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Chapter 262 The Year I Was 56 (Subscribe)
Sun Li'en tricked the patient out of the ninth consulting room and into the emergency room, naturally because there are more adequate rescue equipment here.In this way, in case a patient suffers from a myocardial infarction before or during a new ECG, Sun Lien can at least rely on the resources in the emergency room to try.If Li Lifen developed ventricular fibrillation in the consulting room, it would take close to 50 seconds from when Sun Lien immediately took over the CPR to when other rescue forces arrived at the consulting room.On the premise that the patient has no obvious signs of illness, slowly coaxing her into the emergency room will help save time for follow-up rescue and treatment.

"I just have a toothache, why do I need an electrocardiogram?" Li Lifen, who was tricked into lying down in the emergency room, finally sensed something was wrong.However, before it was her turn to continue to be confused, the electrocardiogram was pulled out directly.

"ST-segment elevation, draw blood for a myocardial enzyme test." Sun Lien glanced at the electrocardiogram, and knew that Li Lifen did indeed have symptoms of myocardial infarction.He watched Zhong Yu draw blood for Li Lifen, while carefully explaining, "Your toothache is not caused by a tooth problem. It is a rather special symptom called referred pain."

Referred pain refers to certain internal organ symptoms that are reflected in pain reactions in specific areas of the skin and muscles.Visceral pain is sensed via nerve fibers, through the spinal cord to the cerebral cortex, where it is understood as pain.In the process of pain transmission, it may affect the surface nerve fibers of the same spinal cord segment, resulting in pain conduction and spread to the corresponding body surface.

The more common referred pains include pain in the chest area of ​​myocardial infarction, pain in the upper abdomen or periumbilical area with appendicitis, cholecystitis or gallstones, and some patients may present with pain in the right shoulder.

There are not many toothaches caused by myocardial infarction, but the number is not too small.In fact, due to the complexity of the human nervous system, the involved pain of patients with myocardial infarction can sometimes change so much that doctors are confused.Some patients present with leg pain, some with low back pain, and others with more atypical neurologic symptoms such as dizziness, blurred vision, tinnitus, and more.

When teaching in medical schools, many professors like to educate students with various examples of myocardial infarction-related pain-you can't just copy the contents of the books.The human body is a very complex system, and the same problem can manifest completely different symptoms in many people.For these diseases, we must have a high degree of vigilance and sensitivity.

On one side, Sun Li'en tried his best to fool Li Lifen, while on the other side, he tried his best to wink at Zhong Yu.Nurse Zhong looked at Sun Lien suspiciously, and then began to comfort Li Lifen, asking her to lie down and rest for a while.Sun Lien took the opportunity to sneak into Zhou Jun's office.

"What are you doing here again?" Zhou Jun's words now have a bit of Liu Tangchun's meaning-to draw in the relationship with other medical staff through humor and a somewhat rascal way. "What's the trouble again?"

Sun Li'en accompanied Xiaoxin with a smile, "I admitted a patient with myocardial infarction."

Zhou Jun raised his eyebrows, "Let's deal with it according to the regulations...the patient's condition is not good?" The emergency department of the Fourth Central Hospital has two functions: a chest pain center and a stroke center.There are perfect treatment procedures and methods for patients with myocardial infarction and cerebral infarction.

"The patient's financial situation may not be very good, and he is more worried about the cost." Sun Lien explained cautiously, "and the symptoms are very atypical-she has a toothache."

"Atypical among typical ones." Zhou Jun glanced at Sun Lien, "Aren't you going to explain it clearly to her?"

Sun Li'en sucked his teeth with a painful expression on his face, "I think... there may be other problems."

"I just met a patient whose family members might be planning to cheat insurance for passive treatment." Zhou Jun glared at Sun Li'en, "President Song disagrees with Shenwai to perform surgery on him, so what's your problem?"

"The worst possible thing is domestic violence. My patient is thin and thin." Sun Lien spread his hands, and there were indeed many new things in the emergency department. "Possibly starvation ketosis."

Zhou Jun wondered, "How old are you?" His first reaction was that this might be a young woman who was on a diet.

"57 years old, female." Sun Li'en replied, "and I have been worrying about the cost of seeing the doctor - she can't walk very well, but she came to see the doctor alone, without family members - I was asking her what she had for dinner Sometimes, the answer I got was a very general type of high-sugar and high-fat food instead of what kind of food I ate, which didn’t feel real.”

"Go, go and have a look." Zhou Jun frowned.From Sun Lien's description, he did hear a hint of domestic violence.

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"I'm going to prescribe a painkiller!" Li Lifen leaned weakly on the bed, protesting to Sun Li'en dissatisfied.It's just that her protesting voice was too small, and it was almost difficult to spread too far in the noisy place of the emergency room.

