Chapter 216 Wonderful question Beiye’s ketoacidosis in ice and snow

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

Hearing the patient’s words, Zhou Mo smiled and shook his head.

“You can rest assured that this tumor is not a serious disease. It is easy to cure it. It is just to remove the tumor through surgery and slowly correct the compensation.”

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

When the patient heard that it was a minor operation, he couldn’t hold back his tears.

He stood up abruptly, dancing with excitement.

“Thank you Doctor Zhou!”

Bow and be grateful!

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

“but……”

At this time, Zhou Mo changed his words: “The first thing I want to tell you is that any operation has risks.”

Before each operation, Zhou Mo had to tell the patient and the patient’s family about the risks, because as long as it was an operation, there were risks, and no one could guarantee that it would be 100% successful.

The patient’s face was gloomy and uncertain, and after a while he gritted his teeth and stomped his feet: “Go ahead.”

Mainly because the epilepsy had tormented him for too long, and now he could not bear to give up the opportunity to be cured completely.

His wife Zheng Jie also hesitated, but in the end she didn’t stop her.

Zhou Mo: “Don’t leave the hospital yet. I’ve already called the doctor from the Nail and Breast Surgery. He will admit you to the hospital and then perform the operation…”

“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 he came to the emergency room. Zhou Mo felt that the emergency room was like a World War II scene, and the battle was fierce.

…

Zhou Mo returned to the teacher Zhang Mei’s side.

at this time,

Zhang Mei happened to treat a patient in the emergency room, and had just a few seconds of free time.

Zhang Mei saw Zhou Mo: “How is it? It’s done?”

Zhou Mo nodded: “I have already communicated with the doctor of the breast surgery department. The patient is directly hospitalized in the breast surgery department, and then has the surgery…”

Zhang Mei nodded: “Not bad.”

Seeing that no new treatment patients came in, Zhang Mei couldn’t help but shared her experience with Zhou Mo.

“This epilepsy patient is very similar to a patient I have been in contact with before.”

Zhou Mo listened carefully.

Zhang Mei: “About a year ago, the emergency department admitted a patient who also had convulsions and was sent to the emergency department. The symptoms of epilepsy were similar to this patient’s.”

“It’s just that there is still a difference between the two. This patient didn’t have any effect after the tranquilizer needle, but got worse. However, the patient from a year ago was able to relax as long as the tranquilizer needle was statically pushed. ”

Having said this, Zhang Mei smiled subconsciously.

“Just like this, in the following year, as long as the patient had epilepsy, he was sent to our hospital, and then the tranquilizer needle was injected, and then he returned to normal… Most of them went to the emergency room, and they also had a lot of consultations with psychiatrists. Second-rate.”

“In less than a year, I came to the hospital more than ten times.”

“I still remember that as long as the patient was treated, he could return to normal, so the family members of the patient also praised our hospital’s medical skills as if Hua Tuo was alive.”

When the voice fell, Zhang Mei’s expression became a little strange.

“It’s just that I felt a little too strange at the time. How can there be such a stubborn epilepsy?”

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

“In the end, the abnormality was found, because every time the nurses pushed the patient with the stabilizer needle, it was injected with glucose.”

(Under normal circumstances, salt and sugar must be added. For example, if a patient needs 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.)

“I wondered at the time, and secretly guessed in my heart, is it not stability, but glucose?”

“I found something wrong at the time, so when the patient came to the hospital next time, I immediately pricked the patient’s finger for blood sugar.”

“After testing, it was found to be really low blood sugar.”

“Actually, every time a patient comes to the hospital for acupuncture, it is not the stabilizer needle that plays a role, but the low blood sugar and subsequent examinations, and the final diagnosis is insulinoma.”

Saying that, Zhang Mei sighed deeply with a sullen face.

“It’s a pity, because the delay is too long, the patient’s repeated hypoglycemic convulsions have caused irreversible damage to the brain nerves.”

After treating the patient, Zhang Mei once came to the patient’s home for follow-up, and found that the patient’s memory was declining and he was in a trance.

Hearing Zhang Mei’s story, Zhou Mo fell into deep thought.

really,

Persuading people to study medicine will be struck by thunder.

Look, a convulsion, there are so many twists and turns, too complicated.

For many reasons, doctors can misdiagnose, with devastating consequences for patients.

“The human body is a very complex structure and can respond differently to different environments.”

“According to research, when people are in a cold environment, the body will automatically burn fat and release more calories.”

“For example, why many people who freeze to death take off their clothes before dying.”

“That’s because in extreme cold, the body burns fat to provide heat, and it makes people feel hot around.”

“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 freeze to death in the ice and snow.”

(Extend a question: Lord Bei, who survives in the wilderness, in the icy world, because of hunger and cold, burning fat, will the ketone body release a lot? Cause ketoacidosis? Will there be ketoacidosis? Or is it a fitness maniac , eat only vegetarian vegetables, meat and no carbohydrates, and then go crazy for fitness, will this also happen?)

…

Soon ~www.readmtl.com~ a new patient with chest tightness and pain for unknown reasons was brought over by ambulance.

Zhang Mei took Zhou Mo and accepted the patient.

“What’s the condition of the patient?” Zhang Mei asked the doctor on the train.

“He had a history of coronary heart disease and then called an ambulance because of chest tightness and heartache.”

The patient, male, looks in his forties, dressed in casual clothes and glasses and looks polite.

Moreover, the man’s hands were white and tender, and at a glance, he knew that he had not done much physical work.

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

Beside the flat car where the man was lying, stood a woman of about forty years old, wearing a gold bracelet on her hand and a gold bracelet on her neck.

Her skin is very good. Although she is not young, there are not many fine lines on her forehead. It seems that she usually spends little money to maintain her skin.

“Go, go to the emergency room…”

“Have you had an electrocardiogram done?”

.

This doctor is amazing https://