I can see the status bar

Chapter 1008 D+2 day
Arterial blood gas is a very painful thing.Adults who are prepared will shout and scream under the ravages of arterial blood gas needles, let alone Bruen, who is not particularly conscious.

And, as a man with a burst of testosterone, thick hair from his chin to his belly button.It is true that Brunn has a much lower tolerance for pain than other men.

Tough guys are the kind of people who can't bear the pain the most. Sun Li'en has always suspected that those muscular guys in the movie who look like Belgian blue and white cows are covered with injuries, but they can continue to follow five hundred strong guys without changing their faces or beating their hearts. The shootout must have been because of some long-acting strong painkiller they injected in advance-the kind that is strong but does not suppress breathing.

Men generally have poorer levels of pain tolerance than women, and the more muscular men with higher testosterone levels, the worse their pain tolerance.And women who have given birth naturally have a stronger tolerance to pain than women who have not given birth.

The reasons for this difference are unclear, but to clinicians, low pain tolerance is ... not necessarily a bad thing.

Of course, screaming and writhing in pain will definitely affect the doctors' treatment of patients.But things like "not necessarily a bad thing" are indeed not nonsense.

Sun Li'en had never seen it himself, but he had heard from Zhou Jun.In a certain year and a month when Zhou Jun was still attending, he received a patient with a pale face and sweating profusely.The patient himself complained of dizziness and fatigue, but nothing else.

For the combination of dizziness and fatigue, doctors are generally more inclined to consider anemia or hypoperfusion, which may be a nervous system problem or a circulation problem.

But coupled with the pale complexion and profuse sweating... this situation makes people tense up immediately.A pale complexion can be an anemia problem, while sweating profusely can be a sympathetic problem.But combined with dizziness and fatigue, every doctor in the emergency department - even if it's just Gui Peisheng - will immediately think of the most urgent and serious problem.

Acute coronary syndrome. .

But the sweaty middle-aged man rejected Zhou Jun's proposal to have an EKG done for him, and repeatedly denied that he had pain in the chest area—no pain elsewhere.

But after all, Zhou Jun has worked in the emergency department for many years and has rich experience.When the patient resolutely refused the electrocardiogram and was only willing to take a blood test, Zhou Jun did not relax his vigilance.He ordered a full set of myocardial injury markers, and half-coaxed the middle-aged man to accept a heart color ultrasound under the pretext that "chest pain may be a problem with the sternum, so a B-ultrasound is needed." .

Cardiac ultrasound is not the best way to check for acute coronary syndrome.After all, not all patients with acute coronary syndrome have post-myocardial infarction changes under echocardiography—the characteristics of myocardial incoordination or myocardial movement contradictions after myocardial infarction.But this is already the most suitable method that Zhou Jun can think of.

Soon, with the C-reactive protein level as high as 46.2mg/L, the ultra-high level of creatine kinase (CK) 891U/L and creatine kinase isoenzyme (CK-MB) 48μg/L, and the cardiac ultrasound report Zhou Jun announced the diagnosis to this "impossible" patient, "You have acute myocardial infarction".

"It's impossible, I don't feel pain." The patient seemed to know a little bit of relevant knowledge, and he asked in disbelief, "Myocardial infarction hurts, right?"

"Most of them are very painful, but some are not very painful or even not painful at all." Zhou Jun explained, "There are many reactions to this disease, and there are other pains - toothache, leg pain, shoulder pain, My arm hurts and my head hurts... In short, you should go for an electrocardiogram."

Facing the typical evidence of ST-segment elevation in the electrocardiogram, the middle-aged man finally gradually accepted the fact that he had a myocardial infarction.But he was still not convinced, and asked Zhou Jun, "My chest hurts, is this considered a heart attack?" I don't know what kind of effect he wants to get by questioning the symptoms.

"Aren't you in pain?" Zhou Jun was taken aback by this question. Before this old man kept saying that he didn't feel pain.
"It hurts a bit, but I can bear it." The old man said confidently, "I can bear it, so it must not be a heart attack!"

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To sum up, it is not a bad thing for patients to complain of pain in many cases.Pain, annoying as it is, is an important weapon humans have evolved to protect themselves.Pain can make people quickly realize that something is wrong and stay away from danger.For doctors, pain quickly allows them to pinpoint the problematic part of a patient.

The part of Brunn's current problem is at the base of his left thigh.

After the blood pricking was over, Brunn's swearing and cursing also subsided.After all, he had just suffered from heatstroke, even with two veins, it would take time for him to fully restore the white version of Samuel L. Jackson, who was 1.8 meters tall and weighed 180 meters.

