This doctor is not short of money

What do you mean?
What do you mean when you can't eat hot tofu in a hurry?
The doctor who asked the question blinked his eyes quickly a few times, a little dazed, and a little bit stunned turned his head to look around.

What does this kid mean, that I don't know how to heal diseases?
And the doctor next to him, who had helped Du Heng when he entered the door, grinned slightly.

deserve it.

He is young and famous, and he is a Chinese medicine doctor that you don't like. If you don't want to see him, you don't want to see him. Anyway, he is here as a guest, so he wandered around and left.

But if you insist on making yourself uncomfortable, who can you blame?
Besides, even if you don't want to see him, you still have to look at Teacher Tian's face. You must know that this young man was invited by Teacher Tian.

Others may have the possibility of gaining fame and deceit, but as Teacher Tian, ​​can she invite such a stick?
This is a question that anyone with a little brain can figure out, right?

But these two people felt that the young people refuted their face and hurt their glass hearts.

It's really not too late for a gentleman to take revenge for ten years, but for a villain to take revenge only in the morning and evening.

Mind and eyes are so fucking small.

It's just that the smile on the corner of his mouth has not yet fully risen, and the previous voice suddenly sounded again.

"Dr. Du really deserves to be an expert from the capital. His level and knowledge are beyond our comparability."

Du Heng was amazed by such obvious flattery, and the only thought in his mind was: This flattery is too low-level.

It's just that when he turned his head to look, the person who spoke was the first to ask the question, which made Du Heng immediately vigilant.

Weasels wish chickens New Year's greetings, which is out of good intentions.

At the same time as he thought about it, the flatterer really said, "It just so happens that the person next to me is my patient, Dr. Du can give me some advice."

Is this a one-time failure and another one?
Du Heng sighed helplessly.

He thought he was going to do something, but he didn't expect to see a doctor.

But what can be so difficult?
Without waiting for others to speak, and without waiting for a final explanation to the previous patient, the person who spoke went straight forward and started to introduce the patient in the second bed on his own.

"Dr. Du, I admitted this patient a week ago."

The speaking doctor took a medical record folder from a young man behind him, and said softly, "The patient is 59 years old and has been diagnosed with essential hypertension and hypertensive heart disease.

After questioning, it was learned that the patient refused to take drugs to control high blood pressure, and only relied on food and exercise for self-control.

But this effect was not good, keeping his blood pressure at a high value for a long time, and this time has been eight years. "

Have high blood pressure, but not receiving treatment?
This is an axis man!

At this time, Dean Tian suddenly interjected and asked, "Why doesn't the patient receive drug treatment?"

The doctor who made the introduction curled his lips slightly, but immediately said in a very serious tone, "The patient thinks that antihypertensive drugs cannot completely solve his problem, and will also cause dependence, so he refuses to take antihypertensive drugs."

Dean Tian nodded slightly, and then asked, "What was your blood pressure when you were admitted to the hospital, and what is your current blood pressure?"

"When admitted to the hospital, the patient had palpitations, shortness of breath, irregular heartbeat, and semi-comatose symptoms." While speaking, the doctor looked down at the medical record in his hand, and then continued, "The blood pressure measured on admission was 196/160 , measured 170/145 this morning."

Dean Tian frowned in a rare way, "Why are you still so tall?"

The doctor who made the introduction shook his head slightly and said, "Because the patient refused to take antihypertensive drugs, we have no good solution."

While speaking, a trace of irritability appeared on the doctor's face.

He himself is not sure now, whether he wants to make things difficult for Du Heng, or seek a solution from Du Heng.

This patient is so fucked up!
After looking back at the patient, the doctor turned his head and continued to introduce, "Because the patient's blood pressure has remained at a high value for a long time, it has increased the burden on his left ventricle.

After examination, it was found that the patient's left ventricle showed signs of hypertrophy and enlargement.

During the day, the patient will have symptoms of palpitations and shortness of breath.

At night, there may even be paroxysmal dyspnea. "

Speaking of this, the doctor who made the introduction no longer stared at Du Heng alone, but turned his attention to the director of the department and Dean Tian.

