"Of course I believe in Brother Teng. In my heart, Brother Teng is always Zhiduoxing, and nothing can stump you."

"Hey, there are many things that we brothers need to cooperate to do well. I alone cannot accomplish anything big. Oh, my student just gave me a CD, it sounds very nice. Take it home and burn one, and you can guarantee you like it." Shi Yuanteng knew that Liming liked to listen to music.

"Is that so good! I haven't bought a disc for a long time. Give it a gift for me. I'll go back and carve a few more." Li Ming was happy when he heard this.

Li Ming took the album music disc that Shi Yuanteng took out from the study, turned around and left, before walking to the door, and suddenly turned around again.

"What's wrong? Something else is wrong?"

"Yes, I almost forgot to ask. Recently, my wife kept asking me to find you to add to her acquaintance. What's going on?"

"Oh, starting this year, the hospital has made an appointment for medical treatment. The accounts I released are very popular and are always filled with appointments a month in advance. So, you promise your wife who asks you to come forward and ask them to come to my clinic to find me."

"Okay, then I'm not polite!" Li Ming said that before leaving Shi Yuanteng's home.

The next day was Tuesday. After Shi Yuanteng handed over the shift, he received a call, claiming to be Liming's colleague. Liming introduced him to look for Shi Yuanteng. Now there is an emergency and I want to ask Shi Yuanteng for help.

"Dawn colleague? Is there anything wrong?"

"That's right. My younger brother thought of getting up and urinating last night, and suddenly found that his limbs were weak and he could not get up at all. He was immediately sent to the emergency department of Cheung Chau Medical College Affiliated Hospital and is now living in the Department of Neurology at Cheung Chau Medical College Affiliated Hospital. From last night to now, the symptoms have become more and more serious. After Liming found out, he told me that he must find you to solve the problem."

"How old is your brother?"

“24 years old.”

"Oh, so young, has he ever had a similar attack before? Did he have had a midnight snack last night?"

"Yes, it happened once last year, so he got better after a day off. This time it was quite serious and he couldn't even walk. By the way, he did go to night tea with his friends last night."

"What medicine do you use now?"

"I don't know what medicine to use. According to the doctor, my brother is likely to suffer from multiple myositis and is being treated with multiple myositis."

"I understand, let him come over. I'll wait in the ward, the faster the better."

After putting down the phone, Shi Yuanteng immediately instructed Chunyu to prepare for a blood test. When the patient arrived, he would immediately draw blood tests for his blood electrolytes and muscle enzymes. At the same time, Shi Yuanteng also instructed Chunyu to prepare several bottles of potassium chloride oral liquid with a concentration of 10%. In addition, Shi Yuanteng also instructed the doctor to prepare an electrocardiogram machine to prepare an electrocardiogram for the patient.

These instructions were completed in one go. Whether it was the nurse or the doctor who was executing, or even the interns and the further practitioners who were listening on the side, they felt strange: How could the patient give such clear instructions before the patient arrived? Could it be that Director Dun was clairvoyant or had supernatural powers?

These questions aroused their interest in this patient. They were all waiting for the patient to arrive; waiting for the examination results performed after the patient arrived; and even imagined what diagnosis should this patient make? What will the treatment effect be?

About half an hour later, the doctor in the emergency department pushed a lathe into the ward. On the lathe, there was a young and strong young man who could not move his limbs. The patient was clear-minded and spoke clearly, but his limbs could not move, and his breathing seemed a little difficult, which was more serious than Shi Yuanteng imagined.

The nurse on duty immediately drew a blood test for him, and the results of the electrocardiogram were also revealed. As Shi Yuanteng expected, there was a clear U wave at the electrocardiogram, which is an important electrocardiogram change that reminds the patient of the lack of potassium ions.

Shi Yuanteng immediately ordered the patient to take potassium chloride orally, and took it extremely routinely, taking 20 ml every half an hour. After taking it three times, take 10 ml orally every half an hour.

An hour later, the laboratory department called an emergency call to remind the doctor that the patient's blood potassium was severely reduced! The hospital has a regulation that once the patient being examined or the blood indicators are found to have serious abnormalities, it must report to the relevant doctor or department as soon as possible. Since the implementation of such regulations, a large number of acute and severe patients have been saved, and has been deeply welcomed by doctors and nurses.

When Shi Yuanteng went to see the patient again, the young man could move his limbs in the bed, sit up and eat, and breathe very smoothly. The intern doctor who participated in the treatment of the patient, the intern doctor, asked Shi Yuanteng why he could make such a judgment and treatment so quickly? Why did he take the effect so quickly? The effect was so good?

Shi Yuanteng took the opportunity to teach them a lesson on "periodic paralysis" and explained how important the correct diagnosis is to treat the outcome.

Shi Yuanteng summarized the characteristics of this patient: First, the patient is young, has had a history of similar attacks, and can be completely relieved through rest. One of the characteristics of periodic paralysis is periodic attacks, but the time is not regular, which is related to the patient's diet and physical condition. The patient happened to drink night tea with his friends on the night of the onset of the disease. Shi Yuanteng knew that the so-called night tea is no different from eating night snacks, and he ate nothing more than bread.

These foods contain a lot of carbohydrates. For a patient who has had a muscle weakness attack, intake of a large amount of carbohydrates for a short period of time will lead to a brief increase in blood sugar, which will cause potassium ions in the blood to "enter" the cells, and ultimately lead to a decrease in blood potassium.

Second, the patient was diagnosed with multiple myositis this time at the Affiliated Hospital of Cheung Chau Medical College. Generally speaking, hormones are the most commonly used for multiple myositis, and hormones can affect the metabolism of sugar and potassium ions, making blood potassium lower, and causing the symptoms to be more serious. So, when I heard that they were treating multiple myositis, when I heard that the symptoms became more serious after treatment, I had a clear idea of ​​the diagnosis of this patient. Of course, any guesses must be confirmed by examinations, and we must never replace the real basis for treatment.

So after listening to the phone, I had a clear idea and made corresponding preparations, and these preparations were highly targeted: blood draw and electrocardiogram were used to clarify the diagnosis; potassium chloride oral liquid was used to obtain timely treatment after a clear diagnosis.

This disease is very rapid. If handled properly, it will disappear like a gust of wind, which will be fleeting in the blink of an eye. The key is whether your diagnosis is correct or not. If the diagnosis is wrong and handled improperly, it will cause the patient's blood potassium to be severely reduced, and the patient may die from severe arrhythmia or ventilator paralysis. These are all lessons of bloodiness.

When Shi Yuanteng explained this case, more and more people were around him. After listening to Shi Yuanteng's analysis and explanation, everyone present felt that they had seen what a master is and what real clinical experience is.
Chapter completed!