Chapter 598: Chapter 254 Pharmacology and Attribution to Meridians, Patient with Persistent Upper Abdominal Colic
In addition to the successful treatment and discharge of one patient, the stomach cancer patient has also been discharged. However, he still needs to come to the hospital regularly for chemotherapy and follow-ups.
The female lawyer suffering from liver cirrhosis saw a significant improvement after surgical treatment and was discharged three days ago.
However, liver cirrhosis is a common chronic progressive liver disease clinically, caused by diffuse liver damage formed by one or several etiologies acting over a long term or repeatedly.
This damage is often irreversible.
The liver and kidneys share a great similarity in this respect.
Once damaged, it is difficult to fully recover.
The best approach is early detection and treatment.
Nevertheless, compared to the kidneys, the liver has a strong regenerative capacity. If the liver tissue is in good condition, even 80% removal can be regrown.
The regenerative ability of a liver cirrhosis patient’s liver is definitely affected due to entering the compensated stage of the disease, far from that of a normal liver.
If it progresses to the late stage of liver cirrhosis, or decompensated stage, at that point the liver is essentially worthless.
Not to mention removing a part of the liver, even undergoing other surgeries requires consideration of whether the patient’s body can withstand it.
The female lawyer in bed 79 is fortunate in her misfortune; her liver cirrhosis is still in its early stages. After finding the real cause and undergoing surgery, the hidden dangers were eliminated.
In the future, she will only need long-term medication to protect her liver, with her life barely impacted.
Speaking of which, Zhou Can earned a reward of 100 Experience Points in pharmacological differentiation when he prescribed the discharge order for this female patient!
This was also his first time prescribing a discharge order for a liver disease patient.
His pharmacological differentiation skill has now successfully advanced to Level 4, with current Experience Points at 227/10000, ranking as a lower-level attending physician.
He may not be impressive compared to higher ranks, but he is more than sufficient compared to those below him.
Not just among trainees, but even among resident doctors, he definitely stands out.
All doctors know that pathology diagnosis and pharmacological differentiation are the two hardest medical skills to improve in, comparable to advancing in anesthesia technique. Many doctors spend their whole life studying medicine but remain at the attending level.
It’s not just because academic papers have blocked their path to becoming an associate chief physician, but indeed because many doctors, due to limited comprehension or becoming more relaxed and lazy at work, are unwilling to study and research as hard as they did during their student years.
Ultimately, they retire without grasping higher levels of pathology diagnosis and pharmacological differentiation.
In traditional Chinese medicine, besides pharmacological differentiation, there is an even more difficult medical skill called drug effect channeling.
It’s equivalent to an advanced level of prescribing.
Even if you learn pharmacological differentiation, you can only treat according to the disease, knowing what medicine to use for which illness, with precise control over compatibility, dosage, and administration.
But compared to real TCM experts or Internal Medicine big shots, there is still a distinct gap.
Because they all understand the skill of drug effect channeling.
Also abbreviated as channeling.
For example, Director Tan of Internal Medicine, who has studied the theory of traditional Chinese medicine, is said to have taken many old TCM practitioners as teachers, aiming to deeply study the drug effect channeling.
He became an Academician and firmly occupies the leading position of Internal Medicine because of his real capabilities, not just a reputation.
Director Tan’s achievements in the field of Internal Medicine are notable among national experts.
It’s just that he is low-profile and does not seek fame, which is why he is not as well-known as Wu Baihe.
Even Director Yin Hua of the Neurology Department is more famous than Director Tan.
Yet, in front of Director Tan, Director Yin Hua acts as respectful as a student.
Like Director Tan, there are many who delved into traditional Chinese medicine after achieving a certain level in medicine. Almost every famous Internal Medicine scholar has taken this path, just as all well-known scientists have eventually turned towards theology.
Newton, Einstein, Edison…these great minds turned from scientific research to theology in their later years. No one can explain why.
The guess is that they knew too much, realized many things couldn’t be explained by science, and thus started to believe in the existence of a deity.
Following this logic, when Internal Medicine physicians in China achieve a certain level of success and start to study and explore traditional Chinese medicine, it’s likely they also discover many medical phenomena that cannot be explained by Western medical theories.
Instead, answers can be found within TCM theory.
Thus, they naturally begin to explore traditional Chinese medicine.
Even though Western medicine has developed rapidly in pharmacology and Western drugs firmly dominate the market as the mainstream,
when it comes to channeling, the Westerners are completely baffled, shaking their heads like bobbleheads, only able to utter “NO, NO.”
Because in Western medicine, there is simply no concept of meridians or acupoints.
They don’t understand meridians at all; when you talk to them about drug effect channeling, it’s like casting pearls before swine.
Zhou Can’s pharmacological differentiation is currently at Level 4, taking his understanding of pharmacology to a new level, but compared to medical magnates like Director Tan of Internal Medicine, there’s still a long way to go.
Therefore, he’s still quite vague about the concept of drug effect channeling.
However, he is much better off than Westerners; at least he knows some basic knowledge about meridians and acupoints.
Today, as usual, Zhou Can came early to the ward to check on the patients under his care.
The number of patients assigned to him by Director Shang has increased from seven to eleven. In these seven days, some of his patients have been discharged, and some are newly admitted.