(Thanks to my friend OXXXO commuter pass for encouragement)

"Why are you so happy? I thought you were going to the medical department to do a war. When he returned to the emergency department, Liang Xiaolin quipped.

"What do I have to do, and I'm not received by their section chief, I'm a section member. Liu Banxia said with a smile.

"I lay out the facts and reason with them, and the core idea is that you can't be soft-hearted, being a doctor is already difficult, and you have to make decisions for doctors. ”

"Do you need applause?" asked Liang Xiaolin.

It's not good to amuse the interns on the side, Liang Xiaolin is at the internship level in the emergency department, and Liu Banxia dares to joke, and others don't have that guts.

"Actually, it's still a little sad to think about. Liu Banxia lowered his head and said.

"What's wrong?" Liang Xiaolin asked curiously.

"If you move to a new building on the 9th, you'll have to mess with your chest when the time comes. Liu Banxia lowered his head and pinched his eyebrows.

Liang Xiaolin frowned, instinctively feeling that this product seemed to be going to break water. What's wrong with going to the chest? Aren't you still in the emergency room? Still working together.

"It's like raising a girl and then marrying someone else's family. Liu Banxia added again.

Liang Xiaolin is so angry, you are the general manager of the hospital, and there is no negotiation to beat you, and I can't bear it.

"Doctor Liu, are we going to prepare a dowry for Dr. Liang?" asked Qingkova on the side, very happily.

"Qingkova, how can you mess around with him, it's so sad. Liang Xiaolin glanced at her helplessly.

"Isn't it necessary to prepare a dowry when you get married?" asked Qingkova curiously.

Liang Xiaolin gave up, don't expect to be able to understand this matter with Qingkova.

"Okay, Banxia is ready to receive the doctor. A child had an epilepsy at an event at the National Exhibition and is currently being brought to our hospital. It is said that he has a history of epilepsy for about two years. At this time, Wang Ying walked over.

"Okay, Wang Chao, ready to receive a consultation. Liu Banxia said.

Although he had not seen the patient yet, he judged that since he had such a long history of epilepsy, it should be idiopathic epilepsy. It is an epilepsy that is often seen in adolescence and has nothing to do with cranial nerves and only has epilepsy symptoms.

As long as this condition does not cause harm to itself during the attack, there is really no way to cure it. This is the case with many idiopathic diseases, which means that no cause can be found.

After waiting for about ten minutes, the ambulance stopped in front of the waiting hall. Two little girls in "fancy dresses" walked out of the car with the gurneys, and it seemed that they were supposed to participate in young people's activities such as Comic Con.

The patient lying on the gurney was also a girl, wearing a wig, and was chatting with her little friend without a match.

"Vital signs were normal, and there was another seizure in the ambulance for 27 seconds. The first responder said.

Liu Banxia nodded, "You don't need to go into the rescue room, just put it on the consultation bed." ”

"Can you tell us about your epilepsy history?" Wang Chao asked the patient.

"I went to other hospitals for examination, and it was idiopathic epilepsy, and I said that it would disappear when I grew up. The patient said.

"This time I was probably too tired, and I was preparing all the time. Can I not inform my parents? They don't know what I'm doing. Tell them that it's also in vain, okay?"

Wang Chao looked at Liu Banxia, Liu Banxia shrugged his shoulders, this needs to be measured by Wang Chao himself, anyway, he is the attending doctor.

"Let's check first, although idiopathic epilepsy is difficult to find the cause, but the interval between your two seizures is too short. Wang Chao said.

"As long as you don't go to my parents, Lan Lan, go and help me register. The patient said to one of the female companions.

The little girl nodded, took her bag and went to register.

"Did you feel anything else before your epilepsy, or did you feel uncomfortable with something and had a seizure after seeing it?" Wang Chao asked again.

"It doesn't seem like much, right? It's just that there are more people around the booth today, and there are more people taking pictures. The patient thought for a moment and said.

Wang Chao was a little worried, and he didn't know if he wanted to do an EEG, and then he looked at Liu Banxia again.

Liu Banxia shrugged his shoulders and gave him a smiling expression. This made Wang Chao very depressed, and he always felt that there was something hidden behind Liu Banxia's smile.

"Then observe for a few more hours, are there any other abnormalities on the body now?" Wang Chao asked.

"Missed breakfast and was a little flustered, is it abnormal?" the patient asked.

"This shouldn't be counted, let's observe it first, and take your blood pressure and body temperature. etc......"

Before Wang Chao could finish speaking, the patient's eyes rolled and the seizure occurred again.

The big guy also hurriedly took action, pushing the little girl over and lying on her side to do a good job of protection.

Liu Banxia's brows furrowed, how could idiopathic epilepsy have such frequent seizures? This has been three seizures in a row, it can't be a misdiagnosis in another hospital, right?

