Chapter 220: Reminder
The patient had already come to his senses at this time, and Hou Bo and Qin Feng worked together to communicate with the patient and his family.
Communication between doctors and patients is very important, and a lot of important information is obtained from the conversation.
Tao Le listened quietly on the sidelines.
The patient is conscious, and his calculation and memory are very normal.
He has a history of hypertension for five years, and his blood pressure peaked at 200/120mmHG, and he has been taking medication to control it at the current level.
Two years ago, due to chest tightness and shortness of breath, I had coronary angiography at Youai Hospital and was diagnosed with coronary atherosclerotic heart disease, without any treatment.
No previous diabetes, kidney disease, liver disease, tuberculosis, drug or food allergies.
Since the disease, the gastrointestinal function has not been affected, and the appetite has been quite good.
This is the end of the communication. Seeing that Hou Bo and Qin Feng were about to leave, Tao Le interjected and asked:
"Has the patient had hyperthyroidism before?"
"Nope." The patient and Xiong Wenfa denied it at the same time.
Tao Le nodded, sure enough, he didn't know.
She went out with Hou Bo and Qin Feng, deliberately one step behind, and pulled Qin Feng by the hand.
"Senior Brother Qin." She whispered: "The patient was admitted to the hospital, has he checked the five items of nail merit?" ”
"No, what's wrong?" Qin Feng was a little strange.
Based on the symptoms of this patient when he was admitted to the hospital, as well as their judgment of the condition, the tests he ordered were sufficient, and there was no need to do an additional five items of nail skill.
What's more, patients and their families have denied past medical history.
"Let's look it up." Tao Le reminded: "Maybe even the patient himself doesn't know that he has hyperthyroidism? ”
"This, okay." Although it is an indicator that can be checked or not, since the little junior sister thinks it is necessary, there is no need for him to insist on it.
Moreover, patients have common symptoms of hyperthyroidism, such as palpitations, shortness of breath, and arrhythmias, but they are similar to the symptoms of coronary atherosclerosis, so no one thinks about it.
Qin Feng remembered the patient's body shape again. Although his son was not tall, he was stocky and heavy, and he was as close as his surname, but his father was lean and lean.
The patient has no gastrointestinal diseases, as I said just now, he has a good appetite, and he can eat two big steamed buns in one meal - there is really no reason to be so thin, unless he has hyperthyroidism, he eats a lot, but he consumes quickly, and he can't get fat.
Sizzle~~ Thinking about it this way, the reminder of the little junior sister is quite reasonable!
For this disease, carotid endarterectomy is required, and general anesthesia is required.
Before general anesthesia, anesthesia evaluation is done normally, and the five items of thyroid function are not necessary.
For example, if this patient really has hyperthyroidism and has not been treated and controlled in advance, it is very easy to cause hyperthyroid crisis during surgery, which can lead to cardiac arrest and life-threatening in severe cases.
The more Qin Feng thought about it, the more worried he became, so he immediately placed a checklist, and then thanked Tao Le sincerely:
"Thank you, junior sister, for the reminder. If it really misses the test, and then there is a problem on stage, it will be too dangerous. ”
Tao Le put his mind at ease, waved his hand again and again, and said: "I'm just guessing, not necessarily accurate, maybe the patient spent money in vain, you can't blame me when the time comes." ”
She's in a good mood. In his previous life, the patient did not step off the operating table because he did not detect and control hyperthyroidism in time.
Now that I have my own reminder, I think I will soon be able to find out the problem and prescribe the right medicine, and the patient will definitely not continue the fate of the previous life.
Tao Le did not follow Hou Bo and them back to the office to see the results of the examination that had come out, but directly said goodbye and left.
It was almost ten o'clock now, and Hou Bo and Qin Feng didn't think about keeping her.
Tao Le went back to Room 719 first and called Xiong Wenfa out.
"Hello family, in order to better take care of the patient, I want to talk to you and learn more about the situation, is it convenient?" She made an excuse.
"Of course." Xiong Wenfa noticed this little girl just now, she came with Director Hou, and she must also be a doctor in the first hospital.
"Do you always accompany you, or do you have someone else in the family to replace you?"
"I guess it's always been me." Xiong Wenfa was a little helpless.
"And your wife and children?" Tao Le asked casually.
"My wife is in very poor health, she is sick in bed all the year round, and her children are still studying."
"Oh? I don't know what disease your wife has? "Tao Le has always wanted to ask this question.
"Chronic glomerulonephritis, it's been seven or eight years." Xiong Wenfa shook his head, his mood quite heavy.
It turned out to be this disease. The disease is often accompanied by edema, proteinuria, and hematuria, and may slowly progress to kidney failure.
In the view of Western medicine, glomerulonephritis is incurable, and can only be slowed down by hormonal and immunosuppressant treatment.
But Chinese medicine can cure it slowly and gently.
In the treatment of chronic kidney disease, TCM treatment has great advantages in both past and present lives.
Tao Le thought about it, and then said a few more words: "Then how is your wife's condition under control now?" ”
"Not so good." Xiong Wenfa's face became solemn: "Blood pressure began to rise, and his feet were even more swollen." ”
Increased blood pressure, increased edema? This shows that nephritis is about to enter the terminal stage, and if it continues to develop, it will be necessary to rely on hemodialysis to maintain life.
"Have you ever seen a Chinese medicine doctor?" Tao Le asked.
"Nope. My wife often sees a doctor and says that Chinese medicine can't cure it, so we haven't been there. ”
Tao Le gave birth to a ball of fire in his heart. Indeed, there are still many Western doctors who are quite resistant to Chinese medicine.
However, because of personal bias, it is not good for patients to seek medical treatment.
"This disease has dragged on until now, and it is really difficult to treat. But Chinese medicine can still be cured, do you want to try it? Tao Le persuaded.
"Let's think about it." Xiong Wenfa said. It can be seen that he is not interested in this topic.
In fact, the people in the company also told him that they were hiring an excellent doctor for his wife, but it would take a little time, so Xiong Wenfa would naturally not be fooled by a little girl.
"Okay, then you can find me when you think about it." Tao Le handed him a note with a phone number written on it.
"By the way, you came to accompany the elderly, and your wife is not in good health, what about the children at home?" She got to the point.
This was too taken for granted, and Tao Le hurriedly added: "I inferred from your age, at this age, the child should be in middle school, right?" ”
"Indeed, my daughter is in her third year of junior high school this year." Xiong Wenfa didn't think much about it. As soon as he mentioned his daughter, his heart had to be soft, and he had a smile on his face.
"Then forgive me for taking the liberty of asking, is there anyone to pick up such a big girl to and from school?"
"The school is not far from home, and she has never let us pick up and drop us off since she went to junior high school, and she has always gone by herself."
"I don't mean anything else, I'm just a little worried. For girls in the flower season, parents still have to worry about it, and they can't try to save trouble. ”
Xiong Wenfa could feel that the female doctor in front of him was sincerely worried about his daughter.
"This is indeed my negligence, thank you for the reminder." He thanked solemnly: "I will find a way to find someone to pick her up." ”
When he said this, the face of poker suddenly appeared in his mind.
He has seen the cooking and organizing skills of poker, and hopes that his strength in accompanying children is as strong as the president of Dark Hung has shown.