Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points

"Locked-in syndrome? Isn't my husband a vegetable?"

Shen Wanqin asked with some confusion.

Lu Ming nodded, "There is a high probability that he has been misdiagnosed."

"The characteristics of locked-in syndrome and vegetative state are very similar.

Locked-in syndrome is also caused by problems in the brain.

Such as vascular lesions of the brainstem and traumatic brain injury.

In addition, poisoning leads to spongy white matter degeneration of the brain and cerebral edema, which may also cause this symptom.

Typical symptoms of locked-in syndrome include total limb paralysis, facial paralysis, and loss of speech and swallowing functions.

However, the patient's consciousness and understanding were not affected.

In other words, those who wish can simply know everything that happens around them.

And this is also the scariest place.

Think about it, you know what the people around you said and did to you, but you are unable to respond.

Even if you are bullied by them, you can only endure it.

A person sits silently in the passage of time, as if falling into a bottomless pit.

That feeling of suffocation can make people despair.

therefore.

Although patients with locked-in syndrome are clearly conscious, they are often mistaken for being in a vegetative state because they cannot move or speak.

But in fact, there is an obvious difference between locked-in syndrome and vegetative state.

That is, the patient's oculomotor and trochlear nerve functions remain normal.

The eyeballs can indicate up and down, that is, vertical movement.

Therefore, you can communicate with the patient, such as asking the patient if he can hear, and moving his eyes if he can hear.

This simple question and answer test can tell the difference between locked-in syndrome and vegetative state.

Therefore, there should be no misdiagnosis.

Could it be that the doctor who examined Gao Heqiang was too careless?

"Are you also a doctor?"

Seeing what Lu Ming said was clear and logical, Gao Heqiang couldn't help but look at him.

Lu Ming nodded, "Yes, I am the director of the emergency department of Mingren Hospital.

"Hello, director, I would like to ask, can I ask for compensation in this situation?"

Gao Heqiang's consciousness has become completely clear.

In other words, his consciousness has not been blurred in the past five years.

He may have simulated in his mind countless times about holding those who have hurt him accountable.

Lu Ming nodded again, "If it is determined to be a misdiagnosis, you can claim compensation."

"But you have to find the responsible doctor who gives you the final diagnosis."

The person who examined Gao 793 He Qiang was not Dr. Wang from the county hospital, but a chief physician from a provincial hospital.

It was only because Gao Heqiang was declared to be in a vegetative state that Gao Heqiang's family members transferred him to the county hospital in their home area for the convenience of taking care of him.

So if we want to be held accountable, we should also go after the chief physician of the provincial hospital.

But if you want to be held accountable, you must initiate a medical malpractice investigation process.

"I'm curious. Didn't your county hospital observe the possibility that he was conscious during this period?"

Lu Ming looked at Dr. Wang and couldn't help but ask.

Even if the chief physician at the provincial hospital made a misdiagnosis, if Gao Heqiang's eyes could move, it would be impossible for the medical staff at the county hospital not to notice it.

Although vegetative people may also move their eyes, it is an unconscious body reflex.

Gao Heqiang can completely use regular eye movements to convey information that he can communicate to the outside world.

"I really haven't observed it..."

"His eyes have never moved.

Dr. Wang obviously also knows the most obvious difference and identification method between vegetative patients and patients with locked-in syndrome.

Your eyes never move?

This is strange.

Lu Ming couldn't help but look through Gao Heqiang's medical records again.

This time he read it word by word, for fear of missing something.

And everyone present couldn't help but regard Lu Ming as the backbone.

When Lu Ming didn't speak, they just waited quietly, and no one dared to disturb him.

"Found it! Here's the problem!"

After an unknown amount of time, Lu Ming closed the thick medical records.

He finally knew why Gao Heqiang was misdiagnosed as a vegetative state, and he finally knew why Gao Heqiang could not move his eyes.

"What's the problem?"

Dr. Wang came forward. He also wanted to know the reason.

"That's why!"

Lu Ming pointed to a picture in a document.

Gao Heqiang was admitted to the hospital because of a car accident.

In a car accident, his head was severely injured, and a piece of metal was left in his head.

As for why the metal fragments were not taken out, it was because the risk was too great.

After evaluation, the doctor chose to give up.

