Liu Hui was startled for a moment, and she immediately ran over.
She didn't know what happened, but Liu Hui made the right choice - 120 first aid.
In the ambulance, Tang Liu's assistant immediately told the visiting doctor that Tang Liu had stubborn hypoglycemia. She didn't eat much of the plane meal today, thinking it might be caused by hypoglycemia.
I took a fingertip blood sugar test in the car and it was 1.22mmol/L!
The emergency doctor immediately administered 50ml of high sugar intravenously. When high sugar was introduced, Tang Liu's symptoms were quickly relieved and it was a false alarm.
When I went to the 912 emergency department for a blood sugar check, the result was 13.94mmol/L. The high blood sugar level was related to the high-sugar injection he had just received. Zhou Litao didn't care.
After the physical examination, Tang Liu was given a head CT order, and it was recommended to do a CT scan to check for intracranial hemorrhage and other diseases.
Liu Hui was busy, and Zhou Litao was also busy. He didn't know Tang Liu, the "famous" pharmacology expert.
In his opinion, this was just a "patient" who went into a coma due to hypoglycemia and was relieved after intravenous injection of high sugar. According to the account of emergency department doctor 120, this is not the first time something like this has happened.
Zhou Litao wanted to admit the patient to the hospital. Frequent hypoglycemia is a very fatal disease. Once this happens in the dead of night with no one around, the only thing waiting for the patient is death.
But Tang Liu resolutely refused to be admitted to the hospital, and Zhou Litao spent a lot of effort to convince her to do a head CT.
The patient went for a check-up, and Zhou Litao became busy again.
After handling two patients, he walked out of the emergency room and saw Boss Zheng and Su Yun standing at the door.
"Boss Zheng, Brother Yun, do you have free time today?" Zhou Litao asked with a smile.
"We are going to take a look at Mr. Cui after get off work. What about you?" Su Yundao said.
"I don't have time." Zhou Litao was a little frustrated. He said sadly: "We don't have enough staff these two days, so we can't ask for leave."
Su Yun shrugged his shoulders and said with a smile, "Let's have a cigarette."
"Oh." Zhou Litao still had no energy. He followed them outside, lit cigarettes for Boss Zheng and Brother Yun, and took a deep breath.
"Brother Yun, Mr. Cui's physical condition is a bit bad. I went there once the day before yesterday." Zhou Litao said.
His physical condition is almost expected. Mr. Cui is old and his various organs are aging. Not having a disease is more difficult than having one.
"Well, let's take a look." Su Yun said, "We just went to see Director Miao this afternoon."
"How is Director Miao?"
"Fortunately, I can go downstairs for a walk now." Su Yun said with a smile: "He will also do a square dance in the evening. He looks no different from ordinary old men and old ladies."
"Hey, Director Miao is going to dance in the square?" Zhou Litao had a hard time imagining that scene. In his impression, Director Miao had always been the old director who was unsmiling and dignified.
But as long as you live, dancing is also an entertainment activity. No one wants to recall what happened before. Director Miao can be considered recovered.
The last time Zheng Ren and Su Yun went to visit him, it was Zheng Ren who carried him downstairs. After more than two months, I was able to dance in the square, which must be said to be a huge improvement.
But none of the three people wanted to say more, neither Mr. Cui nor Director Miao. Zhou Litao immediately changed the subject and said, "Boss Zheng, Brother Yun, I met a patient with high blood sugar this afternoon. He was very weird."
"Oh? How weird?"
"The patient is 43 years old and is a senior executive of a company. He is usually in good health, but his blood sugar is not well controlled. It cannot be said that he is not well controlled. He has no control at all," Zhou Litao said.
This is relatively common. There are many people with uncontrolled high blood sugar, uncontrolled high blood pressure, and uncontrolled coronary heart disease.
Even now, more and more cases show that cerebral hemorrhage caused by high blood pressure and sudden death caused by coronary heart disease are getting younger and younger. These situations are related to the popularization of physical examinations and the lack of attention by patients themselves.
"Originally they were going to see Director Ma of Endocrinology, but just as Director Ma was out for the outpatient clinic, they came to me to test their blood sugar first." Zhou Litao said, "What do you think the blood sugar is?"
"30mmol/L."
"28mmol/L."
Zheng Ren and Su Yun gave figures that they each found unacceptable, and the two figures were relatively close.
"33.02mmol/L." Zhou Litao said, "I was very surprised when I saw the value. Normally, he was introduced to Director Ma by someone, so he shouldn't have such poor blood sugar control."
"What happened next?" Su Yun asked.
"I asked about what happened. I won't go into the specific details. This person..." As he spoke, Zhou Litao sighed and said, "I don't know who has a good brain and who doesn't. Boss Zheng, Yun Brother, you said that the executives of well-known companies should all be people with high IQs."
"About that, we can't generalize." Zheng Ren said.
Su Yun curled his lips and said disdainfully: "Can't you just speak the truth?"
"I'm telling the truth."
"What's the difference between not saying anything? If you ask me, as long as you are a human being, there will always be times when your brain is full of water." Su Yun said with certainty.
"Ahem..." Zhou Litao was obviously used to the situation in front of him. He coughed twice and continued: "I asked at that time, don't you use insulin to control your blood sugar? Don't you usually monitor your blood sugar at home?"
"There must be, but I'm just too lazy to do it." Su Yun said with certainty.
"He said he had tested it, but he couldn't get the value. Insulin also works, but it's just not well controlled." Zhou Litao said, "I didn't think about it deeply at the time. I just thought the method might be wrong. I asked Director Ma to modify the medicine. The dosage is enough. But he may need to be hospitalized because it is too high."
Zheng Ren nodded.
"I said I wanted to test his urine to see if he had ketones. There was a test sheet on the side, and I casually asked him how much insulin to use."
"He scratched his head and said that he didn't understand what the doctor said."
"That's my guess. It must be that the dose of subcutaneous insulin is wrong." Su Yundao said.
Zhou Litao shook his head and said, "Brother Yun, it really isn't the case."
"Um?"
"He ate a cake before lunch and said he did this every day. He injected insulin into the cake before the meal and then took it orally." Zhou Litao said.
“…”
No matter how smart Su Yun was, he would never have thought that someone would inject insulin into the cake.
"Cake? Insulin?" Zheng Ren asked with a frown, "Then how does he usually measure blood sugar?"
"They said they put the test paper into the cake and took it out to take a look, but it didn't work. Finally, they injected insulin and took the cake orally." Zhou Litao said helplessly.
Su Yun's black hair moved lightly on his forehead, and he didn't seem to believe what Zhou Litao said.