(Thanks to Wuailin, the prodigal son Wuxin for his monthly ticket encouragement)

"Bunzi, what's wrong with you?"

Ma Liming, who was approaching, also discovered that something seemed wrong with Wang Chao.

"He is going to be able to take on a great task. In a sense, his identity needs to change some changes, so he is a little excited." Liu Banxia said.

"Oh? I didn't see it. Our buns also show their faces. Do you want to be promoted?" Ma Liming became even more curious.

"There is no promotion, but you have to be responsible for an amazing project. In a few days, you will take over the position of hospitalization. You will become the attending physician of our hospital next year." Liu Banxia spoke again.

Ma Liming blinked and looked at them suspiciously.

I always feel that something is wrong with this situation. Logically speaking, this is a good thing, but why does Baozi's face look like he is constipated?

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"Okay, you guys talk. I'll go to the side for a while. Chao, look at the time and go to see the director with Brother Hui." Liu Banxia said a word and ran away.

"Bun, you're not causing trouble, right?" Ma Liming asked.

"No, do you think I dare to cause trouble? I have always lived cautiously." Wang Chao said hurriedly.

"Then why are you so guilty? It gives me the feeling that you have done something shameful. Don't forget that I am a policeman and no bad guy can escape my eyes." Ma Liming said seriously.

"I really didn't. Didn't I hear Mr. Liu say that I'll still be responsible for the project then. This is not a joke. Are you here to see Dazhuang? You have recovered well in the past two days." Wang Chao said.

"Don't talk nonsense, that's my master. You just shouted casually? Let's go, reflect on yourself." After Ma Liming said that, she walked directly to the ward upstairs.

Wang Chao breathed a long sigh and felt even more confused. Did he be fooled by this guy Liu Banxia? Just two of them know this way, can it really work?

"We have to come on."

Wang Chao was still thinking about it, and Liu Banxianiao, who came over, said whisperedly, and then slipped aside.

Wang Chao looked at him resentfully, meeting bad people and making friends carelessly. Just look at the interns who looked at them, maybe this guy has already started gossiping.

Forget it, I’d better not think about it and prepare to explain the project to the director. This is indeed a big thing in my life, and it can be regarded as a phased success.

Liu Banxia was not idle either. There were still many patients yesterday. Even if he didn't have to go into the patrol room, he still needed to pass these cases.

At present, his hospitalization is always very worry-free, and it is also because of the strength of the general surgery team of the emergency center. Everyone can complete the work at hand in a timely manner and shoulder the responsibilities they should bear.

Otherwise, he wouldn't expect to sleep so well at night. He wouldn't stop wandering around every day, so he wouldn't have so much leisure time.

"Banxia, ​​let's take the time for me. The director should be done now."

While still seeing a case, Xu Hui came over.

"Okay, don't worry, it's time to go there. It will be completed in three days and half a month." Liu Banxia said with a smile.

"Let me lend you auspicious words and leave." Xu Hui said.

Liu Banxia stretched, it was pretty good. There were no patients in the internal medicine department. Xu Hui should have been doing it all, so he came over to call him.

Less than five minutes after sitting down, a couple led a little boy in their teens in his arms. The boy was in a very poor state of mind, as if he hadn't slept for several days, and had been yawning for the whole time.

"Are you Dr. Liu Banxia?" the child's father asked.

Liu Banxia was stunned and nodded, "I am Liu Banxia, ​​do you know me?"

"I have heard your name. Wang Xiaobo from our village doesn't sleep, you cured it, and my son doesn't sleep either." The child's father said hurriedly.

"Okay, you guys sit first, I'll see the situation." Liu Banxia nodded.

Comrade Xiaobo still has an impression of this, the patient who had nightmares as soon as he went to bed was actually a teratoma.

The young patient is 14 years old. His symptoms are that he cannot sleep at night and he actually wakes up. The course of the disease has been about half a month, from one or two times a night at the beginning to more than ten times a night at the moment, and he cannot have complete sleep at all.

"Have you ever been hit on the head? Are there any other symptoms? Have you ever had any other diseases?" Liu Banxia asked.

"It was half a month ago that he played football with his classmates and scrambled to the head. But it was nothing at that time. The next day was not the third day, and we found that he was a little uninspired." The child's father said.

"A few days later, I received a response from the school teacher. He likes to scatter in class, and doesn't listen to classes, and doesn't know anything when asked. Later, we found out that he often wakes up like a startle when he sleeps at night."

