I Can See Health

Remember [new] in one second! It was originally a twenty-minute journey, but Lu Chen arrived at the Xin Nei Ward in less than ten minutes.

In the department, in addition to the doctors on duty, Xiao Shikang and Qin Sifeng were also there.

"Teacher Xiao, Teacher Qin, what happened to the patient?" Lu Chen put on his white coat and came to the doctor's office.

"Since you are here, let's go see the patient together." Qin Sifeng's face was quite serious.

"Okay." Lu Chen nodded slightly. .

So, he followed Xiao Shikang and Qin Sifeng to the ward of the "big connections".

In the ward.

The woman lies on the hospital bed with her eyes closed.

In addition to the "connected person", there is another young woman who looks somewhat similar to the patient. The two should have a mother-daughter relationship.

"Professor Qin, Director Xiao, you are here." The young woman stood up immediately when she saw the three people walking into the room.

The woman on the hospital bed also slowly opened her eyes.

However, her current expression and state were completely different from when Lu Chen saw her in the afternoon, and she seemed to have no energy at all.

The health value on her head has also changed from 73 (-) in the afternoon to 68 (--) now!

The change trend of two minus signs further confirms that her condition is not optimistic.

"Professor Qin, I, I still can't see my right side..." the woman said extremely weakly.

When Lu Chen heard this, he was stunned. He couldn't see the right side?

What does it mean?

At this time, Xiao Shikang whispered to Lu Chen: "The patient was sleeping at home at night, and his headache suddenly worsened. Then he developed hemianopia and the vision on the right side was damaged. Because this patient is special, we thought you were the bedside doctor. So I called you over."

Lu Chen was astonished. Could it be that he really had a stroke?

Or is the intracranial tumor getting worse?

Lu Chen thought this was too dramatic.

He had been worried about the other two patients, but he didn't expect that there was a problem with this "big relationship"!

He immediately stepped forward and began to conduct a more detailed consultation and neurological examination of the woman.

Seeing that it was Lu Chen, the patient on the bed was very cooperative at this time, "Doctor Lu, you are here."

"When did the visual impairment occur?" Lu Chen asked.

"It's around nine o'clock in the evening, but my migraine has been going on for half an hour." The woman said, "I took painkillers and prepared to sleep, but the painkillers didn't work and the pain became more severe. After a while, I felt a pain in my eyes. Can't see anything."

At this time, the patient's daughter explained at the side: "How should I put it, my mother can't see it at all, or if I stand on her right, she can't see it. Even if her eyes are wide open, she can't see it. You can't see me unless you turn your head and look directly at me."

"Then a few minutes later, my mother felt something was wrong with her left hand. She just couldn't feel her left hand moving. She clearly saw that the hand was hers, but she didn't feel it, and it didn't hurt when she pinched it hard."

Hearing this, Lu Chen's mood instantly hit rock bottom.

The probability of experiencing the typical symptoms of hemianopsia and limb sensory impairment, stroke, or intracranial tumors is even greater!

At this time, the woman spoke up again: "Dr. Lu, do you think I really have a brain tumor? I went online to Baidu. The most common type of brain tumor is glioma, and many gliomas are disgusting. , the mortality rate is still very high. The most common ones are headaches and nausea, and many people also suffer from loss of physical sensation, movement, and even vision.”

The more she spoke, the more trembling the woman's voice became.

These symptoms are all exactly right!

Lu Chen couldn't guarantee anything now, so he could only offer a few words of comfort.

At this time, Xiao Shikang said from the side: "We have asked the neurology department for emergency consultation. We cannot rule out the possibility of cerebral hemorrhage, cerebral infarction, and brain tumors for the time being. We recommend that the emergency department complete brain CT and DWI."

The duration of ordinary brain MRI examination is very long, and patients may not be able to persist in completing it.

Therefore, in general emergency MRI examinations, DWI examinations are performed. The time is short and can be completed in about five minutes, but the results may not be accurate.

