011 Okay
It took more than an hour or so, and finally arranged for the twelve patients to be examined.
Except for the first two patients, after the physical examination, Yuntian basically ruled out the possibility of cerebral infarction!
"Doctor, help me see the results. "The first patient came back the earliest.
Hand over a bunch of checklists.
"The patient is sick, it is impossible to follow the symptoms and signs classified in the book, the big daddy has a weakening of the hemimeric muscles, the first thing to suspect is the brain lesion, although the other nerve reflexes are not abnormal, it is not surprising, you come to see the brain imaging ......" Dr. Shen instructed Yun Tian while pulling out the film.
After taking out the test results and taking a look, Dr. Shen suddenly lost his voice.
No obvious abnormalities on MRI of the brain?
No cerebral infarction?
Dr. Shen was a little skeptical that he had taken the wrong result, and carefully checked the patient's information, and indeed he did not take the wrong result!
How can there be no cerebral infarction?
Could it be acute cerebral ischemia?
Dr. Shen turned over the results of the cerebral blood flow signal diagram again.
The blood supply to the brain is insufficient, but there is no severe partial ischemia!
How so?
So what causes the weakness of the left side?
Cervical myelopathy?
There is nothing too big a problem with the neck piece!
Local arterial embolism of the extremity?
Unlikely!
Dr. Shen was directly stunned!
What exactly is the situation?
Dr. Shen and Director Lin are both doctors who transferred to the Department of Traditional Chinese Medicine after studying clinical practice, so they have always had a sense of superiority and look down on the old Chinese medicine doctors in the Chinese medicine hospital who can't even understand the test sheets!
But right now, I'm completely stunned!
Could it be that the infarction is too small? It is not obvious on the film? The radiology doctor missed it?
Dr. Shen turned on the reading light, which had not been turned on for a long time, and plugged in a few films.
Start checking one by one.
"Doctor, is my dad in serious condition?" Seeing that Dr. Shen didn't say a word after taking the film, the patient's family was very nervous.
"I'll review the film. Dr. Shen threw himself on the film, and replied directly without looking back. It must have been the little doctor in the radiology department who missed it!
"Does Big Daddy usually lower blood sugar take medicine or injections?" Yun Tian stood beside Dr. Shen and looked at the test results, and an idea suddenly popped up in his heart.
"The diet of the elderly is not very good at insulin, and the blood sugar is always around 13 or 14 o'clock. The patient's family probably wanted to relax, so they chatted with Yuntian.
"I can't control my mouth, you said that in our era, we didn't eat anything, but now the times are better, there is food, and we are not allowed to eat! Daddy continued, as if he was comforting himself and his child.
"Isn't there anything wrong with Big Daddy these two days? Why is your blood sugar only 4.9 today?" "Usually blood sugar is at 13 or 14 o'clock, so high?
"I've had a cold in the past two days, I don't really want to eat, it's rare that my blood sugar is so good, should I reduce my insulin dose?" Speaking of today's low blood sugar, the old man was full of pride like a child who rarely got good grades in exams.
"There's really nothing wrong with the film. Dr. Shen, who had been studying for a long time, raised his head and made a summary.
"Then what caused my dad's condition?" the patient's family quickly asked.
"There is no obvious indication of the current examination results, and the condition of the elderly needs to be further investigated, so I suggest that if it is convenient, the elderly can be hospitalized for a period of time and have a comprehensive examination. "Dr. Shen did a bunch of tests and had no conclusion, so he could only recommend that the family continue to be hospitalized for examination.
"This, the main reason is that the family is busy with business, and there is no one to take care of the elderly if they are hospitalized. The patient's family members were embarrassed.
"Doctor, if you don't prescribe me some Chinese medicine, I'll go back and eat first, I don't have the strength, maybe I can prescribe some tonic medicine to make up for it! The old man also actively communicated with Dr. Shen.
"Teacher Shen, do you want to make up some sugar water for the old man?" Yun Tian said his thoughts along the old man's words.
"Sugar supplements, the patient is a diabetic patient!" This child, who has been actively doing physical examinations for patients in the afternoon, is very responsible, and in a blink of an eye, he put forward such an unreliable suggestion of giving sugar supplements to diabetics.
I was so dizzy that I almost forgot that this kid had been sitting and sleeping in the consultation room all morning.
Looks like he's still an unreliable guy!
"The patient's blood sugar is usually 13-14 points, and he doesn't want to eat much for the cold in the past two days, but the amount of insulin has not decreased, so the blood sugar suddenly dropped to 4.9, and the weakness of the left limb also appeared in the past two days. ”
Yun Tian didn't know that he was misunderstood by Dr. Shen to sleep in the morning, so Dr. Shen gave himself an unreliable definition and seriously explained his thoughts.
"Do you suspect that hemilimb abnormalities caused by hypoglycemia?" After all, Dr. Shen has rich medical experience, and when Yun Tian mentioned it, he immediately reacted.
"I'll prescribe you some potion first, you go to the outpatient observation room to push a tube of potion to try, if the situation improves, I will prescribe you some Chinese medicine for you to go back and eat." If not, you will have to be hospitalized to further investigate the cause. Dr. Shen reacted, and the rest was easy.
The patient was prescribed 40 ml of 50% glucose water, and asked Yuntian to follow him to the registration room for static pushing.
10 minutes later......
"Little doctor, it's amazing! I feel better now?" the old man said to Yun Tian after pushing the sugar water and resting for a while, and tried to get up from the wheelchair.
The old man's son waited for the old man to finish pushing the potion and went to the toilet, so at this time, only Yuntian was alone with the old man.
"Daddy, slow down......" Yuntian stretched out his hand to support the old man.
"No, no!" The old man pushed Yun Tian's hand away, stood up and walked a few steps, and deliberately stomped his left foot and shook his left hand.
"That's good! Doctor, you're a god!" the old man said happily as he walked back and forth a few times.
"Dad, how are you?" asked the old man's son when he came back from the bathroom and saw that the old man was walking steadily on his own.
"Okay, okay, let's go, let's tell Doctor Shen to go, he has taught a good apprentice! Let him prescribe a few more pairs of Chinese medicine, and the old man will make up for it!" the old man gestured his thumb at Yun Tian and praised, causing the people around him to look at him.
"Didn't this old man just push him in? It's only been a few minutes that he can walk on his own? Did this little doctor cure him?" There were many people in the outpatient infusion room, and few people whispered.
"The little doctor looks like he's just an intern, probably not. ”
"Xihua Hospital is really amazing, I just saw that the nurse only pushed a tube of medicine to the old man, and the old man got up from the wheelchair, it was only a few minutes, and I don't know which department it is, what disease is treated, so powerful!"
"I didn't hear the old man say that he was going to prescribe a few more pairs of Chinese medicine, it must be a Chinese medicine department!"
"Chinese medicine is so powerful now, why don't we try it in the Chinese medicine department?"