This Doctor is Great

"How is the patient?"

After the doctors from heart surgery and liver surgery arrived, they hurriedly asked.

"There's a lot of blood in the upper abdomen and abdominal cavity, and it's a big tube when you draw it." Teacher Huang Li pointed to the syringe filled with blood in the basin.

The doctors outside the heart and liver and gallbladder were shocked.

Zhou Mo: "I did a simple B-ultrasound. There is no problem with the spleen, but there is a certain change in the left lobe of the liver. The location of the bleeding should be there... The patient complained that he bumped into the chest and abdomen when he was driving this morning, so there is Possibly delayed bleeding from the impact."

"At the same time, it is also possible that the abdominal aortic dissection is bleeding..."

The surgeons of the two departments made up their minds after a brief understanding of the condition.

"It must be sent to the operating room immediately!"

"Yes, we need a quick laparotomy."

Next,

Just send it to the operating room as soon as possible, because it is not clear what the reason is, so the surgeons from the heart and hepatobiliary surgery will wait in the operating room.

The flat car pushed the patient away from the cardiology department and rushed to the operating room.

When passing the bed, the patient had already passed out and entered a state of shock. Fortunately, the rehydration was timely and the vital signs were stabilized.

On the way, Zhou Mo quickly had a pre-operative talk with the patient's son, and reached an agreement with him. When he arrived in the operating room, the doctor from the heart and liver came over with a consent form for him to sign.

...

half an hour later,

After anesthesia for surgery,

The doctor of hepatobiliary surgery cut open the upper left abdomen with a knife.

Once the stomach is opened, the eyes are full of blood!

The aspirator quickly sucked the blood away, and then looked for the bleeding point. Sure enough, he found the bleeding point in the left lobe of the liver, and the blood vessel ruptured.

Then I checked the spleen, and it was indeed not broken, which was exactly the same as the B-ultrasound result done by Zhou Mo.

Next,

The cardiac surgeon exits.

The patient procedure is taken over by the team of hepatobiliary surgery.

After the operation, the patient will be directly transferred to the Department of Hepatobiliary Surgery instead of returning to the Department of Cardiology.

After the first part of the operation, Mr. Huang Li and Zhou Mo stopped seeing the operation, but returned to the cardiology department.

On the way back to the cardiology department,

"Mr. Huang, the patient obviously suffered from hemorrhage in the liver, so why did it cause chest pain? Aren't they all symptoms of abdominal pain?" Zhou Mo asked curiously.

At the beginning, the patient complained of chest pain, which naturally made everyone think that there was a heart problem, and then he was sent to the cardiology department, which almost delayed the condition.

If it wasn't for Zhou Mo's quick discovery, the patient might not even be able to undergo surgery.

Teacher Huang Li: "Although chest pain caused by the liver is basically the manifestation of abdominal pain, it is not impossible to cause chest pain... In short, even if you are a patient with chest pain in the future, you can try to check the abdomen to avoid mistakes."

Zhou Mo nodded.

Old-fashioned words!

...

Back to the Department of Cardiology, it was already past 14:00,

Zhou Mo's beds 28 and 29 were vacant again. Several patients in Zhou Mo's bed had already come and left immediately, which is considered miraculous.

back to the duty room,

Zhou Mo began to write in the hospital, rescue records, course of disease, transfers, etc., and had to check the time with the nurses... It was very troublesome.

Although Zhou Mo's speed is very fast, it was not finished until 16:00.

At this time,

ding dong~~~

Zhou Mo's phone rang.

WeChat, from Hepatobiliary Peripheral Doctor.

Zhou Quan: "Zhou Mo, are you free tonight?"

Zhou Mo replied: "I'm very busy. I just picked up a patient and transferred him to the hepatobiliary surgery. There are a lot of things to do."

Zhou Quan: "Are you free tomorrow?"

Zhou Mo: "Maybe not. Recently, I promised my tutor to help manage his bed, so I may not be free this week's evening."

Zhou Quan looked at WeChat and fell silent.

No time this week?

If you wait until next week, the day lily will be cold, and the papers will be published, and you won’t be able to buy them by then.

Zhou Mo: "Teacher Zhou, you don't need to eat, you are really busy... just tell me if you have anything to do."

Zhou Quan hesitated for a while.

He was thinking about how to say it so that Zhou Mo would not be disgusted, and sold him the paper obediently.

at this time,

"Zhou Mo, another patient is here... you can pick it up."

