Chapter 1655

"Did you take carbamazepine this time?" Su Yun asked.

"Yes, but the effect is not very good." The pudgy boss said, "maybe the body has drug resistance. I'm going to go to the mental hospital to prescribe some medicine for him."

There was no other good way, Zheng Ren sighed.

For an honest and honest big Liu, it's really possible that he can't go out all his life.

A single-minded mind recognizes death.

"I knew Liu was so willing to drink. I went to drink with him several times and advised him." Su Yun is a little sorry.

"When big Liu was in his hometown, he drank a kilo of wine a day all the year round." The pudgy boss said, "when he came to work here, he knew that drinking would delay things. He would drink a few drinks every night."

Zheng Ren is sweating. How much can you drink to relieve his greed?

The short fat boss's cell phone rang. He connected the phone, said a few words and hung up.

"Come back and have a look." Said the stout boss.

"You too. It's no use looking for me at this time if you don't look for me earlier." Su Yun complained.

"I just feel depressed and want to talk to someone. Brother Yun, you say I've done my best enough. Liu's brother has been grinding me for money." The pudgy boss is also distressed.

Zheng Ren and Su Yun can't solve this dead situation.

At the thought that Liu would be sent to the mental hospital after returning to his hometown, both Zheng Ren and Su Yun were depressed.

"If it's all right, I'll go back first." Zheng Ren whispered.

The pudgy boss was a little surprised. Su Yun despised him and said, "my boss is like this. I don't want to see things that can't be solved. I'll advise one."

Zheng Ren patted the stout boss on the shoulder. Without talking, he walked in with his head down.

Head on, a wheelchair pushed in.

Zheng Ren glanced, but saw the bright red system panel and different diagnoses.

Subacute subdural hematoma!

He raised his head and looked carefully again.

you 're right! It's a cerebral hemorrhage.

Zheng Ren quickly walked to Liu and said, "I'll come."

There are two or three people around the wheelchair. One of the young people looks a little like big Liu. It is estimated that it is his brother.

"Where's the boss?" Big Liu's brother said, "my brother is mentally ill. He must have oppressed him. In order to earn hard-earned money, he made my brother what he is now! Capitalists, doute is evil! Doute is not human!"

Zheng Ren was a little bored and anxious. He took the wheelchair and quickly pushed it into the emergency room.

"Let's go." Su Yun was surprised to see Zheng Ren push his wheelchair into the rescue room and said, "there's nothing to look at."

"After physical examination, I always feel that Liu is in a wrong state." Zheng Ren said in a hurry.

Big Liu sat in a wheelchair, his hands and feet twitching and murmuring something.

"President Zhou, the patient is back." Zheng Ren entered the rescue room and immediately said, "did you take your blood pressure?"

Zhou Litao had just finished his work. He looked at big Liu and said, "measured, 120 / 80. The heart rate seems to be 90 beats / min."

"I'll use the flashlight." Zheng Rendao.

Zhou Litao handed Zheng Ren the electricity and said, "it's a little slow to reflect light. There's nothing else."

"Did you have a head CT?"

"I wanted to make one for him, but the patient's family disagreed." Zhou Litao is also very distressed.

"My brother is not hurt. You just want to make money by doing an examination, don't you? I know that you have a commission for an examination!" Big Liu's younger brother said loudly in the back, "emperor capital, there is no good man!"

Zheng Ren ignored Liu's brother, but took the flashlight and began to look at Liu's pupils.

As Zhou Litao said, the light reflection of bilateral pupils is weak, while the left pupil is slightly dilated.

"Strange, I haven't seen my pupils dilate just now." Zhou Litao wondered, "is it subarachnoid hemorrhage?"

"Not necessarily. Go and have a CT first." Zheng Rendao.

"OK."

Zhou Litao promised cleanly and quickly ran to write out the list.

Big Liu's brother is still holding the fat boss and talking about money.

Soon, Zhou Litao came out with the CT list and handed it to the pudgy boss.

"You pay the money and I'll find someone to send it for examination." After Zhou Litao finished, he shouted to accompany the inspector and another doctor to send Liu for examination.

"Do what check, spend money blindly." Liu's brother grabbed the CT application form, tore it up and said, "one after another, but it's not the same in the end. My brother made it like this together with you!"

This is the most basic mischief. Zheng Ren has seen a lot in Haicheng and has long been surprised.

Zhou Litao said seriously, "the patient, that is, your brother, is now considering that it may be cerebral hemorrhage. If you don't do CT, you have to bear legal responsibility. This is intentional homicide!"

"You..." Liu's brother wanted to argue.

"There are cameras, and we all have records of what we say. If you don't agree, if your brother really has something to do, you will be thrown into prison. It's intentional homicide!" Su Yun deliberately talks nonsense and frightens big Liu's brother.

Listening to Su Yun's words, his momentum was suddenly discouraged. Pretending to be ferocious, he stared at Zhou Litao and Su Yun, then pointed his fingers shakily twice, turned and left without even saying a cruel word.

Zhou Litao didn't care. He went back and opened a list, handed it to the pudgy boss and asked him to do CT. In addition, he specially told the emergency doctors who went with him to send them directly to neurosurgery if there was bleeding.

After they left, the emergency department calmed down temporarily.

Because the doctor in the emergency department sent Liu for examination, Zhou Litao should be responsible for visiting.

At this time, I'm not very busy. There is a doctor in it. I don't need Zhou Litao for the time being.

"Boss Zheng, Brother Yun, how did you have time to come down?" Asked Zhou Litao.

"We know a chef in a restaurant who always goes to eat." Su Yun said, "who wants cerebral hemorrhage."

"Better than mental illness." Zheng Rendao.

"Fortunately, boss Zheng came down, or he almost leaked it." Zhou Litao was a little scared and smiled. "When I came, I had a physical examination. I really didn't have dilated pupils. Moreover, the patient had no history of trauma and low blood pressure, so I didn't consider cerebral hemorrhage."

"I know." Zheng Ren said: "subdural hematoma can be seen occasionally in patients with minor trauma. The emergency department wants patients to stay for observation because they are worried about this problem."

"Three days to three weeks before symptoms, alas." Zhou Litao sighed. The difficulty of the emergency department is reflected here.

The patient's family members were unhappy when the examination was done more and did less. The patient suddenly had a symptom change and immediately got scratched.

Like big Liu, judging from the main complaint, it is obvious alcoholism, epilepsy and psychomotor seizures. With the diagnosis of a mental hospital and the refusal to do head CT at home, the possibility of misdiagnosis has soared to the sky.

If Zheng Ren hadn't taken a look, I'm afraid Liu would soon have a brain hernia.

The effect will be much worse if we do the operation at that time.

……

……

Note: when going out of the emergency department, we often encounter the family members of patients who refuse to do the examination. I also have mild obsessive-compulsive disorder. In this case, the patient's pessimism spread after leaving for fear of an accident. Very... Suffering