Since 1981 Health School

Bai Xue is 22 years old this year, and she just got married not long ago. She looks fair and beautiful, definitely a "factory flower". It is the time when she is young and beautiful, and her life is the best.

In addition, who can enter a department store these days, which one has a simple background?

The salespersons of department stores in the 1980s were like the stewardesses of later generations. Not only were they from good backgrounds, they were also beautiful, and their attitude was much better than that of supply and marketing cooperatives.

But just such a proud girl of heaven suddenly fell on her back to the ground, twitching non-stop in an indecent posture.

This is definitely a shocking gossip.

It happened that the department store hadn't opened yet, so all of a sudden, all the salespersons upstairs and downstairs came to watch the excitement, even the staff from the financial and logistics department came here.

When Manager Xie got the news and came running out of breath, there was already a sea of ​​people in front of the counter, three floors inside and three floors outside, and many people even stepped on the stools to look inside.

When Manager Xie saw this posture, his legs went limp with fright, he quickly pushed through the crowd and rushed in, cursing:

"What are you doing? The door is about to open and you haven't returned to work? Are you still disciplined?"

When the "community animals" of later generations saw the manager coming, and the manager cursed people, their first reaction was to run away and pretend to go back to their work stations.

But these days, department stores are all state-owned, and the salespersons are all staffed. Are you afraid of being a manager?

So many people curled their lips and pretended not to hear, and continued to watch the excitement with the mentality that the law does not blame the public.

While watching and discussing:

"Hey, what's wrong with Baixue? Why did she suddenly smoke?"

"I don't know either. It was fine at first, but then I fell straight to the ground for some reason. It was so scary."

"Let me tell you, you see Baixue smoking non-stop, it's epilepsy."

"Ah, what a crime. If you get this epilepsy, your life will be ruined. You can't even look at it."

"Hmph, look at her usual haughty look, and see how she will behave in the future."

While squeezing, Manager Xie was also taken aback when he heard the comments from the people around him, and felt sorry for Bai Xue in an instant.

"Sheep epilepsy madness", in fact, the real disease name is "epilepsy", which is one of the common diseases of the nervous system.

The etiology of the disease is complex, common such as birth trauma, craniocerebral trauma, encephalitis, hypertensive encephalopathy, cysticercosis and other serious final lesions can form epilepsy.

During the attack, the patient showed leg spasms and convulsions, his head was tilted back, and he suddenly fell to the ground. The muscles of the whole body showed tonic contraction and convulsions, his mouth was closed tightly, and his eyes were turned up.

The rigid phase generally lasts for a few seconds to half a minute and turns into a clonic phase.

At this time, the muscles of the whole body show strong rhythmic contraction, breathing resumes, white foam or blood foam is sprayed out of the mouth with breathing, and urinary incontinence occurs.

A seizure lasts for 2-3 minutes, and the most can reach 7-8 minutes.

The process of this attack is very scary, and it comes as soon as it is said. After smoking, the whole person will be as tired as a salted fish and have no strength at all, very embarrassed.

So in the 1980s, ordinary people were talking about "goat epilepsy and madness" and their expressions changed.

Because people with epilepsy often lead to mental illness, which is the legendary "nervous disease", and this disease can be inherited, even the next generation has a high probability of epilepsy.

Anyone who suffers from this disease, in the eyes of Yuezhong people, is a "substandard person" and is discriminated against.

This is what Manager Xie is afraid of. After all, he has a good relationship with the Bai family, and he is also an old friend with Bai Xue's in-laws. If the old friend's child suddenly twitches in the work unit, he is really anxious.

When he squeezed into the crowd and saw the snow that was smoking on the ground, he felt a little weird.

He has seen epileptic seizures before. It is like an electric shock, with non-stop convulsions. But Bai Xue in front of her didn't twitch frequently, she just twitched a few times from time to time.

But with Manager Xie's limited medical knowledge, he couldn't think of any other problems that would cause "convulsions"?

"What are you doing stupidly? Your worker is sick and needs everyone's help. Not only did you fail to act in time, but you are still pointing at the side. It seems that you have to give you a good political, ideological and moral class, where is the team leader? , where did Li Mudan from the daily necessities cabinet die?"

At this time, a middle-aged woman ran out from the side, and hurriedly helped her up while she was smoking Baixue:

"Manager Xie, ah, you are finally here. We have found the backbone. If you don't come, we are already in a daze. Hurry up, everyone, please do me a favor and carry Baixue to the office. The door is about to open, so we can't let it go." Customers saw it."

