Chapter 2086： What if you do?
On the way, Zheng Ren called Zhou Litao.
Simply talk about the situation of the patients sent, and explain Zhou Litao if there is no other judgment, first give a shot.
Under normal circumstances, when a similar patient is encountered, the doctor is afraid to score directly with a shot.
Patients who have had hypoglycemia before, for a while, people are not moving, but blood sugar is continuously decreasing.
If the blood sugar is low to a certain extent, it may endanger the patient's life.
Similarly, patients with abdominal pain, in order not to hurt, analgesic drugs are contraindicated.
Zheng Ren confessed that Zhou Litao took the lead.
A needle can be basically diagnosed, and the rest is to wait for the EMG to do a more detailed examination after the class.
"Boss, if the buddies are not sick, practicing mechanical dance and practicing like this, it is too powerful!" Su Yun still sighed.
"Impossible, there are a few actions that clearly contradict the common sense of biokinetics, and can be practiced without practice." Zheng Rendao.
"Oh, still feel pity."
The two said while going to the community hospital.
This patient is very stable and the doctors who study are conscientious.
The lecture fee already mentioned 800,000 euros, and they all know it. Moreover, it is only a lecture fee, and it has not yet touched the teaching of Zheng Boss.
Even if it is a class, it is said that Yun Geer is talking, Zheng boss is not exposed.
Although they are still worthy of small classes in the Imperial Capital, they dare not have any complaints.
Even most doctors believe that it is a blessing to be able to be beaten by Zheng Boss when he is half-hearted in this area.
After leaving the community hospital, Zheng Ren and Su Yun discussed this doctor's turn to 912.
Zheng Ren was not interested in the work of affairs. After saying a few words, he was willing to push these things to Su Yun.
It doesn't matter if Su Yun doesn't care. He is still immersed in the strange and bizarre "dance" of the buddy. From time to time, he does something like a gust of wind.
Unfortunately, even him, he can't completely imitate it.
The two men came directly from the community hospital to the emergency department of 912. When Zhou Litao stood in front of the rescue room, he walked in.
"Zheng boss, Yun Geer, come." Zhou Litao said with a smile, "The patient is already asleep, and the muscles are gone."
"Well, wait until after work to check." Zheng Ren saw the patient's sleep began to snoring, the limbs are soft, like normal people, but also relieved.
“What are you doing?”
"It is the inpatient department to do the inspection, but did not let you do it." Su Yundao, "send rheumatism immunity."
"..." Zhou Litao also remembers that Su Yun said that he could not understand the fact that he would send rheumatism immunity.
For the Zombie Syndrome, he has no concept. Just when Zheng Boss came, he was not willing to let go of his chance. He quickly took Zheng Boss to his duty room.
From the cupboard, he took out a box of ninety-five, and Zhou Litao handed it to Zheng Ren and Su Yun.
"Hey, Zhou Zong, are you corrupt?" Su Yun smiled and took a cigarette on his mouth.
"Where is there." Zhou Litao waved his hand again and again. "This stuff is too expensive. I can't enjoy it. This is not to see Yun Geer, you are smoking this cigarette, I bought a box, specially prepared for the two."
Zhou Litao was not willing to smoke, put the smoke back, took out his own cigarette, ignited Zheng Ren and Su Yun, and then asked: "Zheng boss, how do you judge?"
"If I don't call, how would you judge?" Zheng Ren did not answer, but asked.
"I first ruled out the possibility of tetanus. Looking at the patient's condition, it is estimated that it will not be a problem of the central nervous system. After all, he is conscious. He is afraid of death, and he is a little unclear." Zhou Litao tried to remember that he had just seen the patient. Case.
Because Zheng boss has already called, the first reaction is Zheng boss, not his own.
Looking back now, Zhou Litao feels that if this patient falls into his own hands, it is estimated that it will take a long time to get a correct diagnosis.
"Do CT, nuclear magnetic, 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. You see muscle tremors, rigidity and lean on top? Your pupils are dilated, where you see the dwarfism. ”
Su Yun did not hesitate to spray directly.
"Actually, I interfered with Zhou’s judgment." Zheng Ren said with a smile. "I estimate that the patient will be sent directly. Zhou’s first judgment should be organic phosphorus poisoning."
Zhou Litao suddenly realized this.
Looking back at the situation at the time, if there is no phone call from Zheng, he will definitely think it is organophosphate poisoning.
