Chapter 151: Primary Epilepsy

"Yan Musk, what is this little Lori doing in your hospital?" asked Chen Yong.

"My secretary will help me with some incurable problems. ”

"Heal, little Lori, will you still heal?"

Wang Wen said: "I'm not a little Lori, uncle, I can't treat diseases, Sister Yan said that the incurable diseases refer to work, what do you think." ”

"Oh, I don't know much about you young people in this reverse thinking, I slept and slept, and we can't sleep too late at our age. After Chen Yong returned to the room, Yan Musk covered his mouth and smiled.

Wang Wen blinked her eyes and said, "Sister Yan, what are you laughing at?"

"Children don't understand. ”

"Hmph, discriminate against me. ”

"You'll understand when you're married, haha. ”

"Isn't Sister Yan also married?"

"That's different, you have a lot more social experience than you. ”

"Sister Yan, do you think this uncle is reliable?"

"I can't be wrong, and it's not in our hospital, it's superfluous to worry, don't think too much, go sleep." ”

Country Garden ......

At twelve o'clock in the evening, I slept so soundly, Su Lin called me, there was an urgent and critical patient in the emergency department, there were few people at night, let me help, I got up and washed up briefly, and woke Zuo Mi up.

"Why don't you sleep at night. Zuo Mi rubbed his eyes and said.

"Lend me the car keys, there are critically ill patients at the hospital who want me to deal with them. ”

"Oh, here you go, you drive slower, safety is the most important thing. ”

"Got it, you go back to sleep, wake you up, I'm leaving!"

After I left, Jin Wenhui was also woken up by our conversation.

Jin Wenhui said: "What's the matter, Zuo Mi, where are the wind chimes running in such a hurry?"

"It's strange to say that there is a critically ill patient who wants to help, and it's a big night!"

"This kid is very responsible, this is a kind of reverence for life when a doctor, go to sleep!

"Good. ”

Emergency Department of the Ninth People's Hospital......

On my way here, Surin called me twice in a row, and it was clear that the situation was very serious, and coupled with the lack of manpower, Surin was definitely not willing to trouble himself in general.

Ten kilometers, damn the traffic lights, to the hospital for more than 20 minutes.

Su Lin had already gone to the rescue room, and Li Wanqiu was on duty.

"What's the situation?" I asked Li Wanqiu.

"A child, who looked like he was only seven or eight years old, was a bit like a sheep epileptic attack, with an irregular heart rate and shortness of breath, and he had been sent in for rescue. Li Wanqiu said.

I understood in my heart that at the age of seven or eight years old, excluding nurture, it should be congenital, and two words suddenly popped up in my mind, epilepsy.

After waiting for half an hour, Surin came out.

"How's it going?" I asked.

"I got on the ventilator, installed an ECG monitor, took a sedative, my blood pressure was unstable, and my mother's patient was sent over a little late, and this family member too, I don't know if I had a chartered car, and it took a long time for the patient to send it over. ”

"Alas, there are still more poor people in this world, let's do what we can, I'm sorry, I'm late, I didn't help much, you go and rest, I'm sorry for the big night, I'll do the rest!"

"It's okay, I'll hold it. ”

"What do you say, you have family concerns, go back quickly, I'll call you Didi, you come back tomorrow at noon, have a good rest, and have a good body to do a good job." ”

"Alright then, the effect is only eight hours, and I'll be here tomorrow to arrange a consultation with a specialist. ”

"Okay, don't push it, I know, go back and rest. ”

After I sent Su Lin away, this patient has been transferred to the intensive care unit, his vital signs are not stable, the cerebral innervation is not controlled, and it is easy to have an internal cranial hemorrhage, leaving two doctors on duty and a few nurses, I grass, is there something wrong with this Li Wanqiu, why don't you leave, it's a little more.

"Why are you still here? Can't sleep! Go back to sleep. I said in a commanding tone.

"One more person can help a lot, so you can let me be here." Li Wanqiu's eyes revealed a hint of cuteness, but she shouldn't be on duty today.

"I looked at the duty schedule, it's not that you're on duty, you have a problem, are you short of money, just to earn overtime pay, don't rest, how to work during the day. ”

"But ......"

"Don't do it, go back quickly, I'll call you Didi. ”

"Hey, hey, okay, I know, I have my own car, Feng Supervisor, you can save some money, see you tomorrow." ”

"It's the same for you, come here tomorrow at noon, rest well, and recharge your energy. ”

Finally sent away, I went to the Hongqi supermarket outside to buy a few cups of coffee and instant noodles, and handed them to the staff on duty, this is they are taking their own health to be responsible for more lives, it is worthy of respect, after all, the emergency department is the most difficult department to do, there is no oil and water, and it is very fortunate, few people are willing to do it.

My phone rang, it was Kiki calling, what the hell is this stupid girl.

"Aren't you sleeping? How do you work during the day, go to sleep, I'm hanging." I was dissatisfied.

"Wait, brother, why don't you take me with you and go alone, I'm also your apprentice, and I can help you!" Qiqi said.

"Sleep, don't force me, I'll go to you when I need your help. "I hung up.

Someone called again, this time it was Zuo Mi.

"It's not serious, brother?" said Zuo Mi.

