul-smelling breath... it sounded a bit like the way Traditional Chinese Medicine practitioners try to fool people.
The key is!
No matter how famous an Old Traditional Chinese Medicine Doctor, they couldn't diagnose perforation and adhesions, which are Western Medicine diagnostic methods, could they?
Lin Yi's diagnostic method and treatment plan were more like a hybrid of Chinese and Western Medicine, neither one thing nor the other.
There wasn't even a shred of convincing evidence.
"Dr. Fang, immediately perform an abdominal B-ultrasound, electrocardiogram... quickly determine the specific cause of the patient's abdominal pain."
Lu Chenxi immediately issued the latest examination instructions.
She now somewhat understood why the director wanted to temper Lin Yi.
This Lin Yi not only had a very reliable General Surgery teacher, Professor Cao,
But he also studied a very unreliable specialty, General Practice Medicine.
On his first day of work, Lu Chenxi experienced firsthand
How unreliable this so-called General Practitioner was in treating patients!
No wonder the employment scope of this specialty was limited to community Hospitals at the small clinic level.
Treating all illnesses as if they were headaches or colds, isn't that ridiculous!
"Let go!" Lu Chenxi shouted sternly.
She watched as Lin Yi's hand was still pressing hard on the patient's lower right abdomen.
She wished she could go up and slap the guy twice.
"I don't care what specialty you studied."
"But you should know that appendicitis, which you diagnosed, cannot be pressed on the affected area; doing so will only intensify the patient's pain!"
This should be the most basic medical common sense a doctor knows.
"I can't let go, Teacher Lu, if I let go, the patient is likely to faint from the pain."
Lin Yi hastily explained to Lu Chenxi.
He wasn't unaware of the principle that appendicitis patients shouldn't be pressed hard.
But the system, surprisingly, gave such a counter-intuitive prompt.
Fortunately, after the system prompt, pressing at the appropriate location did indeed alleviate the patient's pain.
"You still know I'm your teacher!"
"Let go immediately, or get out of my Emergency Department!"
Lu Chenxi was so angry she wanted to hit someone; she had never seen such an arrogant doctor.
In cases of unknown etiology, forcefully pressing on the patient's abdomen can easily cause secondary injury to the patient.
"Alright!"
Lin Yi reluctantly withdrew his arm.
He didn't want to be sent back to his original post on his first day of work.
And although the patient's condition was urgent, it wasn't life-threatening.
As long as the cause was quickly determined and surgery performed immediately, the impact would be within a controllable range.
"Ah... it hurts..."
Just as Lin Yi withdrew his hand,
The patient suddenly trembled all over, large beads of sweat dripped down her chin, and she groaned in agony.
"Teacher Lu, the patient's heart rate is extremely unstable, and she could go into shock at any moment!"
Fang Xiaoran, who was performing an electrocardiogram on the patient, reported anxiously.
"Hmm?"
"What's going on!"
Lu Chenxi quickly leaned close to the patient, opened her eyelids, and scanned them with a penlight.
How could the various indicators, which had been relatively stable just moments ago, show such a huge abnormality?
"Prepare for epinephrine injection," Lu Chenxi ordered decisively.
If the patient's condition worsened further, or even if she went into shock,
Resuscitation measures must be used decisively.
"I'll do it!"
Lin Yi, under everyone's astonished gaze,
Extended his palm and pressed it on the same spot he had pressed earlier.
"Whoosh..."
Although the patient was already in a semi-comatose state, everyone clearly heard that deep sigh from her heart.
Her stiff, trembling body also began to gradually relax.
Even the expression on her face changed from extreme pain to a sense of relief.
"This..."
The surrounding Nurses and Doctors looked at Dr. Lu, then at the patient on the bed.
They didn't know what to say.
"What are you all staring at? Quickly continue with the rest of the examinations!"
Lu Chenxi's face was dark, and she felt a little overwhelmed internally.
It seemed only the legendary acupressure could achieve such a miraculous pain-relieving effect.
Anyway, with the medical knowledge she had learned,
There was no way to explain the current situation...