My medical skills are a billion points

He asked Wang Jing to unplug the glucose and stop losing to the little boy.

Seeing that the children were fine, Xiao Chu also let them go home.

The man asked again.

"Doctor, you can get sick from eating lychees. Will my son not be able to eat lychees in the future?"

Chapter 284 Serious Complications

Xiao Chu smiled and shook his head.

"That's not true, but children are also particular about eating lychees."

"Infants under 1 year old should not eat lychee; 1 to 4 years old can eat a small amount of lychee pulp, but do not eat it on an empty stomach. It is recommended to eat half an hour after a meal.

Do not eat on an empty stomach for 4-12 years old, and don't be greedy. It is generally recommended not to exceed 10 pills at a time. "

"It's okay for children to eat lychee in the future, but remember not to eat it on an empty stomach, and don't eat too much, so you won't have symptoms of hypoglycemia."

After Xiao Chu said this, the man finally felt relieved.

His son loves lychees so much, if he is not allowed to eat them from now on, he will definitely cry again.

Fortunately, it is not that children cannot eat lychees, as long as they eat less and do not eat on an empty stomach.

It was only then that the man remembered that when his son ate lychees, he did not eat breakfast.

Hence the symptoms of hypoglycemia.

The husband and wife thanked Xiao Chu and left with their son.

Today, the husband and wife were frightened because their son had hypoglycemia symptoms.

But also life knowledge in emergency medicine.

It can be regarded as a kind of compensation.

Xiao Chu was about to go back to the consultation room and continue seeing patients, when Gao Yingjun walked over with a sullen face.

"The face is so ugly, what's the matter? Was it complained by the family?"

Xiao Chu joked.

Gao Yingjun shook his head.

"Xiao Chu, I'm not kidding, it's more serious than family complaints, come and take a look with me."

After Gao Yingjun finished speaking, he turned around and walked towards the ward.

His face was rather ugly. Although it was not a complaint, it was probably the patient's fault.

Xiao Chu followed closely into the ward.

Unexpectedly, Gao Yingjun actually came to bed 80, the old lady in her [-]s with massive cerebral infarction.

His son Zhang Jun was by the hospital bed, turning around like an ant on a hot pan.

Seeing the two people coming, their voices became uncontrollable.

"The day before yesterday, you said to give my mother the best medicine and treatment so that she can recover as soon as possible.

Now not only did he not recover, but he even got sick.How do you become a doctor? "

Xiao Chu frowned.

This Zhang Jun didn't ask indiscriminately, and just reprimanded his head and face.

It was as if the doctor owed it to him by nature.

Xiao Chu was not used to his stink, and said with a sullen face: "We have repeatedly told you clearly about the patient's condition. Now let us find out what is wrong with the patient, and don't blame us every now and then. Doctor, we are not gods."

Zhang Jun also knew that the young and outrageous Xiao Chu was the deputy director of the emergency department.

Seeing Xiao Chu's merciless rebuttal to him, Zhang Jun lost his momentum and stopped shouting loudly.

In fact, some patients or family members also have a bullying heart.

As for ordinary doctors and nurses, once they are dissatisfied, they will lash out.

But once facing the director of the department, psychologically, they have a sense of oppression from the bottom of their hearts.

Therefore, any small doctor-patient disputes can usually be settled as long as the department director comes forward.

Although Zhang Jun's voice lowered, he was still very dissatisfied.

He pointed to the left leg of the old lady on the bed and said: "Director Xiao, look at my mother who has been lying on the bed for almost ten days, and she has not recovered from her illness. Now her left leg is swollen like an elephant leg. What is it?" what happened?"

Xiao Chu didn't answer, but went to the hospital bed and checked the old lady.

It was found that the left lower extremity of the old lady was indeed severely swollen, and it was obviously thicker than the right leg.

And press with your fingers, once you press a pit, the edema is very obvious.

Seeing this, even without instrumentation.

Xiao Chu also had a disease in his heart.

Venous thrombosis of the lower extremities!

For patients who are bedridden for a long time, this is a complication that is easy to occur.

Because the old lady had a massive cerebral infarction and was in a coma, unable to move her whole body.

The blood flow rate will slow down, and it is very prone to venous thrombosis in the lower extremities.

Now the old lady's left lower limb is so swollen that the lower limb vein thrombosis is almost indistinguishable.

As long as a color ultrasound is checked, the diagnosis can be confirmed.

But the problem is that once lower extremity venous thrombosis occurs, the risk of sudden death of the patient increases.

Seeing Xiao Chu stop after checking the old lady, Zhang Jun immediately asked: "My mother's left leg was fine yesterday, why is it suddenly swollen like this?"

Xiao Chu didn't answer, but looked at Gao Yingjun beside him.

