(Thanks to friends for the encouragement of the unlimited fire monthly pass)

"In addition to headaches, confusion, and sleepiness, are there any other symptoms?" Liu Banxia then asked.

The girl shook her head, "No, I can't torture all three." At first, I thought it was a cold, but it's been days. ”

"Okay, let's take our blood pressure first, and then take a blood test. Liu Banxia nodded.

There is no other way to deal with such a disease, but to check it little by little.

The girl's blood pressure is indeed a little high, which may also be an external manifestation of the disease. However, it has not reached the outrageous high, after all, it has just been counted by my mother, and it is understandable that I am emotional and my blood pressure is high.

"Doctor, how's it going?" Just after the blood was taken, the girl's mother came over again.

"The blood pressure is a little high, now go for a blood test to see how it goes. Liu Banxia said.

"I'll tell you, you can't eat so many snacks and junk food. What's so delicious about those fried foods? Look, your blood pressure is high. The patient's mother fired again.

"How many times have I eaten it? I usually drink your soup, and there is no taste in my mouth. The girl spoke.

"Is that the reason why you eat junk food? If you don't eat so many delicious foods at home, have you learned to drink?" the patient's mother spoke again.

"I mumble. The girl did not show weakness.

It's just that as soon as she finished speaking, both Liu Banxia and her mother were stunned.

"What did you just want to say?" asked Liu Banxia nervously.

"I ...... I said I wanted to go home. The girl said.

"Doctor, what's going on?" the girl's mother became even more nervous.

What my daughter said just now sounded like a foreign language, but it was definitely not, and it was too different from "I want to go home".

"Miao Rui, take this patient for an urgent brain CT. Liu Banxia said.

"Doctor, doctor, you speak. The girl's mother grabbed Liu Banxia's arm.

"Your daughter just had a speech disorder, combined with her headaches, confusion, sleepiness, and high blood pressure, it may be that there is a brain condition. Liu Banxia said patiently.

At this time, Miao Rui also rushed over and pushed the gurney to the CT room with the nurse. Now the girl's situation is not clear, and it may be a stroke, where dare she go by herself.

"Oh my God, I didn't even know if the girl was being argued with by her mother, and now my head is jumping. Liu Banxia pinched his eyebrows.

"Every mother is different, as if this one is in stark contrast to the mother of the Clostridium difficile patient today. Shi Lei said.

"Hey, I understand that mothers care about their children, but those words are quite stimulating to children. Liu Banxia said.

At this time, Wang Chao also walked out of the elevator, looking tired.

"Let's go eat first, and then have a good rest, I'll keep an eye on Dr. Shi here." Liu Banxia said.

"Is there a follow-up treatment?" Wang Chao asked.

Liu Banxia shook his head, "I can only go according to the original plan, focusing on control and adjustment." Clostridium difficile is too domineering, and it can be sinned in the later stage. ”

Wang Chao nodded and did not say anything more.

The mood is also very low, Liu Banxia's meaning is too clear, basically just waiting. Wait for the next recurrence. The next time you have another seizure, there's basically nothing you can do.

Liu Banxia patted him on the shoulder? This was originally his own patient, but Wang Chao was also involved.

"Then I'm going to eat first? Call me if you have something. Wang Chao said a word, and led Huang Bo and Qingkova to dinner.

"Boss, do you want me to mention the fecal transplant plan to the patient's parents?" Liu Banxia said after a moment's hesitation.

"I think they're rational? Let's talk about it now? They can also be mentally prepared. While waiting for a third episode, you will be able to make a quick choice. ”

"It's okay, you can follow along, but you have to be objective, don't let the patient's parents think that this will definitely work. Shi Lei instructed.

"Don't worry, right? In this regard, I have high demands on myself and my interns. Liu Banxia said.

This is not his perfunctory, and he does care about it in this regard.

came to the ward on the second floor, and the young man's parents stood by the bedside with sad expressions.

"Dr. Liu. After seeing Liu Banxia come in, the patient's father stood up.

Liu Banxia nodded? "Is his situation in line with our expectations? In other words, he has to hang the bag almost all the time. However, we also found an experimental treatment when we looked at the data. ”

"Don't you get excited? This experimental treatment is currently only in the experimental stage, and there have been cases of cure? But there are more cases of failure. ”

"The method used is to perform a healthy stool transplant, hoping that the transplanted healthy stool will help adjust the intestinal flora and restore balance. ”

"More danger and uncertainty? Because there are too many bacteria in the stool? Even a bacterial flare could kill him directly. ”

"The reason why I tell you about this experimental therapy is also because I hope you have enough time to think about it. During this time, you can also go online to find some relevant information. ”

"Dr. Liu, do you mean to keep it for the future?" asked the patient's father.

