Start as an Emergency Physician

The point is... The strawberry planting site is the place where these important blood vessels are concentrated.

In the absence of arterial dissection, strawberry planting is likely to cause intimal damage to the internal carotid artery, resulting in the formation of internal carotid artery thrombosis.

In more severe cases, blood clots can travel to the brain along the blood vessels and eventually form a stroke, commonly known as stroke.

Just now, Zhou Yuan assessed Li Mei as a Glasgow coma, which was to determine whether Li Mei's cerebral blood vessels were affected by blood clots.

Judging from the current situation, Li Mei's brain should be fine.

After a while, Li Mei returned.

In addition to carotid Doppler ultrasound, Zhou Yuan also asked her to have a cervical CT angiography.

Ultrasound can check whether the intima of the blood vessel is thickened, whether there is plaque formation, whether the blood vessel is narrowed, whether there is occlusion, etc.

CT angiography is more complex, and after intravenous injection of iodine-containing contrast agent, the image can be processed by a computer to show the vascular system of the neck in three dimensions.

This test is more intuitive and can provide an important diagnostic basis for occlusive vascular lesions. Most importantly, the diagnosis of ischemic vascular disease can be made as early as 2 hours after the onset of the disease.

Zhou Yuan carefully examined Li Mei's examination results.

Cervical Doppler ultrasound showed thromboecho in the carotid artery on the right side of Li Mei, with 50% to 70% carotid artery lumen stenosis.

CT imaging of the neck showed that there was no arterial dissection in the right internal carotid artery, and multiple thrombuses had formed in the proximal internal carotid artery, and there was already partial embolism in the lumen.

"Weakness and dysfunction of the left upper limb. Zhou Yuan made a diagnosis.

Li Mei became nervous again, "Doctor, what should I do?

Zhou Yuan shook his head: "No, I'll prescribe some medicine for you and see if I can shrink the blood clot." "

He plans to give patients seven days of intravenous heparin therapy, which usually results in a significant reduction in blood clots and relief of neurological symptoms after one course of treatment.

"His grandmother's, kissing the old lady a few times, made me almost paralyzed..."Li Mei scolded in a low voice.

After sending Li Mei away, Zhou Yuan sighed.

Fortunately, he is still single and does not have these risks.

"Or... Open a safety tutorial for planting strawberries as a couple and dissecting the neck?" Zhou Yuan suddenly had a whim.

The next patient soon came, curling his neck: "Doctor, that woman just now... You grow strawberries?"

Zhou Yuan ignored him.

Patient's privacy questions, doctors can't answer.

"It's called Shen Feiyu?"

"Yes, my name is Shen Feiyu. "

"What's so uncomfortable?"

"I feel uncomfortable. "

Zhou Yuan: ?

"The one who just left is my goddess, it's so heartbroken!" Shen Feiyu covered his mouth in pain.

Zhou Yuan said helplessly: "Don't register indiscriminately, others are still waiting to see a doctor." "

Shen Feiyu stood up and muttered, "I'm also a strawberry print, but I'm single..."

Zhou Yuan laughed: "This Jane, take a soft straw, put one end of the mouth, press the other end on the neck, suck hard, and there is still it." "

Hearing this, Shen Feiyu's eyes lit up, and he ran out of the consultation room at once.

Zhou Yuan: "..."

Soon, it's time to get off work.

As soon as a patient walked into the consultation room, an old doctor in a white lab coat walked in.

"Zhou Yuan?"

Zhou Yuan looked over suspiciously, it was the director of the anorectal department.

"You are—" Zhou Yuan was stunned for a moment.

Why did the director of the proctology department come to him?

The director of the anorectal department glanced back, and after confirming that there was no one outside, he said a little embarrassedly: "Haven't I been sitting in the clinic during this time, the weather is too hot, so I have a hemorrhoid..."

Zhou Yuan was silent.

"I've already vacated the operating room in the anorectal department, and it's about to get off work, you help me do an operation, half an hour's thing, and it's time to eat after cutting hemorrhoids!

Zhou Yuan nodded silently.

It just so happened that Zhou Yuan's time to get off work was also up, and he went directly to the anorectal department with the director of the anorectal department.

In the end, it was a person who had cut a lot of hemorrhoids, and the director of the anorectal department reported the results of his examination himself.

"There are several small internal hemorrhoids, mainly external hemorrhoids, which are painful every time they have a bowel movement. I had an inspection myself, and the degree of prolapse was not very serious when I squatted, it should be a second-degree hemorrhoid, and a colonoscopy was also done, and there were no other lesions in the rectum. The anoscope was also done..."

Zhou Yuan didn't even have a chance to ask, the director of the anorectal department did complete all the examinations, looking at his eager appearance, if he couldn't cut himself himself, he would definitely not come to Zhou Yuan.

After the anesthesia was completed, the director of the anorectal department chatted with Zhou Yuan.

"What do you want to eat in a moment?"

Zhou Yuan was silent.

Are you sure I'm having hemorrhoid surgery, can I tell what I want to eat for a while?

The director of the anorectal department was happy and said, "Otherwise, go eat fried fat sausages?"

Zhou Yuan's hand shook, "Director, don't say it, I'm afraid that I will stab your rectum with a knife." "

“......"

The operating room finally fell silent.

The hemorrhoids of the director of the anorectal department were not serious, and Zhou Yuan only took twenty minutes to complete it.

Soon, the effect of the anesthetic of the director of the anorectal department also passed, and he began to hurt.

In the end, the director of the anorectal department was pushed to the ward, and Zhou Yuan washed his hands and prepared to go home.

However, this time the hemorrhoids removal surgery gave Zhou Yuan a surprise.

The director of the anorectal department directly triggered the praise of his superiors and sent an intermediate treasure chest.

Ten cases of hemorrhoidal surgery have been completed 9/10.

One more hemorrhoid surgery will give you a random reward.

The last random reward was an intermediate treasure chest, and this time it shouldn't be bad.

Zhou Yuan wandered around the anorectal department and didn't find any opportunities, so he had to return home.

As soon as I arrived at the door, I found the landlady Lin Meixin wandering in the corridor on the seventh floor.

Zhou Yuan frowned, stared at Lin Meixin several times, and walked to his door.

Speaking of which, the landlady is really in good shape...

36d. Long legs, these two advantages are already able to speak for themselves.

Lin Meixin saw Zhou Yuan coming, smiled charmingly, and said, "Are you back?"

Zhou Yuan didn't know how to answer, and opened the door: "Well... It's back. "

Lin Meixin touched her chin, "I plan to live in 706 in the future, but it's a little small inside, do you want to connect 706 and 705..."

Zhou Yuan was stunned for a moment and looked at his neighbor's number.

706.

Zhou Yuan: "You are the landlord, you have the final say." Don't break through my 707 wall. "

Lin Meixin was stunned for a moment, and suddenly smiled: "Understood..."

After Zhou Yuan entered the door, Lin Meixin entered 706 again, carefully checked the geographical location, and then made a few marks with a marker pen on the wall near 707...

——

A book recommended by a friend: "Zongman: The Strongest Fourth True Ancestor", you can go and see it!_

To see the ununderlined version of the novel, please download the Feilu Novel AP