Chapter 429 The Reincarnation of Love and Responsibility
After less than 20 minutes, all the physiological and biochemical results of the patient came out!
Blood ketones are elevated!
Combined with the patient's performance, it can now be diagnosed as:
Primary Diagnosis: Hyperkalemia
Secondary diagnosis: diabetic ketoacidosis.
Chen Cang began to contact the endocrinology department.
The patient's hyperkalemia was also caused by diabetic ketoacidosis.
Chen Cang turned around, saw Xu Dongdong recording something in the notebook with a pen, and said, "Dongdong, let the family come in."
When Xu Dongdong heard Chen Cang calling him, he quickly put away the book and nodded quickly: "Okay!"
The woman at this time prayed at the door for a long time!
But over time!
Although she doesn't understand medicine, she knows that the longer the time, the bigger the problem!
The more so, the more uneasy she is!
Xu Dongdong opened the door and saw the woman standing there nervously, staring at the door with hope and hope in her eyes.
Seeing Xu Dongdong coming out, the woman hurried over!
"Doctor! Doctor! How is my mother?"
Xu Dongdong smiled: "Don't be nervous, Doctor Chen will let you in."
Xu Dongdong did not say whether the patient was stable or not, but only said that Dr. Chen let you in.
The woman heard the sound and walked in quickly.
"Doctor Chen, my mother... how is she?"
Chen Cang said: "The old man is basically stable now, but I recommend hospitalization in the endocrinology department. She now has diabetic ketoacidosis. This acidosis causes the blood potassium in the body to rise. It seems that this situation should not be the case. It's been a day or two!"
"So, I suggest you go to the endocrinology department, let the elderly's diabetes be corrected, and hyperkalemia can be treated according to the evidence. Don't worry too much."
After the woman heard it, she finally breathed a sigh of relief.
However, Chen Cang turned around and said to the old man: "Old man, you can pay more attention to your blood sugar in the future! You can't eat indiscriminately, you know, it was almost dangerous just now! Listen to your girl more in the future, she still Can hurt you!"
The old man also slowed down at this time, and let out a long breath: "Hey... Doctor, thank you!"
Being called "you" by the old man made Chen Cang a little uncomfortable.
Seeing her mother relax, her daughter hurried over and squatted beside the bed, holding her mother's scrawny hand with both hands. It was a little cold, and the microcirculation was not well caused by diabetes for a long time.
But the woman didn't dislike it at all, squatting there, stroking her mother's hand on her face, tears streaming down her face.
"Mom, you scared me to death!"
The old man blushed and didn't know what to say, so he could only rub his daughter's face with his hands.
She touched her like this when she was a child, and now... she's grown so big.
You are getting old!
The daughter was really frightened: "Mom, did I usually say that you talk too much and you are upset, so I won't talk about it in the future, okay? But... you have to take your medicine on time, don't save me, can you Forget it, you're fine, I'm just happy no matter what..."
The old man was also moved with hazy eyes.
At this time, Chen Cang picked up the phone and started to contact the endocrinology department.
Not long after, the endocrinologist on duty Yan Dongxue came down in a hurry. After seeing Chen Cang, he smiled and said hello: "Xiao Chen!"
Chen Cang smiled, Yan Dongxue is the son-in-law of the emergency department, Zhang Shu's husband, and currently the deputy director of endocrinology. He is forty years old and in his prime!
"Mr. Yan, the patient is inside." Chen Cang walked in with Yan Dongxue.
After Yan Dongxue looked at the laboratory test sheet and electrocardiogram, she was shocked: "This... is going to kill people!"
Chen Cang nodded: "Yes."
Yan Dongxue looked at the woman: "The elderly's diabetes needs to be monitored for a period of time, and insulin injections..."
The woman is very cooperative: "Okay! I will listen to you, doctor."
Yan Dongxue went up after looking at the patient.
The old man also sat up at this time, and his daughter supported him to go to the endocrinology department to go through the hospitalization procedures.
Seeing that the woman was so tired, Chen Cang suddenly said, "Push a wheelchair?"
The woman smiled: "No need, I'm used to it."
After speaking, the two walked away with arms.
Occasionally, I can hear women's "sharp and mean" rambles, and old people's "blindness".
Hearing it from a distance, Chen Cang shook his head, maybe this is love!
It seems that the two have been arguing for a lifetime. When they were young, their mother talked about the girl. When she got old, the girl talked about the old man.
Human beings are in this cycle.
It's a cycle of love and responsibility.
It's just... This seemingly ordinary picture, I don't know why, has become a little touching, making my eyes a little hazy.
Xiaolin still likes to cry like before.
Tears flowed out of her nose.
Even Chang Lina, who is usually articulate, took a deep breath and muttered to herself: "Like my mother, when she was a child, she nagged me, and I was so annoyed, now that she is old, I nagging. Nagging her, she must be annoying too..."
Maybe, only the pro-girl can do this, right?
Although Chen Cang doesn't understand girls, but... this feeling, regardless of gender, can be empathized with.
...
...
Many students witnessed a seemingly simple but hidden mystery rescue with their own eyes!
If it is really just ordinary diarrhea, and if it is treated according to this situation, the life of the old man may be lost.
And Chen Cang was able to find the cause from these complicated factors and start the treatment directly, which made this group of Ji training students feel a little excited, but also a little admired!
Courageously, he asked directly:
"Mr. Chen! How do you know that the patient has hyperkalemia? I thought it was hypokalemia caused by diarrhea at first, but if it was really rehydration... the patient is gone!"
Chen Cang looked at the group of students, his eyes filled with curiosity, and he couldn't help but say, "The principle of emergency is: save lives first, then save the sick."
"If the elderly just have ordinary diarrhea, it may cause electrolyte imbalance. You are right, and hypokalemia should be considered."
"but!"
"When diagnosing a disease, we must not only judge based on the patient's current symptoms, but also take into account the past medical history!"
"The patient's disease was caused by eating jelly and diarrhea. He has a history of diabetes for many years. At this time, you have to consider whether diabetes can cause diarrhea, and then make a judgment based on the signs, manifestations, and symptoms!"
"The patient has an abnormal reaction of the digestive system. Everyone saw it just now. It is also accompanied by an abnormal heart rhythm, and then immediately there is a disorder of the respiratory system, accompanied by fatigue and weakness of the whole body! The heart rate drops, at this time, you must think of a crisis. The disease of life: Hyperkalemia!"
At this time, Xu Dongdong couldn't help but ask: "Then... Mr. Chen, how do you know that blood potassium is more than eight o'clock?"