This doctor has a system

Chapter 293 282. At your age, how many 5-6 minutes do you still have?

"The future is promising!" Hu Zhenming was moved to tears.

Wang Liang is really not bragging. This matter is really something he has the skills to do. It only took him 2 days to understand the entire step, and even added a little of his own ideas in the middle.

"is it okay?"

"Awesome!" Hu Zhenming couldn't help but give him a thumbs up.

The capsule shell has been made, and the next step is to test whether this thing is practical. If it will not be decomposed in the body after being eaten, and can be excreted with the feces, then it will be considered a success.

Two stray dogs on campus were caught.

"They are voluntary." Wang Liang said.

"Are you farting? They are just idiots, how can they still volunteer?" someone complained.

"Really, I said to them on campus: Are you willing to be one of us as experimental subjects?"

"Then they came over on their own initiative." Wang Liang said, not mentioning the oily chicken legs in his hands.

"Actually, it's just for stuttering. It's not easy for these two local dogs." Hu Zhenming said with emotion.

"We are not all the same. How do you think we are more noble than the two of them?" Wang Liang said, "Everyone who comes to work does not stutter."

"Are you trying to realize your own life value?"

"It seems to make sense."

These two local dogs are lucky. They just cooperated in a small experiment, and they will have a laboratory establishment in the future.When the laboratory in the port area is put into use, these will be two watchdogs.

Besides, the capsules are stuffed with starch, so even if there is any problem with the quality, it won’t kill them.
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"The old lady's condition is quite serious." Bu Zhengyang was communicating with several family members about her condition, "We need to complete relevant examinations for her."

"Stop checking, just give her medicine." A family member was not very happy, "What's the use of doing so many checks? Just give her an infusion, and just give her a few more infusions!"

Why don’t you just pretend to understand when you don’t understand, okay?Bu Zhengyang was speechless. The cause of the disease was still unclear. How could he be given random infusions?
Where were you eating?Eat more and have balanced nutrition.

"That's not the reason. We must find out the cause." Bu Zhengyang explained, "Then we can prescribe the right medicine."

Several family members curled their lips.

Bu Zhengyang felt depressed for a while. He was most annoyed by family members like this. They didn't listen to the doctor when they came to the hospital. He had such an idea in his mind that he didn't know where it came from.

The patient, a 69-year-old female, was admitted to the hospital complaining of wheezing for half an hour.

The patient had sudden wheezing, chest tightness and discomfort half an hour ago without any trigger, accompanied by cough, no sputum, no fever, no chest pain, and no hemoptysis. No drug treatment was used outside the hospital, and the symptoms did not improve significantly.

I had a history of hypertension for more than 20 years, and my blood pressure was as high as 210/100mmHg. I was treated with "nifedipine sustained-release tablets" orally intermittently, and my blood pressure changes were not monitored regularly. My blood pressure control was mainly random.
The patient had a 6-year history of cerebral infarction and had been wheezing and coughing when eating water for the past year. The patient had been bedridden for a long time due to right hip fracture a year and a half ago and had no incontinence.

"Did the old lady suffer this fracture from a fall?"

"Yes, she fell by herself." The old lady's son felt suffocated at the mention of this.

The old lady had a bad temper when she was young, and she kept the whole family in obedience. But she still has the same temper when she gets old, otherwise her blood pressure would be so high.

A year and a half ago, the old lady was walking in the community. The security guard reminded her that the small gate in front was under construction and the floor was lifted, so she should not pass through it.

The old lady refused. She had to go from here every day. This is a habit. How can you change a habit? No matter what you say today, you must pass here.

"Why do you bother?" My wife didn't understand very well, "We have old arms and legs, and they won't look good if we fall again."

"What nonsense are you talking about?" the old lady was very angry. "You can't walk if the floor is lifted? Have you never walked on a dirt road before?" And she didn't feel that she had old arms and legs. She danced in the square yesterday but she was so old. Li Sanni, who was in Building 28 across the street, was tortured to pieces.

"It will take an extra 5-6 minutes to go back from the front!"

"At your age, how many 5-6 minutes do you have left?"

"An inch of time is worth an inch of gold, an inch of gold can't buy an inch of time!"

"Stop the ink stains and keep up!"

The old lady took the lead, but the newly lifted floor was wet by workers and became slippery. The old lady was knocked down.

