This doctor has a system

Chapter 364 429. The horse of an acquaintance who sees a doctor "does not lift"

If that is the case, everyone must have broken the law.

Although he knew that Li Youliang was secretly changing his concept, Mu Yongde did not express any further opinions. The situation is already clear, all three people agree, and his opinion is no longer important.

"I'll have someone communicate with Lawyer Zhao when I get back." Zhao Xingye said, "Outsource it and isolate the two firewalls to avoid trouble in the future."

The other three were noncommittal.

In fact, once such means are adopted, marketing becomes simpler. Jiaxing Technology received weak orders, which put great pressure on the production line.

Interest is indeed the energy that drives everything in the world.

On Wednesday afternoon, after 5:30, and it was almost time to get off work, Gao Feng suddenly received a call from Director Shen.

On the phone, she lowered her voice and said, "Gao Feng, check WeChat!" From the background sounds on the phone, Director Shen should be in a meeting.

Gao Feng responded, then hung up the phone, opened WeChat, and saw a WeChat message sent by Director Shen at 5:26: There is a patient in a while. Please take care of him. He will call you when he arrives.

Ten minutes later, a rapid ringing suddenly rang. Gao Feng saw that it was an unfamiliar local phone number. It rang twice, so he answered it: "Hello, hello!"

"Are you Mr. Gao?" A sweet and sultry voice came over.

"That's me!" Gao Feng replied, "Who are you?".

“Do you need a loan?…”

I'm a billionaire, and you asked me if I need a loan? Don’t current salespeople do background checks? Gao Feng was speechless.

"Loan! Give me a loan of 100 million first!" Gao Feng said.

The other party was stunned for a moment, and then hung up the phone.

After waiting for a full hour, I still didn't see the patient that Director Shen mentioned. Gao Feng felt a little anxious, waiting to go back and hold the child for two minutes.

Just as he was about to send her a WeChat message to ask about the situation, suddenly his cell phone rang again, another unfamiliar local call. Gao Feng hesitated and answered the call.

"Hello, are you Director Gao?" The voice sounded like that of a middle-aged elder sister, and her tone was not particularly urgent.

"Yes, I am."

"Director Shen asked me to find you. We are in the emergency room."

"Oh, you're on the first floor, right?"

"Yes!" said the eldest sister.

"I'll go down right away!" Gao Feng replied.

"Oh, okay!"

After hanging up the phone, Gao Feng and Li Youliang got up and walked out, walking quickly along the stairs to the first floor.

As soon as they arrived at the lobby on the first floor of the emergency department, they saw a middle-aged couple. The man was half-leaning on the stretcher beside the wall, and the woman was standing next to her, watching the direction Gao Feng was coming from.

Seeing Gao Feng approaching, the eldest sister asked tentatively: "Are you...Director Gao?"

Seeing that the visitor was so young, there was a hint of distrust in her tone.

"Yes, I am!" Gao Feng responded nonchalantly, and then stood beside them.

"Why are our patients so uncomfortable?" he asked immediately.

"I'm just feeling wet!" the man said, pointing with his hand to indicate that his upper abdomen was tumbling upwards.

"How long?" Gao Feng asked.

"It's been a week." His answer was very natural. His face was relatively rosy and his expression was natural. He didn't feel like he was sick.

"Do you have any nausea or vomiting? Can't have diarrhea?" Gao Feng continued to ask about the medical history.

"No, none!" He immediately denied it.

"Have you had similar symptoms before?"

"Never had!"

"How is your appetite?"

"I usually have a good appetite too!"

"Do you have frequent symptoms of acid reflux and belching?"

"no!"

"You feel wet. Has it always been like this recently?" Gao Feng continued to ask about the medical history.

"It's not like this all the time, it happens in fits and starts!"

"When you feel uncomfortable, do you feel chest tightness or pain? Do you feel difficulty breathing?" Gao Feng asked the key point.

"That's not true!" the patient's answer was affirmative.

"Do you feel dizzy or sweaty?"

"He fainted just now when he was feeling uncomfortable. His lips were black and he was sweating all over his body. I gave him Suxiao Jiuxin Pills to help him recover! I thought he had a heart problem and asked him to come to the hospital. He insisted that it was a stomach problem!" The eldest sister hurriedly added. Gao Feng didn't care about the first few words, but after hearing them, he couldn't help being surprised.

"A few days ago, he was in bed. Well... he felt a little uncomfortable when he was working. It would be better if he took a little rest!" the eldest sister added.

