755 Stacking
Three minutes later, the patient stopped twitching and the symptoms of abdominal epilepsy improved. He lay on the flat car and started to retching, vomiting violently but couldn't vomit anything.
Boss Chunxiao asked next to Zhou Congwen, "Doctor Zhou, this is what happens when it is usually done."
Zhou Congwen said nothing, just looked at the patient silently.
Boss Chunxiao was a little surprised, "Doctor Zhou, why do I feel something is wrong?"
"Well, there is something wrong. The patient's symptoms are typical abdominal epilepsy, but I still think something is wrong." Zhou Congwen said softly.
His voice was a little vague, as if he was talking to himself, asking and answering questions.
After struggling for about ten minutes, the patient was slightly healed. He lay on the flat car like a fish thrown on the shore, trying to breathe, but the air he breathed in was not enough for him.
"Let's go." Zhou Congwen said.
Boss Chunxiao wanted to ask something, but he still held back at Zhou Congwen's expression and took the patient straight to the EEG room.
Because there was an episode, the changes in the brain waves were obvious. The EEG showed moderate abnormal EEG and the EEG topographic map, indicating that the slow wave of EEG increased, which was obvious in the right frontal lobe.
"It can be basically confirmed that it is abdominal epilepsy." Zhou Congwen and other patients said to the patient's family after the examination.
"What epilepsy?" asked a family member of a patient in suspicion.
"Abdominal type is the main symptoms of abdominal pain, not like normal type epilepsy."
Explained to the patient's family, Zhou Congwen would rather use the word epilepsy.
"Impossible." The patient said while lying on the flat car, "How could I get epilepsy?"
Zhou Congwen pressed the vague discomfort in his heart and turned to the patient and said, "There is indeed a change in the EEG. This kind of examination is not available in our Jianghai City. If you doubt it, you can go to a higher-level hospital in the Imperial Capital."
"How come you are so epilepsy!" The patient suddenly sat up and grabbed Zhou Congwen's collar and shouted angrily.
In Jianghai City, the word epilepsy actually means swearing, and no wonder the patient is very angry.
Zhou Congwen wanted to take a step back, but he had been prepared for the 2.0 and 3.0 years after experiencing medical disputes.
But just as the patient sat up and scolded him angrily, Zhou Congwen suddenly smelled a strange smell.
He frowned and stopped, and did not retreat, but focused on the patient.
"What are you doing!" Boss Chunxiao's reaction was a little slower, but he rushed up to break up the fight as soon as possible.
"Don't move!" Zhou Congwen said loudly, shocking both Boss Chunxiao and the patient.
"What a kid!" A patient's family behind him thought they were going to fight, and a troll from society arose.
"To fight?! Are you fucking..."
"Shut up!" Zhou Congwen shouted in a deep voice.
The patients had many families, so they were not afraid. They were just startled by Zhou Congwen's scolding, and then they were eager to prepare to come up and give Zhou Congwen a moment.
"Have you eaten something special recently?" Zhou Congwen grabbed the patient's wrist and stroked his fingers through his wrist. The reactions of 24 passing tendons were clearly transmitted to Zhou Congwen's mind.
I have made progress. When I was just reborn, I felt that I was not as obvious as it is now. Zhou Congwen was a little distracted.
The patient's wrist tendon was pulled, and he let go of his hand and looked at Zhou Congwen in a daze.
"What do you want to ask you? This kind of stomachache was three to six months ago, including now, what have you eaten?" Zhou Congwen continued, "The kind I haven't eaten before."
"ah?"
"If you ask you, hurry up." Boss Chunxiao raised his hand and slapped the patient on the head, but Zhou Congwen said that he had epilepsy. Boss Chunxiao temporarily turned the direction and slapped him on the shoulder.
"Well……"
The patient was a little confused and hesitated.
"You have a strange smell in your mouth, and I highly suspect it is another disease." Zhou Congwen said seriously, "Have you eaten something you haven't eaten before? I'll ask again."
A few seconds later, the patient said angrily, "What I eat does not matter to you!"
"You may be poisoned." Zhou Congwen said calmly.
“…”
“…”
“…”
The patient, the patient's family, and the boss Chunxiao were stunned when he heard Zhou Congwen say this.
Poisoning?!
This word only appears in TV series. How could ordinary people have the opportunity to come into contact with such strange things?
"Doctor Zhou, what's going on?" Boss Chunxiao was the first to recover, and he asked quickly.
"I suspect it is heavy metal poisoning, which may be related to what you eat." Zhou Congwen said, "Think slowly, now go back to collect blood, I will check the content of heavy metals."
"I didn't eat anything special, it was just home-cooked meal."
"Where is the medicine?" Zhou Congwen asked.
"Uh..." The patient hesitated for a moment.
"You already have a smell in your mouth, which is a manifestation of chronic lead poisoning. If you drag it down, you will see blue lines, which means you are terminally ill and have no cure."
Zhou Congwen began to scare the patients.
"I... did take some medicine." The patient whispered to Zhou Congwen, "It's nothing."
"Please take the medicine, let me see." Zhou Congwen finished speaking firmly and made a gesture to ask the patient's family to carry the patient onto the flat car and return to the emergency department.
The result of the blood test was Zhou Congwen called Director Han and urged him to leave as soon as possible.
After the results came out, Zhou Congwen realized it.
The blood trace elements show that the blood lead value is 634.0gL and the cadmium element has an increase of 8.8gL. They all have different degrees of increase. The arsenic element needs to be checked specially, and there is no result in urgent need.
The patient said that his fate was good, but he could say that his fate was bad. He had abdominal epilepsy, and Zhou Congwen's judgment was correct. Before, abdominal epilepsy also occurred occasionally, and the patient thought it was caused by his poor gastrointestinal function.
Because the attacks are not frequent and the symptoms are not severe, the patient directly ignores this point.
This time, I took some unknown drug orally, and the drug contained heavy metals. Heavy metal poisoning showed abdominal cramps induced abdominal epilepsy.
The two diseases are combined into one, and even Zhou Congwen almost misdiagnosed.
After seeing the test, the family members of the patient who understood the truth stopped talking, and Boss Chunxiao proudly scolded the young man who was about to make trouble.
The patient was admitted to the gastroenterology department to detoxify treatment. The next thing was not included in Zhou Congwen. It was enough to have a clear diagnosis. It was just chronic lead poisoning. If the source was cut off, the lead was treated with disodium ethylenediaminetetraacetate.
After a while, the arrangement was finally completed. Zhou Congwen was very satisfied with the patient.
I have a little more clinical experience. Zhou Congwen has never seen patients with chronic lead poisoning and abdominal epilepsy symptoms superimposed.
Chapter completed!