At this time, he really wanted to solve the problem in front of him, instead of being angry with Du Heng for no reason.

The doctor who made the introduction frowned and said, "The situation is obvious, this is a typical hypertensive heart disease, as long as the blood pressure is lowered, the problem will not be too big.

But now the patient refuses to cooperate with the treatment and refuses to take antihypertensive drugs, so the blood pressure has not been lowered, and this will continue to increase the burden on the left ventricle.

I am worried that if this continues, it will cause heart failure. "

After listening to the doctor's introduction, those who knew the situation and those who didn't, all started whispering and discussing the patient's situation.

But after discussing and discussing, it was found that the final problem was still stuck on the issue of blood pressure.

At this time, the director of the department asked, "Didn't I ask you to find a colleague from the Department of Traditional Chinese Medicine?
The patient is unwilling to drink antihypertensive drugs for fear of forming drug dependence, but the patient himself said that he is willing to drink Chinese medicine. "

The director of the department frowned and asked, "It's been a week, and you haven't looked for it yet?"

The doctor who made the introduction twitched the corner of his mouth, glanced at Du Heng who was watching the excitement, and said with disdain, "After you finished speaking, I went to the Chinese medicine department.

They prescribed the medicine at the time, and I gave it to the patient.

But the effect is what it is now. "

As soon as these words were finished, the voices of the discussion around him rose a little bit, and all eyes began to glance at Du Heng intentionally or unintentionally.

For the previous patient, Du Heng was very confident and spoke clearly and logically, which made everyone present accept him.

But what they accepted was Du Heng's statement. As for the final effect, they did not see it.

So, in their hearts, some of them have silently given Du Heng the title of 'King of Talking'.

At this time, when they heard the words that Chinese medicine was useless, everyone looked at Du Heng, and it became a little weirder.

But everyone just glanced at Du Heng a few times, and then began to concentrate on discussing the situation in front of them.

Dean Tian pursed his lips, stretched out his hand to pass the medical record in the other party's hand, frowned and slowly flipped through it.

It's just that what I saw was pretty much the same as what I heard just now, and there were no other new discoveries.

But this also means that if the patient on the hospital bed in front of him allows his condition to develop like this, it may really be life-threatening.

A high pressure of more than 180 and a low pressure of around 150 are no longer values ​​within the safe range.

If it continues like this, the pressure on the cardiovascular and cerebrovascular vessels will be very high, and all kinds of myocardial infarction and cerebral infarction will come.

In the end, the stroke may be mild, and a blood vessel may burst.

And this is all for later, the most important thing is that the patient's unhealthy heart is already in a state of being overwhelmed by the high blood pressure.

Director Tian read the medical record in his hand, handed it back to the other party, and asked with a frown, "What's the patient's condition now?"

The doctor who made the introduction didn't speak, but turned his head and glanced back.

The young doctor who had just handed over the medical record hurriedly said, "I came to see the patient at 07:30, and the patient said that after breakfast, his dizziness became a little worse, and he also felt a slight sense of nausea.

At the same time, the problems of heart palpitations and shortness of breath have always existed, and they also aggravated slightly after breakfast. "

Dean Tian frowned even tighter, and his expression became more serious, "This is impossible, this situation is too dangerous."

The young doctor said cautiously, "The patient does not cooperate with the treatment, so we can only do some cardiovascular treatment now.

For the time being, it is controlled within a reasonable range, but there will be a more obvious reaction every time after eating or getting up for activities. "

It's really hard to wait, antihypertensive drugs are afraid of drug dependence, isn't it afraid that cardiovascular drugs will not become dependent?
Listening to the young doctor's words, Dr. Tian just shook her head slightly. She can't say this, at least not right now.
Antihypertensive drugs are not dependent on people.

But antihypertensive drugs are dependent on hypertension.

That is to say, when you take antihypertensive drugs, your blood pressure will go down; if you stop taking antihypertensive drugs, your blood pressure will rise again.

Do you think it makes a difference?
Have!
But for people with high blood pressure, it is equivalent to no.