Acetylcholine is excessively accumulating and stimulating at the striated muscle neuromuscular junction, causing muscle fibrillation in the face, eyelids, tongue, limbs, and whole body striated muscles, and even tonic muscle spasm.
This nicotinic-like symptom is so obvious that although it does not smell the patient's body, there is such a lingering in the heart that it always takes a lot of time to confirm the diagnosis.
Although it will not delay anything, it will be checked one by one, but it is not as good as the direct diagnosis given by Zheng Boss.
"Nothing, an atropine advances, you know it is not Zheng Ren smiled, "will not delay the diagnosis and treatment of patients, rest assured. ”
Still, Zheng Bo is very understanding and gave a step down.
"Cloud brother, patients really want to send rheumatism immunity?" Zhou Litao asked.
The emergency department is difficult to work. If the patient is sent to an unrelated department, the doctor in the last inpatient department will not delay the diagnosis and treatment of the patient. However, in the hearts of others, I will leave an impression that I will not see a doctor.
"Well, under normal circumstances, it is stable every day, and gradually reduce the amount, the patient can get better. The treatment of benzodiazepines is the first choice for the clinic."
"If you can't use chloral hydrate, you can take it. The patient will go to sleep for a while." Su Yundao, "It is not a matter of sleeping here."
"Yes..." Zhou Litao said hesitantly. "It seems that treatment has nothing to do with rheumatism, but it is like a neurological disease."
"It's almost the same." Su Yun laughed. "Like the patient who was consulted in the hospital yesterday, the boss gave a dose of 1.0 g of cyclophosphamide. The treatment of zombie syndrome with cyclophosphamide also has an effect. You said that it is not a disease of rheumatism. Still what disease."
"..."
This is too simple and rude, and it is a bit strong.
However, many clinical diseases are not clear, especially some rare diseases.
According to Zhou Litao's thoughts, this patient should be sent to the Department of Neurology, but Yun Geer thinks that to get rheumatism immunity, then send it, you don't have any idea.
Will not see a doctor, but also the cloud brother will not see.
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Simply talk about the situation of the patients sent, and explain Zhou Litao if there is no other judgment, first give a shot.
Under normal circumstances, when a similar patient is encountered, the doctor is afraid to score directly with a shot.
Patients who have had hypoglycemia before, for a while, people are not moving, but blood sugar is continuously decreasing.
If the blood sugar is low to a certain extent, it may endanger the patient's life.
Similarly, patients with abdominal pain, in order not to hurt, analgesic drugs are contraindicated.
Zheng Ren confessed that Zhou Litao took the lead.
A needle can be basically diagnosed, and the rest is to wait for the EMG to do a more detailed examination after the class.
"Boss, if the buddies are not sick, practicing mechanical dance and practicing like this, it is too powerful!" Su Yun still sighed.
"Impossible, there are a few actions that clearly contradict the common sense of biokinetics, and can be practiced without practice." Zheng Rendao.
"Oh, still feel pity."
The two said while going to the community hospital.
This patient is very stable and the doctors who study are conscientious.
The lecture fee already mentioned 800,000 euros, and they all know it. Moreover, it is only a lecture fee, and it has not yet touched the teaching of Zheng Boss.
Even if it is a class, it is said that Yun Geer is talking, Zheng boss is not exposed.
Although they are still worthy of small classes in the Imperial Capital, they dare not have any complaints.
Even most doctors believe that it is a blessing to be able to be beaten by Zheng Boss when he is half-hearted in this area.
After leaving the community hospital, Zheng Ren and Su Yun discussed this doctor's turn to 912.
Zheng Ren was not interested in the work of affairs. After saying a few words, he was willing to push these things to Su Yun.
It doesn't matter if Su Yun doesn't care. He is still immersed in the strange and bizarre "dance" of the buddy. From time to time, he does something like a gust of wind.
Unfortunately, even him, he can't completely imitate it.
The two men came directly from the community hospital to the emergency department of 912. When Zhou Litao stood in front of the rescue room, he walked in.
"Zheng boss, Yun Geer, come." Zhou Litao said with a smile, "The patient is already asleep, and the muscles are gone."
"Well, wait until after work to check." Zheng Ren saw the patient's sleep began to snoring, the limbs are soft, like normal people, but also relieved.
“What are you doing?”
