Chapter 4403 【492】 Shocking Words

Since they have just arrived, their work has not officially started, so they will definitely not interfere in the daily work process of other hospitals easily. Sometimes they will just listen to the situation.

It should be mentioned here that as Team Leader Cui said, all the senior bosses implement the lazy cat spirit of Dr. Song. They are eager to find a place to sleep first to wash away the fatigue of the long journey so that they can have enough energy to cope with the next day. Work.

The only ones who can maintain their excitement all the way to this stage are young doctors with good physical strength and curiosity like children.

I just heard the doctors and nurses on the bus from Huiqin City First People's Hospital come down and report to their colleagues: Hypertensive patients have high blood pressure and have symptoms of headache and dizziness.

It seems that this patient may have typical hypertensive encephalopathy?

The young doctors in the team started talking about this.

"Hypertensive encephalopathy, does this hospital have a neurosurgery?"

Neurosurgery in small places, such as cardiothoracic surgery, is very difficult to establish due to staff shortages. The question raised by Dr. Du Mengen was refuted by other young doctors: "Now it doesn't look like a cerebral hemorrhage patient, as long as there is a neurology department, it will be fine."

Neurology is definitely a department that is easier to establish than neurosurgery, and it can also deal with encephalopathy that is generally not serious. If the patient's condition cannot be stabilized, the patient will be transferred to the hospital above for treatment.

It can be said that this is the first step for local hospitals to carry out hierarchical diagnosis and treatment.

The big bosses couldn't care less about the young people's enthusiasm. Some of them were already yawning while walking on the road.

This includes Demon King Shin.

Dr. Shen Youhuan never expected that a young man would suddenly stab him in the back with the intention of killing his sleepiness.

"I don't think this person has a brain disease." Dr. Fan Yunyun said.

Dr. Xie's famous little fan, the junior sister, suddenly made a surprising statement again, as if she had learned the essence of Dr. Xie, which everyone later realized more and more deeply.

"What if it's not encephalopathy?" The young people in the team surrounded Dr. Fan.

It once again proves that the daily involution in the medical circle is suitable for all ages.

Dr. Fan Yunyun said: "It seems to me that he can't speak. He seems to have an acute heart attack, maybe an acute myocardial infarction."

Acute myocardial infarction? What is this man talking about?

If the patient has an acute myocardial infarction, can the ambulance doctor accompanying the vehicle not detect it?

Connect the patient with an ECG monitor in the car and do a basic ECG monitoring and you will know something immediately.

Dr. Fan Yunyun used her trump card: "You were born in a big city. How could you know that ambulances in many places don't have ECG monitors?"

Only Dr. Fan Yunyun and Dr. Yu, who were born in these economically poor areas, understand the pain of uneven medical conditions caused by uneven economic development across the country.

In fact, it was not until the late 1990s that ambulances in large hospitals in big cities had ECG monitors and defibrillators as standard equipment.

Dr. Du Mengen recalled seeing his father and mother going out to rescue patients in an ambulance when he was a child, and he couldn't help but swallow with anxiety.

Doctors of the older generation also feel the pain of this medical poverty.

When Dr. Du Haiwei and his wife, Dr. Tang, were young, they had similar medical experiences more than once in front of their son at dinner parties at home: Whatever the patient is, if the disease is discovered early, it will be cured. If it is discovered too late, it is all the blame. There are no instruments to help doctors judge.

Doctors don't have any clairvoyance, and those who claim to be miraculous doctors usually rely on their accumulated medical experience.

Doctor Fan Yunyun said that patients with acute myocardial infarction have a hidden characteristic that seems not to be taught in clinical textbooks: the extreme pain and suffocation can make the patient's eyes bright but it is difficult to speak. He can only use his eyes to ask for help from all directions, which requires the doctor's understanding.

This should be combined with the fact that the textbook does not teach anything. It has been said that such a situation usually causes other symptoms such as paleness of the patient's face.

The problem is that elderly patients like this have poor daily cleanliness, yellow and black skin, and are treated at night. The doctor only relies on eyesight to judge whether the person is pale and cyanotic - it is estimated that the patient will not be discovered until one minute before death. trace.

Therefore, what Fan Yunyun mentioned is the experience value for veteran doctors to establish their own technical threshold.