Tuya is different from those small hospitals that survive on examination fees.

When encountering the examination items that the patient has checked in other hospitals, as long as the hospital is also a tertiary hospital, the patient will basically not be asked to repeat the examination. Unless the doctor feels that the patient's test results are problematic and inaccurate, it is possible to ask the patient to check again.

The purpose of all tests is to diagnose the cause of the disease and cure it.

If it is just to earn examination fees, it will lose medical ethics and easily lose the original meaning of examination.

But there are many ways to look at it.

In some small hospitals, because of the small business volume, the doctors in the department have tasks on their heads, such as how many inpatients to accept this month, how many B-ultrasound to prescribe, and so on. Under the pressure of performance, doctors can only hit the idea of the only few patients who seek treatment in order to survive.

Zhou Can followed Director Xueyan to the corridor.

A temporary bed has been added to this patient, which is already a big benefit.

You must know that cardiothoracic surgery is now hard to find, and many patients who come to see us are forced to sleep on the floor of the waiting hall and corridor. These patients who do not have beds are still in the queuing stage, and they are not able to enjoy the formulation and promotion of medication and surgical plans.

Only when you are hospitalized and go through the hospitalization procedures can you enjoy the care and care of nurses, medication, surgical plan formulation, various monitoring, and so on.

"Mr. Lan, this is Dr. Zhou Can, who specially took the time to come over to consult you."

Director Xueyan introduced Zhou Can's identity to the patient.

The patient was a lad of seventeen or eighteen years old, very young. His face was unusually pale and he was short of breath. These are typical symptoms of heart failure.

Usually, mild heart failure is asymptomatic.

Because in the early stages of impaired heart function, the heart's reserve capacity will help compensate for the damage.

It can be understood that the heart usually works 24 hours a day, and it is actually fishing. At least about forty percent of the spare energy is not used.

It must be cunning and retain its strength.

Because if the owner of the body does not take into account its feelings and eats very salty food, or other foods that will seriously increase the burden on the heart, then the heart will not be exhausted because it retains its spare energy.

There is also the owner of the body to do some violent movements, and when he wants to explode, the heart can also sacrifice his life to accompany the gentleman.

The patient now presents with typical symptoms of heart failure, indicating severe heart failure.

"Hello Doctor Zhou, I came from the imperial capital to see you. Because I have seen several hospitals for my illness, I can't find a specific cause. ”

The patient is very young, but he speaks very imposingly, his eyes are generous, and he is honest, but with an indescribable indifference. The tone is unhurried, very steady, faintly revealing an extraordinary bearing.

Ordinary children, let alone seventeen years old, even twenty-seven years old may not be able to have this extraordinary bearing.

It's like saying that three generations of rich and noble families can learn to dress and eat.

The cultivation of children's temperament is a very complex and long process, which considers the comprehensive strength of a family. It's not that you give him tens of thousands of yuan a month's pocket money to train a child to 'general's demeanor'.

A family without that background, giving a teenage child 50,000 yuan a month's pocket money will most likely only make him feel that the money is too easy, and then make a group of fox friends and dogs, spend all day drinking outside, and do nonsense.

Some fifteen or sixteen-year-old children, whose bodies are not yet fully developed, are more able to play than their old clients.

Prostitution and gambling are free, and they are proficient in everything.

Aren't they all parents who are pampered at the age when their children's minds are still immature, giving a lot of pocket money, and raising him like this?

A truly well-established family will definitely pay great attention to the education of their children.

Since he was a child, he will consciously cultivate his correct three views, increase his knowledge, and instill various philosophies and wisdom in dealing with people.

Such a child is young, has seen the world, and has a mature mind, far surpassing his peers.

He often has multiple shining points, such as being very self-disciplined, calm, being able to distinguish between right and wrong, being able to treat people and things in his own way, and so on.

The young patient in front of me belongs to this kind of particularly excellent teenager.

Don't look at Zhou Can, who is already a very good existence among his peers, but let him compare his state when he was seventeen or eighteen years old with this young man, he is far inferior to the other party.

"Thank you for your trust, I'll check your body first!"

Zhou Can said to him.