As long as the metal fragments do not move, and Gao Heqiang's head does not suffer serious damage again, there will be no problem.

But maybe for some reason, the metal fragment shifted, causing nerve compression.

Eventually, it resulted in paralysis of the eye muscles!

"Paralysis of the eye muscles?"

"You mean the eye muscles are paralyzed?"

"If you put it this way, it can be explained!"

Dr. Wang's eyes brightened. He didn't expect that there was such a problem.

Our eyes are close to the brain, and many nerves are connected to the brain.

When the brain is subjected to some kind of compression, problems may occur in the nerves related to the eyes, leading to eye diseases.

This eye muscle paralysis is like this.

Therefore, some patients with intracranial aneurysms will generally have some eye problems.

The metal fragment inside Gao Heqiang's skull was equivalent to an intracranial aneurysm!

If not the patient and the patient's family are present.

Dr. Wang was afraid that he couldn't help but start applauding.

Lu Ming's "reasoning" is really wonderful!

Perfectly explained the real cause of Gao Heqiang's illness.

"Then why did the patient wake up at this time?"

"What I mean is that he can speak like normal people, no longer has facial paralysis, and has regained his speech function.

asked other county hospital medical staff at the scene.

"According to my experience, there should be two reasons."

"The first one is the metal fragment inside his skull, which has shifted again for some reason.

"This caused his eyes to gradually return to normal function."

"The second one is his emotional problem."

“You know, locked-in syndrome requires psychological treatment.

"But because he was misdiagnosed, no one gave him psychological treatment."

"But it doesn't matter. He gives himself psychological treatment."

"He was very eager to return to normal, and his strong desire to recover gave his body extremely feedback."

"For five years, the body's self-healing function has been treating it."

Lu Ming explained the possible reasons for Gao Heqiang's awakening.

That's how it should be.

You know, emotions are the second best medicine for treating diseases.

A good mood is really helpful for the patient's physical recovery.

If the patient is in a bad mood, it may even worsen the condition.

This is the principle that people often say, "too much anger is harmful to the body."

And there is an "emotional organ" in our body.

This emotional organ is placement.

When you experience negative emotions such as anger, anxiety, tension, and sadness, your stomach will be affected.

This can cause you to experience reactions such as loss of appetite, burping, and belching.

The so-called "tea does not make you think about food" is the truth.

"Doctor, can I be transferred to your hospital for follow-up treatment?"

At this time, Gao Heqiang made a request.

He highly recognized Lu Ming's professional abilities and felt that he would feel safe entrusting himself to Lu Ming.

"I also recommend going to a large hospital for follow-up treatment."

Dr. Wang on the side not only did not feel that Lu Ming had poached his patients, but even expressed support.

After all, the conditions of their county hospital are really limited.

If Gao Heqiang stays here, he is afraid that subsequent treatment will be delayed.

"sure."

Lu Ming nodded (ccbi), as long as the patient agrees, it is enough to go through the transfer procedures.

However, the follow-up treatment is not difficult. It is basically an examination of the recovery of some body functions and rehabilitation training.

It is estimated that after being transferred to Akihito Hospital for half a month, He Qiang will be allowed to go to the rehabilitation center for rehabilitation training.

"He Heqiang..."

"sorry."

"I hope you can forgive me, I am also thinking about my family.

"When you were in a coma, your son had just been weaned, and there will be many places where you will need money in the future."

"So...I have to think about that..."

At this time, Shen Wanqin also stepped forward to express her apology to Ke He Qiang.

Gao Heqiang closed his eyes, knowing that what Shen Wanqin said was true.

For the sake of family consideration, giving up treatment to save money is the best solution.

So, after sighing, he chose to forgive Shen Wanqin.

After all, the real culprit was the doctor who misdiagnosed.

He vowed that he would sue the doctor.

Five years of my time were wasted like this!

"Dr. Wang!"

"Dr. Wang!"

"Seven...the patient in bed No. 7 is standing up!"

At this moment, a young nurse rushed into the ward and explained the situation to Dr. Wang.

"Patient in bed seven?"

"The one on the third floor?"

"A patient with ALS who has been in a wheelchair for half a year?"

Doctor Wang's eyes suddenly widened.

