Chapter 386: The cheap sister-in-law came to see a doctor

Ruan Liuzheng was also tired and soon fell asleep.

Zhao Heng also let go of the little movement in his heart, continued to sort out the information, the office became quiet again, and the time passed minute by minute.

In terms of Zhao Heng's current physical fitness, even if he sorts out an all-night message, he won't be tired.

In this way, at three o'clock in the morning, Ruan Liuzheng woke up, and she felt like she had slept for a long time.

She opened her eyes, rubbed them, sat up, and saw that Zhao Heng was still concentrating on the information, and couldn't help but admire it a little in her heart.

Sure enough, people who can have such achievements at this age spend far more time and energy than ordinary people.

"Awake? Go to sleep in the duty room. ”

Zhao Heng saw that Ruan Liuzheng had woken up, so he said.

He can stay up all night and go to work tomorrow, but Ruan Liuzheng definitely can't.

"Teacher, I slept for a while, and I wasn't sleepy."

Ruan Liuzheng said.

To say that this sleep, in fact, the sleep time that can best replenish physical strength is after the child hour, that is, 23:00-1:00, from the perspective of traditional Chinese medicine, at this point in time, the gallbladder meridian is the most prosperous.

At this time, it is the most suitable time for rest, the sub-hour is the darkest time of the day, and the yang energy begins to grow, which is explained by modern science, and it is at this time that the magnetic field caused by the position of the sun and the moon is the most suitable for the human body.

There is a sentence in the "Yellow Emperor's Neijing" called "All eleven Tibets are taken from the gall", depending on the germination of the gall, the gall is generated, and the whole body qi and blood can follow it.

And ugly time, that is, 1:00-3:00, at this time, the liver meridian is the most vigorous, if you do not fall asleep at this time, the liver is still outputting energy to support people's thinking and action, it will not be able to complete the metabolism, so people who have not fallen asleep before the ugly time are easy to turn gray, emotional fatigue and irritability, and are prone to liver disease.

During sleep, the internal organs will be detoxified at different times, and the metabolism of the liver is the most vigorous at the beginning of the hour, and if you miss the golden time of sleep for a long time, sleep disorders will occur, resulting in disorders in the body.

Those who often like nightlife or have to work overtime are the precursors of disease and aging, even if they go to bed late and wake up late, it looks like they have slept enough for 8 hours, so it is still harmful to the human body.

Therefore, the time when Ruan Liuzheng sleeps is basically the most suitable time of the day for sleep, and many scientists, in order to have more time to conduct scientific research, are to carry out segmented sleep and deep sleep, that is, to sleep for 4 to 8 hours a day.

"I'm almost done, I have to go to work tomorrow, let's go rest."

Zhao Heng said with a slight smile.

Ruan Liuzheng saw that Zhao Heng said this, so he stood up and folded the blanket.

After a while, Ruan Liuzheng came to the female doctor's duty room, at this time, the affairs of the ward had been almost dealt with, and Liu Meng also returned to the duty room and was simply washing.

Seeing Ruan Liuzheng coming in, Liu Meng said with some surprise: "Zhengzheng, I thought you were going back." ”

"I didn't go back, I was sorting out the materials in the teacher's office, and I slept for a while when I was too sleepy before I got up."

In the face of Liu Meng, Ruan Liuzheng didn't need to keep anything.

After all, in this ward, the person who has the best relationship with Ruan Liuzheng is Liu Meng, the senior sister.

"You slept in the director's office for a while?"

Liu Meng, who had already washed his face and was sitting and applying skin care products to his face, couldn't help but widen his eyes when he heard Ruan Liuzheng's words.

That's too fast, isn't it?

This elementary school girl is very simple!

"Senior sister, it's not what you think. It was the teacher who saw that I was tired and asked me to lie on the sofa for a while, and nothing else. ”

Ruan Liuzheng explained with a slightly red face.

If he didn't explain, Liu Meng thought there was something.

"It doesn't matter if there's anything, it's just that the director is so good to you, it's really a bit unexpected to me, but it's not surprising, after all, the director is still young and normal."

The information revealed by Ruan Liuzheng was very large, and Liu Meng couldn't help but smack it.

"Senior sister, then me.

Hearing Liu Meng say this, Ruan Liuzheng felt a little confused in his heart.

"You should be a good student, it is true to learn real skills, and you should not think too much about the rest."

"Even if it's something, just let it be."

Liu dreamed and said.

