When doctors have a simulated operating room

The paper is still a work in progress, but the details are not clear.

If you want your paper to be included in Zone 1, the content must be innovative.

This innovation must also be able to expand the impact factor.

Zhang Yi spent a long time thinking in his room at night before he started typing on the computer.

…

The next morning, the first thing Zhang Yi did when he arrived at the department was to see the boy with chest pain who came yesterday.

"How is it? Has there been chest pain again from last night to this morning?"

The doctor on night duty shook his head and said:

"No, the child had severe chest pain when he came to the hospital, but he was fine all night last night."

"Did you draw blood?"

"Yes, we did a full biochemical test, and the results may not be available until nine o'clock."

Until nine o'clock in the morning, the laboratory took the initiative to send the results of the morning blood test from the emergency department.

This result is very important.

It is related to whether this 18-year-old boy has familial hereditary hypercholesterolemia.

To be honest, this disease requires taking medicine for a lifetime, and hereditary diseases are not easy to treat.

The boy's father also rushed to the hospital early in the morning.

Both parents were very nervous, fearing that it was a genetic disease.

Their child is less than 18 years old. If he has to take medicine for the rest of his life, what will happen?

Zhang Yi took the examination form and looked at it.

He also made up his mind.

Total cholesterol: 8.5mmol/L (2.9-6.0mmoI/L).

Low-density lipoprotein cholesterol: 6.73mmol/L (≤3.37mmol/L)

Triglycerides: 1.56mmol/L (＜1.70mmol/L)

After looking at the most important indicators, cholesterol is indeed the most problematic!

If triglycerides are high, it means that the person may be suspected of coronary heart disease.

But this boy does not have that, only cholesterol is over the standard.

In the case where triglycerides are not high but cholesterol is over the standard, combined with the electrocardiogram results.

It can almost be confirmed that it is hypercholesterolemia.

In addition, it is not ruled out that the boy has a history of coronary heart disease in his family history.

Hereditary hypercholesterolemia can basically be determined.

After reading the results, the family members were also called into the office.

Seeing Zhang Yi's erratic expression, the two parents were also very uneasy.

"Zhang... Doctor Zhang? What is the reason for my son's chest pain? Are there any results?"

"Let me tell you first. The results of your son's blood test this morning came out. You can see that his cholesterol is above the standard.

What does "cholesterol above the standard" mean?

In simple terms, it means that there is too much fat in the blood. Cholesterol is a lipid substance, and it is best not to have too much in the blood.

Otherwise, it will easily accumulate in the blood vessels, clogging them, and then it will easily cause vascular embolism.

Your son's current cholesterol index is very high, and he is not very fat.

This means that his high cholesterol is congenital, that is, hereditary. .

Generally, fat people have higher cholesterol and blood lipids, but your son is of normal weight.

So our preliminary diagnosis is hereditary hypercholesterolemia.

The reason for chest pain is that exercise may induce blood vessel blockage, but the blockage is not serious, so it will be relieved after more than 20 minutes.

We should pay attention to this problem in the future. This time it was relieved after 20 minutes.

Next time... it may not be the case. "

"Ah? Blocked blood vessels? ? Genetic disease? ! But... but his father is fine? His father is healthy!"

The boy's mother's eyes were red.

I couldn't believe that my son, who was so healthy at ordinary times, would suffer from this kind of hypercholesterolemia!

The boy's father also had an unbelievable expression on his face.

The child is only 18!

So young...

What should I do in the future!

"Don't worry, this disease is not a terminal illness, it can be relieved by taking medicine."

Hearing Zhang Yi say this, the two parents sighed in relief.

But when he thought about his son getting sick at the age of 18, he felt uncomfortable again.

"Doctor, we must treat him no matter what, no matter how expensive the medicine is, we will treat him."

Zhang Yi nodded and said:

"Don't worry, this disease is not that serious as long as you take the medicine on time and control your cholesterol. Just be careful to prevent chest pain and have regular checkups."

"Okay, okay, thank you, Doctor Zhang!"

After the family thanked him, Zhang Yi prescribed them cholesterol-lowering medicine and then issued a discharge certificate.

This disease does not require infusion, and you can go home

Just take medicine and have regular checkups.

It is best to detect this genetic disease as early as possible, so that the chance of coronary heart disease in the later stage will be lower.

It was worth staying in the hospital for one night.

"The boy was discharged? Is it confirmed that it is hypercholesterolemia?"

Seeing that the boy's family left the hospital early in the morning, Mao Xiaoyuan came over after the rounds and started asking.

