This doctor has a system

Chapter 416 481. Beat her if she disagrees

Her hands were shaking when she was pushing, even worse than the aunt who served the students in the cafeteria.

Under normal circumstances, potassium chloride must not be administered intravenously, because intravenous administration will cause a rapid increase in blood potassium concentration that is life-threatening.

Even for intravenous infusion of potassium chloride, there are certain restrictions and requirements on the preparation concentration. For example, no more than three grams of potassium can be added per 1000 ml of liquid, otherwise it will be a high-potassium liquid and the low speed needs to be strictly controlled.

But don’t tell me, the patient’s condition stabilized a little after intravenous administration of potassium chloride, and at least there was no recurrence of ventricular fibrillation.

"Is there any problem with the patient's thyroid function?" Gao Feng asked. He always felt that the patient's blood potassium should not be so low even if he had repeated vomiting.

Could there be something wrong with the thyroid function?
This problem can also lead to hypokalemia.

"I checked, but the results are not out yet." Wang Zhimin replied, "I'll call and urge them now."

After an hour, the results finally came out. Looking at the sky-high thyroxine levels, there was a sharp popping sound in the intensive care unit.

"Hyperthyroid crisis!" Gao Feng blurted out. No wonder the patient's condition was right.

"Then how do you want to be treated?" Gao Feng asked.

After 4 days of ECMO weaning, he became conscious after 6 days. After 10 days, he was transferred from ICU to endocrine system and was discharged after half a month of treatment.

"My stomach is sour."

"There is no big problem with your electrocardiogram and cardiac color Doppler ultrasound." He said patiently to the patient, "I think you may be worrying too much."

Li Youliang, who was checking his cell phone in the office, smacked his lips.

Wang Zhimin immediately came to the endocrinology department for an emergency consultation. It was an old acquaintance who came. Director Cao was breathing heavily and looked very charming. Gao Feng couldn't help but take a closer look.

"Yes, go out and take a look. There are a few directors who are not bald." Li Youliang agreed.

"It was caused by the infusion." The eldest sister insisted, "It was fine when I went to their hospital!"

"Will you be able to see a doctor?"

"That can't be said." Gao Feng said, "Many of our old doctors are bald and worry too much."

Gao Feng was also speechless. Just think about it, he is a billionaire, but he was actually humiliated by others. It was really unheard of.

After finding the cause of the disease, the subsequent treatment was relatively smooth. Thanks to his youth, the patient recovered quickly.

"We are a general practitioner, and our level is not as high as theirs."

"Director Cao looks tired." Gao Feng said, "Why don't you take a rest before leaving?"

After fasting and enema treatment, his condition improved and he was discharged.

95% of the reason this patient survived was because of ECMO. This expensive instrument plays an important role in more and more medical scenarios and has become the standard in intensive care units.
-
"Sister, you have pneumonia." Gao Feng said to the patient in front of him, "This is the area in the lower left lung."

Next, we met another difficult patient. She was hospitalized in the central hospital below for a period of time due to intestinal obstruction.

"My hair is all gone. I must have done too many bad things!"

"I don't want to take medicine." The eldest sister looked impatient. "I have been taking medicine for several days, but it has no effect."

"No, the one named Qin!" said the eldest sister, "He is just bad!"

It is indeed beautiful, Gao Feng thought.

"What's wrong with you!" The eldest sister suddenly started to get angry, "Are you a doctor or am I a doctor?"

"Use propylthiouracil and hydrocortisone as soon as possible." Director Cao said, "If the heart rate is fast, you can add a little propranolol."

"I recommend oral medication."

"They are simply looking down on human life!" the 56-year-old eldest sister said to Gao Feng excitedly, "That doctor named Qin is not a good person at first glance."

Gao Feng carefully looked at the medication list in the hospital below. They were all very common drugs. As for whether they could damage the patient's heart?

He felt that this possibility was too small.

"I don't want an infusion," the eldest sister said.

"Director Cao is really a beautiful woman. In my impression, she has not changed much in the past few years."

high wind
The eldest sister left the clinic angrily and threatened to complain to Gao Feng.

You may not be able to see a director even if you have a lot of qualifications, but you can get a medical doctor to treat you by spending 1000 yuan to register.

high wind
"You have to go to the cardiology department to check this." Gao Feng decided to refer this patient to the cardiology department without conscience. "They are more professional in treating the heart."

Don't get me wrong, he doesn't have "Mendel syndrome", he just enjoys it.

