I Can See Health

Chapter 493 Medical Care

Remember [new] in one second! "Um, I, I still have something to do..." the otolaryngologist said in a panic, "I won't talk to you anymore."

After saying that, the "otolaryngologist" ran away in a panic.

His figure is extremely strong.

For a moment, even the security guard Uncle Fang didn't react, and he disappeared into the crowd outside the CCU ward.

"Haha, it seems that he is probably a doctor." Huang Hanlin looked at the direction where the "otolaryngologist" disappeared.

Medical care is an illegal profession created by the hospital system, and it is a double scam.

In top provincial hospitals, it is difficult to register and see a doctor.

Some scammers use the slogan of hospital insiders to deceive patients, claiming that they are doctors and can bring patients directly to the doctor or to the ward, and charge a certain fee.

On the other hand, when they bring the patient to the doctor, they lie that they are a doctor in a certain department to make it convenient for the doctor.

A tertiary hospital is such a big hospital, so doctors don’t know all their colleagues, and generally they won’t be so serious about it, and they will all look at it for help.

However, today this "medical care" has been kicked out of the iron.

Huang Hanlin is not only a bit serious, but also claims to know all the doctors in the otolaryngology department.

"Teacher Huang, do you really know all the doctors in the otolaryngology department?" Lu Chen whispered.

"Yes, I didn't lie to him." Huang Hanlin smiled, "My wife is a nurse in the Department of Otolaryngology, and I will always go to dinner parties. If this person talks about other small departments, I may not care, but he said I am a little more serious about the otolaryngology department. There is no new doctor in their department this year.”

Lu Chen secretly laughed, this doctor was really unlucky.

Otolaryngology is a small department, so not many people know about it.

However, he accidentally hit the muzzle of the gun today!

After waiting for about two minutes, the patient's family finally arrived. The family member was a very young woman, who seemed to be the patient's daughter.

"Don't look for these doctors." Huang Hanlin asked, "If nothing else, if they take the money and run away, where will you find them?"

The doctor just now had some "professional ethics" and brought them to the door of the CCU, and tried to seek special care as an "otolaryngologist".

The family member smiled bitterly: "Doctor, there's nothing I can do about this. It's hard to get an appointment with your hospital, and it's difficult to see a doctor!"

Huang Hanlin sighed slightly in his heart, "I won't say more. You have also seen the patient's condition. He needs to be hospitalized immediately. Ours is a CCU ward, and the cost is higher than that of an ordinary ward. It costs at least seven to eight thousand yuan on the first day. Every day thereafter. The fee is determined according to the condition. However, if the condition improves, we will immediately transfer the patient to the general ward.”

"If you agree to be hospitalized, just sign it!"

The patient did not hesitate and directly signed her name, Zhou Xiaoping, on the informed consent form.

The patient was immediately arranged to enter the CCU ward.

Lu Chen pushed the electrocardiograph and reviewed the patient's electrocardiogram.

The electrocardiogram this time was almost the same as before.

St-segment depression in the precordial leads shows signs of myocardial ischemia.

"Uncle, when did you start feeling pain?"

"This morning, when I was just getting ready to go to work, the pain at that time was not as severe as it is now, so I didn't pay much attention."

"What kind of pain is it?"

"It's like there's a stone pressing on my chest. How should I put it? It's a bit like colic!"

"Are you having paroxysmal pain?"

"Well, it happens on and off."

Lu Chen finished asking about the patient's medical history.

His initial diagnosis was acute coronary syndrome, which could not rule out the possibility of myocardial infarction.

The only strange thing is that the patient did not smoke or drink before, had no history of staying up late due to fatigue, and had no family history of heart disease.

How could I suddenly get a heart attack?

However, nothing is absolute.

A small number of patients may have no risk factors at all, but they still suffer from acute myocardial infarction!

This thing is very mysterious...

Back to the doctor's office.

Lu Chen began to write down the course of his illness.

Lu Chen recorded everything in detail and truthfully from the patient's onset, main symptoms, accompanying symptoms, and out-of-hospital treatment.

Just then, the nurse ran in.

"Lu Chen, this patient's pain just got worse!"

Lu Chen was startled. Was the chest pain serious?

It shouldn’t be!

Upon admission, the patient was already on all treatments for coronary heart disease, including nitroglycerin to relieve chest pain.

Is it really a heart attack?

Only when patients have a myocardial infarction, using nitroglycerin to relieve pain will have no effect.

"Have the results been obtained for the patient's initial screening of myocardial enzymes?"

"One minute left," the nurse said.

"Then you go report to Dr. Huang, and I'll check the cardiac enzyme results."

Lu Chen quickly came to the preliminary screening machine and waited quietly for the results to come out.

Just one minute, but it seems a bit long at the moment.

Finally, the preliminary screening machine rang a "ding" and the results were out!

Lu Chen went over to take a look and found that all myocardial enzymes were normal!

"This...myocardial enzyme is negative, but it's not myocardial infarction?!"

Lu Chen's heart skipped a beat.

If it is a myocardial infarction, and the patient started to suffer from the disease this morning and the pain lasted for more than four hours, myocardial enzymes will definitely be elevated.

At this time, Huang Hanlin also came over.

“What was the outcome for the patient?”

Lu Chen said seriously: "They are all negative."

"What?" Huang Hanlin was also a little surprised, "Negative? Isn't it myocardial infarction?"

Later, the two came to the hospital bed again.

The patient was lying on the bed, looking extremely painful.

"Doctor, why do I feel more pain?"

Lu Chen did not hesitate and immediately performed a physical examination on the patient.

five minutes later. UU reading www.uuknshu.net

Lu Chen raised his head and looked at Huang Hanlin aside: "Teacher Huang, the patient's chest pain and upper abdominal pain have worsened, and the pressure pain is more obvious than before!"

Huang Hanlin frowned when he heard this.

"You didn't do abdominal ultrasound or abdominal CT in the outpatient building?"

"No." The patient's voice was a little weak.

"This is more troublesome." Huang Hanlin said, "You may need an emergency abdominal ultrasound."

Lu Chen nodded slightly.

If it’s not myocardial infarction, it could be acute abdomen!

Chest pain, abdominal pain, pain in these two locations, sometimes the location and boundaries are not very clear!

"Dr. Huang, the patient's blood pressure is low!"

At this moment, the nurse in charge of the bed suddenly shouted.

"The blood pressure is only about 80/50mmhg!"

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