"Section Chief Xiao Wu, this is an old problem for me, and I don't necessarily have to commit it when. It's not a big deal, just rest and rest. Wang Chengfa said weakly, "You don't need to be hospitalized, as long as it doesn't get worse." ”

Wang Quan frowned and said, "Are you the director or professor of the Medical University? Do you care so much? Do you think it's Bajingzi? Even Bajingzi can't take your turn to speak." ”

Wu Mian was slightly stunned, he just asked normally, why is it the same as stepping on a cat's tail.

He glanced at the ECG monitoring at Wang Chengfa's bedside, and the ECG oscilloscope I, aVL, and V1-V6 were arched dorsally upward elevation and T wave inversion, and ST-segment downward oblique depression in leads II, III, and aVF.

The more typical STEMI is ST-elevation myocardial infarction.

The old man is so sick, how can he still have the heart to play with his mobile phone? And his temper is like a powder keg, just a little bit.

Wu Mian glanced at Wang Quan deeply, and was just about to turn around, when suddenly the next waveform changed significantly, and the ST segment change disappeared.

However, in the next band, the ST elevation continued.

Wu Mian's eyes were empty, time seemed to stand still, panning forward, and all the details of the room passed back in his mind.

Within 5.62 seconds of the ST segment returning to normal, what had happened was repeated as far as the eye could see.

In Wu Mian's clear gaze, there was a faint light flickering, and in just a moment, Wu Mian thought of what had happened.

No wonder Wang Quan is not nervous, or maybe he is not nervous if he has a real heart attack.

The corners of Wu Mian's mouth rose, and he said to Dean Xue, "Dean Xue, this is the old director of our general surgery, you see that the ST section is fluttering a small flag, it is really inappropriate not to be hospitalized." ”

Director Ma of the Medical Department said with a smile, "I will ask about the situation, if Director Wang insists on not being hospitalized, we can't force him to be hospitalized." ”

Wang Quan was just about to speak, but Wang Chengfa blocked it with a quilt and touched his leg. glared at Wang Quan viciously, and motioned to him not to cause trouble.

Wang Quan didn't care about Wu Mian at all, he was tired of hearing it since he was a child, and he really wanted to go up and kick him when he saw him standing in front of him. The old man is timid, just like the little Humpty Dumpty just said, if he doesn't agree to be hospitalized, can he still be tied up to live?

Just kidding, they dare!

The director of the emergency department said on the side, "The patient was observed yesterday, and the electrocardiogram was changed, but the four items of myored troponin and cardiac enzymes did not change, and the patient and his family resolutely refused to be hospitalized, so I agreed to observe it temporarily during the ward rounds in the morning." ”

"Did you review it today?" Wu Mian asked with concern.

The patient said that there was no need for a re-examination, indicating that he was responsible for all the consequences and had already signed. The director of the emergency department hurriedly said.

He quickly recalled the matter from the beginning, and there should be nothing missing in his diagnosis and treatment except for the echocardiography. The strangest thing is the relationship between Mr. Wu and the patient in front of him, how abnormal it is.

"What is the significance of diagnosing myocardial infarction by echocardiography?" Wu Mian suddenly asked.

The director of the emergency department subconsciously replied, "In acute myocardial infarction, due to the loss of myocardial function, the two-dimensional echocardiography shows the segmental disappearance or even contradiction of the corresponding ventricular wall......"

Speaking of this, he was stunned for a moment, and then smiled bitterly.

Teacher Wu's aura is so big, how can he feel like a professor with a ward round, and he will ask questions at any time.

Forget it, don't care what the relationship is, since Mr. Wu raised objections, let's make one.

Dean Xue stood aside, and he didn't understand what Wu Mian was going to do.

Director Ma frowned and glanced coldly at the director of the emergency department.

The ECG is a typical ST-segment elevation myocardial infarction, but the patient's family members are like taking a drug, and the conversation is called a rush. They also refuse to be hospitalized, and if it is an ordinary patient, it is generally the rhythm of death.

And looking at the patient's son like that, I am afraid that I still hope that the patient will die quickly, so that the hospital will lose money in a lawsuit.

It's not that if you sign a refusal to be hospitalized, the hospital will be completely exempt, there are too many things involved. Every year, because of similar things, medical disputes, doctor-patient conflicts, and even medical injuries occur in an endless stream.

Director Ma walked up to the director of the emergency department and said in a cold voice, "Improve the relevant examinations, and if the patient still does not agree to be hospitalized, ask the medical department to leave imaging data." ”

Director Ma believes that Wu Mian is a subtle reminder that the patient in front of him and his family are likely to cause a medical dispute.

The director of the emergency department also thought of this, he walked to the bed with a serious expression, stretched out his hand and made a gesture, and the nurse next to him immediately pushed the emergency department bedside echocardiography machine over.

Wu Mian watched interestingly, the quality of the emergency department of the sophomore medical college is okay, just that action just now, the nurse understood that it takes countless rescues to accumulate this tacit cooperation.

"What are you going to do!" Wang Quan shouted unhappily when he saw the machine pushing over.

"This is the hospital, it's the emergency department, you be quiet. The director of the emergency department said very seriously, "Many of them are elderly patients, if it really induces a heart attack, can you afford to be responsible?"

Wang Quan squinted at the director of the emergency department, his voice was a little quieter, but a little more unruly.

"What are you doing here? What did you do to do the test? I told you, I have no money! It's all from the medical system, why do you want to lie to me?"

"Shut up!" Wang Chengfa hurriedly stopped Wang Quan.

You can be a little arrogant in Bajingzi Traditional Chinese Medicine Hospital, but this is the second year of medical college! If you are too arrogant, how will you mix in this area in the future.

This time he was sick and faked, Wang Chengfa knew it in his heart, and he didn't dare to find an acquaintance. When he was young, he had a physical examination in Bajingzi Traditional Chinese Medicine Hospital, and the electrocardiogram fluttered a small flag, which scared him at the time. Later, I went to the city to memorize a 24-hour ECG, and gradually discovered a strange pattern.

It is precisely because of this that Wang Chengfa is not afraid at all.

Pretending to be sick can pretend to be like this, even if he is the king of heaven, Lao Tzu will not be able to find out. Wu Mian, that little cub, wants to make trouble for himself, and he must not give him an excuse.

Wang Chengfa thought a lot, but he forgot what Wang Quan said and did, selectively lost his memory, and directly determined the matter with Wu Mian looking for trouble.

"It doesn't cost anything. The director of the emergency department said, "I'll do it, if the echocardiogram is okay, we can all rest assured." ”

"Alas, trouble the director. After Wang Chengfa stopped Wang Quan, he returned to a weak state, the corners of his eyes drooped, and said, "I can't tell what the problem is, it's just that I feel uncomfortable all over my body, and my heart has changed." I did a lot of echocardiography, but I didn't find any problems. ”

"The child is also in a hurry, don't mind. Wang Chengfa said, glancing at Wu Mian from the corner of his eye.

Wu Mian was talking to Dean Xue, looking very relaxed.

Strange, Wang Chengfa couldn't figure out what Wu Mian was going to do.