"I'm on the second line." Director Cao gave him a roll of his eyes, "I'm not as free as you." Then he twisted his butt and walked away.

Among many professions, the small number of people at the top of the industry pyramid are the most difficult to be reached by the general public, with the exception of medicine.

Because no matter how great a doctor is, he needs to have personal contact with patients to display his talents.

"I'm here to see a doctor, you ask me?"

The patient had a cough and yellow phlegm for 5 days. Oral anti-cold drugs taken outside the hospital were ineffective, so he came to see a doctor.

But the patient said that she always had chest pain now, and thought that the infusion given to her by the hospital below had damaged her heart.

"If that doesn't work, you can give some fluids." Gao Feng said, "I will write you a prescription. You can give antibiotics in the outpatient clinic for a few days."

"Jun Shabi." Li Youliang was so angry, "It's a good thing he's in the hospital, otherwise he would have been given a beating."

"I've been there." The eldest sister became even more angry when she mentioned this. "Everyone said there was nothing wrong with me."

If she has no problem, can she come to the hospital? Is she free?
Gao Feng carefully examined the patient and found no problems.

"When does your pain usually occur?" he asked.

"It hurts all the time." The eldest sister answered quickly, "I have suffered a lot and have lost weight recently."

Looking at her strong body, Li Youliang couldn't help but want to laugh.

"Sister, how much did you weigh before?"

"175 pounds." said the eldest sister.

There happened to be a scale at the door, so the eldest sister went up and weighed it. The value displayed was 89 kilograms, which converted to 178 kilograms.

"You're not losing weight, are you?" Gao Feng said. He thought there was nothing wrong with the patient. She felt a gust of wind when she walked and her voice was extremely loud. Can you believe someone like this who said she was in so much pain that she couldn't breathe?
"That guy surnamed Qin didn't know what kind of medicine he gave me, and he made me gain weight again."

"It's so abominable!" the eldest sister cursed.

Gao Feng thought for a while and felt that the patient should have his thyroid function checked. If he is prone to irritability, he might have hyperthyroidism.

"You are the one with hyperthyroidism, and your whole family is hyperthyroid!" The eldest sister was furious, "I have a heart problem, what are you talking about with me?"

I shouldn't have gone out to the clinic today. Gao Feng sighed inwardly and met two 2Bs at this moment.

"Are you going to check?" Li Youliang was angry, "If you don't check, leave quickly!" Once he got angry, his eldest sister calmed him down.

"Just check!" the eldest sister said dissatisfiedly, "If there's no problem, I'll see what you have to say."

In fact, the patient's thyroid function was really problematic, with TSH significantly lowered and T3T4F both elevated.

"We should consider hyperthyroidism." Gao Feng breathed an inexplicable sigh of relief after seeing the result, "You shouldn't have a bad temper at home, right?"

"My temper is fine at home, but I have a bad temper outside." The eldest sister's son also came now. He had just gone to park the car and circled around the provincial hospital several times, but he couldn't find a place. Later, he simply threw it on the side of the road. .

As for stickers and stuff, just drop whatever you like.

This is very strange. Gao Feng is a little confused. Can patients with hyperthyroidism have good tempers at home? He didn't believe it.

"My father has a worse temper. He whips her whenever she disagrees with her," said the eldest sister's son.

Gao Feng suggested that they go to the internal medicine clinic for treatment. The eldest sister insisted on Gao Feng giving him a certificate before leaving.

"Just write that the infusion damaged my heart."

"I'm so blackmailed that I can argue with him!"

Gao Feng naturally couldn't prescribe the medicine for her, so the patient cried for a long time in the clinic, causing the triage nurse to come to see what was going on.

"Youliang, go and ask the triage nurse to stop the call." Gao Feng stood up from the chair. He was tired from reading today.

Now he felt the benefits of sitting in the general outpatient clinic. If he didn't want to work, he could just leave the job. There were so many departments in the hospital, and other specialist outpatient clinics couldn't be canceled casually, but general clinics could.

It's not a big problem if there is someone or no one.

At the same time, Academician Bao was talking with his disciples about the focus of future work.

"There doesn't seem to be much progress lately."

"The experiment is difficult to do." Xiong Huaxin was a little embarrassed. To be honest, he wanted to change the direction.

"No results can be produced, some things have been written badly." Yu Chenghui on the side also said, "The homogeneity is too serious, I don't even know how to break into it."

