Sun Lien deceived the patient out of the ninth clinic and into the emergency room, naturally because it had more adequate rescue equipment. In this way, if the patient suffered a myocardial infarction before the electrocardiogram was done, or when the new electrocardiogram was done,
In the event of an attack, Sun Lien could at least rely on the resources in the emergency room to give it a try. If Li Lifen had ventricular fibrillation in the clinic, it would take close to fifty seconds from the time Sun Lien immediately took over to perform CPR until other rescue forces arrived in the clinic.
.On the premise that the patient has no obvious signs of illness, slowly coaxing her into the emergency room will help save time for subsequent rescue and treatment.
"I just have a toothache, why do I need an electrocardiogram?" Li Lifen, who was tricked into lying down in the emergency room, finally noticed something was wrong. However, before it was her turn to continue to be confused, the electrocardiogram was pulled out directly.
"ST segment elevation, draw blood for a myocardial enzyme test." Sun Lien glanced at the electrocardiogram and knew that Li Lifen indeed had symptoms of myocardial infarction. He watched Zhong Yu draw blood for Li Lifen, and carefully explained, "You are now
The toothache does not hurt because there is something wrong with the tooth. This is a rather special symptom called referred pain."
Referred pain refers to the symptoms of certain internal organs of the body, which are reflected in the pain response on the skin and muscles of specific parts. Visceral pain is felt through nerve fibers, through the spinal cord, to the cerebral cortex, and is understood as pain in the cerebral cortex.
During the transmission of pain, it may affect the surface nerve fibers in the same spinal cord segment, causing pain to be transmitted and spread to the corresponding body surface parts.
Common referred pain includes chest pain due to myocardial infarction, upper abdominal or periumbilical pain due to appendicitis, and cholecystitis or gallstones. Some patients may present with right shoulder pain.
There are not many toothaches caused by myocardial infarction, but the number is not too small either. In fact, due to the complexity of the human nervous system, the referred pain of patients with myocardial infarction can sometimes change to the point where doctors are confused. Some patients present with:
Leg pain, some back pain, and some manifested as more atypical neurological symptoms, such as dizziness, blurred vision, tinnitus, etc.
When teaching in medical schools, many professors like to use examples of myocardial infarction, involved pain, and various variations to teach students not to blindly copy the content in the books. The human body is a very complex system, and the same problem may appear in many people.
Completely different symptoms. For these diseases, one must be highly vigilant and sensitive.
Sun Lien tried his best to deceive Li Lifen, and winked at Zhong Yu on the other side. Nurse Zhong glanced at Sun Lien doubtfully, and then began to comfort Li Lifen, asking her to lie down and rest for a while. Sun Lien took the opportunity to sneak to Zhou
In the army's office.
"What are you doing here again?" Zhou Jun now spoke with Liu Tangchun's meaning. He used humor and a rogue way to build relationships with other medical staff. "What trouble did you cause again?"
Sun Lien smiled along with Xin Xin, "I admitted a patient with myocardial infarction."
Zhou Jun raised his eyebrows, "Let's handle it according to the regulations... Is the patient's condition not good?" The emergency department of the Fourth Central Hospital has two functions: a chest pain center and a stroke center. It has complete facilities for dealing with patients with myocardial infarction and cerebral infarction.
Processing procedures and methods.
"The patient's financial situation may not be very good, and she is worried about the cost." Sun Lien carefully explained, "and the symptoms are very atypical. She has toothache."
"A typical among atypicals." Zhou Jun glanced at Sun Lien, "Can't you explain it to her and be done with it?"
Sun Lien chewed his teeth with a painful expression on his face, "I think... there may be other problems."
"I just met a patient whose family may be planning to cheat insurance and passively treat him." Zhou Jun glared at Sun Lien, "Dean Song doesn't agree to Shenwai's surgical treatment, so what's your problem?"
"The worst possibility is that there is domestic violence. My patient is very skinny." Sun Lien spread his hands, and there was indeed a lot of news in the emergency department. "There may be starvation ketosis."
Zhou Junqi asked, "How old are you?" His first reaction was that she might be a young woman who is on an excessive diet.
"Fifty-seven years old, female." Sun Lien replied, "And she has been worried about the cost of medical treatment and cannot walk steadily. But she came to see the doctor alone, without any family members. When I asked her what she had eaten at night
, the answer I received was a very general type of high-sugar and high-fat food rather than the specific dishes eaten, which felt unreal.”
"Let's go and have a look." Zhou Jun frowned. From Sun Lien's description, he did hear a hint of domestic violence.
"I'm going to prescribe an analgesic!" Li Lifen half-leaned on the bed weakly, protesting towards Sun Lien with dissatisfaction. However, her protesting voice was too soft, and it was difficult for it to spread far in the noisy place of the emergency room.
.
"How long has it been since you last eaten?" Zhou Jun frowned as soon as he saw Li Lifen's condition. She is about 1.55 meters tall, but weighs less than 45 kilograms. People in middle-aged and old age generally tend to gain weight.
But Li Lifen is skinny and skinny, and her skin is gray and yellow. At a glance, you can tell that there must be something wrong with her body.
