Chapter 112 Neck Pain Patient
It's only been a few days, but Dean Xia and Director Han's work efficiency must be too high.
If they were not efficient, they would probably be raising sparrows in such a large area as Sanbo Hospital.
It’s not that I haven’t raised them before. It’s been a long time since the hospital was first built, and there were not many patients in the whole hospital. When it comes to Sanbo, there are more doctors than patients, and there are more sparrows than doctors.
I followed Director Han to the fifth floor to see the operating rooms. A lot of money was spent on these operating rooms at that time. The three multi-functional operating rooms are all laminar flow, and one of them has a level 100 laminar flow.
I wanted to develop a same-day surgery center before, but the environment was immature. This ambitious plan was aborted within a few months.
This time, Dean Xia may have visited a certain place and got his ideas straightened out. I heard that he spent several days and nights thinking about this thing. Finally, he discussed it with several vice presidents and Director Han, and decided to do one first based on the operation pattern of that day. Although the environment of comprehensive orthopedics is immature, it can be flexible. It does not pursue discharge within 24 hours, which can speed up recovery and shorten the hospitalization time. For others, it is two weeks, but for us, it is one week.
The operating room is fully equipped, including arthroscopes, transforaminal scopes, microscopes, etc. The old ones are picked up from the operating room over there. In the words of Director Han, opening a new department cannot affect the original departments. The old ones are Also works.
Everyone borrowed a trailer from the logistics department and moved everything in at once. Zhang Lin came over with a bag of facial cleanser. Xiaowu also has a lot of mess. Yang Ping didn’t have anything, so Xiao Wu helped him get it.
Song Zimo also used a trailer to pull his own and Tang Fei's things, including dozens of books, each of them heavy.
The department is not open, so everyone has nothing to do.
I read a book at work every day. When I got tired of reading, I chatted in the doctor's office. Zhang Lin brought a set of Go. Yang Ping and Song Zimo decided to play a few games on a whim.
But Yang Ping’s hands are inconvenient, what should he do? Play blind chess! Play back to back, rely on memory to play chess, and let Xiaowu Zhang Lin help manipulate the chess pieces.
There is no way, two geniuses collided together, mortals can only stare, this blind chess game can be played from beginning to end, this memory can only be described in crude words, awesome!
Song Zimo had encountered a blind chess master before. But I have never encountered a blind master who plays Go. Many of them lose their memory halfway through the game. Yang Ping can actually play a game with him and decide the winner.
Convinced! Don’t accept it!
He was beaten countless times during surgery, and he was beaten again while playing chess. After playing chess for more than ten days, Song Zimo was beaten for more than ten days.
In the past ten days, Xiao Su brought meals to the department every day and fed Yang Ping in the dining room. Every day, she took Yang Ping's packed clothes back to the dormitory to be washed, washed and dried before being sent back.
In about ten days, the hand was healed, and the epidermal damage recovered quickly, leaving no trace.
Waiting left and right, looking forward to the stars and the moon.
The Comprehensive Orthopedics Department finally opened its doors. On the first day of the opening, a simple ceremony was completed and the clinic opened.
Director Han and Director Tian sit in the specialist clinic, while Yang Ping and Song Zimo sit in the general clinic.
Not bad. I saw several patients in the first hour. Director Han treated a patient with a weak knee joint and performed an MRI and surgery in another hospital, but it was ineffective.
When I came to Sanbo this time, I saw the introduction on the wall of the outpatient hall. Comprehensive Orthopedics treats difficult and complicated orthopedic diseases. Good guy, just sign up for this department.
Another patient came, a man in his thirties, holding a briefcase and pulling a suitcase. He looked in a hurry. There were few patients, so there was no need to queue.
I put down my suitcase and went to the front desk to register and have my blood pressure taken. I said I felt a little hot and had my temperature taken.
"Doctor, I have pain in the back of my neck and back. I have cervical spondylosis. I have had X-rays, CT and MRI done. I went to the city two days ago, took medicine, and had physical therapy, but it didn't work. It got worse when I woke up this morning. It’s so uncomfortable!”
The patient touches the back of his neck and marks the painful area.
Yang Ping read his little note: blood pressure: 152/102mmHg; body temperature: 38.0℃.
"The blood pressure is a bit high. Is it usually high?" Yang Ping asked.
The patient said: "Sometimes I get high, but I don't pay much attention to it. I don't have any bad feelings, so I don't take medicine. My neck feels uncomfortable. This cervical spondylosis attack is worse than before. Please help me find a way and give me some medicine to relieve pain. I have to catch a flight." Go to the imperial capital for a meeting.”