"Use your brains." Academician Bao snorted, "Look at your junior brothers, they can make anything."

"How can I compare with him?" Xiong Huaxin said speechlessly, "He is not even a human being."

"Junior Brother Gao is indeed a bit exaggerated." Yu Chenghui said, "I don't know how his brain grew. Everyone is curious about how many good things are inside."

Because of the National Science and Technology Invention Award, Gao Feng was severely disgraced in the medical field. Originally, Yu Chenghui was a little hostile to this junior brother, feeling that the latter had stolen Academician Bao's attention.

But now he has no idea at all. He has figured out that he and Gao Feng are from two different ethnic groups. He is just a slightly smarter ordinary person, and the other person is not a human being at all.

"You can ask him if you have any questions." Academician Bao said, "I am old and my energy is really limited. I am not able to do many things well."

"From now on, just stay around your junior brother."

"When is this?" Xiong Huaxin said with a smile, "Are you ready to give up your career?"

“I can’t do it anymore.” Academician Bao sighed, “From now on, I’ll have to rely on you young people.”

Gao Feng, who is regarded as the successor of the faction, rested at home for two days and spent a fulfilling weekend with his family. As soon as he went to work on Monday, he was pulled to the oncology department.

"My second uncle." Director Li Xianmin of the Imaging Department said, "I was diagnosed with lung adenocarcinoma three years ago and I have been taking targeted drugs."

However, the tumor recurred six months ago. Chest CT showed that the mass in the right lung was significantly larger than before, and the patient also experienced a series of uncomfortable symptoms.

"After taking the third-generation targeted drug for half a year, it should be resistant again." Director Li frowned and said, "I don't know what to do now."

The oncology doctor here said that the patient should undergo chemotherapy, but the patient is 84 years old and his general condition is not very good. I don’t know if he can tolerate it.

Gao Feng took a look at the patient. The latter had a basic disease of hypertension, but he had been taking antihypertensive drugs orally and his blood pressure was well controlled.

"It feels okay, I can give it a try."

Director Li communicated with the family members, and no one had any other opinions.

Unfortunately, after the first cycle of chemotherapy, the patient developed obvious adverse reactions and was unable to straighten up due to vomiting.

The family finally decided to give up further treatment and go home directly.

"Hey, I'm too old, but it's actually pretty good." Director Li sighed and said to Gao Feng, "I may not be able to live such a long time."

He has high blood sugar, severe cervical spondylosis, and heart problems. He is now looking forward to retirement.

Gao Feng thought he was right. He made a simple assessment and found that Director Li would most likely not live to be 84 years old.
-
"No, can't you learn to take pictures?" Zhang Yumeng was a little unhappy, "What's going on with these pictures?"

"It's all blurred!"

"It doesn't matter, this can be remedied later." Hu Jiaran looked at it carefully, "I'll go back and find someone to do it for you."

"This one is too dark!" Zhang Yumeng said.

"The light is not bad, but you are not very white."

"What about this one? Why is it only a half-length photo? It looks weird." Zhang Yumeng
"There was a tall girl next to me just now. In order to prevent you from being compared, I specially photographed you from this angle." Hu Jiaran explained, "Use your strengths and avoid your weaknesses."

"Then do I want to thank you?" Zhang Yumeng was furious.

"No need." Hu Jiaran said generously.

"Mengmeng, actually I think we can just have a good time when we come out to play. There is no need to keep snapping pictures."

He came here to get some fresh air, not to be a photographer.

"Although our camera is expensive, it can't directly beautify your face."

"Sometimes you have to learn to make peace with yourself."

"Hu Jiaran!" Zhang Yumeng was completely angry and just took a bite.

"Mr. Hu, are you okay?" The sharp-eyed Wang Liang saw the band-aid on Hu Jiaran's hand, "What's going on?"

"I accidentally got bitten by a puppy." Hu Jiaran touched it and felt a little pain at the moment.

"Did you get the injection?" Wang Liang asked, "There is a 24-hour dog injury clinic in Dongbian Community."

"Fought." Hu Jiaran replied.

After he went back, he pinned Zhang Yumeng to the bed and gave her two injections, not believing that he could not get rid of this bad habit of biting people.

"Wang Liang, what are you doing here?"

"Didn't we acquire two inspection companies?" Wang Liang said, "Everyone is wondering whether to continue the business?"

"Okay." Hu Jiaran said nonchalantly, "As long as they can be busy."

(End of this chapter)