This Doctor is Great

Chapter 225 Wonderful Question: Is Master Bei's ketoacidosis?

The patient Zhao Leiming became hesitant because of the tumor at this moment, and asked, "Doctor, am I hopeless?"

Hearing what the patient said, Zhou Mo smiled and shook his head.

"Don't worry, this tumor is not a serious disease, and it's easy to cure. It's just to remove the tumor through surgery, and then slowly correct and compensate."

This operation is a minor operation at the level of the Second Provincial Hospital, and there is no big problem.

When the patient heard that it was a minor operation, he couldn't help but burst into tears.

He stood up abruptly, dancing excitedly.

"Thank you, Doctor Zhou!"

Take a bow and be grateful!

The patient's wife was also extremely excited, her heart was beating extremely fast, and her chest was heaving violently.

"but……"

At this time, Zhou Mo changed the subject: "First of all, I want to tell you that any operation has risks."

Before each operation, Zhou Mo must tell the patient and the patient's family members about the risks, because as long as there is an operation, there are risks, and no one can guarantee that it will be 100% successful.

The patient's face was cloudy and uncertain. After a while, he gritted his teeth and stomped his feet: "Do it."

The main reason is that this epilepsy has tortured him for too long, and now he has the opportunity to be completely cured, and he really can't bear to give up.

His wife, Zheng Jie, was also hesitant, but she didn't stop her in the end.

Zhou Mo: "Don't leave the hospital yet, I've already called the nail and breast surgery doctor, and he will admit you to the hospital, and then perform surgery..."

"Okay, thank you, doctor."

The patient said gratefully.

Zhou Mo waved his hand: "That's it... I'll go to work first..."

It has been 10 days since I came to the emergency room, and Zhou Mo felt that the emergency room was like a scene of World War II, and the battle was fierce.

...

Zhou Mo returned to his teacher Zhang Mei.

at this time,

Zhang Mei happened to treat a patient in the emergency room, and she had a few seconds to spare.

Zhang Mei saw Zhou Mo: "How is it? It's done?"

Zhou Mo nodded: "I have already communicated with the doctors of the nail and breast surgery department. The patient is directly hospitalized in the nail and breast surgery department, and then undergoes surgery..."

Zhang Mei nodded: "Not bad."

Seeing that there were no new treatment patients coming in, Zhang Mei couldn't help sharing her experience with Zhou Mo.

"This epilepsy patient is very similar to a patient I had contact with before."

Zhou Mo listened carefully.

Zhang Mei: "About a year ago, the emergency department once saw a patient who also had convulsions and was sent to the emergency department. The symptoms of epilepsy were similar to that of this patient."

"It's just that there is still a difference between the two. This patient did not get any effect after being given static injections, but worsened. However, the patient a year ago could be relieved as long as the injections were given statically. "

Having said that, Zhang Mei smiled subconsciously.

"In this way, in the following year, as soon as the patient had epilepsy, he was sent to our hospital, and then he was given a stable needle, and then he returned to normal... Most of them went to the emergency department, and he also consulted a lot of neurosurgeons. Second-rate."

"Just going back and forth like this, I came to the hospital more than ten times in less than a year."

"I still remember that as long as the patient is treated, he can return to normal, so the family members of the patient praised our hospital's medical skills as if Hua Tuo was alive."

After the words fell, Zhang Mei's expression became a little strange.

"It's just that I felt a little too strange at the time. How could there be such a stubborn epilepsy?"

"Because most epilepsy can be controlled after treatment, at least it will not occur with such a high frequency, so I felt something was wrong at the time, and then I observed it carefully."

"Finally, the abnormality was discovered, because at that time, every time the nurse pushed the diazepam to the patient, it was injected with glucose."

(Under normal circumstances, salt and sugar are added. For example, if a patient wants to inject potassium supplements, it is generally impossible to inject potassium directly, which will kill people, and it is necessary to add saline and glucose to dilute the concentration.)

"At that time, I wondered, and secretly guessed in my heart, is it not diazepam that plays a role, but glucose?"

"At that time, I found out that something was wrong, so when the patient came to the hospital next time, I immediately pricked the patient's finger blood sugar."

"After testing, it was found that it was really hypoglycemia."

"Actually, every time the patient comes to the hospital for an injection, it is not the stabilizer that plays a role, but the hypoglycemia, and then continued to check up, and finally it was diagnosed as an insulinoma."

As she spoke, Zhang Mei sullenly sighed.

"It's a pity, because the delay is too long, the patient's repeated hypoglycemic convulsions have already caused irreversible damage to the brain nerves."

After treating the patient, Zhang Mei went to the patient's home for follow-up visits and found that the patient's memory loss and a little trance are the sequelae caused by the parathyroid tumor, and it is irreversible.

Hearing the story Zhang Mei told, Zhou Mo fell into deep thought.

really,

Persuading people to study medicine is like lightning.

Look, there are so many twists and turns in one twitch, it's too complicated.

For many reasons, doctors may misdiagnose, and the consequences for patients are devastating.

"The human body is a very complex structure and is capable of responding differently to different environments."

"According to research, when a person is in a cold environment, the human body will automatically burn fat and release more heat."

"For example, why do many people who freeze to death take off their clothes before dying?"

"This is because in extremely cold conditions, the body burns fat to provide heat, which makes people feel hot around them."

"So these people will take off their clothes, but the human body has a limit. When some fat is burned, it can no longer provide heat, and it will be frozen to death in the ice and snow."

(A question is raised: Mr. Bei, who survived in the wilderness, in the ice and snow, because of hunger and cold, burning fat, will ketones be released in large quantities? Will it lead to ketoacidosis? Will ketoacidosis occur? Or is it a fitness madman? , eat only vegetarian dishes, meat and no carbohydrates, and then exercise like crazy, will this also happen?)

...

Soon, a new patient was sent by ambulance because of chest tightness and pain for unknown reasons.

Zhang Mei took Zhou Mo to accept the patient.

"What's the patient's condition?" Zhang Mei asked the doctor on board.

"He had a history of coronary heart disease, and then he called an ambulance because of chest tightness and heartache."

The patient, male, was in his forties, wearing casual clothes and glasses, and looked refined.

Moreover, the man's hands were white and tender, and he could tell at a glance that he hadn't done much physical work.

It should be sitting in an office or doing other mental work.

Beside the flatbed where the man was lying, stood a woman of about forty years old, wearing a gold bracelet on her hand and a gold bracelet around her neck, which was full of jewels.

Her skin is very good, although she is not young, but there are not many fine lines on her forehead, and she seems to spend a lot of money on skin care.

"Go, go to the emergency room..."

"Have you had an electrocardiogram?"

.

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