Chapter 36 Buy One Get One Free for Healing

"Director Yang, this matter, I really can't promise you now, you know, Huaqing Hospital is very busy, and the operation schedule is full every day! In the past two days, I was able to come out because I was going to participate in a city competition, and the department gave me three days off, so I came to my mother-in-law's house! It's not that I don't want to help, I'm afraid that I won't have time!" Lin Yu said sincerely, but it was true and false, false and true.

Everything else is true, saying that there are so many patients in the department is absolutely, and there is no every day.

"It's... Then let's add WeChat and phone first, and then discuss, discuss!" Director Yang saw that he didn't agree, but he didn't make it clear that he couldn't come, and there was hope, he had to discuss it with the dean again.

"Okay" Lin Yu added his mobile phone number and WeChat.

"Let's go see the patient!" Lin Yu thought that his aunt was still in the car, and if he wanted to go to see the patient, he would call his aunt and sister-in-law.

"Okay!" Although Director Yang was a little lonely, he still wanted to continue to keep this expert.

If a doctor does not have the support of a senior doctor, he will be very passive, especially when encountering some surgeries that cannot be performed, it will be troublesome.

He really saw Lin Yu's power, and thought about how to establish this relationship with the dean later.

When Lin Yu came to the department, the patient had basically woken up.

Lin Yu asked a few questions briefly.

Although he was seriously ill and in septic shock, he was able to clear the focus of infection in a timely manner, and the shock was basically relieved by treating the cause, and the vital signs of the little patient at this time were good.

"The patient is in good condition! Pay attention to hydration, if you are thirsty, wet it with gauze and put it on your mouth! You can only enter things after farting..."Lin Yu instructed, after all, he is an expert, and he has to do these tasks more carefully.

The words of the experts are basically Shang Fang's sword, and the family members are the most listened.

"Thank you, Dr. Lin, thank you! In the next life, we will report your great kindness and great virtue! This is the address of our hotel! In the future, you will come to our restaurant for free!" The child's mother only knelt down.

She had only been in for twenty minutes before she saw the patient and came out, and her heart was almost frightened into arrhythmia, she thought that with such a serious illness, how could the operation be completed so quickly.

The anesthesiologist who delivered the patient said: Your child is lucky to meet a specialist in the city, and he did the operation well and quickly.

She listened to the anesthesiologist's words and was completely relieved, and his gratitude to Lin Yu was like a surging river.

Lin Yu took the business card: The food is full of wine and beauty, and the name of the secret road is good.

"Hehe, it's okay to eat for free, just give me a discount!" Lin Yu played with the taste.

"Well, well, well, it's a big deal, it's going to be a big deal!" said the child's mother immediately.

Lin Yu didn't want to talk too much, so he was ready to leave.

"Okay, then I'll go down first!" Lin Yu said goodbye.

Director Yang still followed enthusiastically, he knew that Lin Yu was going to leave, so he came out to see him off.

A few people had just walked to the nurses' station.

A young doctor with glasses hurriedly came over: "Director Yang! Auntie said that her chest hurts!

"Which one?" said Director Yang didn't understand.

"Your mother! Half an hour ago, she said that her chest was tight, and I asked Director Luo from the Department of Internal Medicine to come for a consultation, but he hasn't come yet!" said the optician.

"Then I'll go!, I won't delay your medical treatment!" Lin Yu said goodbye.

"Don't, don't, Director Lin, wait a minute, I have a little more confidant to tell you!" Director Yang let him go.

He has been thinking about being the head of the department for more than ten years, and now is a great opportunity.

First, the current dean is his classmate, second, there are more patients in the hospital, which creates conditions for the establishment of a new department, and third, the old director falls, which is too perfect.

He still has to sell a little miserably in front of Lin Yu.

Lin Yu was a little embarrassed when he saw him holding on to himself.

"Alright then!"

"Five minutes at most, I'll look at my mother and say! Thank you, thank you!" Director Yang said anxiously.

"Well, you want to see Auntie!" Lin Yu also agreed, after all, chest pain is not a minor illness.

Several people came to the room.

The patient was a fat woman, at least in her sixties.

"My chest hurts so badly, I feel like my heart is beating so fast!" the patient began to speak casually when he saw his son coming.

"Did you have an electrocardiogram?" Director Yang asked the eye doctor on duty.

"I did it, I did it twenty minutes ago, and the reality is tachycardia!".

The eye doctor handed over the ECG.

Director Yang watched it for a long time and muttered, "Sinus tachycardia! Why is your chest tight?"

He couldn't figure it out, his mother had diabetes, he usually ate and didn't pay attention to eating, he ate big fish and meat casually, he said he was uncomfortable this morning, so he arranged for him to be hospitalized in his department, and he was shocked when he checked his blood sugar, 26L/L, everything else is fine, but his blood sugar is high, and his blood pressure is usually high.

As long as her blood pressure is high, she will be dizzy!

When I came to the hospital in the morning, my high blood pressure problem had come out, and her dizziness was much better, so why did her condition suddenly change.

It doesn't make sense.

Sinus tachycardia is not ventricular tachycardia, chest tightness for half an hour, and now it actually starts to have chest pain again, myocardial infarction?

At this time, a fat doctor came in in a hurry: "Don't be embarrassed, Director Yang, I was having a meeting in the department just now, and I delayed it!"