"Ouch! Oh my god!" She howled like this, almost scaring the old man so much that he sat down on the ground.

"The right side was fractured," the old lady's son said. "I was taken to the hospital, and the doctor there asked me to perform surgery."

"Then why not do it?" Bu Zhengyang was a little confused.

"What kind of surgery should I do at such an old age?" Another family member said. "The risks of anesthesia are so high! If you don't do it, you may not live for a few years. If you do it, you may die on the same day."

Another guy who clinks a bottle with less than half a bottle.

In fact, according to the latest expert consensus on hip fractures, patients who are not in poor health should try their best to get surgery if their family conditions permit, and the earlier the better.

Because overall, the mortality rate within one year after surgery is less than 30%, even less than 20%, while the mortality rate of conservative treatment is higher than 50%.

Conservative treatment is only suitable for elderly people with minor fractures or those who are not suitable for surgery, and require one to two months of bed rest while fixing the fracture site and performing appropriate rehabilitation training.

Elderly people with severe fractures and physical conditions permitting need to choose internal fixation surgery or artificial joint replacement according to the fracture situation.

This old lady obviously suffered a serious fracture and is still bedridden after a year.
Physical examination: T38.2℃, P110 times/min, R24 times/min, BP202/127mmHg.He was clear and wheezing, with small superficial lymph nodes, voiceless percussion in both lungs, and dry rales in both lungs. The heart rate was 110 beats/min, regular and without murmurs.

The abdomen was distended and soft, with no abdominal tenderness, rebound tenderness or muscle tension. The liver and spleen were not palpable under the ribs, and the right lower limb was edematous.

The patient has had a chest CT performed in the emergency department. The results showed: double pneumonia, increased markings in both lungs, solid nodules in the left lung, consideration of bullae in both lungs, intramediastinal nodules, calcification of the aorta and coronary arteries, and bilateral pleural limitations. Sex thickening, right pleural effusion?After thoracic spine surgery, gallbladder stones? .

At first, Bu Zhengyang believed that the cause of the patient's wheezing was pneumonia, because her blood count and C-reactive protein were also significantly high, so he gave the old lady Shupu Shen to control the infection.But three days had passed, but the patient's condition had not improved significantly. In fact, Bu Zhengyang felt that the old lady's mental state had become worse.

"What's going on with your old lady?" The head nurse came over, "There are quite a few family members accompanying her here, but no one seems willing to take care of her."

"She has such a bad temper that anyone who comes in front of her will be beaten up." Bu Zhengyang explained, "Several children are not very close to her, and they seem to be here more for the sake of the old man. superior."

Bu Zhengyang even felt that if the old man hadn't been holding her down, the old lady would have been pushed into the ditch by her children.

The old lady's condition has not improved in the past few days, but the children don't look anxious at all. The patients next to them can see what's going on, and they feel like they are leaving the old lady here.

"It's really outrageous to open the door for outrageous mother - it's outrageous." Bu Zhengyang reported this situation to Gao Feng. Such patients need to avoid risks in advance.

Although the family members are all in harmony now, when the old lady kicks her legs, someone might come out to cause trouble.

Bu Zhengyang even thought darkly, maybe the family sent the old lady to the hospital not to see a doctor at all, but maybe because they wanted to make the last money from her.

"You sow karma and you will reap its consequences: Huo Donglan never imagined the dark thoughts of her children. When she was young, she beat and scolded her children. When she was old, she finally received retribution. As the old saying goes: Sow karma and you will reap its fruits. If I hadn't met you, She will definitely die this winter. Please use your professional skills to break the cause and effect and extend her life. You will get 5 skill points for completing the task, and no skill points will be deducted for failure."

Good guy!In the eyes of the system, the old lady's life is only worth 5 skill points, and there is no one else.
In fact, in this case, living too long seems not a good thing, Gao Feng thought, but he certainly would not allow the other party to die in the department like this, especially since his children seemed to have other dark purposes.

"Let's go see the patient."

Gao Feng brought several people to the ward. The old man was feeding the old lady apples. The scene was quite heartwarming.

"Why are you so stupid? You can't peel an apple!" The old lady suddenly lost her temper. She started breathing again when she spoke, and her husband was in a hurry.

Bu Zhengyang gave Gao Feng a look, look, there is a reason why he is not popular.