At this time, a staff member next to him interjected:

"Hey, Manager Xie, Team Leader Li, I heard from the doctor that patients are not allowed to move casually."

"Then what to do?"

At this time, Director Yan in the office suddenly slapped his head:

"Isn't it published in the newspaper? Today is the opening day of the emergency department of the People's Hospital. They can provide door-to-door service. What are you calling?"

Someone nearby shouted: "120"

"Yes, just tell the operator to call 120, and the People's Hospital will send an ambulance."

"Hey, this is something new. Is the People's Hospital really ready to serve the people?"

"Fart, there is a charge for 120, you think it's free."

Seeing that the building was about to crumble again, Manager Xie was in a hurry to call: "Then why are you still standing there, call 120 quickly and let the doctor come for rescue."

When Director Yan heard this, he nodded quickly: "Okay, okay, I'll fight, I'll do it now!"

In the emergency department of the People's Hospital.

Comrade Guo looked at the sparse patients and was anxious to jump, but Chen Qi continued to chat with the little nurse indifferently, and suddenly the phone at the front desk rang.

Yang Xiuxiu picked up the phone,

"Hello, this is the emergency department of Yuezhong People's Hospital... Oh, one of your patients has fainted... has convulsions... okay... the address is... the second floor of the department store building... okay, we will send a car right away Come here, you better prepare a staff member to wait for us downstairs."

As soon as Yang Xiuxiu put down the phone, Guo Shuji rushed over:

"Xiao Yang, what's the matter? Is there an emergency call?"

"Yes, Guo Shuji, a female employee in the department store fainted and fell to the ground with convulsions. We need to go to rescue immediately."

120 emergency department has doctors and drivers on duty every day. Everyone heard this, and Yi Zewen, the person in charge of the emergency department yesterday, was the first to stand up:

"Shuji, today we are the first to drive 120, and I will fight first."

Dean Guo was delighted when he heard it. What he likes most is this kind of employees who rush to do all kinds of work, so he said with relief:

"Okay, then you go right away."

Yi Zewen looked at Chen Qi again. Chen Qi was chatting with Chen Li and waved his hands impatiently:

"Don't look at me, then get out of the car quickly. We have a stipulated procedure, and the car must be out within 5 minutes. Remember what I said, just bring different rescue tools according to the condition described on the phone.

Oh, by the way, wait a minute, let me take a picture, this is commemorative, this is the first time our hospital has dispatched 120 cars. "

Yi Zewen was stunned for a moment, and quickly stood together with the little nurse and the driver, and Chen Qi snapped a photo.

The three of them picked up the first aid kit and rushed out of the emergency department.

Old Comrade Guo suddenly appeared behind Chen Qi, and said darkly:

"You also know that this is the first time in the history of our hospital that 120 vehicles have been dispatched, so why don't you follow the vehicle yourself? Are you still in the mood to take pictures?"

Chen Qi was speechless:

"Guo Shuji, Mr. Guo, I'm a dignified dean. Have you ever heard that the dean wants to go out with 120? It's a waste of human resources, okay? The effect of Dinghaishenzhen will do.”

Old Comrade Guo looked at Chen Qi angrily: "If the emergency department business can't be done, I'll see if I will be the first to beat you to death!"

Chen Qi slapped his chest: "Emergency care can't become a money-making machine, so I will resign myself."

Here the father and father are arguing, and over there the 120 ambulance rushes to the department store building at the fastest speed.

Needless to say, once the "beep beep beep" alarm is activated and the police lights on the roof are on, coupled with the fashionable appearance of the American van, the 120 ambulances of the People's Hospital have a high rate of turning heads.

In particular, Chen Qi also spray-painted the words "People's Hospital Ambulance" on both sides of the car. This trip is equivalent to a wave of advertisements.

When the car stopped at the entrance of the department store, Director Yan was already waiting at the entrance:

"Doctor, hurry up, the patient is on the second floor."

Yi Zewen jumped out of the car with the medicine box on his back and a stretcher: "How is the patient doing now?"

"The patient is awake, but she is still very weak. We asked her what happened just now and she couldn't remember it. Hurry up, doctor, this way please."

While running, Yi Zewen was still thinking about the possible reasons for the patient's coma and fainting, and he kept reciting the formula:

"When the heart and brain see blood, they faint, when the heart and brain see blood, they faint..."

