Chapter 87: Husband and wife are birds of the same forest
After Chen Cang came in, he found that the thin man had already started to make trouble!
"What are you doing? Do you start the inspection without my signature? I don't have money, I will tell you!"
Seeing this, Chen Cang hurriedly said, "Don't do this! Your wife is very dangerous now and is a symptom of poisoning. You must check it out early. The symptoms may be worse than 48 hours!"
Poison identification is a passive skill, and Chen Cang doesn’t think women are pretending!
Some diseases can be pretended to be, but some diseases can’t be pretended to be something!
Can you keep your hands and feet cold? Can you keep your blood pressure to 90/60?
As a doctor, whether in internal medicine or surgery, you must have a pair of golden eyes.
As Wang Yong said, the patient may be coming to extort money, yes! This possibility is not ruled out, but he still has to consider that the patient's life is the first priority.
Whether it is a good person or a bad person, when he is lying in the emergency bed, he may be a patient.
Doctors are not that complicated, just treat diseases and save lives.
Chen Cang doesn’t want to judge whether it’s good or bad, but if he is sick, Chen Cang has to make a good judgment. This is his responsibility.
When the thin man heard Chen Cang say that his wife was in danger, his eyes rumbling and stopped jumping. He had an idea! He simply pulled the fat man to the bathroom.
As soon as he entered the toilet, the thin man looked around and saw that no one was there, then he said to the fat man: "You heard that, my wife is very dangerous now. He has no medical insurance and you have to pay all the money."
Fat men run hotels and often encounter this situation. He doesn't want to cause trouble and asks directly: "How much do you want?"
The thin man: "5,000 yuan! Look at how my wife is like, the minimum medical expenses are 5,000 yuan."
...
...
Chen Cang couldn't see this transaction, but nurse Kobayashi hurried over and saw the blood sugar meter in his hand clearly!
"Blood sugar 33.3mmol/l!"
Chen Cang was stunned!
I was stunned!
It's indeed so high!
Now Chen Cang is more confident, and he is more sure of being in a coma due to hyperosmotic nonkoneemia and hyperglycemia poisoning.
But it's true that you have to wait for the subsequent inspection!
Even though Wang Yong said that the other party was extorting money and the man's behavior was very similar, Chen Cang was still not careless.
It seems right now!
33.3 blood sugar.
Kobayashi added: "Doctor Chen, this electronic blood glucose meter can only measure up to 33.3, and it is more or less 33.3! There are still some news from the laboratory."
When Chen Cang heard this, he frowned. After thinking for a while, he quickly said, "Add a bottle of liquid! Where is Wang Yong? The doctor ordered to add a bottle of liquid!"
Wang Yong's tone was obviously a little more pretentious: "What liquid!? Let me tell you, I was 33 last time, maybe how much candy I drank!"
Chen Cang's tone at this time was firm: "500 ml of 0.9% sodium chloride, quickly drip it!"
Wang Yong said with a quick look and said that, Chen Cang's words still need to be implemented.
Not long after, Kobayashi hurriedly said, "Doctor Chen, the blood routine has come out!"
Chen Cang's eyes lit up: "How many?"
Kobayashi: "White cells 18.4, neutral ratio 90%, hb (hemoglobin): 135g."
Chen Cang turned around and continued: "Add 0.9% sodium chloride 250 ml + levofloxacin 0.4g, ivgtt!"
If the saline just now doesn't matter, Wang Yong of levofloxacin obviously felt that Chen Cang was too much and couldn't help but say, "Boss, I'm obviously trying to get into a car, do you have to do this? There are restrictions on levofloxacin in our department. Ask Xiaolin, this is really a scoundrel, and I'm here to extort money!"
There were three or four young nurses at the nurse station in the emergency room. When he saw Wang Yong speaking like this, he was silent.
Indeed, everyone has seen this couple, and they have been here several times, and they look like this every time they come.
Chen Cang turned around and stared at Wang Yong: "I am the supervisor. I will be responsible for any matters of the patient. You don't go away. Xiaolin, go and give me a doctor's advice!"
Wang Yong snorted coldly, got up and went inside: "Whoever loves him will be there!"
Leave after saying that!
Xiaolin sighed and explained to Chen Cang: "Doctor Xiao Chen, don't be angry. Doctor Wang is actually... he just hates evil and dislikes these people. Once, Doctor Wang ordered a money-exchange, but in the end... Doctor Wang got off the night shift at night and was beaten! I also think these people are here to extort money..."
