I can see health

Chapter 497
"Well, I, I have something else to do..." the ENT doctor said in a panic, "I won't talk to you."

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

His figure is extremely vigorous.

For a while, even Uncle Fang, the security guard, didn't react, and he disappeared into the crowd outside the CCU ward.

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

Yituo, this is an improper profession spawned by the hospital system, and it is in the nature of double cheating.

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

Some scammers use the slogan of the hospital's internal personnel to deceive the patients, saying that they are doctors, and they can directly bring the patients to the doctor or to the ward, and they will charge a certain fee.

On the other hand, when they bring patients to the doctor, they falsely claim that they are doctors from a certain department, so that the doctor can make it easier.

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

However, today's "medical care" has hit the iron plate.

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

"Ms. 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 usually go to dinner parties. If this person talks about other small departments, I might not care, but he said It’s the otolaryngology department, I’m still a little serious, there is no new doctor in their department this year.”

Lu Chen secretly laughed, this doctor was really unlucky.

The Department of Otorhinolaryngology is a small department, so not many people know about it.

However, he accidentally bumped into the muzzle of the gun today!

……

After waiting for about 2 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 ask these doctors." Huang Hanlin instructed, "Don't say anything else, if they take the money and run away, where can you find him?"

The medical entrustment just now had some "professional ethics". He brought n to the gate of the CCU and tried to seek special care as an "otolaryngologist".

The family member smiled wryly: "Doctor, I can't help it. It's not easy to get an account in your hospital, and it's difficult to see a doctor! There's no way, I can only make this bad plan."

Huang Hanlin sighed slightly in his heart, "Not much to say, you have seen the patient's condition, and he needs to be hospitalized immediately. We are in a CCU ward, and the cost is higher than that of an ordinary ward. It costs at least 8000 yuan for the first day, and every day thereafter. The fee is determined according to the condition. However, if the condition improves, we will immediately transfer the patient to the general ward.”

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

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

……

The patient was immediately admitted to the CCU ward.

Lu Chen held the blood pressure monitor and pushed the electrocardiogram machine to review the electrocardiogram for the patient.

The electrocardiogram this time was almost the same as before.

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

"Uncle, when did you start to feel pain?"

"This morning, when I was just about to go to work, the pain at that time was not as severe as it is now, so I didn't pay much attention to it. In the afternoon, the pain 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 should I put it, it's a bit like colic!"

"Are there paroxysmal pains?"

"Well, intermittently."

……

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

His initial diagnosis was still acute coronary syndrome, and the possibility of myocardial infarction could not be ruled out.

be careful and live long!
The only strange thing is that the patient had never smoked or drank alcohol before, had no history of being tired and staying up late, and had no family history of heart disease.

How could he suddenly have a heart attack?

However, nothing is absolute.

A small number of patients may have no risk factors at all, but they just got acute myocardial infarction!
This thing is very mysterious...

……

Go 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 everything truthfully in detail.

Just then, the nurse ran in.

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

Lu Chen was startled, the chest pain is serious?
Should not be!

As soon as the patient was admitted to the hospital, he had already used all the treatments for coronary heart disease, including nitroglycerin to relieve chest pain.

Is it really a heart attack?

Only in the case of myocardial infarction, if the patient uses nitroglycerin for pain relief, will it have no effect.

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

"One more minute." The nurse said.

"Then you report to Dr. Huang, and I'll check the results of myocardium enzymes."

Lu Chen hurriedly came to the screening machine, quietly waiting for the results.

……

In just 1 minute, it seemed a bit long at the moment.

Finally, the preliminary screening machine sounded a "ding", and the result came out!

Lu Chen leaned over and took a look, all the enzymes in the heart muscle were normal!
"This... Myocardial enzyme is negative, so it's not a myocardial infarction?!"

Lu Chen's heart skipped a beat.

If it is a myocardial infarction, the patient has had symptoms since this morning, and the pain has lasted for more than four hours, and the myocardial enzymes will definitely increase.

There is no acute onset and no increase in troponin.

At this time, Huang Hanlin also came over.

"What is the patient's outcome?"

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

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

Then, the two came to the hospital bed again.

The patient was lying on the bed with an extremely painful expression on his face.

"Doctor, why do I feel more pain?"

Without hesitation, Lu Chen immediately gave the patient a physical examination.

……

5 minute later.

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

Huang Hanlin frowned upon hearing this.

"Did you not 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, "Maybe you need an emergency abdominal ultrasound."

Lu Chen nodded slightly.

It's not myocardial infarction, it may be acute abdomen!
Chest pain, abdominal pain, the pain in these two positions, sometimes the location and boundaries are not very obvious!
"Doctor Huang, the patient's blood pressure is low!"

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

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

(End of this chapter)