Chapter 353: Myocarditis

The treatment lasted until more than 2 o'clock in the afternoon, and the students were all starving and stuck to their posts, and there was no way to go on like this

At this time, the hospital's boxed lunch and fruits had also been delivered, and Li Haoran ordered the students to take turns to eat, and everyone returned to their posts after eating some things hastily

Looking at the patients behind him, Li Haoran secretly regretted that the limit he said before had not been implemented, and he didn't blame the hospital, he could only say that these patients were too enthusiastic, or they were tortured too badly by the disease, how could they let go of such an opportunity

But looking at the smiles on the faces of the students, Li Haoran knew that no matter how hard and tired they were, they felt that it was worth it for these students

I have been seeing 8 o'clock in the evening, and today's treatment has come to an end, in order to be able to line up tomorrow morning, many patients have chosen to set up tents or mats in their positions, which makes the already crowded hospital after all more crowded and messy, wipe, and there are two days, Li Haoran regretted it a little, I really don't know whether his decision is right or wrong

After arranging the students to a four-star hotel next to the hospital, Li Haoran stepped forward to lecture everyone: "Everyone is extremely good today, I believe you also feel the happiness of being a doctor and curing patients, but what I want to talk about is not this, you are my Li Haoran's students, don't look down on your own level, a small cold, you even use silver needles, Internal strength for treatment, this is also too much waste of the internal strength that you have worked so hard to cultivate, you have to use your brains more in everything, didn't I teach you to memorize so many scriptures, a cold, a pair of medicine is OK, as for the loss of internal strength?"

After listening to Li Haoran's words, everyone nodded, what the master said was indeed so reasonable, at this time Lin Chen had some questions: "Master, but after I treated the cerebral infarction patient today, I felt the filling of the true qi in my body, what is going on?"

"This is our Taoist accumulation of good karma, the evil crooked way by absorbing people's essence to improve, and our decent people through their own cultivation and helping others to improve their own internal strength, you cure such a paralyzed patient, of course there will be some blessings, but you cure the cold will not feel it, because the cold itself will be cured, so you all give me a snack, don't use internal strength until you have to"

"Good Master"

After having dinner with the students, Li Haoran left, and still lived in Rao Xue's house at night, with lonely men and widows in the same room, it was difficult to avoid the matter of Qingqing and me, and Rao Xue slowly realized the happiness of being a woman, and the whole person looked more charming and beautiful when she got up the next day

As soon as I had breakfast at home, I received a call from Tang Bi, saying that there was a medical dispute in the Department of Gastroenterology, and the patient's life was in danger, and he hoped that Li Haoran would rush to the rescue, so Li Haoran rushed to the hospital in a hurry

When he came to the Department of Gastroenterology, Tang Bi was already waiting at the door, accompanied by Zheng Yong, the director of the Department of Gastroenterology.

"What is the situation and where the patient is, we talk as we walk"

"In the Intensive Care Unit"

Tang Bi handed the white coat to Li Haoran, Li Haoran's posture of getting dressed while walking was simply handsome and cool, which made those nurses who were outside look excited, and their hearts were rippling

"Dr. Li, here's the thing, next door Nancheng School a junior girl, 14 years old this year, due to nausea and vomiting to our hospital, the attending doctor to gastroenteritis as a diagnosis, to her water treatment, water infusion for two days but still not better, today when the infusion continued, the girl appeared coma shock, which was sent to the intensive care unit for rescue, the situation is critical," Zheng Yong, director of the Department of Gastroenterology, introduced.

"Well, let's take a look at the patient first."

Seeing Li Haoran's arrival, a group of family members outside the guardianship room instantly knelt down for Li Haoran: "Doctor Li, Doctor Li, you must save my daughter, she just turned 14 years old this year, she just vomited a little, and she was treated by your doctor to this point, if she can't be healed."

