Sleepless Doctor

"The doctor has no sleep(

Medical indifference is a very serious adjective, completely different from the explanation in the dictionary.

Indifference means early shock or damage to the nervous system and various other rare conditions. The doctor will not be very nervous if a person yelling in the emergency room is pushed forward. But if someone pushes in who can open his eyes but doesn't speak, the doctor will be quite nervous.

The blood pressure was 9055mmHg, and the expression was indifferent... When these two were connected, Director Li became energetic. The previous complaints disappeared, and he felt his heart beating wildly.

"Mr. Wu, I will explain the situation to Director Han." Director Li eagerly secreted a large amount of adrenaline, causing muscle contractures and involving the vocal cords, and said in a sharp voice.

After speaking, he hung up the phone and stood up suddenly.

The rapid changes in posture resulted in changes in blood pressure and cerebral ischemia, and Director Li flicked his whole body. He held the table with his hand, stabilized for 3 seconds, and walked out of the office quickly when he waited a little better.

There were many patients sitting at the door of the emergency medical department. The surgeon was stitching up, and Director Li ignored them, holding the mercury sphygmomanometer and hurried to the observation room.

"Director Han, how are you feeling now?" Director Li asked hurriedly in a deep voice.

Han Guangyun opened his eyes, seeming to dislike Director Li for disturbing his sleep, and said unhappily, "I'm fine."

"I'll take your blood pressure again."

"No." Han Guangyun said, "how many times I have said that I'm fine."

Director Li observed carefully and saw that although Han Guangyun's tone was firm, his voice was slight. If judged according to normal, this is considered "initial recovery from a serious illness" and not a major event.

But if it is applied to the expression of indifference in the early stage of shock, it can also make sense. The key is that there is no blood test result, everything can only be guessed.

"Director Li, is there any problem with Guangyun?" Han Guangyun's lover asked.

"I'll take my blood pressure." Director Li couldn't help but grasped Han Guangyun's hand and pulled up the cuff.

"I said no!" Han Guangyun was a little angry. He thought that Director Li was over-medicating and was flattering himself.

If you take out one-tenth of the spirit of flattering yourself to see a doctor... the more Han Guangyun thinks, the less energy he has, and he doesn't even have the strength to be angry.

When I was young, I wanted to change the world. People didn't change their minds until the beginning of the middle school. At the very least, Han Guangyun believed that they didn't change their original minds. But changing the world is too difficult, let alone changing the world, even changing the Second Hospital of Medical University is an impossible task for him.

Director Li rushed to the hospital after get off work and repeatedly checked his blood pressure to show respect for himself. Instead of feeling happy, Han Guangyun was bored.

He remembered a book he had read called "The Water of Canglang".

The protagonist is an idealist, he wants to change the world. He suffered humiliation, was despised, and finally had an epiphany. But in the end he found that the best floor of the building built by the unit had been left to him early, and he didn't want all the houses to be inseparable.

Now I am just the director of the medical department, not the top leader, and even thousands of miles away from the top leader, have you already faced these problems?

This world is really difficult to change.

Thinking about it, Han Guangyun felt even more tired, and his whole body seemed to be wrapped in countless ropes, unable to breathe.

Director Li didn't know what Director Han was thinking, so he insisted on taking blood pressure again. The blood pressure was 9074mmHg, and there was no significant change.

This kind of critical blood pressure is definitely not normal, and he increasingly believes in Wu Mianwu's judgment.

Based on his understanding of Han Guangyun, today's performance can be said to be quite "indifferent." But how did shock come from? Traumatic? Stressful? Infectious? still……

Countless possibilities flashed in Director Li's mind. He picked up the mercury sphygmomanometer, winked at Han Guangyun's lover, and turned to leave the observation room.

Han Guangyun's lover was a little frightened. Seeing Han Guangyun closed his eyes as if he was asleep, she hurriedly followed.

"Director Li, what happened to Guangyun?" Han Guangyun's lover asked.

"I don't know yet." Director Li said, "It needs to be checked."

"It's a check again?" Although Han Guangyun's lover is worried, after all, they are a couple, and their thinking is surprisingly consistent. "If you don't have a check, you won't be able to see a doctor? No wonder Guangyun always said."

Han Guangyun's lover spoke quietly, as if mumbling to himself, but Director Li heard clearly.

"That's it." Director Li suppressed his unhappiness and said, "Director Han may..."

"Maybe?" Han Guangyun's lover looked at Director Li and asked, "It's just possible? You have been in the hospital for so long, is it just possible for you?"

She said possible three times in a row, with a heavy tone.

"Isn't this not an auxiliary examination."

"You won't see a doctor if you don't have a checkup?"

This strange logic has become an endless loop, and Director Li feels helpless. Back in the office, he thought quietly for a few minutes. But no matter how I think about it, I can’t explain the sudden drop in blood pressure.

He had no choice but to pick up his mobile phone and dial the hotline of relatives and friends again to ask Teacher Wu for help.

After explaining the situation, Wu Mian pondered for a few seconds~www.wuxiaspot.com~Mr. Wu, Director Han and his wife said that they would not check anything. "Director Li said helplessly, "I can't even ask the whole hospital for consultation now." "

"Let's put it this way." Wu Mian said, "I don't care how to convince Han Guangyun to do the inspection, and I can't manage it, but the inspection must be done immediately."

"You judged that sulfonylureas caused severe hypoglycemia. Is there any biguanide lactic acidosis? Have you done an arterial blood gas analysis? Metabolic diseases, pH and electrolytes are all critical, blood gas must be done. This is not what the patient wants. The problem is the standard of clinical treatment." Wu Mian said seriously.

"..." Director Li wanted to cry without tears.

"I have encountered uremia patients who took sulfonylureas and had hypoglycemia. The patient died after correcting the blood sugar. At that time, a cerebrovascular accident was considered.

Quickly correct hypoglycemia, is there a significant difference in osmotic pressure between the internal and external brain cells, and is it possible to cause brain herniation?

Is the patient's blood glucose 0.54 awake?

Is the 0.54 blood glucose taken as the result of a venous blood test or refers to the end blood glucose?

If it refers to terminal blood glucose, it cannot be ruled out that poor peripheral circulation perfusion leads to a false decrease in blood glucose. "

"Have cerebrovascular accidents been ruled out for patients with high blood pressure like this? If the patient has sudden low blood pressure, regardless of cardiogenicity, central? Is there brain stem infarction? How is the electrocardiogram, and is there any aortic dissection?"

Wu Mian asked countless questions.

"No check is done. Once the blood pressure drops suddenly, how are you going to rescue it?"

"Ms. Wu, do you really think there is a problem?" Director Li couldn't help but asked in a low voice.

"I met Director Han today, and he was not very comfortable when communicating with him, so I didn't say anything serious." Wu Mian said, "Director Li, be careful with you."