medical road high rise

Chapter 31

Chapter 31 The transfer incident ([-])

After hearing this, Director Dong frowned even more. He did not expect the patient's blood creatinine to be very high.

The discharge of the contrast agent is through the patient’s kidneys. High serum creatinine proves that the patient’s renal function is not very good. In addition, there are cases of high blood pressure, which may induce hypertensive nephropathy and lead to kidney damage.

The atmosphere in the office suddenly cooled down. Director Dong thought of a middle way and proposed it.

"We first give the patient an enhanced CT scan, and then remove the contrast agent through hemodialysis, which can greatly reduce the damage of the contrast agent to the patient's kidney."

"How much damage does the contrast agent do to the kidney?" asked the patient's son.

"It may cause deterioration of kidney function. These can be resolved through hemodialysis, and there will definitely be no problems in a short period of time." Director Dong said.

"How long?" the patient's son asked again.

Director Dong stopped talking, and the attitude of the patient's family members was also very clear. No examinations that are harmful to the body are allowed.

"Director Dong, the patient's lover was exhausted because of the hemodialysis before. It's not good for them to run around. The children also have their own affairs." Dr. Qi noticed that Director Dong's expression was a little impatient, so he sat aside and explained .

Director Dong nodded and said, "Let's go see the patient first."

"Then Director Dong, I'll go back to the first hospital first, and I'll come over tomorrow to take a look." Dr. Qi greeted, after all, the patient's family has given Dr. Qi a lot of benefits, and Dr. Qi still needs to follow up and treat this patient.

"Okay, you go."

Director Dong called the chief inpatient of the vascular department, and a group of people rushed towards the patient, asked the doctor and nurse who prescribed the medicine, and found that the patient's abdominal pain was significantly relieved after the injection of the medicine.

"Stay in the hospital for observation first, and inform the gastroenterology doctor to come over at night to see if there is intestinal obstruction." Director Dong ordered.

Looking at the safe number on the ECG monitor, Director Dong didn't think too much, and was called by the General Surgery Department for consultation.

Qin Feng rode a shared bicycle and arrived at the gate of the big shopping mall. Before Qin Feng could enter, he saw a group of people gathered at the gate of the mall.

"Could this person have epilepsy?"

"I don't look like it. Other people with epilepsy are foaming at the mouth."

Two passers-by squeezed out from the crowd and kept communicating.

As soon as Qin Feng heard about the illness, he hurriedly stepped forward and asked passers-by: "Hi, excuse me, what's going on inside?"

"It's just that a person suddenly fell to the ground holding his chest, and then vomited continuously. Now the staff in the mall don't know what to do." The passer-by replied friendly.

As soon as Qin Feng heard it, he knew that things might be a little big, and the falling to the ground caused by sudden chest pain was largely caused by acute myocardial infarction.

"How old is the patient?" Qin Feng continued to ask.

"It looks more than 50 years old." The passer-by looked at his companion with some uncertainty, and the companion nodded in response.

As soon as Qin Feng heard it, he knew that it was almost the same as what he thought. Once he was over 35 years old, whenever he had chest pain, he must be alert to the possibility of acute myocardial infarction.

This is a symptom that a surgeon must understand. Qin Feng didn't care so much, and squeezed directly into the crowd, and saw two staff members trying to lift the patient up.

"Don't move!" Qin Feng roared angrily.

The two shopping mall staff looked at Qin Feng who suddenly appeared in astonishment. Why is this young man so angry? Could this patient be his relative?
"Young man, is this person your relative?" one of the older staff members asked.

Qin Feng shook his head and said, "No, I'm a doctor. Now the patient may have a myocardial infarction. It's best not to move his body and wait quietly for the ambulance to arrive."

As soon as Qin Feng said that he was a doctor, the two staff members stopped moving and just stood aside.

"Can you tell me when the patient fell down?" Qin Feng asked.

"About 2 minutes ago."

Qin Feng looked at the fruits scattered on the ground beside the patient, and the bag was pressed under the patient's body. Looking at the patient clutching his chest and twitching, Qin Feng also felt a little tricky.

"Did you hit 120?"

"Already called, they said that there is a traffic jam on the road, and they are rushing here with all their strength." The staff said.

"Is there that kind of chair with a backrest? Get one here." Qin Feng looked at the patient's current appearance, and he must do something, otherwise, whether the patient can enter the hospital alive is the same thing.

Hearing Qin Feng's words, the older staff quickly ran into the mall and took out a chair. Qin Feng asked the staff to support the patient's lower arm to avoid accelerating the flow of blood in the blood vessels.

If the patient really has a myocardial infarction, once the blood flow accelerates, the patient will accelerate into a state of hemorrhagic shock, the heart will stop functioning due to insufficient blood supply, and the whole body will enter a state of suspended animation.

"Uncle, can you hear me?" Qin Feng asked the patient to lean back on the chair, and then started talking to the patient.

The patient clutched his chest, let out a long and short sound, opened his mouth, and a stench overflowed instantly.

Qin Feng didn't dodge too much, so the vomit was stained on Qin Feng's shoes.

Seeing the patient vomiting, Qin Feng frowned even more. For this kind of patient, Qin Feng really has no experience in treating this kind of patient. The patients in the operation training room are all lying on the operating table, and this patient may be a patient with a heart attack. Terrier, Qin Feng has no experience in myocardial infarction surgery.

The patient vomited continuously, and Qin Feng's heart felt a little anxious as if being grabbed by a big hand.

Fortunately, the ambulance arrived in time. It was an ambulance from the first hospital in the city. It stopped at the entrance of the shopping mall, and the doctor and nurse jumped out of the car door. The doctor rushed to the patient with a first aid kit.

"What's the patient's condition?"

"Chest pain, vomiting, I suspect it may be a heart attack." Qin Feng said aside.

The outpatient doctor looked up at Qin Feng, and said, "Qin Feng?"

"Teacher Wang?" Qin Feng didn't expect that he would meet an acquaintance for a consultation today.

The two of them just greeted each other, and the focus was still on the patient.

"There is ECG monitoring in the ambulance, please help send him to the ambulance first." Dr. Wang said.

Qin Feng, two nurses and Dr. Wang carried the patient onto the flat car and sent him to the ambulance. Qin Feng naturally followed, and at the same time a person in charge of the mall also followed.

After all, the patient fainted at the entrance of their mall. Although the mall was not wrong, the mall still had to pay for the medical expenses, just like the concept of Pengci.

Of course, if the patient's family members come to understand the reason, they will compensate the mall for the medical expenses.

When the nurse was connecting to the ECG, Qin Feng found an elderly mobile phone in the patient's pocket, found his son's number and dialed it.

(End of this chapter)