godfather of surgery

Chapter 112 Neck Pain Patient
It's only been a few days, and Dean Xia and Director Han's work efficiency is too high.

If they are not efficient, it is estimated that sparrows are being raised in such a large area as Sanbo Hospital.

It's not that I haven't raised them. The hospital was just established for a long time before, and there were not many patients in the whole hospital. When it comes to Sanbo, there are more doctors than patients, and more sparrows than doctors.

I followed Director Han to the fifth floor to see the operating rooms. These operating rooms were costly at the time. The three multi-functional operating rooms were all laminar flow, and one of them was a class [-] laminar flow.

In the past, I wanted to develop a same-day surgery center, but the environment was immature. This ambitious plan was aborted within a few months.

This time, Dean Xia may have visited a certain place to clear his mind. He heard that he had been thinking about this for a few days and nights. Finally, he discussed with several deputy deans and Director Han, and decided to refer to the operation mode of the day. Comprehensive orthopedics, although the environment is immature, but it can be flexible, do not pursue discharge within 24 hours, can speed up recovery, shorten the length of hospital stay, two weeks for others, one week for us.

The operating room is fully equipped with arthroscopy, transforaminal lens, microscope, etc., and the old ones are picked from the operating room over there. In the words of Director Han, opening a new department cannot affect the original departments. also works.

Everyone borrowed a trailer from logistics and moved things all at once. Zhang Lin brought a bag of facial cleanser over.Xiaowu also messed up a lot.Yang Ping didn't have anything, Xiao Wu brought it for him.

Song Zimo also used a trailer to pull his own and Tang Fei's things over. There were dozens of books, each of which was heavy.

The department is not open, and everyone is fine.

Every day I go to work and read books, get bored, chat in the doctor's office, Zhang Lin brings a set of Go, Yang Ping and Song Zimo want to kill a few games on a whim.

But Yang Ping's hands are inconvenient, what should I do?Play blindfold!Back to back, relying on memory to play chess, let Xiao Wu Zhang Lin help to operate the chess pieces.

No way, when two geniuses collide, mortals can only stare at each other. This blindfold game can be played from beginning to end. This memory can only be described in foul language, awesome!
Song Zimo has met a blind chess master before.However, I have never met a blind chess master who played Go, and many of them can't remember clearly in the middle of the game. Yang Ping can actually play a game of chess with him until the winner or loser.

Convinced!Not convinced!
Surgery was crushed countless times, and chess was crushed again. After playing chess for more than ten days, Song Zimo was crushed for more than ten days.

For more than ten days, Xiao Su brought meals to the department every day, and fed Yang Ping in the dining room; every day, he took Yang Ping's packed clothes back to the dormitory for washing, dried them and sent them back.

In about ten days, the hand healed, and the skin damage recovered quickly without leaving any traces.

Waiting left and right, looking forward to the stars and the moon.

The comprehensive orthopedics department finally ushered in the opening of the department. On the first day of the opening of the department, the simple ceremony was completed and the clinic opened.

Director Han and Director Tian are in specialist outpatient clinics, while Yang Ping and Song Zimo are in general outpatient clinics.

It was not bad. I saw several patients in the first hour. Director Han accepted a patient whose knee joints were always weak. He had an MRI and an operation in another hospital, but it didn't work.

This time when I came to Sanbo, I read the introduction on the wall of the outpatient hall, and I looked at the intractable diseases of the Department of Orthopedics in the General Orthopedics Department.

Another patient came, a man in his 30s, carrying a briefcase and a suitcase, with a hurried look on his face. There were few patients, and the queue was avoided.

Put down the suitcase, go to the front desk to register, and measure your blood pressure; say you feel a little hot, and take your temperature.

"Doctor, I have pain in the back of my neck and this back. I have cervical spondylosis. I have had X-rays, CT and MRI. I saw it in the city two days ago. I took medicine and physical therapy. It didn't help. It got worse this morning. I'm sorry!"

The patient touches the back of his neck and gestures for the painful area.

Yang Ping read his note: blood pressure: 152/102mmHg; body temperature: 38.0℃.

"Blood pressure is a bit high, is it usually high?" Yang Ping asked.

The patient said: "Sometimes I was high, I didn't care too much, I didn't feel bad, so I didn't take medicine, my neck hurts, this time the cervical spondylosis attack is worse than before, help me think of a way, prescribe some medicine for pain relief, I'm catching a plane, Go to the imperial capital for a meeting."

"The body temperature is also a bit high!" Yang Ping said.

The patient touched his forehead: "I didn't have it yesterday, but I have it today."

"What's wrong with your chest and abdomen?"

"I'm fine in my chest. I felt a little nauseous in the morning. I felt a little pain in my abdomen. It's very mild. I have an old stomach problem."

Yang Ping inquired about the medical history and found that the pain in the neck and shoulders was already on the third day.

