Chapter 1492: Solid basic skills
Translator: 549690339
The two of them only exchanged a few words in a low voice and did not continue.
The surroundings were chaotic, and who knew if there were any family members of the patient? Moreover, it was impossible to judge the specific situation at that time just by listening to the emergency doctor of the ambulance.
It was just a guess and couldn’t be counted. However, if he were to be self – righteous and make a public announcement, the patient’s family members would hear him, and the doctors working for him would be in trouble.
It was the most basic doctor’s Creed to do your own thing and not cause trouble for others.
Fortunately, the patient had already woken up, so there was nothing to worry about.
Zhou Litao called the patient’s family over to ask about the situation. He asked very carefully, and Zheng Ren listened for two minutes before he leaned over and asked,”What medicine did the patient take last night?”
“Uh …” The patient’s family members were stunned and tried their best to think.
“Boss Zheng, what are you suspecting?”
Zheng Ren saw the family members looking for the medicine box in their luggage, so he whispered,””Patients with thyroid issues usually have a high heart rate. Take pronailor to lower the heart rate. All the major guidelines recommended that it could inhibit the conversion from T4 to T3, and it was the first choice.
However, a large dose of beta – receptor blockers can weaken the effect of cataplatinol, inhibit the decomposition of liver glucose, reduce liver glucose output and glucose mutation, and also inhibit fatty acid, reduce the level of dinocytologragnosis in the blood, and reduce blood sugar production. ”
In other words, if one took too much of this medicine, it would cause their blood sugar to drop.
“I know.” Zhou Li Tao immediately said.
In fact, as soon as Zheng Ren started, Zhou Litao thought of this.
After all, he was not an endocrinologist. Zhou Litao was not very familiar with the fact that beta – killers could cause hypoglycemia.
However, if Zheng Ren was not around, he probably would not have missed him. Zheng Ren was there, so he pointed out the direction and sped up the process of asking about her medical history.
As expected, the family members came over with the medicine box for genalor.
As the patient’s condition was not serious and her movements were normal, there was no family member to accompany her. This morning, he heard from the clinical staff that the patient’s heart rate was high last night, and there was no obvious relief after 30 minutes of taking the medicine, so he increased the dosage.
With this incident, Zhou Litao saw that the patient was fine, so he asked the emergency internal medicine doctor to write a list and let her stay in the hospital for observation.
Let’s observe for a while first.
However, it was only thyroid issues, so he could not be admitted to the hospital.
After he was done, Zhou Litao called Zheng Ren to his on – call room.
“Boss Zheng, your eyes are so bright. Have you done Endocrinology before?” Zhou Litao took out a box of purple cloud, which was despised by Su Yun.
“No, I met a similar patient in Xiangjiang a while ago, but it was not thyroid.” Zheng Ren said perfunctorily.
Su Yun shot a glance at Zheng Ren. This answer was too casual.
Hypoglycemia referred to the decrease in glucose concentration in the blood, which eventually led to brain damage.
The clinical symptoms ranged from behavioral changes, fatigue, delirium, epilepsy, and loss of consciousness, which was functional brain failure.
Therefore, many patients with hypoglycemia were often misdiagnosed as epilepsy, depression, or mania.
Qin Lu’s illness, such as mania and so on, was related to hypoglycemia, but he seemed to have noticed it at a glance at that time.
This guy was so sneaky, and he was really unpleasant to the eye.
Unfortunately, she couldn’t catch up to him no matter what. ‘I really want to find a chance to talk back to him,’ Su Yun thought as she smoked.
“By the way, director Zhou, how did you determine that the blood sugar level was low?” Zheng Ren asked.
“I already felt that something was wrong when the patient came.” Zhou Litao laughed.”If you want to sleep with the nurse on duty, you can’t be so direct in front of others when you’re flirting with girls in the ward. There must be a problem.”