Sun Li'en's treatment of Brunn has basically come to an end - just wait for two bags of 1000ml normal saline to be poured into Old Bu's blood vessels.On the other hand, the doctors and nurses asked about Brunn's situation again and again.Even Zhang Zhifu downstairs called and asked about Brunn's situation.

Old Zhang must have been frightened by what happened to Qi Jing before.After making the phone call, he was still worried, but at one o'clock in the morning, he walked to the ward of North Fifth Ward with his legs crossed, and checked the situation on the spot.

"The blood gas indicators have also come out, a slight deficiency of potassium and sodium." Sun Lien held Brunn's test report to calm Zhang Zhifu's emotions, "There is no need to worry about problems of this level. At worst, I will let him eat two sticks dipped in salt. Just bananas."

"Thanks to his own fat, and he usually eats heavily." Professor Zhang Zhifu nodded, and then looked at Brunn's temperature record of 37.2 degrees Celsius and said, "So, he suddenly fainted because of mild heat stroke? Generally, heat stroke is not just a little Dizzy and nauseous?"

"With Lao Bu's physique, he probably doesn't feel much heatstroke at this level. At most, he will have a headache when he wakes up tomorrow morning." Sun Li'en nodded, agreeing with Zhang Zhifu's opinion. "But the problem is, he's been working under too much pressure for two days, and the way he's wearing the suit isn't quite right."

When he was in the red zone, Sun Li'en hadn't noticed yet.But in the few seconds when Bruen was wearing protective clothing in the red zone locker room, Sun Lien keenly discovered a serious problem.

In order to have a better protective effect, the collar of the protective clothing is designed to be very high.And Bruen... because he is fat, he has a short neck.

Strictly speaking, Bruhn's anatomical neck is still a very normal condition.But the sagging chin and thick front take up a lot of space.In this case, Brunn's neck appears very short.

And the protective suit with a high collar showed a distinctive effect on Brunn-it covered almost two-thirds of the N95 mask.

Wearing N95 masks for a long time will cause slight symptoms of hypoxia.The symptoms were further exacerbated by protective clothing collars that were almost as impermeable as plastic sheeting.A large amount of exhaled carbon dioxide accumulated in the protective suit, and then as Brunn's lungs with a lung capacity of up to 8400 ml worked, the carbon dioxide was continuously inhaled into his body again.

And Bruen, who is huge, muscular and works hard, has a much higher oxygen consumption than ordinary people.The last mild heat stroke was the last straw that broke the camel's back - his symptoms were much more severe than other medical staff with mild heat stroke.

After explaining this, Sun Lien actually felt a little guilty.Because using the status bar on a large scale for a long time will cause severe headaches, he basically doesn't look at the status bar of his colleagues.Only when entering the ward, Sun Lien would check the status bar of the patients one by one.

Fortunately, other doctors responded quickly enough, and fortunately, there are still two positive pressure ventilators in the yellow zone.If the measures were taken a little slower, maybe Bruen would have a problem like respiratory acidosis.At that time, it will not be something that two bags of salt water can do well.

"It's good that people are fine." Professor Zhang Zhifu let out a long breath, and then said to Brunn, "Old Bu, you have a day off tomorrow, and you will continue your shift the day after tomorrow."

"That's no way." This proposal was directly rejected by Bruen, "I came to Yunhe to fight the epidemic, not to hide in the hotel."

Professor Zhang Zhifu glanced at Sun Li'en, "You solve this guy's problem. Let him have a day off tomorrow—no bargaining." Then he turned around and walked away.

"It's also for your health." Sun Lien said seriously to Brunn, "Take a good rest for a day, so that you can work hard later."

"No." Bruen was as stubborn as a live donkey, pulling back and holding back, "I'm healed now, let's pull out the fluid."

"You..." Sun Li'en was also in a hurry. Before leaving, Secretary Chen gave a death order - not one of them was missing.Bruen made such a move, he was really scared to death just now.

"I'm also a member of the Communist Party." Bruen said seriously, "Although we are not affiliated to the same party organization, we are both communists. Why do you rush forward and pull me back? Are we still good? Comrades?"

"Stop doing this." Sun Li'en glared at Lao Bu, "You have to come to work tomorrow, right? All right! To prove that your body has fully recovered, you will eat a whole hoof in front of me tomorrow morning , I admit that you are fine!"

Bruen's face changed, and he suddenly felt a little nauseous.He held back for a long time before he swallowed the sour water that had flowed down his throat, then sighed, and tried to bargain again, "Tomorrow we will be on the night shift, if it's really not possible, I can be on duty in the yellow zone, right?"

"Yellow zone? Then half of it." Sun Lien sneered twice, "You used to eat two elbows in one go without frowning. It's okay to eat half of it, right?"

"FUCK!" Bruen twisted his head, and then said angrily, "You won! Goddam!"

(End of this chapter)