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AliNovel > Sleepless Doctor > Chapter 424

Chapter 424

    "Child? Are you still alive?" asked Wu Mian.


    In the old society, many people could not afford to feed their children, so they put their children at the door of large families or in places with a large flow of people, hoping to be picked up by kind people.


    In farewell my concubine, Cheng Dieyi, played by Zhang Guorong, adopted an apprentice. That''s how he came.


    With better living conditions, such things happen less and less. If you can''t afford to eat, who is willing to throw out the biological flesh and blood of October pregnancy and one day delivery and listen to fate.


    This kind of thing is not uncommon in hospitals. Generally, children have congenital diseases and are abandoned by their families. At least the doctors and nurses in the hospital are more likely to live with the spirit of saving the patient.


    Wu Mian''s question has its internal logic. He has also seen several abandoned children in the imperial capital.


    "I''m angry, but I don''t cry or make noise, and my eyes don''t open." Taoist Lin said sadly, "little martial uncle, I doubt it''s a vegetable."


    “……”


    Wu Mian sighed. No wonder.


    There may be an accident during delivery, resulting in brain hypoxia or other accidents, and the child has become a vegetable.


    He put on his clothes and said, "take a look."


    Chu Zhixi nestled in the quilt and said bleary eyed, "brother, why are you going?"


    "Go to sleep." Wu Mian touched Chu Zhixi''s long fluffy hair. Chu Zhixi was "unconscious" and fell asleep again.


    The girl has a good sleep. Wu Mian is very envious.


    Out of the door, I saw Taoist Lin wearing a T-shirt and shorts instead of a Taoist robe. He was a little thin and looked like an old farmer.


    "Little martial uncle, I think it''s Lin Yun," Taoist Lin said. "After adopting Lin Yun, I knew something similar would happen sooner or later."


    Wu Mian nodded. It was inevitable, sooner or later.


    In the dark night, driving the battery car to the mountain, the wind was a little cold. Taoist Lin was trembling. Wu Mian had to let him stop and drive by himself. Otherwise, Wu Mian was afraid that Taoist Lin''s hand would slip and drove into the bottom of the mountain.


    "Lao Lin, you''re wearing too little," said Wu Mian.


    "Hurry." Taoist Lin completely lost his immortality. "I thought someone would send the child early in the morning. In fact, it''s nothing to feed several children, but little martial uncle, you say a vegetable, can the child live?"


    "Don''t make a diagnosis first. I''ll take a look," said Wu Mian. "It''s a vegetable. It''s OK to say, don''t die of brain."


    "Er, is it different?" Taoist Lin was stunned and then said, "little martial uncle, you drive slowly, the wind is strong."


    "Lao Lin, you really should go back and learn again."


    "Little martial uncle, I''m old enough to learn." Taoist Lin held Wu Mian''s waist and pasted it hard. Although it''s awkward, little martial uncle is really warm.


    "In addition to retaining some instinctive nerve reflexes and the ability to metabolize matter and energy, vegetative people have completely lost their cognitive ability, including their cognitive ability to exist, and have no active activities. It is also called vegetative state and irreversible coma." Wu Mian explained while driving a battery car.


    "This is brain death."


    "No. the brain stem of vegetative people still has the function of digesting and absorbing nutrients when delivering them to the body, and can use these energy to maintain the metabolism of the body, including breathing, heartbeat, blood pressure, etc." Wu Mian continued, "Vegetative people can also produce some instinctive reactions to external stimuli, such as coughing, sneezing, yawning, etc. but the body has no consciousness, perception, thinking and other human unique high-level neural activities. The EEG shows a stray waveform."


    "Patients with brain death refer to the death of the whole brain, including the brain stem. Those with brain death have no spontaneous breathing, and the EEG is in a straight line."


    "It''s so complicated. We people all think it''s the same thing." Taoist Lin laughed and sat down to be the people''s business, so as to save Wu Mian from urging him to read.


    "But you can''t treat you as a common people." Wu Mian said with a smile.


    When passing by the pavilion, you can see light in the cellar, with a trace of warmth in the dark.


    "Little martial uncle, can I keep the black bear?" Taoist Lin suddenly asked.


    "Lao Lin, you can''t do this when you die." Wu Mian said without hesitation, "the wild nature is difficult to tame. It''s really powerful for you to take a black bear, but what if you hurt someone?"


    "I just ask casually." Taoist Lin hehe smiled twice.


    "Don''t think that guy is honest. If it weren''t for the gravel, I think the operation must first use an anesthetic gun to make him honest."


    "Yes, yes, little martial uncle, slow down. I''m frozen."


    "It''s only the end of August."


    "Just after the rain, it was cold. Fortunately, at the end of August, the child was almost frozen. Another month later, it is estimated that the child will be dead by the time it is found."


    When she came to the house of Taoist Lin in the front mountain, Mingyue was at a loss holding a child a few months old. Lin Yun was more interested in the child and looked around Mingyue.


    "Let me see." Wu Mian stretched out his hand, took the child from the moon''s arms and looked carefully.


    1 second


    5 seconds


    10 seconds


    30 seconds


    Taoist Lin felt that little martial uncle was holding the child to face, not checking his body. There is no such examination. The neurology department always takes a percussion hammer to knock left and right.


    "Little martial uncle, what are you doing? Is the child hopeless?" Taoist Lin asked.


    "Check your body."


    "Check with your eyes? Visual examination?" Taoist Lin was a little afraid. He was afraid of the child''s death and the trouble at home after the child''s death. He said that the Taoist temple killed him. Although this possibility is unlikely, Taoist Lin is still a doctor''s thinking, and he can''t help thinking so.


    "Periodic Cheyne Stokes respiration is seen in bilateral hemispheric diseases or diencephalopathy."


    "Irregular breathing patterns, prolonged or ataxia inspiratory, are seen in lesions in the lower pons or upper medulla oblongata."


    "Hyperventilation usually reflects metabolic or lung diseases, but sometimes it also reflects damage to the upper pons or midbrain."


    "This is part of the physical examination. Don''t talk nonsense if you don''t understand." Wu Mian held the child and sighed after observing it carefully for nearly 3 minutes.


    "Is it a vegetable?" Taoist Lin asked with his arm in his arms.


    Wu Mian ignored Taoist Lin, then put the child on the bed and took a look at his bilateral pupils.


    In hypothalamic disease, pons disease and narcotic drug poisoning, the pupil shrinks but the light reflex is preserved.


    When the midbrain is damaged or serious excessive hypnotic poisoning occurs, the pupil is of medium size and the reflex disappears. When hypoxia or oculomotor nerve is compressed, the pupil expands.


    Pupillary response is normal in most cases of metabolic diseases, hemispheric diseases or disappearance of psychogenic consciousness response.


    "Lao Lin... Mingyue, do you have a syringe?" Wu Mian asked.


    "No." Mingyue didn''t know what to do and shook her head in a trance.
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