This doctor has a system

Chapter 437 502. Don’t make excuses for your wrong behavior!

What is myasthenia gravis?
Muscles are controlled by nerves, and why nerves can control muscles is because there are some transmitters at the junction of nerves and muscles. These transmitters are secreted by nerve endings and act on the muscles, thus giving commands to the muscles.

When certain reasons (such as immunity) exist, this handover process is blocked, and the muscles no longer listen to the nerves, and muscle weakness occurs.

Some patients have weak eyelids, difficulty opening their eyes, and always squinting during attacks. Some patients may have weakness in chewing or limbs, and some may have no strength in their entire body.

The reason why myasthenia gravis occurs is not yet clear. It is currently believed that it may be related to immunity.

Can it be prevented?

No, it can only be detected and treated early.

After diagnosis, treatment mainly relies on some drugs, such as pyridostigmine bromide, which can reawaken the handover work of neuromuscular junctions and restore muscle strength.

There are also hormones and immunoglobulins. We believe that the onset of many myasthenia gravis patients is related to immune abnormalities, and hormones are the strongest immunosuppressants, so hormone pulse therapy is also effective, even efficient.

"Thank you for being here, otherwise it would have delayed the patient." Ma Liang said, "To thank Professor Gao, I will give you a drink!"

"Someone dropped out of the training."

When he said this, Ma Liang really didn't dare to drink more.

Everyone fell into deep thought when they saw the milk tea in front of the patient's bed and the kebabs in his hands.

"How complicated is it? Is it possible that he has violated the rules of heaven?"

"Yeah, don't lie down on the emergency department flat car and sleep all night again." Gao Feng said with a smile, "The nurse will definitely use you to practice."

"Why?" Bu Zhengyang didn't quite understand, "Isn't it going to be over in one year?"

"Why are you like this!" The student in charge of the bed blushed, "Didn't I tell you?"

"You can go see the patient again tomorrow." Gao Feng said as the show ended.

"The 20-year-old Maotai is probably only two glasses per person. Don't even think about drinking more." Li Youliang stopped him, "Besides, your ability to drink is not good."

This classmate really broke the law.

Although myasthenia gravis cannot be cured, it is much luckier if there are drugs that can control it and you can fully return to your life.

Hydrophobia is likely to be rabies, but the prerequisite is that there must be a history of rabies bites, otherwise other neurological diseases must be considered.

It's just that some people are not serious at first and may get better after a few days of rest. But the disease itself is still there, still recurring.

Several other people also looked like they had eaten shit.

"Don't buy the one with ice next time." The patient said loudly, "It will freeze your head a little."

Seeing such bright big eyes, Gao Feng knew that myasthenia gravis was definitely diagnosed.

Gao Feng had some free time today and decided to do a ward round.

Department of General Medicine

"How serious is it? A serious medical accident?" Bu Zhengyang asked, "That's not right. When you are on duty, you always have second-line workers. If there is any problem, you regular trainees will not be responsible for it."

After the patient was admitted to the ICU, he followed the neurologist's advice and was given pyridostigmine bromide, glucocorticoids, immune globulin and other drugs. The next day, the patient woke up smoothly with his eyes wide open.

"This is a patient with angina pectoris. He has high blood pressure in the past." A graduate student introduced the condition stumblingly, "I asked him to eat a light diet. At the same time."

The footrest of the C-arm machine was placed at the door of the operating room. There were more than 10 people in the operating room, including several directors who came to visit. They didn't know the whole time that this classmate was playing with his feet at the door.

These big eyes are very beautiful. Compared with the patient's weak eyelids last night, they are completely different.

Yes, the patient has myasthenia gravis. It’s not rabies, it’s not pneumonia, it’s not myocarditis, it’s myasthenic gravis crisis.

"I've been working for almost 20 years, and the total number of rays I took today is not as much as the ones I took today!" A director was so angry that he almost lost his breath.

He went to surgery with a director of the Department of Orthopedics. Since it was his first time entering the operating room, he was extremely curious about everything.

"What a sad story." Bu Zhengyang was also frightened. "You should also learn a lesson. Don't touch things you don't know."

At least after this experience, Ma Liang learned a lesson: fear of water is not the same as rabies!

From then on, the patient finally understood why he felt unwell every now and then. At that time, it was actually an attack of myasthenia gravis.

