This Doctor is Great

"By the way, doctor, wait for the medicine, can you give me a cheap one?"

"Yes, I will try to use domestically produced super cheap ones for you."

In fact, the efficacy of many domestic and imported drugs is similar, but the price can be many times higher.

And not only drugs, but many commodities are like this.

For example, if there are two similar bags, one is a domestic brand and the other is a foreign luxury product, the price difference between the two can be ten or even twenty times.

This means that foreign monks can chant scriptures, and some Chinese people think that foreign products are high-end.

Hearing Zhou Mo's words, the patient Zhao Tiegang showed a grateful expression.

Dr. Zhou Mo is different from the doctors he met before, he always considers him, and his attitude is very good.

When he woke up a few doctors on duty in the hospital last night, the other's eyes were wide open, as if they were going to swallow him alive.

And the doctors in the emergency department are also very busy and impatient.

(Emergency doctor: I am wronged, I am too busy.)

soon,

The B-ultrasound machine is here.

Zhou Mo began to perform B-ultrasound on the patient.

During this period, the patient Zhao Tiegang suffered from pain many times, which lasted for a long time.

20 minutes later...

Zhou Mo: "????"

B-ultrasound result: everything is fine!

Appendicitis, pancreatitis... nothing!

"what is the problem?"

Zhou Mo was stunned.

"Is it a heart problem?"

Zhou Mo originally thought about the rest of the electrocardiogram project, but now it seems that he can't save it.

Although the patient has a stomachache, it is likely to be a heart attack.

"Miss Lin, bring me the electrocardiogram machine here..."

"OK."

In less than half a minute, nurse Xiao Lin quickly took the electrocardiogram machine for Zhou Mo.

Quickly connect the electrodes.

blah blah ~~~~~

Zhou Mo saw the ECG drawing,

"I go!!"

His face changed!

Myocardial infarction!

Very typical electrocardiogram of myocardial infarction!

Zhou Mo couldn't believe his eyes, and rubbed vigorously.

The performance of the electrocardiogram in front of him is too typical.

And it was an inferior wall myocardial infarction.

"MMP, I actually met a myocardial infarction patient with abdominal pain as the main symptom!"

Zhou Mo has said many times that patients with abdominal pain must check the electrocardiogram, but this is the first time he has encountered it in person!

Seeing Zhou Mo's expression, Zhao Tiegang asked, "Doctor, what's wrong?"

Zhou Mo smiled: "It's okay, don't be nervous."

Then, apart from the duty room, he picked up his mobile phone and called Brother Chen Bing:

"Brother, I have a patient with myocardial infarction here, hurry up...he has been in pain since yesterday, the condition may have progressed very seriously, and something may happen at any time..."

"By the way, by the way, call a brother from the Interventional Diagnosis and Treatment Center to come over and take a look. Maybe you need to consider thrombolysis or intervention..."

For acute myocardial infarction, the most important methods are naturally thrombolysis and intervention.

All within the scope of cardiology.

Then I came to the nurse station and quickly said to Xiaomei, the nurse in the computer class at the nurse station: "80 beds, a patient with myocardial infarction, measure his blood pressure, if it is higher than 95, give him nitroglycerin immediately..."

"good!!"

Nitroglycerin is also considered a standing drug in gastroenterology. It's like an electrocardiogram machine. Although gastroenterology has nothing to do with the heart, it still needs to be prepared.

However, one thing to note is that,

For patients with myocardial infarction, oral nitroglycerin, most of them can not have significant relief.

The best way is slow intravenous infusion of nitroglycerin to dilate the coronary arteries and reduce ischemia.

Because it dilates blood vessels, if the blood pressure is low (less than 90/60mmHg), it is best not to use nitroglycerin, which will further drop the blood pressure and may cause shock.

soon,

Zhou Mo and the nurse hurried back to the ward.

at this time,

The patient, Zhao Tiegang, was holding his stomach and was suffering from pain. It was obvious that he was experiencing a new wave of pain.

Sweat trickled down his forehead.

After about 10 seconds, it's over.

Zhao Tiegang relaxed again.

