"Mr. Wu, here you are." Matthew was polite and respectful, not like the Dean, but like a subordinate doctor.


    "Horse yard, hard work." Wu Mian turned off the car, walked down and bowed slightly.


    "This is Director Zou of the medical department of the first hospital." Matthew said, "old Zou, this is Mr. Wu. You always talk about meeting one day. Don''t you have a chance."


    "Hello, Miss Wu." Director Zou politely stretched out his hands.


    "Director Zou, it''s hard for you to go home so late."


    After a brief exchange of greetings and politeness, Director Zou knew that Wu Zhongtai was there. Wu Mian must first talk about business here. He said, "now the patient is in stable condition. 400ml dark brown and" coffee residue "gastric contents are extracted from the gastric tube. Now the patient is treated with normal saline, vancomycin, cefepime and metronidazole. There are symptomatic treatments such as hemostasis and acid suppression."


    "I''ll look at the eye medical record first, and then the patient." Wu Mian nodded.


    "The directors of each department didn''t leave. They are waiting for you." Director Zou said.


    "Huh?"


    "Mr. Wu, we consulted the patient for nearly 2 hours and didn''t find out what the reason is." Director Zou said frankly, "everyone is also curious and wants to see your diagnosis."


    If you change others, there will inevitably be pressure under fame. The greater the reputation, the greater the pressure. But Wu Mian doesn''t feel any pressure. This situation is common and has long been used to it.


    When they came to the Department of Gastroenterology, a dozen doctors in their forties and fifties stood up and greeted Wu Mian.


    "Sorry, teachers, I''ll take a look at the medical records first." Wu Mian was going to take a look at his old man first, but in front of so many directors and professors, he was going to take a look at the medical records first.


    "Brother, I''ll see the patient." Chu Zhixi blinked, took the insulated lunch box and cup from Wu Mian''s hand and said.


    "Go." Wu Mian is familiar with this process. In a sense, Chu Zhixi is his eye.


    Seeing Chu Zhixi greet a female doctor of similar height to go out, Wu Mian sits in front of the computer with a smile.


    The chief complaint and former director Shi Zou have read it, and Wu Mian remembers it very clearly. After a glance, continue to look at the patient''s current medical history and treatment process, as well as various test sheets.


    Physical examination showed that the body temperature was 36.7 ° C, the heart rate was 108 beats, the blood pressure was 16196mmhg, the respiratory rate was 22 beats, the oxygen saturation was 98%, the weight was 55.4kg, the height was 162cm, and the body mass index was 27.5; The patient appears restless and anxious


    Wu Mian almost swept through the medical records and laboratory test values. His right index finger slid on the mouse pulley and the medical records brushed down.


    Director Zou frowned slightly. What can you see?


    Urinalysis showed that the urine was slightly turbid with trace ketones, and the rest were normal; ECG showed sinus tachycardia and left atrial enlargement; Chest X-ray showed no abnormality; Plain CT scan of the head did not show intracranial hemorrhage, mass or stroke.


    After hospitalization, the patient was treated with folic acid, multivitamins, intravenous normal saline, thiamine and lorazepam.


    After 10 hours, the laboratory examination was performed again, and the indexes were normal.


    After admission, the patient was given phenobarbital in a gradually decreasing dose to control alcohol withdrawal syndrome. After phenobarbital treatment, tremor, hallucination and tachycardia were reduced, but alcohol craving persisted.


    According to the description in the medical record, remission is a typical alcoholism and withdrawal syndrome. It is said that hospitalization in the first hospital of Medical University is not appropriate, but domestic hospitals are basically general hospitals, and the strength of psychiatric hospitals is very weak. Wu Mian understands this.


    Put it in the first hospital of Medical University for treatment. After the problem of alcoholism is solved, you can transfer to a mental hospital for treatment of alcohol dependence.


    Here, the treatment is routine and effective, and the patients recover quickly. The problem was that last night, when Wu Mian saw this period, the speed did not slow down, but still passed in a flash.


    As Director Zou described, the patient was in good condition last night and was ready to be discharged the next day. But suddenly began to worry, chatted and quarreled with other patients in the ward and their families, and then went to the doctor.


    When patients and doctors nag, they suddenly become unconscious, drowsy, extremely poor reactivity and so on.


    At that time, the doctor first considered the hypoglycemia caused by fasting water for a long time. At that time, the measured peripheral blood glucose was 8.4.


    Physical examination showed that the tachycardia was 107 minutes, the respiratory rate was 30 minutes, the blood oxygen saturation was 95% under oxygen inhalation, and there was new abdominal distension but no tenderness; No tremor, seizure, urinary incontinence or tongue bite was found.


    Weird.


    After reading a series of reports, Wu Mian tapped his fingers on the mouse pad.


    There are many problems, and the only possibility to solve them perfectly is to drink a lot.


    "Did you get the video surveillance?" Wu Mian asked in a deep voice.


    "Miss Wu, it''s changed." Director Zou said, "my staff watched the video surveillance in 48 hours. The patient didn''t even walk around except going to the bathroom."


    So lazy... Wu Mian seems to see Taoist Lin''s father. But Lao Lin has his own reasons, not just laziness.


    Director Zou''s words prove one thing - patients have no chance to sneak out to drink or buy wine.


    In this case, we can only start from our own diseases.


    I''ve made a differential diagnosis with the girl in the car. What else can it be? Wu began to collect a large number of relevant literature and his own experience in the database of his mind, and compared them with each other.


    "Brother, I took a look at the patient." Chu Zhixi came back at this time. Wu Zhongtai stopped at the door and looked at the directors of the room standing in surprise. Only his son was sitting in front of the computer.


    "Yes."


    "There is no abnormality in the neurological examination. The patient is in a typical alcoholic state. He is thin, irritable, speaks vaguely, and there is a small amount of old blood in the gastric juice from the gastric tube."


    Chu Zhixi simply reports the results of physical examination, and Wu Mian ponders.


    After experiencing the mountain fire, Wu Mian rarely asked Chu Zhixi to check his body and see patients instead of him. However, this practice has been deeply rooted in their bones and inadvertently revealed.


    "What do you think?" asked Wu Mian.


    "Alcoholism is also caused by a large amount of alcohol, accompanied by gastric bleeding," Chu Zhixi said with certainty.


    Director Zou frowned and said in a deep voice, "the patient didn''t go out to buy spirits, and the medical alcohol in the Department was also checked and not lost."


    "Let me see," said Wu Mian.


    "Xiao Mian." Wu Zhongtai waved at the door.


    "Dad, you come in and say," Wu Mian stood up and said seriously, "Dad, you were in the hospital a few days ago and talked about the daily life of patients."


    Matthew walked forward for the first time. Although he didn''t reach out to help Wu Zhongtai, he showed more respect than when facing Wu Mian.