I Can See Health

Half past nine in the evening.

A middle-aged woman walked into the doctor's office in the endocrinology area 2.

She held a brown paper bag in her hand.

"Is Dr. Min, the doctor on duty, here?"

Min Ling looked back.

"I am."

"I am the mother of the patient Lu Lucy who just came." The middle-aged woman walked up to Min Ling and put the cowhide bag in her hand on the table. "This is her medical record from the county hospital two months ago. I Bring them all over.”

Min Ling nodded.

"Okay, leave the medical records with me first and return them to you after reading them. You can go back to the ward first."

The middle-aged woman pursed her lips, looking like she was hesitant to speak.

"Is there anything else?" Min Ling asked doubtfully.

The middle-aged woman paused and asked, "Dr. Min, is my daughter's condition serious now?"

Min Ling looked serious and said in a deep voice: "Currently, it seems that until the cause is found and the hypokalemia is not completely resolved, patients are at risk of malignant arrhythmia and even sudden death at any time."

The middle-aged woman's face darkened, she sighed, and then said, "Thank you doctor, I understand."

…

After the middle-aged woman left the ward.

Min Ling sat with Lu Chen and looked up the patient's past medical records.

This medical record is from when the patient was hospitalized in the local county hospital two months ago.

At that time, the girl was admitted to the hospital because of "limb weakness."

After admission, relevant examinations were completed, and the results reported: potassium ions 2.3mmol/l, and residual ions were generally normal.

AST212U/L, creatine kinase 929U/L, the other two isoenzymes are about 5 times higher than normal, but not as obvious as this one.

Continue looking through the medical records.

The girl's blood pressure was normal, her thyroid function was normal, her complement, immunity, anti-nuclear antibodies, and everything imaginable were checked, and there were no abnormalities or roughly normal.

First of all, blood pressure is normal, which basically rules out diseases such as primary aldosteronism and pheochromocytoma.

Secondly, thyroid function was normal, ruling out thyroid myopathy.

"Hey, why are the test results normal?" Min Ling exclaimed, "This shouldn't be the case. There must be a reason."

Turn the medical record to the last discharge record.

Lu Chen noticed that the discharge diagnosis given by the county hospital was that the cause of hypokalemia was yet to be investigated.

At the same time, it is recommended that higher-level hospitals further seek treatment.

After reading the entire medical record, Lu Chen couldn't help but sigh, what a strange patient!

"Teacher, can you tell the cause of the patient's illness now?"

Min Ling shook her head.

"Except for muscle enzymes, other indicators are normal. We can only recheck the previous tests to see if there are any laboratory errors. Secondly, we can improve other laboratory tests, such as 24-hour urine potassium, etc."

"However, according to literature reports, about 1/3 of patients with hypokalemia cannot find the cause in their lifetime, and they are all called idiopathic hypokalemic peripheral paralysis."

"For the time being, we're just raising the potassium level, and we'll slowly investigate the cause of low potassium in the future."

Lu Chen nodded. It seemed that this was a very difficult patient.

"Doctor, it's time to check your blood sugar before going to bed."

At this time, the nurse on duty walked into the office and said.

Lu Chen was stunned, what did she say?

Do you want to test your blood sugar again?

Min Ling noticed Lu Chen's doubts and coughed lightly.

"Xiao Lu, you do need to test your blood sugar before going to bed, but many patients are asleep, so there is no need to test the patients who are asleep."

"Okay." Lu Chen said helplessly, it was time to poke his finger again.

Lu Chen held a blood glucose meter and a treatment tray, preparing to measure the blood sugar of all diabetic patients in the ward.

"Hey, wait a minute." Min Ling suddenly stopped Lu Chen.

Lu Chen looked back at Min Ling in confusion.

"Xiao Lu, you have to test your fasting blood sugar at six o'clock tomorrow morning." Min Ling smiled.

Lu Chen: "..."

ah? There was actually one more time, poke, poke, poke!

…

Walk into each ward with a blood glucose meter in hand.

Test blood sugar for diabetics who are not asleep.

Lu Chen could clearly feel that he was getting better and better at measuring blood sugar levels.

Before, I was a little afraid of hurting the patient, so I was cautious every time and didn't dare to use force.

But the more this happens, the harder it is for blood to come out, and a second prick will be necessary.

Double the pain!

Now Lu Chen is hitting the nail on the head!

Many patients were asleep at night, so there were not many patients testing their blood sugar.

It only took Lu Chen less than twenty minutes to transfer the entire department.

It was already ten o'clock in the evening.

Back to the doctor's office.

"Xiao Lu, it's getting late, you should go to the duty room and sleep." Min Ling said, "The nurse will check the blood potassium of the patient with hypokalemia just now in an hour. If there is any problem then, I will deal with it. "

"Okay, teacher." Lu Chen nodded.

While he was measuring blood sugar just now, he checked all the patients again.

Except for the "hypokalemia" patient who was just admitted to the hospital, everyone else's health value was above 60!

Lu Chen came to the graduate student duty room, took off his white coat, took out a bottle of mineral water from his bag, and started gulping down it.

After undergoing a rescue operation tonight, Lu Chen was a little tired.

And he has to work the day shift tomorrow morning, so he really needs to go to bed early.

However, before going to bed, Lu Chen habitually entered the system space and continued to practice pericardiocentesis.

Even though he was very proficient and even had a success rate of close to 95%, Lu Chen could learn some tricks from every training session, but the 80% completion rate never changed.

Slowly, Lu Chen began to fall asleep.

…

3am.

"Bang...bang...bang"

Lu Chen was woken up by a rapid knock on the door.

open the door.

The night nurse stood at the door.

"Doctor Lu, bed 31, the patient's blood sugar is 3.4mmom/L, he has been dizzy and has cold sweats."

"Let her eat some sweets or snacks quickly. UU Reading www.uukanshu.net "

"She refuses to eat."

Lu Chen picked up the white coat on the table and quickly put it on.

"Let me go see her."

…

Bed 31 is an old woman.

I was admitted to the hospital recently because I was diagnosed with diabetes and my blood sugar was extremely high. My fasting blood sugar reached 25mmol/L.

So she never dared to eat more food.

I didn't have dinner tonight, but I took my insulin as usual.

I suddenly became hypoglycemic in the middle of the night.

"Mother-in-law, you have to eat. If you don't eat, you won't be able to keep up with your nutrition, and you'll be prone to hypoglycemia." Lu Chen advised.

"My blood sugar is so high, I'm prone to stroke!" The old woman was stubborn. "My wife has high blood sugar, so she suffered a stroke."

"Mother-in-law, sometimes the harm of hypoglycemia is more serious than hyperglycemia!" Lu Chen said.

"Hypoglycemia means that there is no blood sugar supply to human brain cells, and it is easy for ischemia and hypoxia, leading to coma!"

"Once this person falls into a coma, he will definitely not be able to wake up!"

When the old woman heard this, she hesitated.

"real?"

"Mother-in-law, I'm a doctor, why should I lie to you?" Lu Chen couldn't help but smile, "You are older, and sometimes your blood sugar is a little higher, which is not a big problem. I'm just worried that if your blood sugar is low, you might fall into coma. Well, that’s not good!”

"Well, can I eat then?"

"Of course I can eat. Just do some regular exercise." Lu Chen smiled.

"Okay, then, I'll eat some."

The old woman hesitated for a long time, then finally relaxed, picked up the bread on the table, and took a few bites.

"Ding, congratulations, I received a +1 thank you from Cao Yulan!"