234 Dangerous curiosity
(Thanks to my friends for the blind stream of flying, the encouragement of the monthly pass)
"Mr. Liu, don't go to the operating room today?" said Peng Bo, the chief doctor of Shennai, who was called for consultation.
"I should be out of breath in the operating room again, and the electromyography that I just did was seriously lacking in B12. Liu Banxia handed over the electromyography.
At first, Bloomberg didn't pay much attention to it, but after reading the electromyography, his eyebrows wrinkled. Peripheral neurogenic injury, which indicates a lesion in the patient's spinal cord.
Combined with Liu Banxia's lack of B12 prompts, he also thought of a possible condition.
"If so, it's almost the first case in our Binhai City, but we still have to do a spinal cord MRI. Did you contact the patient's family, and what was the reason for the visit?," Bloomberg asked.
"I went to the doctor for diarrhea and fell down after arriving in the waiting hall. Liu Banxia said.
"Combined with the information our interns heard, the patient often gathers with friends during the summer vacation, and it is estimated that it is almost the same. ”
At this time, Liu Banxia felt that someone was tugging at his sleeve, and when he turned his head, he saw Qingkova. Behind Qingkova, Liang Xiaolin and their gang are also looking this way.
"Make a promise, push the patient to the internal medicine office, and I will talk to her for a few words. Liu Banxia said.
Xu Yinuo nodded obediently, and regardless of what the patient himself thought, he trotted in and pushed in.
"To avoid the patient's nervousness, you should go in and talk. Wang Huan said.
Liu Banxia nodded, and after walking into the consultation room, Liu Banxia sat directly opposite the patient.
"Doctor, what's going on?" the patient also sensed the anomaly.
"You tell me honestly if you have the habit of inhaling laughing gas, which will help you diagnose your condition. Liu Banxia asked directly.
The girl was stunned for a moment, and her eyes dodged. Although he hasn't answered yet, Liu Banxia can also be sure.
"Laughing gas has been eaten a lot in our young people in China in the past two years. Although this thing is not as addictive as other drugs, it can also endanger the life of the user. Liu Banxia said.
"Now you're just suffering from severe anemia, peripheral nerve damage, and if it progresses, you're likely to have permanent spinal cord damage. The end result is quadriplegia, incontinence, and ultimately life-threatening. ”
"And when the spinal cord injury reaches a certain level, it becomes irreversible. In other words, you are likely to spend your whole life in a wheelchair, and you have to have a full-time person to serve you for the rest of your life. ”
Unlike vitamin B12 deficiency caused by other diseases, the effects of laughing gas can last up to two months. And this sudden lack of vitamin B12 can also cause your body to react errhythmically. ”
"At the moment we don't know how much this laughing gas affects you and how much damage it does to the spinal cord, so we can only do an MRI of the spinal cord. ”
"You could say I'm sensationally scaring you, the soles of your feet and hands are now much worse, and the soles of your feet are numb. You can also take a look online to see if what I'm talking about is true or false. ”
"Doctor, didn't you say that those people were like that if they smoked a few hundred at a time?" the patient asked weakly.
"Have you forgotten what I just said? And everyone's body is different, and their tolerance to this thing is also different. Liu Banxia said.
"You are an adult, and we can choose to keep your parents confidential. But you are also responsible for your life, and now you have to be hospitalized. ”
"And those friends you play with a lot, it's best to inform them to come to the hospital for a check-up. It doesn't have to be our hospital, but it can also be used in other hospitals. ”
"As long as they feel numb in their limbs and their hands and feet are not flexible enough, it's better to have it checked. That's all you can say, your body and life are your own, or you choose. ”
Young people have rebellious thoughts, and they came to the hospital today to do many examinations one after another. If it weren't for the fact that her feet had been a little soft, she would have left after the infusion.
But now what Liu Banxia said really scared her, she felt the most clearly today, her feet were really numb.
The next thing is simple, do an MRI, and then be directly sent to the ward of God by Bloomberg. This disease is still the most convenient for them to treat, and the current emergency department is not ready.
"Teacher Liu, what kind of illness is it? After everything was sorted out, Liu Yiqing asked.
"It's the legendary laughing gas, nitrous oxide. Because it is widely used, it is easy to get it outside. Liu Banxia said.
"It used to be very popular in Europe and the United States, but now it has also flowed to China, and young people don't know how to rely on it, and it's all over if you get it. I warn you, no matter how tired you are, you must not touch anything like that. I don't care if you learn to smoke or drink, these are resolutely not good. ”
"Is it really laughing gas? we still have this in Binhai City?" asked Liang Xiaolin in surprise.
