This Doctor is Great

The fact that doctors accept red envelopes is actually prohibited.

but!

If the doctor does not accept the red envelope, the patient's family may be worried, will the doctor not try his best?

Therefore, doctors are also very embarrassed.

Zhou Mo squeezed the red envelopes. It was estimated that there were more than 1,000, not too much, but not a lot.

"Will you accept this red envelope?"

"If you accept it, what should you do with it?"

At this time, Zhou Mo had already made a plan.

I used to live in the hospital when I was young, and I have seen many doctors accepting red envelopes: some doctors accepted but were recruited, and were reported by patients; some doctors accepted but were not recruited; some doctors confiscated...

"Okay, I'll accept the red envelope. I'll pay attention to your husband's condition."

Zhou Mo took the red envelope and put it in his pocket.

The patient's wife was overjoyed: "Thank you doctor, thank you doctor!!"

Finally relax.

She and her husband still maintain a more conservative idea, thinking that doctors will accept red envelopes. If they do not give red envelopes, doctors will not care about treating diseases.

Therefore, they feel that it is a matter of course to give red envelopes. If the doctor does not accept it, it will make them worry.

With a red envelope in his pocket, Zhou Mo returned to the duty room, and after the patient Xie Mingtao's wife returned to the ward, Zhou Mo walked out of the duty room and went to the charging window.

Queue for 5 minutes.

Zhou Mo came to the window and said to the nurse inside, "Beauty, please help me deposit this money into this patient's hospital deposit."

The nurse glanced at Zhou Mo and said with a smile, "What? Did the patient send a red envelope?"

Zhou Mo smiled bitterly: "Yes, there is no way to refuse. The patient is worried that I will not care... It's better to save this money..."

Nurse: "Okay, I'll deposit it for you..."

Open the red envelope, count it, 10 red, 1000 yuan.

"Okay, deposit it in, this is the deposit receipt, you keep it, just in case."

The nurse took a slip and pushed it out the window to Zhou Mo.

Zhou Mo put away the documents: "Thanks."

...

Returning to the duty room, Zhou Mo continued to scan the documents.

The patient is currently: leukocytosis + thrombocytopenia + repeated fever + abdominal pain around the navel.

Others do not.

What disease would fit this situation?

Subsequently,

Teacher Zhang Luojia took Zhou Mo to three more consultations, all of which were relatively common.

three o'clock in the afternoon,

For the patients in the other 3 beds, the test results of the day came out. (If there is a more urgent inspection, the word 'urgent' will be added, and the inspection department will give the results quickly, so there is no need to wait until the afternoon.)

Zhou Mo temporarily put down the 80-bed patient Xie Mingtao and went to the ward rounds for the 3-bed patient.

"Ding dong..."

Teacher Zhang Luojia sent a message: "Zhou Mo, what is the current situation of the patient with diarrhea? Is there any progress?"

Zhou Mo replied in seconds: "No progress. I had diarrhoea twice in the middle. The samples have been sent to the laboratory for examination."

Zhang Luojia: "Okay... You should pay more attention to this patient. From my experience, this patient may be in danger."

Zhou Mo: "Okay, I'll stay until 23 o'clock today, and by the way, I'll look for literature and see what the problem is..."

Zhang Luojia: "Well, it's hard work... In addition, if your condition progresses, call me at any time."

Zhou Mo: "Yes, teacher."

...

19:00…

On the way, Zhou Mo visited 80 patients 4 times and found nothing.

At this time, Zhou Mo finished the doctor's orders for the four patients today, and was about to help Huang Yiming review the doctor's orders.

Sudden,

"Doctor! Doctor!"

Xie Mingtao's wife rushed to the duty room and shouted.

"Go and see my husband! He...he..."

Zhou Mo's expression tightened, he got up quickly, and walked out quickly.

"What's up with him?"

"He vomited!"

When Zhou Mo arrived at the ward, Xiao Chen, the nurse in charge of the bed, was already there.

"what……"

Zhou Mo slammed his footsteps, and he saw the vomit on the ground, a little far away, at least all the way to the TV wall 2 meters away.

This is no ordinary vomiting at all!

Rather - projectile vomiting! !

At this moment, Zhou Mo was shocked!

"Intracranial pressure increased?!"

"meningitis?"

Projectile vomiting is a symptom that is different from ordinary vomiting and is generally considered to be caused by increased intracranial pressure.

The patient in front of him has symptoms of fever, so it is usually considered to be the symptoms of encephalitis and meningitis caused by microbial infections such as bacteria and viruses.

What surprised Zhou Mo was that all the previous diagnoses had not considered the problem of the brain!

Danger level, rise again!

Zhou Mo picked up the phone and called Teacher Zhang Luojia.

"Teacher, there were just 80 patients with projectile vomiting. It is possible that bacteria and viruses have invaded the brain..."

"Okay, I'll be right over here!"

Zhou Mo hung up the phone and said to the nurse, "Go get an ECG monitor and put it on him..."

If there is a problem with the brain, then you must be alert to whether it will cause systemic functional problems, especially the heart. If there is a problem with signal transmission, the heart will...

Auntie arrived quickly and started cleaning.

Zhou Mo came to the bed and said, "Are you feeling any discomfort now?"

The patient Xie Mingtao said with difficulty: "Headache, pain, nausea, nausea, and lack of strength..."

Zhou Mo nodded, the increased intracranial pressure would cause severe headaches.

"You relax, lie on the bed, and I'll check you."

the patient lies flat,

Zhou Mo tried to lift his head up. He just put his hand on the back of his occiput and lifted it up with all his might.

"Ah~~~hh~~~~"

The patient suddenly screamed, obviously in pain.

Moreover, Zhou Mo felt that the patient's neck was rigid and could not be bent.

Neck resistance!

"Meningeal irritation sign"!

It means: meningeal disease → spinal cord stimulation → spinal nerve root → muscle group reflex spasm!

This symptom is commonly seen in meningitis, subarachnoid hemorrhage and increased intracranial pressure.

"Do a CT..."

(Note: There is no way to do b-ultrasound of the brain, it is not penetrated very well and cannot be clearly displayed. Unless it is a newborn.)

At this time, Zhou Mo hurriedly went to make an appointment for a CT scan for the patient. It was urgent, and the time was half an hour later.

Stomach problems don't kill people.

But the problem in the mind is more likely.

At this time, the nurse entered the ward with an ECG monitor.

connected.

"Hey, the heart rate is 130 beats/min (60-100 is normal)!"

Zhou Mo's eyes were suddenly attracted by the patient's heart rate.

"This heart rate is a bit fast!"

It is estimated that the infection is a bit serious, and if it is serious, septic shock may occur at any time.

So,

Here comes the question~www.novelmt.com~ Intracranial infection, is it related to diarrhea and fever?

According to monism, there is a real possibility that there is a relationship!

Bacteria or viruses that cause intracranial infections invade the gastrointestinal tract, resulting in diarrhea.

"How is the patient?"

At this time, Teacher Zhang Luojia rushed over.

Zhou Mo quickly said: "There is projectile vomiting + meningeal irritation + severe headache, and there is definitely a problem in the brain! ... In addition, I have an appointment for a CT, and I can do it in 27 minutes..."

Zhang Luojia nodded and picked up the phone: "I called the Department of Internal Medicine. I have an acquaintance... He is at work today..."

soon,

The phone got through.

10 minutes later,

The psychiatrist arrived.

.