This doctor has a system

Chapter 5 5. Bronchoscopy troubles

Today's ward rounds were uneventful, and the ninth bed was still feverish. Li Huizhen asked her to go for a chest CT scan.At the end, I asked questions about lung adenocarcinoma. Since I had previewed in advance, everyone answered fairly well.Even Qi Nannan was praised, her small eyes couldn't see her smile.

Mr. Jia is also recovering well, and the chest tightness has been greatly relieved, and he can't wait to get the chest drainage tube removed. Director Li told him not to worry, and patience is the only way to overcome the illness.

While everyone was chatting in the office, Bed Nine came back from the chest CT scan, and everyone watched the film together.

Li Huizhen has a bit of a headache. This nine-bed hospitalist has been hospitalized for a week, and she still has repeated fevers. Tuberculosis is not ruled out at present.

But the sputum antacid was negative, and the PPD test was also negative.I want her to have a bronchoscopy, but the patient is a bit old, 88 years old, there is a certain risk, and the family members were undecided before.

In this reexamination of the patient, CT indicated that the scope of inflammation had not shrunk.Li Huizhen felt that procrastination like this was not an option, so she asked Qi Nannan to call the family members over to communicate again.

The old lady’s son is called Wang Dali. He is tall and strong from the name. He is taller and stronger than Gao Feng. When he saw him, Gao Feng thought of a song: Eyes staring like copper bells
The result of the communication was smooth. Wang Dali also felt that his mother had been having a fever all the time. She had been in the hospital for a week, and the money was not short, so he decided to take the risk of doing a bronchoscopy to see what was going on.

Qi Nannan was in charge of this patient, and she took Hu Jiaran to find Wang Dali to sign the bronchoscopy consent document.

Gao Feng reads practical internal medicine books in the office. Sometimes it is not enough to rely on the system, and he must have a basic grasp, so that the system will not feel awkward when instilling knowledge.

At this time, there was a sudden noise outside, Qi Nannan rushed in, "Gao Feng, go over and have a look, Wang Dali is going to beat Hu Jiaran."

what's the situation? ? ?
Confused, Gao Feng exchanged a glance with Cheng Song.Hu Jiaran is not the bed doctor of Wang Dali's mother, if he wanted to beat him, shouldn't he also beat Qi Nannan?Cheng Song was also puzzled.

The two rushed to bed 2, where Wang Dali was pressing Hu Jiaran by the window, like a chicken.

"Master Wang, don't get excited. If you have something to say, you can't do it." This is the persuasive voice of the nurse in charge of the bed.

"Hu Jiaran, what are you doing? Wang Dali, calm down." Cheng Song also hurriedly shouted.

Hu Jiaran was about to cry, and said tremblingly: "It's none of my business, I didn't say anything."

Gao Feng looked at Qi Nannan again. It turned out that when signing the contract, Qi Nannan explained to Wang Dali very responsibly what risks might arise from doing this bronchoscopy, one item at a time, and there were more than 20 risks written on it, such as Sudden death, hemorrhage, pneumothorax, hemothorax.

The old lady was listening, her soul was frightened, and she scolded her son for being unfilial, saying that the purpose of doing this bronchoscopy was to kill her.

Seeing his mother like this, Wang Dali was also anxious, doctor, you didn't say there were so many risks at first!
He was very angry, grabbed Hu Jiaran and refused to let him go.In fact, he wanted to hold Qi Nannan down, but he felt that it was not appropriate for such a strong man to do something to a little carrot.It happened that Hu Jiaran was standing next to him, they were all in the same group anyway, and everyone was the same.

This unlucky boy, Gao Feng was speechless.

Seeing so many people coming over, Wang Dali also felt a little embarrassed. He is a real farmer, he has no evil intentions, and he was anxious just now, so he let go of Hu Jiaran at this time.Knowing the cause and effect of the incident, the head nurse also hurriedly started psychological counseling for the patient.

There was a voice in my head, um, the system is going to do something.

"Excuse me, Doctor Gao, do you think Wang Dali is sick?"

What?Gao Feng is a little confused.Wang Dali is just emotional, what kind of illness could he have?

