When a doctor opened a plug-in

After Chen Cang hurriedly asked the nurse to request an emergency consultation, he hurried to the door of the emergency department.

Xu Ziming followed Chen Cang. As the chief director of cardiac surgery, he naturally has ample emergency experience.

The key is that his neurology is actually pretty good!

After all, the wife of the family is the chief physician of the neurology department, and the deputy director of the neurosurgery department of the emergency center, who can learn a lot with ears and eyes.

Not to mention that Xu Ziming did not prepare less for the pursuit of Zhao Danyan in the past, pretending to be a master, he just knew something about neurological diseases.

Later, after getting married, family disputes did not take the usual path. Every time Zhao Danyan got angry, he would try his best to write some neurological papers. Not to mention, Xu Ziming really learned a lot after going back and forth.

Otherwise, where can I think of diseases such as delusional syndrome and neurological damage?

Here, the ambulance stopped, and the doctor helped put the patient on the ground.

The nurse Yang Jie hurriedly pushed the bed and transferred the patient to the bed in preparation for rescue.

The old man was not in a coma at this time, but closed his eyes, obviously a little irritable, yelling in his mouth, and shaking his hands around.

Waiting for one to get off the bed, an old man stepped out of the ambulance cautiously, her wrinkled face was in her eighties.

Upon seeing this, Xu Ziming hurriedly helped the old man and walked down carefully.

Here, Dr. Che said to Chen Cang: "The patient fell to the ground three hours ago, his speech was slurred, his right limb was numb and weak, and the corners of his mouth were crooked..."

Chen Cang's expression suddenly changed: "Did he fall first and then appear? Or did he appear first and then fell?"

He followed the doctor and shook his head: "The old lady is not sure about it herself."

In one sentence, the risk factor of patients has once again increased a lot.

The old lady walked over here, and said with a worried face: "It should be because her legs were weak at first, and then she fell."

Upon seeing this, Chen Cang said to Yang Jie: "Take the patient to take a CT scan to see if there is a cerebral hemorrhage?"

For the examination of the nervous system, if you want to determine whether a patient has cerebral hemorrhage within a certain time window, you must do a cranial CT, because CT is more accurate than MRI for hemorrhage during a period of cerebral hemorrhage.

Therefore, when many patients are in hospital, many doctors always ask to do CT first, and then do MRI after the cerebral hemorrhage is ruled out, because MRI is more accurate for cerebral infarction.

Cerebral hemorrhage and cerebral infarction are all called strokes, but the pathogenesis and treatment methods are still essentially different.

One is that the cerebral blood vessel is broken and bleeding needs to be stopped, and the other is that the cerebral infarction needs thrombolysis and blood circulation.

If the treatment is reversed and the bleeding is carried out to invigorate the blood, this will happen.

Although the death rate from stroke is not high, if you reverse the treatment plan, you will be paralyzed if you die.

Therefore, it is necessary to quickly diagnose patients with suspected stroke, and complete basic assessments such as brain CT and make treatment decisions within 60 minutes after arriving in the emergency room.

After Chen Cang called the radiology department to urge him, he told him to complete the nuclear magnetic examination if there is no bleeding.

Although the old lady looked worried, she unhurriedly opened a cloth bag and slowly took out a pile of hospitalized medical records.

"Doctor, this is his hospitalized medical record in 2015, this is 18 years, 19 years..."

After opening the case, Chen Cang breathed a sigh of relief after seeing the information in it in order.

With these things, it really saves a lot of trouble.

The admission medical record is actually the most comprehensive, and with these several cases, it is possible to make a relatively comprehensive judgment on the patient's disease development.

The old lady stood aside and didn't bother Chen Cang, but the sorrow on her face could not dissipate.

His wife’s cerebral infarction is not a day or two. Every time he enters the hospital, it is a severe test for the 82-year-old.

Not to mention this is an emergency.

Chen Cang couldn't help asking, "Auntie, how long has it been since the onset?"

The old lady pondered for a moment, looked at the watch with a sense of history on her wrist, and said with certainty: "It's less than an hour, 50 minutes to be precise."

When Chen Cang heard it, his eyes brightened. If it is a cerebral infarction, the shorter the time, the better the treatment effect.

When Chen Cang collected the cases, the old lady could basically say everything and knew everything about the elderly.

What kind of medicine to take every day, how much to take, how much blood pressure is in the morning and noon, how is blood sugar control recently...

This made Xu Ziming on the side couldn't help but say, "Auntie, you really understand, you are more rigorous than nurses in the intensive care unit."

The old lady chuckled and sighed: "At our age, I am happy to be a person. Taking care of him is just taking care of myself. When I get older, I am afraid of being alone with him, even if I lie there. I feel at ease without speaking!"

"We both got married at the age of 16, and we are now 82. There are too many of us. If I didn't have him, I guess I wouldn't live long."

When the old lady spoke, there was a sense of culture between the lines.

His eyes were cool and firm.

Xu Ziming was also stunned by this sentence for no reason.

The old lady looked at the two and said slowly: "Doctor, I'm telling you something in my heart, it's best to make him feel better. If it doesn't work, I feel uncomfortable looking at him, and I feel distressed, so I might as well leave peacefully. "

"He is a capable person. He walked vigorously throughout his life. His self-esteem is too strong. He told me before that if he is too old to live a life of suspicion, it would be better to go peacefully."

"Don't worry, old man, we will do our best!"

Hearing these words, Chen Cang and Xu Ziming were taken aback for a moment, then turned around and found that it was Zhao Danyan, Xu Ziming's wife.

I don't know when, she has come down!

And I don't know how long I stayed behind.

The key is that Xu Ziming looked at his wife curiously. He didn't expect Zhao Danyan to be in the hospital.

Chen Cang turned around and smiled: "Sister-in-law, you are here."

Xu Ziming wanted to say something, but Zhao Danyan didn't show her good face at all.

Zhao Danyan nodded: "Well, show me the patient's medical records."

Chen Cang nodded quickly.

Compared with Zhao Danyan, he is a lot of amateurs. After all, it is a neurological disease, Zhao Danyan can handle it better.

Chen Cang nodded and quickly handed over the information he had collected and the patient's medical record.

Xu Ziming wanted to say something, but could only sigh.

He really didn't know how to explain this matter.

Simply stand aside.

Chen Cang saw that Zhao Danyan ignored Xu Ziming, and Xu Ziming did not take the initiative to speak. He stood aside and couldn't help but smile.

This misunderstanding is really troublesome.

After all, Mitty wasn't there, and he couldn't tell the matter of throwing his arms.