Chapter 2870: with translation of chapter title

2775.2667 Injecting insulin into the cake

Liu Hui was stunned for a moment, then she immediately ran over.

She didn't know what had happened, but Liu Hui made an extremely correct choice—Emergency Rescue Service.

In the ambulance, Tang Liu's assistant immediately told the doctor who came for the consultation that Tang Liu had a relatively stubborn hypoglycemia. She hadn't eaten much of the airplane meal today, considering it might be due to hypoglycemia.

They tested a fingertip blood sugar in the car, 1.22 mmol/L!

The emergency doctor immediately pushed 50 ml of high-sugar solution into the vein. After the high-sugar solution was pushed in, Tang Liu's symptoms were quickly relieved, a false alarm.

When they came to the EmergencyDepartment for a recheck of blood sugar, the result was 13.94 mmol/L. The blood sugar value was somewhat high, related to the just-administered high-sugar solution, and Zhou Litao didn't pay attention.

After the physical examination, they gave Tang Liu a head CT order, suggesting a CT scan to check for intracranial hemorrhage or other diseases.

Liu Hui followed along, busy back and forth; Zhou Litao was also busy, and he didn't know Tang Liu, this 'famous' pharmacology expert.

In his view, this was merely a 'patient', because hypoglycemia caused coma, and intravenous high-sugar injection brought relief. According to the account of the Emergency Department 120 doctor, this probably wasn't the first time such a thing had happened.

Zhou Litao wanted to admit the patient, because recurrent hypoglycemia is a quite deadly disease. Once it occurs in the deep night when no one is around, the patient can only await death.

But Tang Liu firmly refused hospitalization, and Zhou Litao spent great effort to persuade her to have a head CT.

The patient went for the examination, and Zhou Litao became busy again.

After handling two patients, he walked out of the resuscitation room and saw Zheng Lao Ban and Su Yun standing at the door.

"Zheng Lao Ban, Yun Ge'er, do you have time today?" Zhou Litao asked with a smile.

"We're planning to get off work and take a look at Cui Lao; how about you?" Su Yun said.

"I don't have time." Zhou Litao felt a bit downcast, he said in a dejected tone: "These two days we're short-staffed, I can't get leave."

Su Yun shrugged her shoulders, smiled, and said: "Go have a smoke."

"Oh." Zhou Litao still lacked energy; he followed them outside, lit a cigarette for Zheng Lao Ban and Yun Ge'er, and took a deep drag.

"Yun Ge'er, Cui Lao's health is somewhat poor; I went once the day before yesterday." Zhou Litao said.

It's to be expected that his health is a bit poor; Cui Lao is old, his organs are aging. Though he has no illness, it's actually more troublesome than having a disease.

"Hmm, let's go take a look." Su Yun said, "This afternoon we two just went to see Director Miao."

"How is Director Miao?"

"Not bad; now he can already go downstairs for a stroll." Su Yun said with a smile, "He still wants to do a bit of square dancing in the evening, looking no different from ordinary old men and women."

"Hehe, Director Miao going to square dance?" Zhou Litao found it hard to imagine that scene. In his impression, Director Miao had always been a stern, dignified old director.

But as long as he's alive, that's fine; dancing is also a recreational activity. Nobody wants to recall the past; whatever Director Miao says counts as recovery.

The last time Zheng Ren and Su Yun went to visit him, it was still Zheng Ren who carried him downstairs. After over two months, he could now square dance; this cannot be called anything but a huge progress.

But none of the three wanted to say more, whether it was Cui Lao or Director Miao. Zhou Litao immediately changed the topic, saying: "Zheng Lao Ban, Yun Ge'er, this afternoon we encountered a patient with high blood sugar, very strange."

"Oh? How strange?"

"The patient is 43 years old, a senior executive at a company, usually healthy, but his blood sugar is uncontrolled. One could even say he has no control at all." Zhou Litao said.

This is actually quite common; there are many people with uncontrolled high blood sugar, uncontrolled high blood pressure, and uncontrolled Coronary Heart Disease.

Moreover, an increasing number of cases show that cerebral hemorrhage caused by hypertension and sudden death from Coronary Heart Disease are occurring at younger ages. These situations are related to the popularization of health checkups and patients' own lack of attention.

"Originally they were going to see Director Ma of Endocrinology, but he happened to be out on clinic duty, so they first came here to me to check blood sugar." Zhou Litao said, "Guess what the blood sugar is?"

"30 mmol/L."

"28 mmol/L."

Zheng Ren and Su Yun each gave a number they found hard to accept, and the two numbers were also fairly close.

"33.02 mmol/L." Zhou Litao said, "Seeing the value, I found it strange; logically, since someone referred him to Director Ma, his blood sugar shouldn't be this poorly controlled."

"Then what happened?" Su Yun asked.

"I asked about the circumstances; I won't go into the specific details, this person..." As he spoke, Zhou Litao sighed and said, "I don't know who has a useful brain and who doesn't. Zheng Lao Ban, Yun Ge'er, you say that executives of well-known companies should, by rights, be highly intelligent."

"More or less, but you can't generalize." Zheng Ren said.

Su Yun pursed her lips, disdainfully saying, "Can't you stop talking in vague, roundabout ways?"

"I'm stating the factual truth."

"What's the difference between saying it and not saying it? If I were to say, as long as one is human, there are times when the brain takes in water." Su Yun said firmly.

"Cough cough..." Zhou Litao obviously already accustomed to this situation, he coughed twice and continued: "Back then I just asked, aren't you using insulin to control blood sugar? Don't you monitor your blood sugar at home?"

"Surely they have, they're just too lazy to do it." Su Yun said firmly.

"He says he has tested, but can't get a reading. Insulin also helps, but it's just not under control." Zhou Litao said, "At the time I didn't think deeply about it; I just felt maybe the method was wrong, and asking Director Ma to adjust the medication dosage would do. However, he might need hospitalization for treatment, after all, it's too high."

Zheng Ren nodded.

"I said we should test his urine to see if there are ketones. With the lab order open, I casually asked how much insulin he was using."

"He scratched his head and said, he doesn't understand what the doctor meant by the dosage."

"I guess that's it; definitely the dosage of subcutaneous insulin injection is wrong." Su Yun said.

Zhou Litao shook his head and said, "Yun Ge'er, it really isn't that."

"Huh?"

"He ate a cake before lunch, saying he does this every day. Before the meal he injected insulin into the cake, then ate it." Zhou Litao said.

"..."

No matter how smart Su Yun is, she wouldn't think someone would inject insulin into a cake.

"Cake? Insulin?" Zheng Ren frowned and asked, "Then how does he usually measure his blood sugar?"

"He said he puts the test strip into the cake, takes it out to look, but there's no effect. Finally he injects insulin and eats the cake." Zhou Litao said helplessly.

Su Yun's black hair in front of her forehead fluttered lightly, as if she also didn't believe Zhou Litao's words.