"We are too careless. We are a little busy, so we don't pay much attention to our children. We also checked in the hospital in our county. This is the film I took during the examination, and we said nothing."

"Later, Xiaobo found out about this and said that we would come here to find you. You can tell me that. Now the child is like this. He can't sleep well or eat well every day, and he will lose energy at all."

Liu Banxia nodded, "I can watch the film first, but it can only be used as a reference. If necessary, we will still need to do an instrument inspection."

"But something is wrong with you hiring my account. Normally, you should quit the neurology department first. I'll take a look. If it really doesn't work, I'll call the doctor from God to come."

"Thank you Dr. Liu, thank you Dr. Liu." The child's father said hurriedly and handed over the bag he was carrying.

Liu Banxia took a rough look at other test reports. She had been doing it for a long time and did not help much. He was more concerned about craniocerebral CT, which was taken eight days ago.

However, there was no problem in the craniocerebral CT.

"Do you feel uncomfortable after kowtowing?" Liu Banxia asked the child after putting down the film.

The child shook his head, "It just hurts a little, and then it's nothing. I sucked it when I went to bed at night, and I've had this before."

"But the more I thrust it, I either wave my arms or kick my legs. I just wake up suddenly and then can't fall asleep for a long time. Now I just fall asleep, I seem to wake up."

"So in terms of actions, for example, are there any physical incongruity? Do you think there are any activities that cannot be done when doing physical education classes?" Liu Banxia continued to ask.

The child thought for a while and shook his head, "I haven't been in physical education classes very much recently. I'm so sleepy during the day. When I sleep during the day, I will wake up like this suddenly. Once I shouted in class."

Liu Banxia nodded and quickly started to think about it.

Judging from the current performance of the child, there are some symptoms of night terrorist terror, but the possibility of organic brain lesions is not ruled out.

Moreover, after all, the child kowtowed too much, and it only showed the current symptoms after an accident. As for the child's mental depression, it can be explained that no one who has not had a stable sleep for such a long time will not be full of energy.

"Well, I still recommend a craniocerebral CT to see if there are any organic lesions in the brain." Liu Banxia said after considering it.

"Although your CT film does not show signs of edema or hematoma, and it has been so long, we need to give priority to delaying bleeding."

"Another situation is that the child's head has been hit, which may be affected by a concussion. He often shows insomnia, dizziness, headache, nausea, tinnitus, inattention, slow reaction, night terror, etc."

"It's like some of our children who see terrible scenes, often have nightmares at night, and wake them up, which is also a traumatic stress response."

"Doctor Liu, there are cases of slow reaction and inattention, but you mentioned no other symptoms. Is it really a concussion?" asked the child's father.

"Now I'm just two possibilities. If the CT result is negative, then I tend to have a concussion." Liu Banxia said.

"The treatment for concussion is actually very simple, and there is no need to take any medication. The brain will have a self-repair process. Moreover, the impact of concussion often disappears in about two weeks."

"Now there are two choices. Either go home and observe, or do a craniocerebral CT to see if there are organic lesions in the craniocerebral brain."

"Do you have a check-up, you can take a good look. Even if it is a concussion, I want the child to be hospitalized. Xiaobo said that he became ill when he was sleeping, and then you can see it." The child's father said without thinking.

"That's it. You guys first take a CT scan and let's study it after the film comes out." Liu Banxia nodded.

In fact, he is more inclined to concussion in his heart, but prolonged delayed bleeding is also something that needs to be considered. Even if the probability of occurrence is very low, it does not mean that there is no.

Rural areas are not as good as big cities. If a child in a big city kowtows, there is a certain chance that he will have a brain CT at that time, and it may directly give a diagnosis of concussion.

This is a very normal situation in rural areas. If you bump into the bruises, you will not run to the hospital as long as you don’t have a big bleeding.

It is also because of the magic of the brain. Concussions are also diverse in performance, and some people may show degenerative amnesia.

Moreover, it is not easy to do instrumental examinations for concussions. Even if you do an EEG, you will basically be negative.

The means of intervention are to give sedative drugs, drugs to improve autonomic nervous system, psychological counseling, reduce external stimulation, etc., but these seem to be unnecessary for this child.

The prognosis of concussion is very good, but it is a bit difficult during the attack period.

But he also had a big question mark in his heart. After all, the child has no headaches or symptoms of dizziness, which is contrary to the manifestation of concussion.

If it weren't for this, he wouldn't have given a CT.
Chapter completed!