"Huh?"

Liu Meng's statement was a bit unexpected by Ruan Liuzheng.

"Things are out of your control, you can't decide anything, you want to do so much, you just need to know a little, follow the director, for you, it is a very good opportunity, it is what others dream of, and that's enough."

Liu Meng tried her best to be very tactful, she knew that although Ruan Liuzheng was very smart, she still didn't see it thoroughly in many things.

As the saying goes, a thousand birds are in the forest, and it is better to have a bird in hand.

The knowledge, technology, and experience learned can be admitted to the hospital, which is the most practical thing in Liu Meng's view.

As for the rest, things between adults, just let it be, in this era, especially in a place like a hospital where the work pressure is extremely huge, Liu dreams too much.

"Senior sister, you're right."

Ruan Liuzheng nodded, what Liu Meng said was very practical, and she also understood.

The most important thing at the moment is to improve yourself, win a place in the hospital, and let the rest take its course.

Besides, maybe it's just that she's thinking a little too much about herself.

Next.

Eight forty a.m.

At this time, Zhao Heng had already finished the morning meeting in the office and began to make rounds.

Now that Zhao Heng is doing ward rounds, he asks more questions than before, and of course, now he is a much better performer for further study, regular training and interns.

After all, Ruan Liuzheng is an example in the past, and now these trainees, regular training and interns, they are still very motivated to learn, after all, they can still see hope.

After checking the room, Zhao Heng returned to the deputy director's office, and as soon as he sat down, he saw two people coming in the office.

Zhao Heng saw that it was Xu Manni and Xu Hongdou sisters.

Why did Xu Hongdou come?

Zhao Heng felt a little strange.

"Brother-in-law, this is your office? That's pretty good! ”

"Huh? And this is a coffee machine? ”

As soon as Xu Hongdou entered the office, he looked left and right, looking very curious.

"Brother-in-law, can I use this coffee machine? I stayed up late last night, and this will just be a little sleepy. ”

After a pause, Xu Hongdou looked at Zhao Heng and asked.

Although her personality is a very straightforward type, this is someone's office, other people's things, so naturally you still have to ask politely.

"The coffee beans are in the cupboard."

Zhao Heng nodded slightly.

This Xu red bean, there is naturally a rare innocence on the body, giving people a very natural feeling, which is very rare in adults, only in people who have been protected since childhood, can give people such a feeling.

Therefore, Zhao Heng still has a good impression of this cheap sister-in-law.

"Did you stay up all night again last night?"

Xu Manni stepped forward and saw Zhao Heng's somewhat tired appearance and reddish eyes, and couldn't help but say with some distress.

"I didn't stay up all night, I went to bed at four o'clock."

Zhao Heng said with a slight smile.

"Why do you two sisters have time to come to me?"

After a pause, Zhao Heng asked again.

"Red Beans have felt a little tightness in the chest in the past two days, I'll bring it over for you to see."

Xu Manni said.

Now Zhao Heng's level can be said to be the culmination of the elders of various disciplines in the East Hospital, although it feels incredible, but this is now recognized by everyone, and Xu Manni naturally knows this, so she directly brought Xu Hongdou to Zhao Heng.

"Chest tightness? Sit down and talk. ”

Zhao Heng was slightly surprised, this Xu Hongdou is at most twenty-six or seventeen, and if his chest is tight, it may be a little too early.

Chest tightness is a very common subjective feeling in clinical practice, although it is said that children and young people can also have chest tightness, but it is generally more common and more frequent in middle-aged and elderly people.

There are many causes of chest tightness, and according to different causes, chest tightness can be divided into functional chest tightness and pathological chest tightness.

Among them, functional chest tightness is the chest tightness caused by the exclusion of disease factors, such as transient chest tightness when mood swings are violent.

Pathological chest tightness is caused by internal diseases, such as heart diseases and lung diseases.

"Red Bean, come and sit down."

"Don't you have chest tightness, don't drink coffee now."

Xu Manni saw that Xu Hongdou had already taken out the coffee beans in the cabinet and was about to start making coffee, and said helplessly.

This coffee, some people with a physical constitution, after drinking it, will have symptoms such as palpitation.

The main ingredient of this coffee is caffeine, caffeine will stimulate the sympathetic nervous system, and also excite the central nervous system.

And Xu Hongdou is now experiencing chest tightness, which is likely to be related to the heart rhythm, so at this time, you can't drink coffee.

