This Doctor is Great

Zhou Mo listened while typing.

"Patient Li Mei, 43 years old, has a history of sudden chest crushing pain while walking 3 years ago..."

Li Mei: "This time, the pain came about 4 minutes later, and I recovered..."

"Then, another month later, when I was cooking in the kitchen, I suddenly had the same pain."

"At that time, I thought of having the same pain twice in a row, so I was a little worried, and went to the hospital in our county for a checkup..."

With that said, Li Mei took out a series of inspection reports from the file bag and put them in front of Dr. Huang Li.

Myocardial enzymes, blood lipids, X-rays, electrocardiograms...

both have...

Teacher Huang Li picked it up and looked at it.

Patient Li Mei continued: "Basically, I checked all the tests the doctor asked me to do, but I didn't find any problems. Later, the doctor thought it might be sudden and temporary, so he comforted me not to worry... Later, he prescribed some medicine for me, and went home to eat..."

"but,"

Li Mei's expression is very complicated.

"For the next six months, the same symptoms kept appearing... Then I came to the provincial capital 3 times in a row and went to 3 hospitals, but I couldn't find the cause..."

"The number of examinations performed has also increased, and even coronary CT... But in the end, no problem was found..."

The same symptoms continued to appear, but after searching several hospitals, no problems were found, which made Li Mei feel very distressed.

At this time, Li Mei said very angrily: "There is a hospital that said I have a mental problem and asked me to see a psychiatrist, but I know it's not, it's real chest pain..."

angry?

Zhou Mo felt that it was unnecessary.

Because it is normal for heart disease to be finally diagnosed as a 'mental disease'...

According to one of the domestic papers read by Zhou Mo, from Xiangya, there is a survey that among all patients who think they have heart disease (angina pectoris due to myocardial infarction), only 23% have obvious coronary heart disease during coronary angiography. And 61% of patients had no obvious coronary heart disease.

Then, some of them will be diagnosed with mental anxiety by the psychiatrist because of normal coronary angiography.

(It is also possible that the doctor misdiagnosed and did not find the heart problem, and attributed it to mental anxiety.)

Dr. Huang Li listened and looked at the examination report.

To be honest, he has met several such patients, and in the end, he always recommended the patient to go to the psychiatric department.

However, Dr. Huang Li still carefully read all the examination reports, more than a dozen, including three echocardiograms and CT scans, four X-rays, seven electrocardiograms, and two 24-hour dynamic electrocardiograms...

After reading,

No gain.

Then hand it over to Zhou Mo: "Look at..."

Dr. Huang Li looked at the patient Li Mei: "You lie down on the bed and do an electrocardiogram..."

Huang Yiming sticks electrodes on the patient...

soon

The electrocardiogram kept coming out.

Huang Li, Zhou Mo, and Huang Yiming watched together.

"Ok?"

This electrocardiogram, for the time being, seems to be fine.

Dr. Huang Li couldn't help thinking in the direction of "mental anxiety" at this time.

However, he did not jump to conclusions.

He looked at Zhou Mo and Huang Yiming.

"You two, what do you think?"

Huang Yiming pondered and began to work hard to scrape the various cases in his mind.

Zhou Mo spoke: "Teacher, could it be something like a rash in the precordial area, a sudden pain, and then make the patient mistake it for chest pain?"

When Dr. Huang Li heard this, he immediately nodded.

"It's possible!"

But the patient is a woman, and Huang Li, Zhou Mo, and Huang Yiming are all men, so it is naturally inconvenient to check.

Just ask.

"Are there any rashes on your chest? Or other strange things..."

Li Mei immediately shook her head: "No... This chest pain has been around for three years. If there was, I would have discovered it earlier."

stalemate again.

Dr. Huang Li frowned in thought.

Zhou Mo became interested at this time.

New cases are always exciting.

So he said to Dr. Huang Li: "Teacher, this disease may not be easy to diagnose in a short time, otherwise other hospitals would have discovered it long ago... My suggestion is, if you need it, you can be hospitalized and check slowly..."

Huang Li nodded and looked at the patient Li Mei.

Li Mei naturally nodded again and again: "I do!"

This disease has tormented her for three years, and she will never let go of any opportunity.

Dr. Huang Li: "Then when are you free?"

Li Mei couldn't wait: "It's all right now, I'll be hospitalized immediately!"

Zhou Mo: "I have an empty bed that has not been arranged yet. You can arrange for my bed."

Huang Li nodded: "Okay, let's arrange for your bed."

……

The next outpatient clinic,

Zhou Mo did not follow, but took the patient Li Mei to the Cardiology Department to go through the admission procedures.

after an hour,

Li Mei's husband came.

"What's the matter? Why are you hospitalized?" The husband looked impatient.

When Li Mei heard this, she became furious: "I have a heart attack, why can't I be hospitalized? Do you want me to die?"

The husband had a headache and said, "Didn't the doctor say it, it's mental anxiety!"

Li Mei immediately exploded with anger: "I said, it's not mental anxiety, I'm not mentally ill!"

The husband said angrily, "It's always like this, why don't you believe the doctor's words!"

Li Mei said loudly, "It's the doctors who made the wrong diagnosis... You are my husband, why don't you believe me and say, do you have a woman outside..."

The husband was so angry that he was speechless: "here again... there is no woman outside of me..."

Li Mei burst into tears: "I still said no, last time you held hands with the mother of your son's classmate, it was like a family..."

The husband was mad: "Is that holding hands? There are two children in between!"

Li Mei is irritable: "Not even two children... You just want her to be prettier than me!"

Husband is anxious: "You... make trouble without reason..."

The two quarreled directly.

Fortunately, the nurse arrived at this time and stopped the two from arguing.

"You guys calm down first..."

"This is a hospital, don't disturb other patients..."

"calm down……"

Husbands and wives quarrel, nurses do not interfere, but quarrels in the hospital are absolutely not acceptable. After all, there are other patients here, all of them are heart patients. The husband left angrily.

"Uuuuuuuuuuuuuuuuuuuuuuuu~~~"

Patient Li Mei was sitting on the edge of bed 29 and began to cry.

Then he didn't know whether he was talking to himself or to Zhou Mo and the nurse, saying that his marriage was unfortunate.

Zhou Mo was embarrassed and could only listen patiently.

Zhou Mo heard the cry of the patient, Li Mei, and knew that the couple's relationship had come to an end. If it wasn't for the two children, they would have divorced long ago. As for the reasons, this disease is one of the reasons, but most of the reasons are the long-term neglect, the accumulation of various contradictions, and the lack of clarity between the man and his son's classmates' mother, or she herself is suspicious...

more noisy,

In the end, both of them were tired and couldn't hold it any longer, and they didn't want to live together anymore...

In the beginning, love and marriage were all about giving sincerity, but after a long time, there is no passion, and the rest is responsibility. Once you're bored and tired, it's over.

What does marriage bring to men (women)?

but,

For Zhou Mo, Li Mei's cry, heh, I've seen it a lot before.

He grew up in a children's hospital. Many children fell ill and died in the hospital. Parents of children divorced for various reasons.

correct,

While Zhou Mo was calm, he also looked at the ECG monitor connected to patient Li Mei from time to time.

Patient Li Mei's heart waves did not fluctuate because of her crying, grievances, and mood swings.

so,

Ruled out: Broken Heart Syndrome! !

……

After half an hour,

The patient finally calmed down a bit.

Zhou Mo finally had a chance to start asking about his condition and doing a physical examination.

.