Doctor Song, are you married?

Chapter 282 282. Narcolepsy?
"What? Ours?" Li Da almost thought he heard wrongly.

When he brought this man back from the autopsy room, Li Da lamented that this was such a stupid mistake only a stupid follow-up doctor would make!

At that time, I thought it was the doctor from the first aid station below!
Unexpectedly, it turned out to be from the People's Hospital!
This slap in the face!What a snap!
"This is so embarrassing!" Zheng Guohua was so angry that he didn't know what to say!

"No, who is it? So confused? How can he make such a low-level mistake?" Li Da asked, turning around in a circle and stamping his feet.

Although the emergency center has independent scheduling, from a management perspective, it is actually part of the emergency department.

However, Director Hu used to be unwilling to get involved and basically let them manage themselves.

Gradually, they themselves felt that they had gone out independently.

However, once something goes wrong, the emergency department will be involved after all!

"I asked, and it was Lin Zhouquan. He was also confused. He said that he had seen the man with his own eyes that day and that he had touched the carotid artery."

"If I don't have an electrocardiogram, there's no point in trying to break the news!"

"Let's not talk about it now. When the family members arrive, they will definitely hold Doctor 120 accountable. We will definitely bear our responsibilities. But for the patient, you have to think of a way to wake him up as soon as possible! Only when the patient wakes up It will be easier to deal with this matter, otherwise, it will be troublesome."

Zheng Guohua has been on the frontline of clinical practice for more than [-] years, so he can naturally understand the mood of these patients' families.

Think about it, if something like this happened to your own family, you would certainly not be able to let it go, especially since the patient has come back to life but has not yet woken up.

However, if the patient wakes up as soon as possible and the family members feel better, the matter will naturally be solved.

"You think I don't want him to wake up? I called the directors from the Department of Neurology and the Department of Neurology, and did a lot of examinations, but nothing was found. The family is worried, and so am I! But what's the point of being anxious? Use! Can people wake up?" Li Da became anxious and his voice became louder.

"Okay, I understand, you go ahead and do your work first," Zheng Guohua waved to him.

Zheng Guohua was also very irritable.

If something like this happened, as the vice president in charge of business, he would never be able to escape from being the first responsible person!

What's more, his recent concept of giving young people opportunities has offended many directors.

Right now, they were also staring at him eagerly. Now, something went wrong!

Lin Zhouquan is a resident doctor who has only been working for five years. He is considered young, right?
Are you causing trouble?

After seeing you, I still want to give young people a chance!

Zheng Guohua sighed, turned around and walked out of the emergency department.

"Brother Da, there is a disease called narcolepsy. Have you heard of it?"

Seeing Li Da and Zheng Guohua walking over together, Song Qi, who had been staying by the rescue bed, suddenly asked.

Ever since this man was transported from the autopsy room to the hospital, Song Qi had hardly left.

Whether he was going for an examination or staying in the emergency room, Song Qi was always there, paying attention to his blood oxygen saturation and vital signs from time to time.

"What? Narcolepsy?" Li Da was stunned.

"I've heard of it, but I've never encountered it." Li Da said, frowning and starting to think.Narcolepsy is a sleep attack syndrome regardless of time, place, or occasion. Patients cannot control sleep while walking, eating, or working. It may be accompanied by cataplexy, sleep paralysis, and hypnotic hallucinations.It is also a chronic sleep disorder of unknown cause. Clinically, it is characterized by irresistible short-term sleep attacks, which usually starts in childhood or adolescence.It is often accompanied by other symptoms such as cataplexy attacks, sleep paralysis, sleep hallucinations, etc., collectively known as the tetrad of narcolepsy.

"I have seen one case, more than ten years ago, where a girl fell asleep while riding a bicycle."

"Fortunately, there were not as many bicycles on the road as there are now. The bicycle fell into a ditch on the side of the road. The girl continued to sleep for more than three hours before she woke up. At that time, the child's family were frantic and couldn't find her anywhere. , and finally had to call the police.”

"The police found the girl's bicycle from the surveillance, and then found the girl sleeping in the ditch."

"But that girl can be awakened, right? This one's condition is more serious?" Zheng Guohua also fell into deep thought.

The reason why Song Qi thought of this case was actually due to the pre-hospital first aid manual given by the system.

He had been immersed in this manual last night.

He remembered that when talking about the chapter about syncope, the book mentioned this somewhat strange disease.

"Clinical diagnosis is a process of constantly eliminating errors. Let's do some tests for him." Zheng Guohua thought for a long time and felt that this diagnosis could explain his current symptoms.

"What tests should be done?" Li Da was also at a loss.

For these rare clinical diseases, even if he is a veteran emergency department, he does not know the specific diagnostic criteria.

【发作性睡病诊断：脑脊液中Hcrt-1浓度≥110pg/ml，结合临床症状，同时可参考神经电生理学检查和MSLT、MWT，亦可通过基因检测人类白细胞抗原（HLA）DQB1*0602和DR2/DRB1*1501。】

At this time, a system prompt suddenly appeared in front of Song Qi's eyes.

"How about checking the cerebrospinal fluid first, and then doing a neuroelectrophysiological examination. If you have the financial resources, you can also do a genetic test." Song Qi spoke.

As soon as Song Qi finished speaking, Li Da and Zheng Guohua were stunned.

"Have you done research on this disease?" Li Da asked with some disbelief.

"I have read literature on this before, so I just remembered it," Song Qi smiled.

Zheng Guohua nodded: "The cause of this disease is not clear, and there is no gold standard for diagnosis. However, the cerebrospinal fluid examination mentioned by Song Qi is still very representative." Zheng Guohua doesn't know much about this disease, but after all, he has experienced one case, and he can still Tell me something.

Li Da was a little ashamed!

A dignified director of the emergency department actually has to be mentored by a trainee. If you tell me this, you will probably be laughed at, right?
Are you really old?Can't keep up with the times?Li Da also began to doubt himself.

"Hurry and get his cerebrospinal fluid for examination. His family members should be arriving soon," Zheng Guohua said quickly when he saw that Li Da was in a daze.

Only then did Li Da come back to his senses.

He hurriedly prescribed medical advice and then ordered Xu Dali to draw cerebrospinal fluid from him.

Cerebrospinal fluid is extracted clinically by lumbar puncture.The specific method is to lie the patient on the left side, bend the neck, hips, and knees, take waist 3 and 4 as puncture points, and after regular disinfection and draping, apply local anesthesia to waist 3 and 4, and perform lumbar puncture. Insert the needle. When the lumbar puncture needle enters the subarachnoid space, pull out the needle core in the middle of the lumbar puncture needle, and clear or colored or diseased cerebrospinal fluid will flow out.

This operation is a relatively cruel operation.

"If he doesn't wake up now, I guess it's hard for him to wake up." After Xu Dali was prepared, he picked up the thick and long lumbar puncture needle.

(End of this chapter)