After the inflection point came, Wu Mian''s days became a lot more leisurely.

Many medical staff came to support, and the working hours were not as long as before. According to the shift arrangement of the Dean, the inpatient can always work 4 hours every two days, and other ordinary medical staff can work 8 hours every two days.

But Wu Mian insisted and brought people for 8 hours.

This work rhythm is very relaxed. For example, the indentation engraved on the face has been relieved for a long time, and it has basically dispersed at work.

After changing clothes, Wu Mian and the inpatient manager of the night shift took over the shift.

Many days have passed. It seems that the inpatient who has handed over the shift is not used to the big yellow rabbit ears on Wu Mian''s head. He must be stunned every time he sees them.

"Miss Wu, a famous patient has migraine in the early morning. Take a look." the inpatient always led Wu Mian to a patient''s bed.

"The patient is a 47 year old male with a history of 15 years. He suffered head trauma 17 years ago. Previous migraine often occurred in the forehead and occipital. Frontal migraine usually starts from the left eye, with pulsatile pain around the left eye, photophobia and blurred vision, but does not affect movement and language."

The inpatient general manager gave a brief pause after quickly introducing the patient''s medical history.

This medical history is not complete. In the past, migraine often occurred in the frontal and occipital parts. He only said frontal migraine.

Wu Mian looked at the patient lying in the hospital bed and fell asleep. He didn''t disturb the hospitalization general to report the medical history.

After two seconds, the hospitalized general manager continued, "occipital migraine often starts from the left side, resulting in unilateral severe pulsatile headache, radiating from the posterior occipital part to the left prefrontal part, and affecting language and motor function."

"Is it the forehead or the pillow this time?"

"Occipital." the inpatient manager said reluctantly, "Mr. Wu, I feel that the patient''s history is incomplete and subjective."

"What do you say?"

"Does migraine affect language and limb motor function? And it''s transient."

"It''s possible." Wu Mian nodded slightly, and the Yellow Rabbit''s ears trembled slightly on his head.

"..." the hospitalized general manager was sure that the patient had hypochondriasis or performance tendency, but he never expected such an answer from Wu Mian''s mouth.

She knew Wu Mian''s identity and origin, did not question it, but remained silent.

"I remember you were a doctor in gastroenterology, didn''t you?" Wu Mian asked.

"Yes."

"It''s normal not to know," Wu Mian said. "If the patient''s description is correct, this situation is called hemiplegic migraine."

"Transient?"

"Well, if familial migraine is well diagnosed, because the elders in the family have a similar medical history." Wu Mian simply explained, "the patient''s condition is diagnosed as non familial hemiplegic migraine, which needs to be dialectical. What should be done after the patient has symptoms?"

"At 4:10 a.m., the patient woke up and found moderate pulsatile pain in the left occipital region, radiating to the left prefrontal region, photophobia, blurred vision, nausea and unstable standing.

After oral administration of sumatriptan, propranolol, ibuprofen and acetaminophen, he went to bed again. "

"OK, I wrote down this patient." Wu Mian nodded. "Go to see other patients."

The total inpatient was full of doubts. After seeing several slightly heavier patients with Wu Mian, he still suggested, "Mr. Wu, why don''t you transfer the patients to a designated hospital."

"What are you going to do?" Wu Mian said. "There are few doctors in neurology, and they can''t go to a special neurology ward."

Then Wu Mian waved, "girl, come here."

Chu Zhixi ran over.

"Brother, what''s the matter?"

"There is a patient with suspected non familial hemiplegic migraine. Go and see." Wu Mian told Chu Zhixi''s bed number and went straight back to the back of the general hospital table.

"Teacher Wu, just look at it like this? Don''t... Don''t delay."

"Generally speaking, it won''t. The girl will look at it. When the patient wakes up, he will ask the medical history. If there is no problem, the symptoms of hemiplegia will be relieved after observing for 1-3 days."

Seeing what Wu Mian said is easy, I always don''t believe it. But she didn''t retort, but she didn''t change her clothes.

"After work, go back and have a rest." when Wu Mian saw that the inpatient always stayed, he reminded, "the patient doesn''t have to take care of himself. There''s no good way to treat him. Just treat him according to the previous treatment plan."

"In case..." there is always some hesitation in the hospital.

"Just in case, there''s no good way. You can only monitor vital signs. If you can''t......" Wu Mian pondered.

After a few seconds, the inpatient always asked, "really can''t turn to where?"

"I can''t go anywhere." Wu Mian shook his head. "If I can''t, I''ll go to Jinyintan to do an MRI. Now the MRI machine should not be commonly used."

There''s nothing to say about hospitalization.

Before taking over, her heart was swollen, but she didn''t know where to transfer the patient.

In the past, I would definitely consult a neurologist for symptomatic treatment or transfer to NICU for the first time. But now in the shelter hospital, she can only do what she can.

It''s really a headache to meet such patients in the shelter hospital.

"Do you want to stay and watch the patient?" asked Wu Mian.

"Er... I want to see it. I haven''t seen it," said the hospitalized manager.

Wu Mian knows that the general doctors who come here as inpatients are doctors around the age of 40, professor and associate professor level in large-scale third-class hospitals all over the country. They have long had their own theory of seeing a doctor and treatment, and they will not be able to turn it around for a while and a half.

The doctor must be worried that the patient''s condition will be delayed, obsessive-compulsive disorder is committed, and he can''t sleep without the consultation of the whole hospital and the medical advice of a specialist.

Even if she has to leave work, she will think about it in her heart.

"OK, don''t be too tired. The patient can''t get better in a day," Wu Mian said.

The hospital chief nodded. She glanced at Wu Mian. The big yellow rabbit ears flickered and looked out of tune.

This is hemiplegia! What if there''s something wrong with the brain stem?! What if the patient dies suddenly in the shelter hospital?! The hospital is always full of worry.

Instead of leaving work, she came to the hospital bed tired.

Chu Zhixi was wearing protective clothing and a blue disposable surgical suit. He sat in front of the patient''s bed and looked at the monitor.

"Hello, are you a doctor or a nurse?" the resident manager asked politely.

"Are you the teacher on duty last night?" Chu Zhixi stood up. "Why haven''t you finished work yet?"

"I''m a little worried about the patient. Are you a nurse? Do you know what the patient needs to pay attention to?" the inpatient manager asked.

"No, I''m a doctor in neurosurgery." Chu Zhixi squinted and said, "non familial hemiplegic migraine, please rest assured that the patient''s vital signs are stable and observe the changes of the condition temporarily. When the patient wakes up, I''ll ask the medical history again, which won''t delay the patient''s treatment."