Brainstorming started. .To no avail, Gao Feng decided to ask Wang Dali.

"Master Wang, how is your health?" Gao Feng tried his best to be kind.

"Very good, blood pressure and blood sugar are normal." Wang Dali was a little confused.After thinking for a long time, he said again: "I seem to feel flustered occasionally, but nothing else."

Gao Feng performed cardiopulmonary auscultation on Wang Dali, and his heart rate was a little fast, 112 beats per minute, which is usually between 60-100 beats for normal people.Wang Dali looked a little protruding, and his emotions were easily agitated. Could it be hyperthyroidism?
"Congratulations to Dr. Gao for answering correctly. Skill point +1"

The diagnosis is clear, how should I tell Wang Dali, will he get angry?Gao Feng didn't know what to do, so he casually added this skill point to his physique. Well, he felt a little stronger.

After thinking about it, Gao Feng decided to communicate with Wang Dali: "Master Wang, do you know about hyperthyroidism?"

Obviously, Wang Dali knew nothing about it.

Hyperthyroidism, referred to as "hyperthyroidism", is a disease in which the thyroid gland synthesizes and releases excessive thyroid hormones, resulting in hypermetabolism and sympathetic nerve excitement, causing palpitations, sweating, irritability, increased eating and bowel movements, and weight loss.

Most patients also often have exophthalmos, eyelid edema, vision loss and other symptoms at the same time.

"You mean I have hyperthyroidism?" Wang Dali wanted to get angry again, you are cursing me to be sick.

Gao Feng said euphemistically: "Actually, you can check your thyroid function. It's so convenient and inexpensive while you're in the hospital."

Wang Dali was a little hesitant, and decided to go to the outpatient clinic. The doctor just now was too young and had no beard on his mouth, so what he said may not be right.

"Nurse, which doctor's number is registered for hyperthyroidism?" Wang Dali
The guiding nurse kept her feet on the ground and said without raising her head, "Go to the endocrinology department."

Seeing Wang Dali walking in, Deputy Director Hu, who was in the Department of Endocrinology, sat up straight. He had to give such a strong man the most basic respect.

"Hello, what's wrong?"

"Doctor, show me, am I hyperthyroid?" Wang Dali was a little worried.

Deputy Director Hu stood up and looked at Wang Dali carefully, and asked, "Do you usually have a bad temper? Do you feel flustered or sweat easily?"

"I've always had a bad temper, and it got better after I got married. I usually feel a little flustered sometimes, and I'll be fine after a short rest. I didn't pay attention to sweating."

Deputy Director Hu gave Wang Dali a thyroid color Doppler ultrasound and a thyroid function test, and asked him to wait until the results came out in the afternoon before coming back.

Wang Dali looked at the payment amount, and it was not expensive, so he breathed a sigh of relief.The inspection was done very quickly, no one dared to jump in line when Wang Dali went to that stop.

A middle-aged woman in a hurry originally wanted to push the door directly into the color ultrasound room, but when she saw Wang Dali standing at the door, she suddenly became relieved. Wang Dali looked over, and she even smiled.

How ugly, Wang Dali thought to himself.

In the afternoon, the blood test results came out. Wang Dali got the results and hurried to the endocrinology clinic.His wife was also a little worried, so she insisted on coming over to have a look.

"You are hyperthyroid!" Deputy Director Hu gave sex.

"Is it easy to treat? Is it serious?" Wang Dali's wife was a little worried.

"Don't worry, it's not a big problem. In your case, you can take medicine and observe first." Deputy Director Hu crackled and operated on the keyboard.

He asked Wang Dali to do another color ultrasound of the heart. Hyperthyroidism has been going on for a long time, and it is easy to lead to hyperthyroid heart disease.If the problem is not serious, you can take methimazole first. If the effect is not good, then consider radioactive iodine treatment and surgery.

"If I knew it earlier, I wouldn't have checked it. Once checked, I would be sick." Wang Dali's wife complained.

"You know what!" Wang Dali was speechless.Fortunately, methimazole was very cheap, so Wang Dali bought several boxes at once.

　The keyboard is not working, seriously affecting my efficiency.

　　
　
(End of this chapter)