The reason why the old experts came so enthusiastically to greet Comrade Li was not just because they had not been busy with students and doctors all day, so they felt uncomfortable. After asking about Comrade Li's medical history, many experts noticed one thing at the same time.
Although his pain is consistent with the symptoms of lumbar disc bulge, it is relatively rare to have a sudden attack while swimming. The reason why doctors recommend swimming for patients with lumbar disc is not only because this exercise is harmless to the disease, but also because it is harmless to the disease.
Being in the water can greatly relieve the stress on the lumbar spine, and swimming can actually relieve pain. Not only did swimming not relieve the symptoms, it actually hurt Comrade Li and choked on the water. This is a point that easily attracted the attention of veteran experts.
After discussing with Sun Lien, Hu Jia trotted all the way to the duty station next to the swimming pool and borrowed a stethoscope and a sphygmomanometer. These basic diagnostic tools can actually play a far greater role than ordinary people imagine. Experts are very grateful to Hu Jia
He was amazed by the diagnostic tools and his ease in operating them. Sun Lien's attention began to extend towards Li Fengmin's limbs and cheeks.
The limbs at the end of the human body's circulation are places where blood circulation disorders are more likely to manifest. These areas often show very characteristic diagnostic signs. For example, liver palms, spider nevi, polycythemia vera, Raynaud's syndrome, and clubbing
Finger, etc., are all excellent features to assist diagnosis. These features are very suggestive, but sometimes it requires some patience and keen attention to discover them.
As for the cheeks, Sun Lien is looking for evidence of the existence of autoimmune diseases. Although SLE (systemic red envelope lupus) is more likely to occur in women of childbearing age, the possibility of it still exists in older men. If the other person suffers from their own diseases such as SLE
Immune diseases, leading to diseases such as vasculitis, may be consistent with the symptoms he is showing now.
"The heart rate is 95, the systolic blood pressure is 115 mm Hg, and the diastolic blood pressure is 80 mm Hg." Hu Jia completed the examination quickly, and then began to listen to Li Fengmin's heart and lung sounds. The water in the swimming pool is undoubtedly fresh water, because it is fresh water.
The osmotic pressure is lower than that of the blood. Inhaling a certain amount of fresh water may cause the blood to be diluted in the alveoli. Hemodilution will cause the blood volume to increase, thereby causing the blood pressure to rise. At the same time, a large amount of water will flow into the blood, which will also cause severe hemolysis.
.Serum potassium rises, and nitrogen and sodium concentrations drop rapidly. This will eventually lead to cardiac arrest and death.
The diaphragms of the elderly may not be as strong as those of young people, and it is possible that they may not be able to expel all the water that invaded the trachea after choking. Although the blood pressure was not high just now, Hu Jia still did not dare to be careless. He listened carefully for a long time.
After confirming that the old man's lungs were silent and his heart beating was stable and strong, the examination was stopped.
The experts who came for the "consultation" exchanged opinions and basically agreed that there was nothing wrong with the old man. It might just be that the lumbar disc herniation was serious. And just when everyone was about to disperse, an old man recognized Sun Lien.
"Hey, isn't this Dr. Sun who was scolding people on the stage at noon!" A fat old man with a white face smiled and waved to Sun Li'en, saying in a friendly tone, "Old Li, there's nothing wrong. You can go on and play. Don't worry.
Don’t worry, I’ll just ask the waiter to take him back later.”
Sun Lien remained silent with some rudeness. He still stared at Li Fengmin, his eyes looking everywhere on him. He did not notice that there was an old man next to him talking to him. Li Fengmin's body did not show any obvious physical signs. Sun Lien
After staring at the old man for at least five minutes, he looked at the mole on the old man's lower back several times. However, melanoma does not cause this symptom, and paraneoplastic syndrome does not cause the symptom of "slow decrease" in blood pressure.
Sorry, sorry, Sun Lien felt like his head was about to boil, but he just didn't understand what was wrong with Li Fengmin in front of him. He checked the status bar above Li Fengmin's head over and over again, but he just couldn't figure it out.
Why did he get this prompt?
Sun Lien suddenly felt his arm being gently pulled by someone. He turned around and found that Hu Jiazheng was looking at him with a worried look. There were many curious people around who were only wearing swimming trunks.
Experts.
"Young man, what's on your mind?" the fat old man who spoke at the beginning asked with a smile. It's not necessarily a bad thing for a young doctor to be so absorbed in front of a patient. Sometimes he suddenly wants to understand a joint,
It may become a key node for the transformation of an ordinary doctor into an excellent doctor. Anyway, many experts present felt that Comrade Lao Li would have no problem, and it would be okay for Dr. Xiao Sun to be distracted for a while. The old man saw Sun Lien come back to his senses when Hu Jia called him
, but felt a little regretful. He tried to worry that Sun Lien hadn't figured it out yet, and tried to make up for it, "If there is anything you think is inappropriate, why not just go ahead and do a physical examination on Lao Li. After all, it is better to do it once than to watch a thousand times."
Well!"
Thinking about a problem with full concentration for a long time will lead to results similar to "Gestalt collapse" or "semantic saturation" when people relax. It is like seeing a Chinese character repeated in large numbers in a short period of time, or simply staring at it for a long time.
After reading a word, you will find that the word begins to become unfamiliar, and you may even forget how to pronounce the word and what it means.
Sun Lien's level of concentration was a little higher than this. When he came back to his senses, he couldn't even remember what he was thinking about. After hearing the suggestion of the older person next to him, Sun Lien subconsciously followed
Following the logic of "the trained doctor follows the instructions of the superior doctor", he walked to Li Fengmin and began to examine.
Although usually in schools or hospitals, this group of old experts may not always be so amiable. But when they are out and about, it is a professional situation that occurs after a slightly boring meeting. They are actually watching with interest.
While watching Sun Lien's examination, he whispered about the young doctor's examination techniques.
Although it is not bad, it is not very good either. This is the conclusion reached by experts after exchanges. In the opinion of these veteran experts, although Sun Lien's inspection movements are standard, they are only standard movements in regulations after all. He seems to be still
Sun Lien is suspected of being "doctrinaire" because he has not learned the techniques of being lazy with purpose and skill in order to speed up inspections.
Sun Lien is not the kind of strict person. This can be seen from his rash proposal to use raw materials to treat firefighters with organophosphorus poisoning. Sometimes this guy really doesn't play by the rules. But his inspection this time
He was indeed very serious about what he did. After Sun Lien came to his senses, he fell into the previous confusion again. He tried to use closer contact and examination to find the main reason for Li Fengmin's lower blood pressure.
"How do you feel now? Are you feeling uncomfortable?" Diagnosing the problem is at least better than blindly checking to find the problem. Sun Lien asked casually while checking the muscle strength of Li Fengmin's lower limbs.
"I'm fine." Li Fengmin replied with a smile. He did feel that the radiating pain from his lower limbs had been relieved a lot. "But I may have drank two more mouthfuls of water just now, and now I feel a little full."
Sun Lien didn't answer any questions, asked Hu Jia for a blood pressure monitor, and checked Li Fengmin's heart rate and blood pressure again.
"The heart rate is 95, the systolic blood pressure is 105 mm Hg, and the diastolic blood pressure is 75 mm Hg." Sun Lien reported the readings. Sure enough, Li Fengmin's blood pressure was dropping.
"You said you felt a little full just now?" Sun Lien suddenly thought of something, "Is it a feeling of fullness, or does it feel like your stomach is a little bloated?"
Li Fengmin asked with some confusion, "Is there any difference?"