I really don't want to be a doctor
Chapter 166 Lychee
Chapter 166 Lychee
"Excuse me, what is a sedative?" The steward's voice was a little evasive, a little scared.
The patient's father was very anxious,
However, seeing the three doctors quickly come up with a diagnosis, and come up with a diagnosis plan,
His heart also stabilized a little,
Looking at the flight attendant expectantly,
He doesn't know what a sedative is either,
We can only hope that the medicine is prepared on the train.
As a result, the flight attendant said,
stunned him.
The flight attendant, like himself, doesn't even know what a sedative is.
"It's stability!"
Before Yu Wenxing could speak, Qin Chao did.
"That's not"
"Does that have valproic acid?"
"No."
"Is there phenobarbital in there?"
"No."
Qin Chao was in a hurry, "Then what do you have?"
"We have metformin."
? ?
? ?
Qin Chao was dumbfounded.
!Man!Phyllin!
Are you treating gastritis? ?
Qin Chao couldn't help it.
Although he was sure the patient was having an epileptic seizure,
But you have to take medicine!
He doesn't know acupuncture,
A toothpick can stop a seizure.
now,
He could only pray silently in his heart, praying that the patient's abnormal discharge would stop spontaneously,
There is a chance of this.
But it depends on life.
The doctor wearing glasses became more and more serious. He stood beside him and thought for a moment, "Is it lidocaine?"
"Lidocaine?"
The flight attendant was dumbfounded again.
"Yes, we have them in the car."
The purser seemed to have remembered something, excitedly said,
Lidocaine is an anesthetic, and the purser seems to vaguely remember that when the car was still running from Magic City to Yunhua, a doctor named Ling Ran left two lidocaine when he performed a tracheotomy on the patient. because.
It's been half a year since this happened.
The reason why I remember this situation,
It's because the doctor is so handsome,
handsome,
The steward almost bent over.
"Then why are you still standing there, go and get it!!"
The eye doctor growled softly.
"well!"
The purser woke up suddenly, shook the handsome figure in his mind, and hurried to the No. 1 car.
"I haven't asked the teacher yet"
Qin Chao didn't understand the purpose of taking lidocaine,
Could it be that you really want to be angry?
But you must have something to cut your breath.
on this train,
How could there be a gas cutting device
"Modu Golden Hospital, Zou Luotao."
Although he had never heard of Zou Luotao's name, he had heard of the name of Gilt Gold Hospital.
Domestic top.
Feeling relieved, he turned to Yu Wenxing and asked, "Where does this teacher work?"
"Uh"
Yu Wenxing was still thinking about the problem and said casually, "I am currently an intern."
"intern???"
Qin Chao couldn't laugh or cry,
What is an intern doing to participate in these things?
"Mr. Zou, this patient is currently considering epileptic seizures. Is the lidocaine used to maintain ventilation for tracheostomy?"
Qin Chao asked out the doubts in his heart.
"Lidocaine can control epileptic seizures for a short time, but the maintenance time is relatively short. I think it is only ten minutes before the next stop, so it should be in time."
Zou Luotao's face was heavy.
More than ten minutes is very short,
But for a patient with epileptic seizures, more than ten minutes is really too long,
He just hoped the lidocaine would keep him under control.
The purser hadn't returned yet, and everyone was waiting anxiously. Taking advantage of this time, Yu Wenxing walked up to the patient's father and began to ask questions.
"Has he had this symptom before?"
"No."
The patient's father shook his head.
"So does anyone in your family have epilepsy?"
"No."
"Has he had a traumatic brain injury before?"
"No."
"Then did he have any past medical history, such as high blood pressure, diabetes?"
"No."
"This"
Yu Wenxing pondered.
His face was pale, his teeth were clenched, his hands were clenched, and he was twitching constantly.
This is almost the most typical manifestation of epilepsy,
but,
According to the system task also exists,
Yu Wenxing overturned this diagnosis.
That.
What could it be?
Cerebrovascular accident?
stroke?
Can,
The patient looks to be in his 20s.
In this age group, the possibility of cerebrovascular accident is very small.
Is it a programmer?
Yu Wenxing thought of this possibility,
Zou Luotao was also thinking,
Patients with epilepsy generally have predisposing factors, or congenital factors, such as genetics, and acquired factors, such as brain trauma,
A patient with no predisposing factors,
Is it really reasonable to explain it simply with epilepsy?
Zou Luotao was a little confused,
I wanted to give the patient a head MRI first, but now I really don't have the conditions.
"Then what was he doing before the attack?"