When Chen Cang heard this, he sighed and said nothing.
After I made a doctor's advice, I waited for less than 20 minutes, and all the test results were released!
Blood sugar is 35.1mmol/l (the laboratory is more accurate than the blood glucose meter, the blood glucose meter is up to 33.3, and the computer blood glucose meter is only 23.3), blood sodium 182mmol/l, blood potassium 4.95, blood chlorine 100, urine routine: ketone body 3+, urine sugar 3+.
This is the serious complication of diabetes: hyperosmotic hyperglycemia coma!
soon!
Blood qi analysis, lactic acid, etc. have all come down.
The more Chen Cang looked at him, the more he felt sad.
Fortunately, the treatment will be carried out in time, otherwise there will be a big problem.
You should know that this disease is life-threatening.
At this time, the fat and the thin two came. I don’t know if they had reached a good agreement or what, but they met very happily anyway and had a happy chat.
The fat man stood up and left.
The thin man skillfully pushed open the door of the rescue room and was about to go in.
I happened to see Chen Cang coming: "Your wife is in a very dangerous situation. She is in a dangerous period and must be hospitalized for treatment."
The man turned a deaf ear and sneered, went up and patted the woman on the shoulder: "Wife! Let's go, let's go home."
only……
After a few shots, the woman still had no reaction.
The man was stunned and smiled: "You guy, you are actually asleep. I will carry you home."
As he said that, he was about to pull out the liquid from the woman's body and carry it on his back. The woman was about to leave. Seeing this, Chen Cang hurriedly stopped him!
"She is in danger now, don't move." Chen Cang hurriedly walked up.
The man was stunned: "What does it mean?"
Chen Cang said: "She is in a dangerous period now and is in a coma with hyperosmotic non-ketopathy and hyperglycemia. She is in a critical condition. You are his husband, so you need to sign it."
When the man heard this, he was stunned: "What's the matter? You want to extort money! Have you injected him with sedatives? Don't think I don't know!"
When Chen Cang heard the man's words, the man was obviously a habitual offender and even used the sedative technique!
It is really a judge of a gentleman by his villain's heart. I cannot help but admire this kind of logical thinking ability!
Chen Cang took the test form over: "This is her test form. Look, maybe you can't understand it, but I will tell you directly that her condition is very dangerous. If you leave rashly, your life may be in danger. She needs to be hospitalized now."
The thin man's face changed when he heard this, his mind turned around, and he got up and ran away, saying, "I have no money, she is not my wife either, we don't know each other."
This run is very similar to... "Love".
It's very life too!
Everyone around was stunned!
Several young nurses couldn't help but say: Scumbag! Trash!
Chen Cang sighed helplessly.
Perhaps, husband and wife are birds in the same forest, but they fly away when the disaster comes, right?
At this moment, the nurses around him were extremely convinced by Chen Cang.
Chen Cang can distinguish right from wrong in such a situation, which shows that his ability is extraordinary.
His demeanor and aura, especially his decisiveness and confidence in diagnosing diseases, is very similar to Director Li Baoshan!
Perhaps, all the powerful people look the same.
Seeing this, Kobayashi: "Doctor Chen, what should I do?"
Chen Cang sighed: "First use emergency funds for emergency treatment first, first treat, I will give a doctor's advice, you will implement it."
Kobayashi nodded: "Doctor Chen, she really isn't pretending?"
Chen Cang nodded: "Well, no, no one is willing to pretend to be this disease. It's too dangerous, a life-and-death disease!"
When Kobayashi heard this, he sighed. When he thought of the scumbag who ran away, he felt that the woman was a little pitiful, and still couldn't help asking: "Okay. Dr. Chen... Will this disease kill people?"
Chen Cang shook his head and said nothing.
No matter how dangerous the disease is, it is as cruel as the hearts of people?
No matter how cruel the illness is, it is comparable to the determination of the man when he left just now?
Why……
What tests human beings is ultimately human hearts, not diseases.
Half a minute later, Chen Cang had skillfully prepared the doctor's instructions underground.
The most rare thing about this poisonous disease is to find the cause and find the right treatment for the cause.
Chen Cang suddenly realized how powerful the master-level [poisoning identification] he got from Director Li was!
After seeing the patient, Chen Cang's logical thinking ability was clearly visible.
The types of poisoning and clinical manifestations are classified into categories, so that Chen Cang can directly find out the causes and find out the treatment strategies.
Chapter completed!