And antihypertensive drugs have side effects.

You may not notice anything if you take it for a short period of time, but once you take it for a long time, especially if you take it for a long time, the side effects will definitely appear.

For example, those who have problems with their digestive tract or respiratory tract, this effect will appear more quickly and obviously.

As for these things, Dean Tian believes that the patient's attending doctor must have explained them in detail, so she has no intention of explaining them to the patient.

"Have you talked to his family?"

"Not only did he talk about it, but he also talked about it with his lover and children." The young doctor said with a wry smile, "It's just that the patient is a very assertive person, and he doesn't listen to anyone who says it."

Dean Tian stopped talking, but the director of the department next to him suddenly asked, "Did you sign the informed consent form with the family?"

"Signed."

As soon as this question was asked, everyone's discussion stopped.

The meaning of the director of the department is obvious, that is, if the patients do not cooperate with the treatment, then they will be forced to leave the hospital.

For patients like this, once something goes wrong, there will be endless troubles and endless troubles.

So before the accident, discharge is the best option.

And this topic stopped abruptly here. They knew that no matter how much they talked, as long as the patient didn't cooperate with the treatment, everything would be nothing.

They have naturally exited the ward, ready to go to the next ward.

As for Du Heng, who was questioned before, they had unconsciously ignored him and regarded him as a transparent person.

But the others forgot, not the doctor who started the question.

He could tell from the expressions of Dean Tian and Director that they were just like him, and there was no good way to deal with it.

But the target he just asked was not the two of them, but Du Heng, a Chinese medicine doctor.

After all, even if there is a gap between him and Dean Tian, ​​the gap will not be very big.

I can't do it myself, so is it possible that the two of them can do it?

Therefore, his main purpose is to ask Du Heng.

If it is done, it is to help oneself solve a big problem.

Anyway, it was the first time I met Du Heng, and I probably won't see each other in the future, so I was embarrassed for a while.

If it doesn't work, then follow the original plan and discharge the patient without any loss.And as the subject of the question, on an occasion like today, it just depends on whether he is embarrassed or not.

Counting back and forth, no matter what the situation is, I am not at a loss, so why not ask Du Heng to ask?

"Dr. Du, I have seen your video on the Internet, and I know that you are also very researched on the three highs, so please take the time to see if there is any good way."

How strange is it for a middle-aged doctor to say such polite words to a young doctor.

Although every word is flattering, there is a kind of ridicule and ridicule in what I see and hear.

And when the middle-aged doctor finished speaking, Director Tian's expression became a little unhappy.

But Du Heng suddenly smiled, and asked directly with a smile, "I didn't bring tools with me today, so I wonder if your department can help me find a set of acupuncture tools?"

Ok?
The middle-aged doctor raised his eyebrows slightly, "Dr. Du, do you have a solution?"

"It's not a big problem, of course there is a solution." Du Heng smiled.

The middle-aged doctor's eyelids twitched again.

But this time he didn't speak again, but winked at the young doctor just now.

Dean Tian was also helpless, and had no choice but to swallow the words that came to his lips.

Immediately after taking a light look at the middle-aged doctor, he chatted with Du Heng about the patient on the same bed, and began to ask Du Heng in detail what medicine he was going to prescribe.

Just after Du Heng wrote down the prescription and explained the effect of each medicine, the young man who went out appeared at the door of the ward out of breath.

"I took a set of disposable acupuncture needles, I wonder if it will work?"

"It's fine, I often use this kind of needle." Du Heng smiled lightly and took the acupuncture needle, "Although this kind of disposable needle is not as flexible and relatively brittle, it can still be used, and this thing can be used It is well handled and relatively hygienic."

After speaking, Du Heng asked someone to find an alcohol cotton swab for disinfection, then chatted with the patient for a while, and after asking for the patient's consent, he began to perform the acupuncture.

Quchi, Fengchi, Baihui, plus Taiyang and Yintang.

Among the acupoints, only Quchi and Fengchi are okay, but the remaining three places make people feel tense just by looking at them.

Especially when Baihui and Taiyang went under the needle, everyone present did not dare to take a breath.