Gao Feng was not too surprised when he heard this. As we all know, the labor intensity in bed is very high, and the average man cannot last long.

"Does he have high blood pressure or diabetes?" He continued to search for useful information.

"No!" the eldest sister replied immediately.

"Do you smoke or not?"

"I smoke a lot, almost a pack a day," the eldest sister said.

"I can't help it, it's all my father's fault." The patient said forcefully, "He passed his smoking addiction on to me."

After asking about the patient's condition in general, Gao Feng asked the patient to measure his vital signs at the triage table: blood pressure 130/80mmHg, pulse 76 beats/min, blood oxygen saturation 97%, and respiration 20 times/min.

Li Youliang came over with a glass of water. The eldest sister was about to say thank you when she saw him handing the glass to the young Director Gao, who drank it all in one gulp.

At this time, the triage nurse came over and asked: "Director Gao, should this patient be admitted to the emergency room or to the internal clinic?"

After hesitating for a moment, Gao Feng glanced at the emergency room and saw that it was overcrowded. The doctor on duty was busy updating a patient's family battle. He seemed to be at a disadvantage at the moment. So, he asked the triage desk to call the doctor in the internal medicine clinic.

Although it is Director Shen's relationship, Gao Feng's idea is: Never omit any normal medical procedures or examinations. The patient's safety is the top priority in everything, so he will help with normal medical treatment.

And he felt that there was something very wrong with this patient.

Things are different now. What bothers many doctors the most is acquaintances. Some doctors will prescribe more examinations and tests for people they know well to avoid missed diagnoses.

After registering the number, Gao Feng led the patient directly into the treatment room next to the internal clinic. The patient was lying on the bed, preparing to do an electrocardiogram first. Gao Feng's idea is: do an electrocardiogram first. If there are no special abnormalities in the electrocardiogram, then discuss the next step of examination with the internal doctor. Regarding the patient's condition, he obviously feels abnormal. It doesn't seem to be a gastrointestinal matter. It should be still There is something wrong with the heart.

In the worst case, a heart attack is also possible. However, there are still some uncertainties.

The nurse in the treatment room was busy collecting blood from the patient, and some had no spare hands. Li Youliang on the side quickly connected the patient's chest and limb leads.

After adjusting the electrocardiogram, Li Youliang asked the patient to take a breath, and the electrocardiogram was displayed neatly on the screen. Gao Feng immediately became nervous and printed out the electrocardiogram. The nurse took off the leads, and he immediately told the patient: " You lie down and don't move, it's an acute myocardial infarction."

The electrocardiogram showed: sinus rhythm, ST segment elevation of 0.3 mv in inferior leads ll, III, and avF. Based on the clinical symptoms, the diagnosis was: acute inferior ST segment elevation myocardial infarction.

A stone finally fell from Gao Feng's heart, and he suddenly felt relieved.

But the patient obviously couldn't accept it, and his family members also widened their eyes.

"what?"

"Director Gao, are you talking about myocardial infarction?" The female family member said blankly, "Isn't it a mistake?"

"My husband doesn't feel any pain either!"

In fact, this is a misunderstanding of family members. Generally speaking, the symptoms of acute myocardial infarction are sudden onset, squeezing pain or suffocation in the precordium that lasts for more than 30 minutes, and patients often feel like they are about to die.

But sometimes the symptoms of some patients are not so typical, and a few patients have no obvious pain. At the beginning of the onset, they may only show symptoms such as chest tightness, shortness of breath, difficulty breathing, cough, nausea, and abdominal pain.

Li Youliang quickly went to the emergency hall to push a bed, helped the patient onto the bed, and pushed the bed to the emergency room with his elder sister.

The nurses at the chest pain center were called to monitor, inject fluids, draw blood, and inhale oxygen without stopping. The nurses sent electrocardiograms to the doctors at the chest pain center through the mobile phone system and uploaded the patient's information. The doctors in the emergency room also quickly prepared medical orders. Gao Feng stood by the bed and chatted with the patient for a few words, but the patient was very quiet.

He sent a message to Director Shen explaining the patient's condition.

At 7:10, the patient finally received a notification from the intracardiac cath lab and immediately went to the cath lab for emergency PCI.

Everyone pushed the patient out of the emergency room. The patient was lying smoothly. When passing by the triage table, Gao Feng took a quilt to cover the patient and watched them leave the emergency room and go to the catheterization laboratory.

"Let's get off work too." Gao Feng sighed. He was not very lucky today. A random patient he saw turned out to be suffering from myocardial infarction.

