I Can See Health

   Chapter 497 Medical Care

   "Well, I, I have something to do..." The otolaryngologist said in a panic, "I won't talk to you anymore."

After   , the "otolaryngologist" ran away in a panic.

   His physique is extremely athletic.

   For a while, even Uncle Fang, the security guard, did not respond, and he disappeared into the crowd outside the CCU ward.

   "Hehe, it looks like it's probably a doctor." Huang Hanlin looked at the direction where the "otolaryngologist" disappeared.

  Medical care, this is an illegitimate profession spawned by the hospital system, which belongs to the nature of two-sided deception.

   In the top provincial hospitals, it is difficult to register and see a doctor.

  Some swindlers use the slogan of the hospital's internal staff to cheat among the patients, saying that they are doctors, and they can directly bring patients to the doctor or to the ward, and they will also charge a certain fee.

   On the other hand, when they bring the patient to the doctor, they lied that they were a doctor in a certain department and let the doctor make it easier.

  The tertiary hospital is so big, the doctors don’t know all the colleagues, and generally they don’t take it so seriously.

   However, today this "medical care" has been kicked on the iron plate.

   Huang Hanlin is not only a little serious, but also claims to know all the doctors in the ENT department.

   "Mr. Huang, do you really know all the doctors in the ENT department?" Lu Chen whispered.

"Yeah, I didn't lie to him." Huang Hanlin smiled, "My wife is a nurse in the ENT department. I always go to dinner parties. If this person talks about other small departments, I may not care, but he said It's the otolaryngology department that I've been serious about, but they haven't had any new doctors this year."

  Lu Chen secretly laughed, this medical care was really unlucky.

   Otolaryngology is a small department, and not many people know about it.

   However, he accidentally hit the muzzle today!

  …

   After waiting for about two minutes, the patient's family finally arrived. The family member was a very young woman who seemed to be the patient's daughter.

   "Don't look for these doctors." Huang Hanlin instructed, "Don't say anything else, if they collect the money and run away, where are you going to find him?"

   This medical care just now has a bit of "professional ethics". He brought n to the door of the CCU and tried to seek special care as an "otolaryngologist".

   The family members gave a wry smile: "Doctor, there is nothing I can do about it. It's hard to hang up the number of your hospital, and it's hard to see a doctor! There is no other way, so this is the only solution."

Huang Hanlin sighed slightly in his heart, "Not much to say, you have seen the patient's condition, and they need to be hospitalized immediately. We are a CCU ward, and the cost is higher than that of a normal ward. It costs at least seven or eight thousand yuan on the first day, and every day after that. The cost depends on the condition. However, if the condition improves, we will transfer the patient to the general ward immediately.”

   "If you agree to be hospitalized, sign it!"

   The patient did not hesitate, and directly signed his name on the informed consent form, Zhou Xiaoping.

  …

   The patient was immediately admitted to the CCU ward.

  Lu Chen took the blood pressure monitor, pushed the electrocardiograph machine, and reviewed the electrocardiogram for the patient.

   The electrocardiogram this time is almost the same as before.

   ST-segment depression in the prethoracic leads is a sign of myocardial ischemia.

   "Uncle, when did you start to hurt?"

   "This morning, when I was just about to go to work, but the pain was not as severe as it is now, so I didn't pay much attention to it. In the afternoon, it became more and more painful, so after get off work, I came to the hospital."

   "Uncle, can you describe the nature of the pain?"

   "Uh, it's like a stone is pressing on my chest, how can I put it, it's a bit like colic!"

   "Paroxysmal pain?"

   "Well, on and off."

  …

   Before Lu Chen finished asking the patient's medical history.

   His initial diagnosis was acute coronary syndrome, which did not rule out the possibility of myocardial infarction.

be careful and live long!

   The only thing that is a little strange is that the patient did not smoke or drink before, had no history of staying up late due to exertion, and had no family history of heart disease.

  How can you suddenly have a heart attack?

   However, nothing is absolute.

   A small number of patients may have no risk factors at all, but they have acute myocardial infarction!

   This thing is very metaphysical...

  …

   Back to the doctor's office.

  Lu Chen began to write the course record.

   From the patient's onset, main symptoms, accompanying symptoms, and out-of-hospital treatment, Lu Chen recorded all of them in detail and truthfully.

   Just then, the nurse ran in.

   "Lu Chen, the patient's pain just got worse!"

  Lu Chen was startled. Is his chest pain serious?

  Should not!

   Once the patient was admitted to the hospital, he was already on all coronary heart disease treatments, including nitroglycerin for chest pain relief.

   Is it really a heart attack?

   Only in the case of myocardial infarction, the patient will use nitroglycerin for pain relief, and it will be ineffective.

   "Has the patient's initial screening of myocardial enzymes yielded results?"

   "One more minute." The nurse said.

   "Then you go and report to Dr. Huang, and I'll check the myocardial enzyme results."

  Lu Chen hurriedly came to the first screening machine and quietly waited for the results.

  …

   It was just a minute, but it seemed a little long at the moment.

  Finally, the primary screening machine made a "ding" sound, and the result came out!

  Lu Chen leaned over to take a look, all the cardiac enzymes were normal!

   "This... myocardium enzyme is negative, so it's not a myocardial infarction?!"

  Lu Chen groaned in his heart.

  If it is a myocardial infarction, the patient started to suffer from this morning, and the pain lasted for more than four hours, and the myocardial enzymes would definitely be elevated.

   There is no acute onset and no increase in troponin.

   At this time, Huang Hanlin also came over.

   "How was the patient's outcome?"

  Lu Chen said solemnly, "Myocardial enzymes are all negative."

   "What?" Huang Hanlin was also a little surprised, "Negative? Isn't it a myocardial infarction?"

   Then, the two came to the bedside again.

   The patient was lying on the bed, his face extremely painful.

   "Doctor, why do I feel more pain?"

  Lu Chen did not hesitate and immediately performed a physical examination on the patient.

  …

five minutes later.

  Lu Chen raised his head and looked at Huang Hanlin beside him: "Mr. Huang, the patient's chest pain and epigastric pain have intensified, and the pressure pain is more obvious than before!"

   Huang Hanlin frowned when he heard this.

   "You didn't do abdominal ultrasound or abdominal CT in the outpatient building?"

   "No." The patient's voice was a little weak.

   "This is more troublesome." Huang Hanlin said, "You may need an emergency abdominal ultrasound."

  Lu Chen nodded slightly.

   If it is not a myocardial infarction, it may be an acute abdomen!

   Chest pain, abdominal pain, pain in these two positions, sometimes the location and boundaries are not very obvious!

   "Dr. Huang, the patient's blood pressure is low!"

   At this moment, the nurse in charge of the bed suddenly shouted.

   "Blood pressure is only about 80/50mmHg!"

   (end of this chapter)