Chapter 305: Myocarditis
The treatment lasted until more than two 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 also hastily ate some things, and then returned to their posts!
Looking at the patients behind him, Li Haoran secretly regretted that the limit he said before was still not 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 students' faces, Li Haoran knew that no matter how hard and tired they were, they felt that it was worth it for these students!
Until 8 o'clock in the evening, today's treatment has come to an end, in order to be able to line up tomorrow morning, many patients actually choose to set up tents or mats in the position, which makes the already crowded hospital after all, even more crowded and messy, wipe, 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 little cold, you even use silver needles, Internal strength for treatment, this is also too much waste of their own hard work to cultivate the internal strength, everything to use more brains, didn't I teach you to memorize so many scriptures, a cold, a pair of Chinese 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 the accumulation of good karma in our Taoism, the evil sect and the crooked way absorb people's essence to improve, and our decent people use their own cultivation and help others to improve their internal strength, you cure such a paralyzed patient, of course you will be blessed, but you can't feel it if you cure the cold, because the cold itself will be cured!
"Okay master!"
After eating with the students, Li Haoran left, and still lived in Rao Xue's house at night, lonely men and widows in the same room, it was difficult to avoid ** Qingqing and me, and Rao Xue also slowly realized the happiness of being a woman, and the whole person looked more charming and beautiful 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's the situation? Where's the patient? We'll talk as we go!"
"In the custody 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 outside look excited, and their hearts were rippling!
"Dr. Li, here's the thing, a 14-year-old junior high school girl from Nancheng Middle School next door, came to our hospital due to nausea and vomiting, the attending doctor diagnosed gastroenteritis and gave her water treatment, the water infusion for two days but still did not improve, today when the infusion continued, the girl had a coma shock, which was sent to the intensive care unit for rescue, and the situation was in danger!" 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 has 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 cured, ...... it."
Li Haoran was most disgusted, why did you come to the hospital when you were not sick, and if your condition worsened, it was the doctor's problem? Li Haoran quickly interrupted the family member's words and said, "Enough, what is the matter until the patient's condition is stabilized, you will only delay more time like this!"
Li Haoran's breathtaking momentum made those family members dumb in an instant, 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 give the patient a pulse 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, and he had 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 he asked the doctor to treat it according to enteritis all the time, but he didn't expect it to be myocarditis!
The clinical manifestations of myocarditis vary widely, ranging from asymptomatic cases to 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 moderate fever, sore throat, diarrhea, rash, and then 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, galloping rhythm, tachycardiac or bradycardia, or arrhythmia, pericardial friction can be heard due to concomitant pericarditis, normal or enlarged cardiac boundary, decreased blood pressure, and low pulse pressure. According to the condition of acute myocarditis, it can be divided into three types: mild, moderate and severe. Mild may be asymptomatic or only transient changes in the ECG ST-T, or may be manifested as poor spirit, weakness, loss of appetite, decreased first heart sound, or galloping rhythm, tachycardia, most of the heart is normal, the disease is mild, and the disease heals within a few days or weeks after treatment, or it is subclinical. In addition to the above symptoms, the medium-sized children often have congestive heart failure, and the onset is more acute, such as refusal to eat, paleness, vomiting, dyspnea, and dry cough.
And this girl must have acute myocarditis, otherwise the onset would not have been so rapid!
Li Haoran didn't care that these doctors seemed to be surprised, and the silver needles that appeared in his hands 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 consumed a lot of internal strength, wiped the sweat on his forehead and said: "The patient has passed the dangerous period, you are more experienced than me in the next treatment, the girl's situation 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 let Li Haoran 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?"
"It's out of danger!"
As soon as she heard that her daughter's illness had 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 refused 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 hospital just want to open more examinations 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 the use of dacarbazine for the patient, dacarbazine is an antiemetic drug after radiotherapy, and I also suspect that the girl's condition caused the occurrence of 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 haven't studied in a woman's family, 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 dare I 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 denied it completely, Li Haoran knew that things were not so simple, so he pulled the doctor in charge 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 built yƬ like this, and she didn't check like that, and now that there is a problem, she doesn't want to make more money!"
Li Haoran understands that there are so many doctors in your family who are not at your own home, you have to send them to the hospital, and if you send them to the hospital, you are so point-in-point, it is really hateful, and the most annoying thing for doctors is this kind of patients and their families!
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 there was a wound on her cheek that was no longer visible, if I didn't guess wrong, it should be your family member, right?"
"What happened to me 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, a crookedness, 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 younger, your father didn't beat you, why didn't you get myocarditis?" said the girl's father angrily.
"Other people may be fine, but this little girl is different, the night before she got sick, you should have eaten a lot of food that contains parasites, such as frogs, snails, snakes, etc., right?"
"What? 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 don't have anything to eat, but that little girl's digestive function is not so good, plus she had a slight cold before, which caused her to vomit and diarrhea! Then I came to the hospital and has been infusion according to enteritis, the condition has not improved, but it has not deteriorated, and the direction is not wrong, that is, the inflammatory drugs are infused to reduce inflammation, as long as the infusion is 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, she has anger in her heart, and she 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, 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'm not lying, just do a little appraisal! 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 endure when he saw the situation: "Since Dr. Li has said so, we won't say anything more, 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!"
This article is from Reading Books Novel