448 No alcohol consumption
Wu Zhongtai heard Wu Mian call himself, glanced at the doctors in the office, and walked in a little restrainedly.
"Dad, tell me what the patient has been doing lately, so we can make a reference. Wu Mian asked again.
Although Wu Zhongtai is a little restrained, he is the head of the township after all, he has held countless meetings and has experienced a hundred battles, and there is only a small scene in front of him.
"Sit down, everybody. Wu Zhongtai's first sentence habitually asked everyone to sit down first.
"Gai Laosan...... I would like to thank you for the care of the patient after he was hospitalized. Wu Zhongtai said, "I have been following these days, and the patient did not drink at the earliest, and he lay down for nearly two days. Later, I always said that I wanted to go out for a walk, I didn't know him, he must be an alcoholic, and he wanted to go out to drink. ”
"Rub?"
"Well, don't mention it. Wu Zhongtai sighed, "In the tunzi, he steals chickens and dogs every now and then and exchanges them for money." There was no one in the tunzi to change him, and he worked hard and walked dozens of miles to the town. The young people are all working outside, there is no one at home, the old and the young, he has become the overlord. ”
Wu Zhongtai nagged, Wu Mian saw that the old man had gray hair, and his heart was soft. Grassroots work is difficult to do, although Wu Mian has known it for a long time, but at this time, seeing that the old man is physically and mentally exhausted but has to be on the front line, he understands it more deeply.
The township chief and a scoundrel should be very far apart, but now a certain line of cause and effect connects them. Looking at Wu Zhongtai's appearance, he didn't have much to do with that scoundrel.
"After that, there is nothing to steal in the tunzi, so I go to the town. Anyway, no matter where he goes, he's just for a drink. You can eat or drink with or without snacks, and if you drink too much, you will lie down on the road. There were a few times when he was drunk in winter, and if someone hadn't called the police, he would have frozen to death for a dog day. ”
"Dad, tell me about the situation a few days ago. ”
Although Wu Mian knew that the old man's emotions needed to be vented, seeing a doctor was the most important, so he still interrupted Wu Zhongtai's words.
"Uh...... I'm sorry. Wu Zhongtai also realized this, and immediately turned back and said, "I said that I would not let him leave the ward, and if he needed to go out, I would also send someone to follow him all the way." A few days ago, the patient's condition had been improving, and I discussed with Lao Wang to send him to quit drinking. If he doesn't quit drinking, he will either die of drinking or die of poverty in the end, and he will not have any good fruit to eat. ”
"After 4 days in the hospital, Director Xia told me that the alcohol poisoning was almost cured, and I thought that I could be discharged from the hospital the next day, so I went home yesterday and wanted to rest. I didn't expect that there would be a moth as soon as I left, and last night I said that I started vomiting blood, so I hurried over. ”
Wu Mian frowned, and his fingers tapped the table a little faster.
According to his old man's account, the patient should not have had any chance to drink secretly, which Director Zou also proved from the video surveillance.
But the answer to the girl's physical examination is the opposite.
On the one hand, it is the narrative of his own old man, and on the other hand, the judgment of his own girl, Wu Mian believes it.
The inconsistent clues made Wu Mian fall into deep thought, and the office also cooled down.
"I have long said that the patient has a varices in the stomach fundus, and bleeding is a matter of time or time. A doctor saw that Wu Mian didn't speak, so he said, "Maybe it's just a coincidence." ”
"yes, I think it's a coincidence, too. Seeing that Wu Mian did not have an unhappy expression, Xia Qing, director of the Department of Gastroenterology, also echoed, "Judging from the data, ......."
The data really can't prove Director Xia Qing's statement.
"There were no significant abnormalities in the complete blood count, sodium was 140 mmol/L, potassium was 3.5 mmol/L, chloride was 104 mmol/L, carbon dioxide was 22 mmol/L, urea nitrogen was 12 mg/dL, creatinine was 1.15 mg/dL, lactate was 2.4 mmol/L, arterial blood gas showed pH of 7.40, carbon dioxide pressure was 32 mm Hg, urinalysis showed trace ketone, and the rest was normal, which could not be explained by gastric vein rupture and bleeding alone. Wu Mian frowned and said.
Fingers tapped the table a little faster.
Hearing Wu Mian say this, the directors of the First Hospital of the Medical University gave enough respect, or they didn't want to be slapped in the face by Wu Mian with data in public, so they all remained silent.
Director Xia Qing was stunned for a moment, and carefully poked the resident doctor next to him with his elbow.
The resident doctor held the printed test sheet in his hand and quickly flipped through the comparison. I couldn't believe that what I saw was true, but it turned out that there was no error in the data that Wu Mian said casually. After confirming that it was correct, he whispered in Director Xia's ear: "Director, the data that Teacher Wu just said is correct. ”
Director Xia Qing was speechless, and the others were silent.
Although everyone doesn't think so, Wu Mian's qualifications are there. Not to mention the compilation of "Diagnostics" and the double foreign academician of the United States, just to return to Bajingzi and build a hospital in the poor countryside, and recently all kinds of high-end unimaginable surgeries have come one after another.
It's a skill.
There were few people present who had the courage to question Wu Mian, although they didn't agree, they just didn't speak, and they couldn't put their faces over and let Mr. Wu beat them.
And Mr. Wu just looked through the electronic medical records, everyone saw with their own eyes, the data is correct, and it is easy to come by, and in the face of this kind of person, he can't afford to compete with it.
"The patient's serum anion gap decreases with treatment, suggesting that he has recovered appropriately from alcoholism. However, on the fourth day, there was an acute change in mental status, anxiety, followed by tachycardia, poor response, vomiting, and upper gastrointestinal bleeding. ”
"Laboratory findings show anion gap metabolic acidosis, with only a very low rise in serum lactate levels and re-positive urine ketone. ”
"Combined with the physical examination as corroboration, it can be determined that the patient has another episode of alcohol poisoning. Wu Mian seemed to be talking to himself, and as if he was explaining to the intern, his voice was not loud or small, and the people in the whole room could hear it clearly.
"Teacher Wu......"
"Little Crown. ”
Wu Zhongtai and Director Xia of the Department of Gastroenterology said at the same time.
Director Xia made a gesture and smiled to let Wu Zhongtai speak first.
"The patient certainly didn't drink, I can vouch for that. Wu Zhongtai said very seriously.
"What about the other patients' families in the ward to help with the purchase?"
"No, I and others are in 24-hour care. "Other patients' family members did not bring liquor into the ward. ”
Wu Mian's fingers tapped the table a little faster.
"It's definitely not caused by drinking!" Wu Zhongtai said, without a trace of hesitation.
Director Xia Qing of the Department of Gastroenterology felt a burst of relief in his heart, and he wanted to say this, but he couldn't say it. In the face of Mr. Wu Mian Wu, it seems that only his father dares to say this.
"Dad, I didn't say drinking. ”
"Huh?" everyone's eyes fell on Wu Mian.
"My brother is talking about alcoholism, not drinking. Chu Zhixi's delicate voice came.
“......”