Chapter 152 Arrhythmia
One, two, three, four...
Su Tang treated patients very quickly, and her speed and manner not only stunned the resident trainee, but also shocked Director Xiao.
Every patient who originally came to see Director Xiao showed an envious expression to Director Xiao, as if saying, "Oh my, Director, you have a successor." Among them, there was a middle-aged male university teacher who came to see a doctor because of high blood lipids, and he even showed a look of envy.
The middle-aged male university teacher was full of envy: "Alas, even though we are all teachers, the treatment between teachers is really different. You are a good teacher who produces outstanding students, and look at our class, which is just a bunch of monkeys! People who don't know me would think I am Sun Wukong from the Flower-Fruit Mountain... I have been professionally leading monkeys for three hundred years."
Director Xiao was embarrassed: “………………”
No, no, really not... I have only been in contact with this apprentice from beginning to end for less than two hours!
The food in other people's pots smells delicious, but other people's apprentices smell even better!
One patient was undergoing a follow-up for menopausal sequelae, one had high blood pressure, one had high blood lipids, two had poor digestion, and three had insomnia, palpitations, and headaches...
None of the illnesses were particularly serious, and Su Tang only took less than half an hour to examine all the patients.
Director Xiao's face was full of sighs. He could clearly see that Su Tang was very experienced in his diagnosis.
If we ignore his age and professional title, and only talk about his speed, his confidence and sophistication when talking to patients, and his precision and adequacy when treating patients, even if someone says that Su Tang is an old Chinese medicine doctor, Director Xiao would agree!
Director Xiao sighed and touched his cheek subconsciously.
The other party has a solid foundation, a clear dialectical thinking, and his own unique insights into treatment and diagnosis methods. During the consultation process, he can even come up with treatment plans that make him shine from time to time...
For a moment, Director Xiao didn't know what else he could teach the other party...
Although these patients did not have any difficult or complicated diseases, looking at the situation... Director Xiao felt a little uneasy. He felt that he might not be better than the other party.
Just as Director Xiao was thinking about it, a series of low exclamations suddenly came from the waiting area next to him!
………………
Zhang Feiyan has been feeling unwell recently.
Although the autumn in Shenzhen is still quite hot, and most people are still wearing short-sleeved shirts, Zhang Feiyan has recently felt as if she is in an ice cellar.
Not to mention going to work, even just taking a short walk on the road would cause palpitations and chest tightness.
If the rented house did not have an elevator and her boss was kind enough to allow her to take leave and rest at home during this period, she doubted that she would have been able to survive this period.
Zhang Feiyan initially thought that she was feeling unwell because she worked too hard and thought that she would be fine after two days of rest.
But she didn't expect that after resting at home for two days, she was still feeling very uncomfortable and even fell into a brief coma this morning. If her roommate hadn't insisted on sending her to the hospital, she would have suspected that she would have fainted at home.
"Fei Yan, you look so pale... lean against the wall, I'll find you a place to sit." Roommate Wang Qiao glanced at Zhang Fei Yan and said worriedly.
This morning, when Wang Qiao saw Zhang Feiyan unconscious in the bathroom, she was almost scared out of her wits! If Zhang Feiyan hadn't woken up later, she would have almost called 120 for emergency help! But even so, Wang Qiao asked her boss for a day off today and brought her roommate to the hospital for treatment.
Chest tightness, shortness of breath, coma, and Zhang Feiyan's frequent staying up late to work overtime some time ago.
When they both came to the hospital, they both chose to make an appointment with the cardiovascular department...
It's just that they both registered late, so even though they chose the attending physician, by the time Zhang Feiyan got the number, it was already No. 38.
This means that they may have to wait until around 11:00 before they have a chance to see a doctor.
If it weren't for the fact that they both had low salaries and had to be frugal with their daily expenses, Wang Qiao would have actually wanted to suggest that her roommate make an appointment for the emergency department. Unfortunately, this topic was a bit heavy, so the two of them didn't mention it at the same time...
"Well, thank you, Qiaoqiao..." Zhang Feiyan's face was pale, and she nodded and smiled weakly at Wang Qiao.
However, at the moment when Zhang Feiyan nodded to Wang Qiao, the palpitations and shortness of breath that had been slightly relieved came over her again. Zhang Feiyan's eyes went dark, her head instantly felt dizzy, and she fell down against the wall!
Wang Qiao: “!!!!”
Wang Qiao's eyes widened, and she was sweating in shock! She instinctively stretched forward with both hands and grabbed Zhang Feiyan's arm. However, Wang Qiao couldn't hold the weight of a person so easily, especially since Zhang Feiyan was completely unconscious at the moment and couldn't use any force. Wang Qiao grabbed her and fell down. Fortunately, she slowed down the trend of Zhang Feiyan's head falling down, so that the back of his head didn't hit the ground and get injured directly.
However, this incident also shocked many patients and their families in the waiting area.
Many people shouted out.
"Doctor, doctor, come quickly! Someone has suddenly fainted here, come quickly!"
"Nurse, look over there! Look over there! A girl has fainted!"
"Hurry, hurry! The person is right there! On the other side of the wall!"
Su Tang and the other three heard the call from the door and instinctively ran out of the office!
…………
There were a large number of patients at the outpatient clinic of the Sixth Hospital in the morning. A rough sweep of the waiting hall showed that there were at least hundreds of people.