Li Haoran was the most disgusted, what are you doing when you are not sick, it is the doctor's problem if the condition worsens Li Haoran quickly interrupted the family's words and said, "Enough, what is the matter until the patient's condition is stabilized, you will only delay more time"

Li Haoran's stunning momentum made those family members dumbfounded in an instant, and Li Haoran also entered the intensive care room as soon as possible, and those doctors who were still involved in the rescue quickly made way when they saw Li Haoran coming

"You continue to press, I'll take a pulse for the patient first" After speaking, Li Haoran stepped forward and gave the patient a pulse, and couldn't help frowning: "This is myocarditis."

"Ah" Hearing Li Haoran's diagnosis, the attending doctor turned pale with fright, he had also considered myocarditis before, but a large part of the patient's family members were practicing medicine, and they just thought that it was a simple stomach that was broken, so they asked the doctor to treat it according to enteritis all the time, but they didn't expect it to be myocarditis

The clinical manifestations of myocarditis vary widely, ranging from asymptomatic to severe cases of fulminant cardiogenic shock or acute congestive heart failure, resulting in death or sudden death within hours or days.

Symptoms and signs of typical acute myocarditis are respiratory or intestinal infection in the days or 2 weeks prior to the onset of cardiac symptoms, which may be accompanied by fever, sore throat, diarrhea, rash, and cardiac symptoms. The main symptoms are fatigue, loss of appetite, nausea, vomiting, dyspnea, pallor, fever, and older children may complain of precordial discomfort, palpitations, dizziness, abdominal pain, and myalgia.

Examination is usually dull at the apical first heart sound, gallop rhythm, hyper- or bradycardia, or arrhythmias, pericardial friction rub may be heard due to concomitant pericarditis, normal or dilated cardiac boundaries, decreased blood pressure, and low pulse pressure. According to the condition of acute myocarditis, it can be divided into three types: mild and severe. Mild may be asymptomatic or only transient ECG changes in STT, or manifest as poor spirit, weakness, loss of appetite, decreased first heart sound, or galloping rhythm, cardiac beats, most of the heart is normal, the disease is mild, and heals within days or weeks after treatment, or it is subclinical. In addition to the above symptoms, most of them have congestive heart failure, and the onset is more acute, and the child refuses to eat, paleness, vomiting, dyspnea, and dry cough.

And this girl must have acute myocarditis, otherwise the onset would not have been so fast

Li Haoran didn't care that these doctors seemed to be surprised, and the silver needles that appeared in his hand didn't know when they had been pierced into the girl's heart, and after more than 10 silver needles in a row, those doctors stopped rescuing

Everyone simply saw Li Haoran piercing so many silver needles, but they didn't see the internal strength exerted by Li Haoran, because the girl's condition was too urgent, he spent a lot of internal strength, wiped the sweat on his forehead and said: "The patient has passed the dangerous period, you have more experience than me in the next treatment, the girl's condition is very similar to viral myocarditis, you further clarify the diagnosis, I will go out to see the patient's family"

In just a few tens of seconds, the patient asked Li Haoran to rescue him, and most of them felt incredible, but the little girl's vital signs were indeed normal

"Dr. Li, how is my daughter's illness?"

"Out of danger to his life"

As soon as she heard that her daughter's illness had been stabilized, the girl's mother immediately changed her face and said: "Our daughter was treated by your hospital, and the next medical expenses must be borne by your hospital, and you must compensate us for mental damages, otherwise we will sue the hospital to the court."

Hearing this, the doctor in charge of the little girl was not angry, and stepped forward to theorize: "I have considered myocarditis before, but your family members refuse to do a heart examination, and you also signed the informed consent form, and now there is a problem, blame us, are you so unreasonable?"

The girl's mother smiled: "I'm not a doctor, how do I know if I should do it or not, don't you want to open more tests and make more money, don't you think I don't know"

Seeing that the patient's family is now dead and refusing to admit it, the doctor in charge is angry, "In addition, your family members strongly request that the patient be given dacarbazine, dacarbazine is an antiemetic drug after radiotherapy, and I also suspect that the girl's condition caused myocarditis after using this drug."

