The patient hummed softly and opened his eyes.
Tao Le and the nurses pushed the cart and ran towards the elevator entrance. Geng Hongwen also trotted beside him, asking the patient about the situation.
"The last menstrual period was probably on the 20th of last month." The patient replied: "Although it was a few days late, it has not been accurate in the past two years."
Geng Hongwen nodded. For middle-aged women in their forties or fives, irregular menstruation is a common thing and is nothing to worry about.
"So you and your husband have plans to have children in the near future?" Geng Hongwen glanced at Tao Le and asked one more question.
The patient shook his head: "It was late for me to have a child, and it was very difficult to take Beibei alone. His father wanted to have one, but I didn't agree."
So it was not the result of the joint efforts of the couple - there was one less reason to confirm Tao Le's diagnosis.
Geng Hongwen sneered in his heart, but his face remained calm.
"Then what underlying diseases do you have in the past? Are there any genetic diseases in your family?"
"I myself have chronic gastritis, and my mother has diabetes. I have been worried about it in the past few years," the patient tried to recall.
By this time, they had arrived in front of the elevator.
There were already many people at the elevator door, but when they saw the doctors and nurses pushing the carts, they all gave way.
Have a family history of diabetes. Geng Hongwen caught what he wanted to hear: "Did you have a normal lunch today?"
"Not really." The patient said weakly: "I took leave today to bring my child to the hospital for treatment. Beibei always has a stomachache recently."
Not having eaten, and having a family history of diabetes, the coma just now was most likely due to hypoglycemia.
Geng Hongwen completely threw Tao Le's judgment to the back of his mind. Of course, it would take a while to see the results of the blood sugar test, but he thought it was almost certain.
"You came to the hospital not because of your own problems, but because of your children?" Tao Le noticed the second half of her sentence and asked in surprise.
She hadn't taken a serious look at the girl Beibei, but now she did notice that her face was pale and her expression was a little tired.
She was so busy right now that she didn't have time to inquire carefully, so she opened the golden finger directly.
The interface is grass green, indicating that the child's problem is not serious, which makes Tao Le feel relieved.
"Age: 11 years old. Health value: 89
Cause: Functional abdominal pain 50%, element deficiency (calcium) 50%
Serum calcium 2.15mmol/L
Functional abdominal pain in children mainly refers to the frequent and unexplained abdominal pain around the umbilicus in the absence of organic disease.
This kind of abdominal pain is often related to psychological factors. In children's study and life, it often occurs when they are under a certain amount of pressure. It often does not require more treatment. As long as you relax and take more rest, it will naturally improve.
The problem of children's calcium deficiency is not serious. The normal serum calcium content is between 2.23mmol/L and 2.80mmol/L. Beibei is only slightly lower than the standard value. As long as a little supplement is provided, it can be raised quickly.
In contrast, the child's mother is hanging on by a thread and is in critical condition.
Not long after, the elevator arrived and a group of people sent the patient to the emergency department.
"Don't go to the emergency room yet, move to that bed." Geng Hongwen pointed to a bed in the emergency hall.
Tao Le helped move the bed, and then watched the well-trained nurse monitor the bed.
She was very anxious and could not express it more clearly: "Doctor Geng, this patient needs to go to the emergency room immediately. My acupuncture will not last long to stop the bleeding."
Before she could finish her words, she was interrupted by Geng Hongwen.
"Doctor Tao, it's not that I can't believe you. It's just that as I said just now, the emergency room is full now. To send her in, one person has to be moved out. This needs to be coordinated, right?"
"The patient relied on your report today to be discovered in time. I will explain it truthfully when I report this to the medical office - now that we are taking over, you can go back without worries."
"By the way, isn't that patient's daughter here for treatment? You just take her back and give her a good look so that the patient can treat her illness with peace of mind."
Although these words were gentle in tone, they were full of bones.
Tao Le naturally heard that Geng Hongwen was chasing people away.
In fact, what the other party said was right. This patient should be sent to the emergency room no matter what happened. Now that the emergency room is coming, there is really nothing wrong with her.
Emergency doctors have been through so many things. How can they still detect a small ectopic pregnancy?
Thinking of this, Tao Le took Beibei's hand and said to Geng Hongwen: "Doctor Geng, I'm sorry to bother you. You must hurry up."
The latter waved his hand, turned around, and said two words: "Don't worry."
As soon as Tao Le and Beibei disappeared, the results of the bedside monitoring came out.
Blood pressure is 89/60, heart rate is 115, and blood oxygen saturation is 98%.
With such low blood pressure, no wonder people fall into coma. Geng Hongwen was a little strange and asked the patient:
"What's your usual blood pressure?"
"It's always been 120/80." The patient's expression began to slump again, and it was obvious that he couldn't hold on anymore.
The patient himself has no problem with hypotension, so this sudden drop in blood pressure is very abnormal.
No matter what the reason is, fluids must be rehydrated immediately and epinephrine injected to prevent shock.
As soon as Geng Hongwen gave the doctor's orders, the nurse took blood from his fingertips and reported a blood sugar level of 5.8.
This fasting blood sugar is normal, and it won’t cause hypoglycemia and coma?
Could it be that it was really an ectopic pregnancy, and that little Tao Meng was pregnant?
He shook his head. It was simply impossible. The patient himself was not awake at that time, and he did not have any examination equipment. Who could come up with an accurate diagnosis?
There are many possibilities for coma accompanied by hypotension, such as anaphylactic shock, bleeding of internal organs, myocarditis, cardiomyopathy, heart failure, and acute myocardial infarction, all of which will cause the patient's current symptoms, so we need to be more careful. Check it out.
Geng Hongwen personally placed a deep vein catheter on the patient and started rehydration.
As the fluid replenishment continued, the patient's blood pressure quickly rose back to 100/65, and his energy level was much stronger than before.
"Have your family been notified?" he asked the nurse. Just now in the elevator, he had already asked for the contact information of the patient's husband.
"Notified. Her husband is on his way here. It will take about forty minutes to arrive. We can do whatever we want to do with the rescue. He will pay the money later."
It is a good thing to get the approval of the family members, but after all, the early medication and subsequent examinations did not get the signatures of the family members, so there is still the possibility of disapproval.
Xie Hongwen thought for a while and asked the nurse to report to the medical office. After receiving permission, he placed an order for color ultrasound.
The relationship between doctors and nurses is now tense, and things that can cause trouble should be avoided as much as possible.
I heard that big hospitals in Beijing and Haishi are equipped with bedside ultrasound machines, which is very convenient - but as a third-tier city in Yun City, even the best hospitals do not have such a thing.
The nurses were preparing to move the bed, but the filiform needles on the patient's wrists, legs and feet were a bit in the way.
The two moves of the bed just now, Tao Le silently exerted great force, so the others moved easily.
It's different now. The nurse asked: "Doctor Geng, look at this needle."
"Just pull it out." Geng Hongwen had almost forgotten about it.
If this was sent to the color Doppler ultrasound room with a needle, the doctor in the imaging department would laugh at him.
The nurses followed the instructions and pulled out the needles one by one, carefully threw them into the medical trash can, and then moved the patient to the bed in a hurry.
As soon as he got on the flat car, the patient suddenly tilted his head and passed out without warning.
(End of chapter)
