I can see health

Chapter 108 Hypoglycemia?Cerebral stem!

After listening to Min Ling's narration, Lu Chen understood.

Clinically, many things are not black and white.

In many cases, the patient's family factors and economic conditions will seriously affect the patient's treatment effect.

It's not just drugs, or doctors' medical standards

Lu Chen began to write the patient's first course record.

At present, the main diagnosis is hypoglycemic coma, excluding cerebral infarction.

In this case, it is necessary to complete the DWI examination of the brain in time to rule out acute cerebral infarction.

As for hemiplegia, hypoglycemia can also cause hemiplegia, but the current treatment mechanism is not very clear.

……

After half an hour.

"Dr. Min, bed 18, blood sugar was 6.6mmol/L just now."

The nurse walked into the doctor's office and yelled.

"Okay, I see, keep going." Min Ling nodded, "Is the patient's son here?"

The nurse replied uncertainly: "It seems that a man has come, and their family members are discussing something in the corridor."

"Yeah." Min Ling stood up, "I can't delay any longer, I'm going to communicate with the family."

Min Ling walked out of the doctor's office, and Lu Chen followed her.

In the corridor of the ward.

The four family members of the patient formed a group and were discussing intensely.

Seeing Min Ling approaching, the middle-aged woman came out.

"Doctor, my brother is here. He wants to know more about my father's condition."

A thin man with a scar on his right eye took a step forward and said, "Doctor, what's the situation with my dad now?"

Seeing that the patient's family members were all present, Min Ling patiently explained: "At present, the coma caused by hypoglycemia is considered, but the existence of acute cerebral infarction cannot be ruled out, so now I have to go out and do an MRI of the head to rule out cerebral infarction! Because once Once a cerebral infarction is diagnosed, the treatment will be very different!"

The middle-aged man touched his chin and asked doubtfully, "Doctor, do you have to do this test? Can't you do it?"

"No, cerebral infarction must be ruled out." Min Ling said.

The middle-aged man frowned, "I just told a classmate about my dad's situation who is a doctor, and he said it was hypoglycemia, so there is no need for an MRI."

Min Ling replied blankly.

"It's okay if you don't do it, just sign to refuse the inspection and bear all risks."

Hearing this, the middle-aged man hesitated again.

"If it is checked, it is a cerebral infarction, can it be cured?"

Min Ling shook her head, "Not necessarily, depending on the size of the patient's cerebral infarction and the individual's condition, some people have no sequelae, some may suffer from hemiplegia, and a small number of people even become comatose forever and become vegetative."

"This..." The middle-aged man was taken aback for a moment, and looked back at the other family members.

"Actually, this examination is not expensive. It only costs a few hundred yuan, and it can be reimbursed." Min Ling looked at the clothes of the middle-aged man.

"This..." The middle-aged man paused, "It's actually a problem with my dad's medical insurance. His medical insurance will stop paying this year, so he may have to pay for it himself."

Min Ling frowned.

"At your own expense?"

"Yes. I asked. Now that I have paid for the medical insurance, it will take three months before I can use the medical insurance."

"I know you have your own reasons, but the illness does not wait for others, and you can make a decision within five minutes." Min Ling issued an ultimatum, "Do it, go now. If you don't do it, sign it."

"Okay, okay." The middle-aged man nodded quickly.

……

Back to the doctor's office.

"Xiao Lu, if the family members are willing to go out and do it later, you can go with me." Min Ling smiled.

"Okay, Teacher Min." Lu Chen nodded. , "Do you think his family will agree to do the inspection?"

Min Ling paused, then smiled and said: "Yes, after all, it's their father, just lying on the bed like this, in case of acute cerebral infarction, other than the treatment, other family members of their family may gossip."

"Sometimes, people's words are scary."

Lu Chen nodded.

"Hey, by the way, do you remember the last time you sent a patient to the ICU?" Min Ling asked suddenly.

"Yeah." Lu Chen nodded, "How did the patient do?"

Min Ling shook her head: "Hey, the patient stayed in the ICU for a few days, and the fee was too expensive, so he was transferred back to the general ward. Within two days, he was dying, and he was dragged home yesterday."

"His family is in this situation. He must not be dragged home until his last breath. Otherwise, neighbors and relatives will gossip."

Huaxia people love face and show it vividly in many things.

……

Five minutes later, a middle-aged man walked into the doctor's office.

"Doctor Min, we agree to do the examination, you can arrange it now."

"Okay." Min Ling then glanced at Lu Chen, "Dr. Lu, you take the patient's family to go out for brain DWI now."

"Yes. Lu Chen nodded, and followed the middle-aged man out of the doctor's office.

The nurse has placed the ECG monitor on the bedside.

"Doctor Lu, you are ready, you can go out for inspection at any time."

"Okay, let's go now."

The four family members of the patient walked out of the inpatient building of the Department of Endocrinology, pushing the hospital bed two in front and two behind.

Generally speaking, MRI is not an emergency examination.

But head DWI is an exception.

Cranial DWI refers to magnetic resonance imaging, that is, diffusion weighted imaging.

This is a generalized functional NMR technique.Clinical application is mainly used to determine acute cerebral infarction, which can clearly show the lesion early and provide important help for treatment.

Come to the MRI room.

Four family members carried the patient onto the examination table.

Lu Chen also came to the operation room and stood beside the operator.

"What's the patient's condition?" the technician asked while adjusting the inspection interface.

"The patient was admitted to the hospital in a coma, with hypoglycemia and left hemiplegia. We consider the possibility of hypoglycemia coma, but cerebral infarction is not excluded."

"Oh." The technician nodded.

In the inspection room, the machine has already started running.

On the computer, the MRI images of the brain began to appear.

Lu Chen concentrated on watching the video data on the computer.

One picture after another, slowly developing.

Until, on a black brain tissue map, a mass of white appeared.

At this time, the technician turned his head and glanced at Lu Chen.

"You asked the patient to come out and do a DWI. The magnetic resonance diffusion DWI showed a high signal image, and the possibility of acute cerebral infarction was considered."

Lu Chen felt a little lucky, fortunately, Teacher Min Ling insisted on pulling him out to do DWI.

If the patient has been treated according to hypoglycemia and the patient does not wake up for a long time, the problem will be serious.

Even if the patient's family has signed the informed consent, the hospital will still bear part of the responsibility.

Lu Chen immediately sent a WeChat message to Min Ling.

"Teacher Min, the result is out, acute cerebral infarction!"

(End of this chapter)