This Doctor is Great

Chapter 52: Connect 2 patients, echocardiography!

"Teacher, can you teach me how to trade stocks?"

Zhou Mo came to Huang Li and asked for advice humbly.

It's not good to be modest, the wallet forces Zhou Mo to be modest.

Huang Li was stunned for a moment, then shook his head: "No, stocks are inconvenient to teach. If you lose money, wouldn't you blame me?"

This is a lesson from the stock market.

Once you fail, you are the enemy.

Huang Li: "Are you going to enter the stock market? There is no need. The stock market is not doing well right now, and the probability of losing money is too high."

Zhou Mo: "Isn't this poor..."

Huang Li: "How many books do you plan to put?"

Zhou Mo: "500 yuan..."

Pfft~~~~~~

Huang Li laughed.

Zhou Mo: "..."

It feels like you are insulting me.

Huang Li hurriedly said: "I'm sorry, I'm sorry, if it's 500, there's nothing to buy, don't go in... Even if you rise to 20% against the sky, it's only 100 yuan..."

Slippery~~~

At this moment,

Huang Yiming took a sliding chair and slid over.

"Zhou Mo, I have a way to make some money for you..."

"any solution?"

"Introducing the rich woman to you, my classmates are all rich women..."

Zhou Mo's eyes lit up.

yes,

Huang Yiming is from Tianlong!

You can find a Tianlong person wife, bring dozens of suites, and collect rent every day. You can solve your financial constraints at once!

"Okay, okay...Xiao Ming, you brother, I've made a deal!"

Zhou Mo patted Huang Yiming's shoulder.

Huang Yiming patted his chest: "Don't worry, rich woman resources, I have a lot of resources here, elder sister and younger sister, they are about the same age as you, even younger than you!"

"what?"

"Rich woman?"

"Xiao Ming? Do you have an introduction?"

wow~~~

All of a sudden, the other medical students turned into smoke and ran towards Huang Yiming.

Showing her longing for a rich woman!

Even those resident doctors and trainee doctors looked sideways here, but they were reserved because they were senior brothers.

"Introduce me to one!"

"I also want!"

"My brother is poor, save me~~~"

Huang Yiming rolled his eyes: "In his 40s, he weighs 150 pounds and is very fat. Do you want it?"

Nie Wei was excited: "Definitely! If I think about it a little bit, it's all disrespect to the little baby!"

Xiao Tong shouted: "Is that fat? That is my heavy love for her!"

Brilliant words!

Resolutely!

Huang Yiming: "..."

Zhou Mo: "..."

You guys are awesome!

At least Zhou Mo couldn't keep his mouth shut.

No matter what, Bai Fumei must meet Zhou Mo's requirements.

"Cough...Can you add me?" Brother Chen Bing squeezed in at this time, blushing a little.

Older single dog!

Guanshan is difficult to overcome, who grieves for a single dog; when they meet by chance, they are all the wives of others.

Miserable!

Huang Yiming's scalp was numb, and if he continued like this, the secret of his Tianlong people would be exposed.

Can not be done!

I don't want a showdown!

"I forgot that my patient hasn't done rounds yet and left..."

Huang Yiming quickly walked out of the duty room with a clipboard and a pen.

Just in time, the deputy administrative director of the department walked into the duty room.

Everyone sees it.

Boom~~~

Dispersed in a hurry!

Zhou Mo went to the computer and began to write hospital information, medical records, doctor's orders to the patient Qin Xiong...

blah blah~~~

The current patient Qin Xiong has a high probability of dilated cardiomyopathy.

There are two ways to treat this disease. One is surgery to replace the heart, which obviously is generally not considered.

One is conservative drug treatment, long-term medication. However, the cause must be found in conservative drug treatment. According to the patient's statement, it only becomes like this after having a fever once. Therefore, the expansion of the ventricle caused by infection is given priority.

blah blah~~~~~~

I just finished writing the first one.

The nurse stood there, and the nurse came to the door and roared.

"Dr. Zhou Mo, please accept a patient from the emergency department..."