"You have insomnia, Sister Zuo, I don't have time to chat with you, I am in charge of quality and risk, this is my duty, it's okay to hang up." ”

"Hmph, I don't know how to care about you, I'm so angry. ”

Zuo Mi took the initiative to hang up the phone. I don't usually see them make a few phone calls, but what's going on today, it's very strange, one by one.

There are several patients in the emergency department at night, some of them have bleeding from the head because of the fight, and there are high blood pressure attacks with antihypertensive drugs that have no effect, there is an old man who has a coronary heart attack, nitroglycerin is useless, and there is no way to have a patient, I look at the busy figure of the doctors, I can only do it in a hurry, and I can't help much, I can only do some psychological comfort, this child with epilepsy ECG monitor is relatively stable, proving that the sedative works, but the next thing is very headache for me.

At eight o'clock in the morning, the medical staff of the emergency department stood together and prepared to hand over the shift, I also participated in listening to their course records, Su Lin and Li Wanqiu didn't know what to think, let them come over at noon, arrived so early, really dedicated, I didn't sleep all night, I was really a little sleepy, Su Lin saw that something was wrong with me, and quickly asked me to rest, saying that there was him here, Qiqi also bought me beef noodles and packed them back, it was so intimate, I slept until noon before waking up, everyone else was having lunch, I ran to the emergency department to find Su Lin.

"Excuse me, I overslept, how is that little boy?" I asked.

"The effect of the medicine is over, it is not very stable, the porridge I ate in the morning was vomited, annoyed, the other patients were under control last night, the condition was stable, and this little boy gave the doctors and nurses a headache. ”

"I look at his first course of illness. ”

"Okay, I'll give it to you. ”

Wan Keke, male, 7 and a half years old, address: five villages and three societies in Niuxiang Township, Anyue County, Ziyang City.

Symptoms: Headache. Symptoms usually appear early, with waking up from sleep in the morning and more often in the evening, mainly in the frontotemporal region, and may involve the postoccipital and orbital regions. Headaches that start out as intermittent and gradually become persistent and worsen as the tumor grows. When the pain is exacerbated by exertion, coughing, and sneezing, the headache caused by intracranial hypertension is pancephalic, and the headache of acute intracranial hypertension can be very severe, accompanied by vomiting and agitation.

Past medical history: hypertension, long-term emotional agitation, often accompanied by headache, dizziness, chest tightness. Occasional coma.

Diagnosis: Hereditary epilepsy (primary epilepsy)

TCM diagnosis: epilepsy syndrome

Physical examination: no endocrine disorders, subcutaneous nodules, skin, vascular nevi and other malignant tumors, abnormal hearing loss, and lens ambiguity.

Ancillary tests: plain skull radiograph, cerebral angiography, computed tomography (CT). Anterior and lateral views.

MRI scan.

I asked Surin, "Haven't the MRI results come out yet?"

"The cerebral cortex is abnormally discharged, underdeveloped, and there is no malignancy. Surin explained.

"Is there a cure?" I asked in a whisper.

"Most of them can only be controlled, and there is little chance of a complete cure without recurrence. ”

"How many of the patient's family members came?"

"His father is always the only one, thirty-seven or eighteen years old, and he looks like a fifty-year-old man. ”

"How's the economy?"

"It's too bad, the national key poverty alleviation areas, poor households. ”

"Isn't there any medical insurance and social security?"

"There is no such consciousness in remote mountainous areas, and it is only a few thousand yuan to grow some grain a year to sell, because the family is poor and Coco only dropped out of school in the second grade of primary school and went home to help, and my mother ran away early because she disliked the poor family, and the two of them depended on each other, I blamed them last night, and the economic conditions were too poor. ”

Li Wanqiu ran to the doctor's office and said loudly: "Doctor Su, Director Feng, the patient's family is arguing, clamoring to be discharged. ”

I was surprised, "Surin, let's go and have a look." ”

Outside the intensive care room.

Li Wanqiu and Su Lin were comforting Wan Changsheng, but it didn't work at all.

Wan Changsheng said: "Who can afford to live, I will have a year's income for one night, I still have a seventy-year-old mother to take care of, I sold the two cows in the family, only to make enough money, now there is only the fare and living expenses to go back, I have no money, quickly handle the discharge, I can't afford to delay." ”

I said to Wan Changsheng: "Do you want to give up all your efforts? This child is your hope, if you give up on him, this is a blasphemy of life, and you will also feel uncomfortable, we will find a way to deal with money, you can take care of the child with peace of mind." ”

"But... Are you really rich?"

I didn't answer Wan Changsheng, it's not that I have much money, it's just that as a medical student, to be precise, I'm not a doctor, I didn't inherit my father's magic hand rejuvenation skills, but I know that doctors have a benevolent heart, which is what my father used to tell me, people who study medicine first learn to be a person, and then practice medicine, Wan Ke This situation is also the status quo of many ordinary people, a serious illness is undoubtedly a disaster, even if I know that epilepsy can only maintain the condition, Wan Ke came to the world if he just walked away with pain, and I did nothing, I can't go against my heart。

Su Lin and Li Wanqiu continued to persuade Wan Changsheng, I went back to the office, thinking about how to make up the medical expenses for Wan Keke, and talk to Yan Musk? This can be ignored, in that case, is it possible for everyone to see a doctor for free, I want to use my own strength to make Wan Keke's condition stable, and then discharge.