"The body temperature is also a bit high!" Yang Ping said.
The patient touched his forehead: "There was nothing yesterday, only today."
"What's wrong with your chest and abdomen?"
"My chest is fine. I felt a little nauseous in the morning and my abdomen was a little distended and painful. It's very mild. I have a stomachache."
Yang Ping asked about the medical history and found that it was already the third day of neck and shoulder pain.
After a physical examination and touching the muscles of the neck and shoulders, there was no obvious spasm. Several special tests for cervical spondylosis were negative.
So I took a stethoscope and listened to the lungs and heart: "There is something wrong with your heart. Let me do an electrocardiogram for you."
The first heart sound in the apical area is weakened, the fourth heart sound is galloping, there is friction in the pericardium, and the heartbeat is irregular. Myocardial infarction is highly suspected, and the pain radiates to the neck.
The treatment process for this type of patient: complete the electrocardiogram within ten minutes, call the chest pain center, and send the patient to the chest pain center.
Yang Ping immediately called the nurse for assistance and brought over the electrocardiogram machine.
The patient was still relatively cooperative and lay down. Yang Ping untied 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 could die suddenly at any time.
"You suspect that I have a heart problem? I have my annual physical examination, and there has never been any heart problem. Doctor, are you too outrageous in your treatment?" The patient answered the phone and buttoned up his clothes. "Don't get excited, listen to me -" Yang Ping tried not to irritate 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's wrong?"
Song Zimo followed him out of the consulting room, thinking that Yang Ping had a physical conflict with the patient.
Yang Ping stood at the door and said calmly: "This patient is highly suspected of acute myocardial infarction. The pain radiates to the neck. The scope of the infarction is expanding. He may die suddenly at any time. I just did an electrocardiogram for him and he ran away."
It's not a high degree of suspicion, but a certainty. Yang Ping's physical examination training in the system space gave him a sharper identification ability than ordinary people.
High blood pressure is the basis for coronary atherosclerosis.
A body temperature of 38 degrees means that the infarction has occurred for 24-48 hours, and the necrotic material has absorbed heat.
Nausea and epigastric distension and pain, although mild, are caused by stimulation of the vagus nerve by necrotic myocardium or insufficient tissue perfusion.
"Tell Director Han quickly and find a way." Yang Ping hurried to Director Han's clinic.
Director Han is seeing a patient.
"Director, can you interrupt? The situation is quite urgent." Yang Ping said.
Director Han immediately stopped the patient's physical examination. The doctor said it was urgent and it meant a life.
"Just now, a patient with neck pain came to me for treatment of cervical spondylosis. I examined him and found that he was highly suspected of 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 and ran away.”
Yang Ping showed the electrocardiogram to Director Han.
"Run away? Sorry, we have an emergency rescue. Please wait a moment." Director Han explained to the patient he was seeing.
"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 believed that he was sure again just to be safe.
"I'm sure, 100%, this is his electrocardiogram. The ST segment is elevated. He needs immediate treatment to restore the blood supply to the myocardium, otherwise he may die suddenly at any time!" Yang Ping spoke calmly and clearly.
Director Han immediately shouted: "Everyone come in!"
Including Director Tian and Song Zimo came in.
"We call the phone number left by the patient and ask the security department to pull up the video to find the patient and see where he has gone. Hurry!"
"Let's go to the security center and Song Zimo will call the patient's phone number." Director Han arranged.
Director Han and Yang Ping rushed to the security department. The security department had a monitoring room where all the surveillance images from various cameras in the hospital were.
The security captain saw Director Han so anxious: "What's wrong, Director Han?"
"There is a patient who may die suddenly at any time. He ran away on his own. Quick, call up the surveillance at the entrance of our comprehensive orthopedics department, Building 8."
"Quick! The door of Building 8!" The security guard in charge of monitoring began to adjust the video.
About ten minutes ago, the video was played back ten minutes ago.
"Just him!"
"Stand still and follow him!"
"The surveillance shows that the man walked through the garden, took a shortcut, went out through the east gate, and got into a car that was waiting for him. Can you see the license plate?" the security captain said, pointing to the surveillance.
Fortunately, the location where he got on the bus was at the east entrance of the hospital and was within the scope of the hospital's surveillance.
"Zoom closer and write down the license plate number!"
Director Han's phone rang, it was Song Zimo's.
“The phone was put through but I didn’t answer it. I called several times but didn’t answer it.”
(End of chapter)