I can see health
Chapter 500 Immortal Life
Chapter 500 Immortal Life
Lu Chen and the nurse safely pushed the bed into the operating room, and their task was successfully completed.
However, when he returned to the CCU ward, Lu Chen's night shift journey officially began.
……
"Junior brother, the patient is here, and it's your turn to accept him again."
As soon as he returned to the CCU ward, Liu Han said to Lu Chen.
Lu Chen was still planning to take a break, but upon hearing this, he had no choice but to hold a stethoscope and prepare to see a doctor.
"Brother, do you want me to help you?" Liu Han smiled, "You just pushed the patient to the operating room, are you tired?"
"No, thank you, Senior Sister." Lu Chen refused with a smile, "You have all accepted the patients, so I won't bother you."
"Well, if you need help, just call me."
"it is good."
Lu Chen came to the gate of CCU.
An old man in his 70s was lying on the bed. He was thin, with deep wrinkles on his forehead, and his feet were slightly bent on the bed.
The slightly painful expression on his face showed that the old man's current condition is not very good.
"The patient's chest pain lasted for a month, and it worsened for one day." Huang Hanlin had already asked about the medical history. "Since he had a history of acute myocardial infarction and had two stents placed, the possibility of another myocardial infarction cannot be ruled out if he considers the onset of angina pectoris this time."
While doing a physical examination on the patient, Lu Chen recorded the patient's past medical history information.
The patient suffered from acute myocardial infarction three years ago, and because he was sent to the hospital in a timely manner, he recovered and was discharged soon.
However, Lu Chen noticed a very strange point. After the patient had a myocardial infarction with a stent three years ago, he stopped all medications within one month after being discharged from the hospital.
Patients with coronary heart disease, especially those with myocardial infarction with stents, need to take anti-platelet, lipid-lowering, and ventricular remodeling drugs for life.
These include aspirin, clopidogrel, or ticagrelor.
However, Lu Chen opened the medicine bag held by the patient's family members. In addition to Sanqi tablets, it was Danshen tablets.
"Hey, it's really a big trouble to stop the medicine without permission." Huang Hanlin shook his head slightly.
"Doctor, I can't control my dad at home." The patient's family member is the grandpa's daughter, and she looked helpless, "The doctor in the hospital told me many times before that the medicine must not be stopped. After leaving the hospital, I will take the medicine for life. He said countless times to let him take medicine, he took it for a month, and then stopped, no matter what, he just didn’t take it!”
At this time, the old man was lying on the bed, still looking indifferent.
Unauthorized drug withdrawal is extremely detrimental to the prognosis of patients with myocardial infarction stents. On the other hand, it also shows that such patients have poor compliance and are extremely difficult to manage.
In the hospital, it is not terrible to be critically ill. The most terrible thing is poor compliance. It is difficult for such patients to communicate and treat them.
"Go ahead, let's talk after the examination." Huang Hanlin could only admit the patient to the hospital first, "The family members are waiting outside. If there is any problem, I will communicate with you in time."
……
Lu Chen pushed the bed into the CCU.
Just now Huang Hanlin simply asked about the medical history, but now Lu Chen wants to ask more carefully.
"Master, is your chest pain this time the same as the chest pain of the last myocardial infarction?" Lu Chen said, "For example, is there any difference in the severity and duration of the chest pain?"
Inquiring about the degree and nature of chest pain is mainly to preliminarily judge whether the patient has the possibility of another myocardial infarction.
If the symptoms of chest pain are similar, or the symptoms are aggravated, it is very likely to have another myocardial infarction.
If the chest pain is milder than before, it may be just an angina attack, which has not yet reached the level of myocardial infarction.
"This, it's different!" The old man thought for a while, then shook his head slightly, "The heart attack three years ago was a heartbreaking pain, and I felt like I was going to die. I feel a little pain. If my daughter didn't insist on me coming to the hospital, I really wouldn't come."
Three years ago, the old man, who was only 67 years old at the time, was hospitalized for sudden acute inferior wall myocardial infarction.
At that time, he was sent to Jinghua Second Hospital for treatment. An emergency coronary angiography found that the middle and distal right coronary artery was blocked. After the balloon was expanded, two drug stents were placed, and the remaining arteries of the heart were still 30-50% narrow.
"Master, you should have taken aspirin before?" Lu Chen asked suspiciously.
"I've eaten." The old man sat up, and it seemed that after a short rest and medication, most of his chest pain symptoms had been relieved.
"Then why don't you eat now?"