"I'm sorry."

The lad was very cooperative.

The middle-aged man standing next to the hospital bed was about thirty years old, his eyes were cold, and he did not speak. This person must be a family member, and it is difficult to say who the patient is.

Zhou Can secretly thought to himself in his heart, the patients who came from the imperial capital seemed to be easy to become nobles!

"How long has it been since you've felt unwell?"

"It seems that since I was 12 years old, I have already felt a little weak. At that time, I wanted to be admitted to a key class, and I read books day and night, did questions, and memorized some hard knowledge points, and often sat in the juvenile library all day. At first, I didn't feel anything, but then about a month later, I felt a little uncomfortable. ”

He thought for a moment before replying earnestly.

"What's the uncomfortable method?"

Zhou Can asked.

The patient is currently 17 years old, close to 18 years old. If the disease started at the age of twelve, it has been five or six years now.

The course of the disease has been very long.

"I can't say it, I just feel very stuffy in my chest, as if there is a big stone pressing on my heart, which makes people's hearts very heavy. Then I just exercise a little more, and I feel out of breath and my face becomes red. In severe cases, the hands and feet may even tremble uncontrollably. ”

The patient's answers were clear, coherent and accurate.

This also provides a good reference for Zhou Can's further diagnosis.

"I really admire you, you can already work so hard for a goal at the age of twelve. At that time, you noticed that you were not feeling well, did you go to the doctor? ”

He genuinely admired this young man.

"Didn't go to the doctor. One is because I am in the critical period of junior high school, I want to be admitted to the key class with my own efforts, and I don't want my family to help me through the back door. And at that time, I thought that as long as I survived the exam, I could relax a little bit, and I would slowly recover. Later, after the exam, I was admitted to the key class of my choice, and after a period of rest, my health improved. Later, as the learning tasks progressively worsened, those symptoms became apparent again. ”

It's really distressing for this hard-working child.

At such a young age, he is so motivated.

Zhou Can felt a burst of shame, when he was twelve or thirteen years old, he was at the most naughty and rebellious stage.

I still remember when I was in junior high school, I wanted to go up and tease and talk to beautiful female classmates.

For a while, he was like the demon king of the world on campus.

There are many times when the head teacher talks to the parents.

Some children are really like natural generals. They are born with the knowledge of striving for what they want and planning their lives reasonably.

"Did you know? At that time, I actually wanted to improve my physical condition by exercising, but as long as I exercised a little more, my body would be very uncomfortable. Once, the school asked us to run a 1,000-meter run, and I had just reached 400 meters when I fainted. It was also from that time onwards that the teachers did not dare to let me participate in too many sports in the physical education class at school. ”

Almost every child runs a kilometer in physical education class, and a girl runs 800 meters.

Children who have physical problems, or who usually lack exercise, are indeed prone to fainting.

However, most people don't faint until they have run a thousand or 800 meters.

The young man fainted after only running 400 meters, indicating that he was in poor physical condition.

"Did you go to the hospital for a check-up at that time?"

"Yes! When my parents heard that I had fainted in a physical education class at school, they immediately took me to the hospital for a check-up. At first, the doctor thought I had a congenital heart condition, but after careful examination, I didn't find any problems. The doctor told me to intensify my exercises, which I could do gradually. There was a time when I did feel a lot better by exercising for more than two hours a day. My parents and elders also used to buy me supplements, but I didn't seem to have much effect when I took them. ”

"Later, by the time I was in the second year of junior high school, the study tasks were already very heavy. I represented my class in many competitions such as Olympiad and painting, and in order to bring glory to my class and school, I had to slowly reduce my training time. When I was in the third year of junior high school, I wanted to take the key high school entrance exam, and I was even busier, and I could spare less than half an hour to exercise every day. Later, the body slowly developed problems again. After being admitted to a key high school, my study tasks are still very heavy, and I was supposed to be a sophomore in high school this year, but I had serious health problems and had to take a break from school for treatment. ”

After listening to this young man's story, Zhou Can really admired this young man.

If this young man's illness can be cured, I believe that in N years, this young man is likely to become a pillar of the country.

