Auto chess in the operating room

Chapter 146
"Ma'am, I still suggest you to have an electrocardiogram and a color Doppler ultrasound of the heart. Gallbladder-heart syndrome caused by cholecystitis is not uncommon, so it's better to have a comprehensive examination soon."

Tanglou continued to comfort him, saying that after all, acute myocardial infarction could be life-threatening if not handled properly.

Hu Jie glanced at Tanglou, then at Ma En, and sneered: "I think you just want to do random checks and cheat us of our money. You are so young and have no ability to diagnose the cause, so you just know how to ask the patient to do various tests." , I spent a lot of money unjustly, and the result is exactly the same as if I didn’t do it.”

The patient's husband also threatened: "Hurry up, let us check this, check that, and I will report you. My wife has cholecystitis, and she has an old problem. Do you need an electrocardiogram or a heart ultrasound."

When Ma En saw the patient's attitude, his face turned cold: "Doctor Tang, it's also for your own good. A comprehensive examination can give your wife the best treatment. Otherwise, if the examination is not careful, something will be missed. , if an accident occurs during the treatment, it can only be regarded as your failure to cooperate with the treatment, and we are irresponsible."

Ma En directly took out the medical record and wrote on it that the patient refused to undergo two kinds of examinations.

"Don't scare me, my wife has cholecystitis, gallstones have been repeated for many years, and this time I still have abdominal pain, could it be as serious as you said?"

The patient's husband despised Tang Lou and Ma En. You two young doctors don't want to trick him into spending money.

It was also the first time for Tang Lou to encounter a patient who was so determined and refused to cooperate with the treatment, so he felt very helpless.

Tang Lou thought for a while and asked again: "Then, have you ever suddenly felt uncomfortable in the heart area, or suddenly felt a little dizzy?"

"When you get up suddenly from squatting, sometimes you will feel dizzy, and occasionally you will exercise a lot, and your heart will feel a little uncomfortable, but this is not normal. Many people are like this, so don't fool me."

Hu Jie rolled her eyes, she had been cheated on by Du Niang, and any small symptom said that she was about to die, and when she went to the hospital for an examination, there was nothing wrong with her.

Tang Lou was also very helpless when he saw that the patient was not allowed to enter. He looked at Ma En.

"Let's do this first, let them treat cholecystitis first. At that time, it will really cause discomfort due to unknown cause, and let the patient take responsibility."

After all, Ma En is more experienced, and has seen a lot of patients who are difficult to communicate with.

If the patient is more polite to the doctor, then the doctor will say more and spend more thought. If you encounter this kind of patient who only doubts you, the doctor will not bother to say more.

In order to avoid becoming a scapegoat in the future, Ma En clearly wrote that the patient refused to accept the examination, and asked the patient to sign and agree.

Hu Jie and her husband signed with disdain, and left the consultation room cursing.

In less than 10 minutes, there was a scream from the infusion room.

"Help, help, my wife has passed out, come quickly!"

Hu Jie's husband yelled in the infusion room.

"Save my wife, I don't know why she passed out all of a sudden"

Tanglou had been waiting aside for a long time, and sure enough, acute myocardial infarction occurred.

Shaking his head, Tang Lou quickly ran towards the infusion room.

Two nurses were already frantically lifting the unconscious Hu Jie onto the flat car.

Ma En also rushed over from the consulting room very quickly. When he saw Hu Jie lying on the flat car, he broke out in a cold sweat. Tang Lou really guessed it. Fortunately, he asked the patient to sign a refusing examination.

"What's the situation?"

Ma En ran to Tang Lou's side and asked nervously.

"Shock caused by cardiac arrest should be myocardial infarction caused by cholecystitis."

Tang Lou said in a deep voice.

"Quick, send it over, and immediately perform CPR."

Tang Lou and Ma En hurried over, pushed the flat cart, and directed the nurses to rescue them.

After being sent to the emergency room, the nurses had skillfully installed various instruments on the patient, and Ma En immediately performed cardiopulmonary resuscitation on the patient.

The principle of treatment for the dying myocardium: reduce the infarct size, protect the heart function, and deal with various complications.

"Perform perfusion therapy."

"Low molecular weight heparin, blockers, renin-angiotensin transaminase inhibitor (ACEI)."

Tanglou calmly gave instructions from the side, and the nurse followed them non-stop.

At the same time, Ma En also completed two sets of cardiopulmonary resuscitation. After looking at the instrument, the patient's heart rate finally fluctuated from a straight line.

"so close."

Ma En was sweating profusely, but he finally breathed a sigh of relief when he saw that the patient's heartbeat had resumed.

After all, the success rate of cardiopulmonary resuscitation in the hospital is very high, which is why Tang Lou did not choose to force the patient to be examined. However, the life is saved, and there is still some suffering.

If the patients chose to leave the hospital at that time, Tang Lou would definitely not let them go out. It would be easy to waste emergency time on the way, and the mortality rate would be very high.

Wiping the sweat off his brow, Ma En leaned next to Tang Lou: "This time, it's thanks to you, otherwise I wouldn't be able to explain clearly."

"Nurse, give the patient an electrocardiogram, an echocardiogram, and check the myocardial enzymes."

Tang Lou first arranged the next treatment, then looked at Ma En, and smiled faintly: "Let's go, the next step will be handed over to the cardiothoracic surgery department."

At this time, the patient's husband chased after him aggressively: "Doctor Ma, what happened to my wife?"

"Acute myocardial infarction is out of danger."

When Ma En saw the patient's husband, his complexion was not very good, and his tone was a little indifferent.

"Myocardial infarction? My wife is so young, how could she have a myocardial infarction? Did you misdiagnose my wife and cause a problem with the fluid replacement?"

The patient's husband suddenly became suspicious, and looked at Ma En very unkindly.

"Myocardial infarctions do mostly occur in the elderly, but your wife's perennial cholecystitis inflammatory response, prolonged hypotension, hypoxia, and damage to the heart muscle, so myocardial infarction occurred."

Ma En explained.

"Nonsense, I think you prescribed the wrong medicine. My wife has cholecystitis. Where did she get the myocardial infarction? I want to sue you! If something happens to my wife, it will be better for you! I want you to be responsible for my wife's medical expenses. And lost wages, and my mental damage."

The patient's husband immediately acted like a rogue. After all, in his opinion, what Ma En diagnosed before was common cholecystitis, and now he is in shock and fainting, which must be a problem in the hospital treatment.Immediately hold on to it.

"Sir, let me repeat, your wife suffered myocardial infarction due to repeated cholecystitis. Moreover, Dr. Tang and I have repeatedly told you to do an electrocardiogram and cardiac color Doppler ultrasound first. As long as the examination is done, it will be found out a long time ago. .And, don't you forget, you have signed and refused to be inspected."

Ma Enhan said that this man was too unreasonable and made him very angry.

"I advise you to go to the cardiothoracic surgery department as soon as possible to accompany your wife. Dr. Tang and I have other operations. Please do it yourself."

Ma En's tone was very tough, after all, there was a signature as evidence.

The patient's husband, when he heard the signature as evidence, held back for a while. He was really wrong, and seeing Ma En's tough attitude, he was a little scared.

"If something happens to my wife, I won't let you go."

The patient's husband put down a word angrily, and left cursing.

(End of this chapter)