"That medicine, I won't take it after taking it for a month." The old man said nonchalantly, "What kind of aspirin? It's all western medicine. Western medicine can't be taken for a long time!"
"The side effects are very serious. There is an old lady in the yard of our community who also has a heart attack. After taking these medicines for a long time, she suffered from stomach bleeding!"
"Doctor, you said you can still take this western medicine?"
Hearing this, Lu Chen was quite helpless.
Antiplatelet drugs do have side effects, the most common of which is bleeding, such as stomach bleeding and gum bleeding.
However, the advantages far outweigh the disadvantages!
Not taking medicine because of side effects is tantamount to giving up food because of pharynx.
Looking at the life value of 62 (——) on the old man's head, Lu Chen wanted to continue to advise, but he didn't listen at all, and didn't even give Lu Chen a chance to speak, he just talked on his own.
"Doctor, let me tell you, a few old friends around me are sitting and chatting together, and they all think that it is best not to take western medicine for coronary heart disease. The secret recipe to cure coronary heart disease. I am taking these medicines now!"
Lu Chen shook his head helplessly.
Good guy, such stubborn little old men still get together!
Maybe it's hard to find a bosom friend, and the old man who didn't want to take medicine thought they were right.
From then on, he simply took Panax notoginseng and Salvia miltiorrhiza, etc., and still had a pack of cigarettes a day, and lived a comfortable life without taking drugs...
Maybe this is what the old man had in mind, the life of a fairy?
Lu Chen sighed in his heart, what can we do?
Family members can't persuade him, how can he, a little doctor, persuade him?
……
Go back to the doctor's office.
Seeing Lu Chen's helpless expression, Liu Han asked, "Junior Brother, what's wrong with you?"
Lu Chen briefly told about the old man.
"Hey, there are many such patients." Liu Han said, "When you are young, you are self-willed, but when you are old, you think you can still do it. Actually, I shouldn't say something. He is afraid. If he can realize the seriousness of his condition, he will probably be able to finish eating."
Lu Chen didn't think so.
The old man himself said that when he had a heart attack last time, he felt like he was dying.
Lu Chen doesn't know what the feeling of dying is like, but it must be a very hopeless feeling.
In this way, the old man cannot be allowed to take medicine, let alone other situations.
(End of this chapter)
Lu Chen and the nurse safely pushed the bed into the operating room, and their task was successfully completed.
However, when he returned to the CCU ward, Lu Chen's night shift journey officially began.
……
"Junior brother, the patient is here, and it's your turn to accept him again."
As soon as he returned to the CCU ward, Liu Han said to Lu Chen.
Lu Chen was still planning to take a break, but upon hearing this, he had no choice but to hold a stethoscope and prepare to see a doctor.
"Brother, do you want me to help you?" Liu Han smiled, "You just pushed the patient to the operating room, are you tired?"
"No, thank you, Senior Sister." Lu Chen refused with a smile, "You have all accepted the patients, so I won't bother you."
"Well, if you need help, just call me."
"it is good."
Lu Chen came to the gate of CCU.
An old man in his 70s was lying on the bed. He was thin, with deep wrinkles on his forehead, and his feet were slightly bent on the bed.
The slightly painful expression on his face showed that the old man's current condition is not very good.
"The patient's chest pain lasted for a month, and it worsened for one day." Huang Hanlin had already asked about the medical history. "Since he had a history of acute myocardial infarction and had two stents placed, the possibility of another myocardial infarction cannot be ruled out if he considers the onset of angina pectoris this time."
While doing a physical examination on the patient, Lu Chen recorded the patient's past medical history information.
The patient suffered from acute myocardial infarction three years ago, and because he was sent to the hospital in a timely manner, he recovered and was discharged soon.
However, Lu Chen noticed a very strange point. After the patient had a myocardial infarction with a stent three years ago, he stopped all medications within one month after being discharged from the hospital.
Patients with coronary heart disease, especially those with myocardial infarction with stents, need to take anti-platelet, lipid-lowering, and ventricular remodeling drugs for life.
These include aspirin, clopidogrel, or ticagrelor.
However, Lu Chen opened the medicine bag held by the patient's family members. In addition to Sanqi tablets, it was Danshen tablets.
"Hey, it's really a big trouble to stop the medicine without permission." Huang Hanlin shook his head slightly.
