This doctor has a system

Chapter 306 295. Dizziness Special
"what?!"

"Yes, Mr. Pasteur, they regretted it." A subordinate reported.

"Why?" Pasteur found it difficult to accept.

"The other party didn't give a specific reason. They just asked someone to inform us." The subordinate said cautiously, "They said the compensation would be implemented in accordance with the contract."

"Sabby!" Pasteur finally choked out these words after a long time.

This incident also reminded Fengxin Technology that some situations need to be considered in advance. The value that an original research drug can create is too great, and some people do not want to see it released.

"Professor Gao, some patients from the Department of Neurology may be diverted later." The triage nurse hurried over, "Both Director Wu and Director Ma of the Department of Neurology have stopped calling, but there are still many patients outside. "

"Where have they gone?" Li Youliang on the side was a little curious.

"It said it was for some kind of examination." The nurse didn't know very well, "I'll have the patient come over in a moment."

"Okay." Gao Feng nodded.

During these years in general practice, he has made great progress in all aspects, and he has absolutely no problem in diagnosing and treating some minor problems.

"Hello, doctor." An aunt walked in accompanied by her daughter.

"Hello, please sit down." Gao Feng responded, "Sister, why are you uncomfortable?"

"I'm dizzy," said the aunt, "I've been feeling dizzy every day for a long time."

"Is your blood pressure high?"

"High, it's much higher every day, today it's 180/110." said the aunt's daughter.

"It's so high!" Gao Feng was a little surprised, "Don't taking antihypertensive medicine help?"

Gao Feng thought a lot at that moment. Could it be secondary hypertension?
Secondary hypertension, also known as symptomatic hypertension, is an increase in blood pressure caused by certain diseases or causes.For this type of hypertension, the cause needs to be identified as early as possible and the primary disease treated in a timely manner. Taking antihypertensive drugs alone is not effective.

"I didn't take any medicine." The aunt replied.

"Ah?" Gao Feng was stunned, "Why?"

My blood pressure is as high as 180/110mmHg and I still don’t take medicine. Could it be that I have a brain disease?
"I'm afraid that I won't be able to live without the antihypertensive medicine after I take it." The aunt said the reason, "Don't they say that the medicine is three parts poisonous?"

"Then having high blood pressure is more harmful to the body!" Gao Feng said to her, "The heart will gradually deteriorate due to increased afterload. Patients with high blood pressure are also prone to cerebral hemorrhage."

"You know cerebral hemorrhage, right? It's the kind that collapses on the bed and is always pulled down into the pocket of your pants."

"Oh, why are you saying so scary!" The aunt couldn't sit still, "Quickly, give me some antihypertensive medicine, I'll take it now!"

"You have to eat on time, monitor your blood pressure every day, and don't stop taking the medicine casually," Gao Feng explained.

"A few days ago, a patient was paralyzed due to cerebral hemorrhage. He seems to be about your age and also has high blood pressure."

"I noticed that he looks a lot like you." Li Youliang said.

The aunt's face gradually became distorted, she took her daughter with the prescription and ran to the pharmacy.

After successfully treating a patient, his merit +1, Gao Feng had a smile on his face.

"Doctor, I'm dizzy." A man in his 30s came in.

The patient felt dizzy when he woke up from a nap at noon. There was no tinnitus or hearing loss, and the dizziness became more severe when he opened his eyes.

After careful questioning, Gao Feng found that the patient had no symptoms such as numbness, weakness, or double vision in his limbs at that time, and he could speak clearly. The symptoms of rotation have now been basically relieved.

"Similar situations have happened before, and each time lasted for more than one or two hours." The patient said, "I have a history of chronic headaches."

"What you think is dizziness caused by migraine, that is, vestibular migraine." Gao Feng said, "Let me prescribe you some medicine."

He prescribed betahistine tablets 8 mg orally three times a day for the patient.

This drug is a new type of histamine drug that is an agonist of histamine H1 receptors.

It has the effect of dilating capillaries, relaxing precapillary sphincter, increasing precapillary microcirculatory blood flow, relaxing precapillary sphincter of the inner ear, and increasing cochlear and vestibular blood flow;
It can improve vestibular function and eliminate symptoms such as inner ear vertigo, tinnitus and auricularia. It is a commonly used drug in neurology.

"Doctor, I'm dizzy." As soon as the last patient left, a 67-year-old elderly patient was helped in.

The old man lay down on the diagnosis bed as soon as he arrived, looking like he was not in a good condition.

