Chapter 112 Neck Pain Patients

It's only been a few days, and the efficiency of Director Xia and Director Han is too high.

If they are not efficient, it is estimated that the Sanbo Hospital is now raising sparrows on such a large site.

It’s not that I haven’t raised them before. The hospital was built a long time ago, and there were not many patients in the hospital. When it comes to Sanbo, there are more doctors than patients, and more sparrows than doctors.

I followed Director Han to the fifth floor to see the operating rooms. These operating rooms were also built at the time. The three multi-functional operating rooms were all laminar flow, and one of them was a 100-level laminar flow.

In the past, I wanted to develop a same-day surgery center, but the environment was immature. This ambitious plan failed to persist for a few months.

This time, Dean Xia may have visited a certain place and got through his ideas. I heard that he has been thinking about this for a few days and nights. Finally, he asked a few vice deans to discuss with Director Han, and decided to refer to the operation mode of the day. Comprehensive orthopedics, although the environment is immature, but it can be flexible. It does not pursue discharge within 24 hours, which can speed up recovery and shorten hospitalization time.

The operating room is fully equipped, including arthroscopes, foraminal mirrors, microscopes, etc. The old ones came from the operating room over there. In Director Han's words, opening a new department should not affect the original departments. can also be used.

Everyone borrowed a trailer from the logistics, and moved the things in one go. Zhang Lin brought a bag of facial cleanser over. There are also a lot of small five messes. Yang Ping had nothing, so Xiao Wu brought it for him.

Song Zimo also used a trailer to pull over his own and Tang Fei's things. There were only dozens of books, and each one was heavy.

The department is not open, and everyone is fine.

Every day I went to work and read a book, tired of reading, chatting in the doctor's office, Zhang Lin brought a pair of Go, Yang Ping and Song Zimo wanted to kill a few games on a whim.

But Yang Ping's hand is inconvenient, what should I do? Play blind chess! Back to back, relying on memory to play chess, let Xiao Wu Zhang Lin help control the chess pieces.

There is no way, two geniuses collide together, mortals can only stare, this blind chess can be played from beginning to end, this memory can only be described in foul language, awesome!

Song Zimo had encountered a blind chess master who played chess before. However, I have never met a blind chess master who plays Go, and many of them can't remember halfway through the game. Yang Ping can actually play a game of chess with him to win or lose.

Convinced orally! I can't accept it!

He was crushed countless times during the operation, and he was crushed again when he played chess. After playing chess for more than ten days, Song Zimo was crushed for more than ten days.

For more than ten days, Xiao Su brought meals to the department every day, and fed Yang Ping to eat in the dining room; every day, he took Yang Ping's packed clothes back to the dormitory for washing, washed them, dried them, and sent them back.

In about ten days, the hand was healed, the skin damage recovered quickly, and no trace was left.

Look left and right, look forward to the stars and the moon.

Comprehensive orthopedics finally ushered in the opening of the department. On the first day of the opening, the simple ceremony was completed, and the clinic was opened.

Director Han and Director Tian are in the specialist outpatient clinic, while Yang Ping and Song Zimo are in the general outpatient clinic.

Not bad. I saw several patients in the first hour. Director Han received a knee that was always sluggish. He had an MRI, and he also had an operation in another hospital, but it was ineffective.

This time, I came to Sanbo and read the introduction on the wall of the outpatient hall. The comprehensive orthopedics department looked at the intractable diseases of the orthopaedic department. Good guy, I will hang the number of this department.

Another patient came, a man in his thirties, with a briefcase and a suitcase, looking in a hurry. There were few patients, and the queue was avoided.

Put down the suitcase, go to the front desk to register, take blood pressure; say that you feel a little hot, take your temperature.

"Doctor, I have pain in the back of my neck and this back. I have cervical spondylosis. I have done X-rays, CT scans and MRIs. I saw it in the city two days ago, took medicine, and did physiotherapy. It's uncomfortable!"

The patient touches the back of his neck and gestures at the painful area.

Yang Ping read his small note: blood pressure: 152/102mmHg; body temperature: 38.0℃.

"The blood pressure is a bit high, is it usually high?" Yang Ping asked.

The patient said: "Sometimes I'm high, I don't care too much, I don't have any bad feelings, so I don't take medicine, my neck is uncomfortable, this time the cervical spondylosis attack is worse than before, please help me find a way, give me some medicine to relieve the pain, I'm catching a flight, Go to the imperial capital for a meeting."

"The body temperature is also a bit high!" Yang Ping said.

The patient touched his forehead: "No yesterday, only today."

"What's wrong with your chest and stomach?"

"My chest is fine, I was a little nauseous in the morning, and my stomach was a little swollen and painful. It's very mild. I have an old stomach problem."

Yang Ping asked about the medical history, and it was already the third day of neck and shoulder pain.

