"Hello, I'm here to handle the procedures for discharge from the VIP ward. ”

"Wait a minute, a total of 15,500 yuan, deducting the previous pre-late fee, a total of 11,000 and 50 yuan, but the patient himself did not buy medical insurance, it is a non-local account, so he can't enjoy the medical insurance policy, credit card or cash?"

"Swipe your card. ”

Zuo Mi was already waiting for me in the car, eating lollipops in his mouth when he was so big.

"Sister Zuo, Sister Wen Hui hasn't come over yet?"

"Maybe the formalities haven't been completed yet, I'm discharged from the hospital today, and the king is back, are you happy?"

"What are you happy about, I'm going to deliver it tomorrow, and I'm going to go back to my hard life, so I'm happy there. ”

"Sister Wen Hui is here!"

"Sister Wen Hui, how much did it cost?"

"I've got it all for you, I don't have much money, how to arrange it today, it's rare to have such a good weather, Zuo Mi is rare to come once, why don't you play with her?"

Oops, Xue'er will come to me later, what should I do, how should I answer Jin Wenhui, looking at Zuo Mi's expectant eyes, I can't pour cold water on her.

"That's it, Sister Zuo, I'll do something first, Sister Wen Hui will send me to Blu-ray COCO first, and I'll come back to you in a while." ”

"Well, I'm looking forward to it, if you dare to release my pigeons, you'll see. ”

It didn't take long to get to Blu-ray Coco, I gave them a smile and went to look for Cher, who didn't know where she lived.

"Sister, where are we going?"

"Go back to the company, Zuo Mi, I want to transfer you over to take over the headquarters, I have to take care of the hospital myself, and I'll work hard for you here." ”

"But, what about Chongqing?"

"There will be arrangements at the headquarters, and the board of directors will meet tomorrow, and you will be more recommended if you have the right candidate. ”

"Okay, everything is up to my sister's arrangement. ”

"Why did you say that the wind chimes got off at Blu-ray Coco, who did you go to?" asked Jin Wenhui.

"Who else can there be, her girlfriend Xue'er, but I'm embarrassed to refuse me, this kid's emotional intelligence is not low. ”

"Let's go, the company still has a lot of things to deal with waiting for me to deal with!"

Fulong Community Point ......

Guo Fei said to Li Shiyi: "That kid has been discharged from the hospital, give him something powerful." ”

"Amazing, the area can not move for the time being, the district will not pass, so you can only do some manual labor and arrange him to be on duty?"

"Isn't this nonsense? If you don't come to work for so long, I don't care if you ask for leave, make up for it, work for a week, arrange someone to monitor, if you don't come that day, you will be punished, punished hard, and let him retreat. ”

"Okay, I'll type out the watch for duty today. ”

"Chen Yong can't let the third person know, the plan is stable, one more person knows, there is one more risk, our manager Wang is a puppet manager, there is no use, he will be transferred away at the end of the year, then you will be the manager of the three points, how about it, no opinion?"

"Of course not, how long will it take to implement the plan?"

"On the second day of Double Eleven, I got Chen Yong, the wind chime will happen sooner or later, after this incident, I will also leave, the hospital is waiting for me to deal with it, and it is all up to you here. ”

"Don't worry, the position will definitely be hung for you, and the benefits will not be less yours, and when you develop in the future, you can't forget your brother." ”

"Haha, that's nature!"

Blu-ray CoCo......

"Wind Chimes, are you here?"

"Well, why don't you think you're upset?"

"There was a big incident in my father's hospital, I can't be happy, I can't figure out if my father is going to be dismissed!"

Aunt Yuping came over with fruit, "The wind chimes are here, let's eat some fruit!"

"Thank you, Aunt Yuping. ”

"Alas, my old man is really, but I encountered such a thing, the thing is like this, the details are only clear to my old man, I only know a rough idea, at that time the emergency department said that there was a patient suspected of myocardial infarction, and then went to see, my old man is the president of the Ninth People's Hospital of Chengdu Tianfu New District, at that time he was still inspecting the gynecology, generally speaking, if it is really an acute myocardial infarction, it is necessary to urgently do coronary intervention, you can open the green channel, open the blocked coronary artery as soon as possible, is the most effective means to save the patient。 The old man went to the emergency department to see that the patient was lying on the emergency bed, and he paid special attention to the ECG monitoring, the heart rate was 120 beats per minute, and the blood pressure I vaguely remember was 98/50mmHg, which was a bit low for a 35-year-old young man.

The emergency doctor briefly explained the situation, saying that the patient came to the emergency department for 3 hours because of chest pain, checked the electrocardiogram, and advanced ||, ‖‖‖, and aVF cause an increase in the ST segment, and troponin is elevated, which is highly suspected of myocardial infarction.

After careful reading of the ECG, there is indeed a change similar to myocardial infarction, the patient's onset time is short, and there will be more obvious changes later, because the ECG changes of myocardial infarction are dynamically evolving.

Generally speaking, our heart has continuous discharge, but this kind of electricity is not much different from the household electricity we usually see, the discharge of the heart can only control the beating of the heart muscle, of course, there is no way to support a tungsten lamp.