What's more, hand-ground coffee will have a higher caffeine content.

"Brother-in-law, can't you really drink it?"

Hearing Xu Manni's words, Xu Hongdou couldn't help but ask Zhao Heng.

"Since your chest is tight, check it first, and don't drink it now."

Zhao Heng nodded and said.

"That's okay."

Xu Hongdou said with a little disappointment.

Soon, Xu Hongdou sat down, and Zhao Heng officially began to consult Xu Hongdou.

"How long has the chest tightened been there? How long does each one last? ”

Zhao Heng looked at Xu Hongdou and felt that her face seemed to be a little bad, so he began to ask for a consultation.

"It only appeared in the last week, but I was a little tight, I couldn't breathe, and I had a short attack every time, and then I got better."

Xu Hongdou thought for a moment and said.

In fact, she is not as calm and calm as she appears on the surface, after all, she is still young, and she has chest tightness and shortness of breath, a problem that only middle-aged and elderly people can have.

Moreover, she searched a little on Baidu, and the one she said was scary, so she looked for Xu Manni and asked Xu Manni to take her to Zhao Heng, a young husband who is said to have very superb medical skills.

"Have you had pneumonia before?"

Zhao Heng decided to rule out the sequelae of pneumonia first, after all, many people have had pneumonia, but they are not thorough, leaving sequelae, causing permanent damage to lung function, and this situation often causes chest tightness and shortness of breath.

"Nope."

Xu Manni shook her head.

"Are you still feeling tight?"

Zhao Heng asked again.

"Well, a little."

Xu Hongdou nodded.

Zhao Heng took out the stethoscope and decided to listen to the condition of Xu Hongdou's lungs and heart first, although it was said that he could directly do imaging examinations of the lungs and heart, but Zhao Heng was different from other doctors, every time he saw a doctor, he would first do a very detailed physical examination.

If the physical examination is done well, it will play a great role in the consultation, and the level of some doctors cannot be improved, because they rely too much on the instrument examination.

Because whether it is CT or MRI, the radiographer will give an imaging diagnosis, and some doctors rely on this diagnosis very much, and even treat it according to the imaging diagnosis.

In fact, this is very undesirable, after all, the diagnosis of imaging doctors is not 100% accurate.

Many problems detected during physical examination may not be detected by imaging.

Seeing that Zhao Heng was going to take a stethoscope to his own auscultation, Xu Hongdou's face was slightly red, but he didn't say anything, because this was a very normal consultation and physical examination.

Zhao Heng didn't care about this, picked up the stethoscope, found the auscultation position, and began auscultation.

The first auscultation is the heart, and one auscultation area of the heart is the mitral valve auscultation area, which is the strongest point of the apical beat, that is, the left fifth intercostal space.

So how to find the location of this fifth rib?

The fifth rib is generally at the position of the two standard points.

Zhao Heng and Xu Manni, as professional medical workers, naturally did not have any other ideas about the very routine medical operation of stethoscope auscultation.

But Xu Hongdou, as an ordinary person, blushed a little at this time.

Because in the process of auscultation, the stethoscope inevitably has to touch the standard point, and it is Zhao Heng's hand that holds the stethoscope.

Therefore, this process will inevitably be a little rubbing.

Next, Zhao Heng listened to all the five auscultation areas of the heart and the six positions of the lung auscultation.

"How? Brother-in-law? Do I have any questions? ”

Seeing that Zhao Heng stopped his movements and frowned slightly, Xu Hongdou asked very nervously.

"There was nothing wrong with the auscultation of the heart and lungs."

Zhao Heng shook his head slightly.

"If there is no problem, have you been too tired lately? Is chest tightness and shortness of breath caused by exhaustion? ”

Xu Manni said.

"Tired? I haven't been doing anything lately, have I? ”

Xu Hongdou couldn't help but say.

"Would you like to get it checked?"

Xu Manni asked Zhao Heng's opinion and said.

"There is nothing wrong with auscultation, there is no murmur at all, and there is no need to do an examination."

Zhao Heng shook his head slightly.

At this time, Zhao Heng saw Xu Hongdou, who had just sat down for a short while, and began to sweat.

Although it is the height of summer, in Zhao Heng's office, the air conditioner is turned on very sufficiently, and it stands to reason that he should not sweat so quickly.

Thinking of Xu Hongdou's chest tightness and shortness of breath, Zhao Heng had a guess in his heart.