"Doctor, I can't control my dad at home." The patient's family member is the grandpa's daughter, and she looked helpless, "The doctor in the hospital told me many times before that the medicine must not be stopped. After leaving the hospital, I will take the medicine for life. He said countless times to let him take medicine, he took it for a month, and then stopped, no matter what, he just didn’t take it!”
At this time, the old man was lying on the bed, still looking indifferent.
Unauthorized drug withdrawal is extremely detrimental to the prognosis of patients with myocardial infarction stents. On the other hand, it also shows that such patients have poor compliance and are extremely difficult to manage.
In the hospital, it is not terrible to be critically ill. The most terrible thing is poor compliance. It is difficult for such patients to communicate and treat them.
"Go ahead, let's talk after the examination." Huang Hanlin could only admit the patient to the hospital first, "The family members are waiting outside. If there is any problem, I will communicate with you in time."
……
Lu Chen pushed the bed into the CCU.
Just now Huang Hanlin simply asked about the medical history, but now Lu Chen wants to ask more carefully.
"Master, is your chest pain this time the same as the chest pain of the last myocardial infarction?" Lu Chen said, "For example, is there any difference in the severity and duration of the chest pain?"
Inquiring about the degree and nature of chest pain is mainly to preliminarily judge whether the patient has the possibility of another myocardial infarction.
If the symptoms of chest pain are similar, or the symptoms are aggravated, it is very likely to have another myocardial infarction.
If the chest pain is milder than before, it may be just an angina attack, which has not yet reached the level of myocardial infarction.
"This, it's different!" The old man thought for a while, then shook his head slightly, "The heart attack three years ago was a heartbreaking pain, and I felt like I was going to die. I feel a little pain. If my daughter didn't insist on me coming to the hospital, I really wouldn't come."
Three years ago, the old man, who was only 67 years old at the time, was hospitalized for sudden acute inferior wall myocardial infarction.
At that time, he was sent to Jinghua Second Hospital for treatment. An emergency coronary angiography found that the middle and distal right coronary artery was blocked. After the balloon was expanded, two drug stents were placed, and the remaining arteries of the heart were still 30-50% narrow.
"Master, you should have taken aspirin before?" Lu Chen asked suspiciously.
"I've eaten." The old man sat up, and it seemed that after a short rest and medication, most of his chest pain symptoms had been relieved.
"Then why don't you eat now?"
"That medicine, I won't take it after taking it for a month." The old man said nonchalantly, "What kind of aspirin? It's all western medicine. Western medicine can't be taken for a long time!"
"The side effects are very serious. There is an old lady in the yard of our community who also has a heart attack. After taking these medicines for a long time, she suffered from stomach bleeding!"
"Doctor, you said you can still take this western medicine?"
Hearing this, Lu Chen was quite helpless.
Antiplatelet drugs do have side effects, the most common of which is bleeding, such as stomach bleeding and gum bleeding.
However, the advantages far outweigh the disadvantages!
Not taking medicine because of side effects is tantamount to giving up food because of pharynx.
Looking at the life value of 62 (——) on the old man's head, Lu Chen wanted to continue to advise, but he didn't listen at all, and didn't even give Lu Chen a chance to speak, he just talked on his own.
"Doctor, let me tell you, a few old friends around me are sitting and chatting together, and they all think that it is best not to take western medicine for coronary heart disease. The secret recipe to cure coronary heart disease. I am taking these medicines now!"
Lu Chen shook his head helplessly.
Good guy, such stubborn little old men still get together!
Maybe it's hard to find a bosom friend, and the old man who didn't want to take medicine thought they were right.
From then on, he simply took Panax notoginseng and Salvia miltiorrhiza, etc., and still had a pack of cigarettes a day, and lived a comfortable life without taking drugs...
Maybe this is what the old man had in mind, the life of a fairy?
Lu Chen sighed in his heart, what can we do?
Family members can't persuade him, how can he, a little doctor, persuade him?
……
Go back to the doctor's office.
Seeing Lu Chen's helpless expression, Liu Han asked, "Junior Brother, what's wrong with you?"
Lu Chen briefly told about the old man.
"Hey, there are many such patients." Liu Han said, "When you are young, you are self-willed, but when you are old, you think you can still do it. Actually, I shouldn't say something. He is afraid. If he can realize the seriousness of his condition, he will probably be able to finish eating."
Lu Chen didn't think so.
The old man himself said that when he had a heart attack last time, he felt like he was dying.
Lu Chen doesn't know what the feeling of dying is like, but it must be a very hopeless feeling.
In this way, the old man cannot be allowed to take medicine, let alone other situations.
(End of this chapter)
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