"How could it not be, but the scope is not very large now. Liu Banxia said.
"It's just that there is no good definition of this yet, so it is not so strict in management, and it may not have attracted too much attention. ”
And looking at the way she looks, it's obvious that she's been smoking for a while. I just don't know if she has many friends, but I wonder if there will be a batch of them this summer. ”
"Dr. Liu, I've smoked it before, did I make a mistake? two years ago. Chyokova raised her hand pitifully.
Liu Banxia glanced at her and shook her head helplessly, "You don't count, you guys have been playing crazy over there." What did I do with you before? Don't touch this mess in the future. ”
Qingkova nodded happily, she didn't make a mistake and will not make a mistake in the future.
"Wang Chao, you and Brother Wang should have dinner first, and I'll take them here to keep an eye on it. Liu Banxia continued.
Wang Chao nodded, and also knew that although Su Wenhao was an intern he brought, he was now following Liu Banxia with the crowd. He didn't mind, Liu Banxia could give them more opportunities to practice, but he didn't have the guts.
"Dr. Liu, when did you notice that something was wrong......? , may it be related to laughing gas?" Liu Yiqing asked curiously.
"I also found that B12 was seriously missing, and I saw reports in some magazines, but I thought this thing was quite far away from us. Liu Banxia said casually.
"Anyway, if you don't have bad habits, you won't get them. Especially for those of us who study medicine, I rarely drink alcohol. When it's really fine, at most drink some beer or something. ”
"Teacher Liu, will you drink tomorrow?" asked Xu Yinuo.
"You can drink as much as you want, but don't expect me to arrange a banquet for you, this is out of my own pocket, and it can be regarded as a reward for your work performance during this period of time. Liu Banxia said with a smile.
"Actually, it's the first time I've gone to such a good hotel to eat, that is, I know Qiaoqiao, and I can give me a discount or something. When the time comes, I will officially introduce you to each other, and Liang Xiaolin and Qingkova have a good time with her. ”
"Brother Liu, what do you mean, I'm going to release my dad's pigeons again. Qiu Mingyuan, who listened for a while, said helplessly.
"Mingyuan, do you think I am to blame for this? That's it, anyway, I have to go to Qiaoqiao's side today, I'll try to go early, and go to your house for some supper in the evening? Anyway, your father can't drink now." Liu Banxia said.
"Haha, this is okay, then my task is completed, otherwise my dad asks me every day. Qiu Mingyuan said happily.
"Doctor Liu, can you take me and Linlin with you?" said Chinkova again.
"With, with, anyway, you and Lao Qiu also know each other. Liu Banxia agreed very happily.
"That's right, make a promise, you think about it when you go back, call the two of them Cao Peng and Zhou Shangkai, right? I've been busy with you and forgotten about the two of them. ”
"Well, leave it to me. Xu Yinuo nodded happily.
was chatting when Liu Banxia received a message from Bloomberg. The diagnosis has been confirmed, and MRI of the spinal cord has revealed characteristic V-shaped changes.
This can be regarded as the three elements that confirm the sequelae of laughing gas inhalation, B12 loss, paralysis of the distal limbs, and V-shaped changes in the spinal cord.
Ding!Daily mission completed (6/20)
The patient's task is completed
Gain 300 XP, 200 Diagnostics Skill Mastery, and 2 Glory
Although the mission was completed, the excess experience was swallowed up. For him now, he really cherishes the experience. It is estimated that the good times of doing surgery to upgrade to the next level are also gone.
I took the screen of my mobile phone and showed it to these people, which was considered a serious diagnosis.
"Hey...... I don't know how many people there will be. Liang Xiaolin sighed.
"That's why I said, you can't get what you shouldn't. Look at it, she is estimated to be relatively light, and there must be something worse than her. Liu Banxia said.
"It's because she has a poor physique, and this time she caught up with diarrhea, so she behaved a little obviously. If you are a normal person, you feel that your hands and feet are numb, will you take it to heart at the beginning?"
"Sometimes you have to do propaganda, some people are just curious, and this curiosity is dangerous. Just like this patient just now, he also knew that it was not good to suck this thing, but he still sucked it. ”
"The overdose of these things is really more harmful than those serious drugs. Let's wait and see, all major hospitals should have such patients one after another. ”
He's not talking nonsense, judging from today's situation, there really won't be less people playing this person. And some of them may have already seen a doctor, but they haven't found out what the specific problem is.
If I hadn't seen similar reports, I would have thought that after all, there is still some difference between simple spinal cord lesions and lesions caused by laughing gas.