Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Meanwhile, in his study at home, Chen Yang reviewed all the electronic medical records and examination reports of the critically ill patient again. Wen Manlu came in carrying a plate of cut fruit and gently placed it on the table.

"Are you still thinking about that case?" Wen Manlu asked softly.

Chen Yang rubbed his temples and pointed to several indicators on the screen: "Lulu, look, the patient's creatinine clearance rate has dropped to the warning line, and the glomerular filtration rate is also terrible. The liver's transaminase is also slightly elevated... This shows that his metabolism and detoxification ability is already very weak."

"Old Xiao's prescription is potent, like a torrent. For a river, a torrent can wash away the silt, but for a pond that is about to dry up and whose dam is broken, the result of the torrent pouring down may not be clearing, but complete collapse."

Looking at Chen Yang's serious expression, Wen Manlu knew he wasn't exaggerating: "Then why didn't you point it out more clearly when you were in the monitoring room during the day?"

Chen Yang gave a wry smile: "Firstly, Professor Xiao's prestige is too high. In the context of the time, my questioning could easily be interpreted as deliberate suppression, which would only cause greater controversy and interfere with the competition's progress. Secondly, Professor Xiao's plan is theoretically sound, but it is extremely risky. If I were to forcefully deny it, it would be unreasonable and would only make me appear petty and intolerant of different academic viewpoints."

"But I have privately instructed the medical team in charge of the ward to closely monitor the patient's vital signs and various indicators, especially the reaction after taking the medication. If there is any change, they should immediately activate the emergency plan and notify me as soon as possible."

Chen Yang rubbed his forehead: "The competition rankings are important, but the patient's life is always the top priority."

Wen Manlu grasped Chen Yang's hand and nodded. She knew that this was Chen Yang's true nature; no matter what kind of turmoil he was in, he always adhered to the bottom line of a doctor.

......

On this seemingly peaceful night, a storm was quietly brewing.

At two o'clock in the morning, a sudden ringtone broke the tranquility of Chen Yang's home.

Chen Yang woke up instantly, grabbed his phone from the bedside table, and saw Gao Anliang's number on the screen.

"Director Chen! Something terrible has happened!"

Gao Anliang's voice came from the other end of the phone: "The volunteer you were particularly concerned about during the day who participated in the assessment started vomiting frequently about an hour ago after taking one dose of the prescription given by Dr. Xiao. The vomit consisted of stomach contents with a small amount of coffee-ground-like material. Subsequently, he became restless, his heart rate increased to 130 beats per minute, his blood pressure dropped to 85/50 mmHg, and his blood oxygen saturation also began to decline! We are actively trying to save him, but his condition is not optimistic!"

Chen Yang's heart clenched instantly; the thing he feared most had happened!

As he quickly got up and dressed, he calmly gave instructions over the phone: "Stop taking the Chinese medicine immediately! Get an emergency biochemistry test, complete blood count, and blood gas analysis done right away! Protect kidney function, prepare for volume expansion and blood pressure increase. Hand the patient over to the Western medicine team for now, I'll be there right away!"

This competition was hosted by Kyoto International Medical Center, so the patient was staying at Kyoto International Medical Center. When Gao Anliang called immediately, Chen Yang knew that something was wrong.

Chen Yang was aware of the patient's condition. Although Xiao Jingyun was somewhat careless, Xiao Jingyun's skill level was questionable. Given the patient's current situation, Gao Anliang was unlikely to be able to handle it.

Rather than using traditional Chinese medicine indiscriminately and worsening the condition, it's better to rely on Western medicine for emergency treatment.

Wen Manlu was also awakened and, seeing Chen Yang's solemn expression, knew that something serious had happened.

"Is something wrong with the patient?" Wen Manlu asked hurriedly.

"Yes, the thing I feared most has happened."

Chen Yang nodded: "I have to go to the hospital immediately. You can continue sleeping."

"Be careful!" Wen Manlu said worriedly, watching Chen Yang's hurried departure, her hand unconsciously touching her bulging belly.

......

Kyoto at night is deserted.

Chen Yang drove at breakneck speed all the way to the Kyoto International Medical Center.

I should have stayed at the hospital tonight.

Chen Yang hadn't expected the patient's condition to deteriorate so quickly.

Upon arriving at the hospital, several members of the competition organizing committee and judges, including Mo Xinzhi and Sun Zhiren, had already gathered at the entrance. Both of them looked extremely grim.

Qiu Yimin and Feng Huanzhang were also present, their faces pale and their lips trembling, the confidence and approval they had shown during the day completely gone.

"Director Chen!"

Gao Anliang strode forward, as if he had seen his pillar of support, and immediately came to report the situation: "The patient is currently confused and agitated. His blood pressure is barely maintained by a large dose of vasopressors. His urine output is decreasing, and his creatinine and blood potassium are rising rapidly. The preliminary diagnosis is acute renal failure."

While listening to the report, Chen Yang quickly disinfected his hands, put on his protective suit, and strode into the ward.

The elderly man in the hospital bed looked even weaker than during the day, his face ashen, his breathing rapid, and the piercing alarm from the monitor pounding on everyone's nerves.

Chen Yang stepped forward, quickly examined the patient's condition, looked at the pupils, and checked the pulse—the pulse was deep, weak, and almost imperceptible, indicating a state of collapse!

"Silver Needle!"

Chen Yang called out, and immediately a nurse brought over silver needles.

"Shenfu Injection and Shengmai Injection".

As he spoke, Chen Yang picked up a silver needle, disinfected it, and then precisely and steadily inserted it into the patient's philtrum acupoint, applying a strong pecking technique. He then applied strong stimulation to the Neiguan and Yongquan acupoints as well. His movements were fluid and graceful, carrying a strange sense of rhythm, as if he were infusing his own spiritual energy into them.

At the same time, Shenfu injection and Shengmai injection were also rapidly administered to the patient via intravenous access.

Mo Xinzhi and Sun Zhiren stood outside the ward, looking through the glass window at the tense rescue scene inside. They watched Chen Yang's calm and steady command as he personally administered acupuncture, and their hearts were filled with emotion.

"Getting old... I'm becoming a bit stubborn and my eyesight is failing." Mo Xinzhi sighed softly, it was unclear whether he was referring to Xiao Jingyun or reflecting on himself.

Sun Zhiren murmured, "Director Chen is truly a great doctor... calm in the face of danger, combining Chinese and Western medicine, and putting saving lives first."

Qiu Yimin and Feng Huanzhang looked at each other, their foreheads covered in cold sweat.

They had previously dismissed Chen Yang's "pickiness," but now, faced with the facts, it was like a resounding slap in the face, leaving them speechless. If the patient were to suffer a serious injury as a result, these judges who had so strongly advocated for Xiao Jingyun's treatment plan would also be held accountable!

The rescue lasted for nearly two hours.

As dawn broke, the patient's blood pressure finally stabilized, allowing for a reduction in the dosage of vasopressors. His heart rate also dropped to around 100 beats per minute, and his blood oxygen saturation returned to a safe level. Although still not out of danger, Chen Yang had managed to pull through the most perilous period.

As Chen Yang stepped out of the ward, he immediately saw Xiao Jingyun standing at the door. Xiao Jingyun had been there for two or three hours.