"I just ate..." Li Lifen wanted to cover it up, but the right bowel sounds made her stop.
Zhou Jun sighed, "You now have obvious symptoms of myocardial infarction. This is because a large blood vessel in your heart is blocked. There are many things that block blood vessels. Generally, what we see are blood clots or deposits.
Arteriosclerosis in the blood vessels. But that shouldn’t be the case for you.”
"You must have been in a state of long-term hunger for some time. The human body will continue to weaken with hunger, and is prone to various infections. What I am most worried about now is this. If your infection has reached the point, it will attack the heart and coronary heart.
If the arteries are blocked and cause blockage, it is really dangerous." Zhou Jun moved with emotion and reason, "We are doctors, and our job is to save people. You really don't have to worry too much, and we
Just tell the truth." He pulled Sun Lien away, "For example, he is a newcomer who has just graduated. But he can also donate two-thirds of his monthly income, just to give to the veterans of the Anti-Japanese War.
We will support part of the treatment costs for those who are brave enough to do so.”
Sun Lien smiled sheepishly. He didn't know how Zhou Jun got the news so quickly.
"We will figure out a way to deal with the cost. Don't worry." Zhou Jun said sincerely, "You just need to tell us the truth and cooperate with our treatment. You don't have to worry about anything else, really."
Li Lifen half lowered her head and sobbed for a while, then began to whisper her story.
Li Lifen is a hard-luck person as the old saying goes. Her mother died when she was three years old, and her father died when she was twelve years old. She and her biological brother, who is three years younger, have been living together for twenty years. With great difficulty, she helped her brother grow up. She is the eldest daughter and is still unmarried.
He was harassed by idle gangsters in the village. As a result, his younger brother, who was young and energetic, took a sharp knife and stabbed two dirty gangsters to death. He was then arrested and brought to justice and executed.
When she was twenty-four years old, Li Lifen was left alone and she didn't want to live anymore.
When she was about to commit suicide by Ninghu Lake, she was rescued by the militia captain guarding the irrigation facilities. The old militiaman, also named Zhao, was twenty years older than Li Lifang and had participated in the self-defense counterattack against Vietnam. She was blown up by a landmine in Laoshan.
I lost a leg, and after retiring from the army, I returned to Ningyuan to work in the People's Armed Forces Department. My main duty was to look after the irrigation facilities. There were hundreds of kilograms of copper wire in the water pumps, which was indeed easy to attract the attention of thieves.
The old militiaman was a rough man, but he was really kind to Li Lifen. Li Lifen, who originally wanted to die, gradually fell in love with the old militiaman. Although he lost a leg, he was really a reliable person. When he was twenty-six years old,
Li Lifen married an old militiaman who had been a bachelor for most of his life.
When she was thirty-five years old, Li Lifen and the old militiaman adopted an eight-year-old orphan. The old militiaman smiled and said that the old Zhao family had a child.
At the age of forty-one, an old militiaman drowned after being electrocuted in order to stop two gangsters who were electrocuting fish.
At the age of fifty-three, 26-year-old Xiao Zhao got married and gave birth to a child. But Li Lifen did not know about it. Her daughter-in-law said that Li Lifen was a desperate lone star who killed her parents, brothers and husband, and she was determined not to allow Xiao Zhao and his adoptive mother to have another relationship.
Coming and going.
Li Lifen is getting older and her income is getting less and less. She still likes to live in the small brick house built by the old militiaman next to Ninghu the year she married. She can no longer do farm work.
When she was fifty-six years old, Ninghu acquired land to build a resort, and the houses of Li Lifen and the old militiamen were also within the scope of the acquisition. The developer offered her a compensation of 1.2 million.
When he was fifty-six years old, his son and daughter-in-law suddenly contacted Li Lifen again.
At the age of fifty-six, without Li Lifen's knowledge, her son signed a consent form for land acquisition. 1.2 million was paid into her daughter-in-law's account. And Li Lifen was invited to live in her son's home.
When he was fifty-six years old, the house left to Li Lifen by the old militiamen turned into ruins.
At the age of fifty-six, Li Lifen began to have enough to eat.
At the age of fifty-six.
There was silence in the emergency room. There were only the crunching sounds of a few male nurses clenching their teeth, and the sound of Zhou Jun clenching his fists.
"Call the police." After a long silence, Zhou Jun said in a very suppressed but extremely angry voice, "Call the police, call the old Wu... and contact the family." His hands trembled and he loosened his grip.
A pile of documents. "I'm going to find Dean Song."
Zhou Jun raised his head, his eyes burning.
"Do a set of routine blood tests, arrange CT contrast-enhanced imaging, and confirm the degree of myocardial infarction." He forced himself to take a few deep breaths, and then said, "After confirming the location of myocardial infarction, arrange thrombolytic treatment as soon as possible, and other things
, I’ll do it.”
He squeezed out a cloud of turbid air from his nose again, and then said to Sun Li'en, "Find her something to eat, not too salty or spicy, buy some meat porridge or something like that." He turned and walked towards the door of the emergency room, "I'll give her the money."