This Doctor is Great

The fact that doctors accept red envelopes is actually strictly prohibited.

but!

If the doctor does not accept the red envelope, the family members of the patient may worry, will the doctor not try his best?

Therefore, doctors are also very embarrassed.

Zhou Mo squeezed the red envelope, it is estimated to be more than 1,000, not too much, but not too much.

"Do you want to accept this red envelope?"

"If so, how should I deal with it?"

At this time, Zhou Mo already had a plan.

I used to live in the hospital when I was young, and I saw many doctors accepting red envelopes: some doctors accepted them but were recruited again, and were reported by patients; some doctors accepted them but were not recruited; some doctors confiscated them...

"Okay, I'll accept the red envelope. I will pay attention to your husband's condition."

Zhou Mo took the red envelope and put it in his pocket.

The patient's wife was overjoyed immediately: "Thank you doctor, thank you doctor!!"

Finally feel relieved.

Both she and her husband still maintain a relatively old-fashioned way of thinking, thinking that doctors will accept red envelopes, and if they don't give red envelopes, then the doctor will not care about treating the disease.

Therefore, they take red envelopes as a matter of course, and if the doctor does not accept them, it will make them worry.

Zhou Mo returned to the duty room with a red envelope in his pocket, and waited for the wife of the patient Xie Mingtao to return to the ward before Zhou Mo walked out of the duty room and went to the charging window.

Queue for 5 minutes.

Zhou Mo came to the window and said to the nurse inside: "Beauty, please help me deposit this money into the patient's hospital deposit."

The nurse glanced at Zhou Mo and said with a smile, "What? Did the patient give you a red envelope?"

Zhou Mo smiled bitterly: "Yes, there is no way to refuse, the patient is worried that I don't care... It's better to save the money..."

Nurse: "Okay, I'll save it for you now..."

Open the red envelope, count it, 10 red, 1000 yuan.

"Okay, it's deposited in, here is the deposit receipt, you keep it, just in case."

The nurse took a slip and pushed it out the window to Zhou Mo.

Zhou Mo put away the receipt: "Thanks."

...

Returning to the duty room, Zhou Mo continued to scan the materials.

The patient is currently: leukocytosis + thrombocytopenia + recurrent fever + abdominal pain around the navel.

Others do not.

What disease would fit this situation?

Subsequently,

Teacher Zhang Luojia took Zhou Mo to three more consultations, all of which were relatively common illnesses.

three o'clock in the afternoon,

For the patients in the other 3 beds, the results of the examinations of the day came out. (If there is a more urgent examination, the word 'urgent' will be added, and the laboratory department will issue the results quickly, without waiting until the afternoon.)

Zhou Mo temporarily put down the 80-bed patient Xie Mingtao, and went to make ward rounds for the 3-bed patient.

"Ding dong..."

Teacher Zhang Luojia sent a message: "Zhou Mo, what's the situation with that patient with diarrhea? Is there any progress?"

Zhou Mo replied in seconds: "There is no progress, and I have diarrhea twice in the middle, and the samples have been sent to the laboratory for examination."

Zhang Luojia: "Okay...you should pay more attention to this patient. According to my experience, this patient may be dangerous."

Zhou Mo: "Okay, I'll stay until 23 o'clock today, and I'll look for the literature by the way to see what the problem is..."

Zhang Luojia: "Well, you've worked hard... Also, if your condition progresses, please call me anytime."

Zhou Mo: "Yes, teacher."

...

19:00...

On the way, Zhou Mo went to see the 80-bed patient 4 times, but found nothing.

At this time, Zhou Mo had finished the doctor's orders of the four patients today, and was about to help Huang Yiming review the doctor's orders.

Sudden,

"Doctor! Doctor!"

Xie Mingtao's wife rushed to the duty room and shouted.

"Go and see my husband! He...he..."

Zhou Mo's expression tightened, he quickly got up, and walked out quickly.

"What about him?"

"He threw up!"

When Zhou Mo rushed to the ward, Xiao Chen, the bed nurse, was already there.

"Huh……"

Zhou Mo stopped abruptly. He saw the vomit on the ground. It was a little far away, at least splashed all the way to the TV wall 2 meters away.

This is no ordinary vomiting at all!

Instead—projectile vomiting! !

At this moment, Zhou Mo was shocked!

"Increased intracranial pressure?!"

"meningitis?"

Projectile vomiting is a symptom that is different from ordinary vomiting. It is generally considered to be caused by increased intracranial pressure.

If the patient in front of you has fever symptoms, it is usually considered to be encephalitis or meningitis symptoms caused by microbial infections such as bacteria and viruses.

What surprised Zhou Mo was that none of the previous diagnoses considered brain problems!

Danger level, go up again!

Zhou Mo picked up the phone and called Teacher Zhang Luojia.

"Teacher, the 80-bed patient just now had projectile vomiting. It is possible that bacteria and viruses have invaded the brain..."

"Okay, I'll come right over!"

Zhou Mo hung up the phone, and then said to the nurse, "Go get an ECG monitor and put it on for him..."

If there is a problem in the brain, one must be alert to whether it will cause systemic functional problems, especially the heart. If there is a problem with the signal conduction, the heart...

The aunt arrived soon and started cleaning.

Zhou Mo came to the bed: "Is there anything uncomfortable about you now?"

Patient Xie Mingtao said with difficulty: "Headache, it hurts, and I also feel nauseous, want to vomit, and I don't have much energy..."

Zhou Mo nodded, the intracranial pressure increased, which would cause severe headaches.

"Relax, lie on the bed, and I'll check you up."

the patient lies flat,

Zhou Mo tried to lift his head up. The hand had just been placed on the back of his pillow, and he lifted it up vigorously.

"Ah~~~hiss~~~~"

The patient suddenly screamed, obviously in pain.

Moreover, Zhou Mo felt that the patient's neck was so stiff that he couldn't bend it.

Neck resistance!

"Meningeal Irritation"!

It means: meningeal disease → spinal cord membrane stimulation → spinal nerve root → muscle reflex spasm!

This symptom is commonly seen in meningitis, subarachnoid hemorrhage and increased intracranial pressure.

"Be a CT..."

(Note: There is no way to do B-ultrasound on the brain. It is not very penetrating and cannot be clearly displayed. Unless it is a newborn.)

At this time, Zhou Mo hurried to make an appointment for a CT for the patient, and it was urgent, and the time was half an hour later.

Stomach problems can't kill anyone.

But the problem in the mind is more likely.

At this time, the nurse entered the ward holding the ECG monitor.

connected.

"Hey, my heart rate is 130 beats per minute (60-100 is normal)!"

Zhou Mo's eyes were suddenly attracted by the patient's heart rate.

"This heart rate is a bit fast!"

It is estimated that the infection is a bit serious. If it is serious, septic shock may occur at any time.

So,

Here comes the question, is intracranial infection related to diarrhea and fever?

According to monism, there may indeed be a relationship!

Bacteria or viruses that cause intracranial infection invade the gastrointestinal tract, resulting in diarrhea.

"How is the patient?"

At this time, teacher Zhang Luojia rushed over.

Zhou Mo quickly said: "There is projectile vomiting + meningeal irritation + severe headache, and there is definitely something wrong with the brain! ... In addition, I made an appointment for a CT scan, and I can do it in 27 minutes..."

Zhang Luojia nodded and picked up the phone: "I called the Department of Internal Medicine, there is an acquaintance...he goes to work today..."

soon,

The phone got through.

10 minutes later,

The neurosurgery doctor arrived.

.