During the physical examination, I touched the muscles of the neck and shoulders, and there was no obvious spasm. Several special tests for cervical spondylosis were all negative.

So I took a stethoscope and listened to the lungs and heart: "You have a problem with your heart, I'll do an electrocardiogram for you."

The first heart sound in the apex area was weakened, the fourth heart sound was galloping, and there was a friction rub in the pericardium. The arrhythmia was highly suspected of myocardial infarction, and the pain radiated to the neck.

The treatment process for such patients: complete the electrocardiogram within ten minutes, call the chest pain center, and send the patient to the chest pain center.

Yang Ping immediately called the nurse for assistance and pushed the electrocardiograph.

The patient was more cooperative. He lay down, Yang Ping undressed him, and did an electrocardiogram.

"ST segment elevation, acute myocardial infarction, need immediate treatment!" The electrocardiogram supported his physical examination. Yang Ping realized that this patient was very dangerous and could die suddenly at any time.

"You suspect that I have a heart problem? I have an annual physical examination, and I have never had a heart problem. Doctor, is it too outrageous for you to see a doctor?" The patient answered the phone and buttoned his clothes.

"Don't get excited, listen to me--" Yang Ping tried his best not to provoke him.

"I don't have time to reason with you. To catch a plane, the car is coming."

The nurse's wheelchair came, but the patient ran away in a hurry.

Yang Ping followed and ran out, the man ran too fast and disappeared.

"What's wrong?"

Song Zimo followed from the clinic, thinking that Yang Ping had a physical conflict with the patient.

Yang Ping stood at the door and said lightly: "This patient is highly suspected of acute myocardial infarction. The pain radiates to the neck, the infarction scope is expanding, and he will die suddenly at any time. He just helped him do an electrocardiogram, and he ran away."

It is not a high degree of suspicion, but a certainty that Yang Ping's physical examination training in the system space has given him a sharper recognition ability than ordinary people.

High blood pressure, there is the basis of coronary atherosclerosis.

The body temperature is 38 degrees, indicating that the infarction has occurred for 24-48 hours, and the heat of absorption caused by the necrotic material.

Nausea, epigastric distention, although mild, and vagal nerve stimulation from necrotic myocardium or tissue hypoperfusion.

"Tell Director Han to find a way." Yang Ping hurried to Director Han's clinic.

Director Han is seeing a patient.

"Director, can you interrupt me? The situation is urgent." Yang Ping said.

Director Han immediately stopped the physical examination of the patient. The doctor said that it was urgent, and that would be a life.

"Just now, a patient with neck pain came to me with cervical spondylosis. I examined him and highly suspected acute myocardial infarction. No, it was definitely, definitely, the scope of the infarction was expanding, and his life was in danger at any time. I don't believe it, I ran away."

Yang Ping showed Director Han the electrocardiogram.

"Run? I'm sorry, we have an emergency rescue, please wait a moment." Director Han explained to the patient who was watching.

"It's okay, doctor, you're busy, I'm not in a hurry." The patient is more reasonable.

"Are you sure this patient has acute myocardial infarction?" Orthopedic surgeons' ability to diagnose and treat internal medicine has always been a weak point, but for Yang Ping, he absolutely believes that re-determination is just for the sake of safety.

"I'm sure, 100%, this is his electrocardiogram, the ST segment is elevated, and he needs immediate treatment to restore the blood supply to the myocardium, or he may die suddenly at any time!" Yang Ping's tone was calm and clear.

Director Han immediately shouted: "All come in!"

Including Director Tian and Song Zimo came in.

"We called the phone number left by the patient, and at the same time asked the security department to call up the video to find the patient and see where he went, hurry up!"

"Let's go to the security center, Song Zimo will call the patient." Director Han arranged.

Director Han and Yang Ping rushed to the security department. The security department has a monitoring room, and the monitoring images of the various cameras in the hospital are all here.

The security captain saw Director Han in such a hurry: "What's the matter, Director Han?"

"There is a patient who may die suddenly at any time. He ran away by himself. Quickly, call our comprehensive orthopaedic department, which is the door monitoring of Building No. 8."

"Quick! The door of Building No. 8!" The security guard in charge of monitoring began to adjust the video.

About ten minutes ago, the video is played back to ten minutes ago.

"Just him!"

"Hold still and follow him!"

"The surveillance shows that the man walked through the garden, took the shortcut, went out from the east gate, and got into a car that was waiting for him. Can you see the license plate?" The security captain pointed to the surveillance and said.

Fortunately, the location where he got into the car was at the east entrance of the hospital, and was still within the scope of the hospital's monitoring.

"Zoom in and write down the license plate number!"

Director Han's phone rang, Song Zimo's.

"The phone got through and didn't answer. I called a few times, but I didn't answer."