I can see the status bar

Chapter 1057 D+7 day (5) (Blood Donation Plus Series 053)

This chapter is the last chapter added to thank the book friend "Sad Wind and Fire" for donating blood four times from 2019 to 2021. Thank you for your kindness.

Sun Lien didn't know exactly how the operation was going to be.But after he took off his protective clothing, took a shower and disinfected, and finished picking up a boxed lunch in the shortest possible time, an update message appeared on his computer.Zhu Liu Zhuangran's laparoscopic surgery was completed, and the result of intraoperative exploration was "primary omental torsion".

Primary omental torsion in children is a rare acute abdomen. It was first reported in 1899, and the first domestic case was reported 100 years later—the Capital Children’s Hospital made the first report.

Although the cause of the disease is not yet clear, according to the conclusions of doctors, the disease may be highly related to childhood obesity.Excess body weight increases the risk, and gastrointestinal motility, coughing, and increased intra-abdominal pressure following a satiated diet can cause the greater omentum to move and eventually torsion.

After seeing the result, Sun Li'en was stunned for a moment, then continued to drink the yogurt very comfortably.He wasn't worried about the little girl at all now—primary.

Primary is a sort of "unexplained, but that's all" medical jargon.The cause of the illness is unknown, but it's not a chain reaction of something going wrong elsewhere.This means that there is no need to continue to delve into it, and go back and study what the primary disease is.

After the operation, the torsion was released, and after a few days of observation, the patient could be discharged after confirming that there were no further problems.Sun Li'en sucked the last few mouthfuls of yogurt, and then completely relaxed.

The rest of the matter is out of his control, and he really can't manage it.In about four or 10 minutes, a new wave of fever patients in the community will come to the outpatient clinic.Sun Li'en decided to tidy up quickly and go to the bathroom - the next three or four hours are probably high-intensity work, and there must be no time or opportunity to go to the bathroom in the middle.By the way, he's not going to pee in his crotch in an adult diaper either.That feeling of being wet, cold and heavy is worse than holding back urine.

After putting on the protective clothing again, everyone chatted a little bit about the patients they saw today, and a hoarse voice came from the door, "Are you ready?"

Section Chief Wang appeared at the door. He looked at the doctors who were queuing up, waved the walkie-talkie anxiously and said, "The next batch of people will arrive in 5 minutes. If you are not ready, I will let the car wait for a while." Wait a minute..."

Sun Li'en walked up to him and patted him on the shoulder.From yesterday to today, Section Chief Wang has grown a lot of white hairs on his head.

"Hey, relax a little bit." Sun Lien said to the respectable civil servant, "We are all ready, just follow the normal process."

He looked at the status bar of "Essential Hypertension Level [-]" on Section Chief Wang's head with some concern and asked, "Do you usually have high blood pressure? Have you not taken your medicine recently?"

"I don't have high blood pressure." Section Chief Wang was taken aback by Sun Lien's words. He had heard of Sun Lien's "big name".Such a young expert who specializes in difficult and miscellaneous diseases suddenly asked this question, and Section Chief Wang trembled in his heart.

"There are still a few minutes, then there is time." Sun Li'en thought for a while and said, "You came to my consulting room, just to take your blood pressure." He looked at Wang Zhenyu and said, "You must have been exhausted recently. Coupled with poor rest, it is easy to cause blood pressure to rise. You need to measure your blood pressure to see how much it has risen...It is probably impossible to let you rest now. Get it under control."

High blood pressure is a very dangerous signal, especially for patients like Section Chief Wang whose blood pressure suddenly rises due to fatigue and stress.The blood vessel elasticity of middle-aged people is inherently worse than that of young people, and sudden high-intensity work will cause their blood pressure to rise rapidly.If there is an aneurysm or other cerebrovascular problems, Wang Zhenyu is likely to collapse suddenly one day later... just like Qi Jing.

Diagnosing a patient with high blood pressure is a serious and precise process with strict procedures.It also takes a long time to control the hypertension of patients.It is judged whether the medicine is suitable for the patient by continuing to take the medicine and monitoring the blood pressure... In short, if Sun Lien comes to check the blood pressure and then prescribes blood pressure control medicine, it is absolutely illegal to put it in an ordinary hospital.

But...how is it normal now?Sun Li'en rolled his eyes, if the pharmacy department of He'an Hospital came to trouble him now, then he would run away.

It doesn't take long to measure blood pressure. After confirming that Section Chief Wang's blood pressure has reached 168/105, which is in line with secondary hypertension (moderate), Sun Lien prescribed a clinical prescription for Nifedipine Sustained Release Tablets to him. Prescription, and told, "Take it once a day, just take half a tablet at a time. You go back and prescribe the medicine and take half a tablet first. After about two hours, wait for this group of patients to see that they are almost finished. After I have completed the disinfection here, you come again." trip."

Nifedipine is a commonly used blood pressure control drug in clinical practice, and it is relatively safe.There are no indications of severe aortic stenosis and hepatic and renal insufficiency on the status bar of Section Chief Wang, which means that it is safe for him to take nifedipine.

It is Sun Lien's careful idea to use half a tablet of nifedipine at a time.Although Section Chief Wang claimed that he did not have high blood pressure before, it is also possible that he did not go for a checkup for a period of time and missed the diagnosis.The second-stage hypertension itself is not too serious. Drugs to control blood pressure should be used first, and perhaps the blood pressure can be lowered back through rest later.

If half a capsule is not enough, it is convenient to increase the amount later.

It is indeed against the rules for a diagnostician from the emergency department to prescribe drugs for the treatment of high blood pressure.So Sun Li'en himself carefully chose the most mature plan and the smallest dosage.Maybe in a few weeks, when the epidemic is completely eradicated, Section Chief Wang can go to another hospital to register and have a look.

·
·
·
Section Chief Wang was sent off, and the afternoon outpatient clinic officially started.Most of the patients who came to see the doctor this time had no other problems-just a little fever.Anyway, Sun Li'en has been working here for several hours, and there is not a single confirmed patient.

After finishing the outpatient clinic in the afternoon, Sun Lien waited for the outpatient clinic to be emptied again, and then completed the disinfection of his whole body.Then, he waited until Section Chief Wang was too tired to speak.

"Look at you, it's strange that you haven't developed high blood pressure from being tired." Sun Lien measured Wang Kechang's blood pressure, and sighed when he saw his blood pressure drop to 135/95.He's responding well to the medication, suggesting there shouldn't be anything else wrong.

"I just run back and forth clinically, which is much more relaxed than other people." Today's work is completed, and Section Chief Wang is also a lot more relaxed, "I don't go home all day long, everyone is running outside. The two in our office with the brackets are running all day and night, which is really easy for me."

(End of this chapter)