Chapter 13: Zhang Lao's test


Unsurprisingly, there were many people in the ladder classroom with colored faces, and mules and Xu Ze were seen coming in. These people all smiled and nodded, with a sense of conceit.
  Mule was proud of patting Xu Ze's small shoulder arrogantly: "See, are we brothers interesting enough? Azer, are you interested in playing in our warm big group?"
   touched the aching arm, Xu Ze raised his delicate eyebrows, but said helplessly: "You know I'm really not good at ball games, let me go to work, where can I have time to play!"
"Okay, okay..." The mule looked sad and swept Xu Ze up and down, sighing: "Aze, in fact you really have to play basketball. Only basketball can truly reflect the charm of our men. Otherwise, Your qualifications are beyond the school team Zhang Tianyu's meaning."
"Zhang Tianyu?" Xu Ze smiled bitterly. He couldn't compare to the basketball prince who was popular with girls all over the school. The guy not only looks like a girl who likes girls, but also plays basketball well. I changed seven or eight girlfriends. It is said that apart from eating deflated in front of Sun Lingfei, there are really not many girls who can resist his charm. We can't compare with him.
  After finishing a day's class, Xu Ze had to work hard for his stomach again after having distressed himself for several meals.
  The recent business of Huimin Clinic seems to be more and more prosperous. When Xu Ze arrived at the clinic, there were already three or four patients waiting in the waiting chair.
Sister Luo was busy in the injection room, and Xu Ze came over, her face full of joy: "Xu Ze, come and help, I have been busy all afternoon this afternoon and I haven't breathed." Xu Ze nodded. With a cry, quickly put on work clothes and began to help sister Luo to dispense medicine to the patient.
   Just cleared up a little bit, and Xu Ze heard the old doctor Zhang in the outside hall shouting, "Xu Ze, come and give this old man an electrocardiogram!"
Hearing Dr. Zhang’s words, Xu Ze hurriedly fixed the good needle that had been pierced with an infusion patch, and then explained to the patient not to disturb the injection hand, stepped forward and helped the old man on crutches Pantlessly slowly walked to the examination room behind.
  Let the family lie down on the medical bed and wait for the old man to untie his clothes. Xu Ze quickly took the opportunity to take out his stethoscope and listened carefully to the old man.
"There is a little wheeze in the lungs, the heart rhythm seems a bit uneven, and the heart has some murmurs; the old man is so short-tempered, it seems to be a coronary heart disease with a high possibility of heart failure!" After some general understanding of the old man's condition Then, Xu Ze removed the new model electrocardiograph from the bedside table.
Every time I saw this new machine that was half lighter than the previous one, and it cost more than 10,000 pieces, Xu Ze whispered secretly in his heart. This is really much more profitable than Western medicine. My own hospital At present, the most valuable device inside is only a quick blood glucose meter for two hundred dollars, and this old doctor has not bought a car or changed equipment in the past two years. It really does not know how much money is made; this is better than It really is a difference between heaven and earth.
Xu Ze murmured secretly and began to make an electrocardiogram. Carefully clamped the wires at the old man's skinny wrists and ankles. Then he asked the family to help untie the old man's coat and use a cotton swab to soak the water. Wet the thin ribbed sternum with a cotton swab, then connect the negative pressure of the six chest leads in the order of red, yellow, green, brown, black and purple, and then gently press the two keys on the machine. The "chirping" voice and the long ECG drawings slowly slipped out.
"The new machine is the new machine, and it is much easier to use than the old one!" Xu Ze reached out and held his glasses, carefully looked at the figure on the electrocardiogram sheet, and quickly came to a conclusion: " Um... V4V5V6's obvious ST segment moves down more than 0.05mv, there is myocardial ischemia, it seems that there is no obvious myocardial infarction, and there is a little arrhythmia!"
