This Doctor is Great
Chapter 123 Difficult Patient
Zhou Mo didn't find his lunch box, knowing that someone might have eaten it by mistake.
This kind of thing has actually happened in the department, so Zhou Mo didn't publicize it loudly.
I clicked on the takeaway app and ordered a fish with pickled cabbage...but when I was about to pay, I found that it would take at least 40 minutes to be delivered.
By this time, his stomach was already growling in protest.
"Forget it, let's eat instant noodles."
Zhou Mo came to the "Energy Supply Station" in the living area and swept a box of tomato and beef instant noodles, a pack of FL mustard, and a marinated egg, and soaked it in water by himself.
Just soaked, not soaked yet,
It was a mess outside.
Many people rushed a patient, a grandmother who was about 60 years old, into the cardiology department.
Several family members, and several doctors.
Go straight to the interventional treatment center.
Zhou Mo glanced curiously, and there were 2 doctors who were not wearing white coats from the Second Provincial Hospital, but from other hospitals.
"He came from a lower-level hospital?"
Zhou Mo guessed that it should be that the lower-level hospital found a more dangerous patient who needed interventional surgery, so it was sent here.
There are many cases of patients sent by such lower-level hospitals in the cardiology department every month. Because the conditions of lower-level hospitals are limited, especially those far away in the county, there is no CT, and many examinations cannot be performed, and they have to be sent to the city center or provincial capital.
Not long after, the instant noodles were ready, and Zhou Mo started eating.
Soon, gossip spread.
"Wow, the patient was sent by the county hospital in the next city just now, what a fate!"
"What's wrong?"
"The patient had a ruptured cerebral aneurysm and fell into a coma. As a result, the county hospital did not have a CT machine at that time, so he was transferred to the city hospital. The CT machine in the city hospital happened to be broken, so he was transferred to another hospital. The other hospital took the CT scan and said this. I couldn’t do the surgery, so I suggest you come to the provincial capital... Then it took 7 hours to get it here, and the CT didn’t even have time to check it, so it was sent directly to the interventional operating room of our department..."
(An aneurysm, not a tumor, is a bump-like protrusion in the wall of an artery.)
(picture??)
(The word tumor is a translation problem, not a tumor.)
"7 hours?"
"I'll go, it's really fate!"
"So, the provincial capital is better than the provincial capital. At least the medical conditions are much better, and the speed of saving lives is really fast."
Zhou Mo ate a bowl of noodles quickly while listening to the gossip, and finally his stomach was a little full.
But I felt that a serving of instant noodles was still not very full, so I asked Huang Yiming for a cup of milk tea to fill my stomach.
Seeing this, Huang Yiming knew that Zhou Mo was hungry, so he opened the takeaway app and silently ordered a 10-inch Sultan King durian pizza for Zhou Mo.
At this moment,
Xiao Lin, a nurse at the nurse station, walked in.
"Doctor Zhou, a patient has come in... you take it..."
"OK!"
Zhou Mo quickly drank the milk tea, but still felt hungry, maybe he was too hungry just now.
But the patient has already arrived, so I don't care whether I am hungry or not, so I go to receive the patient.
29 beds,
"Huang Jiandi, right... I'm your bed doctor, just call me Doctor Zhou."
Zhou Mo looked at the patient in front of him, female, about 50-60 years old.
A little short of breath.
This patient has been diagnosed by the outpatient director Niu, and then transferred to the ward.
Diagnosed as: ventricular aneurysm.
(Is the class representative here? Drawing?)
Its formation is generally after a large area of myocardial infarction in patients with coronary heart disease. In the infarct area, the necrotic myocardium is gradually replaced by fibrous scar tissue, which bulges outward to form a ventricular aneurysm.
This grandma is not easy to mess with at first glance, she has the temperament of a dragon mother-in-law. She glanced at Zhou Mo's young age and was a little upset: "Is it so young? Is there any senior doctor?"
Hearing this, Zhou Mo put on a professional smile: "Please rest assured, we are qualified to contact patients after more than 5 years of professional training, and I have been trained for 8 years, I believe I can help you. Protect your health..."
Grandma Sapo: "I don't care, I want a more advanced doctor!"
Zhou Mo smiled professionally: "Grandma, this is a hospital, not a vegetable market. Everything is as good as the hospital's arrangement. In addition, if you want a more senior doctor to see you, you can go to the Zhujiang branch. There is a senior center there." , whether it is a doctor or a nurse will surely make you more satisfied..."
Grandma suddenly became interested: "Is there a senior center over at the Pearl River Branch? I'm going! Quick, transfer me!"
Zhou Mo reminded him friendly: "However, the prices there are more expensive, and many wealthy businessmen and overseas Chinese are treating diseases there..."
Grandma knew that Zhou Mo was mocking her, so she was so angry that she clutched her chest, short of breath.
"Oh, you're trying to annoy me on purpose...I can't do it...ah..."
Clutching his heart, he screamed in pain.
Zhou Mo didn't know if she was pretending, and his attitude suddenly eased.
Grandma screamed a few times, then stopped again, it turned out she was just pretending.
But the idea of going there has been dismissed in my heart.
She is not a rich person, just an ordinary family.
At this time, the grandma's daughter finished the formalities, ran in quickly, and apologized repeatedly to Zhou Mo.
"Doctor, I'm sorry, I'm sorry..."
Zhou Mo didn't care about it, and he didn't dare to care about it, for he was afraid that if he pissed off this grandma, he would be finished.
Next, start the consultation.
Although the grandma was not very cooperative and had a dark face, her daughter was still quite sensible, answering Zhou Mo's medical questions while apologizing.
The patient, Huang Jiandi, 61 years old, had a history of hypertension for 10 years, coronary heart disease for 8 years, took medicine irregularly, suffered from angina pectoris and myocardial infarction many times, and was rescued.
The reason why I came to the hospital for an examination this time was that I had been short of breath in recent months.
The grandma thought there was no problem, but her daughter was worried, so she dragged her to the hospital for outpatient treatment, and was diagnosed with a ventricular aneurysm by Director Niu.
Zhou Mo performed a physical examination on the patient, and found that the left side of the heart was enlarged, the heart beat was wider, and there was a systolic murmur.
These are consistent with the characteristics of ventricular aneurysm.
Electrocardiogram, the electrocardiogram taken out of the clinic showed that the ST segment continued to increase, and at least three leads were elevated.
Then I did a B-ultrasound, and it was almost the same.
All consistent with the diagnosis of ventricular aneurysm.
However, a deeper and more accurate diagnosis requires further examination.
"Auntie, I'll do some tests for you later, radionuclide angiography, MRi... As long as the results are confirmed, it can be basically confirmed that it is a ventricular aneurysm."
Grandma, as Zhou Mo expected, directly frowned: "What? Still need to be checked? Want to cheat my money? Can you get an older doctor? You are too young, you have no hair on your mouth, and you can't do things well. "
Zhou Mo: "..."
How long has it been since you met such a patient?
Don't be angry, she is a patient!
The daughter next to her hurriedly pulled her: "Mom, don't talk about it..."
Then he apologized repeatedly to Zhou Mo: "I'm sorry, doctor, my mother's mouth is like this, I'm sorry."
"Why do you have to apologize!" But the grandmother refused to let go: "I said he was young, what's wrong? It's true, I even doubt his medical skills!... Forget it, I won't be hospitalized, let's go!"
After speaking, get up and get out of bed!
Not hospitalized?
The daughter was dumbfounded on the spot.
"No, Mom, you need to be treated for this disease, you can't be discharged from the hospital!"
"I don't want it, I want to find a better hospital, I want to find an old doctor!"
.
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