"What? You don't think the guy in the hospital had amyotrophic lateral sclerosis? Why? "
Sure enough, in the evening when we had a meeting together, Beitiao Yangling was the first one to jump out and oppose. She also put on a fierce look, as if Chen Qun had made a mistake, and she was about to jump up and beat Chen Qun to death.
"Your hospital gave the diagnosis first, I understand your position and viewpoint, so please explain the reason first, and then I will explain my reason too!"
Chen Qun ignored the young lady's angry performance, because the diagnosis panel at the corner of his eye gave the young lady's physiological indexes, and there was no difference and fluctuation between them. The physiological data showed that her brain waves were not hyperactive, and her body did not secrete suprarenal hormone, which led to the acceleration of heart beat and blood pressure.
In a word, this young lady is just bluffing and deliberately finding fault.
Of course, Beitiao Yangling knew that her posture could not frighten the psychiatrist, and immediately threw two checklists in front of Chen Qun.
"This is the result of today's Research Institute. The spinal fluid is negative and there is no abnormality, so it is in line with the judgment of our Sanjing general hospital. The probable rate is als!"
"Wait a minute, negative examination is generally disease-free. Why can we infer from disease?"
"I knew you were going to talk nonsense. Xiaoxiu, tune out the video and see what he has to say!"
Yoshikawa immediately set up the tablet in his hand, and with a light press, a picture of Fujikawa Xueshan extracting spinal fluid appeared in the public's field of vision.
"Look at the patient's arm and back, see? In the two enlarged pictures, the patient has muscle tremor! This is a typical feature of ASL! "
Chen Qun looks at the plausible miss Beitiao, holds her arms directly, puts on a defensive posture, and then raises her hand to let Zhao Xue give her evidence.
"Look at the patient's performance after this intense exercise. There is no knee jerk reflex. Or the tendon reflex in your mouth. If it's als, there will be tendon reflex. And the most interesting point is that before the exercise, the patient had tendon reflex, but after the exercise, it didn't appear. I think it's totally inconsistent with the judgment of ALS symptoms! "
Beitiao Yangling is ready to refute, and the alarm immediately rings on the tablet in the hands of the people. At the same time, the mobile phone in the pocket also calls up.
Chen Qun took a look at his mobile phone and immediately rushed out, leaving only one sentence.
"Mr. Fujikawa has ventricular fibrillation with arrhythmia. Go to the ward quickly!"
Cardiac arrest is a major event in other hospitals, but in Xiangyun hospital, when they ran to the ward area on the eighth floor, the doctors and nurses on duty had solved the problem, and the patient's condition stabilized and fell into a deep sleep. All kinds of conventional monitoring equipment were also turned on and entered the state of intensive care.
Chen Qun went over to see the patient's two eyes, then glanced at the patient's ECG, directly showing a sudden realization of the expression, turned his head to follow the Beitiao Yangling said.
"Look here, T wave is lower, U wave is higher. At first glance, QT interval seems to be prolonged. What do you think the symptoms indicate? "
While Miss Beitiao was pondering, an electronic audio system came into being.
"Little broom knows, this is hypocalcemia!"
Dongfang Wenxin didn't expect such a scene. Looking at Beitiao Yangling's expression of hatred, she felt as if she wanted to eat honey. As soon as she shook her hand, she turned off the multifunctional robot responsible for sweeping the floor and delivering medicine.
"If you want to be talkative, you don't talk. No one thinks you are dumb!"
Chen Qun put his hands on his chest and gave a correct conclusion to North Tiao Yangling.
"Mr. Fujikawa is not ALS, but hypokalemia. Therefore, it is certain that he will not die within three to five years. But a full-time athlete suffers from hypokalemia, which is either caused by the dereliction of duty of his team doctors and nutritionists, or by other reasons. Miss Beitiao, what do you think is the possibility that all the team doctors and nutritionists in your national team will fail in their duties? "
Beitiao Yangling grasped Chen Qun's sarcasm and immediately fought back.
"What do you mean, can you say it directly?"
Chen Qun just won't be fooled, cow head does not explain horse mouth ground.
"The so-called hypokalemia, there will be vomiting, diarrhea, general weakness, muscle weakness, paralysis and other symptoms, if serious, it will lead to heart failure and arrhythmia, and even death. And early symptoms and amyotrophic lateral sclerosis similar, easy to be misdiagnosed
Beitiao Yangling directly knocked on the head of the bed to refute."Why didn't the blood test come out? If the blood test in our hospital is wrong, then you are also wrong here?"
Chen Qun frowned and assumed a state of ignorance.
"It's strange to me, too. I'm not sure about your hospital, but we know the situation here. The blood is tested in 10 minutes. But there are a lot of patients in our hospital, so we usually have to queue up and group up for laboratory tests, and finally the robot completes the examination, which is at least six or seven minutes' delay. But we can have another blood test and we can answer your question. "
Chen Qun gave an explanation, but it made Beitiao Yangling more and more dissatisfied.
"Do you think there is something wrong with the blood test in our hospital?"
"Please take it easy. We can solve this problem in a moment. Zhou Lin, immediately ask the laboratory to send two blood testing machines. We'll draw blood and check it immediately. Perhaps, this is also a mistake of VIP patients in your hospital. It's just because it's so considerate. Blood test has to go through three links: blood drawing, blood delivery and examination. Now we speed up the time and we know the result. "
Beitiao Yangling stares at Chen Qun straight, gnashing her teeth to squeeze out a passage.
"Don't think I don't know that low potassium blood samples will return to normal after a period of time. If you use this reason to accuse our hospital, it's just a crime to add to it
Dongfang Wenxin immediately gives the angry young lady two thumbs up, indicating that she uses this idiom correctly. But miss Dongfang knows that Chen Qun has absolutely grasped what other people have to do at this time. Only when she has the chance to win, can she deliberately provoke Miss Dongfang to play monkey to amuse herself. Of course, it's necessary to stir up the flames and directly annoy Beitiao Yangling!
Chen Qun made a pause gesture, indicating that Yangling and xiangchuanxiu of Beitiao would come for blood test by themselves.
"We'll have another blood test. We'll take three blood samples, one immediately, another three minutes later, and another six minutes later. We can see the problem. I think you can wait for ten minutes. "
In less than five minutes, the results of the first blood test appeared, and it was really lack of potassium; But the most amazing thing is that the second and third results are normal.
At this time, even if ten thousand Beitiao Yangling didn't believe it, they could only admit defeat. But I know in my heart that this time Chen Qun definitely caught something. The crux of the problem is not the strangeness of the blood samples. After all, different people's constitutions lead to different results in the recovery of potassium.
The crux of the problem is, why does Fujikawa snow mountain lack potassium!