Office of the Deputy Director of Emergency Medicine.

"What the hell are you going on!

”

"How many times this month?"

"Do you know how much trouble a misdiagnosis can bring to our department?

”

"Do you still want to do it?!"

Mo Kai's irritable voice kept coming from the office, and the little nurses passing by all looked at each other.

In fact, Mo Kai rarely loses his temper, but this time he was really angry with Sheng Lei.

Not to mention the misdiagnosed cases, I have been late and left early 8 times in this month alone.

If it weren't for Zhang Zhenhua's phone call yesterday, Mo Kai couldn't wait to open it to him immediately!

The reputation of the First House is built by how many people work together, and it must not be ruined because of one person.

"I'm telling you, there's a next time, just pack up your things and fuck me off!

”

The office door opened, and the lively little nurse at the door immediately dispersed.

Sheng Lei walked out of the office with a depressed face, and his mood was also at the bottom.

In the past, he was considered a popular and excellent attending doctor in the emergency department, but since his parents came to Yuncheng from their hometown last month, everything has changed.

His parents both run companies, and he is the only child in the family.

When they were in college, they fought a lot to choose volunteers.

In the end, Sheng Lei secretly applied for the medical university, and then successfully became a doctor.

And the price is that the father and son haven't said a word for five years,

Last month, his parents suddenly came to Yuncheng from his hometown for the purpose of forcing him to resign.

If you don't agree, you will have to come to the hospital to make trouble.

It can be said that this month, Sheng Lei has had a very hard time.

By now, he, too, was starting to waver.

Continuous misdiagnosis, ridicule from colleagues, maybe I am really not suitable to be a doctor anymore.

I returned to the emergency room and a small nurse ran up to me.

"Dr. Sheng, there's a patient in front of you."

Sheng Lei shook his head at this time, "Okay! ”

So I followed the little nurse to the triage table.

The other party was a woman in her thirties, and she was holding a little boy of eight or nine years old in her hand.

The little boy leaned into the woman's arms, and his face was not very good.

Sheng Lei stepped forward and asked, "What's wrong with this parent, is the child uncomfortable?" ”

The woman looked Sheng Lei up and down and noticed the document on the latter's chest.

Sheng Lei, the attending doctor!

So the woman hurriedly said, "Hello Dr. Sheng, please help me take a look at my child." ”

"What's wrong with the kids?"

Sheng Lei touched the little boy's head, and there was no fever.

The woman said, "I was fine when I took piano lessons in the morning, but after class, I said that my stomach hurts, and I think I should be cold!" ”

"Have diarrhea?"

"Well, I went there three times in half an hour."

Sheng Lei nodded, then squatted down and said to the little boy, "Little friend, don't be nervous, let me help you do a check-up, okay?" ”

The little boy didn't speak, and Sheng Lei shrugged his shoulders boringly.

Then he picked up the stethoscope and put it on the little boy's chest and listened for a while.

No anomalies found!

It's just that this face is really a little bad!

"Child, can you tell me what else you are not familiar with except for your stomachache?"

The little boy still didn't speak.

At this time, the woman smiled and said, "That, Dr. Sheng, we will have the Olympiad class and new concepts later, and the time is very tight." ”

"I think he just has a cold, you can help prescribe some gastrointestinal medicine."

Sheng Lei shook his head, "Then how can I do it, I prescribe medicine before the situation is clear, who is to blame if something happens!" ”

"You take the child to have his blood checked first to see if it is food poisoning, preferably in..."

Without waiting for Sheng Lei to finish speaking, the woman was unhappy, "I said what's the matter with you as a doctor, I told you that the child is suffering from a cold, you just prescribe some medicine, you have to check this and that, my child's cram school can't be done!" ”

"Don't think that I don't know the routines of your hospital, no matter what the disease comes up, I will have a set of examinations first, let me tell you, I have a lot of doctor friends, don't try to trick me,

Hurry up and prescribe medicine, our Olympiad class will start in 20 minutes, you know how hard I worked to enroll my child in this class. ”

The woman babbled and quickly attracted the attention of many people.

Sheng Lei looked at the little boy again, although he was still a little worried, but he still nodded, "Okay, okay, the medicine is prescribed for you, you go to the front to pay the fee and get the medicine." ”

"That's pretty much it!"

The woman was on her toes and pulled the little boy to pay the bill.

At this time, the little boy looked up, "Mom, I'm uncomfortable!" ”

The woman reprimanded with a straight face, "You don't give me a whole moth, don't think I don't know what you're thinking,

Let me tell you, all the students in this cram school are students in the experimental class, and the first place in your class, you hurry up and cheer me up to attend class, you can't let me and your dad down, you know..."

And this scene happened to be seen by Li Xiyang, who had just come out of the changing room.

"Dr. Sheng, what's the situation?"

Sheng Lei looked at Li Xiyang, snorted coldly and turned his face away.

He had heard that his misdiagnosed cases were all small reports from Li Xiyang.

