medical road high rise

Chapter 67 Elevated Blood Pressure

Chapter 67 Elevated blood pressure

As a doctor who came out of a large hospital, Zhao Qi's vision is vicious. You must know that there are not many doctors who can treat this acute isolated abdominal aortic injury, even in Kyoto.

For things like surgery, sometimes it is also about the right time, place and people. If you want to complete a surgery quickly, you must not only be proficient, but also find a corresponding method that can guarantee 100% success.

This reminded Zhao Qi of what Qin Feng had said to him before the operation.

"If you are my assistant, I will be 100% sure to perform this operation."

Now it seems that Qin Feng is not bragging, he is really 100% sure.

But how can a doctor in a small city like Qinfeng have such a superb surgical level?Is it really talent?

There have been geniuses like this before, people with photographic memory who can learn it just by looking at it.

But this kind of genius will be poached away during school, and will even be invited to participate in various surgical competitions in medical universities, most of which will be poached directly at high prices.

Don't think that all universities are the same. In fact, universities are also a selection platform. If you perform well, you will be selected by the direct platform and get higher development space.

Moreover, now that the Second Hospital has a doctor like Qin Feng who can perform acute isolated abdominal aortic rupture surgery, it is completely possible to establish a surgery center to specialize in this kind of surgery.

This is also something that large hospitals often do. They take out some more difficult surgeries and let the corresponding doctor be the person in charge. The profits from the surgery are shared with the hospital, and the hospital can also get a commission.

The hospital only needs to provide a venue for the doctor, and some even have only one office. As long as the diagnosis is confirmed, the hospital's operating room can be used for surgery.

In Zhao Qi's view, if he was the dean, he would definitely build a surgery center for Qin Feng. As a gimmick, it would definitely increase the hospital's income.

This is the reason why the tertiary hospitals in small cities lose money every year. They don’t have their own characteristics. The surgeries you can perform can be performed by others, and the prices are similar. Why do others come to your small city?

"You said this a bit early, but you have changed my view of you." Qin Feng said.

"I just don't want to see negative things." Zhao Qi waved his hand and left directly.

Qin Feng glanced at the time and saw that it was time to change shifts in an hour. Qin Feng tidied up and went directly to the outpatient department.

On the other side, Director Xu of the CT room received a call from his teacher and asked him to go to Tianhe Airport at eight o'clock tomorrow morning.

Director Xu quickly asked for leave, rented a better car, and went to stay near the airport in advance. He would pick up his teacher directly tomorrow.

Director Xu's teacher is a master in the field of imaging, and Director Xu does not dare to treat him casually.

Although the teacher said everything should be kept simple, but if Director Xu really kept it simple, he would definitely leave a bad impression on his teacher. Who can guarantee that he will not trouble his teacher in the future?

Doctors are very narrow-minded, as long as you offend them, you won't have to deal with them for the rest of your life.

Everyone is very busy, if they are offended, they can't see each other when they look up, and they can't see each other when they look down. Even people in the same department can do it. If they change the time, they can't even see each other after working together for more than ten years.

It's like Director Jin and Director Dong. They are like fire and water. Even if they can meet each other sometimes, their attitudes are not very friendly, and they don't talk to each other. stumbling each other.

"Doctor Xiao Qin, you just came here just in time. The emergency department called me just now and said that there is a patient who is not well handled. Let me go over to take a look. Why don't you go take a look instead of me." The doctor on duty said.

"Okay, I'll go there now." Qin Feng was not polite, anyway, his task is to diagnose, the more patients the better.

As for these old fritters wanting to be lazy, Qin Feng also understands, after all, the performance of outpatient doctors is not based on the number of patients, but on prescribing medicines and examinations.

Most of the time, I spent a lot of time talking with the patient's family members. After the family members got the order, they went to an outside pharmacy to buy it, causing the doctor to lose money.

This kind of thing happens often, so these old fritters are also shrewd, and they can give Qin Feng's patients as much as possible to the patients.

Several times, some patients were deliberately slow to watch, and when it was time to change shifts, they directly handed over a large number of patients to Qin Feng.

If this were a normal doctor, he would have lost his temper a long time ago. He would still understand it once or twice, but after a long time, even a fool would know that something was wrong.

But Qin Feng is different. I'm afraid you will keep fewer patients. If it weren't for the hospital's rules, Qin Feng would want to go to work 24 hours a day.

Qin Feng put on a sterile mask and rushed towards the emergency room.

Generally, patients who need consultation are in the emergency room.

"Doctor Qin is here!"

"Director Jia." Qin Feng greeted the director of the emergency department.

A director came over personally and proved that the patient's problem was indeed quite serious.

"Do you have the patient's medical records?" Qin Feng asked.

"it's here."

The resident doctor handed the medical record to Qin Feng. Director Jia was also relieved to see that it was Qin Feng. At least Qin Feng's ability in some aspects is quite reliable. After all, the two met face to face once.

"The patient had episodic chest tightness that lasted for 5 months, lasting about 10 minutes each time. He had been taking nifedipine tablets, and the symptoms were slightly relieved. However, three hours before admission, the patient developed shortness of breath, chest tightness, Palpitations are accompanied by persistent malignancy and diaphoresis.

It lasted until admission, but there was no relief. The electrocardiogram showed that the patient had ST-segment depression in leads V2-V6, with acute inferior posterior wall of coronary heart disease, new function of right ventricular myocardial infarction grade I, hypertension grade 2 (very high risk), and 2 type diabetes.

However, since the onset of the disease, the patient has no symptoms of fever, cough, or sputum production. The highest blood pressure is 170/100mhg, which can be controlled by drug treatment. "

"Do you have an electrocardiogram?" Qin Feng asked with a frown.

You must know that high blood pressure + diabetes are high-risk factors, and major problems may occur at any time.

The resident doctor handed the electrocardiogram to Qin Feng. Qin Feng took a look. The upper AVL lead showed T wave inversion, the lower wall lead had mild ST segment elevation, and the precordial lead had T wave inversion and low flatness.

There is no problem with the diagnosis in the emergency department, but the possibility of three-vessel disease of chronic coronary artery disease may be considered.

Just as Qin Feng was thinking, the ECG monitoring suddenly sounded.

"No, the patient's blood pressure can't be suppressed!" shouted the nurse who took care of the ECG.

Both Director Jia and Qin Feng looked at the ECG, only to see that the ECG rose directly from 140/90mhg to 190/90mhg.

"Increase the dose of Nifedipine Sustained Release Tablets to 10mg, Indapamide 2.5mg, and Benazepril 10mg." Director Jia immediately added three antihypertensive drugs, but the patient's blood pressure still could not be lowered.

Seeing this symptom, Qin Feng quickly said: "First, give the patient a physical examination to see if there is any problem with kidney function and liver function."

(End of this chapter)