This Doctor is Great
Chapter 117: difficult patient
Zhou Mo didn't find his lunch box and knew that it might have been eaten by mistake.
This kind of thing really happened in the department, so Zhou Mo didn't publicize it loudly.
I clicked on the takeout app and ordered a pickled fish... But when I was about to pay, I found that it would take at least 40 minutes to deliver.
By this time, his stomach was already grumbling in protest.
"Forget it, let's eat instant noodles."
Zhou Mo came to the "energy supply station" in the living area to scan a box of instant noodles with tomato and beef, a pack of FL mustard greens, and a marinated egg, and soaked it by himself.
Just soaked, not yet soaked,
It was a mess outside.
Many people pushed a patient, a grandma who was about 60 years old, into the Cardiology Department.
Several family members and several doctors.
Go straight to the interventional center.
Zhou Mo glanced curiously. Two doctors were not wearing white coats from the Second Provincial Hospital, but from other hospitals.
"He came from a lower-level hospital?"
Zhou Mo guessed that the lower-level hospital should have found a relatively dangerous patient and needed interventional surgery, so it was sent here.
Such patients sent from lower-level hospitals have a lot of occurrences in the Cardiology Department every month. Because lower-level hospitals have limited conditions, especially those far away from county towns, they don't have a CT scan, so many tests cannot be done, and they all have to be sent to the city center and provincial capital.
Not long after the instant noodles were ready, Zhou Mo started eating.
Soon, the gossip spread.
"Wow, the patient just came from the county hospital in the next city. What a fate!"
"What's wrong?"
"The patient suffered from a ruptured cerebral aneurysm and fell into a coma. As a result, the county hospital did not have a CT machine at that time, so he was transferred to the city hospital. The CT machine in the city hospital he happened to went to broke down, so he was transferred to another hospital. The other hospital took a CT scan and said this. The operation could not be done, so it is recommended to come to the provincial capital... Then it took a full 7 hours to get here, and the CT was too late for the examination, so it was sent directly to the interventional operating room of our department..."
(An aneurysm, not a tumor, is a tumor-like protrusion of the wall of an artery.)
(The word "tumor" is a translation problem, and it does not mean that it is a tumor.)
"Seven hours?"
"I'm going, it's really big!"
"So, the provincial capital is better than the provincial capital, at least the medical conditions are much better, and the speed is fast when it comes to saving lives."
Zhou Mo ate a bowl of noodles quickly while listening to the gossip, finally feeling a little full.
But I felt that a cup of instant noodles was still not very full, so I asked Huang Yiming for a cup of milk tea and barely filled my stomach.
Seeing this, Huang Yiming knew that Zhou Mo was hungry, so he opened the food delivery app and silently ordered a 10-inch Sultan King durian pizza for Zhou Mo.
At this moment,
Kobayashi, the nurse at the nurse station, walked in.
"Doctor Zhou, a patient has come in...take it in..."
"OK!"
Zhou Mo quickly finished drinking the milk tea, but still felt hungry, maybe he was too hungry just now.
However, the patient has already come, and he does not care whether he is hungry or not, to receive the patient.
29 beds,
"Huang Jiandi, right... I'm your doctor in charge. Just call me Doctor Zhou."
Zhou Mo looked at the patient in front of him, a female, about 50-60 years old.
Breath a little short of breath.
This patient has been diagnosed by the outpatient director Niu, and then transferred to the ward.
Diagnosed: Ventricular aneurysm.
(Are the class representatives in? Draw pictures?)
Its formation is usually caused by large-area myocardial infarction in patients with coronary heart disease. In the infarcted area, the necrotic myocardium is gradually replaced by fibrous scar tissue, which bulges outward to form aneurysm. (The class representative is pictured above?)
At first glance, this grandma is not easy to be provoked. She has the temperament of Long Po. She glanced at Zhou Mo, who was very young, and was a little upset: "Is she so young? Are there any more advanced doctors?"