"Mr. Xiao, I'm the bedside doctor. I'll go with her," Lu Chen said.

According to common sense, this should be accompanied by the doctor on duty.

However, Lu Chen felt a trace of guilt in his heart. This problem occurred with a "well-connected person" because he did not correctly assess the patient's condition.

But to be honest, he never thought that a woman in her forties might actually have a stroke...

…

Walk out of the ward.

"In five minutes, when the MRI is ready, you can take the patient out for examination." Xiao Shikang said to Lu Chen beside him.

"Teacher Xiao, Teacher Qin, this patient is my responsibility." Lu Chen said.

This was the first time that Lu Chen experienced such an unexpected change in his condition since he came to clinical work.

The most important thing is that Lu Chen told the patient yesterday that the possibility of stroke was unlikely...

A doctor must not only provide appropriate diagnosis and treatment to patients, but also correctly judge the condition and prognosis, which is also very important.

Qin Sifeng came to Lu Chen and patted his shoulder gently, "Don't blame yourself. I knew about her condition this morning, but I didn't expect that such a young patient would have the possibility of stroke and brain tumor." …”

The patient is a "well-connected person", and several deans and leaders in the hospital have already called to express condolences.

Because it is getting late now, these leaders have not come over, but it is foreseeable that many leaders will come over to say hello tomorrow morning.

…

Five minutes later, Lu Chen and a nurse on duty took the patient and his family to the CT room and MRI room for examination.

This kind of emergency examination produces results quickly.

The woman was lying on the bed, tilting her head to one side, not daring to look at the final result. She said to her daughter: "Xiaolan, look at it, and then tell me about the result."

After the inspection, the results came out in less than ten minutes.

The patient's daughter took the two examination sheets and glanced at them, with a flash of joy in her eyes.

"Mom, nothing is wrong, no cerebral hemorrhage or cerebral infarction! No brain tumor either!"

Hearing this, the woman lying on the hospital bed felt her heart in her throat finally fall to the ground!

In the aftermath of the disaster, the happiest thing in the world may be a false alarm.

However, Lu Chen poured cold water on it at this time, "The emergency CT and DWI may not be accurate and need to be reviewed and observed. Because you have hemianopia and sensory impairment in one limb, there must be something wrong with your head!"

Return to the ward.

The doctor on duty called for an emergency consultation from the neurology department.

The neurologist's statement was similar to Lu Chen's, "Cerebral hemorrhage, cerebral infarction and brain tumors have been temporarily ruled out. However, many small tumors cannot be seen by head CT and DWI. You need to complete MRI and MRI examinations tomorrow. A transcranial Doppler ultrasound examination is also required.”

The test results are temporarily normal, which can be considered a blessing among misfortunes.

Lu Chen, Xiao Shikang and Qin Sifeng exchanged a few words with the patient and then left.

But Lu Chen still had doubts in his mind. If the results of ordinary MRI+MRA were normal tomorrow, what would be the reason for the patient's hemianopsia and limb sensory impairment?

…

When I returned to the dormitory, it was already close to twelve o'clock in the evening.

The roommates are all asleep, UU is reading www.uukanshu． net Lu Chen carefully washed himself before going to bed.

Lying on the bed, Lu Chen slowly closed his eyes.

All the medical history information of the patient just now appeared in Lu Chen's mind.

"Huh, I'm still careless."

Lu Chen was reflecting on his clinical diagnosis and treatment behavior. His previous experience was so smooth that now his judgment is somewhat arbitrary.

Fortunately, no serious accident occurred. If the patient did suffer a stroke, as the doctor in charge, he would be derelict in his duties.

The health value and changing trend of the system also "deceived" him.

It's not that the system is down.

Rather, the patient's condition changes rapidly, and the temporary health value and changing trend may not be able to keep up with the change of the condition.

What's more, he can't keep an eye on the patient's health changes 24 hours a day.

Lu Chen thought to himself: "You still have to maintain a reverence for life at all times."