"Director Luo, this is my mother's electrocardiogram, half an hour ago she said that her chest was tight, and now she says that her chest hurts!"

"I'll see!"

"What kind of pain is it? is it still like a pinprick pain?...?"

The patients also answered one by one.

"I'll listen!" the fat doctor listened to the stethoscope, "The heart rate is at least one hundred and sixteen!

"Yes, is it that the medicine is being administered too quickly!" Director Yang doubted, after all, he was a surgeon himself, and he was not very good at internal medicine.

"That is also possible, did you do muscle calcium?"

"When the chest tightens, I took blood! Muscle calcium is normal! Other results have not yet come out!"

"It shouldn't be like a heart attack!" the fat man Director Luo muttered, as if he was saying it to Director Yang, and it was also like saying it to himself.

"And do an electrocardiogram!" Director Luo commanded.

"Shall we send it to the ECG room? or do you want them to come?" asked the optician on duty, who had already made a trip to the ECG room just now, and now asked them to run again, and he was a little difficult to open this mouth.

"Of course I want them to come over!" Director Luo directly set the tone.

"It looks like it's already off work! At this time, it might be better to send it over! There is only one doctor on duty, and he may not come!"

"Then send it over quickly!"

Lin Yu was also thinking about the patient's situation.

It stands to reason that chest tightness does have to consider heart disease, but why did this happen, she didn't have an underlying heart disease before.

Lin Yu looked at the water bottle hanging from the ceiling, and at a glance, it was insulin!

That's right, it's insulin, the blood sugar just now reached 26L/L, and this blood sugar really needs to use insulin.

The nurse immediately pushed the prepared wheelchair in, and Director Yang and the eye doctor prepared to lift the patient into the wheelchair.

"Wait a minute!" Lin Yu suddenly thought of something.

"What's wrong?" Director Luo saw that the young man next to him had been standing for a long time and was not wearing a white coat, and he thought it was a family member of the patient at first.

"I suspect she has an arrhythmia caused by low potassium!

The optician was a little embarrassed: "Electrolytes are done, it's normal!".

"Impossible!" Lin Yu said categorically.

It is likely that the patient's current condition is due to the use of insulin to lower blood sugar, during which potassium ions will enter the cells from outside the cells, which will cause low potassium in the blood.

Lin Yu glanced at the hanging needle just now, and there was no potassium supplement in it at all.

Clinically, special attention should be paid to this situation, insulin lowers glucose, special attention should be paid to monitoring blood potassium, there are no contraindications, potassium should be appropriately supplemented! Otherwise, hypokalemia will be formed, causing nausea and arrhythmia, which will be fatal.

At this time, Lin Yu really didn't use the golden finger, he had to thank Han Chen for that beautiful woman in the courtyard.

A few days ago, when the hospital was preparing for the city's selection exam, she deliberately focused on this case on the night when she gave herself a make-up class.

Who would have thought that it would be used today.

"Who are you?" Director Luo was not very satisfied with his performance, and secretly said Which green onion are you, I came for a consultation, and now I want to do an electrocardiogram, and you actually came to command blindly.

Director Yang was a little embarrassed and forgot to introduce him just now.

"Director Luo, this is the doctor we invited from Huaqing Hospital, and we just did a pediatric appendicitis?"

Director Luo glanced at Lin Yu and secretly said You are so young?

Now this Director Yang took advantage of the old director's thigh fracture, and actually made small moves in the back, he was a little upset for the old director, he could have come down a long time ago, I heard that it was Director Yang's mother, and he didn't go through the hospitalization procedures.

He didn't want to come, but then he thought that everyone was a hospital, and he didn't see him when he looked up, so he still came.

When he heard that this stunned young man from Huaqing Hospital actually helped Director Yang with surgery, he was a little unhappy.

"Let's do an electrocardiogram first! So that the diagnosis can be clear! Your surgeons only know how to perform surgeries, but how do you know about internal diseases?" Director Luo played with taste.

When Lin Yu heard it, this thing looked down on the rhythm of our surgeons.

The implication is that in addition to surgery, you have to stand aside for internal medicine patients.

"Director Yang, don't delay, your mother is because of insulin, and now she has a lot of low potassium! There is already nausea arrhythmia, hurry up and supplement potassium!" Lin Yu said anxiously.

"The big experts are just different! I didn't read the electrocardiogram, and the electrolytes didn't draw, so I can make a diagnosis! You're right, but you have to do the examination!" Director Luo said quietly.

Your kid level is okay, but you also talked about the point, and the situations you talked about are indeed possible.

It's just that this examination has not been done, so you make a random diagnosis, and you say that you want to indiscriminately administer medicine, isn't this funny? As a senior director of internal medicine, he is not very satisfied with Lin Yu's performance.

Now I just look down on it, and secretly say that your surgeons know that the surgery, surgery, and medical records are not well written, and you dare to guide me to see a doctor.

Director Yang was caught in the middle, feeling that the left and right were not people.

One is an expert in internal medicine, the director of the Department of Internal Medicine, and the other is an expert from a higher-level hospital, which is not easy to offend.

Director Luo did make sense, the electrocardiogram half an hour ago was only sinus tachycardia, and the electrolytes were normal.

Lin Yu was secretly anxious, the changes in the patient are rare to talk about, if there is a malignant arrhythmia, the electrocardiogram will directly become a straight line.