Chapter 2086

On the way, Zheng Ren called Zhou Litao.

He gave a brief account of the patients sent and told Zhou Litao that if there was no other judgment, he would give a shot of diazepam first.

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

Before, patients with hypoglycemic agitation settled down for a while, but people did not move, but blood sugar was continuously decreasing.

If blood sugar is low to a certain limit, it may endanger the patient's life.

Similarly, patients with abdominal pain are contraindicated to take analgesic drugs in order to avoid pain.

Zheng Ren explained that Zhou Litao took the order and left.

One injection of diazepam can basically determine the diagnosis, and the rest is to wait for the electromyogram to do a more detailed examination after work.

"Boss, if the man hadn't been ill, it would have been awesome to practice mechanical dance like this!" Su Yun is still sighing.

"It's impossible. Several movements obviously violate the common sense of biological kinematics and can't be practiced by practice." Zheng Rendao.

"Tut Tut, I still feel pity."

They went to the community hospital while talking.

The patients are very stable, and the doctors studying are conscientious.

The lecture fee has mentioned 800000 euros, and they all know it. Besides, it's just the lecture fee, and it doesn't involve boss Zheng's hand-in-hand teaching.

Even in class, it is said that Brother Yun is talking. Boss Zheng doesn't even show his face.

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

Even most doctors think it's a blessing to be knocked by boss Zheng for an operation after helping for half a year.

After leaving the community hospital, Zheng Ren and Su Yun discussed the doctor's turn to 912.

Zheng Ren is not interested in transactional work. After saying a few words, he is very interested in pushing these jobs to Su Yun.

Su Yun didn't care. He was still immersed in the strange "dance" of his brother just now, and sometimes he did some actions like a gust of wind.

Unfortunately, even he can't imitate it at all.

They came directly from the community hospital to the emergency room of 912. Seeing Zhou Litao standing in front of the bed in the emergency room, they went in.

"Boss Zheng, Brother Yun, here you are." Zhou Litao said with a smile, "the patient has fallen asleep and the muscle spasm has disappeared."

"Well, check it after work." Zheng Renjian's patients began to snore when they slept. Their limbs were soft, like normal people, and they were relieved.

"What checks do you do?"

"The inpatient department did the examination, but didn't let you do it." Su Yun said, "send rheumatism immunity."

"..." Zhou Litao also remembered that Su Yun said that he would give rheumatism immunity if he couldn't understand it.

For stiff person syndrome, he had no concept. Just when boss Zheng came, he refused to let go of any chance and hurriedly took boss Zheng to his duty room.

From the cabinet, he took out a box of the Ninth Five Year Plan supreme, and Zhou Litao handed it to Zheng Renhe and Su Yun.

"Hey, Mr. Zhou, are you corrupt?" Su Yun smilingly took a cigarette and held it in his mouth.

"Where there is, where there is." Zhou Litao waved his hand again and again. "This thing is too expensive for me to enjoy. I bought a box for you when I saw Brother Yun smoking this cigarette."

Zhou Litao was not willing to smoke at all. He put the cigarette back, took out his own cigarette and lit it for Zheng Ren and Su Yun. Then he asked, "boss Zheng, how do you judge?"

"How would you judge if I didn't call?" Zheng Ren didn't answer, but asked.

"At first glance, I ruled out the possibility of tetanus. Depending on the patient's situation, it is estimated that it will not be a problem of the central nervous system. After all, he is sober. He is scared to death and doesn't speak clearly." Zhou Litao tried to recall the patient he had just seen.

Because boss Zheng has called, the first reaction is boss Zheng's, not his own.

In retrospect, Zhou Litao felt that if the patient fell into his own hands, it would take a long time to make a correct diagnosis.

"Do CT, MRI, a little bit of investigation." Zhou Litao then said, "it may also be. ISACS Mertens syndrome."

"Don't be ridiculous. ISACS Mertens syndrome is also called myotonia dwarfism diffuse bone disease. When you see muscle tremor and rigidity, lean up? Your pupils are dilated on both sides. Where did you see dwarfism?"

Su Yun sprayed it directly without hesitation.

"In fact, I interfered with President Zhou's judgment." Zheng Ren said with a smile, "I estimate that the patient will be sent directly. President Zhou's first judgment should be organophosphorus poisoning."

Zhou Litao suddenly realized it.

Looking back on the situation at that time, if there was no phone call from boss Zheng, I would certainly think it was organophosphorus poisoning.

Acetylcholine accumulates and stimulates excessively at the neuromuscular junction of striated muscle, resulting in muscle fiber fibrillation of face, eyelid, tongue, limbs and systemic striated muscle, and even tonic spasm of systemic muscle.

This nicotine like symptom is so obvious. Although you can't smell the taste of the patient, there is such a barrier in your heart, which always takes a lot of time to make a clear diagnosis.

Although it won't delay anything, just check one by one, it's always not as refreshing as boss Zheng's direct diagnosis.

"It's all right. Push an atropine, and you'll know it's not." Zheng Ren smiled. "It won't delay the diagnosis and treatment of patients. Rest assured."

Boss Zheng was considerate and gave him a step down.

"Brother Yun, do patients really want to send rheumatism immunity?" Asked Zhou Litao.

The work of the emergency department is difficult to do. If the patient is sent to an irrelevant department, although the doctor of the inpatient department will hold a consultation in the end, the diagnosis and treatment of the patient will not be delayed. But in other people's hearts, they will leave an impression that they won't see a doctor.

"Well, under normal circumstances, patients can get better by taking diazepam every day and gradually reducing it. Benzodiazepines are the first choice for clinical treatment."

"If not, it's OK to use chloral hydrate enema. The patient will go to sleep for a while." Su Yun said, "it's not the same thing to sleep with you."

"But..." Zhou Litao said hesitantly, "it seems that treatment has nothing to do with rheumatism and immunity, but it seems to be a neurological disease."

"Almost." Su Yun smiled. "It's like the patient consulted in the whole hospital yesterday. The boss gave cyclophosphamide an impact dose of 1.0g. The treatment of stiff people's syndrome with cyclophosphamide is also effective. You say it's not a rheumatic immune disease or something."

“……”

It's too simple and rude, and it's a little unreasonable.

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

According to Zhou Litao's idea, the patient should be sent to the Department of Neurology, but Brother Yun thinks he wants to go to rheumatism immunity, so send it. He doesn't have any ideas.

I can't see a doctor, and Brother Yun can't see a doctor.