My medical skills are a billion points

When the man's mother knew about her son's condition, she slumped down on the chair instantly.

She couldn't figure out why her son had diabetes at such a young age.

Xiao Chu just told her about the patient's condition and the dangers of ketoacidosis.

It also explains in detail the treatment situation and how to control blood sugar in the future.

Hearing the news, the man's mother couldn't accept it for a while, and her mind went blank.

Her son is only 25 and has yet to find a girlfriend.

Diabetes is detected now, and insulin is injected for life.

What should he do?

What hope does he have for the rest of his life?

The man's mother thought a lot, but Xiao Chu couldn't control it.

He is only responsible for treating patients and informing their families of the actual situation, and there is only so much he can do.

At present, there is no cure for diabetes with the medical technology in the world.

You can only rely on hypoglycemic drugs or insulin to control blood sugar, just like high blood pressure. Once diagnosed, you need to take medicine for life.

Hypertension and diabetes are two major killers that endanger human health.

However, human medical technology has no way to completely cure them.

Perhaps decades later, humans will probably be able to develop a corresponding method.

However, in Xiao Chu's Points Mall, there are drug formulas to cure diabetes and high blood pressure.

But the exorbitant redemption of points made Xiao Chu dare not even think about it.

Whether it is a cure for high blood pressure or a drug formula for diabetes, the points exchanged are as high as 500 million.

What is the concept of 500 points?

It takes Xiao Chu to treat [-] patients successfully to achieve it.

When you think about it, it's pretty scary.

Even if Xiao Chu could get so many points, he would never come up with such a medicine formula.

Because he couldn't and didn't dare to take it out.

He doesn't have the ability to bear such unrealistic things.

It will be possible to take it out only after decades of medical technology has developed.

And Wang Panpan took notes from time to time, and also asked Xiao Chu for some diagnosis tips.

Xiao Chu was explaining the details to Wang Panpan when an intern came over.

"Director Xiao, the patient in bed 3 is not feeling well, go and have a look!"

If the patients in the ward have problems, aren't the doctors on duty going to deal with them?

Why did you come over and call yourself?

Xiao Chu was wondering, the intern saw his doubts.

"Director Xiao, Mr. Gao is doing debridement and sutures for a patient. Mr. Zhao has gone for a consultation. There is no one in the office now."

"Okay, I'll go right away!"

Sometimes the emergency department is like this. No matter how many people there are, there are not enough people.

The 3-bed patient is an elderly man in his 60s who suffers from heart disease and has been hospitalized for nearly a week.

"What's wrong with you?"

Xiao Chu carefully performed a physical examination on the patient and asked.

"stomachache!"

"How long has it been hurting?"

"It's been half a day? Oh no, it's been half an hour!"

The old man repeatedly denied his answer.

"When did your stomach hurt?"

Wang Panpan was a little anxious.

In her opinion, the patient either did it on purpose or was a little confused.

Why can't I even remember when my stomach hurts?

But Xiao Chu saw that the patient was in a trance and was erratic, so he became vigilant.

Xiao Chu thought for a while, then asked again: "What did you eat this morning?"

The family members were about to answer for him, but Xiao Chu hurriedly stopped him.

In this case, the patient must be allowed to answer by himself.

“Dumplings to eat!”

Dumplings for breakfast?

Xiao Chu looked at the family members.

"Is he right?"

The family members shook their heads hastily.

"No, the porridge my dad ate in the morning."

Xiao Chu performed another physical examination on the patient's abdomen.

No matter where he presses, the patient complains of pain.

While Xiao Chu was examining him, the patient suddenly vomited again.

After he finished vomiting and lay down again, Xiao Chu asked again:

"Look at the clothes on me, what color is it?"

"Why does it look like yellow-green?"

The patient said uncertainly.

At this time, Xiao Chu had judged the patient's condition, looked at Wang Panpan and asked:

"Panpan, tell me what's going on with him?"

Xiao Chu has checked the patient's doctor's order, as well as the medicines he took and used.