This is Chen Qi's self-created mnemonic (actually, he copied it from his previous life). There is no way, there are too many knowledge points to be learned and memorized in the emergency department, and it is difficult for the doctors to master it within half a month.

So he specially wrote some memory formulas, so that everyone can compare them to deal with patients and find the cause at critical moments.

For example, this formula for the cause of syncope: syncope when the heart and brain see blood.

The "heart" here refers to cardiogenic diseases, including coronary heart disease, cardiomyopathy, arrhythmia, valvular disease, and cardiac tamponade.

"Brain" refers to brain-derived diseases, such as cerebral infarction, cerebral ischemia, intracranial and extracranial cerebrovascular diseases, etc.

"See" refers to situational syncope, coughing and defecation, etc.

"Blood" refers to vascular blood pressure, blood sugar, anemia and other causes, including vasovagal syncope, orthostatic hypotension, hypoglycemia and anemia.

"Bee" means that you must ask if you have fainted during defecation and ask if you have black stools and other questions.

Basically, for syncope of unknown cause in the emergency department, most of the causes can be found by following these items one by one.

If they couldn't find it, it was because the patient was unlucky, and there was a small probability event, and the patient's life could only be blamed.

When Yi Zewen ran to the office where the patient was resting, the patient Bai Xue was already sitting there, surrounded by several female colleagues, with a glass of sugar water on the table.

Bai Xue's face was still pale, and there was not much blood on her lips. At first glance, she looked "anemic". This was Yi Zewen's first impression.

"You are a patient? What happened just now?"

Bai Xue shook her head, and said in a low voice: "I, I don't remember, I was just packing up the goods, and then suddenly my eyes went dark."

An older lady next to her hurriedly interjected:

"At that time we heard a bang, and then Comrade Bai Xue passed out on the ground, and..."

The eldest sister saw Bai Xue's words, but hesitated to speak.

Yi Zewen said dissatisfiedly: "We are doctors and professionals. There are some things that must be understood. You must tell the truth so that we can make a correct diagnosis."

The elder sister said it directly:

"At that time, Comrade Bai Xue fell to the ground, we couldn't wake her up, and then her whole body was convulsed, twitching, it was terrible."

When Bai Xue heard that she was having cramps when she fainted, her face turned even paler. She knew what the cramps meant, and she couldn't bear the consequences.

When Yi Zewen heard it, he immediately had the first idea: cramps, could it be epilepsy?

"Comrade, have you ever had epilepsy before?"

Bai Xue shook her head resolutely, feeling a little agitated: "No, none of our family members have one."

Yi Zewen looked at Bai Xue's head again and asked, "When you fell, did you hit your head?"

Bai Xue still shook her head, a little uncertain, Yi Zewen walked beside her, took out a flashlight and flipped through her hair to see if there were any impact marks.

At this time, the elder sister next to her suddenly remembered something, and said anxiously:

"Doctor, I remembered, Bai Xue, do you remember that when we went to the warehouse to pick up things last week, you fainted, fell, and then hit your head on the wall, and sat on the ground for a while before you recovered. come over."

When Yi Zewen heard this, the alarm bells rang in his heart. I dare say this is not the first time it has happened.

"Eldest sister, can you remember if she fainted or vomited at that time?"

"No, I sat with her for quite a while, but a big bump came out on the head, and the bleeding didn't stop. Later, I asked her to buy an ointment and wipe it on herself."

Bai Xue also said weakly at this time: "The collision was not serious at that time, and I didn't go to the hospital either."

Yi Zewen knew that nothing could be seen at the scene. Since he had a history of head trauma, the possibility of brain damage was not ruled out. If there was any bleeding, it might cause convulsions.

So he said to the group of people around him:

"The patient's condition is unknown. I need to take him to the hospital for an examination. Which one of you is the leader of the patient, you'd better go there with us. Your unit will contact the patient's family members in time and ask them to go to the emergency department of the People's Hospital immediately."

Manager Xie nodded again and again:

"Okay, okay. I'm the manager. I'll go to the hospital with you. Old Yan, you should contact Bai Xue's family immediately. If you can't reach her by phone, go home."

Yi Zewen helped Bai Xue onto the stretcher, Manager Xie called two gay men, and carried them to the ambulance on the first floor.

The 120 ambulance hadn't arrived at the People's Hospital yet, rumors were spreading everywhere in the department store that Bai Xue, the teller on the second floor, had epilepsy...

A clerical error, there is no way to modify it, it should be "The Legendary Epilepsy"