After physical examination, I touched the muscles of the neck and shoulders, but there was no obvious spasm, and several special tests for cervical spondylosis were all negative.

So I listened to my lungs and heart with a stethoscope: "Your heart has a problem, I'll give you an electrocardiogram."

The first heart sound in the apical area is weakened, the fourth heart sound is a gallop, there is friction rub in the pericardium, and arrhythmia. Myocardial infarction is highly suspected, and the pain radiates to the neck.

The treatment process for such patients: complete the ECG within 10 minutes, call the chest pain center, and send the patient to the chest pain center.

Yang Ping immediately called the nurse to help, and pushed over the electrocardiogram machine.

The patient was more cooperative, and he lay down. Yang Ping unbuttoned his clothes and took an electrocardiogram.

"ST-segment elevation, acute myocardial infarction, need immediate treatment!" The electrocardiogram supported his physical examination, and Yang Ping realized that this patient was very dangerous and might die suddenly at any time.

"Do you suspect that I have a heart problem? I have a physical examination every year, and there has never been a problem with my heart. Doctor, is it too outrageous for you to see a doctor?" The patient buttoned his clothes while answering the phone.

"Don't get excited, listen to me--" Yang Ping tried not to provoke him.

"I don't have time to argue with you. I have to catch a plane, and the car is here."

The nurse's wheelchair came, but the patient ran away in a hurry.

Yang Ping ran out after him, but the man ran too fast and disappeared.

"what happened?"

Song Zimo followed him out of the consultation room, thinking that Yang Ping had a physical conflict with the patient.

Standing at the door, Yang Ping said calmly: "This patient is highly suspicious of acute myocardial infarction. The pain radiates to the neck. The infarction area is expanding. He will die suddenly at any time. I just took an electrocardiogram for him and he ran away."

It's not highly suspicious, but affirmative. Yang Ping's physical examination training in the system space gave him a sharper recognition ability than ordinary people.

High blood pressure, there is a basis for coronary atherosclerosis.

The body temperature is 38 degrees, indicating that the infarction has occurred for 24-48 hours, and the absorption heat caused by the necrotic material.

Nausea and epigastric pain, although mild, are related to stimulation of the vagus nerve by necrotic myocardium or tissue hypoperfusion.

"Tell Director Han quickly and find a way." Yang Ping hurried to Director Han's consulting room.

Director Han is seeing a patient.

"Director, can you interrupt me? The situation is urgent." Yang Ping said.

Director Han immediately stopped the patient's physical examination. The doctor said it was urgent, and that meant a life.

"Just now there was a patient with neck pain who came to me for cervical spondylosis. I had a physical examination on him. He was highly suspected of having an acute myocardial infarction. No, it was definitely, definitely. The scope of the infarction was expanding, and his life was in danger at any time. I didn't believe it, I ran away."

Yang Ping showed Director Han the ECG drawing.

"Run away? I'm sorry, we have an emergency rescue, please wait a moment." Director Han explained to the patient who was seeing him.

"It's okay, doctor, you're busy, I'm not in a hurry." The patient was more reasonable.

"Are you sure this patient has acute myocardial infarction?" The orthopedic surgeon's internal medicine diagnosis and treatment ability has always been a weak point, but for Yang Ping, he absolutely believes it, and confirming it again is just to be on the safe side.

"I'm sure, [-]%, this is his electrocardiogram, ST-segment elevation, he needs immediate medical treatment to restore the blood supply to the heart muscle, otherwise he may die suddenly at any time!" Yang Ping said in a calm and clear tone.

Director Han immediately shouted: "Come in!"

Director Tian and Song Zimo all came in.

"We dialed the phone number left by the patient, and at the same time asked the security department to call up the video to find the patient and see where he went. Quick!"

"Let's go to the security center, and Song Zimo will call the patient." Director Han arranged.

Director Han and Yang Ping rushed to the security department. The security department has a monitoring room where all the monitoring images of the hospital's cameras are located.

The security captain saw that Director Han was so anxious: "What's wrong, Director Han?"

"There is a patient who may die suddenly at any time. He ran away by himself. Quickly, call out the monitoring at the door of our comprehensive orthopedics department, which is Building No. [-]."

"Quick! The gate of Building No. [-]!" The security guard in charge of monitoring started to adjust the video.

About 10 minutes ago, the video playback was 10 minutes ago.

"Just him!"

"Stay still, follow him!"

"The monitoring shows that the man walked through the garden, took a shortcut, went out from the east gate, and got into a car that was waiting for him. Can you see the license plate?" the security captain pointed to the monitor.

Fortunately, the place where he got into the car was at the east gate of the hospital, and it was still within the monitoring range of the hospital.

"Come closer, write down the license plate number!"

Director Han's phone rang, Song Zimo's.

"The phone was not answered, and I called several times, but did not answer."

(End of this chapter)