2372 Syndrome X (Leader State Gold 4)
A woman in her forties scolded her while scolding her.
Behind her side was a woman in her fifties, a little humble, lowered her head, and her forehead was gray and her hair was a little messy.
"Check, check, how many times have this been! If you hadn't been raising a child who was still in college, I would have fired you."
"Manager, I me," the patient murmured.
"You, you have done a check of more than a thousand yuan, nothing is wrong! What else do you have to say!" The female manager raised the film bag in her hand, making a rustling sound, as if adding evidence to what she said.
"For you, do you know how much scolding I have been scolded?"
Zheng Ren glanced at the woman behind the system panel was red, not pretending to be sick, but a diagnosis of heart syndrome appeared on the system panel with a very conspicuous diagnosis.
After seeing the diagnosis, Zheng Ren thought clearly about the causes and consequences.
The female manager ignored the employee behind him and strode towards the emergency department clinic. The high heels stepped on the marble floor, and the clacking sound was like the sound of Zheng Ren clicking his mouse.
The patient was wearing the clothes of a sanitary sanitary in the hospital and seemed to be a worker in the cleaning company. The one in front should be the manager in charge of the hospital.
The emergency physician took a look at the video and went to call Zhou Litao. Zheng Ren stopped him, "Mr. Zhou is busy, I'll do it."
"Boss Zheng, please trouble you." The emergency physician was happy to relax and handed Zheng Ren various tests and film bags.
The patient had no problem with all examinations, but he complained of chest tightness and shortness of breath, which was mainly done after the activity. This kind of complaint can consider other diseases. But seeing the female manager who brought the patient with a cold face, it was hard to say that it would be a dispute.
This kind of thing is naturally farther away, the better, and it is not troublesome enough. If you do more tests in the end but don’t find any problems, the doctor who prescribes the test will face the anger of the female manager.
Zheng Ren gently asked, carrying the film, “Why are you feeling uncomfortable?”
"I"
"It feels uncomfortable as soon as you work, and you have a lazy attack!" the female manager said angrily.
"Let the patient say it, okay?" Zheng Ren smiled and glanced at the female manager and said.
"It's okay to have a checkup. I think I have coronary heart disease all day long, but I think I'm a psychopath."
Zheng Ren's eyebrows were slightly raised like a knife. The female manager relied on the hospital for dinner and did not dare to offend any powerful figures. Although the logistics and previous clinical practice were not the same system, there were many people in 912 who could achieve the best.
The doctor in front of me was not old, but who knew what skills and what important tasks he knew. The doctor in the emergency department just now looked respectful to him and called him Boss Zheng.
There are many people who can be called bosses, but not many.
The female manager swallowed the rest of the words back and did not dare to provoke Zheng Ren, but just glared at the patient fiercely.
"I have a tight chest." The patient said helplessly: "Especially when working, the symptoms of chest tightness and chest pain are severe."
“Does it appear every time?”
"No, it's once every three or five days. I always feel it's a heart attack. A while ago, a friend of mine fell asleep at home and disappeared." When the patient said this, he seemed to feel something strange and stopped.
The female manager raised her head with disdain on her face.
In her opinion, this is either the most typical hysteria, and all the symptoms are thought out in her mind and do not exist at all. Or it is just lazy and does not want to work.
If she hadn't had to support a child who was in school, she would have been fired. Otherwise, she would have been expelled from the good guy. She would have been so arrogant.
"Do you feel this way when you go to bed at night?" Zheng Renwen asked.
"No." The patient shook his head in confusion.
"Does your family have a history of hypertension and coronary heart disease?" Zheng Ren continued to ask.
"My lover had high blood pressure when he was young, but later died of cerebral hemorrhage."
Zheng Ren scratched his head and said, "Love is not counted, it has no blood relationship with you. Where are your parents and other relatives?"
"My dad has a history of hypertension, and my second uncle seems to have it, too."
"Where is coronary heart disease?"
Zheng Ren patiently asked about his medical history, and the female manager who accompanied the patient had an impatient expression on his face.
In her opinion, the patient is just pretending to be sick, and Zheng Ren is just a young doctor. Ordinary old doctors can directly diagnose it by just a few questions, but there is no such detailed reason for asking.
Besides, there are many patients in the emergency department, who has the time to ask so much?
A few minutes later, Zheng Ren asked about his medical history and took out the movie to read it.
In fact, the female manager of the cleaning company is pretty good. Although she is a little impatient, she has done all the inspections she should do. It is rare for people who can be so responsible.
The patient had no problem with the electrocardiogram because it was suspected that it was a transient angina attack and the electrocardiogram did not capture abnormal changes, so a 64-row coronary artery was also performed as a supplementary examination.
All tests are fine, and it is fine to diagnose neurosis in general.
Zheng Ren doesn't think so. After all, Big Pig's hooves gave a bright diagnosis of heart syndrome.
"Have you taken nitroglycerin?" Zheng Ren asked.
"I've eaten." The female patient also saw that the manager's face was getting worse and worse, and she whispered embarrassedly.
“How is the effect?”
"It's basically no effect." She spoke less and less. In fact, she also felt that she was neurosis, or as the manager said, it was all a disease she had come up with.
But every time it hurts, the length of time is not certain, and the pain is very obvious.
Whoever loves her knows, but nothing is wrong with the examination. As the number of times she sees the doctor, even the patient begins to wonder if there is something wrong with her mental illness. Could it be that her menopause has caused her to think about it?
"Uh, do an isotope test." Zheng Ren said in a deep voice.
"Isotope examination? How much does it cost?" The female manager immediately became angry. She looked at Zheng Ren with contempt, with a little hatred.
Zheng Ren looked at her, but was not angry when he saw that look. Instead, he smiled and put the film into the film bag, thinking in his mind whether it would be better to do isotope test or exercise tablet test.
In fact, the reliability of these diagnoses is not particularly high. If you really want to confirm the diagnosis, you still need to undergo invasive coronary angiography.
"Don't waste time. I've done 64 rows. This is my greatest authority." The female manager said coldly: "No problem was found. If there are any other inspections, I don't have permission and need to report it."
"Well, please trouble you." Zheng Ren said.
Chapter completed!