"okay!"

Zhou Mo had expected the arrival of the new patient.

The Cardiology Department of the Second Provincial Hospital is one of the most powerful departments in the province, and the beds have always been very tight, so it is definitely impossible to vacate the beds for a long time.

The nurse in charge must have been staring at Zhou Mo's empty bed for a long time, making sure not to leave it empty for too long.

"Do you have a medical card number?"

"Yes, XXX..."

"When did you come over?"

"Soon, I'll be sent to the emergency room..."

After Zhou Mo heard it, he was in no rush. The system entered the new patient's diagnosis and treatment card number and called up the information.

Blank.

It is estimated that the emergency department has not yet been registered.

Don't be in a hurry, finish inputting the patient Qin Xiong's data first.

In less than 5 minutes,

A new patient has arrived.

Zhou Mo was surprised: "This is a bit fast."

Watching the patient carefully.

He pushed the bed and came in with a hanging bottle. His face was pale, his forehead was sweating, and he was breathing quickly and short of breath.

Zhou Mo immediately raised his vigilance.

A doctor in the emergency department came up with the patient and saw that the doctor in charge of the bed was Zhou Mo. Zhou Mo looked very young and couldn't help but whisper to Zhou Mo.

"This patient is in a hurry, you'd better find your superior doctor."

Zhou Mo was surprised.

Understood, I quickly picked up the phone and contacted Senior Brother Chen Bing. It happened that Dr. Huang Li was also there, so we came together.

soon,

The admission procedure was signed by the patient's wife, and the patient was expedited into 29 beds.

Huang Li, Chen Bing, Zhou Mo, and the nurse in charge of the bed all entered.

The doctor in the emergency department directly introduced the condition to Huang Li, Chen Bing, and Zhou Mo:

"Patient Zhou Sheng, male, 35 years old, with severe chest pain, coughing pink frothy sputum, indifferent expression, cold sweats, blood pressure 65/40mmhg..."

Zhou Mo listened and analyzed in his heart.

Severe chest pain should be a heart and lung problem, but not necessarily.

His expression was indifferent, he rolled his eyes to look at people, and his face was expressionless.

Cold sweats and low blood pressure are signs of shock.

Emergency doctor: "The bottoms of both lungs are covered with moist rales, and the breath sounds in the right lung are low..."

That is, there is blood in the lungs, or inflammation...

If it is blood, it may be heart failure, acute left heart failure, the blood cannot be pumped out, and it is stored in the lungs.

Emergency doctor: "The heart rate is 120bpm, the rhythm is regular, no murmur is heard, and the electrocardiogram shows extensive anterior and inferior myocardial infarction."

The heart rate is a bit fast, the normal heart rate is the upper limit of 100.

Emergency doctor: "This patient has a history of high blood pressure for 5 years. In the past two years, he has suffered multiple chest pain attacks, more than after exertion, which can be relieved by rest."

Chen Bing and Zhou Mo listened while reading the electrocardiogram.

A disease appeared in their minds.

Then it was considered as acute myocardial infarction + cardiogenic shock + acute left heart failure.

Zhou Mo held 3 meters and auscultated the patient's heart and lungs. The lungs were the same as the emergency doctor's description, with relatively heavy rales.

Then listen to the heart sounds, it's not quite right.

Dr. Huang Li asked, "What treatment did you do?"

Emergency doctor: "Dopamine increases blood pressure, fluid replacement, analgesia, oxygen inhalation...but the condition does not improve..."

Huang Li frowned.

He instructed Chen Bing: "Go, find Lao Chen, he is in the West Ward, let him hurry up and do a heart ultrasound for this patient..."

Senior Brother Chen Bing: "Yes!"

Run out quickly.

Then Huang Li said to Zhou Mo: "Go and push the ultrasound machine beside the bed... It seems to be in Ward 15 just now, you can ask..."

Zhou Mo: "Yes!"

Quick addition to the ward.

"Echocardiography…"

Zhou Mo became more and more aware of the importance of echocardiography. When he was free at night, he learned about echocardiography.

.

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