Chapter 212: Afraid to float up by myself
"Acute heart failure!"
Li Jiagan opened his eyes after his signature physical examination and said, then glanced at the liquid given to the patient, "What kind of medicine is that on it?"
"Acute heart failure?" Dr. Gao murmured doubtfully, while looking at Dean Zheng.
Dean Zheng and the other two doctors spontaneously lifted up their trousers to check the patient's legs. They found edema in both legs!
Blockage of the coronary arteries, myocardial infarction, or weakened systolic and diastolic functions of the heart, especially the weakened systolic and diastolic functions of the right ventricle that are connected to the veins, will inevitably cause blood stasis in tissues throughout the body. At this time, edema will appear, appearing in the legs.
The most obvious.
Of course, edema in the legs is not necessarily caused by heart failure. It may also be caused by other diseases such as renal failure. But at the very least, edema in the legs is definitely a possibility of heart failure!
But they also checked the patient's legs when he was sent to the hospital. At that time, they didn't notice that the patient's legs were edema?
Why do we see edema in the patient's legs at this time?
Dean Zheng didn't have time to think about these minutiae matters. Now the patient's life was hanging by a thread. As the first person in charge of the town central hospital, he had to think quickly. Should he trust Li Jiagan's judgment or not?
"Follow acute heart failure rescue!" Zheng Changchun immediately gave the order without even hesitating for two seconds!
Rescuing patients with acute heart failure is common sense that all serious doctors in every hospital must know. At the very least, you must know that the major components needed to rescue patients with heart failure include ACEI, β-blockers and aldosterone receptor blockers.
These three Golden Triangle drugs must be discontinued, and other drugs must be combined, such as diuretics, vasodilators, cardiotonic drugs, inotropic drugs, etc.
What are these drugs used for?
The main thing is to strengthen the heart, diuresis and dilate blood vessels.
This is easy to understand. Is the heart beating weakly? Will there be problems with the blood flow throughout the body? Then all the organs in the body will fail?
So darling, please make your heart beat harder, expand your blood vessels, and let your blood flow faster! In addition, edema will increase the burden on the organs and blood flow throughout the body. Please pee down there quickly.
!
In addition, we cannot allow the excessive reaction of nerves and body fluids in the patient's body to act haphazardly, such as reshaping the myocardium and small blood vessels, etc., so that the patient can live in the future.
So, this is what these drugs do.
At that moment, after Dean Zheng gave the order, several people around him began to get busy, giving medical orders, running to get medicines, changing dressings... Once there was a clear rescue direction, everyone
Still very effective.
Dean Zheng stood there like a needle in the sea and watched everyone's actions. In fact, at this time, he was mainly watching what Li Jiagen did.
Li Jiagan was rapidly injecting needles on the patient with his eyes closed!
The fastest first aid method in Chinese medicine is acupuncture!
Li Jiagan's acupuncture method made Zheng Changchun a little frightened, because he saw the rumored qi impulse, and the skin around the fine needles was pushed by the qi in the meridians below and trembled slightly!
Has Li Jiagan’s acupuncture skills reached this level?
This is simply too...so awesome!
Zheng Changchun really couldn't think of any words to use to describe Li Jiagan's acupuncture skills. He could only use the word "awesome" used by young talents!
In fact, if Wang Zhongshan was here at this time, he might have guessed that Li Jiagan even used the legendary tonic technique of burning mountain fire!
If Professor Shen were here, he should be able to see that Li Jiagan's Shao Shanhuo has surpassed him!
How can this be explained?
It can only be explained by super talent!
Or, it would be more reasonable to explain it with supernatural powers!
Otherwise, could Li Jiagan develop the seven-point skills passed down to him by his master to twelve points in a short period of time? Would he be more powerful than his master?
What kind of awesome talent is this?!
…
Li Jiagen Clinic.
"Coward! Bad guy! I'll give you pimples on your face!"
In the clinic, Chen Yuqiao and her sister Chen Yujiao were busy receiving customers, answering patient inquiries, arranging patient numbers, recording patient mobile phone numbers and other information, giving patients infusions and injections, and performing simple acupuncture while looking at the clinic. The crowded patients, as well as some patients and their families who were still gathered in front of the clinic, were so anxious that they secretly cursed Li Jiagen!
It's almost eight o'clock at this time. You stinky Li Jiagen should have come back early. Why are you still staying in the county? Are you having sex with Liu Xintao again... You big idiot! You big bastard!
While Chen Yuqiao was anxious, her sister Chen Yujia glanced at the street lights outside, and then looked at her. Chen Yuqiao immediately understood that her sister was also anxious. Well, her sister was not mainly trying to make people feel anxious. The customer was anxious because she had to wait for a long time. Maybe she wasn't worried about what happened to Li Jiagan and Liu Xintao. Her sister was probably worried about the safety of that guy Li Jiagan.
"Sister, he didn't drive today." Chen Yuqiao comforted her sister, gritted her teeth and took out her mobile phone to call Li Jiagan.
