Chapter 222: Outpatient Patient with Chest Pain

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The next day, the director of the Department of Internal Medicine, Zhang Lide, brought a trainee, and it quickly spread throughout the Department of Internal Medicine, and even other departments also heard about it, many people were surprised by this matter, and many people were extremely suspicious of this matter.

Because trainees are generally arranged to be taught by an attending doctor at most, and the cases of deputy chief physicians teaching can be said to be very rare.

As for the situation of the section head taking the trainees, in the first annex, it has never happened, let alone the head of the big department. So when this news came out, many people did not believe it; However, several doctors on duty in the internal medicine department yesterday swore that Director Zhang did bring a trainee to the department to see the patient.

And it's not a ward round, it's simply taking the trainees to see the patients.

And these doctors also said mysteriously: "The reputation of this trainee has recently been extremely famous in Appendix 1, that is, the one who used the knife to perform a tracheotomy on the patient."

What the doctors say is so vivid, and there are several departments of doctors who say this, naturally no one does not believe it.

So the doctors and nurses attached to the first one are also curious, who is this Xu Ze. It is really curious to be able to work to teach Zhang Lide, the director of the Department of Internal Medicine who has always been above the top.

However, most of the people who know Xu Ze's true situation are directors of various departments of internal medicine, and the impact of the original topic scramble incident is still there, and it is a matter of the face of this internal medicine, so they naturally will not disclose Xu Ze's situation.

However, Director Cheng of the emergency department and a small number of doctors were the only ones who knew Xu Ze's true situation except for the internal medicine people, but Xu Ze was working in the emergency department with the sign of a wheel doctor; But now Xu Ze's identity is a trainee who has not yet graduated from Star University.

Who would dare to reveal Xu Ze's details, otherwise it would reveal that the emergency department actually let a non-graduate student hang up the sign of a doctor. I'm afraid that even Director Sparrow will be in trouble.

Therefore, Xu Ze is now extremely well-known among those medical staff, and many people want to see who this kid surnamed Xu is, who is so awesome, and even makes Zhang Lide, the director of the Department of Internal Medicine, so blue-eyed.

Even on the campus of Star University, it was spread by the students who saw Xu Ze teaching one-on-one behind Zhang Lide.

This incident has also caused a lot of sensation in the School of Clinical Medicine of Star University, especially these students who are also in the internship in their senior year, naturally know that they are taught by the director of the Department of Internal Medicine of Star University. What kind of treatment, I can't help but admire Xu Ze more and more at the moment.

This person at the top of the list is really extraordinary, and he will be an extremely attention-grabbing person wherever he goes.

And Xu Ze, who was in the center of the storm. Naturally, he didn't know a little bit about it, because at this time, he was following Zhang Lide's side, sitting in the internal medicine clinic of the outpatient building.

As the director of the Department of Internal Medicine of the University of Singapore University, Zhang Reed is naturally very famous in the Star City area, he sits in the expert outpatient clinic of the Department of Cardiovascular Medicine, and he will sit in the outpatient clinic two afternoons every week, and whenever this time, there will be a long queue at the door of his clinic, and there are hundreds of patients waiting for him to see a doctor or follow-up every day.

Xu Ze, a classmate, was sitting beside Comrade Zhang Lide at this time, helping to see the patient. Of course, sitting there is not just a helper, taking blood pressure or something. These nurses have their own doors, one by one. All he had to do was to go through the medical records and wait for Zhang Reed to read them to the patient, and then he would continue. The name is called: learning,

Xu Ze was also extremely puzzled by Zhang Lide's ability to see more than 100 patients every afternoon, but he quickly understood why Zhang Lide had such a speed.

Come to one. Patient, after Zhang Lide briefly asked about the situation, he listened to it a little more specifically, at most ten seconds, and then the relevant test sheet will be issued to the patient, and the patient will be asked to do the examination. I went on to see the next patient, and it was naturally extremely efficient to see such a patient.

However, since Xu Ze came to study under the name, he would naturally be serious, whenever the patient had an examination and got the results, Zhang Lide was examining another patient. Xu Ze will smoke first.

At this time, Xu Ze was holding a patient's examination report, frowning, this patient was a patient with chest pain, he had chest pain for two days, and the chest pain was very intense.

Zhang Reed has prescribed electrocardiogram and chest X-ray and other examinations to the patient, and the patient's examination reports show that the electrocardiogram has manifestations of myocardial ischemia, and coronary heart disease is considered; Chest x-ray showed no abnormalities.

However, Xu Ze looked at the patient's condition, but he always felt that something was wrong, although the patient had chest pain, which was very similar to angina pectoris caused by cardiac ischemia, but the patient's chest pain was constant, sometimes light and sometimes severe, not like a simple myocardial lack of heart.

