Sleepless Doctor - v2 Chapter 1132

　　 After the turning point, Wu Mian’s life became much more leisurely.

　　 There are many medical staff who come to support, and the working hours are not as long as before. According to the dean’s schedule, inpatients can always work 4 hours every two days, and other general medical staff can work 8 hours every two days.

　　 But Wu Mian insisted and brought the people on for 8 hours.

　　 This work rhythm is very relaxed, like the indentation carved on the face has been soothed for a long time, and it has basically disappeared when I go to work.

　　 After changing his clothes, Wu Mian and the night shift hospital staff handed over the shift.

　　Many days have passed, and the inpatients who are on duty always seem to be not used to the big yellow bunny ears on Wu Mian’s head. Every time I see them, I am shocked.

　　 “Mr. Wu, a patient has a migraine in the early morning. Take a look.” The hospital always led Wu Mian to a patient’s bed.

“Patient 47-year-old male, past history: He suffered head trauma 17 years ago and had a history of migraine for 15 years. Past migraines often occurred in the forehead and occiput. For frontal migraine, it usually starts from the left eye and the left eye Peripheral throbbing pain, with photophobia and blurred vision, but does not affect movement and language.”

　　 After a quick introduction of the patient’s medical history, the hospitalization always paused slightly.

　　 This medical history is incomplete. Migraines in the past often occurred in the forehead and occiput. He only talked about frontal migraine.

　　 Wu Mian watched the patient lying in the bed and fell asleep, and did not disturb the general report of the medical history in the hospital.

　　 Two seconds later, the hospital manager continued, “Occipital migraines often start on the left side, leading to unilateral severe throbbing headaches, radiating from the back occiput to the left forehead, and affecting language and motor functions.”

　　 “Is it forehead or occipital this time?”

　　 “Occipital.” The hospitalized general said helplessly, “Mr. Wu, I feel that the patient’s medical history is incomplete and subjective.”

“How to say?”

　　 “Does migraine headaches affect language and motor function? And it is transient.”

　　 “It’s possible.” Wu Mian nodded slightly, the yellow bunny ears trembling slightly.

　　 “…” The hospital manager was quite sure that the patient had hypochondriasis or acting tendencies, but he never expected such an answer from Wu Mian’s mouth.

　　 She knew Wu Mian’s identity and origins, and did not question her, but remained silent.

　　 “I remember you are a doctor of gastroenterology, right?” Wu Mian asked.

“Yes.”

　　 “It’s normal if I don’t know.” Wu Mian said, “If the patient’s statement is correct, this situation is called hemiplegic migraine.”

　　 “Transient?”

“Well, if it is a good diagnosis in the family, because the elders in the family have similar medical history.” Wu Mian explained very simply, “This patient’s condition is diagnosed as non-familial hemiplegic migraine, and the specifics need to be dialectical. Patient. What was done after the symptoms appeared?”

　　” At 4:10 in the morning, the patient woke up and found moderate pulsating pain in the left occipital area, radiating to the left forehead area, photophobia, blurred vision, nausea, and standing instability.

　　 At that time, he was given oral sumatriptan, propranolol, ibuprofen and acetaminophen and then went to bed again. “

　　 “Okay, I wrote down this patient.” Wu Mian nodded, “Go see other patients.”

　　The hospitalization is always full of suspicion, and after taking Wu Mian to see a few heavier patients, he still suggested, “Mr. Wu, or transfer the patient to a designated hospital.”

　　 “What are you going to do?” Wu Mian asked, “Nowadays there are fewer neurology doctors, and they can’t go to the specialized neurology ward.”

　　 Talking, Wu Mian beckoned: “Girl, come here.”

　　 Chu Zhixi ran over.

　　 “Brother, what’s the matter?”

　　 “There is a suspected non-familial hemiplegic migraine patient, you go and watch.” Wu Mian told Chu Zhixi the bed number, and went straight back to the hospital desk.

　　 “Ms. Wu, just look at it like this? Don’t…don’t delay things.”

　　 “Generally speaking, it will not be possible. The girl will watch and ask the medical history when the patient wakes up. If there is no problem, observe the patient for 1-3 days and the symptoms of hemiplegia will be relieved.”

　　 Seeing Wu Mian’s lighthearted words, the hospitalization always didn’t believe me. But she did not refute, nor did she change clothes.

　　 “After get off work, go back and rest.” Wu Mian reminded him when he saw that the hospital manager was staying, “The patient doesn’t need to be taken care of, there is no good way to treat it, just follow the previous treatment plan.”

　　 “In case…” I was a little hesitant to be hospitalized.

　　 “When it comes to in case, there is no good way. You can only monitor the vital signs. If it is not possible…” Wu Mian groaned.

　　 After a few seconds, the hospital always asked, “Where can I go?”

　　 “I can’t go anywhere.” Wu Mian shook his head, “If it doesn’t work, I will go to Jinyintan to get a nuclear magnetic field. Now nuclear magnetic machines should not be used frequently.”

　　 There is nothing to say about being hospitalized.

　　 Before taking over, her heart was swollen, but she didn’t know where to transfer the patient.

　　If I was in the past, I would definitely seek consultation with a neurologist at the first time, or treat symptomatically, or transfer to NICU. But now in the Fangcang shelter hospital, she can only do what she can.

　　I really had enough headaches when I met such patients in the Fangcang shelter hospital.

　　 “You want to stay and watch the patient?” Wu Mian asked.

　　 “Uh…I want to see, I haven’t seen it.” The hospital always said.

　　 Wu Mian knows that the hospitals who come here are doctors who are about 40 years old and are at the level of professors and associate professors in large tertiary hospitals. They have already had a set of their own medical treatment and treatment theories, and they will not be able to reverse it for a while.

　　 This doctor must be worried that the patient’s condition will be delayed, and OCD is committed, and she cannot sleep without consultation in the whole hospital and doctor’s advice from a specialist ~ www.mtlnovel.com~ Even if she has to get off work, she will be worried in her heart.

　　 “Okay, don’t be too tired, the patient will not get better in one day.” Wu Mian said.

　　 The hospital always nodded. She glanced at Wu Mian, her big yellow bunny ears flickered, and she looked very unfocused.

　　 This is hemiplegia! What if there is a problem with the brain stem? ! What if a patient dies suddenly in a shelter hospital? ! I’m always worried about being hospitalized.

　　 She did not get off work, but came to the bed with fatigue.

　　 Chu Zhixi was wearing protective clothing and a blue disposable surgical gown outside. She sat in front of the patient’s bed and watched the monitoring.

　　 “Hello, are you a doctor or a nurse?” The inpatient always asked politely.

　　 “Are you the teacher on duty last night?” Chu Zhixi stood up, “Why haven’t you gotten off work yet?”

　　 “I am a little worried about the patient, you are a nurse, do you know what this patient needs to pay attention to?” the hospital manager asked.

“No, I am a neurosurgery doctor.” Chu Zhixi said with squinting eyes, “Non-familial hemiplegic migraine, please rest assured, the patient is now stable with vital signs, temporarily observe the changes in the condition. When the patient wakes up, I will again Asking the medical history once will not delay the patient’s treatment.”

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