"Hmph, anyway, my daughter was fine when she came, now it's like this, you must bear the main responsibility, I am a woman and I have never studied, how do I know what medicine to take, what medicine to use, and the words you asked me to sign, I don't know what to sign, your doctor asked me to sign, where do I dare not sign, anyway, I don't know anything, if you don't admit it, you don't want to practice medicine anymore"

"You"

Seeing that the patient completely denied it, Li Haoran knew that things were not so simple, so he pulled the doctor in charge of the matter aside and asked in a low voice: "What is the situation of this family, her words seem to be taught to her by an expert."

The doctor in charge nodded: "Many of this girl's relatives and friends are doctors, so she suggested this and that, and if she didn't check like that, she didn't check it, and now that there is a problem, she doesn't want to get more."

Li Haoran understands that there are so many doctors in your family who are not in your own family, and you have to send them to the hospital, and you are so point-pointing when you are sent to the hospital, which is really hateful, and the most annoying thing for doctors is this kind of patient and his family

Seeing a group of family members splashing outside the door of the custody room, Li Haoran was furious, why do you think the hospital is a vegetable market

"You guys be quiet, just now when I was taking the pulse of the little girl, I found that she had a wound on her cheek that was no longer visible, if I didn't guess wrong, it should have been beaten by your family."

"What's wrong with my fight yesterday" The girl's father replied, yesterday a daughter didn't want to be hospitalized, she wanted to go back to school, but she kept vomiting and diarrhea, as a father, of course she didn't want her daughter to be like this, and she couldn't help but slap her daughter for a while, what can this have to do with her daughter's illness

Li Haoran smiled and said: "Why doesn't it matter, it's because you hit her that it caused her acute myocarditis"

After hearing Li Haoran's words, not only the patient's family was stunned, but even the doctor was stunned, this is completely a fallacy and a crooked reason, the first time I heard that being slapped can cause myocarditis, not to mention those patients, even these doctors refused to believe it

"Fart, when you were young, your dad didn't beat you, why didn't you get myocarditis," the girl's father said angrily.

"Other people may not be related, but this little girl is different, you should have eaten a lot of parasitic food the night before she got sick, such as frogs, snails, snakes and other things, right?"

"How do you know" After hearing Li Haoran's words, the girl's father asked in some surprise.

"That's right, because those foods are not fully cooked at all, you adults eat nothing, but the little girl's digestive function is not so good, plus she had a slight cold before, which caused her to vomit and diarrhea and then come to the hospital to give water according to enteritis, the condition has not improved, but it has not deteriorated, and the direction is not wrong, that is, infuse anti-inflammatory drugs to reduce inflammation, as long as you infuse for two more days, the virus in the body is eliminated, and the condition will improve, but because of your slap, the little girl herself is introverted, angry, and has been angry, and it has developed into the current myocarditis, viral myocarditis”

After listening to Li Haoran's explanation, everyone understood the process of the development of the disease, and it turned out that this was the case

"Hehe, Dr. Li, everyone trusts you as a miracle doctor, but you can't explain indiscriminately in order to save the reputation of the hospital" The girl's mother didn't believe that a slap caused myocarditis

"I didn't lie, just do a little bit of identification, but if you continue to make trouble like this, it will affect the order of diagnosis and treatment in the hospital, and I have the right to sue you."

Li Haoran's ability in Donghai City, everyone still knows, the girl's father chose to tolerate the situation: "Since Dr. Li has said so, we won't say anything, I just hope that Dr. Li can pay attention to the changes in my daughter's condition and help her recover as soon as possible."

"That's certain, don't worry, I will be able to return you a healthy daughter in two days."

"Thank you so much Dr. Li" mobile phone please visit::>

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