Chapter 2085 What if It Were You

On the way, Zheng Ren called Zhou Litao.

He briefly talked about the conditions of the patients who were sent, and told Zhou Litao that if he had no other judgment, he would give him a diazepam first.

Under normal circumstances, when encountering similar patients, doctors dare not directly inject diazepam.

Patients who had hypoglycemia and agitation before settled down for a while, and they did not move, but their blood sugar continued to drop.

If the blood sugar drops to a certain limit, it may endanger the life of the patient.

Similar to this is for patients with abdominal pain, in order not to hurt, it is the same contraindication to take analgesic drugs.

After Zheng Ren explained, Zhou Litao took the order and left.

A stable injection can basically make a diagnosis, and the rest is to wait for the EMG side to do a more detailed examination after returning to work.

"Boss, if that buddy wasn't sick, he would be so awesome after practicing the mechanical dance!" Su Yun was still sighing.

"Impossible. There are a few movements that obviously violate the common sense of biological kinematics, and they can't be learned through practice." Zheng Ren said.

"Tsk tsk, I still feel sorry."

The two went to the community hospital to take a look while talking.

The patients here are very stable, and the doctors who are studying are dedicated.

The lecture fee has already mentioned 800,000 euros, and they all know it. Besides, it's just the lecture fee, and it doesn't involve Boss Zheng's hands-on teaching.

Even in class, it was said that Brother Yun was the one talking, and Boss Zheng didn't even show his face.

Although they are still on duty in the small class in the imperial capital, they dare not have any complaints.

Even most of the doctors think that if they help here for half a year, it is a blessing to be knocked out by Boss Zheng for an operation when they leave.

After leaving the community hospital, Zheng Ren and Su Yun discussed the matter of doctors taking turns going to 912.

Zheng Ren was not interested in routine work, and after a few words, he pushed all these tasks to Su Yun with little interest.

Su Yun didn't care, he was still immersed in the weird "dancing posture" of that buddy just now, doing certain movements from time to time like convulsions.

It's a pity that even he can't imitate it at all.

The two came directly to the emergency room of 912 from the community hospital, and saw Zhou Litao standing in front of the bed in the emergency room observing, so they went in.

"Boss Zheng, brother Yun, here we come." Zhou Litao said with a smile, "The patient has fallen asleep, and the muscle spasm has disappeared."

"Well, let's have a check-up after work." Seeing that the patient had started to snore while sleeping, and his limbs were limp, like a normal person, Zheng Ren felt relieved.

"What checks are there?"

"It was the inpatient department who did the examination, and you were not asked to do it." Su Yun said, "Send rheumatism immunization."

"..." Zhou Litao also remembered that Su Yun said that he would give rheumatism immunity to those who could not understand.

He didn't have any idea about the Stiff Man Syndrome. When Boss Zheng came, he refused to let go of the slightest chance, and hurriedly dragged Boss Zheng to his duty room.

Taking out a box of Ninety-five Supreme from the cabinet, Zhou Litao handed it to Zheng Ren and Su Yun.

"Hey, Mr. Zhou, are you corrupt?" Su Yun smiled and took a cigarette to his mouth.

"Where is there?" Zhou Litao waved his hands again and again, "This stuff is too expensive, and I can't enjoy it. Didn't I see you all smoking this cigarette, Brother Yun, so I bought a box for the two of you."

Zhou Litao was not willing to smoke one, put the cigarette back, took out his own cigarette, lit it for Zheng Ren and Su Yun, and then asked: "Boss Zheng, how do you judge?"

"If I don't call, how will you judge?" Zheng Ren didn't answer, but asked rhetorically.

"I ruled out the possibility of tetanus at first glance. Looking at the patient's condition, it is estimated that it will not be a problem with the central nervous system. After all, he is conscious. He is terrified, and his speech is a little unclear." Zhou Litao tried hard to recall that he saw the patient just now. Case.

Because Boss Zheng had already called, the first reaction was Boss Zheng's, not his own.

Thinking back now, Zhou Litao felt that if this patient fell into his own hands, it would take a long time to get a correct diagnosis.

"Do CT, MRI, a little investigation." Zhou Litao then said, "It may also be Isacs-Mertens syndrome."

"Don't talk nonsense. Isacs-Mertens syndrome is also called myotonia-dwarfism-diffuse bone disease. When you see muscle tremors and stiffness, you lean up? Your pupils are dilated on both sides. Where did you see dwarfism? "

Su Yun sprayed it without hesitation.

"Actually, I interfered with Mr. Zhou's judgment." Zheng Ren said with a smile, "I guess the patient was sent directly. Mr. Zhou's first judgment should be organophosphate poisoning."

Only then did Zhou Litao suddenly realize.

Looking back on the situation at that time, if there was no call from Boss Zheng, I would definitely think it was organophosphate poisoning.

Acetylcholine accumulates and stimulates excessively at the neuromuscular junction of striated muscles, causing muscle fibrillation in the striated muscles of the face, eyelids, tongue, limbs and the whole body, and even muscle tonic spasm of the whole body.

This nicotine-like symptom is so obvious. Although the patient cannot smell the smell, but there is such a hurdle in the heart, it always takes a lot of time to make a clear diagnosis.

Although there will be no delay, just check one by one, but it is not as refreshing as Boss Zheng's direct diagnosis.

"It's okay, just push an atropine in, and you'll know it's not." Zheng Ren smiled, "It won't delay the patient's diagnosis and treatment, don't worry."

It was Boss Zheng who was understanding and gave me a step down.

"Brother Yun, does the patient really want to send rheumatism immunity?" Zhou Litao asked.

The work of the emergency department is difficult. If the patients are sent to unrelated departments, although the doctors in the inpatient department will consult with each other in the end, the diagnosis and treatment of the patients will not be delayed. But in other people's minds, they will leave an impression that they don't know how to see a doctor.

"Well, under normal circumstances, take diazepam every day, gradually reduce the dose, and the patient will get better. The treatment of benzodiazepines is the first choice in clinical practice."

"If it doesn't work, you can just use chloral hydrate enema, and the patient will be sent there after sleeping for a while." Su Yun said, "It's not a problem to sleep here with you."

"But..." Zhou Litao said hesitantly, "It seems that the treatment has nothing to do with rheumatic immunity, but more like a neurological disease."

"It's almost the same." Su Yun laughed, "Like the patient who was consulted in the whole hospital yesterday, the boss gave a shock dose of 1.0g of cyclophosphamide. Cyclophosphamide is also effective in the treatment of stiff man syndrome. You said it is not a rheumatic immune disease. What kind of disease is it?"

"..."

This is too simple and rude, and a bit unreasonable.

However, the classification of many clinical diseases is not clear, especially some rare diseases.

According to Zhou Litao's thinking, this patient should be sent to the Department of Neurology, but Brother Yun thinks that he should go for rheumatism immunity, so let's send it, and don't have any other ideas.

He doesn't know how to see a doctor, and Brother Yun doesn't know how to see a doctor.