"I have been examined in many major hospitals, and the possibility of congenital heart disease has been ruled out?"

Zhou Can asked.

"Yes, they all said that I didn't have congenital heart disease in my heart, but I found heart failure. Initially, it was left heart failure, and then it was followed by right heart failure, which progressed to total heart failure. After a joint consultation with the experts at Imperial Renhe Hospital, my advice was to consider a heart transplant or an artificial heart. My parents thought it was too risky and didn't agree to it. A top cardiologist at Renhe Hospital was a good friend of my father, and he told him that he could let me try it at Tuya Hospital. Your name is also specifically mentioned. ”

These words suddenly made Zhou Can feel a little proud.

Unexpectedly, his fame was even known to the top cardiologists of the Imperial Capital Renhe Hospital.

It's just a live broadcast of the operation, although the operation is indeed very difficult, but in the eyes of the top cardiac experts at the Imperial Capital Renhe Hospital, it shouldn't be nothing, right?

Anyway, Zhou Can is still very happy to be recognized by such a big man.

"I'm actually a very ordinary surgeon at Tuya Hospital."

Humility is modesty, and illness should continue to be investigated.

After checking the patient's heart rate and pulse, he also deliberately listened to the patient's pericardial area sounds. A powerful cardiologist or extracardiologist can diagnose many diseases by auscultating cardiothoracic sounds.

For example, if the aortic valve is not in regurgitation, it is easy to hear a murmur.

Also, pulse and heart rate seem to be the same thing, but in fact, in clinical diagnosis, they still have different meanings.

When the heart rate is irregular or abnormal, some signs can be detected by auscultation.

The pulse helps to understand the working state of the heart, especially the strength of the pumping ability, which will have a more intuitive reflection on the pulse.

For example, the pulse of the patient in front of me is very thin and fast.

In heart failure, it is actually a decline in heart function, and it will have a compensatory mechanism.

It is characterized by a decrease in the ability to eject blood with each contraction. At this time, it needs to increase the heart rate, which increases in the unit time, even if the blood released decreases with each contraction.

However, when the number of heartbeats is increased, sufficient blood output can still be maintained within the unit time, such a compensatory process.

This is why people who develop heart failure can develop tachycardia instead.

The heart works flexibly.

It reduces the amount of blood ejected at one time, which can only be compensated for by increasing the number of times.

"Your body isn't thin, but it's not thin, but it's lacking in muscle. Academics are important, and so is the body. In the future, it will definitely need to be comprehensively weighed and maintain a balance between the two. Otherwise, no matter how good your academic performance is, your body will collapse, and there will be nothing. ”

After Zhou Can finished the examination, he said to the patient.

"Sometimes I can't help it! If you don't fight, you can't do it, because everyone is fighting. It may be that I didn't like sports since I was a child, and my mother had a difficult birth when she gave birth to me, which caused me to be weaker than other peers. ”

The patient smiled bitterly.

Adults don't understand the hardships of teenagers, he doesn't fight, how can he be admitted to key classes? How to get into a key high school?

"Did you bring all the test materials from other hospitals?"

"It's all here!"

The middle-aged man who was accompanying him in front of the hospital bed finally opened his mouth and handed several large information bags to Zhou Can.

When receiving the bag, Zhou Can subconsciously glanced at the middle-aged man's hand.

You can see that the fist parts on the back of the hand are all calluses, and the palms are also covered with calluses.

Masters!

This person is definitely a practitioner.

The middle-aged man's attitude towards Zhou Can was quite cold. may see that Zhou Can is very young, and think that Zhou Can can't have any great skills, so he doesn't value him very much.

Zhou Can looked at the other party's hand, and then stared at the other party's face a few more times.

The middle-aged man's face was slightly gloomy, and he glared at Zhou Can.

"It is recommended that you do a liver test."

Zhou Can said lightly.

The middle-aged man's expression was slightly sluggish, and he hummed noncommittally.

Looking at his attitude, he obviously didn't take Zhou Can's words seriously.

Zhou Can no longer persuaded more, but took out the patient's information and began to carefully examine and study them one by one.

Director Xueyan has always been by her side.

(End of chapter)