Yu Wenxing asked.
"Before attack?"
The patient's father thought for a while, "I didn't do anything, he was normal before the attack, we are eating lychee, look."
The patient's father pointed to the side pocket,
Lychee is very fresh,
Very red in color,
Li!branch!
Yu Wenxing reacted suddenly, his eyes were fixed on another plastic bag full of lychee skins,
can see,
This family is in good condition,
Now is not the season for lychees, and the price of lychees is very expensive.
But these two people were carrying a big bag of lychees,
And the lychee skins are also filled with a whole big bag.
He got it!
Correct,
It is lychee!
"This patient should not be epileptic!"
Connecting all the news in his mind together, Yu Wenxing already has a diagnosis,
"kindness??"
The purser ran over at a gallop, but before he could catch his breath, he heard that it was not epilepsy.
The purser almost didn't come up in one breath.
?
?
Two eyes shot over,
A look mixed with doubt,
A look mixed with seriousness.
The former belonged to Zou Luotao,
He doesn't feel epileptic, either.
Apart from the patient's performance at the moment, the patient has no evidence to support epilepsy.
Although the first criteria for the diagnosis of epilepsy are typical manifestations,
But Zou Luotao did not forget that there is a prerequisite for this, which is a typical manifestation of repeated attacks,
The patient had no previous history of similar attacks,
If epilepsy is diagnosed, it is also the first onset.
But for the first time, there must be other support points,
Such as genetic family medical history, such as previous traumatic brain injury,
This patient does not.
or do an EEG,
Typical epileptic seizures can see epileptiform waves on the EEG,
But now under these conditions,
There is no equipment for an EEG.
Therefore,
When he heard Yu Wenxing say that the patient was not epileptic, Zou Luotao was a little puzzled and wanted to hear Yu Wenxing's analysis.
Qin Chao's eyes were extremely serious, his tone was gloomy,
"This patient is so typical, but you say it's not epilepsy; I would like to ask you, did you not study neurology during your internship?"
"right,"
With a smile on the corner of Yu Wenxing's mouth, he nodded slightly,
"It's true that I haven't done my neurology internship yet,"
"but,"
"This patient really shouldn't be epileptic."
Yu Wenxing spoke very slowly, but extremely steadily.
Just from this tone,
You can feel Yu Wenxing's confidence.
(End of this chapter)
"Excuse me, what is a sedative?" The steward's voice was a little evasive, a little scared.
The patient's father was very anxious,
However, seeing the three doctors quickly come up with a diagnosis, and come up with a diagnosis plan,
His heart also stabilized a little,
Looking at the flight attendant expectantly,
He doesn't know what a sedative is either,
We can only hope that the medicine is prepared on the train.
As a result, the flight attendant said,
stunned him.
The flight attendant, like himself, doesn't even know what a sedative is.
"It's stability!"
Before Yu Wenxing could speak, Qin Chao did.
"That's not"
"Does that have valproic acid?"
"No."
"Is there phenobarbital in there?"
"No."
Qin Chao was in a hurry, "Then what do you have?"
"We have metformin."
? ?
? ?
Qin Chao was dumbfounded.
!Man!Phyllin!
Are you treating gastritis? ?
Qin Chao couldn't help it.
Although he was sure the patient was having an epileptic seizure,
But you have to take medicine!
He doesn't know acupuncture,
A toothpick can stop a seizure.
now,
He could only pray silently in his heart, praying that the patient's abnormal discharge would stop spontaneously,
There is a chance of this.
But it depends on life.
The doctor wearing glasses became more and more serious. He stood beside him and thought for a moment, "Is it lidocaine?"
"Lidocaine?"
The flight attendant was dumbfounded again.
"Yes, we have them in the car."
The purser seemed to have remembered something, excitedly said,
Lidocaine is an anesthetic, and the purser seems to vaguely remember that when the car was still running from Magic City to Yunhua, a doctor named Ling Ran left two lidocaine when he performed a tracheotomy on the patient. because.
It's been half a year since this happened.
The reason why I remember this situation,
It's because the doctor is so handsome,
handsome,
The steward almost bent over.
"Then why are you still standing there, go and get it!!"
The eye doctor growled softly.
"well!"
The purser woke up suddenly, shook the handsome figure in his mind, and hurried to the No. 1 car.
"I haven't asked the teacher yet"
Qin Chao didn't understand the purpose of taking lidocaine,
Could it be that you really want to be angry?
But you must have something to cut your breath.
on this train,
How could there be a gas cutting device
"Modu Golden Hospital, Zou Luotao."