Toot toot…
After the phone rang for a while, it was connected, and Li Jiagen's somewhat tired voice came from the phone: "Yu Qiao, I'm at the town central hospital, what's wrong?"
"Ah?" Chen Yuqiao's heart dropped into her stomach upon hearing this, but she couldn't help but raise her voice, "What are you doing at the town central hospital?"
"Help rescue a patient with acute heart failure."
"Then...how is the patient doing now?"
"We should be out of danger. I'll keep an eye on it for a while. If nothing happens, I'll go back."
In the town hospital, Li Jiagan, who had just finished acupuncture for a patient, wiped the sweat off his head and watched a nurse feeding Shenfu Decoction to the patient who no longer rolled his eyes upwards, trembled and sweated profusely.
"Oh~oh~, then you should be busy first. After all, rescuing the patient is more important." As Chen Yuqiao said, she glanced at her sister and saw that her sister was busy giving acupuncture to another patient, but her ears It's clearly vertical.
"Sister, sister, Li Jiagen is helping the doctors in the town hospital to rescue an acute heart failure patient! Oh my god, after helping the county hospital to rescue the patient, he will then help the town hospital to rescue the patient. Li Jiagan is now a member of all the hospitals in Shenshu County. He's the fire captain, anyone who can't save the patient will look for him!" Chen Yuqiao said loudly after hanging up the phone, her tone seemed to be complaining, but she was a person who couldn't hear the pride in the sharp tip of her voice, she said After that, she walked out of the clinic and waved her hand, "Everyone, please leave today. Dr. Li Jiagan is busy helping the town hospital rescue an acute heart failure patient today. It was Director Zheng who personally invited him there! That patient It's a matter of life and death. As a conscientious doctor, Dr. Li Jiagan cannot ignore death, so he can only go over and help first. Don't blame him."
"Ah? Are you helping the town hospital to rescue patients?" a patient's family member shouted in disappointment.
"Oh, that must be Lao Yang who works as an electrical repairman at the south end of the town. He fainted when I came here, and his wife and daughter called 120 and sent him to the town central hospital!" A patient's family member shouted, "
It's acute heart failure. This is a dangerous disease. If you can't handle it...forget it, I won't talk about it anymore."
"I have been rescued out of danger by Dr. Li Jiagan, so don't worry about me!" Chen Yuqiao said and went back to the clinic to get busy.
…
Town Central Hospital.
After the patient Yang Zhanlin drank Shenfu Decoction, he became conscious and his body temperature and various physical indicators basically returned to normal. A doctor, two nurses, and his wife and daughter pushed him for examination. Li Jiagen followed Dean Zheng into his room.
After chatting for a while in the office about the patient Yang Zhanlin’s condition, Li Jiagen believed that Yang Zhanlin suffered from acute heart failure caused by acute myocardial infarction. The condition of his myocardial infarction has improved, but he still needs to be transferred to another hospital for thrombolysis or interventional surgery.
"If it is really an acute myocardial infarction, Jiagen, do you think it is possible to cure it through conservative treatment?" Zheng Changchun said, "The family's economic conditions are average, and it would be too expensive to transfer to a hospital for thrombolysis or interventional surgery, and
There are risks, too.”
Li Jiagan rolled his eyes and said, "There are great risks in treating this kind of patient."
"You kid, you have a special skill but you learned it slickly?" Zheng Changchun chuckled.
"How can I have any special skills? Dean Zheng, you are just trying to put your face on my face." Li Jiagen said with a smile.
"Come on, don't tell secrets in front of Mingren. How can your kid's diagnosis and acupuncture be so miraculous without magic? How old are you? Besides, I haven't heard how good you are in the past two years." Zheng Changchun said with a smile, "That's it.
The medical skills you have now are probably countless in the entire Yumu City, not to mention our Shenshu County. In some magical places, I think there are few such extraordinary skills like yours in the entire province!"
"Dean Zheng, you praised me so much that I couldn't stand." Li Jiagen smiled and waved his hand, "You are getting old, and you still like to wear high hats on others, and you still wear such big high hats on others, okay, I have to go back
If anything happens, please call me."
Li Jiagen said as he picked up the medicine box and left. He was deeply afraid that Old Zheng would talk about his special skills and be praised too much. Li Jiagen was afraid that he would be so distracted that he didn't even know his last name.
Doctors need to maintain a normal mind at all times.
Back at the clinic, several patients and their family members who were still gathered around the clinic saw Li Jiagen, and they all cheered: "Doctor Li is back!"
Li Jiagan nodded and greeted a few people in a daze, thinking that his reputation had suddenly become so high? Grandma Te's words made him feel like he was floating when he walked!
After entering the clinic, all the patients looked at him, and some even said hello quickly: "Dr. Li is back?"
"Ah, we're back." Li Jiagan nodded to everyone with a smile, and heard Chen Yuqiao shouting from behind: "Oh, everyone, don't squeeze back all at once, we can't stay here anymore, come one by one according to the number arranged in front!"
Chapter completed!