I looked at the patient's blood pressure just now, and it seemed to be normal.

Looking at the patient's pale face, Xu Ze frowned, and after thinking about it, he was still not at ease. Then I took a blood pressure monitor and measured the patient's blood pressure.

The blood pressure in the patient's left arm was basically the same as the blood pressure recorded by the nurse in the medical record, which was normal. But after the test. Xu Ze always felt that something was wrong, and then his mind moved, but he asked the patient to stretch out his right arm and measure it again.

At this time, this patient was always looking at Zhang Lide's side, waiting for Zhang Lide to see him, but he was extremely impatient with Xu Ze always checking here and forth. However, limited to the one that Zhang Lide has at hand now, the patient has not finished reading it, and it is not his turn yet, so he is only stunned and patiently asks Xu Ze to check it.

Help the impatient patient roll up his sleeve. Then he checked it carefully again, and when he heard his blood pressure measured this time, Xu Ze couldn't help but raise his eyebrows, sure enough, the blood pressure of this patient's right arm was very different from that of his left arm, and the blood pressure of his right arm was only a pulse pressure difference

Thinking of this pulse pressure difference, Xu Ze's heart flashed, and he seemed to feel that there was a big problem in the middle, but he couldn't remember any illness with this sign. It's just that there seems to be light and heavy. He wasn't sure

At this time, Zhang Reed happened to finish reading the patient he was holding, and the patient Xu Ze was looking at had been waiting a little impatiently, and seeing that Zhang Reid had already finished dealing with the patient, it was his turn, so he quickly grabbed the medical record book and examination results in Xu Ze's hand and sat down on Zhang Reid's side. Enthusiastically: "Director Zhang, my results have come out, please help me take a look..."

Xu Ze looked at the patient who was sitting on Zhang Lide's side. He wanted to stop talking, because although he felt that there was a problem, he didn't know what the problem was with this patient. So I had to watch Zhang Reed examine the patient to see if he would see anything wrong.

Zhang Lide took the patient's medical record and test results, flipped through them, and then listened to the patient, nodded and said: "You should have coronary heart disease, myocardial ischemia, and now you have occasional chest pain, so I recommend that you be hospitalized."

"It's really coronary heart disease, but this patient was stunned when he heard it, and after thinking about it, he said to Zhang Lide: "Director Zhang" It's too inconvenient to live here with you, I think you can prescribe some medicine for me, I'll go back to our local area for treatment, I don't know if it's okay?" ”

Zhang Lide was not surprised at all by such a request from patients, after all, there were many patients from other places and subordinate counties who came to Xingda University for medical treatment. Nearly 50% of patients do not want to be treated in the 1st Appendix after the disease is confirmed, but want to go back to the local area.

Zhang Lide was very experienced, and immediately nodded and said, "Your disease is still relatively serious, and it is best to treat it in our hospital." You also have to do some relevant tests and go back to your local area for treatment, which is okay, but relatively speaking. Naturally, it's not that kind of insurance" The patient thought for a while, but continued to insist: "Director Zhang, I still want to go back to us for treatment, it is more convenient for the people's hospital near us." As long as the diagnosis is clear, go there for treatment. I don't think it's a big deal,"

"Alright then, this. It's up to you" For such a patient, Zhang Lide naturally would not be reluctant, and immediately waved his pen to record a few strokes in the medical record book, and then handed it to the patient, let him leave, and look good at the next patient.

The patient took the sick book, thanked Zhang Lide for a few words, and then planned to leave At this time, Xu Ze thought about it for a long time, but finally remembered that this patient's situation was very consistent with the manifestation of an extremely serious disease. And Zhang Lide just looked at the blood pressure measured by the nurse on the medical record, and should not have noticed that the blood pressure in the patient's arms has this pulse pressure difference.

Thinking of this, Xu Ze hurriedly anxiously looked at the patient who stood up and was about to leave, and said, "You still have to wait a minute."

The patient heard Xu Ze's scream, but he was stunned. He was first examined by Xu Ze for a long time, but he was impatient with Xu Ze for a long time, and now he was stopped by this kid, but he looked at Xu Ze very impatiently and said, "Doctor, do you have anything else?" ”

Seeing that the patient had stopped, Xu Ze hurried to Zhang Lide's ear and said, "Director Zhang." This patient has a pulse pressure difference in both hands, and the blood pressure in his right arm is only coffee, I think he can

"Twenty differences?" Zhang Lide frowned, and then said with a smile: "Coronary heart patients, some people will have a little pulse pressure difference, this is normal,"

"But," he said, he said. Xu Ze was a little relieved, there was indeed such a situation, but he was still a little uneasy, thought about it, and hurriedly looked at the patient who was standing in front of him, his heart, and at the same time ordered the automatic response system: "Color ultrasound starts." Perform a cardiac ultrasound..."