"OK."

Zhou Mo hurried to WeChat Zhouquan: "Teacher Zhou, I'm sorry, I have a patient coming, I'll take care of the patient, I'll talk to you later, 88..."

comprehensive:"…………"

The speeches he had prepared all of a sudden collapsed.

...

Zhou Mo received a new patient.

Patient Zheng Zhengquan, 40 years old, male, a middle-level executive of a company, was sent to the Department of Cardiology wearing a shirt and trousers.

into 29 beds.

Zhou Mo felt that the 28 beds were poisonous, and the two patients were transferred directly to another department not long after they arrived.

Nurses are busy with ECG monitors and electrocardiograms.

Zhou Mo's consultation:

"Hello, Zheng Zhengquan, right, I'm Dr. Zhou, what's wrong?"

"A little headache, chest tightness, chest pain, no energy..." the patient Zheng Zhengquan said weakly.

"When did it start?"

"Last night, our company organized a volleyball match. I was a little tired after playing. Then I drank some wine after returning home. When I woke up this morning, I felt headache, chest pain, and shortness of breath..."

Zhou Mo nodded.

However, after drinking, headaches and chest pains are not impossible to be caused by alcohol alone.

"Chest pain, what kind of pain method? Like squeezing? Like acupuncture? Like a blunt hammer?"

"I don't know, I don't know how to describe..."

Zhou Mo explained it in detail again, but the patient still felt vague and couldn't tell which one it was.

"By the way, my grandfather died of a heart attack before, so I'm afraid that I will do the same, so I don't dare to delay, come to the hospital to have a look..."

"Your grandfather has?"

Zhou Mo became vigilant, that is to say, there is a family medical history.

This is a point worthy of attention.

"Do you have high blood pressure? Do you have high blood fat, diabetes, etc.?"

"I have high blood pressure."

Now, Zhou Mo became more vigilant.

At this time, the patient began to connect to the electrocardiogram, and it was printed out continuously~~~.

Zhou Mo looked at the part carefully and found that there was nothing special about the electrocardiogram, especially the abnormality of myocardial infarction.

Troponin still has to be done, though.

Myocardial enzymes should also be done.

"Besides that, do you have any other symptoms?"

"Yes, I feel weak all over, especially the side of my left shoulder, arm, and thigh is very painful and numb. I don't know why."

Um? ?

Zhou Mo was taken aback for a moment.

Too strange!

If it is said that there is no strength on the left and right sides, it is okay to say, but it is a bit strange that there is no strength on the left side alone.

"Did you lie down on your left side when you fell asleep after drinking alcohol, did you press it down? Haven't recovered yet?"

"Probably not, I slept on my back."

"When did it start?"

"I found out after waking up, and it has been four or five hours now."

Zhou Mo shook his head: "It's not impossible..."

But muscle weakness is also a direction. However, unilateral muscle weakness is still rare.

"Go back and check the literature to see..."

Zhou Mo thought so.

Possibly neurological.

Next,

Zhou Mo asked other questions, but found nothing.

Then I listened to the heart and lungs, and found nothing.

"Later the nurse will draw your blood and do a few basic checks..."

"Okay, thank you Doctor Zhou."

Zhou Mo left the ward and returned to the duty room.

16:10, his wife arrived.

16:30,

The results of troponin and myocardial enzyme spectrum came out.

No abnormality.

Zhou Mo searched the literature on muscle weakness, and read it.

"Ding dong~~"

Zhou Quan: "Zhou Mo, I won't beat around the bush. I heard that your living conditions are not very good. I think I can help you improve your life. In addition, I have a paper that I would like to ask you to read..."

After all, he is an old fritter, so he speaks in a cryptic manner so as not to be caught.

Zhou Mo was busy and didn't see WeChat.

20 minutes later,

Zhou Quan got a little impatient waiting, thought for a while, and sent a WeChat message to Huang Yiming.

Zhou Quan: "Huang Yiming, I am Dr. Zhou Quan from the Department of Hepatobiliary Surgery. Are you free tonight? I invite you to dinner."

Huang Yiming thought for a while and replied: "I'm sorry, Mr. Zhou, I have an appointment with the tenants tonight, and I want to ask them to collect the rent. There are too many houses and the rent collection is slow, so I can only apologize..."

comprehensive:"!!!!!"

.