On the way, Zheng Ren gave Zhou Litao a call.
He briefly explained the situation of the patient who was sent over and told Zhou Litao that if he did not have any other judgments, he would first give him an injection of Valium.
Under normal circumstances, doctors would not dare to directly inject a dose of Valium into such a patient.
Previously, there had been patients with hypoglycemia and restlessness. After a period of stability, the person would not move, but the blood sugar would continue to drop.
If the blood sugar was low to a certain limit, it might endanger the patient's life.
It was the same for patients with abdominal pain. In order to not feel pain, analgesics were contraindications.
After Zheng Ren gave some instructions, Zhou Litao accepted the order and left.
An injection of Valium would basically be able to determine the diagnosis. All that was left was to wait for the electromyography to come to work and do a more detailed examination.
"Boss, if that guy wasn't sick, he would be too awesome if he practiced mechanical dance like this!" Su Yun was still sighing.
"Impossible. There are a few movements that clearly violate the common sense of biological kinematics. They can't be trained just by practicing," Zheng Ren said.
"Tsk tsk, I still feel that it's a pity."
As the two of them spoke, they went to the community hospital to take a look.
The patients here were all very stable. The doctors who were training were conscientious.
They all knew that the lecture fee had already reached 800,000 euros. Moreover, it was only the lecture fee. It had not involved Boss Zheng's hands-on teaching.
Even in class, it was said that Brother Yun was the one who was lecturing. Boss Zheng did not even show his face.
Although they were still on a small shift in the Imperial Capital, they did not dare to have any complaints.
Most of the doctors even thought that after helping out for half a year, it was already a blessing to be asked for a surgery by Boss Zheng when they left.
After leaving the community hospital, Zheng Ren and Su Yun discussed the matter of the doctors taking turns to go to the 912.
Zheng Ren was not interested in routine work. After saying a few words, he pushed all the work to Su Yun with little interest.
Su Yun did not care. He was still immersed in the strange 'dance' of that guy just now. From time to time, he would make certain movements as if he was convulsing.
Unfortunately, even he could not imitate it at all.
The two of them went directly from the community hospital to the 912's emergency department. When they saw Zhou Litao standing in front of the bed in the resuscitation room to observe, they walked in.
"Boss Zheng, Brother Yun, you're here," Zhou Litao said with a smile. "The patient is already asleep. and the muscle spasms have disappeared."
"Okay, I'll do the check-up after work." Zheng Ren was relieved when he saw that the patient was snoring and his limbs were soft like a normal person.
"What kind of tests?"
"It's the inpatient department who did the check-up. They didn't ask you to do it," Su Yun said. "Send rheumatism immunity."
"…" Zhou Litao also remembered that Su Yun had said that if he could not understand it, he would give him the rheumatism immunity.
He didn't know much about Stiff Syndrome. Since Boss Zheng was here, he didn't want to let go of the slightest opportunity. He quickly pulled Boss Zheng to his duty room.
Zhou Litao took out a box of Nine-Five Supremes from the cupboard and handed it to them.
"Hey, Director Zhou, are you corrupt?" Su Yun smiled as he took a cigarette and put it in his mouth.
"No, no." Zhou Litao waved his hand. "This thing is too expensive. I can't enjoy it. I saw that Big Brother Yun smoked this kind of cigarette, so I bought a box just for the two of you. "
Zhou Litao was reluctant to smoke a single cigarette. He put the cigarette back, took out his own, and lit it for Zheng Ren and Su Yun. Then, he asked, "Boss Zheng, how did you judge?"
"If I didn't call, how would you have judged it?" Zheng Ren asked instead of answering the question.
"I ruled out the possibility of tetanus at first glance. Looking at the patient's condition, I don't think it's a problem with the central nervous system. After all, he's conscious. He's just scared to death and can't speak clearly. "Zhou Litao tried to recall the patient's condition.
Since Boss Zheng had already called, his first reaction was Boss Zheng's, not his.
Now that he thought about it, Zhou Litao felt that if this patient had fallen into his hands, it would have taken him a long time to get the right diagnosis.
"Do a CT scan, MRI, and do a little investigation," Zhou Litao said. Zhou Litao then said, "It could also be Isacs-Mertens syndrome."
"Don't talk nonsense. Isacs-Mertens syndrome is also known as myotonic-dwarfism diffuse bone disease. You lean on it when you see muscle tremors and stiffness? Your pupils are dilated on both sides. Where did you see dwarfism? "
Su Yun did not hesitate to spit it out.
"Actually, I interfered with Chief Zhou's judgment," Zheng Ren said with a smile. "I reckon that if the patient was sent here directly, Chief Zhou's first judgment should be organophosphorus poisoning."
Zhou Litao came to a sudden realization.
Thinking back to the situation at that time, if not for Boss Zheng's call, he would have definitely thought that it was organophosphorus poisoning.
Acetylcholine accumulated and stimulated at the muscle junction of the striated muscle, causing muscle fiber tremors on the face, eyelids, tongue, limbs, and striated muscles of the whole body, and even muscle tonic spasms.
This kind of nicotinic symptoms was so obvious. Although he could not smell the patient, there was such a barrier in his heart, and it would always take a lot of time to make a clear diagnosis.
Although it would not delay anything, it was still not as good as Boss Zheng's direct diagnosis.
"It's okay. Push an atropine in and you'll know it's not." Zheng Ren smiled. "It won't delay the patient's diagnosis and treatment. Don't worry."
It was Boss Zheng who was considerate and gave him a way out.
"Brother Yun, is the patient really going to be sent to rheumatoid immunity?" Zhou Litao asked.
The work in the emergency department was difficult. If the patient was sent to an unrelated department, although the inpatient department's doctor would have a consultation in the end, it would not delay the patient's diagnosis and treatment. However, in the hearts of others, it would leave an impression that he did not know how to treat a patient.
"Yes, under normal circumstances, the patient will get better after taking Valium every day and gradually reducing the dosage. Treatment with benzodiazepines is the first choice in the clinic. "
"If it doesn't work, then use chloral hydrate enema. Send the patient over after sleeping for a while," Su Yun said. "It's not a good thing to sleep here."
"But …" Zhou Litao said hesitantly, "It seems that the treatment has nothing to do with rheumatoid immunity. It's more like a neurological disease."
"It's all about the same." Su Yun laughed. "For example, in the consultation of the whole hospital yesterday, the boss gave a 1.0 g dose of cyclophosphamide. Rigidity syndrome is also effective with cyclophosphamide. If it's not a disease of rheumatoid immunity, what else can it be? "
"…"
This was too simple and crude, and it was a little unreasonable.
However, the clinical classification of many diseases was not clear, especially some rare diseases.
According to Zhou Litao's idea, this patient should be sent to the neurological department, but since Brother Yun thought that he should go to rheumatoid immunity, then he should send him.
If he did not know how to treat a patient, it was also Brother Yun who did not know how to treat a patient.
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