"I'll give you an injection later."

"What's wrong? Doctor?" The long-winded patient... No, the patient Zhao Tiegang saw that Zhou Mo's expression was not right, and he was a little flustered.

"You have a bit of myocardial infarction now, which is the kind of disease that is shown on TV to hold your heartache... I need to give you an injection to relieve it."

"Ah? I have a stomachache, how can I have a heart problem?" Zhao Tiegang became emotional all of a sudden.

"This injection must be given!" Zhou Mo didn't want to talk to Zhao Tiegang anymore, because the illness had dragged on for too long, and he might die at any time.

Zhao Tiegang saw Zhou Mo's serious expression, and his respect for the doctor made him succumb.

"good!"

The nurse began to give him needles.

"Doctor, does this medicine cost money? How much?"

"...but wait until after the injection! Hurry up!"

Zhou Mo felt that his mentality was a little irritable, and he was very anxious, but the patient was still nagging.

soon,

The nurse took the blood pressure skillfully, and it was 115/78, which is not bad.

Then the intravenous access was opened for intravenous infusion.

Zhou Mo said to the nurse: "Give him an ECG monitor so that his blood pressure doesn't drop..."

soon,

Get the heart rate monitor.

Zhou Mo took a look at the vital signs, and he was finally relieved.

At this moment,

"Zhou Mo!"

Zhou Mo looked back and saw that it was Senior Brother Chen Bing and Senior Brother Zhen Zhihang who was involved in the diagnosis and treatment center.

"Here it is, great."

Then Zhou Mo introduced the illness to the two of them in English.

"Myocardial infarction that started last night?"

"Hiss... he is really amazing to be able to carry it till now."

"Yeah, so I think his condition may not be serious. When he came to the Department of Gastroenterology, he had seizures every 10 minutes, about three or four minutes each time... At the beginning, I was thinking about abdominal pain, so I didn't think it was myocardial infarction. .”

"Why didn't you take the electrocardiogram earlier? You are from the Department of Cardiology, so you shouldn't ignore this... And what is the emergency room for? Why didn't you take the electrocardiogram?" Senior Brother Chen Bing blamed.

Zhou Mo explained: "It's not that he doesn't do it, but that he refuses to do it. He is afraid of spending money, and his family is too poor... Let me tell you, he asked how much he used nitroglycerin just now."

Brother Chen Bing stopped talking immediately.

Zhen Zhihang sighed: "Hey, is this kind of patient my biggest headache?"

When the three of them were exchanging their illnesses,

At this moment, the patient Zhao Tiegang's complexion changed suddenly, and his bloody face became extremely pale.

He bent over and covered his chest, opening his mouth with difficulty.

"Doctor...doctor..."

"I suddenly felt tight in my chest and my heart was beating fast."

Now he felt like a big stone was pressing on his chest, and he couldn't breathe, which was extremely uncomfortable.

Cold sweat instantly soaked the clothes.

The expressions of Zhou Mo and the others changed drastically!

coming!

Chest pain!

Transferred! !

Big trouble! !

At this time.

The patient Zhao Tiegang spoke with difficulty: "Doctor, my throat feels so uncomfortable, it's like a fire is burning."

He spoke very slowly, and it took more than a minute for the dozen or so words.

And the most important thing is that his breath is not smooth, every word is like the last word.

"Don't talk...don't be afraid...slow yourself...relax..."

Zhou Mo looked at the ECG monitor.

Heart rate has soared to 140 there.

Zhou Mo took out the stethoscope and put it on the patient Zhao Tiegang's chest.

Patient Zhao Tiegang's heartbeat was really abnormal, very fast, very fast. Like a jumping rabbit.

Zhou Mo took off his stethoscope and spoke very fast:

"Brother, he has to go to the cardiology department immediately, there is nothing here, it can't be done!"

"be quick!"

Zhou Mo said to senior brothers Chen Bing and Zhen Zhihang.

Senior Brother Chen Bing and the two did not hesitate, and made a decisive decision: "Okay!"

.

Today, let's start with the three updates... One of the chapters is to make up for yesterday.