Sleepless Doctor
Chapter 448: No alcohol
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Wu Zhongtai listened to Wu Mian calling himself, glanced at the doctors in the office, and walked in a little cautiously.
"Dad, tell me what the patient has done recently, so we can make a reference." Wu Mian asked again.
Although Wu Zhongtai was a bit cautious, he was the mayor of the township after all.
"Sit down, everyone." Wu Zhongtai's first sentence habitually asked everyone to sit down and say.
"Gai San...After the patient was hospitalized, I would like to thank you for your care," Wu Zhongtai said, "I have been following these days. At the earliest, the patient did not get over alcohol and lay down for nearly two days. Later, I always said. Going out for a stroll, I don't know him yet, he must be an alcoholic, and he must go out for a drink."
"rub?"
"Oh, don't talk about it." Wu Zhongtai sighed, "In the village, he sneaked around and exchanged money for money. No one in the village changed it to him, so he took the trouble to walk dozens of miles to the town. The young people are all migrant workers, there is no one in the family, the old and the young, he became the overlord."
Wu Zhongtai nagged, Wu Mian looked at the old man's gray hair, and felt Microsoft in his heart. The work at the grassroots level is difficult. Although Wu Mian has known it a long time ago, at this time, seeing the old man exhausted physically and mentally, but having to stand on the front line, he understands a little deeper.
The head of the township and a rogue are supposed to be far apart, but now a line of cause and effect connects them. Judging from Wu Zhongtai's appearance, he has nothing to do with that rascal.
"Afterwards, there is nothing to steal in the village, so I went to town. No matter where he went, he was just for a meal. He had no choice but to drink or not, and lay down on the road if he drank too much. A few times in winter, he was drunk. , If someone called the police, he would have frozen to death for a long time."
"Dad, talk about the situation a few days ago."
Although Wu Mian knew that the old man's emotions needed to be vented, the most important thing was to see a doctor. He still interrupted Wu Zhongtai's words.
"Uh... I'm sorry." Wu Zhongtai also realized this, turned around and said, "I said that he will not be allowed to leave the ward at all. If he needs to go out, I will send someone to follow along. The patient's situation a few days ago It has been getting better, and I discussed with Lao Wang that he should be sent to give up drinking. If he doesn't give up drinking, in the end he will either die of drinking or die of poverty. There is no good fruit to eat without him."
"In the hospital for 4 days, Director Xia told me that the alcoholism was almost healed, so I was thinking about being discharged the next day, so yesterday I went home and wanted to rest. I didn't expect that there would be moths as soon as I left. I said yes last night. When I started to vomit blood, I hurried over in a hurry."
Wu Mian frowned, and the speed of his fingers tapping the desktop was a little faster.
According to his father's narrative, the patient should have no chance to drink secretly, which Director Zou also proved correct from the video surveillance.
But the girl's answer to the physical examination was the opposite.
On the one hand, it was his father's narration, and on the other hand, it was his own girl's judgment. Wu Mian believed it.
The inconsistent clues caused Wu Mian to fall into contemplation, and the office became cold.
"I said a long time ago that the patient is a varicose vein in the fundus of the stomach, and bleeding is a matter of time." A doctor said when Wu Mian didn't speak, "Maybe it's just a coincidence."
"Yes, I also think it's a coincidence." Director Xia Qing of the Department of Gastroenterology, seeing that Wu Mian didn't have an unhappy expression, echoed, "From the data..."
The data really cannot prove Director Xia Qing's statement.
"There is no obvious abnormality in blood routine. Sodium is 140mmol/L, potassium is 3.5mmol/L, chloride ion is 104mmol/L, carbon dioxide is 22mmol/L, urea nitrogen is 12mg/dL, creatinine is 1.15mg/dL, and lactic acid is 2.4mmol/L; arterial blood gas showed a pH of 7.40 and a carbon dioxide pressure of 32mmHg; urinalysis showed trace ketones, and the rest was normal. This cannot be explained by simple gastric fundus vein rupture and bleeding." Wu Mian frowned.
The speed of finger tapping on the desktop is a bit faster.
Hearing what Wu Mian said, the directors of the First Hospital of the Medical University gave enough respect, or said that they did not want to be slapped with data by Wu Mian in public, and they all remained silent.
Director Xia Qing was taken aback, and cautiously stabbed the resident doctor beside him with his elbow.
The resident doctor held the printed test sheet in his hand and quickly flipped through the comparison. I can't believe that what I saw is true, but the facts prove that the data Wu Mian spoke casually did not have the slightest error. After confirming that it was correct, he whispered in Director Xia's ear: "Director, the data that Teacher Wu said just now is correct."
Director Xia Qing was speechless, and everyone else was silent.
Although everyone doesn't think so, but Wu Mian's qualifications are there. Let's not talk about the two foreign academicians who compiled "Diagnostics" and the United States. He just said that he returned to Bajingzi and built a hospital in a remote rural area. Recently, a variety of high-end to unimaginable operations have been flooded with people.
This is the skill.
Few people present had the courage to question Wu Mian. Although they disagreed, they just didn't say anything. It was not guilty to put their face in and let Teacher Wu beat him.
What's more, Mr. Wu just looked through the electronic medical records just now. Everyone has witnessed the fact that the data is correct and easy to come by. Faced with this kind of people, they can't afford to contend with the idea.
"The patient's serum anion gap decreased with treatment, suggesting that he had recovered adequately from alcoholism. However, on the 4th day, he had an acute mental state change and anxiety, followed by tachycardia and poor response~www.wuxiaspot .com~ Then vomited and had upper gastrointestinal bleeding."
"Laboratory test results showed anion gap metabolic acidosis, serum lactic acid level only increased very low, and urine ketone was positive again."
"With physical examination as a corroboration, it can be judged that the patient is experiencing alcoholism again." Wu Mian seemed to be talking to himself, and it was as if he was explaining to the interns, the voice was not too loud, and everyone in the room listened. Clearly.
"Professor Wu……"
"Little Mian."
Wu Zhongtai and Director Xia of the Department of Gastroenterology said at the same time.
Director Xia made a gesture and smiled for Wu Zhongtai to speak first.
"The patient must have not drunk, I can guarantee this." Wu Zhongtai said seriously.
"Will other family members of patients in the ward help with the purchase?"
"No, I and other people take care of me 24 hours a day." Wu Zhongtai said, "The other patients' family members did not bring liquor into the ward."
Wu Mian's finger tapping on the tabletop speed was a little faster.
"It's definitely not caused by drinking!" Wu Zhongtai said without hesitation.
Director Xia Qing of the Department of Gastroenterology felt refreshed. He wanted to say this, but he couldn't say it. Facing Teacher Wu Mianwu, it seems that only his dad dares to say so.
"Dad, I didn't say drinking."
"Huh?" Everyone's eyes fell on Wu Mian.
"My brother is talking about alcoholism, not drinking." Chu Zhixi's delicate voice came.
"..."
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