"Have you checked the blood vessel color ultrasound of the lower extremities?"

"Not yet, I just asked you to come over when I found out about this situation."

Gao Yingjun shook his head.

Only then did Xiao Chu look at Zhang Jun, who was a little impatient.

"The patient's left lower extremity was severely swollen. It is considered that there was a complication of lower extremity venous thrombosis. We will check a lower extremity vascular color ultrasound in a while to make a definite diagnosis."

"complication?"

Zhang Jun's eyes slanted.

"My mother's cerebral infarction hasn't healed yet, so why are there complications again? Is there something wrong with your treatment plan?"

Once this Zhang Jun has any problems, he will point the finger at the treatment plan.

This made Xiao Chu feel very upset, and directly opened his mouth.

"Don't just talk about our treatment plan, your mother's treatment plan, there is no problem.

If you have doubts, you can copy the medical records and apply for identification after you leave the hospital.

If there is something wrong with our treatment plan, you can sue casually.

But do you know how the complication of lower extremity venous thrombosis occurs? "

Xiao Chu raised his voice.

"After the old lady was diagnosed with massive infarction, we advised you to transfer the old lady to the intensive care unit.

There is more specialized care out there to reduce complications.

But we repeatedly mentioned it to you several times, but you refused and asked to take care of the patient yourself.

You can also take care of the patients yourself. Have you done all the nursing instructions we gave you? "

"The patient turns over and taps his back every two hours, have you done it?"

"The patient is in a coma and has no muscle strength in her limbs. She needs to massage her limbs for half an hour every day, twice a day. Have you done it?"

A series of sonorous and forceful rhetorical questions from Xiao Chu left Zhang Jun speechless.

The reason he didn't let his mother go to the intensive care unit was because it was too expensive.

Even if his mother has medical insurance, he still has to pay a lot of expenses after reimbursement.

And live in a general ward, the cost is much less.

So he insisted that his mother stay in the general ward and be looked after by himself.

But he couldn't do the nursing instructions that doctors and nurses told him.

Nursing requires him to turn the patient over every two hours.

He could barely do it during the day, but at night, he would sleep soundly on the accompanying bed, and he would not turn his mother over at all.

And massage the patient's limbs for half an hour every day, at least twice a day.

Zhang Jun did it in a perfunctory manner, sometimes only doing it once, or even not doing it once.

In this case, he only persisted for two or three days, and then he couldn't persist.

Chapter 285 Are you sure you want to choose conservative treatment?

In the following hospital days, he took a very perfunctory attitude towards his mother's care.

Nursing rounds are given every morning, and he is strictly instructed, but he still does not do it.

Therefore, in less than ten days, pressure sores appeared on the old lady's buttocks.

What is more serious than pressure sores is the occurrence of venous thrombosis in the lower extremities!

This is a fatal complication!

Zhang Jun himself knew in his heart how perfunctory and inattentive he was in taking care of his mother.

But he rolled his eyes, and said angrily: "Director Xiao, what do you mean, my mother has complications, and the responsibility is all on me?"

Xiao Chu glanced at Zhang Jun who was a little anxious.

"We are not putting the blame on you, but stating a fact.

Your mother's lower extremity venous thrombosis may be inevitable or accidental.

It has nothing to do with lack of care.But more or less, there is still a certain relationship. "

"Speaking of it, do you still blame me?"

Zhang Jun spread his hands, as if you were right.

"It's not about blaming anyone. It's not about blaming anyone. It's useless for us to discuss this now."

Xiao Chu looked at Gao Yingjun.

"Let the people in the color ultrasound room come over and check a bedside color ultrasound to make a diagnosis."

Gao Yingjun hurried out of the ward, and went to call the person from the color Doppler ultrasound room to come over for an examination.

Xiao Chu stared at Zhang Jun, and said solemnly: "Now we are not discussing who is right and who is wrong, but to clarify the cause as soon as possible, and then give a clear treatment plan.

Regardless of whether your mother has lower extremity venous thrombosis or not, according to her condition, I suggest you again now to transfer the patient to the intensive care unit.

The pressure sores on her body are getting worse and worse. If she continues to lie in the general ward like this, the pressure sores will get worse and worse.

You can't take care of it alone.And judging by your mother's physical signs, her consciousness has gradually improved in the past two days.

If her condition is aggravated due to complications, I think you don't want to see it either. "

Xiao Chu presented the facts and reasoned completely based on the patient's condition.

If this Zhang Jun still refuses the patient to be admitted to the intensive care unit, then it is not impossible for this old lady to have other serious complications.

Besides, the old lady's sanity has shown signs of recovery in the past two days.

If you continue to treat, there should be no problem in saving one's life.

Isn't this in line with Zhang Jun's wish?