Chapter 1654 Almost Misdiagnosed

"Have you taken carbamazepine this time?" Su Yun asked.

"I ate it, but the effect was not very good." The chunky boss said: "It may be that the body is resistant to drugs. I am going to go to the mental hospital to give him some prescriptions."

There is no other good way, Zheng Ren sighed.

This kind of thing, for the honest and honest Da Liu, it is really possible that he will not be able to get out in his life.

A muscle in the head, admit death.

"I knew that Da Liu was so willing to drink, so I went to accompany him to drink a few times and persuade him well." Su Yun felt a little regretful.

"When Da Liu was in his hometown, he only drank a pound of wine a day, and he drank it like this all year round." The chubby boss said, "He came to work here. He knows that drinking is a mistake, and he only drinks a few taels every night.

Zheng Ren is sweating profusely, how many taels can he drink to relieve his cravings?

The chunky boss's cell phone rang, he answered the phone, said a few words and hung up.

"Come back, take a look." The chunky boss said.

"You too, don't look for me earlier, what's the use of looking for me at this time." Su Yun complained.

"I just feel aggrieved and want to talk to someone. Brother Yun, you said that I did my best, and Da Liu's younger brother has been grinding me for money." The chunky boss was also very distressed.

There is no way for Zheng Ren and Su Yun to solve this deadly situation.

When he thought that Da Liu was going to be sent to a mental hospital after returning to his hometown, both Zheng Ren and Su Yun felt a little depressed.

"If it's nothing, I'll go back first." Zheng Ren whispered.

The chunky boss was a little surprised, and Su Yun said contemptuously, "My boss is like this, I don't want to see things that can't be solved, and I'm a coward."

Zheng Ren patted the chunky boss on the shoulder, and walked in with his head lowered without speaking.

On the other hand, a wheelchair pushes forward.

Zheng Ren glanced at it, but saw the bright red system panel and different diagnoses.

Subacute subdural hematoma!

He raised his head and looked carefully again.

That's right! There is a brain hemorrhage.

Zheng Ren quickly walked to Da Liu's side and said, "I'll come."

There were two or three people around the wheelchair. One of the young people looked a bit like Da Liu, probably his younger brother.

"Where's the boss?" Da Liu's younger brother said: "My brother is mentally ill, and he must have oppressed him. In order to earn hard-earned money, he made my brother what he is now! Capitalists are all evil! people!"

Zheng Ren was a little bored and anxious, took the wheelchair and quickly pushed it into the emergency room.

"Let's go." Su Yun was a little surprised when he saw Zheng Ren pushing the wheelchair into the emergency room, and said, "There's nothing to see."

"Checking the body, I always feel that Liu's state is not right." Zheng Ren said in a hurry.

Da Liu sat in a wheelchair, his hands and feet kept twitching, and he murmured something.

"Mr. Zhou, the patient is back." Zheng Ren entered the emergency room and greeted immediately, "Has your blood pressure been measured?"

Zhou Litao just finished his work, glanced at Da Liu, and said, "I measured it, 120/80, and the heart rate seems to be 90 beats/min."

"I'll use the flashlight." Zheng Ren said.

Zhou Litao handed the phone to Zheng Ren and said, "It's a little slow to reflect light, nothing else."

"Have you done a head CT?"

"I want to make one for him, but the patient's family doesn't agree." Zhou Litao was also very distressed.

"My brother is not injured, so you are thinking about making money by doing inspections! I know that you will get a commission for doing inspections!" Da Liu's younger brother said loudly from behind: "The Imperial Capital, there is no one good person!"

Zheng Ren ignored Da Liu's younger brother, but took the flashlight and began to look at Da Liu's pupils.

As Zhou Litao said, the pupils on both sides have weak light reflex, while the pupil on the left is slightly dilated.

"Strange, I haven't seen dilated pupils just now." Zhou Litao wondered, "Is it subarachnoid hemorrhage?"

"Not necessarily, go for a CT first." Zheng Ren said.

"it is good."

Zhou Litao agreed neatly and immediately ran to open the order.

Da Liu's younger brother was still holding on to the chunky boss, chattering about money.

Soon, Zhou Litao came out with the CT list and gave it to the chunky boss.

"You go and pay, and I'll find someone to send it for inspection." After Zhou Litao finished speaking, he called for the escort and another doctor to send Liu for inspection.

"What are you doing to check and spend money." Da Liu's younger brother snatched the CT application form, shredded it, and said, "I did one after another, but it's not the same in the end. My brother is the one who made this together! "

This is the most basic nonsense. Zheng Ren has seen it a lot in Haicheng, and he has long since seen it.

Zhou Litao said very seriously: "The patient, that is, your brother, is now thinking that it may be a cerebral hemorrhage. If you don't do CT, if something happens to someone, you will bear legal responsibility. This is intentional homicide!"

"You..." Da Liu's younger brother still wanted to argue.

"If there is a camera, we will also have a record of what we say. If you don't agree, if something really happens to your brother, you will definitely be thrown into prison. This is intentional murder!" Su Yun deliberately said nonsense to scare Da Liu's younger brother. .

Hearing what Su Yun said, his momentum suddenly became discouraged. Staring at Zhou Litao and Su Yun pretending to be vicious, then he pointed his fingers wobbly twice, and turned away without saying a word of cruelty.

Zhou Litao didn't care, he went back and opened another order, handed it to the chubby boss, and asked to do CT. In addition, he specially told the emergency doctor who went with him to send him directly to neurosurgery if there was bleeding.

After everyone left, the emergency department was temporarily quiet.

Because the doctor in the emergency department sent Da Liu for examination, Zhou Litao was responsible for visiting the doctor.

At this time, it is not very busy, there is a doctor inside, and Zhou Litao is not needed for the time being.

"Boss Zheng, Brother Yun, how did you guys have time to come down?" Zhou Litao asked.

"We know the patient, the chef in a restaurant who always goes to eat." Su Yun said: "Who would have thought of a brain hemorrhage."

"It's better than mental illness." Zheng Ren said.

"Fortunately, Boss Zheng came down, or he almost missed it." Zhou Litao was a little scared and smiled, "I had a physical examination when I came, and there was really no mydriasis. Moreover, the patient had no history of trauma, and his blood pressure was not high. I didn't think about the brain hemorrhage."

"I know." Zheng Ren said: "Subdural hematoma can occasionally be seen in patients with minor trauma. The emergency department asks patients to watch because they are worried about such a problem."

"Symptoms only occur in three to three weeks, sigh." Zhou Litao sighed, the emergency department is difficult to do, which is reflected in this.

The patient's family members are unhappy if the examination is done too much, and if the examination is done too little, the patient's symptoms suddenly change, and the patient's paws are immediately numb.

Like Da Liu, judging from the chief complaint, it is obvious alcoholism and epilepsy psychomotor seizures. There is a diagnosis in a mental hospital, and the family refuses to do a head CT. The possibility of misdiagnosis has soared to the sky.

If it wasn't for Zheng Ren to take a look, I'm afraid that Da Liu would have a brain herniation soon.

When the surgery is done, the effect will be much worse.

...

...

Note: When going out of the emergency room, we often encounter family members of patients who refuse to be examined. I also have a mild obsessive-compulsive disorder. When I encounter this kind of thing, the pessimism spreads after the patient leaves, for fear that something will happen. It's very... tormented...