   Soon, the conclusion automatically given by the computer at the end of the drawing quickly confirmed Xu Ze's judgment: "Sinus arrhythmia, myocardial ischemia!"
  Xu Ze smiled with satisfaction, then tore off the ECG drawings, carefully folded it, put it in the pocket of work clothes, and then greeted the family members to help the old man to get up, and then sat back to Dr. Zhang's desk.
   Folded his hands neatly and carefully handed the map paper to Dr. Zhang Lao said: "Lao Zhang, done, you look!"
Dr. Zhang looked at the extremely neatly stacked drawings, nodded his head appreciatively, thought for a moment, then said to Xu Ze: "You give the fevered patient to see how the body temperature is going, check it carefully, and then prescribe a medicine give me."
"Hey..." Hearing Dr. Zhang's words, Xu Ze nodded happily. Dr. Zhang is a test of himself. This time, it is a good opportunity to get his approval. If he recognizes his ability in the future, the benefits are of course. It’s a lot... This time, there’s nothing wrong,
Thinking of this, Xu Ze carefully removed his stethoscope from the shelf next to the consultation table and hung it on his neck. Then he walked to the young man who was sitting next to him and smiled, "The thermometer can be taken out. Look!"
   "Thirty-eight degrees, there is indeed some fever." Xu Ze nodded, then took out the small torch and cotton swab that he carried from his pocket, and gestured towards the patient: "Open your mouth and look at the throat!"
  Under the light of the small torch, the two huge red tonsils in the patient's larynx are unpredictable, and they are professing their existence to Xu Ze.
"Tonsils Ⅱ° are swollen, but no obvious pus spots have been seen!" Xu Ze suddenly nodded, then threw the cotton swab in his hand into the trash can next to it, and hung his stethoscope on his ear, listening carefully. The patient's lungs.
Feeling the sound from the stethoscope, Xu Ze quickly made a diagnosis in his mind: "Tonsils Ⅱ ° swelling, the breath sounds of both lungs are slightly thicker, and no obvious rales are seen; and the main symptom of the patient is fever and chills Headache~EbookFREE.me~Slightly coughing without obvious sputum and vomiting; diagnosis of acute tonsillitis is correct!"
If the diagnosis is confirmed, the medicine will be easy to prescribe. Although Dr. Zhang rarely rest assured that Xu Ze prescribes the medicine to patients, it is just because Xu Ze is too young to really get his trust. This does not mean that Xu Ze does not have After all, Xu Ze relied on studying with Dr. Zhang for more than a year and exercised at home for a long time. Of course, these minor illnesses are of course within reach.
Sit back at the table at the moment, take out the prescription, and according to the old doctor Zhang’s habit of writing medicine, write on the prescription: "Normal saline 100ml + cefuroxime sodium 2.0 intravenously, twice a day, skin test; 100ml intravenous drip twice a day; 5% glucose 250ml+ ribavirin 0.5 intravenous drip once a day; 5% glucose 500ml+ vitamin C3.0, vitamin B60.2, 10% potassium chloride 10ml intravenous drip once a day; Near-needle 0.5 intramuscular injection, immediately!"
After looking at the prescription in his hand, Xu Ze carefully checked it again. Cefuroxime sodium and ofloxacin are anti-inflammatory, ribavirin anti-virus, analginate fever and headache relief, and vitamin and glucose rehydration, should be enough , The amount of medication is also correct; and the anti-inflammatory drugs prescribed are also similar to those of Dr. Zhang Lao's medication in the past.
At the moment, I looked at Dr. Zhang. At this time, Dr. Zhang had already prescribed the medicine to the old man and gave it to the nurse for infusion. Xu Ze took the prescription and gave it to Dr. Zhang. Eighteen degrees, pharyngeal redness, tonsils swelled at Ⅱ°, lung breathing sounds thicker, but no rales were heard, I think the diagnosis should be acute tonsillitis!
   talked, looking at the old doctor Zhang nervously, waiting for his judgment.
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