"Old lady, is there any reason for your wheezing?" Gao Feng stepped forward and asked.

"What could be the cause? It's just that he suddenly started to wheeze." The patient didn't like anyone at the moment, "Who are you?"

"This is our Director Gao." Bu Zhengyang quickly stood up, "He is of a very high level. I specially invited you to come here today to show you."

The old lady curled her lips, what a director, he's obviously just a young boy.He looks so young, what ability can he have?
But she still has some brains and knows that there are some things that can be said and some things that cannot be said.After all, not everyone has a good-tempered husband like her.

"Come, let me listen to you." Gao Feng came up with a stethoscope. He also noticed the change in the patient's expression just now, but he didn't care.

He has seen this kind of situation many times. Most patients like to seek treatment from old doctors. Having gray hair can gain the trust of patients more. If you even have a gray beard, you will immediately be promoted to an old expert in the hearts of patients!
Gao Feng had a classmate with a bald head. Not long after graduation, the director asked him to go to the clinic.

"You'd better work overtime to make your face look older." The director gave him an idea. "In this case, you won't have to worry about having no patients at all, and your starting point will be higher than these veteran doctors who have been working for more than 10 years!"

The classmate was a little unbelieving at first, but he soon realized that the director had not lied to him. The patients could not help but trust him when they saw his white hair. An old patient said that seeing him made his illness half better.
Many young doctors who have just started working always complain that their patients don't believe in them. When patients start to believe in them, they will be horrified to find that they are old and start to miss those green years again.

There were some moist rales at the base of both lungs, but no other abnormalities were found.

"Why is the old lady's blood pressure still so high?" Gao Feng asked. He had just seen that the blood pressure measured on the ECG monitor was 198/100mmHg. Such blood pressure would be considered high for most people.

"Irregular medication intake." Bu Zhengyang got a headache when he mentioned this. This old lady was quite annoying and turned a deaf ear to his words.

Sometimes Bu Zhengyang wants to just let her die.
"Let's go back to the ward and look at her CT films." Gao Feng felt that there was something wrong with the old lady's diagnosis. She probably didn't have simple pneumonia, otherwise she wouldn't have been hospitalized for a few days without any effect.

"There seems to be something wrong with this." He pointed at the film and said uncertainly. The patient's chest CT was not very good. Her breathing amplitude should be relatively large during the scan, resulting in poor imaging quality.

The patient suddenly wheezed and was bedridden for a long time after a hip fracture. Gao Feng naturally thought of pulmonary embolism.

"Is D-polymer high?"

"A little higher." Bu Zhengyanghui reported.

"Then why don't you check her pulmonary artery CTA?" Gao Feng glanced at him in confusion. Logically speaking, Bu Zhengyang shouldn't make such a low-level mistake.

"The children were unwilling to investigate, saying they were spending money indiscriminately." Bu Zhengyang felt frustrated when he mentioned this, "I finally communicated with him for a long time, and the children relented."

"It turns out the old lady doesn't want to go!"

"Why?" Gao Feng asked strangely.

"Say we want to defraud her of money!"

"Can you talk to the family and ask them to take him home?" Wang Wenhao suggested.

It was a solution, and Gao Feng felt that his proposal was not unacceptable.

"The family members were unwilling and said it would be unlucky to die at home." Bu Zhengyang laughed after saying this. It was no wonder that it was not easy for the old lady to live like this.

"Go and communicate with the patient and family again. If they are unwilling to cooperate with the treatment, please discharge her immediately." Gao Feng suddenly became too lazy to care about the old lady, and it was hard to persuade the damn ghost.

Seeing what he said, Bu Zhengyang hurriedly called the family members over.

"What do you mean? Are you just not going to be treated if you don't do an examination?" A family member was very angry, "I want to file a complaint against you!"

"Then you file a complaint as soon as possible, we are in a hurry." Bu Zhengyang was very stubborn, "If you don't cooperate with the treatment, it won't work if you insist on letting the old lady die here in the hospital."

"Just take it home!"

When the family members' little plan was exposed, they immediately became angry and made a fuss alone to complain.

Soon someone from the doctor-patient office came, and Deputy Section Chief Yin smiled and greeted Gao Feng.

"Since you have come to the hospital, you must cooperate with the doctor's treatment. If you continue to cause trouble, we will call the police!"

(End of this chapter)