"Well, the inference is correct, it is indeed this disease."

Mao Xiaoyuan touched Zhang Yi's shoulder with her fist:

"Oh, you are amazing, why do you feel that you can diagnose many diseases without any examination in your eyes."

Zhang Yi looked up at Mao Xiaoyuan and thought: The prophet came to give me a knife.

"Haha, what are you thinking about? How can you not need an examination? Or do you need an examination before I can confirm the diagnosis?"

"By the way, I heard that several doctors in neurosurgery who have been published in first-line medical journals are secretly giving advice to Wang Ziwei?

What are you going to do? Do you need Cai Yuanpei and others to help you? Their papers have been in the second zone."

Zhang Yi shook his head:

"No, why do I need his help? No, I already have an idea, and I can write it out and submit it in the next two days."

Immediately, several other doctors around him gathered around.

"Ah? You have a clue so quickly? What is the topic of your paper? Is it about the emergency department?"

They have all seen Zhang Yi's surgery and know that it is awesome.

But his academic qualification is indeed a bachelor's degree, so they are also very curious about what level of paper Zhang Yi, an undergraduate student, can write.

Zhang Yi slightly curled his lips, smiling mysteriously: "I won't tell you, you will know when I publish it."

...

The day before New Year's Eve, although Zhang Yi had already bought a plane ticket for 7:30 pm, it did not prevent Zhang Yi from going to work today.

Fortunately, today is a clinic, so he can get off work on time.

If he went to the clinic, he might not be able to catch the plane.

"Zhang Yi, you are going back to celebrate the New Year tonight, right?" Zhang Shengwei is a local of the capital. Seeing Zhang Yi coming to work early in the morning with a lot of things and luggage, he couldn't help asking.

"Yes, I have a five-day break, just in time to go home for the New Year."

"You bought a lot of things, and this kind of roast duck? Oh, I tell you that this kind of packaging is not delicious. There is a century-old store in the capital that sells roast duck. It can be taken away, and that is delicious.

The taste of your packaging is very ordinary."

Zhang Shengwei glanced at Zhang Yi's things, all of which are specialties of the capital.

But I bought the wrong one.

Zhang Yi spread his hands: "Why didn't you tell me earlier? If I had known, I would have asked you to help me choose."

"It's okay. I'll take you to try it after the Chinese New Year and you'll know. If it tastes good, you can send some back to your parents."

Zhang Yi was stunned for a moment, pulled the corner of his mouth and didn't say anything else.

——

He wanted to send it to his parents, but he couldn't, so he could only burn it.

After drinking a cup of coffee to refresh himself, a busy day began.

At the door of the clinic, Zhang Yi just walked in when a family member came in with a child with cleft lip and palate.

The child was less than one year old and had been waiting for several days before getting an appointment with Zhang Yi.

It was to be able to come to Zhang Yi for free cleft lip and palate surgery.

After a simple consultation, Zhang Yi issued an admission certificate and asked the family to send the child to the ENT department for hospitalization.

As for the cost issue, whether it was at Union Hospital or the previous Tianhe Hospital, as long as the children met the requirements, the hospitalization fees were paid by Zhang Yi Charity Fund.

No wonder Zhang Yi's fans are increasing.

Whether something is done right or not, the people naturally have a yardstick in their hearts.

If you do well, people will love and like you.

If you are corrupt and use human lives to make money, not only will the people hate you, but the law will also punish you.

Call the number, next patient.

As a result, before the next patient came in, a young man with a briefcase broke in without permission.

Zhang Yi looked up and thought he was a patient.

But after a glance, he found that the young man was not sick and was very healthy.

"Are you... here to see a doctor?" Zhang Yi asked with a frown.

The young man laughed twice after coming in and immediately closed the door of the clinic.

Seeing this action, Zhang Yi asked again in a bad mood:

"Are you Patient No. 2 Bai Yufan?!"

The young man in a suit smiled and shook his head and sat down quickly:

"Hello... Doctor Zhang, I came to see you specifically. I have something to discuss with you!"

"Who are you? You are not a patient!"

"Don't worry, I'll say a few words and then leave."

As he said that, the young man took out two boxes of medicine from his briefcase regardless of Zhang Yi's surprised expression.

"Hello, Doctor Zhang, I'll take a few minutes of your time.

Let me introduce this new antihypertensive drug launched by our company. This drug is internationally...”

“Wait a minute!”

Zhang Yi quickly raised his hand to interrupt the young man.

What a guy!

So he is selling drugs??