"How long has it been since you ate?" Zhou Jun frowned as soon as he saw Li Lifen's state.Her height is about 1.5 meters five, but her weight should be less than 45 kilograms.Middle-aged and elderly people tend to gain weight easily, but Li Lifen is thin and thin, and her skin is gray and yellow. One can tell at a glance that there must be something wrong with her body.

"I just ate it..." Li Lifen wanted to cover it up, but the sound of bowel sounds made her stop.

Zhou Jun sighed, "You have obvious symptoms of myocardial infarction now. This is because there are large blood vessels blocked in your heart. There are various things that block blood vessels. Generally, what we see are thrombus or deposits. Arteriosclerosis in the blood vessels. But you should not belong to this situation."

"You should have been in a state of chronic hunger for a while. The human body will continue to weaken with starvation, and it is prone to various infections. This is what I am most worried about now-if your infection has arrived, it will attack If the coronary artery of the heart is blocked, it is really dangerous." Zhou Jun moved with emotion and reason, "We are doctors, and our job is to save people. You really don't have to worry too much. Just tell us the truth." He grabbed Sun Li'en, "For example, he is a newcomer who just graduated. But he can also donate two-thirds of his monthly income, just to give Veterans of the Anti-Japanese War and those who act bravely will support part of the treatment costs."

Sun Li'en smiled a little embarrassedly, and he didn't know how Zhou Jun got the news so quickly.

"Let's figure out the cost. Don't worry." Zhou Jun said sincerely, "You just need to tell us the truth and cooperate with our treatment. You don't have to worry about anything else, really."

Li Lifen lowered her head halfway, sobbed for a while, and then began to whisper her own story.

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Li Lifen is a hard-working person as the old saying goes.His mother died at the age of three, and his father died at the age of 12.She and her three-year-old brother have lived together for 20 years, and finally brought her brother to adulthood. She is an unmarried girl and is always harassed by the idlers in the village.As a result, the younger brother was young and energetic, and stabbed to death two dirty-mouthed hooligans with a sharp knife.Then he was arrested and brought to justice and executed.

At the age of 24, Li Lifen was left alone, and she didn't want to live anymore.

When she was about to die by Ning Lake, she was rescued by the militia captain guarding the irrigation facilities.The old militiaman, also surnamed Zhao, was 20 years older than Li Lifang, and had participated in the self-defense counterattack against Vietnam.In Laoshan, a leg was broken by a landmine. After retiring, he returned to Ningyuan to work in the village's military department. His main duty was to take care of the irrigation facilities. There were hundreds of catties of copper wire in the water pump, and it was indeed easy to attract thieves. .

The old militiaman is a rough man, but he is really kind to Li Lifang.Li Lifen, who wanted to die at first, also gradually fell in love with the old militia.Although he lost a leg, he is really a reliable person. At the age of 26, Li Lifen married an old militiaman who had been a bachelor for most of her life.

At the age of 35, Li Lifen and the old militia adopted an eight-year-old orphan.The old militiaman said with a smile that the old Zhao family has a descendant.

At the age of 41, the old militiaman drowned after being electrocuted in order to stop two bastards who entered the water with electric fish.

At the age of 53, 26-year-old Xiao Zhao got married and had a child.But Li Lifen didn't know about it.The daughter-in-law said that Li Lifen was a lonely star who killed her parents, brother and husband, and she firmly forbade Xiao Zhao to have any more contact with her adoptive mother.

Li Lifen is getting older and her income is getting less and less.She still likes to live in the small brick house built by the old militia by Ninghu Lake when they married her.She can no longer do farm work.

At the age of 56, Ninghu acquired land to build a resort, and the houses of Li Lifen and the old militia were also within the scope of land acquisition.The developer offered her 120 million compensation.

At the age of 56, the son and daughter-in-law suddenly contacted Li Lifen again.

At the age of 56, without Li Lifen's knowledge, her son signed the land acquisition agreement. 120 million went into the daughter-in-law's account.And Li Lifen was invited to live in her son's home.

At the age of 56, the house left to Li Lifen by the old militia turned into ruins.

At the age of 56, Li Lifen began to feel hungry.

When I was 56 years old.

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There was silence in the emergency room.There were only the sounds of a few male nurses gritting their teeth, and the sound of Zhou Jun clenching his fists.

"Call the police." After being silent for a long time, Zhou Jun said in a very low but extremely angry voice, "Call the police, go and call Lao Wu... and contact the family members." Paper balls. "I'm going to find Dean Song."

Zhou Jun raised his head with fire in his eyes.

"Do a set of routine blood tests, arrange CT for enhanced contrast, and confirm the extent of myocardial infarction." He forced himself to take a few deep breaths, and then said, "After confirming the location of myocardial infarction, arrange thrombolytic therapy as soon as possible, and other things , I'll do it."

He squeezed out another cloud of foul air from his nose, and then said to Sun Li'en, "Get her something to eat, not too salty or too spicy, buy some meat porridge or something." He turned and walked towards the door of the emergency room, "Qian I out."

(End of this chapter)