“Yes, that’s right.” Su Yun said,”I’ve met a patient before. He was in a car accident. He had multiple rib fractures, biasal chest, lung rupture, traumatic wet lung, and head injury.” After the surgery, he stayed in ICU for three days with the help of a ventilator and a tube. After the catheter was removed, can you guess what the first sentence he said was?”
Zheng Ren smiled and did not say anything.
“It can’t be related to the nurse, right?” Zhou Litao asked suspiciously.
“He held the hand of the head nurse of the ICU and said they were going to drink with him tonight.” Su Yun laughed out loud.
“What happened after that?” Zhou Litao’s mind for gossip was also quite a lot.
As a chief resident in the emergency department, listening to some gossip was like finding joy in suffering.
“After her condition stabilized, she was kicked out of the ICU.” Su Yun laughed.
Although the conditions were different, the symptoms were similar.
“Boss Zheng, what’s with the Xiangjiang patients you mentioned?”
“There’s a plaque in one of the supporting arteries in the pancreas, and the change in interrupted flow rate leads to abnormal insulin secretion. He’s a little more advanced than these two patients. He’s not spouting nonsense, but he’s just imagining what he’s experienced. ” Zheng Ren briefly described Qin Lu’s illness.
“Tsk, tsk.” Zhou Litao secretly noted down the medical case that Zheng Ren was talking about.
Although he might not be able to meet a similar patient in his entire life, once he did, he would have a shadow in his heart and a little impression of it. At the very least, it would reduce the chances of misdiagnosis and missed diagnosis.
“Director Zhou, if the patient doesn’t have low blood sugar, what are you going to check?” Zheng Ren continued to ask.
“Patients with thyroid issues have mental symptoms. They may be electrolyte disorder, early – Stage of thyroid danger, hypoglycemia, or autologous – immune encephalitis. It was the most convenient way to check the blood sugar level, and the symptoms of the patient’s deep sleep were similar. If not, we’ll investigate them one by one. ”
Zhou Litao’s Foundation was solid, so he casually replied after Zheng Ren had just finished asking.
Zheng Ren thought to himself, 912 indeed had a deep foundation. He was just a chief resident of the emergency department, but he was actually so amazing.
It was difficult for doctors in other departments except for the Department of gland surgery and the Department of Endocrinology to know the details of this matter regarding thyroid disease.
This was the use of specializations. However, there were always disadvantages to everything that was good. The more one delved into a certain field, the less they would understand about the diseases in other departments.
“Boss Zheng, you’re really all – rounded, amazing.” Zhou Litao smiled and said,”is there anything I should pay attention to about this patient?”
“It’s nothing, just do as you see fit. ” Zheng Ren smiled and said,”let him go to a specialist clinic after two days of observation. You’re just an emergency department, so you can just solve the problem of low blood sugar. By the way, tell the patient not to take the medicine casually. ”
“Yeah, I can eat as much as I want. It’s really terrible.” Zhou Litao said,”boss Zheng, when do you plan to do a live broadcast of the surgery for the patient with gaeshees ‘disease?”
“I don’t know. If there’s no problem, the earlier the better.” Zheng Ren said.
“I’ve seen your live – stream of surgeries. You did really well. ” Zhou Litao was a little envious.
No one would want to work in the emergency department if they could be a surgeon.
However, back then, he had made a mistake that would cause eternal hatred. He was young and ignorant, so he had been tricked into coming to the emergency department.
Nowadays, children were more and more experienced. There were not many people who entered the medical industry after graduation, let alone working in the emergency department.
The more Zhou Litao thought about it, the more he felt that his future was bleak.
How good would it be to be like boss Zheng?
He could still tolerate these things. The key was that boss Zheng was of a high standard and had a girlfriend!
Not only did he have a girlfriend, but she also handed him the instruments during the surgery.
Sigh … Zhou Litao let out a long sigh.
Zheng Ren and Su Yun were about to leave when they suddenly heard a series of hurried footsteps coming from the corridor.