"Miss Wu..." director Liang whispered.
"Hmm? How''s the patient?" asked Wu Mian.
"I''m sorry to bother you. I''ll pay attention next time. I can''t find you directly if there is a problem..." director Liang began to compensate.
"Director Liang, do you think it''s just central pontine myelinolysis?" Wu Mian asked with a smile, and his lips raised a beautiful arc.
Chu Zhixi was lucky. She happened to meet a car to go. She waited for the man to come out and directly poured in.
Director Liang didn''t know whether Mr. Wu laughed at himself or was really happy because Professor Chu found a parking space.
"Don''t think about it. Go and see the film." Wu Mian said, "the situation may not be as simple as you said."
"Hmm? Any other questions?"
"I think the whole medical history you described is open to discussion."
"What''s the problem?" director Liang was surprised.
In his opinion, it has been clear that all the patients'' conditions have been diagnosed, and there should be no omission.
"Let''s talk after reading it." Wu Mian waved, and Chu Zhixi ran happily. His double horsetail was floating, like a little girl who went out on a date after class in the University City.
Youth, it feels good. Director Liang is a little distracted.
All the way upstairs, director Liang was thinking about what teacher Wu Mian said.
History collection problem? How did he know? Director Liang quickly passed the patient''s medical history twice and still didn''t find any points he didn''t notice.
No matter whether the patient was mentally ill or confused by the official account video, he had asked himself to drink soy sauce to "detoxify" and cause cardiac arrest.
But after she came to the second hospital, she began emergency treatment. She was fished back from the ghost gate and went to the ICU for observation overnight. The situation has improved. Fortunately, the rescue was timely and the condition did not develop further.
Today, because of the rapid correction of hypernatremia, there is a rare complication of central pontine myelinolysis.
To tell you the truth, director Liang thinks there are some minor problems in the treatment, but... Drinking soy sauce is the first time for everyone. Who can think of correcting it too quickly.
At that time, everyone thought about the patient''s cardiac arrest, and other problems were trivial.
Correction is slow. What if there is another cardiac arrest?
What does Miss Wu think? Director Liang had infinite doubts and walked into the doctor''s office with Wu Mian.
His little doctor has prepared the film and inserted it into the reader.
"Director Liang, help find a white dress for the girl." Wu Mian said softly.
Chu Zhixi changed his clothes to check his body. Director Liang hesitated and stayed to watch the film with Wu Mian.
Wu Mian put his right hand on the table in front of the film reader. His white jade fingers gently knocked on the table. The sound of Dong Dong was very slight.
He looked at them one by one and didn''t quickly say director Liang''s doubts.
Ten minutes later, Chu Zhixi came back.
"Brother, patient..." Chu Zhixi quickly and seriously reported the physical examination, as long as he focused on several points - motor speech disorder, dysphagia, sudden limb flaccid paralysis.
"Do a serum anti-tg2 antibody test," Wu Mian said.
"..." director Liang was stunned. This examination was to identify an extremely rare disease in Gastroenterology - celiac disease.
Is the patient celiac disease?
Mental disorders, long-term eating bread, weight loss and malnutrition are indeed symptoms or inducements of celiac disease.
But... These alone can''t diagnose celiac disease.
Seeing director Liang''s eyes in a daze and obviously entering a state of meditation, Wu Mian smiled, "director Liang."
"Hmm?" director Liang was stunned.
"Are you wondering why I judge the patient has celiac disease?"
Director Liang nodded.
"Sit down. You and other doctors have overlooked a very important point in the whole medical history."
Director Liang sat down with doubts, and Wu Mian began to read the medical records.
When she was hospitalized, she could always see her eyebrows and eyes. She quickly closed the door of the doctor''s office. Then he quickly stood not far behind director Liang and listened carefully for fear of missing any word.
"Soy sauce, who has drunk it?"
"..." everyone looked at each other. No one thought that teacher Wu''s first sentence was such a nonsense.
"As described in the medical record, the patient drank 500ml soy sauce within 1 minute. I don''t know if you have similar experience. The probability is not. I won''t ask you, but just say the data."
"According to the statistics of condiments, 393mg sodium is equivalent to 1g salt. Among all brands of soy sauce, laosuawang contains 1268mg sodium per 15ml, straw mushroom laosua contains 1215mg sodium, laosua soy sauce contains 1144mg sodium... Double salt head soy sauce is the least, containing 690mg sodium."
The data of 15 kinds of soy sauce containing sodium came out of Wu Mian''s mouth, and everyone present was stunned.
Is this what a doctor should know?
Even the big cattle in the catering industry may not know these data. Even if they do, it is absolutely impossible to say it without looking at anything.
Although Mr. Wu said it clearly, the number conversion is too complex. Someone has picked up his pen and began to calculate.
"Don''t count." Wu Mian smiled and said, "if you drink high salt liquid into your stomach, normal people will certainly have stress reactions, such as gastric spasm. This is a self-protection mechanism of the human body, which is the case for most people except patients."
The office is quiet. Mr. Wu, is this a case? A small point that others couldn''t pay attention to, he found the problem.
But the stomach is not sensitive to stimulation... By the way, Mr. Wu just said the diagnosis of celiac disease.
Celiac disease is a systemic immune disease mediated by gliadin and glutenin in genetically susceptible individuals, that is, the allergic reaction caused by the human body''s maladjustment to gluten.
Intestinal inflammation occurs, intestinal epithelial cells are damaged, intestinal mucosa shrinks, and the absorption of nutrients will be blocked. Over time, there will be complications of anemia and osteoporosis.
The atrophy of gastrointestinal mucosa means that it is not sensitive to irritant food.
Thinking of this, the causal connection between the front and back is connected, and it suddenly opens up after the willows and flowers are bright.
It turned out to be so. Director Liang''s eyes lit up, "teacher Wu, I''ll explain to the patient''s family and have a gastroenteroscopy."
"OK." Wu Mian said, "if the serum anti-tg2 antibody test is positive and celiac disease is diagnosed, the patient''s paranoid mental disorder can also be cured by symptomatic treatment."
"Miss Wu, thank you, thank you." director Liang is also a smart man. After listening to Wu Mian''s small detail that he didn''t notice, he had long wanted to understand everything.
The patient''s medical history is like mountains and rivers. From beginning to end, there is a reasonable explanation for all the strange points and the points that they suspect that the patient''s family members are domestic violence.
Director Liang couldn''t bear the excitement at the bottom of his heart and stood up to examine the patient.