When we put the electrodes of the electrode of the electrocardiogram on the chest wall, we can feel the electrical conduction, and then record it on the electrocardiogram map, so that the doctor can capture the key information, plus the blood test of troponin is also life, and the diagnosis of myocardial infarction is almost certain.

Troponin is a protein that is almost exclusively found in cardiomyocytes, and once troponin is elevated, we can infer that cardiomyocytes have ruptured necrosis and released troponin into the blood, so that we can detect the increase in troponin.

It's okay to diagnose myocardial infarction, the emergency doctor asked the old man. If you want to know the catheterization lab, let them prepare.

Basically, myocardial infarction is because the coronary artery is blocked by a blood clot, blocking the blood flow, and it will naturally be ischemia.

Either drug thrombolysis or interventional stent placement is done, and the stent opens the narrowed coronary artery and restores blood flow. Interventional therapy is generally preferred.

The patient told the old man that he suddenly had chest pain yesterday morning, mainly a dull pain, and had never had a similar manifestation before.

The old man called a senior doctor, and at the same time gave the patient an electrocardiogram again, and at the same time took blood to test troponin, and the results showed that there was no problem in diagnosing acute myocardial infarction, and the lower and posterior walls of the heart had myocardial infarction.

Immediate intervention!The senior doctor arrived and instructed.

The old man asked the patient if he had any family members with him.

Although the patient was conscious, his brows were tightly knit, he didn't know whether he was nervous or scared, and said that he had no family members, and he had called the ambulance alone.

The old man was a little surprised, such a critically ill patient, there was no family in the trouble.

When the senior doctor heard the old man say that he had no family members, he asked the patient if he could sign it, and the old man said yes, and this is where the problem was raised.

That's fine, let him sign first, and after contacting other relatives and the senior doctor, go to the cath lab to prepare.

The old man asked the patient if he was married, and if he was, he would call your wife over, after all, for such a serious illness requires the presence of relatives.

He turned his face sideways and said lightly, I got divorced a few days ago, so I don't need to look for her.

After hearing the news, the old man was even more shocked. After thinking about it, I heard that your parents are not in Chengdu.

He shook his head and said that his parents were both in his hometown in Guangzhou, so he was alone, and he had no relatives, so he didn't need to look for it, and he could sign whatever he wanted.

The old man asked the senior doctor, and the senior doctor told him to go and file with the medical department and tell the medical department that there was such a thing.

Everything was ready, and the patient was quickly sent to the cath lab.

The old man lamented to me that he had suffered a myocardial infarction at such a young age, and it was the first time he had seen him. Patients have no hypertension, no hyperglycemia, only a history of hyperlipidemia, and do not smoke. To be honest, there aren't many high-risk factors.

Myocardial infarction occurs in this way, which really makes the old man himself afraid, because he doesn't know when he will have myocardial infarction.

Soon the senior doctor came out of the catheterization laboratory and told the old man that it was not a myocardial infarction.

The old man was stunned.

The basis for diagnosis is very sufficient, and the course of the disease is also very typical, so how could it not be a myocardial infarction? The old man expressed his doubts to the senior doctor.

The comparison of senior doctors is also puzzled.

Since it is not a myocardial infarction, but the patient's condition is still critical, after leaving the operating table, the re-examination of troponin still continues to rise.

The patient was admitted to the intensive care unit.

The old man and the senior doctor had a difficult case discussion, while paying close attention to the patient's ECG, troponin changes, and other target changes. To further rule out other fatal diseases. For example, aortic dissection, pulmonary embolism, etc., the patient was given a chest and abdomen CT scan with enhancement, but fortunately, the results were normal.

In addition, the patient's life gradually stabilized, and the blood pressure also increased to 120/80mmHg.

This morning the old man went to see the sick man eating porridge in bed, with messy hair and unshaven beard, and went over to him and asked him how his appetite was.

He smiled faintly, in general, he could eat two bowls of white porridge, and he didn't die of hunger.

The old man told him it wasn't a myocardial infarction.

The patient said that the senior doctor had just told him that it didn't matter if it was or not, and the old man was very curious about his answer, which surprised the old man.

He said that he must have a problem, lowered his head, took a bite of porridge, divorced his wife a few days ago, the children belonged to her, and the company fired him, he said that he deserved all this. At the end, I laughed twice. Scared the old man to the creep.

The conclusion was reached: broken heart syndrome.

When people are jealous and sad, it is a huge stress on the heart, which is likely to lead to damage to the heart muscle cells, and the patient has severe pain, chest tightness, and similar manifestations of myocardial infarction, but this situation has never been seen by the old man, and he has seen it on the news before.

expressed his thoughts to the senior doctor, and the senior doctor immediately agreed with the old man's idea, saying yes, it was very likely to be stress myocarditis, commonly known as broken heart syndrome, which was the first time in the history of the hospital that such a situation had been encountered.

Stress myocarditis is a self-limiting disease, although the onset is a bit scary, similar to a real myocardial infarction, but after all, it is not a coronary blockage, so it will not pose a fatal threat.

After conservative treatment, the patient's symptoms gradually stabilized, but his wife came to the hospital, he and her wife did not divorce, and her wife came to the hospital to make a fuss.