We have just "witnessed a miracle", here is another example to witness a miracle"?!

After being stunned for a moment, Dr. Wang pushed aside the little nurse's body and rushed towards the third floor.

Lu Ming on the side heard this and touched his chin, finding it very interesting.

In the past, there were "vegetative" patients who suddenly woke up, and now there are paralyzed "Zhidong syndrome" patients who suddenly stood up.

This small county hospital is really a "hidden dragon and crouching tiger"!

You have to go and take a look at this!

So, Lu Ming also ran up to the second floor.

Come to a ward in the middle of the third floor.

After walking in, Lu Ming saw a middle-aged man holding on to the window sill, staring out the window in a daze.

Next to him, there is a wheelchair.

Apparently, he stood up from the wheelchair and was seen by the nurse. After the nurse was shocked, she ran to tell Dr. Wang.

"EX..."

"Really stood up!"

"This is ALS! It's irreversible!"

Dr. Wang's face was full of disbelief, feeling that this broke the inherent understanding of the medical community.

"How do you feel now?"

Dr. Wang looked at the patient who was still staring out the window in a daze.

When the patient Cheng Guang heard this, he withdrew his gaze, looked at Dr. Wang, and after a moment said: "I feel stronger.

"Come on, come on, sit down quickly."

Dr. Wang motioned Cheng Guang to sit down. He wanted to give Cheng Guang

Do some simple checks.

Cheng Guang cooperated and sat back in the wheelchair.

Dr. Wang gently tapped Cheng Guang's knee to test his knee jerk reaction.

Knee jerk reactions are completely normal.

Immediately, I did some other tests and found that they were all normal.

"stand up."

Dr. Wang asked Cheng Guang to stand up again.

Cheng Guang stood up again. Although his movements were slightly slow and laborious, he did stand up.

Doctor Wang suddenly became excited, "Okay, okay, this is simply a miracle!"

He couldn't help but clapped his hands.

Lu Ming frowned slightly.

He felt that Cheng Guang's symptoms were not what a patient with ALS should show.

Even if it is really "reversed", it should not be in this state now.

ALS, also called amyotrophic lateral sclerosis, is a chronic neuronal disease.

It is mainly caused by damage to upper motor neurons in the motor cortex and lower motor neurons in the spinal cord and brainstem.

There is currently no scientific conclusion on the cause of the disease.

There are only a few hypotheses, and most of them are believed to be related to factors such as genetics, infection, and immunity.

Typical symptoms of ALS are muscle weakness and atrophy, as well as difficulty swallowing and speaking.

Patients may also experience symptoms such as memory loss and incontinence.

Lung infections may even occur.

Some people have a limb-onset type, that is, muscle weakness and atrophy appear first.

Some people have a bulbar onset type and first have difficulty swallowing and speaking.

But both will eventually develop respiratory failure, leading to death.

This is why many patients with late-stage ALS need non-invasive ventilators.

"Can I see his medical records?"

Lu Ming said at this time.

Dr. Wang, who was in the midst of excitement, was slightly stunned when he heard this.

"You doubt..."

"Isn't he suffering from ALS?"

With Gao Heqiang's lessons learned, Dr. Wang quickly realized that Lu Ming suspected that Cheng Guang had also been misdiagnosed.

Lu Ming nodded, "Yes.

After a moment of silence, Dr. Wang pulled out all of Cheng Guang's medical records and handed them to Lu Ming.

Lu Ming began to study Cheng Guang's medical records.

The medical records clearly mentioned that Cheng Guang had symptoms of muscle weakness in his limbs.

It was accompanied by difficulty breathing and swallowing, as well as mild facial paralysis.

At first glance, this seems to be similar to the symptoms of ALS.

But Lu Ming feels that this is not ALS.

If Cheng Guang really suffered from ALS and was paralyzed but could still stand up, it would really be a global sensation.

And right now.

Lu Ming's eyes were attracted by a bottle of medicine on the bedside table.

"This is.…………"

He walked to the bedside table and picked up the medicine.

"It turns out to be it..."

"Then it could be it?"

Before seeing this bottle of medicine, Lu Ming thought the possibility of misdiagnosis was 50%.

After seeing this bottle of medicine, Lu Ming felt that the possibility of misdiagnosis was more than 80%!