Sleepless Doctor

Chapter 76: Refusal to be hospitalized (below)

   "Chief Xiao Wu, this is an old problem, and I don't necessarily commit it at any time. It's fine, just rest and rest." Wang Chengfa said weakly, "You don't need to be hospitalized, as long as it doesn't get worse."

   Wang Quan frowned and said, "Are you the director of the Medical University or a professor? Do you think so many! Do you think it is Bajingzi? Even Bajingzi will not have your turn to speak."

   Wu Mian was startled slightly, and he just asked normally, why is it the same as stepping on a cat's tail.

He glanced at Wang Chengfa’s ECG monitor at the bedside, ECG oscilloscope leads I, aVL, V1-V6 ST segment arched upward, T wave inverted; accompanied by II, III, aVF ST segment lower Oblique depresses.

   A more typical STEMI, that is, ST-segment elevation myocardial infarction.

  The old people are all sick, so why are they still thinking about playing with mobile phones? And that temper is like a gunpowder keg, just a little.

   Wu Mian took a deep look at Wang Quan, and just about to turn around, suddenly the next waveform changed significantly, and the ST segment change disappeared.

   However, on the next wave, the ST elevation continues to appear.

   Wu Mian’s eyes are full of emptiness, time seems to stagnate, moving forward, and all the details in the room have revisited in his brain.

   Within 5.62 seconds when the ST segment returned to normal, what happened within the sight of the line of sight was over again.

   In Wu Mian's clear gaze, there was a faint light flashing, and for a moment, Wu Mian thought of what happened.

   No wonder Wang is not nervous, or he is not nervous because of a real heart attack.

   Wu Mian raised the corner of his mouth, and said to Dean Xue, "Dean Xue, this is our old director of general surgery. You see, the ST segment is all fluttering. It is really weird not to be hospitalized."

   Chief Ma of the Medical Affairs Department smiled, "I asked about the situation, if Director Wang insists not to be hospitalized, we can't force it to be hospitalized."

   Just as Wang Quan was about to speak, Wang Chengfa blocked him with a quilt and touched his leg. He gave Wang Quan a fierce look, and motioned to him not to cause trouble.

  Wang Quan didn't care about Wu Mian at all. He had been tired of listening since he was a child. He wanted to kick him up when he saw him standing in front of him. The old man in his own family is timid, just like the little fat man said just now, can he stay **** if he doesn't agree to be hospitalized?

   Just kidding, they dare!

The director of the emergency department said on the side, “The patient was observed yesterday. The electrocardiogram has changed, but the four items of myoglobin troponin and myocardial enzymes have not changed. In addition, the patient and the patient’s family resolutely refused to be hospitalized. At that time, I agreed to observe for the time being."

   "Did you review it today?" Wu Mian asked concerned.

   "The patient said that he did not need to review, saying that he was responsible for all the consequences, and he had already signed the letter." The emergency department director said hurriedly.

   He quickly recalled the matter from the beginning. There should be no omissions in his diagnosis and treatment except that he did not do echocardiography. The strangest thing is that the relationship between Teacher Wu and the patient in front of him is abnormal.

   "What is the significance of echocardiography in diagnosing myocardial infarction?" Wu Mian asked suddenly.

   The director of the emergency department subconsciously replied, "Acute myocardial infarction, due to the loss of myocardial function, two-dimensional echocardiography shows that the corresponding ventricular wall segmental disappearance or even contradiction..."

   At this point, he was taken aback, then smiled bitterly.

   Teacher Wu has a really big aura, how can he feel that he is taking the ward rounds with the professor and will ask questions anytime.

   Forget it, don’t care what the relationship is. Since Mr. Wu raises an objection, just do it.

   Dean Xue stood aside, also failing to understand what Wu Mian was going to do.

   Director Ma frowned and glanced at the director of the emergency department sternly.

   The electrocardiogram is a typical ST-segment elevation myocardial infarction, but the family members of the patient are just like taking a choking medicine. They also refuse to be hospitalized. If it is an ordinary patient, this is generally the rhythm of death.

   And looking at the patient's son, I am afraid that I still hope that the patient will die quickly, so that the hospital can lose money in a lawsuit.

   is not to say that the hospital will be completely exempt from responsibility by signing the refusal to be hospitalized. There are too many things involved. Every year, medical disputes and conflicts between doctors and patients occur because of similar things, even leading to endless incidents of injuries and doctors.

   This is a hidden danger! Director Ma walked to the director of the emergency department and said in a cold voice, "Improve the relevant examinations. If the patient does not agree to be hospitalized, ask the medical office to leave the imaging data."

   Director Ma believes that Wu Mian is a vague reminder that the patient and the patient’s family in front of him are likely to cause a medical dispute.

   The director of the emergency department also thought of this. He looked serious, walked to the bed, stretched out his hand and made a gesture, and the nurse next to him immediately pushed the bedside echocardiography machine in the emergency department.

   Wu Mian looked interesting. The quality of the emergency department in the second year of medical school was okay. The nurse understood the action just now. It took countless rescues to accumulate this kind of tacit cooperation.

   "What are you going to do!" Wang Quan immediately cried out unhappy when he saw the machine pushed over.

   "This is the hospital. It's the emergency department. Keep your voice down." The director of the emergency department said seriously, "Many of them are elderly patients. If it really induces a myocardial infarction~www.readwn.com~Can you afford it!"

   Wang Quan squinted to look at the director of the emergency department, his voice was a little quieter, but a bit more awkward.

   "What are you doing? Did you tell me what to check? I told you, I have no money! They are all from the medical system, so why do you want to corrupt me?"

   "Shut up!" Wang Chengfa hurriedly stopped Wang Quan.

   can be a little arrogant at the Bajingzi Hospital of Traditional Chinese Medicine, but this is a sophomore year in medicine! If you are too arrogant, how will you mess around in this film in the future.

   This time he was sick and cheated. When he was young, he had a physical examination at the Bajingzi Hospital of Traditional Chinese Medicine, and his electrocardiogram was fluttering, which shocked him at that time. Later, I went to the city to recite my ECG for 24 hours, and gradually discovered a weird pattern.

   is also true, Wang Chengfa is not afraid at all.

   pretending to be sick can pretend to be like this, even if he is the king of heaven, I can't find out. That little boy Wu Mian wanted to trouble him, so he must not give him an excuse.

  Wang Chengfa thought a lot, but he forgot what Wang Quan said and did. He had selective amnesia, and directly determined the matter with Wu Mian looking for trouble.

   "No need to spend money." said the director of the emergency department, "I will do it. If the ultrasound is fine, let's rest assured."

"Oh, I'm bothering the director." Wang Chengfa stopped Wang Quan and returned to a weak state. The corners of his eyes were drooping, and he said, "I myself can't tell what's the problem, but I feel sick all over, and my ECG has changed. Ultrasound. My heart moved a lot, and I didn't find any problems."

   "The child is also anxious, don't mind." Wang Chengfa said, glancing at Wu Mian from the corner of his eye.

   What is Wu Mian talking to Dean Xue, very relaxed.

   Strange, Wang Chengfa couldn't figure out what Wu Mian was going to do.

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