Li Xiyang smiled bitterly and shook his head.

However, the little nurse in front of the triage table quietly told me what had just happened.

"Are you cold..."

Li Xiyang looked at the backs of the woman and the boy.

At this time, the virtual light screen in front of him flickered.

[Heart: It's broken, it's broken, my symptoms can't be transmitted, and I definitely can't pay attention to it just because of my stomach]

[Brain: It's over, it's over, I'm only eight years of work and I'm going to be laid off]

Seeing the organ dialogue clearly, Li Xiyang's face changed, "It's not good!" ”

hurriedly chased after the woman.

At this time, the woman was queuing up to get the medicine after paying the fee, Li Xiyang ran to her and said quickly, "Parents, your child may not be cold, hurry up and take him for a checkup!" ”

The woman was stunned for a moment, and then became angry, "Your hospital is interesting, if you don't agree to do the examination, you won't let you go, right?" ”

"I'm not..."

didn't give Li Xiyang a chance to explain, the woman shouted directly at the surroundings, "Come and see, everyone, the hospital is forced to buy and sell, and if you don't agree to do more examinations, you won't let you go!" ”

There happened to be a lot of patients queuing up to buy medicine nearby, and many of them also complained that the medicine was too expensive.

So Li Xiyang instantly became the spearhead, and they reprimanded one after another.

"You, the doctor, have already prescribed all the medicines, and you have asked the family to do an examination."

"What's your name, I'm going to complain about you!"

"Li Xiyang, is he still a resident doctor?"

"Little doctor, you're in trouble!"

“……”

Under the woman's fanning, everyone quickly surrounded Li Xiyang.

Then

"What's the noise!"

Sheng Lei rushed over when he heard the sound, and first apologized to the woman.

Then he reprimanded Li Xiyang loudly, "Whatever your situation, I told you that you were patient No. 92, why did you come here?" ”

When everyone heard it, it turned out that the little doctor had made a mistake.

Although Sheng Lei was unhappy with Li Xiyang's small report on the surface, he knew very well in his heart that Li Xiyang had seen those cases, otherwise he would really be finished when something happened to the patient.

"The Sword Comes"

So when he saw Li Xiyang surrounded by patients, he hurriedly ran over to relieve the siege.

The woman had already believed it.

But Li Xiyang insisted, "Your child is by no means as simple as getting cold, you must do a comprehensive examination as soon as possible." ”

As he spoke, he squatted down and gave the little boy a physical examination.

"What are you doing!"

"I... I must complain to you! ”

The woman was angry, Sheng Lei also stomped his feet, and said in his heart, why is this guy so stubborn.

Can be a second,

"Heart sounds are low, and S4 can be heard."

"Heart rate 100 beats/min, P2>A2."

"The abdomen is flat and soft, and the lower limbs are mildly edema..."

Almost without waiting for Li Xiyang to finish speaking, Sheng Lei's face changed.

But the woman didn't understand this, and was still making a fuss, saying that she wanted to complain.

In the next second, the little boy suddenly fell backwards with a limp.

Li Xiyang hugged him and shouted, "Send it to the rescue room!" ”

The woman's face finally changed, "What's the matter?" ”

"Tong Tong, what's wrong with you, don't scare Mom!"

"Doctor, what's wrong with my son, isn't he just having diarrhea!"

Li Xiyang had already run to the rescue room with the little boy in her arms, but the woman still pulled Sheng Lei and asked over and over again, "Isn't it just diarrhea, what should I do with the Olympiad class in the afternoon?" ”

Sheng Lei's face was gloomy, he was annoyed, when was Du Te's mother, and he was still in the Olympiad class!

But it was obviously impossible to say this, and he said, "Come with me!" ”

……

In the rescue room,

Chen Xu and Su Xintong also followed.

Together, the two put the child on the bed and quickly linked the ECG device.

"Blood drawn."

"Check the full set of biochemistry."

"Measure cardiac enzymes!"

"Hurry, hurry!"

Li Xiyang quickly gave the doctor's order, and the little nurse in the rescue room hurriedly pricked the needle and drew blood and sent it to the examination room.

At this time, the woman hurriedly ran in, and saw the doctor and nurse connecting pieces of wire-like things to the child, and trembled.

"You... What the hell is this doing? ”

"Isn't Tong Tong just having diarrhea, how can he suddenly faint?"

"Doctor, what's wrong with my son, we still have to go to the Olympiad class in the afternoon!"

Chen Xu and Su Xintong glanced at the woman strangely.

Li Xiyang said directly and coldly, "Parents, please go outside and wait, don't affect our rescue!" ”

The woman's body trembled, "Rob... Salvage..."

At the same time, the patient's ECG monitoring connection was completed.

"Didi Didi~"

A series of emergency sirens sounded.

"Not good!"

"Ventricular tachycardia!"

Ventricular tachycardia refers to tachyarrhythmias that occur in bundle branches, myocardial conduction fibers, and ventricular muscles below the bifurcation of the bundle of his bundle, and spontaneous ventricular electrical depolarization activity of 3 or more consecutive episodes.