"It is the inpatient department to do the inspection, but did not let you do it." Su Yundao, "send rheumatism immunity."
"..." Zhou Litao also remembers that Su Yun said that he could not understand the fact that he would send rheumatism immunity.
For the Zombie Syndrome, he has no concept. Just when Zheng Boss came, he was not willing to let go of his chance. He quickly took Zheng Boss to his duty room.
From the cupboard, he took out a box of ninety-five, and Zhou Litao handed it to Zheng Ren and Su Yun.
"Hey, Zhou Zong, are you corrupt?" Su Yun smiled and took a cigarette on his mouth.
"Where is there." Zhou Litao waved his hand again and again. "This stuff is too expensive. I can't enjoy it. This is not to see Yun Geer, you are smoking this cigarette, I bought a box, specially prepared for the two."
Zhou Litao was not willing to smoke, put the smoke back, took out his own cigarette, ignited Zheng Ren and Su Yun, and then asked: "Zheng boss, how do you judge?"
"If I don't call, how would you judge?" Zheng Ren did not answer, but asked.
"I first ruled out the possibility of tetanus. Looking at the patient's condition, it is estimated that it will not be a problem of the central nervous system. After all, he is conscious. He is afraid of death, and he is a little unclear." Zhou Litao tried to remember that he had just seen the patient. Case.
Because Zheng boss has already called, the first reaction is Zheng boss, not his own.
Looking back now, Zhou Litao feels that if this patient falls into his own hands, it is estimated that it will take a long time to get a correct diagnosis.
"Do CT, nuclear magnetic, 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. You see muscle tremors, rigidity and lean on top? Your pupils are dilated, where you see the dwarfism. ”
Su Yun did not hesitate to spray directly.
"Actually, I interfered with Zhou’s judgment." Zheng Ren said with a smile. "I estimate that the patient will be sent directly. Zhou’s first judgment should be organic phosphorus poisoning."
Zhou Litao suddenly realized this.
Looking back at the situation at the time, if there is no phone call from Zheng, he will definitely think it is organophosphate poisoning.
Acetylcholine is excessively accumulating and stimulating at the striated muscle neuromuscular junction, causing muscle fibrillation in the face, eyelids, tongue, limbs, and whole body striated muscles, and even tonic muscle spasm.
This nicotinic-like symptom is so obvious that although it does not smell the patient's body, there is such a lingering in the heart that it always takes a lot of time to confirm the diagnosis.
Although it will not delay anything, it will be checked one by one, but it is not as good as the direct diagnosis given by Zheng Boss.
"Nothing, an atropine advances, you know it is not Zheng Ren smiled, "will not delay the diagnosis and treatment of patients, rest assured. ”
Still, Zheng Bo is very understanding and gave a step down.
"Cloud brother, patients really want to send rheumatism immunity?" Zhou Litao asked.
The emergency department is difficult to work. If the patient is sent to an unrelated department, the doctor in the last inpatient department will not delay the diagnosis and treatment of the patient. However, in the hearts of others, I will leave an impression that I will not see a doctor.
"Well, under normal circumstances, it is stable every day, and gradually reduce the amount, the patient can get better. The treatment of benzodiazepines is the first choice for the clinic."
"If you can't use chloral hydrate, you can take it. The patient will go to sleep for a while." Su Yundao, "It is not a matter of sleeping here."
"Yes..." Zhou Litao said hesitantly. "It seems that treatment has nothing to do with rheumatism, but it is like a neurological disease."
"It's almost the same." Su Yun laughed. "Like the patient who was consulted in the hospital yesterday, the boss gave a dose of 1.0 g of cyclophosphamide. The treatment of zombie syndrome with cyclophosphamide also has an effect. You said that it is not a disease of rheumatism. Still what disease."
"..."
This is too simple and rude, and it is a bit strong.
However, many clinical diseases are not clear, especially some rare diseases.
According to Zhou Litao's thoughts, this patient should be sent to the Department of Neurology, but Yun Geer thinks that to get rheumatism immunity, then send it, you don't have any idea.
Will not see a doctor, but also the cloud brother will not see.
Sogou reading URL:
Dear, click inside, give a good comment, the higher the score, the faster the update, it is said that the new wife who found the perfect score has found a beautiful wife!
Mobile phone station new revision upgrade address:, data and bookmarks synchronized with the computer station, no ads fresh reading!
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