A woman in her forties with a frosty expression walked in while scolding.
Behind her was a woman in her fifties. She was a little humble. Her head was lowered, and the white hair on her forehead was a little messy.
"Check, check. How many times has it been? If it weren't for the fact that you're raising a child who's still in college, I would have fired you long ago. "
"Manager, I … I …" the patient muttered.
"You what? I've done more than a thousand yuan of tests and it's fine! What else do you have to say? " The female manager waved the bag of radiographic films in her hand, making a rattling sound as if she was adding evidence to her words.
"Do you know how much I've been scolded because of you?"
Zheng Ren glanced at the woman behind him. The System's panel was red. It was not an act of feigning illness. A diagnosis appeared conspicuously on the System panel — Heart Syndrome X.
After seeing the diagnosis, Zheng Ren thought about the cause and effect clearly.
The female manager ignored the employee behind her and strode toward the emergency internal medicine consultation room. Her high heels clicked on the marble floor, like the sound of Zheng Ren clicking the mouse.
The patient was wearing the uniform of a hospital cleaner. It seemed that she was a worker from a cleaning company. The person in front should be the manager in charge of the hospital.
The emergency physician took a look at the radiographic films and went to call Zhou Litao. Zheng Ren stopped him. "Chief Zhou is busy. Let me do it."
"Chief Zheng, I'll have to trouble you." The emergency physician was happy to be free and handed all kinds of tests and radiographic films to Zheng Ren.
The patient had no problems with all the tests, but he complained of chest tightness and shortness of breath. This kind of chief complaint could be considered for other diseases. However, seeing the female manager who brought the patient with a frosty face, it might be a dispute.
Naturally, this kind of thing was as far away as possible. It was not troublesome enough. If in the end, more tests were done but no problems were found, the doctor who performed the tests would face the anger of the female manager.
Zheng Ren held the radiographic films and asked gently, "What's wrong with you?"
"I …"
"I feel uncomfortable when I work. My laziness is acting up!" the female manager said unhappily.
"Let the patient speak, okay?" Zheng Ren smiled and glanced at the female manager.
"There's nothing wrong with the tests. I think she's crazy all day long."
Zheng Ren raised his eyebrows slightly. The female manager relied on the hospital for a living, so she did not dare to offend any powerful people. Although logistics was not the same system as the clinical front, there were many big shots in the 912 who could reach the heavens.
The doctor in front of him looked young, but who knew what skills he had and what important tasks he knew? The doctor from the emergency department seemed to be very respectful to him and addressed him as Boss Zheng.
There were many people who could be called boss, but not many.
The female manager swallowed the rest of her words, not daring to provoke him. She just glared at the patient fiercely.
"My chest feels tight." The patient said helplessly, "Especially when I'm working, the symptoms of chest tightness and pain become more severe."
"It appears every time?"
"No, once every three to five days. I keep feeling that it's a heart attack. A while ago, a friend of mine fell asleep at home, and he passed away when he fell asleep … "When the patient said this, he seemed to feel that something was wrong, so he stopped.
The female manager raised her head with a look of disdain.
In her opinion, this was the most classic case of hysteria. All the symptoms were imagined in the mind and did not exist at all. Either she was lazy and did not want to work.
If it were not for the fact that she had to support a child who was still in school, she would have been fired long ago. If not for the fact that she could not be a good person, she would have been taken advantage of.
"Do you feel this way when you sleep at night?" Zheng Ren asked gently.
"No." The patient shook his head in confusion.
"Does anyone in your family have a history of high blood pressure or coronary heart disease?" Zheng Ren continued to ask.
"My wife had high blood pressure when she was young. Later, she died of a cerebral hemorrhage."
Zheng Ren scratched his head and said, "Your lover doesn't count. He's not related to you by blood. What about your parents and other relatives? "
"My father has a history of high blood pressure. Others … My second uncle seems to have it too."
"What about coronary heart disease?"
Zheng Ren patiently asked about the medical history. The impatient expression on the face of the female manager who accompanied the patient became more and more serious.
In her opinion, the patient was pretending to be sick, and Zheng Ren was just a young doctor. Usually, an old doctor would just take a look at the radiographic films and casually ask a few questions before giving a diagnosis. There was no reason to ask in such detail.
Besides, there were many patients in the emergency department. Who had the time to ask in detail?
After a few minutes, Zheng Ren finished asking about the medical history and took out the radiographic films to look at.
In fact, the female manager of the cleaning company was still considered good. Although she was a little impatient, she had done all the necessary tests. There were not many people who could be so responsible.
There was no problem with the patient's electrocardiogram. Because it was suspected that it was a transient attack of angina pectoris, the electrocardiogram did not capture any abnormal changes, so a 64-slice coronary artery CT was also done as a supplementary examination.
There were no problems with all the tests. Under normal circumstances, it would be fine if it was diagnosed as neurosis.
However, Zheng Ren did not think so. After all, the System had given a clear diagnosis — Heart Syndrome X.
"Have you taken nitroglycerin?" Zheng Ren asked.
"Yes," the female patient also saw that the manager's expression was getting worse and worse, so she whispered embarrassedly.
"How's the effect?"
"There's basically no effect …" Her voice became softer and softer. In fact, she also felt that she was suffering from neurosis, or as the manager said, it was all a disease that she had imagined.
However, every time the pain occurred, the duration was not fixed, and the pain was very obvious.
Whoever was in pain would know, but there was nothing wrong with the examination. After seeing the doctor for so many times, even the patient herself began to wonder if there was something wrong with her mind. Could it be that it was really caused by menopause … She began to let her imagination run wild.
"Uh … Let's do an isotope test," Zheng Ren said in a deep voice.
"Isotope test? How much? "The female manager immediately became angry. She looked at Zheng Ren with disdain and a hint of hatred.
Zheng Ren glanced at her. When he saw that gaze, he did not get angry. Instead, he smiled and put the radiographic films into the bag. In his heart, he wondered if it was better to do an isotope test or a sports plate test.
In fact, the reliability of these diagnoses was not particularly high. To really confirm a diagnosis, he still needed to do an invasive coronary angiography.
"Don't waste time. Do 64 rows. This is my highest authority," the female manager said coldly. "I didn't find any problems. If you need to do other tests, I don't have the authority. I need to report it."
"Okay, sorry to trouble you," Zheng Ren said.
"…" The female manager looked at Zheng Ren in surprise. Did he not know what she meant?!
(End of this chapter)
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