The frequency of persistent seizures often exceeds 100 times/minute, and may metamorphose into ventricular flutter, ventricular fibrillation, and eventually sudden cardiac death at any time.

Li Xiyang shouted, "Push the defibrillator quickly!" ”

The results of the patient's examination are not yet available. Li Xiyang can't determine what specific disease is through the dialogue of organs for the time being.

But since ventricular fibrillation has come out, eighty percent of it is heart-related diseases.

Everyone in the rescue room acted quickly, and Su Xintong also invited the family members to wait outside the door.

Soon the defibrillator was pushed.

"Scissors!"

Li Xiyang took the scissors and quickly cut the boy's sweater.

"Charge, 100 joules!"

Chen Xu applied the special conductive adhesive to the electrode plate of the defibrillator, and then held the two defibrillators together and rubbed them non-stop.

"Charged!"

Li Xiyang quickly took the defibrillator and shouted to dodge it.

The next second the defibrillator fell on the boy's chest,

"Bang~"

The boy's entire upper body was lifted by the defibrillator's current, and then it fell heavily.

The boy was too young to use the defibrillator multiple times.

Fortunately, after a defibrillation, the patient's heartbeat began to ease and slowly moved closer to the normal range.

Li Xiyang glanced at the electrocardiogram, and immediately turned to Chen Xu and said, "Central venous catheterization, this dopamine." ”

When Chen Xu heard this, he immediately turned around and went to dispense medicine.

Seeing this, Su Xintong also hurried up to help.

Soon the dopamine was prepared and the boy was injected with an instrument.

Li Xiyang then injected the boy with 100 mg of lidocaine.

The boy's physical signs gradually stabilized, but Li Xiyang's tense nerves never relaxed.

At this time, the little nurse who had just sent blood for testing finally returned.

But looking at her anxious look, you know that the situation is not good.

"Doctor Li, the laboratory has reported a critical value!"

Everyone was shocked.

Li Xiyang hurriedly took the test report.

Cardiac troponin I5.843ng/ml,

creatine kinase isoenzyme 14.44ng/ml,

Myoglobin 77.4 ng/ml.

Brain natriuretic peptide 2221.19pg/ml.

Blood lipids: low-density lipoprotein cholesterol 3.52mmol/L.

"Acute myocardial infarction, this is stress myocarditis!"

"What?"

"Such a young child has a myocardial infarction!

”

Stress cardiomyopathy is a cardiomyopathy characterized by transient left ventricular dysfunction.

Because of its apical systolic dysfunction during the attack, it is also known as "broken heart syndrome"!

The reason why this disease is called stress cardiomyopathy is because there are many triggers and stresses, and usually patients are in a state of tension, fear, or anxiety for a long time in their minds and physiology.

Strong psychological or physical stress prior to onset; Symptoms and ECG findings resemble those of acute myocardial infarction.

And the most common people are also adults with great work pressure, or pregnant women who are in a mood of ups and downs.

How could such a young child...

It's too late to imagine,

"Oh no, the patient's blood oxygen is dropping rapidly!"

"Blood pressure has also dropped!"

"The body temperature is rapidly lost, to 36 degrees."

Who would have thought that a patient who had just stabilized would be in danger again.

It's cardiogenic shock!

Damn it!

Everyone was waiting for Li Xiyang's medical order, but Li Xiyang had nothing to do at the moment.

Because the system has not opened the exchange shop yet, it is obvious that it does not want to involve itself in this operation.

Li Xiyang had to shout quickly, "Contact the cardiology department immediately..."

However, before he finished speaking, a voice sounded in the rescue room, "I'll come!" ”

Everyone heard the sound and saw that it was Sheng Lei!

This guy has been in the room since the beginning, but he hasn't made a sound,

So much so that the busy few people didn't notice him at all.

Sheng Lei walked to the hospital bed and looked at Li Xiyang.

He shook his head and sighed softly.

This is the third time!

Why do I always run into this kid every time I miss a diagnosis or misdiagnose it?

O iniquity!

There was helplessness on his face, but Sheng Lei said quickly, "Meperidine 50mg, Valium 10mg intramuscularly." ”

"Nitroglycerin sublingually administered 0.3-0.6mg intravenously!"

"Nitroprusside intravenous drip!"

"Furosemide!"

"Chew aspirin 150mg!"

“……”

As Sheng Lei gave one doctor's order after another, the rescue room was busy again.

When the last furosemide was completed, the patient's comprehensive vital signs miraculously returned to normal values.

"Smack~Slap~"

Suddenly, a light applause sounded,

Sheng Lei looked up at Li Xiyang in a daze.

Followed by more and more applause, Chen Xu shouted even more.

"Dr. Sheng is awesome!"

"Idol!"

"Adore you!"

For a while, everyone cheered and applauded Sheng Lei.

Sheng Lei looked at all this in a daze, and at this moment he had an answer in his heart.