"Did you take carbamazepine when you got sick this time?" Su Yun asked.
"I took it, but the effect was not very good." The pudgy boss said, "Maybe his body is resistant to the drug. I'm going to go to the mental hospital to give him some more."
There was no other good way, Zheng Ren sighed.
This kind of thing, for the honest and honest Da Liu, it is really possible that he will not be able to get out of it in his life.
A single-minded person accepts death.
"If I had known that Da Liu was so willing to drink, I would have gone to drink with him a few times to persuade him." Su Yun felt a little regretful.
"When Da Liu was in his hometown, he only drank a pound of wine a day, and he drank like this all year round." The short and fat boss said: "When he came to work here, he knew that drinking would cause trouble, so he only drank a few taels every night. It was meaningless."
Zheng Ren is sweating profusely. How many taels can he drink to satisfy his craving
The pudgy boss's cell phone rang, he answered the call, said a few words and then hung up.
"I'm back, let's take a look." The pudgy boss said.
"Same for you, if you didn't come to me earlier, what's the use of coming to me now." Su Yun complained.
"I just feel aggrieved and want to talk to someone. Brother Yun, you said that I have done my best enough, but Da Liu's brother keeps asking me for money." The pudgy boss was also very distressed.
Neither Zheng Ren nor Su Yun could solve this dead situation.
Both Zheng Ren and Su Yun were a little depressed when they thought that Da Liu would be sent to a mental hospital after returning to his hometown.
"I'll go back first if it's okay." Zheng Ren whispered.
The pudgy boss was a little surprised. Su Yun said contemptuously: "My boss is like this. I don't want to see things that can't be solved. I'm a coward."
Zheng Ren patted the short and fat boss on the shoulder, said nothing, and walked in with his head lowered.
Heading on, a wheelchair rolled in.
Zheng Ren took a glance and saw the bright red system panel and different diagnoses.
Subacute subdural hematoma!
He raised his head and took another careful look.
That's right! There was a cerebral hemorrhage.
Zheng Ren immediately walked quickly to Da Liu and said, "I'll do it."
There were two or three people around the wheelchair. One of the young men looked a bit like Liu, and he was probably his younger brother.
"Where's the boss?" Da Liu's younger brother said: "My brother is mentally ill. He must have oppressed him. In order to earn hard-earned money, he made my brother what he is now! Capitalists are all evil! They are not. people!"
Zheng Ren was a little bored and anxious, so he took the wheelchair and quickly pushed it into the emergency room.
"Let's go." Su Yun was a little surprised when he saw Zheng Ren pushing the wheelchair into the rescue room, and said, "There's nothing interesting to see."
"After checking his body, I always feel that something is wrong with Da Liu." Zheng Ren said hurriedly.
Da Liu was sitting in a wheelchair, his hands and feet were twitching constantly, and he was mumbling something.
"Mr. Zhou, the patient is back." Zheng Ren entered the emergency room and immediately greeted: "Has your blood pressure been measured?"
Zhou Litao had just finished his work. He glanced at Da Liu and said, "It was measured. It's 120/80. The heart rate seems to be 90 beats/minute."
"Let me use the flashlight." Zheng Ren said.
Zhou Litao handed the flashlight to Zheng Ren and said, "The light reflection is a bit slow, but nothing else."
"Have you had a head CT?"
"I want to make one for him, but the patient's family does not agree." Zhou Litao was also very distressed.
"My brother is not injured, so you just want to make money by doing examinations, right? I know that you get a commission for doing examinations!" Da Liu's younger brother said loudly from behind: "There are no good people in the imperial capital!"
Zheng Ren ignored Da Liu's brother, but took the flashlight and began to look at Da Liu's pupils.
As Zhou Litao said, both pupils have weak light reflexes, while the left pupil is slightly dilated.
"It's strange, I didn't see my pupils dilating just now." Zhou Litao was confused, "Is it subarachnoid hemorrhage?"
"Not necessarily. Let's get a CT scan first." Zheng Ren said.
"good."
Zhou Litao agreed neatly and immediately rushed to place an order.
Da Liu's younger brother was still grabbing the pudgy boss and chattering about money.
Soon, Zhou Litao came out with the CT list and handed it to the pudgy boss.
"You go and pay, and I'll find someone to send him for examination." After Zhou Litao finished speaking, he called the accompanying examiner and another doctor to send Da Liu for examination.
"What kind of examinations are you spending money on?" Da Liu's brother grabbed the CT application form, tore it into pieces, and said: "I did one after another, but in the end it was not the same. It was you who made my brother like this! "
This is the most basic nonsense. Zheng Ren has seen it so much in Haicheng that he has long been accustomed to it.
Zhou Litao said very seriously: "The patient, your brother, is now considering the possibility of cerebral hemorrhage. Without CT, if something happens to the person, you will be legally responsible. This is intentional homicide!"
"You..." Da Liu's brother still wanted to argue.
"There are cameras, and our conversations are also recorded. If you don't agree, if something really happens to your brother, you will definitely be thrown into jail. This is intentional murder!" Su Yun deliberately talked nonsense to scare Da Liu's brother. .
After hearing what Su Yun said, his momentum suddenly dropped. He stared at Zhou Litao and Su Yun pretending to be ferocious, then pointed his fingers shakyly twice, turned around and left without even saying a harsh word.
Zhou Litao didn't care. He went back and made another order, handed it to the pudgy boss, and asked him to do a CT scan. In addition, he also specifically told the emergency doctor who went with him to send him directly to the neurosurgery department if there was bleeding.
After everyone left, the emergency department was temporarily quiet.
Because the doctor from the emergency medicine department sent Da Liu for examination, Zhou Litao was responsible for making house calls.
It was not very busy at this time. There was a doctor inside, so Zhou Litao was not needed for the time being.
"Boss Zheng, Brother Yun, how come you have time to come down?" Zhou Litao asked.
"We know the patient. He is a chef in a restaurant who always goes to eat." Su Yun said, "Who would have thought he had a cerebral hemorrhage?"
"It's better than mental illness." Zheng Ren said.
"Fortunately, Boss Zheng came down, otherwise we almost missed it." Zhou Litao was a little scared and smiled, "I did a physical examination when I came here, and there was really no pupil dilation. Moreover, the patient had no history of trauma and his blood pressure was not high. I didn’t consider cerebral hemorrhage.”
"I know." Zheng Ren said: "Subdural hematoma can occasionally be seen in patients with minor trauma. The emergency department requires patients to stay under observation because they are worried about this problem."
"It only takes three days to three weeks for symptoms to appear. Alas." Zhou Litao sighed. This is reflected in the difficulty of working in the emergency department.
If too many examinations are done, the patient's family will be unhappy. If too few examinations are done, the patient's symptoms will suddenly change and his claws will become numb immediately.
Just like Liu, judging from the main complaint, it was obvious alcoholism and psychomotor epilepsy. With a diagnosis from a mental hospital and a refusal to do a head CT at home, the possibility of misdiagnosis has skyrocketed.
If Zheng Ren hadn't taken a look, Da Liu would have suffered a cerebral herniation soon.
If the surgery is performed at that time, the effect will be much worse.
…
…
Note: When going to the emergency room, we often encounter family members of patients who refuse to undergo examinations. I also have mild obsessive-compulsive disorder. When encountering something like this, my pessimism spreads after the patient leaves, fearing that something will happen. It’s very… suffering…