A 40-odd woman reproached him with an icy look as she walked in.
Behind her was a woman in her 50s. She looked humble and had her head lowered. The White hair on her forehead was a little messy.
“Check, check, how many times has it been! If it wasn’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 you? you did a check that cost more than a thousand Yuan and nothing happened! What else do you have to say!” The female manager waved the film bag in her hand and made a clattering sound, as if to add evidence to her words.
“Do you know how much I’ve been scolded for you?”
Zheng Ren took a glance at the woman behind him. Her system panel was red. She was not pretending to be sick. A diagnosis had appeared on the system panel. It was a heart X syndrome.
After seeing the diagnosis, Zheng Ren thought through the entire process.
The female manager ignored the staff behind her and strode to the emergency department. Her high heels clicked on the marble floor, making a clicking sound like Zheng Ren clicking the mouse.
The patient was wearing the uniform of the hospital’s sanitation worker, and it seemed like he was a worker from the cleaning company. The person in front should be the manager in charge of the hospital.
The emergency physician took a look at the film and called Zhou Litao. Zheng Ren stopped him.”Director Zhou is busy. Let me do it.”
“Boss Zheng, I’ll have to trouble you.” The emergency physician was happy to have some free time, so he handed all kinds of laboratory tests and X-ray bags to Zheng Ren.
There was no problem with the patient’s various examinations, but he admitted that his chest was stuffy and short of breath. He only showed signs of breathing after moving around, and he was accompanied by pain in the anterior heart area. Other diseases could be considered for such a prosecutor, but when he saw the frosty face of the female manager who had brought the patient, Zheng Ren knew that it would be a dispute if it was not handled well.
It was naturally better to stay as far away from this kind of thing as possible. It was not troublesome enough. If they did more tests and found nothing wrong, the doctor would have to face the female manager’s anger.
Zheng Ren held the X-ray and asked gently,””Where do you feel uncomfortable?”
“I …”
“I feel uncomfortable when I work, my laziness is acting up!” The female manager said in an unpleasant tone.
“Let the patient speak, okay?” Zheng Ren smiled as he looked at the female manager.
“He’s fine even after the tests. He thinks that he has coronary heart disease all the time. I think he’s crazy. “
Zheng Ren’s brows raised slightly like daggers. The female manager relied on the hospital for a living, so she did not dare to offend any powerful people. Although logistics and clinical medicine were not the same system, there were many big shots in 912.
The doctor in front of him was young, but who knew what skills he had and who he knew. The doctor from the emergency Department of Internal Medicine just now seemed to be very respectful to him and called him boss Zheng.
There were quite a few people who could be called boss, but not many.
The female manager swallowed the rest of her words. She did not dare to provoke Zheng Ren, so she only glared at the patient.
“My chest is tight, and it hurts occasionally.” “The symptoms of chest tightness become more serious, especially when he’s working,” the patient said helplessly.
“Does it hurt every time?”
“No, it’s every three to five days. “I keep feeling like it’s a heart block. A while ago, one of my friends fell asleep at home, and he pa.s.sed away …” When the patient said this, he seemed to feel that something was wrong and stopped.
The female manager held her head high, her face full of disdain.
In her opinion, this was either the most typical hysteria, where all the symptoms came from the mind and did not exist at all. They were either lazy and didn’t want to work.
If it wasn’t for the fact that she had to support a child who was still in school, she would have been expelled long ago. He shouldn’t have been a good person, he was pushing his nose up.
“Do you have this feeling when you sleep at night?” Zheng Ren asked gently.
“No, I didn ‘t,” The patient shook his head in confusion.
“Does anyone in your family have a medical history of high blood pressure or coronary heart disease?” Zheng Ren continued to ask.
“My wife had high blood pressure when she was young, and she died of cerebral hemorrhage.”
“Lovers don’t count, they’re not related to you by blood.” Where are your parents and other relatives?”
“My dad has a history of high blood pressure. Other people … My second uncle seems to have it too.”
“What about coronary heart disease?”
Zheng Ren patiently asked about the patient’s medical history, and the female manager who accompanied the patient looked more and more impatient.
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 film and ask a few questions before directly diagnosing. There was no reason for him to ask in such detail.
Besides, there were a lot of patients in the emergency department, so who had the time to ask in detail?
After a few minutes, Zheng Ren finished asking about her medical history and took out the X-ray to take a look.
In fact, the female manager of the cleaning company was a good person. Although she was a little impatient, she had already done all the necessary checks. It was rare to see such a responsible person.
There was no problem with the patient’s electrocardiography. As it was suspected to be a transient angina, the electrocardiography did not capture any abnormal changes, so a 64-row coronary artery CT scan was done as a supplementary examination.
There was no problem with all the tests. Under normal circ.u.mstances, it would be fine if it was diagnosed as a neurological disorder.
Zheng Ren didn’t think so. After all, the big pig trotter had given a clear diagnosis of heart X syndrome.
“Have you ever eaten nitroglychee?” Zheng Ren asked.
“I’ve eaten. ” The female patient also saw that the manager’s expression was getting worse and worse, so she said in an embarra.s.sed voice.
“How’s the effect?”
“There’s basically no effect …” Her voice became softer and softer. In fact, she also felt that she was neurotic, or just as the manager said, it was an illness that she came up with.
But each time it hurt, the duration was not fixed, and the pain was very obvious.
Whoever was in pain knew, but there was nothing wrong with the examination. After seeing so many patients, even the patients themselves began to wonder if they had mental problems. Could it really be caused by menopause … She began to let her imagination run wild.
“Uh … Let’s do a radiolosis.” Zheng Ren said in a deep voice.
“A radiolosis? How much is it?” The female manager was immediately enraged. She looked at Zheng Ren with disdain and hatred.
Zheng Ren glanced at her. He was not angry when he saw her gaze. Instead, he smiled and put the film into the film bag. He was wondering whether it was better to do a RTG test or a tablet test.
In fact, the reliability of these diagnoses was not particularly high. To be able to make a definite diagnosis, they still needed to do a traumatic coronary angiography.
“Don’t waste any more time. I’ve done row 64. That’s my maximum authority. ” “We didn’t find any problems,” the female manager said coldly.”I don’t have the authority to do any other checks. I’ll have to report it to the higher-ups.”
“Yes, I’ll have to trouble you.” Zheng Ren said.
“…” The female manager looked at Zheng Ren in surprise. Did he not know what she meant?