"It looked fine, but I didn't expect it to be a myocardial infarction." Li Youliang said, no wonder everyone who comes to the hospital routinely has to do an electrocardiogram.

However, this patient was relatively lucky. He went to the provincial hospital for treatment and encountered high wind. If he was really treated for gastroenteritis, it would be hard to say whether he would die.

As soon as he returned home, Gao Ma stopped him.

"Your cousin will come to see a doctor tomorrow. Find a good doctor to take a good look at him."

"Cousin?" Gao Feng said in surprise, "Isn't he over there on Blue Island?"

"Back." Gao Ma said casually.

"What's the disease?"

"I don't know either. I didn't say anything on the phone." Gao Ma hugged her grandson and walked away.

At least you can ask, I have a general direction, Gao Feng is a little helpless. It is true that he is a general practitioner, but he cannot treat all diseases.

However, in his impression, his cousin has always been in good health. He is 185cm tall and his physique is inherited from his uncle. He looks strong and solid, a little on the fat side.

Early the next morning, just after his shift, Gao Feng received a call from his cousin.

"I'm at the outpatient clinic." My cousin said, "I just applied for a medical card."

Gao Feng's cousin's name is Ma Ju. He is fatter than before. He looks like a big man. The contrast between his petite cousin and his cousin is huge.

The three of them chatted for a while, and then Gao Feng got to the point.

"What's wrong with you?"

"Well" Cousin Ma Ju looked confused, "Actually, it's not a big problem."

"It's not a big problem!" My cousin-in-law was unhappy, "You should tell my cousin quickly, we can't hide our illness and avoid medical treatment."

"Yes, cousin." Gao Feng said, "If you are sick, we should see you to prevent a minor illness from turning into a serious illness."

Ma Ju hesitated for a moment and finally spoke.

"I don't know what's going on lately, I've been wetting the bed a little bit."

It turned out that in recent months, he suddenly developed a "bedwetting" problem, which was very difficult for Ma Ju to accept. At first, I found a piece of wetness on my sheets when I woke up in the morning. I thought it was because I had been under too much pressure at work recently and was exhausted. Because I couldn't talk about it, I didn't think of seeing a doctor. Later, the frequency of "bedwetting" became more and more frequent, occurring two or three times in a week.

The cousin also felt something was wrong. She initially thought it was tea spilled on the bed, but didn't think much about it. Later she found out that it was her husband's problem.

"I don't let him drink water at night, but I still can't control it." The cousin said distressedly. Every morning when she got up, she saw pieces of "maps" drawn by her husband.

"I registered with the urology department at the hospital over at Landao and did a lot of tests." Ma Ju said, "Nothing was found wrong."

Gao Feng looked at the checklist and basically ruled out enuresis, urinary tract infection, cystitis and other problems.

"The doctor over there asked me to see the neurology and respiratory medicine departments again."

It's understandable for someone with a high degree of neurology. After all, bed-wetting and a cranial MRI are normal, but why should I recommend that my cousin go to the respiratory medicine department for treatment?

"I snore, and the doctor over there said it might be related to it," Ma Ju said.

He now weighs nearly 200 pounds and has gradually gained weight in the past few years after getting married.

"I can't help it. I want to eat the leftovers of the child." My cousin said with a bitter face, "I also want to eat the leftovers of your cousin-in-law. The weight will go up all of a sudden."

"Just get a dog." Gao Feng said.

"That's even worse. Shouldn't I still eat the leftovers from the dog?"

It seems that my cousin's family status is quite low, Gao Feng thought.

"Then let's check it out." He said to his cousin, "First do a cranial magnetic resonance imaging, and then do a sleep breathing monitor."

Gao Feng suspected that his cousin was suffering from sleep apnea syndrome. There is severe hypoxia during sleep. After reaching a certain level, the brain's ability to regulate various systems decreases, and the urinary system becomes disordered, leading to enuresis.

The results came out the next day, and there was no problem with the cranial magnetic resonance imaging. The sleep monitoring report showed: severe obstructive sleep apnea syndrome and severe nocturnal hypoxemia.

"Do you have any other symptoms?" Gao Feng asked.

"No more," my cousin replied.

"Yes." Cousin-in-law said.

"Don't talk nonsense to me here!" My cousin said quickly.

"If it doesn't work that way, is it also caused by sleep apnea syndrome?" Cousin-in-law asked.

"Why are you talking about this?" Cousin Ma "Buju" became anxious.

Can this be called good? My cousin thought to herself, I am young, you are not in a hurry, I am still in a hurry.

(End of this chapter)