Hearing this, Zhou Mo put on a professional smile: "Please rest assured, we have been trained for more than 5 years and have enough professional training before we are qualified to contact patients, and I have been training for 8 years, I believe I can help you Health escort..."
[To tell the truth, recently I have been using Mimi to read and read books to keep up with updates, switch sources, and read aloud tones, which can be used by Android and Apple. 】
Granny Sapo: "I don't care, I want a more advanced doctor!"
Zhou Mo smiled professionally: "Grandma, this is a hospital, not a vegetable market, so try to follow the hospital's arrangements. In addition, if you want a more advanced doctor to see you, you can go to the Pearl River Branch, there is a senior center there. , whether it is a doctor or a nurse will make you more satisfied..."
Grandma suddenly became interested: "Is there a senior center over there in the Pearl River Branch? I'm going! Quick, transfer me to another hospital!"
Zhou Mo reminded friendly: "However, the price there is more expensive, and many wealthy businessmen and overseas Chinese are there for medical treatment..."
Grandma knew that Zhou Mo was mocking her, so she clutched her chest in anger and was short of breath.
"Oh, you're mad at me on purpose... I can't do it... ah..."
Covering his heart, he cried out in pain.
Zhou Mo didn't know if she was pretending or not, and his attitude eased immediately.
Grandma screamed a few times and stopped again, it turned out that she was just pretending.
But the thought of going there has been given up.
She is not a rich person, just an ordinary family.
At this time, grandma's daughter finished the formalities, ran in quickly, and apologized to Zhou Mo repeatedly.
"Doctor, I'm sorry, I'm sorry..."
Zhou Mo didn't care about it, and he didn't dare to care about it. He was afraid that if this grandma would be **** to death, he would be finished.
Next, start the consultation.
Although the grandmother was not very cooperative and had a dark face, her daughter was still relatively sensible.
The patient, Huang Jiandi, 61 years old, has a history of hypertension for 10 years, coronary heart disease for 8 years, irregular medication, angina pectoris and myocardial infarction many times, and was rescued.
The reason why I came to the hospital for examination this time was that I found that I had been short of breath in recent months.
This grandma thought it was fine, but her daughter was worried, so she forced her to come to the outpatient clinic of the hospital to see a doctor~www.readwn.com~ and was diagnosed with a ventricular aneurysm by Director Niu.
Zhou Mo performed a physical examination on the patient and found that the left cardiac border was enlarged, the heart beat was wider, and there was a systolic murmur.
These are consistent with the characteristics of ventricular aneurysm.
ECG, outpatient ECG showed continuous ST-segment elevation with elevation in at least three leads.
Then I did a B-ultrasound, and it was about the same.
All are consistent with the diagnosis of ventricular aneurysm.
However, a deeper and more accurate diagnosis requires further examination.
"Auntie, I'll do some tests for you later, radionuclide imaging, MRi... As long as the results are confirmed, it can basically be determined that it is a ventricular aneurysm."
As expected by Zhou Mo, the grandmother directly frowned: "What? Do you still need to have an examination? You want to steal my money? Can you change to an older doctor? You are too young, you have no hair on your mouth, and you can't do things well. "
Zhou Mo: "..."
How long has it been since you met such a patient?
Don't be angry, she's a patient!
The daughter next to her quickly pulled her: "Mom, don't talk about it..."
Then he apologized to Zhou Mo again and again: "I'm sorry, doctor, my mother's mouth is like this, I'm sorry."
"Why do you want to apologize!" Grandma insisted: "I said he was young, what's wrong? This is a fact, I doubt his medical skills!... Forget it, I won't be hospitalized, let's go!"
When you're done, get up and get out of bed!
Not hospitalized?
The daughter was stunned on the spot.
"No, Mom, you need to be cured, you can't be discharged from the hospital!"
"I don't want it, I'm going to find a better hospital, I'm going to find an old doctor!"
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