"Hey, why are there only four of you group trainees?" Bu Zhengyang was a little puzzled, "Aren't there all five of you?"

Behind every symptom, there are countless possibilities, and there is often only one culprit.

"The treatment and medication are still very standardized." Gao Feng encouraged, "I am also very proficient in memorizing medical records."

"No. His situation is quite complicated."

The so-called crisis means that the disease suddenly progresses to the most critical state, which may be caused by certain reasons, such as infection, improper medication, etc.

Moreover, it is mild in the morning, more serious in the afternoon, and even more severe in the evening. You must have a good rest. This is called morning lightness and evening weight.

It is not cost-effective to withdraw training at this time.

"The hospital kicked him out." A girl said softly, "He made a very serious mistake."

In order to appease everyone's emotions, which were like a volcano erupting, the student was directly persuaded to quit by the training office.

For the patient's family, it was a thrilling escape from death. If it was really rabies, it would be over.

The patient's symptoms of respiratory weakness improved rapidly, and his dyspnea also improved significantly. On the third day, Tianbian was successfully taken off the ventilator and the tracheal intubation was removed.

"No, slightly spicy and 30% sugar, isn't this light enough?" A young family member next to him said in surprise.

The next patient is a young female patient with influenza and pneumonia, and the nurse is giving her an infusion.

"I'm afraid." The patient said sweetly to the boyfriend next to him, and everyone immediately felt a sense of discomfort.

"Idiot...I'm here!" the boyfriend said in a clipped voice. The discomfort on everyone's bodies was immediately amplified, and goosebumps broke out instantly.

"Oh my god, this is so disgusting." Li Youliang, who was following behind, quickly retreated.

"Nurse, please be gentle when you give me the needle later." Her boyfriend ordered, and the nurse rolled her eyes.

"Ah! Pain!"

"Didn't I tell you to be gentle?" The patient's boyfriend glared at the nurse fiercely.

"No, I'll just apply iodine." The nurse was speechless.

"Be gentle when applying iodine!" her boyfriend shouted, "don't make excuses for your wrong behavior!"

The nurse suppressed her anger and began to inject the patient.

"Ah! Ah! Ah!" the patient cried rhythmically.

Everyone
But that's not the most uncomfortable thing. The patient's boyfriend hugged her and kissed her as if no one else was watching.
"Are there many such weird patients in the department?" Gao Feng rubbed his temples, "We usually don't accept all patients."

"Not much." Bu Zhengyang replied quickly.

"This is abuse!" A voice rang out at this time.

"Doctor Bu, come here quickly." The head nurse shouted, "The family members of bed 65 have questions about the treatment. Please explain."

Bu Zhengyang hurried over. "What you are doing is definitely abuse!" The voice sounded louder just now.

Gao Feng was curious now.

"The patient has Alzheimer's disease. This time his lung infection is quite serious, and he also has a gastric tube and a urinary tube." Bu Zhengyang explained, "He has been extubating himself."

The nurse had no choice but to restrain his arms with a restraint belt.

A visiting family member was not satisfied with this and ran to the nurse's station to ask for an explanation.

"Although he is confused, he understands everything in his heart!" said the aggressive female family member, "Don't tie him up again!"

"This family member, please listen to me." Bu Zhengyang tried to communicate.

"I won't listen!" The family members turned around and left.

"Forget it, just follow him." The head nurse was also a little helpless.

But within five minutes, the female family member came running over again.

"Nurse! My dad punched my eye!" She came over with a yin and yang eye, "Can you help tie him up again?"

"I told you not to take off his restraints," the nurse in charge said.

"By the way, he had all the gastric and urinary tubes removed." The family member said, "Is that okay?"

"Actually, I don't want to trouble you." The family member continued, "But I held it and poked it in for a long time, but it couldn't be stuffed in!"

"Are you here to accompany me, or are you here to murder me?" The nurse in charge couldn't stand it anymore, "Can you please stop following your own ideas!"

"What's your attitude, maid?" The family member was even angrier than her, "I want to file a complaint against you!"

"We don't have any maids here." The head nurse said, "Don't talk nonsense."

"Even you and I have to complain!" the family members said.

"I suggest you look for the reason within yourself." Gao Feng said, "I feel it's all your fault."

