Chapter 88

After Chen Cang came in, he found that the thin man had already started to make trouble!

"What are you doing? Do you open an inspection without my signature? I have no money, I will tell you!"

Seeing this, Chen Cang said quickly: "Don't do this! Your wife is very dangerous now. It is a symptom of poisoning. It must be checked early. It is very likely that the symptoms will worsen after 48 hours!"

Poisoning identification is a passive skill, and Chen Cang doesn't think women are pretending!

Some diseases can be faked, and some diseases, you can't fake it at all!

Can you keep your hands and feet cold? Can you set your blood pressure to 90/60?

As a doctor, whether it is internal medicine or surgery, you must have a pair of sharp eyes.

As Wang Yong said, the patient may have come to corrupt money, yes! This possibility cannot be ruled out, but he still has to consider the patient's life as the first priority.

Whether a good person or a bad person, when he is sick and lying in the emergency bed, he may be a patient.

How can a doctor be so complicated, just treat the disease and save the life.

Whether it is good or bad, Chen Cang doesn't want to judge, but whether he is sick, Chen Cang has to make a good judgment. This is his responsibility.

When the thin man heard Chen Cang say that his wife was in danger, his eyes twitched and he stopped jumping, and he had an idea! Simply drag the fat man to the toilet.

As soon as he entered the toilet, the thin man looked around to see that no one was there, and then said to the fat man, "You hear me, my wife is in danger now. He doesn't have medical insurance, and you have to pay for all the money."

The fat man runs a restaurant and often encounters this situation. He didn't want to cause trouble, and asked directly, "How much do you want?"

Thin man: "5,000 yuan! Look at what my wife is like. The minimum medical fee is 5,000 yuan."

...

...

Chen Cang couldn't see this transaction, but nurse Xiao Lin hurried over and saw the blood glucose meter clearly!

"Blood sugar 33.3mmol/L!"

Chen Cang was taken aback!

shocked!

It's so high!

Now Chen Cang is more certain in his heart, and he is more certain that it is hyperosmolar non-ketotic hyperglycemia poisoning in a coma.

But we have to wait for the follow-up to check it out!

Even though Wang Yong said that the other party had corrupted money, and the man's behavior was very similar, Chen Cang still didn't care.

It looks right now!

33.3 blood sugar.

Xiaolin added: "Doctor Chen, this electronic blood glucose meter can only measure up to 33.3, and most of them are 33.3! The exact amount will have to wait for news from the laboratory."

When Chen Cang heard this, he frowned. After thinking for a while, he quickly said, "Add a bottle of liquid! Where's Wang Yong? The doctor ordered to add a bottle of liquid!"

Wang Yong's tone was obviously a little more prevaricious: "What liquid!? Let me tell you, the last time I was 33, I don't know how much sugar they drank!"

Chen Cang's tone at this time was decisive: "500 ml of 0.9% sodium chloride, quick drip!"

Wang Yong sighed and said that after all, Chen Cang's words still have to be implemented.

Not long after, Xiao Lin said quickly, "Doctor Chen, the blood test results are out!"

Chen Cang's eyes lit up: "How much?"

Kobayashi: "White blood cells 18.4, neutral ratio 90%, HB (hemoglobin): 135g."

Chen Cang turned around and continued: "Add 250 ml of 0.9% sodium chloride + 0.4 g of levofloxacin, ivgtt!"

If the normal saline just now doesn't matter, at this time, Wang Yong of levofloxacin obviously felt that Chen Cang was too much, and couldn't help but say: "Boss, people obviously touched porcelain, do you have to do this? There are restrictions on levofloxacin in our department. You ask Xiao Lin, this is really a slap in the face, to corrupt money!"

There were three or four little nurses at the nurse station in the emergency room. Seeing Wang Yong talking like this, he was also silent.

Indeed, everyone has seen this couple, and they have been here several times, and every time they come, they look like this.

Chen Cang turned around and stared at Wang Yong: "I'm the doctor in charge. I'm in charge of the patient except for anything. You can't go away, Xiaolin, go and give me a doctor's order!"

Wang Yong snorted coldly, got up and went inside: "Whoever loves it, whoever loves it!"

Let's go!

Xiao Lin sighed and explained to Chen Cang, "Don't be angry, Dr. Chen, Dr. Wang is actually... just a little jealous of evil. I don't like these people. Once, Dr. Wang pointed out a fraudulent person, and the result... Doctor Wang was beaten after leaving the night shift at night! I also think these people are here to extort money..."

When Chen Cang heard this, he sighed and didn't say more.