Although he had never heard of Zou Luotao's name, he had heard of the name of Gilt Gold Hospital.
Domestic top.
Feeling relieved, he turned to Yu Wenxing and asked, "Where does this teacher work?"
"Uh"
Yu Wenxing was still thinking about the problem and said casually, "I am currently an intern."
"intern???"
Qin Chao couldn't laugh or cry,
What is an intern doing to participate in these things?
"Mr. Zou, this patient is currently considering epileptic seizures. Is the lidocaine used to maintain ventilation for tracheostomy?"
Qin Chao asked out the doubts in his heart.
"Lidocaine can control epileptic seizures for a short time, but the maintenance time is relatively short. I think it is only ten minutes before the next stop, so it should be in time."
Zou Luotao's face was heavy.
More than ten minutes is very short,
But for a patient with epileptic seizures, more than ten minutes is really too long,
He just hoped the lidocaine would keep him under control.
The purser hadn't returned yet, and everyone was waiting anxiously. Taking advantage of this time, Yu Wenxing walked up to the patient's father and began to ask questions.
"Has he had this symptom before?"
"No."
The patient's father shook his head.
"So does anyone in your family have epilepsy?"
"No."
"Has he had a traumatic brain injury before?"
"No."
"Then did he have any past medical history, such as high blood pressure, diabetes?"
"No."
"This"
Yu Wenxing pondered.
His face was pale, his teeth were clenched, his hands were clenched, and he was twitching constantly.
This is almost the most typical manifestation of epilepsy,
but,
According to the system task also exists,
Yu Wenxing overturned this diagnosis.
That.
What could it be?
Cerebrovascular accident?
stroke?
Can,
The patient looks to be in his 20s.
In this age group, the possibility of cerebrovascular accident is very small.
Is it a programmer?
Yu Wenxing thought of this possibility,
Zou Luotao was also thinking,
Patients with epilepsy generally have predisposing factors, or congenital factors, such as genetics, and acquired factors, such as brain trauma,
A patient with no predisposing factors,
Is it really reasonable to explain it simply with epilepsy?
Zou Luotao was a little confused,
I wanted to give the patient a head MRI first, but now I really don't have the conditions.
"Then what was he doing before the attack?"
Yu Wenxing asked.
"Before attack?"
The patient's father thought for a while, "I didn't do anything, he was normal before the attack, we are eating lychee, look."
The patient's father pointed to the side pocket,
Lychee is very fresh,
Very red in color,
Li!branch!
Yu Wenxing reacted suddenly, his eyes were fixed on another plastic bag full of lychee skins,
can see,
This family is in good condition,
Now is not the season for lychees, and the price of lychees is very expensive.
But these two people were carrying a big bag of lychees,
And the lychee skins are also filled with a whole big bag.
He got it!
Correct,
It is lychee!
"This patient should not be epileptic!"
Connecting all the news in his mind together, Yu Wenxing already has a diagnosis,
"kindness??"
The purser ran over at a gallop, but before he could catch his breath, he heard that it was not epilepsy.
The purser almost didn't come up in one breath.
?
?
Two eyes shot over,
A look mixed with doubt,
A look mixed with seriousness.
The former belonged to Zou Luotao,
He doesn't feel epileptic, either.
Apart from the patient's performance at the moment, the patient has no evidence to support epilepsy.
Although the first criteria for the diagnosis of epilepsy are typical manifestations,
But Zou Luotao did not forget that there is a prerequisite for this, which is a typical manifestation of repeated attacks,
The patient had no previous history of similar attacks,
If epilepsy is diagnosed, it is also the first onset.
But for the first time, there must be other support points,
Such as genetic family medical history, such as previous traumatic brain injury,
This patient does not.
or do an EEG,
Typical epileptic seizures can see epileptiform waves on the EEG,
But now under these conditions,
There is no equipment for an EEG.
Therefore,
When he heard Yu Wenxing say that the patient was not epileptic, Zou Luotao was a little puzzled and wanted to hear Yu Wenxing's analysis.
Qin Chao's eyes were extremely serious, his tone was gloomy,
"This patient is so typical, but you say it's not epilepsy; I would like to ask you, did you not study neurology during your internship?"
"right,"
With a smile on the corner of Yu Wenxing's mouth, he nodded slightly,
"It's true that I haven't done my neurology internship yet,"
"but,"
"This patient really shouldn't be epileptic."
Yu Wenxing spoke very slowly, but extremely steadily.
Just from this tone,
You can feel Yu Wenxing's confidence.
(End of this chapter)
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