Medical indifference is a very serious adjective, which is completely different from the explanation in the dictionary.


    Indifference means early shock or damage to the nervous system and other rare conditions. If a screaming man pushes into the emergency flat car, the doctor won''t be very nervous. But if someone can open his eyes but doesn''t speak, the doctor will be quite nervous.


    The blood pressure is 9055mmhg and the expression is indifferent... When these two things are connected, director Li is in high spirits. His previous complaints were gone, and he felt his heart start to beat wildly.


    "Mr. Wu, I''m going to explain the situation to director Han." director Li eagerly secreted a large amount of adrenaline, resulting in muscle contracture and vocal cords, and said in a sharp voice.


    With that, he hung up and suddenly stood up.


    The rapid change of body position led to the change of blood pressure and cerebral ischemia. Director Li fooled the whole person. He put his hand on the table, held it steady for three seconds, and then walked out of the office quickly when it was better.


    Many patients sat at the door of the emergency internal medicine department. The surgeon was suturing. Director Li didn''t care about them. He hurried to the observation room with a mercury sphygmomanometer.


    "Director Han, how are you feeling now?" director Li asked in a deep voice.


    Han Guangyun opened his eyes and seemed to dislike director Li''s disturbing his sleep. He said unhappily, "I''m fine."


    "I''ll take your blood pressure again."


    "No," said Han Guangyun. "I''ve said it many times. I''m fine."


    Director Li observed carefully and saw that Han Guangyun''s voice was slight although his tone was firm. According to normal judgment, this is "the first recovery of a serious illness", which is not a major event.


    But it also makes sense if it is set on the indifference in the early stage of shock. The key is that there is no blood test results, everything can only be guessed.


    "Director Li, what''s wrong with Guangyun?" Han Guangyun''s lover asked.


    "I''ll take my blood pressure," director Li said involuntarily. He grabbed Han Guangyun''s hand and rolled up his cuff.


    "All said no!" Han Guangyun was a little angry. He thought director Li was over medical treatment and flattering himself.


    If you take out one tenth of the spirit of flattering yourself to see a doctor... Han Guangyun is more and more listless, and he doesn''t even have the strength to be angry.


    When he was young, he wanted to change the world. When he was middle-aged, he didn''t change his mind. At least Han Guangyun thought he didn''t change his mind. But it is too difficult to change the world, let alone change the world. Even changing the second hospital of Medical University is an impossible task for him.


    Director Li rushed to the hospital after work and repeatedly took his blood pressure to express his respect for himself. Han Guangyun is not happy, but tired.


    He remembered a book he had read called Canglang water.


    The protagonist is an idealist. He wants to change the world. He was humiliated and despised, and finally had an epiphany. But in the end, he found that the best floor of the building built by his unit was left to him early. He didn''t want all the houses to be divided.


    Now I''m just the director of the medical department. I''m not the head of the medical department. I''m even thousands of miles away from the head of the medical department. Have I faced these problems?


    The world is really hard to change.


    Thinking about it, Han Guangyun felt more tired. His whole body seemed to be wrapped with countless ropes. He was out of breath.


    Director Li didn''t know what director Han was thinking. He insisted on taking blood pressure again. The blood pressure was 9074mmhg, and there was no significant change.


    This critical blood pressure is certainly abnormal. He increasingly believes in Mr. Wu Mian''s judgment.


    With his understanding of Han Guangyun, today''s performance can be said to be quite "indifferent". But how did shock come about? Traumatic? Stress? Infectious? Or


    Countless possibilities flashed in director Li''s mind. He picked up the mercury sphygmomanometer, winked at Han Guangyun''s lover, turned and left the observation room.


    Han Guangyun''s lover was afraid. Seeing that Han Guangyun closed her eyes as if she were asleep, she hurried out.


    "Director Li, what''s the matter with Guangyun?" Han Guangyun''s lover asked.


    "I don''t know yet," director Li said. "We need to check."


    "Another examination?" Han Guangyun''s lover was worried, but after all, he was a couple with surprisingly consistent thinking. "If you don''t do an examination, you won''t see a doctor? No wonder Guangyun always said."


    Han Guangyun''s lover spoke in a low voice, like muttering to himself, but director Li listened clearly.


    "That''s right." director Li suppressed his unhappiness and said, "director Han may..."


    "Maybe?" Han Guangyun''s lover looked at director Li and asked, "it''s just possible? You''ve been in the hospital for so long. Is it still possible?"


    She said it three times in a row, probably in a heavy tone.


    "Didn''t you do an auxiliary examination?"


    "You won''t see a doctor without an examination?"


    This strange logic has become a dead circle, and director Li is powerless. Back in the office, he thought quietly for a few minutes. But no matter what you think, you can''t explain the sudden drop in blood pressure.


    He had no choice but to pick up his mobile phone and call his relatives and friends hotline again to ask Mr. Wu for help.


    After explaining the situation, Wu Mian pondered for a few seconds.


    "Mr. Wu, director Han and his wife don''t check anything." director Li said reluctantly, "I can''t even ask the whole hospital for consultation now."


    "Well," said Wu Mian, "I don''t care how to persuade Han Guangyun to do the inspection, but the inspection must be done immediately."


    "You judge that sulfonylureas cause severe hypoglycemia. Is there biguanide lactic acid poisoning? Has arterial blood gas analysis been done? Metabolic diseases, pH and electrolyte are key, and blood gas must be done. This is not what patients want to do, but the standard of clinical treatment." Wu Mian said seriously.


    "..." director Li wanted to cry without tears.


    "I have experienced hypoglycemia in uremic patients taking sulfonylureas. The patient died after correcting blood glucose. At that time, cerebrovascular accident was considered.


    Rapid correction of hypoglycemia, whether there is significant difference in osmotic pressure inside and outside brain cells, and whether it may lead to brain hernia?


    Blood glucose 0.54, the patient is still awake?


    Is the blood glucose of 0.54 the result of venous blood test or the end blood glucose?


    If it refers to terminal blood glucose, it cannot be ruled out that poor peripheral circulation perfusion leads to false reduction of blood glucose. "


    "With such high blood pressure in patients with hypertension, has cerebrovascular accident been ruled out? If the patient has sudden hypotension and does not consider cardiogenic, is there central brain stem infarction? What about ECG and aortic dissection?"


    Wu Mian asked countless questions.


    "Don''t do any tests. Once the blood pressure drops suddenly, how are you going to rescue it?"


    "Miss Wu, do you really have a problem?" director Li asked in a low voice.


    "Today, I met director Han. He was not very comfortable when communicating with him, so I didn''t say anything important." Wu Mian said, "director Li, be careful."