This Doctor is Great

Zhou Mo listened while recording.

"Patient Li Mei, 43 years old, had sudden chest crushing pain while walking 3 years ago..."

Li Mei: "This pain, it took about 4 minutes for me to recover..."

"Then, another month later, while I was cooking in the kitchen, I suddenly had the same pain again."

"At that time, I thought that I had the same pain twice in a row, so I was a little worried. I went to the hospital in our county and had an examination..."

With that said, Li Mei pulled out a series of inspection reports from the file bag and put them in front of Dr. Huang Li.

Myocardial enzyme spectrum, blood lipid, X-ray, electrocardiogram...

have...

Teacher Huang Li picked it up and looked at it.

Patient Li Mei continued: "Basically, I have checked all the examinations that the doctor asked me to do, but I didn't find any problems. Later, the doctor thought it might be sudden and temporary. Please comfort me not to worry... Later, I prescribed some medicine and took it home..."

"but,"

Li Mei's expression is complicated,

"In the next six months, the same symptoms kept appearing... Then I came to the provincial capital 3 times in a row and went to 3 hospitals, but I couldn't find the reason..."

"The number of examinations has also increased, and even a coronary CT scan...but no problem was found in the end..."

The same symptoms continued to appear, but no problem was found after going to several hospitals, which made Li Mei feel very distressed.

At this time, Li Mei said very angrily: "There is a hospital that says I have a mental problem and asks me to see a psychiatrist, but I know it's not, it's a real chest pain..."

angry?

Zhou Mo felt that it was unnecessary.

It's normal for heart disease to be diagnosed as a 'mental illness' at the end...

According to one of the domestic papers that Zhou Mo read, from Xiangya, there was a survey, among all the patients who felt they had heart disease (angina pectoris of myocardial infarction), only 23% had obvious coronary heart disease after undergoing coronary angiography. And 61% of the patients had no obvious coronary heart disease.

Then, some of them will be diagnosed as mental anxiety by psychiatrists because of normal coronary angiography.

(It is also possible that the doctor misdiagnosed the heart problem and attributed it to mental anxiety.)

Dr. Huang Li listened and looked at the examination report.

To be honest, he has encountered several patients of this kind, and in the end they all suggested that they go to a psychiatrist.

However, Dr. Huang Li still carefully read all the examination reports, more than a dozen, including three for echocardiography and CT, four for X-ray, seven for electrocardiogram, and two for 24-hour dynamic electrocardiogram...

After reading,

Nothing.

Then hand it to Zhou Mo: "Look..."

Dr. Huang Li looked at the patient Li Mei: "Lie down on the bed and take an electrocardiogram..."

Huang Yiming put electrodes on the patient...

soon

The electrocardiogram came out continuously.

Huang Li, Zhou Mo, and Huang Yiming watched together.

"Um?"

This electrocardiogram, for the time being, is no problem.

At this time, Dr. Huang Li couldn't help thinking in the direction of "mental anxiety".

However, he did not jump to conclusions,

Look at Zhou Mo and Huang Yiming.

"You two, what do you think?"

Huang Yiming pondered, and began to work hard to collect various cases in his mind.

Zhou Mo said: "Teacher, could it be something like a rash in the precordial area, a sudden pain, and then make the patient mistake it for chest pain?"

When Dr. Huang Li heard this, he nodded immediately.

"It's possible!"

However, the patient is a woman, and Huang Li, Zhou Mo, and Huang Yiming are all men, so it is naturally inconvenient to check.

can only ask.

"Is there a rash on your chest? Or something weird..."

Li Mei shook her head immediately: "No...this chest pain has been going on for three years, if I had, I would have discovered it earlier."

Deadlock again.

Dr. Huang Li frowned in thought.

Zhou Mo became interested at this time.

New cases are always exciting.

So he said to Dr. Huang Li: "Teacher, this disease may not be so easy to diagnose in a short time, otherwise other hospitals would have discovered it long ago... My suggestion is that if necessary, you can be hospitalized and slowly checked..."

Huang Li nodded and looked at the patient Li Mei.

Li Mei naturally nodded repeatedly: "I am willing!"

This disease has tormented her for three years, and she will never let go of any chance.

Dr. Huang Li: "Then when are you free?"

Li Mei couldn't wait: "It's fine now, I'll be hospitalized right away!"

Zhou Mo: "I have an empty bed that hasn't been arranged yet. You can arrange it for my bed."

Huang Li nodded: "Okay, let's arrange it in your bed."

...

The next clinic,

Zhou Mo did not continue to follow, but took the patient Li Mei to the Department of Cardiology for admission procedures.

after an hour,

Li Mei's husband came.

"What's going on? Why are you hospitalized?" The husband looked impatient.

When Li Mei heard this, she immediately became angry: "I have a heart attack, why can't I be hospitalized? Do you want me to die?"

The husband had a headache and said, "Didn't the doctor say it was mental anxiety!"

Li Mei was furious when she heard the words: "I told you, it's not mental anxiety, I'm not mentally ill!"

The husband said angrily, "It happens every time, why don't you believe what the doctor said!"

Li Mei said loudly: "Those doctors made a wrong diagnosis... You are my husband, why don't you believe me and say, do you have a woman outside..."

The husband was speechless with anger: "Here we go again... I don't have a woman outside..."

Li Mei burst into tears: "I still said no, last time you held hands with the mother of your son's classmate, it looks like a family..."

The husband went crazy: "Is that holding hands? There are two children in between!"

Li Mei is irritable: "Two children can't do it... You just want her to be prettier than me!"

The husband was out of breath: "You...are making trouble for no reason..."

The two immediately quarreled.

Fortunately, the nurse arrived at this time and stopped the quarrel between the two.

"Calm down first..."

"This is a hospital, don't disturb other patients..."

"calm down……"

Husband and wife quarrel, nurses don't get involved, but it's absolutely not allowed to quarrel in the hospital. After all, there are other patients here, all of them are heart patients.

Not long after, the husband left angrily.

"Woooooo~~~~"

Patient Li Mei sat by the bedside of bed 29 and began to cry.

Then I didn't know whether to talk to myself or tell Zhou Mo and the nurse about the misfortune of my marriage.

Zhou Mo looked embarrassed and could only listen patiently.

Listening to the patient Li Mei's cries, Zhou Mo knew that the couple's relationship had come to an end. If it wasn't for the two children, they would have divorced long ago. As for the reason, this illness is one of the reasons, but most of the reasons are the long-term neglect, the accumulation of various conflicts, and the ambiguity between the man and his son, classmate and mother, or she herself is suspicious...

much louder,

In the end, both of them were tired, couldn't hold on anymore, and didn't want to live together anymore...

At the beginning, when we fell in love and got married, we paid sincerely, but after a long time, the passion is gone, and all that remains is responsibility. Once you are bored and tired, it will come to an end.

What does marriage bring to men (women)?

but,

For Zhou Mo, Li Mei's crying, heh, I've seen it a lot before.

He grew up in a children's hospital. Many children fell ill and died in the hospital, and their parents divorced for various reasons.

correct,

While Zhou Mo was calm, he looked at the ECG monitor connected to the patient Li Mei from time to time.

Patient Li Mei's heart rate did not fluctuate because of her crying, grievances, or mood swings.

so,

Ruled out: Broken Heart Syndrome! !

...

half an hour later,

The patient finally calmed down a little.

Zhou Mo finally had the opportunity to start asking about his condition and doing a physical examination.

.

I'm late……