This Doctor is Great

Chapter 111: new patient

"Zhou Mo!"

At noon, Zhou Mo and Huang Yiming were chatting in the dining hall.

Suddenly someone greeted him.

Zhou Mo raised his head from the frantic action.

"Teacher Zhou?"

"It's me, from the hepatobiliary surgery..." Zhou Quan smiled and placed the dinner plate in front of Zhou Mo.

Roasted pork with radish, scrambled eggs with tomato, dried celery, rice, seaweed egg soup...

Zhou Mo was confused. After seeing a lot of hospital matters, he felt keenly that this Doctor Zhou Quan had something to look for, and it was not a good thing.

Zhou Mo: "Hello, Teacher Zhou..."

Huang Yiming was beside him, pretending not to see it, and continuing to eat the unpalatable meal.

Someone asked why the hospital canteen is so unpalatable.

Some people say that the hospital does this because it hopes that patients can get the care from relatives and friends, rather than eating in the hospital, convenient and fast, sloppy meals like pig food delivered from the cafeteria. When patients and family members see such disgusting food, they will be unbearable. Since then, patients can enjoy the meals that their family members call from home every day, which is conducive to enhancing people's feelings and improving family relations, so as to have a healthy mental state and improve medical effects.

Look, does this answer make sense? Can you refute it? !

Makes sense, can't argue with that!

Huang Yiming thought so philosophically.

At this time, Dr. Zhou Quan smiled and said to Huang Yiming next to him: "Are you Huang Yiming?"

Huang Yiming broke away from philosophy and looked at Zhou Quan: "Oh, hello teacher."

Zhou Quan said with concern: "I heard that you two performed well in the cardiology department."

Zhou Mo smiled awkwardly without saying a word.

Huang Yiming was confused.

Next, Zhou Quan complimented Zhou Mo and Huang Yiming.

But it may be because he is used to being arrogant to medical students, and he is also motivated by various kinds of students under him.

praised a few words,

Zhou Quan felt embarrassed himself, and stopped to praise.

Next, the atmosphere was awkward, and only the voices of Zhou Mosuofen and Huang Yiming chewing on the braised chicken legs were left.

comprehensive:"…………"

Finally changed the topic: "You two, when are you coming to hepatobiliary surgery?"

Zhou Mo: "Next year."

Huang Yiming: "I am also next year."

Zhou Quan is proud: "When you come to Hepatobiliary Surgery, you can find me. In the department, I can help if I can..."

"Thank you teacher then." X2

Zhou Quan took the opportunity to take out his mobile phone: "How about we add a WeChat?"

Add WeChat.

At this time, Zhou Mo and Huang Yiming were full, said goodbye to Zhou Quan, and got up and left.

When the two walked out of the dining hall, Huang Yiming turned his head and said, "Brother Mo, what happened to Doctor Zhou?

Zhou Mo: "It doesn't feel like a good thing..."

Huang Yiming: "Well, I also think it's weird, it seems like I have some idea."

Zhou Mo suddenly stopped, thinking of the patient. It was this patient who made Zhou Mo have a social relationship with Doctor Zhou Quan.

Zhou Mo: "You said, is it because of the gallbladder syndrome paper? He took over this patient at the beginning."

Huang Yiming froze immediately: "You mean, he also wrote the thesis? But later than us?"

Zhou Mo nodded: "That's the only possibility."

Huang Yiming immediately raised twelve points of vigilance!

Thesis is his life!

...

...

Back to Cardiology,

"Zhou Mo, I just called from the emergency department. It is estimated that a patient will come over in a few minutes."

"OK."

As soon as she returned to the department, the big boss said to Zhou Mo that it was impossible for her to leave Zhou Mo's two beds empty.

Soon,

The patient came, and the emergency doctor pushed the patient up.

28 beds were sent.

Nurses are working on electrocardiograms and electrocardiographs.

And Zhou Mo observed the patient.