Several dozen seconds had passed from the moment Su Tang heard the noise and ran out of the office until she saw the patient surrounded by a group of people.
Fortunately, the crowd made way very quickly, and Su Tang ran forward almost instinctively.
The girl who fainted was wearing a white long-sleeved jacket that looked like a sunscreen shirt, but was slightly thicker than an ordinary sunscreen shirt. She was also wearing a pair of trousers that were tightly wrapped. Her face was pale, and there was a little sweat on her forehead. Su Tang's first reaction was to look at the big sun outside the window, thinking that the girl in front of him had heatstroke.
But as she squatted down and her fingers touched the other person's pulse, Su Tang found that she had completely misjudged the direction!
One second, two seconds, three seconds...
Su Tang placed her finger on the other person's pulse, but could not detect any pulse at all.
I looked up at the other person's chest. The slightly rising and falling chest and the obvious trembling of the other person's nostrils all indicated that the person's breathing and heartbeat were intact.
Su Tang frowned. Generally speaking, unless the heart stops beating, even if the patient is suffering from massive hemorrhage and shock, it is impossible for the patient to be without a pulse!
"How is it? What happened?" Director Xiao was older and had just sat among a few people in the outpatient clinic. He was unable to run out of the outpatient office in the first place, so he was a little slower than Su Tang and arrived later.
However, as Director Xiao asked with a frown, he half-knelt down and felt the pulse of the girl's other hand.
"Why is there no pulse?" Director Xiao frowned and blurted out subconsciously.
"No, no pulse? Doctor, you said my roommate is dead?...?" Wang Qiao was completely stunned, her eyes suddenly turned red, and tears fell down like pearls from a broken string.
Su Tang choked and quickly explained, "No, your friend is not dead... You can see she is still breathing."
"But didn't you just say she had no pulse? Doesn't no pulse mean death?"
"No..." Director Xiao also realized that his words might be a little ambiguous, and hurriedly shook his head and frowned to explain: "Your friend is suffering from avascular syncope, not sudden death."
"We need to perform emergency rescue for her..." The situation was urgent and Director Xiao did not want to say more. He simply gave a few instructions and wanted the intern to carry the person into his office.
However, before Director Xiao could call in the interns, Su Tang had already pinched Zhang Feiyan's Ren Zhong point and pressed down hard, while the other hand also pressed hard on other acupoints!
"Hmm..." Director Xiao frowned. Under normal circumstances, for patients who suddenly faint like the one in front of him, it is often necessary to improve their body position first, try to get blood back to the brain, and improve the brain's lack of oxygen. In addition, if there is no breathing and heartbeat, artificial respiration and other treatments are required. However, although the patient in front of him has no pulse, he is obviously breathing and has a heartbeat. He does not need to be resuscitated immediately, but emergency measures such as oxygen administration are still necessary...
However, simple acupressure obviously cannot play a role in the first aid process at hand...
The best approach now is to give hormone drugs to relieve systemic symptoms and give oxygen to improve hypoxia problems.
However, just as Director Xiao was about to call out the name of the intern next to him, Xiao Xu, he had many thoughts in his mind.
Zhang Feiyan, who was originally lying unconscious on the ground, made a "hmm" sound, trembled slightly, and opened her eyes!
Director Xiao: “……???”
The intern student Xiao Xu, who was about to squat down and prepare to carry the person on his back, said: “…………???”
Wang Qiao's face was full of excitement and joy: "Fei Yan, you woke up! You almost scared me to death! You fainted again just now! You almost scared me to death just now! Fortunately, the doctor gave you first aid, which made you wake up, otherwise I don't know what to do!"
Wang Qiao was so excited that she was incoherent. Fortunately, she knew not to shake her friend in excitement at this moment, otherwise Zhang Feiyan might be shaken unconscious again.
Zhang Feiyan was still a little dizzy at this moment, her eyelids half drooped, and she didn't say anything, but Su Tang reached out and touched her wrist again...
This time...
Zhang Feiyan still has no pulse!
Su Tang blinked her eyes, carefully looked at Zhang Feiyan's condition, then looked at her face, pinched her limp arm, and seeing that Zhang Feiyan had no reaction at all, she slowly said, "This lady looks like she has a pulseless disease caused by severe arthritis..."
Just like paralysis, apulsia is just a symptom, and there are many diseases that can cause this symptom, such as shock, embolism, vascular sclerosis, etc. However, there are still differences between apulsia caused by different causes. Among them, breathing frequency, whether there is visual impairment, etc. can all serve as intermediate basis for judgment.
Director Xiao observed Zhang Feiyan and was about to frown and say, "We need to be precise when treating patients. We shouldn't make conclusions so quickly about some diseases."
The female patient who had just fainted suddenly covered her mouth as if she wanted to vomit, and covered her ears with her other hand. She said in a dry voice: "Doctor... I feel... my ears are buzzing, my vision is blurry... and I feel like vomiting... ugh... ugh...!"
Director Xiao: “…”
Director Xiao shut up silently. Although he had not yet prescribed any medical examinations for the patient, it was obvious from the patient's condition that he was suffering from aortic artery inflammation, which would cause dizziness, blurred vision, nausea and vomiting.
Patients with other conditions such as aortic stenosis may not have these signs at the same time.