The patient's condition is already well understood.

He asked Wang Panpan just to see how she judged.

Seeing that Xiao Chu wanted to test himself again, Wang Panpan of course had to perform well.

To do a physical examination of the patient, she doesn't need to do it.

Because the inspection that Xiao Chu did just now was very detailed.

She saw it all.

Wang Panpan thought for a while, and said, "Mr. Xiao, based on the patient's symptoms, his past medical history, and all the current examinations, I think the patient is digitalis poisoning."

"Patients should check the concentration of digitalis and electrolytes to confirm the diagnosis."

Digitalis poisoning is generally caused by patients with coronary heart disease and mental failure who take an overdose of digoxin, a drug that strengthens the heart muscle, and cause toxic and side effects.

The first symptoms are abdominal pain, nausea and vomiting.

Sometimes things are still yellowish green.

Xiao Chu didn't speak, but there was a look of approval in his eyes.

Because of his diagnosis, also digitalis poisoning.

It seems that this Wang Panpan still has good clinical experience.

Even this kind of digitalis poisoning, which is rare in clinical practice, can be diagnosed.

Xiao Chu asked again: "Digitalis poisoning, what other manifestations will it have?"

Wang Panpan replied: "There will also be bradycardia, ventricular premature beats and other arrhythmias!"

"And now the patient doesn't..."

The word "yes" in Wang Panpan's mouth has not yet been uttered.

Suddenly, a rapid alarm sounded on the ECG monitor.

The monitor showed that the patient had bradycardia.

The heart rate was only 30 beats per minute, and there was third-degree atrioventricular block with premature ventricular contractions.

Chapter 304 Patient's family donates department fund

The patient also passed out.

If the heart rate is lower than 40 beats per minute, the cerebral blood supply and oxygen supply are insufficient, and it is normal for the patient to appear coma.

The family immediately became nervous.

"Doctor, what's going on? It was fine just now!"

Wang Panpan was talking about the patient's situation when he suddenly fell into a coma and lost his mind for a moment.

Immediately react.

“快，5%的葡萄糖200毫升加异丙肾上腺素1毫克静滴，必要时准备安装临时起搏器，另开通道5%的葡萄糖500毫升加氯化钾注射液1.5克持续静滴。”

Because the patient suddenly fell into a coma, Wang Panpan couldn't care about Xiao Chu who was beside him in a hurry, so he blurted out the emergency doctor's order.

She has dealt with patients with digitalis poisoning several times in the emergency department, so she is familiar with them.

Of course Xiao Chu would not blame Wang Panpan for urgently ordering the doctor, on the contrary, he was very pleased with her emergency treatment and urged the nurse to get the medicine as soon as possible.

In about 10 minutes, through a series of emergency rescue, the patient's heart rate slowly returned to 60 beats per minute.

The patient also slowly woke up.

The danger has been lifted.

The follow-up treatment is to replenish potassium to the normal range and stop the cardiotonic drug digoxin.

The key point is that this patient is still taking cedilan, so cedilan should also be stopped.

Symptoms of digitalis poisoning will gradually disappear.

After rescue for 10 minutes, Xiao Chu also stood in front of the hospital bed for 10 minutes.

He is not at ease when the patient is in a critical situation.

And Wang Panpan's emergency treatment, calmness in the face of danger, is the most basic quality of a doctor.

Wang Panpan performed well in this regard.

It is really an object worth cultivating.

Even if Wang Panpan is guarding here now, he is relieved.

Seeing that the patient's condition has stabilized, Wang Panpan said again:

"Ms. Xiao, I think the patient has heart disease and digitalis poisoning. We should also give him a brain examination.

The patient's amnesiac symptoms are obvious, and I think Alzheimer's disease should be ruled out. "

Alzheimer's disease, commonly known as senile dementia.

With Alzheimer's disease, the patient will gradually forget some things.

As the symptoms get worse, more and more things are forgotten.

Until the end, I couldn't take care of myself at all.

It is also an extremely difficult and difficult disease that mankind is facing at present.