When doctors have a simulated operating room

After talking about the past and paying the money, they naturally had to find a way to get Xu Changyuan to the hospital for a checkup. It's best not to delay this illness. Xu Changyuan's eyes flickered a few times. Then he looked at Zhang Yi cautiously and said, "What's wrong with me? I'm fine, don't worry, Xiao Yi." Good guy, he didn't even want to say it. "Uncle, have you forgotten that I'm a doctor?" This sentence really made Xu Changyuan feel guilty. Yes, his nephew is a doctor! Could he be fooled? The aunt next to him was a little confused. The person who shared the bed with him was sick? How come she didn't know anything?

"Changyuan? What's wrong with you? Tell Zhang Yi if you feel uncomfortable. He's a doctor!"

Xu Changyuan hesitated.

He didn't want to tell them.

First, he was afraid that they would worry.

Second, the family didn't have much money.

What if he went to the hospital for various examinations... wouldn't it cost a lot of money?

So in order to save some money, Xu Changyuan concealed the fact that he had been feeling chest tightness recently.

"Uncle, I can see that your face is not right. If you have any problems, you must tell me. If you don't tell me, I will take you to the hospital for a check-up now."

Xu Changyuan waved his hands quickly:

"Hey, tell me!"

"Oh, why are you so nervous? I just feel a little chest tightness recently. There's nothing else."

Zhang Yi asked: "Where? Point it out to me?"

Xu Changyuan pointed to the center of his chest.

Zhang Yi said seriously:

"Uncle, this is the heart! Let's go to the nearest hospital to register and have a physical examination."

"Oh, don't bother, Xiaoyi. There's no need to go to the hospital."

Xu Changyuan wanted to refuse.

But Zhang Yi's next words made Xu Changyuan and Tang Xiaohe silent.

"Uncle, health is the most important thing. If you don't treat minor illnesses, major illnesses will not be cured. Don't you think Feifei and Tingting don't have a father?"

After the words fell, the living room suddenly became quiet.

Zhang Yi didn't say anything.

Xu Changyuan also lowered his head.

Only Tang Xiaohe's eyes were getting moister and moister.

After a long time, Tang Xiaohe took Xu Changyuan's hand and said:

"Just listen to Zhang Yi, go to the hospital for a check-up. No matter how poor we are, we must take care of our health."

Otherwise...

What if something happens one day, what will happen to the two children?

She also watched Zhang Yi grow up.

How pitiful a teenager was when his parents just passed away.

So for people, good health is the most important thing.

Zhang Yi took over Tang Xiaohe's words and continued:

"Besides, we are not poor now, so let's pack up and go to the hospital."

Finally, Xu Changyuan nodded:

"Okay, I'll go to the hospital with you."

After packing up.

Little cousin Feifei was doing homework at home.

Zhang Yi took Xu Changyuan and Tang Xiaohe to a tertiary hospital close to home.

Yundu First People's Hospital.

There are actually quite a lot of hospitals in Yundu.

In addition to several Yundu First, Second and Third People's Hospitals, there are also provincial hospitals and various district hospitals.

The most important thing is that West China Hospital is also in Yundu.

Originally, Zhang Yi also planned to take his uncle to the Provincial Hospital or West China Hospital for treatment.

But the earliest appointment for the cardiology department of these two hospitals is either next month.

Or the earliest appointment is next week.

After thinking about it, forget it.

It's too long to wait.

Yundu First People's Hospital.

Zhang Yi randomly picked an appointment with the attending doctor.

After waiting for more than an hour, he finally saw the doctor.

"Hello, Dr. Wang."

In the clinic, there was a young doctor wearing glasses.

Probably in his thirties.

"Please sit down. What's the problem? Where do you feel uncomfortable?"

Dr. Wang looked up at the three people and asked.

Zhang Yi: "I have had chest tightness repeatedly in the past three months, and my lip color has deepened. I want to have a physical examination, such as an electrocardiogram, blood lipid and liver function test, and a full abdominal ultrasound."

Dr. Wang looked at Zhang Yi in surprise:

"You... are also studying medicine?"

Zhang Yi nodded: "Yes, but not in this hospital. I came here just to check my family."

Dr. Wang nodded in understanding:

"I see, you suspect that his chest tightness is a sign of coronary heart disease, right?"

They are all doctors, so it is very convenient to communicate.

After understanding, Dr. Wang decisively prescribed several tests.

Blood tests must be done to check blood lipids, cholesterol, and color Doppler ultrasound.

Originally, the test should have been done on an empty stomach, but Zhang Yirang did it directly.

The results did not affect much.

Anyway, Zhang Yi had already seen it clearly.

It was just a test to let my uncle and aunt know.

Soon, the electrocardiogram results came out.

Early coronary heart disease is also prone to arrhythmias.

On this test sheet, the P wave disappeared and was replaced by an irregular baseline.

The QRS complex was widened and deformed.

This is a typical electrocardiogram manifestation of atrial fibrillation among arrhythmias.

Xu Changyuan couldn't understand it either, so he asked:

"Zhang Yi, am I okay?"

Zhang Yi said unhappily:

"Why am I okay? It shows that you have atrial fibrillation and arrhythmia.

Do you still feel palpitations? Does your heartbeat feel irregular?"

Xu Changyuan nodded woodenly: "It seems to be the case..."

Zhang Yi shook his head helplessly:

"Fortunately, I came to the hospital for a check-up. Early check-up means early detection and early treatment, you know?"

Xu Changyuan nodded obediently:

"Ah, Dr. Zhang taught me, I will listen to you~"

Then there was the color Doppler ultrasound examination form.

Mild fatty liver, prostate hyperplasia grade I.

All is fine, all in the early stage.

Losing weight and eating a light diet can almost solve the problem.

Blood lipids:

Total cholesterol: 9.38 (normal 2.9-4.8mmol/L)

Cholesterol is a must-check item for blood lipids. If it increases, it means that there may be atherosclerosis, coronary heart disease, bile duct obstruction, etc.

Triglycerides: 19.57 (0.5-1.7mmol/L)

Increased triglycerides may indicate hyperlipidemia, coronary heart disease, diabetes, etc.

Apolipoprotein A1: 0.9 (1-1.7g/l)

If it decreases, it may indicate hyperlipidemia, coronary heart disease, cerebrovascular disease, etc.

Apolipoprotein B: 1.3 (0.5-1.0g/l)

If it increases, it may indicate hyperlipidemia and coronary heart disease, and if it decreases, it indicates substantial liver lesions.

In short, after checking the blood, it can basically be diagnosed.

It is indeed related to hyperlipidemia and coronary heart disease.

Back to the clinic.

After reading the checklist for a while, Dr. Wang asked:

"Do you want to do another angiography to see how your cardiovascular system is doing?"

Zhang Yi refused: "No, just prescribe some medicine. Simvastatin, rivaroxaban, and some Chinese patent medicines such as compound danshen tablets, musk heart pills, and Xinkeshu can also be prescribed."

Zhang Yi came to the hospital not for too many tests.

But to prescribe medicine.

Simvastatin and rivaroxaban can lower blood lipids and cholesterol and reduce blood clots.

Other Chinese patent medicines also have a good effect of dilating cardiovascular and cerebrovascular vessels.

After all, he is my own uncle, so I feel more at ease when I prescribe medicine.

The doctor Wang looked up at Zhang Yi again.

He felt a little unhappy.

Please!

But this is my territory!

Do you need me to tell you what medicine I want to prescribe?

You are so young, you must not even have taken the attending physician exam?

Can't you see that I am the attending physician on my badge? !