Liu Banxia nodded, "That's pretty much it, this experimental therapy can only be said to be a way to do it, it's almost like gambling on your life." ”

"Okay, I have to go downstairs, there's a patient's CT scan that's coming out. Actually, I shouldn't tell you now, but it's better for you to think about it rationally than to tell you to be in a hurry when the time comes. ”

"Thank you, Dr. Liu, let's find out. The patient's father said gratefully.

Liu Banxia, who walked out of the ward, did not feel much more relaxed, or because of the gratitude of the patient's father. I really didn't do anything, even if they could find the experimental therapy on the Internet in the end.

In fact, he not only knows whether he is doing the right thing or not, but also gives some hope to the patient's family.

I went downstairs and waited for a while, and the girl's CT results came out. Not a stroke, but hydrocephalus.

Ding! Completion of the consultation

Gain 100 XP and 50 Diagnostics Skill Mastery

"Call a doctor outside the gods to come and consult. Liu Banxia said.

"Doctor, is it serious?" asked the patient's mother.

"Don't worry, I've already invited the brain doctor to come and see what to do. Liu Banxia said.

The patient's mother opened her mouth, but did not say anything.

"Mr. Liu, hydrocephalus?" asked Zhang Xiao, who rushed over.

"Let's take a look at the film first. Liu Banxia turned the monitor around.

Zhang Xiao glanced at it, "The language center has been compressed, let's open the craniotomy and drain it." Medication control may not be effective and can be dangerous to patients. ”

"Make an appointment in the operating room, you can give some mannitol to control it temporarily, so as not to cause brain herniation due to too high intracranial pressure. How about a preoperative check-up?"

Liu Banxia nodded, "Okay, you can prepare to go first, and we will arrange the rest." ”

"Doctor, isn't it dangerous to have a craniotomy?" asked the girl's mother.

"As you heard just now, the edema is more severe, and what we need to do now is drain the fluid from the brain. Liu Banxia said.

"Otherwise, when the capacity of stagnant water reaches a certain level, it will squeeze the brain. To put it bluntly, it is to squeeze and deform the brain, you understand?"

The girl's mother nodded.

"There will definitely be risks associated with surgery, all surgeries will be risky, let alone brain surgery. Later, I will arrange someone to explain the possible risks to you one by one, and I will also set aside time for you to consider. ”

"But it's not too long, and it's already pressed on the language center, and even if brain herniation doesn't occur, it can cause permanent damage to the language center. ”

He can be regarded as a good speaker, but he is willing to bow down to this girl's mother.

And the interns are able to explain the risks of surgery. It can be regarded as adding a difficult communication test to them, and if they can deal with this, they can basically deal with many patients' families.

"It's all done?" asked Shi Lei, who had finished treating the patient.

Liu Banxia stretched, "That girl just now had cerebral edema, and she has gone to the outside world." I also communicated with the young man's parents, and they expressed their gratitude to me. ”

"But I was very upset in my heart, and the more polite they were, the more upset I became. I think I'm pretty good, but I can't help their son. ”

"You can only think about this yourself, who else ......"

"Dr. Liu, come here, this patient has passed out. ”

Before Shi Lei finished speaking, Zhou Qian shouted vigorously.

Liu Banxia hurriedly ran over and saw the girl with hydrocephalus lying on the ground.

"Go and call Zhang Xiao and slowly carry her to the hospital bed, even the monitor. Liu Banxia checked the girl's pupils and said.

"Doctor, what's wrong?" the patient's mother dragged Liu Banxia.

"I've got a brain herniation. You go over to the side first, don't delay our rescue. Liu Banxia's voice also became louder.

"Brain herniation?" At this time, Zhang Xiao also rushed over.

"The pupil on the right side has dilated, what should I do?" asked Liu Banxia with a solemn face.

"Your hand is steady, you feel good, and you can use a needle to suck up the fluid from the edge of the eye into the herniated area. I'm not sure, the directors are all doing surgery. Zhang Xiao said.

Liu Banxia was taken aback, he didn't know that there was such a first aid method.

"Is there no other way?" asked Liu Banxia.

Zhang Xiao shook his head, "At most, it will take a few more minutes, and it will be too late to go to the operating room to bring up the CT map." ”

Liu Banxia didn't hesitate any longer, and directly exchanged for a bottle of powerful spiritual stabilizing mixture.