Male, about 60 years old, slightly fat, with half-white hair, clutching his chest, frowning tightly, probably because of chest pain.

"What's wrong with him?" Zhou Mo asked the senior in the emergency room.

"Patient, Chen Dezu, male, 58 years old, with a history of hypertension, 8 years, and irregular medication."

"When I was eating in the morning, I experienced severe chest pain. The family members quickly called 120 and sent to the emergency room."

"At the time of the emergency, the cardiologist came down for consultation..."

"Have you had a consultation?"

Zhou Mo breathed a sigh of relief.

He was quite puzzled just now. Patients with chest pains are generally very dangerous. In case of aortic dissection, pulmonary embolism, acute myocardial infarction, pneumothorax, etc., they should go to the emergency department directly instead of sending them to the ward for a re-diagnosis. , delaying the disease can easily lead to death.

Since the consultation has been passed and sent to the hospital, it is estimated that it is not a big problem.

"What about the inspection report?"

"it's here."

"Okay thank you……"

"Then I'll go, this patient is handed over to you."

"it is good."

The emergency doctor leaves.

Zhou Mo started the consultation and physical examination of the patient Chen Dezu.

first,

Look at the ECG and other test reports.

On the electrocardiogram, the ST-T segment seems to be slightly elevated, which may be myocardial infarction.

Then opened the creatinine test report, showing no problem with troponin.

Excluded: myocardial infarction!

Then Zhou Mo opened the CT examination results. The cardiologist who consulted did not know who it was, but he considered the possibility of aortic dissection, so he took a CT for aortic dissection.

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CT results: no aortic dissection.

exclude!

As for pneumothorax, it was obvious that Zhou Mo stopped the patient's lungs, and there was no problem at all.

Exclusion: pneumothorax.

Then, Zhou Mo looked at the blood coagulation index, D-dimer, and ultrasound to measure the heart and lungs. There was no problem, and the possibility of pulmonary embolism was not high.

Zhou Mo breathed a sigh of relief after ruling out these four more deadly items.

Kudos to the cardiologist who consulted.

Next,

Zhou Mo spent 30 minutes conducting consultation and physical examination on the patient Chen Dezu, but he did not find any problems.

The blood oxygen is 97, and the blood pressure is 136 without oxygen, but it is also acceptable, not high.

The heart rate is slightly faster, but neither is outrageous.

Therefore, Zhou Mo could not find the problem temporarily.

"Could it be coronary spasm?"

"Let's monitor the heart first..."

Zhou Mo had no choice, and decided to observe closely first, and then see if there were any new changes in his condition.

...

Go back to the duty room.

Zhou Mo felt that the atmosphere in the duty room was not quite right.

boring? happy? weird? anger? accurate? Happy?

There seem to be all kinds of emotions.

"What's wrong?" Zhou Mo patted Huang Yiming on the shoulder and asked.

"The Internet celebrity doctor of the North Third Hospital is on the hot search." Huang Yiming said.

"Which one?"

"The one surnamed Zhang."

Zhou Mo thought about it, and finally remembered who it was. An Internet celebrity doctor who is very popular on the Internet is as Internet celebrity as the Internet celebrity protagonist doctor in some doctor articles.

"Why are you on the hot search?"

"Dismissed."

wow~~

Zhou Mo was really surprised.

Huang Yiming spoke Douyin on his mobile phone and moved to Zhou Mo.

Top 27 on the social list: Zhang was expelled from the North Third Hospital | 4.69 million people are watching (fire)

"No wonder you look so strange..."

Just when Zhou Mo was about to complain, Xiao Lin, the nurse in charge of the bed that Zhou Mo cooperated with, rushed in.

"Doctor Zhou, it's not good!"

"The blood pressure of the 28-bed patient is falling!"

Zhou Mo was startled,

Without chatting, he hurried to the ward.

Is it really aortic dissection?

Acute myocardial infarction?

(Author: No!)

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