"Even the monitor, two units of lorazepam. Seeing that the patient lasted for two minutes and the epilepsy showed no signs of improvement, Liu Banxia hurriedly said.

Liang Xiaolin and the others hurriedly moved, the seizure time of this epilepsy was indeed a bit long.

"Yikes. Liang Xiaolin exclaimed when the electrodes were pasted, but she didn't listen to the movements in her hands.

"What's wrong?" Wang Chao asked anxiously.

"It's nothing, it's going to be connected right away. Liang Xiaolin hurriedly said.

"Drip ......"

"Blood pressure was zero, ventricular fibrillation. Belch...... , and there is it again. After connecting, Liang Xiaolin shouted.

"Do a good job of protection, push the defibrillator to come, 1 mg of adrenaline ready, 15oJ ready. Liu Banxia said very calmly.

Wang Chao and the others carefully flattened the patient, and only then did they find out why Liang Xiaolin had just exclaimed. It turned out that this was not a little girl, but a young man.

It's just that now people don't care about these anymore, and now people are paying attention to those numbers on the monitor.

"Okay, blood pressure, heart rate recovery, blood oxygen 86, give oxygen. This time the epilepsy lasted 3 minutes and 17 seconds, contact the parents. Liu Banxia said.

The patient looked at him as if he wanted to stop it, but now he didn't have much strength.

"I suspect that your epilepsy symptoms have changed and now you have to be hospitalized. Otherwise, normal idiopathic epilepsy would not have such frequent seizures. Liu Banxia said.

"Don't worry, I'll change you into a hospital gown in a while, and let your friend put away other things first. If you don't find out the cause, you'll be in danger the next time you have a seizure. ”

The patient nodded, and the attack also consumed him a lot.

"Blood routine, blood biochemistry, electrocardiogram, electroencephalogram (EEG) all have to be done all over again. Liu Banxia said.

"Mr. Liu, have you already seen it?" Wang Chao asked when he came to the side.

Liu Banxia nodded, "So you should also pay attention when receiving the doctor, although the Adam's apple is not big, it is also a little bit, and the observation is not careful enough." ”

"But now the biggest headache is his disease, and now I can't be sure whether it was accompanied by ventricular fibrillation when I just had epilepsy. For a moment, blood pressure and heart rate were zero. ”

Task release: Idiopathic epilepsy patients

Open-ended task: Because the host finds that the monitor is zeroed, it is suspected that the rest of the hospitals have misdiagnosed. Tests are needed to explore the condition. Task rewards will be distributed based on the inspection results

"Can't it, right? The two-year medical history should have worsened if it had been caused by other reasons. Wang Chao said.

"So I'm a little entangled now, if it's really accompanied by ventricular fibrillation, it's probably epilepsy caused by heart disease. Liu Banxia said.

"I'll see if the heart doctor is there, they know more about the heart. If you don't understand it, if this child has another seizure outside, it will be really dangerous. ”

"You watch here, I'll get in touch. Shi Lei, who was passing by, answered.

At this time, the electrocardiogram was also made, everything was normal, and there was nothing wrong.

This is also normal, and it is true that ECG plays an important role in the diagnosis of heart disease. But when you don't have a heart attack, it's really hard to see the problem.

The same goes for the EEG response, everything is normal.

"Doctor, you see that I'm fine now, don't I need to contact my family?" the patient looked at Liu Banxia and asked.

"Don't worry, we'll cover for you. It's just that these two friends of yours have to clean up for a while, otherwise it will be easy to show their stuffing. Liu Banxia said with a smile.

"Like I said, you're not acting normally in this seizure. The second time is short, the third time is long. It is not our responsibility not to inform your parents in such circumstances. Since you came to our hospital, you have to find out before leaving. ”

"Doctor, I checked many times last year and went to several hospitals. I've had an MRI and a spinal cord draw, so you're not going to give me another pump, are you?" the patient asked.

"At the moment, I don't think so, my main suspicion is that you have a heart problem. Liu Banxia said.

"Now if you think about it, when you have a seizure, do you have any other sensations in your heart, such as pain, rapid heartbeat?"

The patient frowned and thought carefully, "No, nothing else. I don't know when, and then I had a seizure? I can't remember. ”

"It's okay, then don't think about it, and we'll take care of the rest. Liu Banxia comforted.

Epilepsy is a disease that can really be big or small. Even if the patient has only characteristic epilepsy, it can have a big impact on his life.

At this age, when I was in school. In the mouths of classmates, it may become "convulsive", and if you do it a few more times at school, it will be even more complete.

So it may have also led to some changes in his behavior, such as liking to dress up as a beautiful girl or something, which is very possible. This is the time to be sensitive, and gossip from the outside world can cause a lot of irritation.

Maybe epilepsy won't affect him much, but these gossip from the outside world may affect him for the rest of his life.

That's why he insisted on staying for observation and being responsible for the patient.