Are you sick??

Selling directly in the clinic??

Zhang Yi pushed the two boxes of medicine in front of him away and said sternly:

“Leave quickly, or I will call the security immediately. This is a hospital! It is not a place for you to sell drugs!”

“Hey, Dr. Zhang, don’t be anxious. Listen to me. I will give you a share. As long as you are willing to promote this drug, our company is willing to share it with you 50-50!”

Zhang Yi was too lazy to listen and stood up to drive him away.

“Hey, don’t be anxious. This 50-50 share is a lot of money. The doctors that our company has cooperated with before can get at least 100,000 yuan every year.

Dr. Zhang, you are so famous. There must be more patients coming to see you. It is completely no problem to share 200,000 or 300,000 yuan at the end of the year. ”

The young man didn’t give up, and continued to introduce to Zhang Yi while standing up.

To be honest, Zhang Yi had seen this kind of salesman who sought to sell drugs to doctors before.

But most of them contacted the doctors in advance and made sales in a negotiated manner.

This guy actually rushed directly into the clinic??

I have only heard that there will be more thieves during the Chinese New Year, but I have never heard that there will be more mentally ill people?

“Go, go, go, go quickly, I tell you officially, I am not short of money, and I will not accept drugs other than the regular channels of the hospital.

I am very responsible for my patients, and I will only prescribe drugs from our hospital pharmacy.”

“Oh, don’t, don’t, Dr. Zhang, please listen to my introduction again.

This drug is not a crooked drug, it has been stamped and certified by the Food and Drug Administration.

It’s just that the drugs in various hospitals in China are basically monopolized by those few big companies, and our small company and small drugs really have no way, so I came to ask Dr. Zhang for help. ”

Zhang Yi stood still, looked at the young man and said word by word:

“First of all, I am just a small doctor and I can’t revitalize your entire company.

Secondly, I don’t know about the situation of the monopoly of pharmaceutical companies, and it has nothing to do with me, so you don’t need to come to me, I don’t understand, and I can’t help.

Go away! Don’t delay my work! Do you think doctors are idle all day long?

Can you be responsible for delaying my medical treatment? !”

As he said, Zhang Yi pushed the young man out.

“Hey, don’t, don’t, give me a chance, Doctor Zhang, I just started working this year... I haven’t issued a single order so far, please be kind to me, Doctor Zhang.

I... I don’t have money to go home for the New Year, please help me, Doctor Zhang, please...”

The young man is about the same age as Zhang Yi.

He really looks like he just started working.

But!

What does it have to do with me that you don’t have money for the New Year?

“Go away! Don’t delay my work! "

With a bang, Zhang Yi closed the door.

"Are you really sick? Why do you come to me to sell me medicine for no reason? I owe you this 100,000 yuan?"

Zhang Yi was worried, so he called the security office before calling the number.

The guy was taken away by the security guard before the next patient came in.

Before leaving, he wanted to rush into the clinic to ask Zhang Yi to help sign the order.

"Doctor Zhang, please help me, Doctor Zhang, you are so famous, this medicine will definitely sell well, Doctor Zhang!"

Outside the clinic, many family members waiting to see a doctor stood at the door to eat melons.

"What is this person doing? Cutting in line to see a doctor?"

"No, it seems that he wants to find Doctor Zhang to sell medicine, but Doctor Zhang didn't agree."

"Doctor Zhang is a good doctor, and it is impossible for him to accept these unknown drugs to harm us."

"Yes, Doctor Zhang is a good doctor! He is different from those doctors who take kickbacks."

"That's right! "

Listening to the discussions of passers-by, Zhang Yi was very relieved.

It shows that he is quite successful as a doctor~

After driving away the salesman, Zhang Yi called the number.

Time must be seized, otherwise today's number will not be seen. What if I can't catch the plane in the evening?

"Bai Yufan? Come in."

Soon, a young man wearing a yellow takeaway uniform holding a child came in.

No one wants to come to the hospital for treatment on New Year's Eve.

But...

Sometimes there is no way to get sick.

"Bai Yufan? Is it you or the child?"

Zhang Yi asked while glancing at the two.

The man was about 30 years old, and the skin on his face looked rough, but there were no wrinkles.

Looks old, but not really old.

Most of the takeaway deliverymen are like this, busy outside every day, and the ultraviolet damage is relatively large.

So most of the takeaway deliverymen have dark skin.

"Show my child."

The man pointed to the child in his arms.

Son.

"What's wrong with you, kid?"

Zhang Yi asked, looking at the boy.