Under the doctor's order, I waited for less than 20 minutes, and the test results came out!

Blood sugar 35.1mmol/L (laboratory is more accurate than blood glucose meter, blood glucose meter is up to 33.3, computer blood glucose meter is only 23.3), blood sodium 182mmol/L, blood potassium 4.95, blood chlorine 100, urine routine: ketone body 3+, urine sugar 3+.

This is a serious complication of diabetes: hyperosmolar hyperglycemic coma!

soon!

Blood gas analysis, lactic acid, etc. are all down.

The more Chen Cang looked at it, the colder his heart became.

Fortunately, timely inspection and treatment, otherwise there will be serious problems.

Know that this disease is life-threatening.

At this time, the fat and thin two came. I don't know if they reached a good agreement or what. Anyway, the two enjoyed each other and chatted happily.

The fat man got up and left.

The thin man skillfully pushed open the door of the emergency room and was about to enter.

Just saw Chen Cang coming: "Your wife's condition is very dangerous. Now she is in a dangerous period and must be hospitalized."

The man turned a deaf ear and sneered, went up and patted the woman on the shoulder: "Wife! Let's go, let's go home."

only……

After a few shots, the woman still did not respond.

The man was stunned, hehe smiled: "You guy, actually fell asleep, I'll carry you home."

As he said that, he was about to pull out the fluid from the woman's body. She carried the woman on her back and was about to leave. Seeing this, Chen Cang quickly stopped her!

"She is very dangerous now, don't move." Chen Cang hurried up.

The man was stunned: "What do you mean?"

Chen Cang said: "She is in a critical period now. She is in a coma with hyperosmolar non-ketosis and hyperglycemia. She is in critical condition. You are his husband, right? You need your signature."

When the man heard it, he was dumbfounded: "What is it? Are you trying to defraud money! Did you inject him with sedatives? Don't think I don't know!"

As soon as Chen Cang heard the man's words, the man was obviously a repeat offender, and he even used the sedative!

He really treats the belly of a gentleman with the heart of a villain. This kind of logical thinking ability cannot but admire!

Chen Cang brought the test sheet over: "This is her test sheet, look at it, maybe you don't understand, but I tell you directly, her situation is very dangerous, if she leaves rashly, her life may be in danger. Hospitalization is required now."

The skinny man's face changed when he heard it, his mind turned, he got up and ran, and said as he ran, "I don't have money, and she's not my wife, we don't know each other."

This run is very like... "love".

It's like life too!

Everyone around was dumbfounded!

Several young nurses couldn't help but say: scumbag! Rubbish!

Chen Cang was helpless and sighed.

Perhaps, the husband and wife are birds of the same forest, and they will fly separately when disaster is imminent?

At this moment, the surrounding nurses were extremely convinced of Chen Cang.

In such a situation, Chen Cang can distinguish right from wrong, which shows that his ability is extraordinary.

His arrogance and aura, especially his decisiveness and confidence in the diagnosis of the disease! He is so similar to Director Li Baoshan!

Perhaps, powerful people all look the same.

Xiao Lin saw this: "Doctor Chen, what should I do?"

Chen Cang sighed: "Use the emergency funds first, treat first, I will give the doctor's order, and you will implement it."

Xiao Lin nodded: "Doctor Chen, is she really not pretending?"

Chen Cang nodded: "Well, no, no one wants to pretend this disease, it's too dangerous, a life-and-death disease!"

Hearing this, Xiao Lin also sighed. Thinking of the scumbag who ran away, he felt that the woman was a little pitiful, but he still couldn't hold back and asked, "Okay. Doctor Chen...will this disease kill people?"

Chen Cang shook his head and said nothing.

No matter how dangerous the disease is, is it comparable to the cruelty of the human heart?

No matter how cruel the pain is, is it comparable to the decision when the man left?

Hey……

It is the human heart, not the disease, that tests human beings.

After half a minute, Chen Cang had already made the doctor's order skillfully.

This kind of poisoning disease, the most difficult thing is to find the cause, and find the cause and treat it symptomatically.

Chen Cang suddenly realized how powerful the master-level [Poisoning Identification] he got from Director Li!

After seeing the patient, the logical thinking ability in Chen Cang's head was clearly discernible.

The types of poisoning and clinical manifestations are classified into different categories, so that Chen Cang can directly find the cause and find out the treatment strategy.

Wang Yong didn't know where he was going. Chen Cang sighed. Maybe he had some problems with the way he handled things. Find a time to communicate with Wang Yong.