This is the first time that such a patient has seen

Recently, an interesting patient, a 45-year-old female patient, came to see a doctor because of [intermittent palpitation, chest tightness for 4 years, recurrence and aggravation for 3 months]. It looks like an ordinary rheumatic heart disease patient, but- A weird smiling face The patient brought color Doppler ultrasound of the heart of the local hospital, [rheumatic heart disease: aortic insufficiency, mitral insufficiency], and chest radiograph [mediastinal space occupying lesion]. Chest radiograph is not easy to judge whether the space occupying is what, so do an enhanced CT. Oh, my God! Seems to see a creepy smiling face! Is this the situation in what? In order to make a clear diagnosis, we also performed cardiac color Doppler ultrasound, coronary angiography and Read More …

Hospital sports meeting, sudden cardiac arrest! Don’t think that if there is a doctor, cardiac arrest will definitely save life…

A famous large hospital in Beijing held a staff sports meeting. When entering the stadium, a young worker suddenly lost consciousness and fell to the ground. Just as there were several emergency doctors at the stadium, they immediately recognized the cardiac arrest, started CPR and mouth-to-mouth artificial respiration, and called an ambulance from their own hospital. The ambulance arrived at the scene quickly, so the emergency doctors transferred the patient to the emergency department and emergency room while continuing CPR. The order of first aid to the emergency is: Establishment of bone marrow cavity infusion channel Connect the ventilator through orotracheal intubation. ECG monitoring indicated ventricular fibrillation and defibrillation was implemented. Finally, the heart resumed beating. There are a large Read More …

This can also survive! Have you ever seen such a patient in your years of practice?

The hospital is used to where will you go. There is too much help and despair. Sometimes it takes great pains but failures to snatch the patient back from the jaws of death. However, there are so many people, you think [there is no doubt that they will die], but they have survived tenaciously, which makes you sigh with emotion: [Oh, my God! In this way, we can survive! ] The Clove Garden Forum once launched such a discussion. I didn’t expect the discussion among the station friends to be extremely intense. We chose some to share with you. A huge tumor requiring amputation Young men, with huge chondrosarcoma of pelvis, chose hemispheric amputation to save their lives. The operation Read More …

PICU’s impermanence and joy

I am a nurse, a PICU nurse. PICU, Pediatric Intensive Care Unit, I’m going to talk about some of the joys and sorrows I saw when I was a nurse in PICU. PICU is much happier Story 1: [I’m nursing] Parents are not allowed to accompany the children in PICU, so the children’s eating, drinking, pulling and scattering are all under the care of the nurses. The younger children eat the milk prepared in the department, while the older children deliver meals from home or order meals in the canteen. One night shift, WeChat notification in my pocket kept shaking, so I became angry and replied: [Quiet! I’m feeding the baby! ] All the gay friends who knew I had Read More …

Lymphoma and the Girl Dragged to Death: How to Stop Xu Ting’s Tragedy

On September 7, a young actor named Xu Ting died of lymphoma because she gave up chemotherapy and received traditional Chinese medicine treatment before her death, thus causing extensive discussion on Weibo. Photo Source: Xu Ting’s Microblog It can be predicted that this will be another fierce debate between Chinese and Western medicine. Both sides of the heated debate hold different opinions, and no one can convince anyone. At the end of the argument, everyone wiped a handful of spitting stars from their lips and went back to their homes to find other topics to talk about. There will be similar situations in the future. The arguments and tragedies will remain the same. Should we also reflect on it? Everyone Read More …

5 Ways to Teach You How to Make Money to Support Your Family During Graduate School

When it comes to graduate school and doctoral studies, one may automatically fill one’s mind with a picture of many students burying their heads in experiments, concentrating on academic studies and living in poverty. In the past, the attitude of the whole scientific research community was sweet! Yu! Qing! Poor! How can scientists talk about money? What we want to overcome is the century problem! We want to save the world from hot water! How can we spend our time making money? Money comes naturally… … … Although scientific research should not bow down for five bushels of rice, talking about money is too vulgar and hurts feelings. However, lofty ideals cannot save the hunger and embarrassment of reality. Who Read More …

Prospective college students died suddenly after being cheated out of their tuition fees. Will sadness really kill them?

In the past two days, there have been news reports that a female student from a prospective university in Linyi, Shandong Province died of cardiac arrest after being cheated of her tuition fees by fraudulent phone calls. On the 19th, Xu Yuyu, an 18-year-old Linyi Luo Zhuang girl who was about to enter university, received a strange phone call claiming that there was a 2 600 yuan grant to be given to her. As the day before, she did receive a notice from the education department that grants were issued, she did not doubt the authenticity of the phone. According to the request of the other party, she will be ready to pay tuition 9 900 yuan into the account Read More …

Expert consensus is ten times more than the guide! Evidence-based medicine in China, what’s wrong with you?

Every doctor is irrigated by all kinds of knowledge along the way- Brick-like textbooks, teaching teachers’ experience, consensus of experts in the field, clinical guidelines at home and abroad… Do you like to use what as a reference when making medical decisions in clinical work? Starting from a Lancet’s Paper Last October, the Lancet published a paper: Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system. Author Professor Jiang Lixin is Lancet’s new editor-in-chief in 2015. Lancet’s evaluation of her is [the foundation of evidence-based medicine in China]. She has led and organized a series of large-scale international multi-center clinical trials and case-control studies in China. Read More …

Chinese Embarrassment: Can I Use Drugs Exceeding Instructions?

It is legal in the United States to use drugs beyond the instructions. The use of a drug means that the drug is used for a different purpose than the use officially approved by the FDA. This is common and it is legal in the United States. In a study published in the JAMA Journal of Internal Medicine, researchers found that about one-tenth of the prescriptions were used beyond the scope of the instructions, and 80% of them lacked strong scientific basis. Why do you want to take drugs beyond the instructions? In the United States, the Food and Drug Administration (FDA) only approves specific uses of drugs, but FDA cannot control how doctors practice medicine or stipulate that what Read More …