After asking, the patient has collected five cards: hypertension, hyperlipidemia, diabetes, coronary heart disease, and chronic bronchitis. If he works harder, he may be able to meet the conditions for summoning the dragon in his lifetime.

The old man has been dizzy on and off for a month. According to his family members, his blood pressure is usually well controlled, but his blood sugar is not well controlled.

Li Youliang measured his vital signs: blood pressure 140/85mmHg, pulse 79 beats/min, no nystagmus, and no neurological localization signs.

"Let's simply do a head CT and electrocardiogram." Gao Feng said, "You have too many underlying diseases and your condition is not very good."

"I recommend hospitalization."

"Okay." The patient's family members were very reasonable and readily agreed.

Gao Feng couldn't explain the cause of this patient's dizziness at the moment. He needed to rule out acute stroke and check other things slowly after he was hospitalized.

"Doctor, I."

"You are dizzy." Gao Feng said.

"Miracle doctor!" The 54-year-old man said with shock on his face, "You knew I was dizzy just by looking at my face?"

"No wonder they all say that they have to go to a big hospital for medical treatment. They are very good!"

Gao Feng finally understood, today is a special event for dizziness!

Patient Wang Tiangang, 54 years old, came to the hospital alone for treatment. He had dizziness and headache for half a month, concentrated in the right temporal region. He had never had a similar history before, and his blood pressure was normal. He had no fever or cold recently.

My limbs move normally and I sleep well.Gao Feng didn't find any clear diagnostic clues, so he had to write a preliminary diagnosis in the medical record: dizziness to be investigated, migraine?
"Because this is a new symptom, I suggest you do a cranial MRI and check it all at once." Gao Feng suggested to the patient.

Wang Tiangang was very concerned about his health. He immediately accepted the doctor's advice and left the clinic with the examination sheet in hand.

"If you come to the clinic after the results are out, you don't need to register again." Li Youliang reminded.

"Okay." The patient also turned around and made an OK gesture.

"I don't think he has a big problem." Li Youliang said.

"Me too." Gao Feng.

"The next person, Zhou Meilian, please come to clinic No. 6 for treatment." The number calling machine made a sweet voice.

"Doctor, I'm dizzy." Zhou Meilian said.

"How long have you been dizzy?" Gao Feng asked, "Have you not rested? Why are the dark circles under your eyes so heavy?"

"Uuuuuuuuuuuuuuuu" The patient suddenly cried.

"No, sister, what's going on with you?" Li Youliang hurriedly stepped forward, "Can you tell me if you have anything to say and control your emotions?" Then the patient cried louder.

The triage nurses outside heard the sound and came in. Gao Feng waved to her.

"Doctor, I've been under too much pressure recently." Zhou Meilian wiped her tears, "My son and daughter-in-law have been getting divorced, and my husband doesn't help with the grandchildren. I can't sleep well all night long."

"I've been very dizzy these past few days, but I just can't sleep at night. I feel upset just lying there."

"woo woo woo woo."

"Okay, don't cry." Gao Feng advised, "Sister, please be stronger, this family still needs you."

"Let's do this. I'll prescribe some sleeping pills for you. You can take it for two days and see if it doesn't work. If it doesn't work, you can go to the psychology department for psychological consultation."

The patient went out crying. Gao Feng and Li Youliang looked at each other without saying a word.

The next contestant was a 47-year-old middle-aged woman who was also dizzy.
The patient had a history of vertigo for many years and tinnitus on the left side. He was diagnosed with insufficient blood supply to the brain in several places.Each time I was hospitalized and given some drugs to improve brain circulation.

Gao Feng felt that her situation was not "insufficient blood supply to the brain" and that she might have otogenic vertigo. He suggested that the patient go to the otolaryngology department for examination.

The patient was persuaded to go to the otolaryngology department.

"Please allow me to let my dust fall to the ground and bury the past with silence." Gao Feng's cell phone rang.

He picked it up and looked at it. It was Director Zhao calling.

"My teacher went to the countryside." Li Youliang said.

"There is an acquaintance who is feeling a little unwell. I'm not in the hospital. Please check with him." Director Zhao said on the phone.

"Okay, I'm at the outpatient clinic. Ask him to call me when he arrives."

The patient was waiting in the outpatient clinic and soon came to the consulting room.

"Youliang, open the window to get some air." Gao Feng said, finally able to stop looking at the dizzy patient, he shook his head to cheer himself up.

