This Doctor is Great

Day 2, (Thursday of Week 6)

"Little Mo, are you free? Let's go to the clinic..."

"OK."

"Xiao Ming, are you coming?"

"Teacher, wait for me!"

Early in the morning, Mr. Huang Li was on duty in the outpatient clinic, and then took Zhou Mo and Huang Yiming to the outpatient clinic.

clinic building,

It was very lively, patients and family members surrounded the corridor tightly.

In fact, outpatient clinics also have 'hidden rules'.

First of all, the outpatient visits of famous experts are generally concentrated in the first half of the week, and will gradually decrease in the second half, even less on weekends, and the probability of finding them in the ward is similar. Because heavyweight experts are very busy, in addition to helping patients solve their illnesses, they also need to have new research, or academic conferences, or lead students, and they are very busy every day.

Secondly, the doctor's service attitude (mainly the degree of patience) is not completely proportional to the professional ability. Generally speaking, the old experts have the best attitude, followed by the young doctors, and the middle and senior experts are the worst. It is still quite difficult for a doctor with both virtue and skill.

In the end, the most famous doctors are probably not the most capable doctors. For example, Internet celebrity doctors may not be the most powerful, but because of the good publicity, there are many appointments, and the price of online consultations is also relatively expensive.

Many Internet celebrity doctors on the Internet are not actually the strongest in professional ability, but in operation and writing, so that patients can't help but trust them.

Zhou Mo glanced at the corridor,

Most of them are old people, some are accompanied by others, some are not accompanied, they sit there alone, waiting quietly.

There are also some young people. Now the patients in the Department of Cardiology are getting younger.

into the clinic,

everything's ready.

The first patient, came in.

It is an old man, male, about 60 years old.

Leaning on crutches, a man walked in slowly.

When people get old, various diseases will follow, so it can be seen that most of the patients in the hospital are elderly.

And the old patient in front of him came here alone.

"Uncle, sit down..."

Huang Yiming quickly moved the stool, and Teacher Huang Li smiled in praise.

Teacher Huang Li: "Uncle, what's wrong with your body?"

The old man pointed to his chest and said, "The chest is a little stuffy, sometimes it hurts..."

The three of Zhou Mo: "..."

good guy,

Chest pain?

Is it going to be a serious illness?

Elderly people, generally suffering from chest pain, should be especially vigilant for heart or lung problems.

However, seeing that the old man is currently in a good mental state, you don't have to panic, and ask the doctor first to see the situation.

"Uncle, do you have any medical history before?"

"Yes, I had coronary heart disease 8 years ago..."

"Do you have diabetes, high blood pressure, and high blood fat?"

"With high blood pressure, 10 years..."

It sounds like an old hand.

Here, Teacher Huang Li consulted the doctor, and Zhou Mo entered on the computer.

Teacher Huang Li: "Have you been taking medicine?"

As a coronary heart disease patient, what are you most afraid of? I don't take medicine, I feel that I am awesome, and I only take it when it is critical. But in fact, this is wrong, and it will greatly increase the risk of sudden fatality.

For patients who are not actively treated, taking medicine intermittently, or even not taking medicine, is too much.

Most of the patients hospitalized in the Department of Cardiology are such patients.

The old man's answer made Zhou Mo and others breathe a sigh of relief: "Please rest assured, doctor, I have always insisted on taking medicine..."

"Uncle, this is good and deserves praise."

"I didn't pay much attention to it before. An old partner who played chess with me suddenly suffered a myocardial infarction in front of my eyes. He was sent to the hospital and died. At that time, I was scared, so I took medicine regularly."

Uncle grinned, showing his big teeth.

The three of Zhou Mo couldn't help laughing.

"Uncle, what medicine are you taking?"

""***" and "***" two kinds...one tablet each day..."

Zhou Mo nodded.

One is anti-platelet aggregation drugs, which can inhibit the formation of intravascular thrombus and reduce the possibility of coronary artery being blocked by thrombus.

One is to lower blood lipids, which is also helpful in preventing myocardial infarction.

'Classic' drugs for coronary heart disease.

"By the way, doctor, I also had a heart stent operation and put 2 stents..."

This patient, skilled, didn't need the doctor to ask, he took the initiative to explain.

After asking a few more questions, Mr. Huang Li started the physical examination.

"Where is the pain?"

"here……"

"Eh... old man, this is not where the heart is, it's the liver..."

Soon, Mr. Huang Li realized something was wrong.

Because when he checked the location of the pain, he found that the patient's chest pain was below the ribs.

Not in the precordial area.

Auscultation also felt that there was nothing wrong with the heart and lungs.

Then, under the ribs on the right side, I felt something.

"Is this the liver?"

"No, this area is too big."

"Normal people generally cannot touch the liver, or can only touch a little bit."

Teacher Huang Li hesitated for a moment.

"Have you had liver disease before? For example, hepatitis (hepatitis B, hepatitis C) or something..."

"Yes, hepatitis B..."

"Hepatitis B? Then your problem may not be a heart problem, but a liver problem. The position of your liver is a bit wrong, either enlarged or displaced. If it is enlarged, it may be caused by certain diseases... …I’ll give you an electrocardiogram later, if there’s no problem, you can go to the Department of Hepatobiliary Surgery or Gastroenterology to have a look…”

Zhou Mo was surprised when he heard it from the side.

Liver enlarged?

Tumor?

Liver hypertrophy?

The elderly respect doctors and have no doubts.

"Okay, follow the doctor's orders..."

soon,

The old man just finished the electrocardiogram.

Display: No abnormality!

Dr. Huang Li: "Let's go for a blood test and liver function test. If there is something wrong with the test results, it may be a liver problem..."

The old man: "Then can I come back later? After I get the result."

Dr. Huang Li patiently said: "Okay, I'm still in the outpatient clinic in the afternoon, and the results of the liver function may not be available until the afternoon. You can come and ask me when the results are out..."

The old man was immediately happy: "Thank you, you are a good doctor."

Then slowly got up and left.

...

At noon, Zhou Mo and Huang Yiming returned to the ward, rounded up the ward, and wrote the bed report. .

In the afternoon, continue the outpatient clinic.

In the outpatient clinic in the afternoon, nothing special happened.

At 14:30, the old man returned to the outpatient clinic with the results of the liver function test and went to see Teacher Huang Li.

Liver function results showed: Abnormal liver function!

Teacher Huang Li recommended the elderly to go to the hepatobiliary surgery for registration.

17:00, end today's outpatient clinic,

Zhou Mo and Huang Yiming returned to the ward, made rounds, and wrote materials.

at this time,

"Ding dong..."

There is a large group in the department, and a notice is sent.

"@all members,"

"In response to the Health and Family Planning Commission's "send warmth to the grassroots", according to the arrangement of the hospital, the Department of Cardiology will go to a town in the mountainous area of ​​northern Guangdong this Saturday and Sunday to conduct free clinic activities. Attending and deputy director-level doctors are invited to sign up, a total of 10 In addition, medical students can also sign up to participate.”

Many attending and deputy directors saw it, and immediately lost interest.

Free clinic?

It is painful to take a car to the mountains, and it is too hard to go back and forth.

don't want to go.

On the other hand, Zhou Mo and other newcomers feel very fresh.

"Are you interested? Go to the countryside~~"

"This is the first free clinic I have encountered, and I want to participate."

"I'll forget it. I came from the countryside and have no interest. You can sign up."

"I regestrated."

"I'm signing up too."

Soon, Zhou Mo, Huang Yiming, Huang Xinyi, and Wang Lilong all signed up to participate.

.

Sorry, I forgot to post, sorry sorry...