"What?!" The family members turned around and ran to the administration building.

"Don't make unreasonable troubles here, otherwise we will call the police!" The person from the doctor-patient office said to her, and at the same time said hello to Gao Feng.

"I know you, Dean Guo!" The family member said very arrogantly, "I'll call you now!"

"Who are you?" Dean Guo's dissatisfied voice came over the phone, "Professor Gao Feng has always been amiable in his treatment of patients. He is also very skilled and is a business card of our provincial medical department."

"If you slander you randomly, our provincial doctor will not let it go!"

"Okay, we're all in the same boat, right?" The female family member became more and more frustrated, "I'm going to the Health Commission to complain to you!"

"Sister, why don't you go back?" Another family member hurried over from home, "Why are you so busy?"

She let her see the patient for less than a day, but it caused a lot of trouble. Many people called her and asked if her sister was mentally ill.

"Sorry, her brain is different from others."

"My brother-in-law can't get along with her, and his son has also severed ties with her now."

"Why are you helping outsiders?" My sister was so angry, "Who allowed you to talk about my family's affairs here?"

Then suddenly, the two people started fighting.

"Look at what happens every day." The head nurse was very embarrassed, "I didn't do my job well."

"What does this have to do with you?" Gao Feng smiled helplessly, "The patient is too complicated."

It's difficult for patients and it's difficult for medical staff. There will always be problems of one kind or another, and there's nothing we can do about it.

"Aren't you going to the provincial hospital?" Zhao Xingye's wife asked.

"what happened?"

Zhao Xingye dropped by to take his son to school, and his son asked him a question on the way.

"Dad, can I dye my hair yellow?"

"Why do you have such strange ideas?" Zhao Xingye felt very puzzled, "You are a primary school student."

"But my deskmate said she likes boys with yellow hair."

"You can't dye it." Manager Zhao took a deep breath and said.

"why?"

"No reason!" Zhao Xingye slapped his forehead directly, "If you mention this again, I'll beat you to death!"

"Remember to study hard."

"I'm too tired from studying." His son looked at him and said, "The teacher's lectures are so difficult. I feel sleepy as soon as I listen to them."

"Then you go to sleep, but don't delay other people." After Zhao Xingye said this, he waved his hand to his son to get out.

"Brother, you are quite tolerant." An old man next to him said with a smile. He was here to see his granddaughter off.

"There's nothing I can do about it. It's as if this child has no brain." Zhao Xingye sighed helplessly, "Tiantianguang tutoring homework every day makes the family restless."

Still a bitch.
He figured out that he had to learn to reconcile with himself in this situation. He was born a fool, he just needs to grow up in peace, get married early and raise grandchildren as soon as possible.

"Haha." The old man laughed a few times, "Where are we now? It will only be troublesome later."

"I summed it up." He said to Zhao Xingye, "There are only a few processes involved in raising children:
Kindergarten: Why?
Elementary school student: Why?
Junior high school students: What do you know?
High school student: You are nothing!

College student: Give me some money, give me some money...
After graduation: Leave me alone!
After falling in love: I want you to take care of me!
After giving birth: You are in charge!
When visiting the grave: bless me”

Zhao Xingye almost lost his temper when he heard "Bless me."
"This is the document that needs your signature." He took out a thick stack of documents and said, "The ones on top are relatively urgent."

He came here hoping to report the company's profile to his boss in detail and look forward to the future.

“Strong development momentum and excellent operating conditions”

"Thank you." Gao Feng was very satisfied.

"The company now has a lot of money on its books. I wonder if we can invest in some emerging industries." Zhao Xingye said, "I asked someone to analyze it."

"Forget it, there's not much meaning in making too much money." Gao Feng waved his hand, "Youliang mentioned it to me and said that we could build some homes for employees' families."

"I think it's a good idea."

"It's best to have three or four bedrooms, but now they all have two children."

"By the way, let's build some large flat floors. The house type I saw last time in the capital was very good."

"Yes, I even recorded a video." Li Youliang took out his mobile phone enthusiastically, "Old Zhao, do you think it looks good?"

"It looks good." Zhao Xingye has a complicated heart. He was ambitious when he came here, but now he is helpless.

It's not good if the boss doesn't like money, because the people below will have no motivation to fight.

(End of this chapter)