Director Zhao's acquaintance is called Zhao Anshun, a man in his 30s. His face is full of sorrow. You can tell at a glance that this man has something on his mind.

"What's wrong with you?" Li Youliang on the side motioned for him to sit down.

"Dizziness." Zhao Anshun said.

The scene was a little quiet for a while.

"Is there any problem?" Zhao Anshun asked uneasily.

"No!"

"Tell me the specific situation." Gao Feng said.

The patient has been experiencing dizziness for 2 years, and feels that the symptoms have worsened in the past six months, and syncope also occurs from time to time.I went to the local hospital several times and was admitted to the hospital twice. Basically everything that could be checked was checked.

The medical records he brought were as thick as eight editions of internal medicine books.

"It usually appears after urinating." Zhao Anshun was very distressed. Yesterday afternoon, he once again suffered a brief loss of consciousness while urinating and fell on the bathroom floor.

Fortunately, his head was not seriously injured. When he woke up, he was conscious, his limbs moved normally, his speech was fluent, and his blood pressure was not high.

There was a hole in one of the urinals, and all the urine flowed onto the ground. It was like he lay in the urine for a while, and when he got up, his whole body was filled with a pungent smell.

Very old.

"I came here just to check it out again," Zhao Anshun said. "Now it makes me very nervous every time I urinate."

Fainting caused by urinating is relatively rare.But a smile appeared on Gao Feng's face. He had seen a case of this disease some time ago.

"It should be neurological reflex syncope. This is called urinary syncope, and there is no special treatment." He told Zhao Anshun, "Be careful not to hold in your urine, and don't hold your breath too much when urinating. At the same time, pay attention to your movements when standing up suddenly from a lying position. Slow down."

"Should I check again?" Zhao Anshun was very worried, "Would it be more appropriate to do another MRI on the head?"

"I don't think it's necessary. You checked this half a month ago, and there's nothing wrong with it." Gao Feng said.

"I still want to check it out again." Zhao Anshun took out a small notebook, "Do you think the project above can be done? I want to check it out too."

"Coronary artery CTA head magnetic resonance plain scan + enhanced 3.0" Li Youliang read out.

"Who wrote this for you?"

"I checked it myself on the Internet." Zhao Anshun replied, "Don't worry."

After Gao Feng and Li Youliang's sincere dissuasion, Zhao Anshun finally decided to only do a head MRI scan + enhancement.

"Call me directly after you're done, and I'll check it out for you on the computer in advance." Gao Feng said to him, "Follow my instructions when you urinate, and be careful."

After seeing this patient, Gao Feng felt a little dizzy. Fortunately, at noon, the two of them quickly packed up and left work.

"What to eat?" Li Youliang asked.

"Noodles?" Gao Feng really didn't feel hungry. Mental work consumed energy, and he was a little sleepy at the moment.

"How about I buy it for you?" Li Youliang felt that the boss didn't want to move. "You go back to the office and rest for a while. After I buy it, we can eat in the house."

"Okay." Gao Feng turned and walked towards the General Medicine Department.

When he reached the corner of Building 1, he noticed a large circle of people gathered in front of him.

"Brother, what's going on?" he asked a middle-aged man.

"It seems like someone is about to jump off the building, right there." The eldest brother said, and he pointed.

Gao Feng looked in the direction he was pointing and actually spotted a middle-aged woman, who was standing on the platform in front of Building 1, holding a pillar.

"What's the reason?"

"Who knows." The elder brother shook his head, "It must have been more than 10 minutes. I don't know what happened."

At this time, 119 arrived. Several firefighters quickly put air mattresses downstairs, and some people ran upstairs.

The two firefighters struggled with the patient on the platform for a long time. The latter was very agitated, yelling not to come over, and kept moving forward.

"We're not going over, so don't move around." A firefighter said. He was a little helpless. The patient was standing right in front of the platform. There was no obstruction in front of him. If he took a step forward, he would definitely fall. They just used I'm afraid it's too late to stop it even if I don't have the strength to feed myself.

Fortunately, the patient's identity was also recognized at this time. She was a patient in the gastroenterology department. She was just diagnosed with colon cancer with multiple metastases throughout the body yesterday.

The husband originally wanted to hide it from her, but the patient was very thoughtful and keenly noticed something wrong with the former's attitude.

She took off her hospital gown and pretended to be a family member to ask the doctors in other groups about her condition. A supervisor on duty looked at the computer and gave her a brief explanation.

Then came the current situation.

(End of this chapter)