Doctor Song, are you married?

Chapter 62 62. Subclavian Steal Syndrome

"Doctor Xiao Song, don't be so naive. In order to save money for the patient, you omit some necessary auxiliary examinations, but if the cure fails, they may bite you back. There are lessons learned from the past. Xiao Song, don't blame me for not reminding you." Wang Jian patted Song Qi on the shoulder and shook his head with a smile.

"We're not that kind of people." The patient who doesn't talk much is also anxious, "Forget it, or we won't watch it, it's not a big problem, I just lie down for a while and it will be fine." After saying that, the patient was about to go out.

Shan Weihao held him down, "When you fainted a few times, there were people around you, what about next time? What if you were by the water or the cliff, and there was no one around, would you be so lucky? What will happen to your wife and children?" Shan Weihao said a few words, and the patient fell silent, and sat down obediently again.

"Let's do a B-ultrasound of the carotid artery first! Other examinations will be seen later." Shan Weihao said, and ordered a B-ultrasound. "Xiao Song, you go with the patient."

Song Qi was also willing to run errands, taking this opportunity, he could communicate with the patient more and learn more about the patient's medical history, which might be helpful for diagnosis.

Compared with the busy scene of the B-ultrasound room in other hospitals, the B-ultrasound room of the District Traditional Chinese Medicine and Western Medicine is much more leisurely. Song Qi and the patient only waited for 5 minutes before it was their turn.

"Are you the new doctor in the emergency department?"

The doctor in the B-ultrasound room is surnamed Huang. He is in his fifties this year. He has a 26-year-old unmarried daughter. When she heard that there was a new good-looking male doctor in the unit this year, she was moved. In addition, Song Qi’s recent exposure in the hospital made her more interested in Song Qi.

So when the emergency room called to say that there was a patient for B-ultrasound, and it was sent by a new doctor, she was full of anticipation.

Looking at the person himself, he was indeed a talented person, and he immediately became excited.

Song Qi nodded, "My name is Song Qi."

"He's quite handsome. We haven't had such a handsome male doctor in our unit for many years. What's your name, Song Qi, right? The name is not bad, where are you from?" Dr. Huang was chatting with Song Qi while applying coupling agent to the B-ultrasound probe.

Hearing these routine routines of blind dates, Song Qi felt a little awkward, but she was a colleague after all, so she had to forcefully answer them one by one with a smile.

Hearing that Song Qi said he was a local, Dr. Huang was even happier.She felt more and more that Song Qi was a perfect match for her daughter.

"Married?"

Song Qi quickly shook her head, "I just graduated."

Dr. Huang was secretly happy, and asked again, "So, do you have a girlfriend?"

Song Qi was even more embarrassed, "Not yet. Well, Dr. Huang, what's the status of this patient's B-ultrasound?" Song Qi quickly changed the topic.

"It doesn't look like a serious problem." Dr. Huang was not focused on the patient just now, but now Song Qi reminded him, and then he looked at the video seriously.

"Please take a closer look. We initially suspect that he has cerebrovascular problems, but the patient's financial conditions are limited. We wonder if we can find out some clues from the B-ultrasound first." Song Qi briefly introduced the patient's situation to Dr. Huang.

Dr. Huang's affection for Song Qi has increased. Nowadays, it is rare to see such a doctor who saves money for patients. If he is so enthusiastic about his patients, he will definitely treat his family better.Thinking of this, Dr. Huang put on his presbyopic glasses and watched carefully on the screen of the B-ultrasound machine.

"The subclavian artery seems to be a bit stenotic, but if it's just the subclavian artery stenosis, the patient shouldn't have syncope?" Dr. Huang spent almost half of his lifetime experience in B-ultrasound on this examination.

"Xiao Song, I checked carefully, and there is really no other problem. The subclavian artery is a little narrow here, and the vertebral artery is a little reflux, but it's not very obvious. Well, you can get up." Dr. Huang looked carefully again, and then handed the patient some tissues.

A B-ultrasound, checked for nearly half an hour.This needs to be placed in a private hospital, at least a few hundred dollars more.Of course, this is all for Song Qi's sake.

Although this result was expected, Song Qi was still a little disappointed.

On the way to push the patient back to the emergency room, Song Qi asked the patient several times about his illness, trying to find out something from it.

"There was nothing special about the few episodes, just a little numbness in the hands, then dizziness, dizziness, and then I didn't know anything, but it got better after a while." The patient said.

"Think about it again, were you tired or in other circumstances before the onset of the disease?"

"We do coolies. There is nothing particularly tiring or tiring. It's about the same. When you said that, I remembered that when I fainted last time, I happened to help my wife get clothes from the closet. The closet in our house is very tall. My wife is short. I have to help her every time. As soon as I stretched out my hand, I started to feel dizzy. Before I took out the clothes, I fell down. And the previous time, it seemed that my youngest daughter came from my hometown. I let her ride on my shoulder, and I stretched out my hand to hold her. hand, I started to feel dizzy when I was walking, and then I didn’t know it all at once.”

Going to get clothes from the closet, reaching out to hold the daughter sitting on the shoulder, these two things seem to have nothing to do with each other, but Song Qi immediately thought of what they have in common: they both need to raise their arms high.

Stenosis of the subclavian artery, reflux of the vertebral artery, and syncope when the arm is extended are all linked together, and a word suddenly appeared in Song Qi's mind: subclavian artery steal syndrome.

Subclavian steal syndrome refers to partial or complete occlusive damage in the proximal segment of the subclavian artery or the beginning of the vertebral artery of the brachiocephalic trunk. Due to the siphon effect, the blood flow in the affected vertebral artery is reversed and enters the distal end of the affected subclavian artery, resulting in vertebral-basal artery ischemic attack and upper limb ischemic symptoms of the affected side.Cerebral ischemia or upper extremity ischemia may be present.

Reminiscent of the various clinical manifestations of subclavian artery steal syndrome, Song Qi quickly touched the patient's two arms, and found that the left hand was obviously colder than the right hand.

"Which hand did you measure your blood pressure just now?" Song Qi asked.

"The right hand, it has always been the right hand!" The patient didn't know why the doctor asked this question, but he still answered honestly.

That's right!

Song Qi pondered for a while, then suddenly remembered something, "Let's go back and do another B-ultrasound!" Saying this, he pushed the wheelchair and turned back.

"Do it again? Doctor, don't you have to charge twice?" The patient asked worriedly. Although a B-ultrasound is only 60 yuan, it is enough for him to pay for food for three or four days.

"Don't worry, it's only charged once." Song Qi was quite excited at the moment, eager to pass the B-ultrasound verification, thinking to himself, if it's really not possible, he can do it for him once at his own expense.

Thinking of this, Song Qi accelerated the speed of pushing the patient.

"Doctor Xiao Song, why are you here again?" Seeing that Song Qi had returned, Doctor Huang hurriedly stepped forward and asked.

(End of this chapter)