Vol 3 Chapter 2372: X Syndrome

A woman in her 40s frosted and walked in while frosting.
身边 A woman in her fifties followed behind her, a little humble, with her head down, and her forehead grayed out a bit.
"Check, check, how many times! If it weren't for you raising a child who is still in college, I would have fired you."
"Manager, I ... I ..." the patient murmured.
"What do you do, you have done a check of more than a thousand dollars, nothing is wrong! What else do you have to say!" The manager raised the film bag in her hand and rattled, as if saying something for her Add proof in general.
"Do you know how much I have been scolded for you!"
Zheng Ren glanced at it. The woman's system panel at the back turned red, not pretending to be sick. A diagnosis appeared prominently on the system panel-Heart X Syndrome.
After seeing the diagnosis, Zheng Ren figured out the cause and effect.
The female manager ignored the employees behind her and strode towards the emergency medical department. The high heels stepped on the marble floor and clicked like a click of Zheng Ren.
The patient is wearing the clothes of a sanitary person who cleans the hospital, and it looks like he is a worker of a cleaning company. The former one should be the manager in charge of the hospital.
The emergency physician looked at the film and called Zhou Litao. Zheng Ren stopped, "Zhou is busy, let me."
"Boss Zheng, that's bothering you." The emergency physician was pleased to take a break and give Zheng Ren various laboratory tests and film bags.
The patient had no problem in all examinations, but complained of chest tightness, shortness of breath, and after the activity. This kind of complaint can consider other diseases, but you can see the female manager who brought the patient with a frost on her face, saying that it is a dispute.
This kind of thing is naturally as far away as possible, and it is not troublesome enough. If in the end more tests are performed and no problems are found, the doctor who conducts the examination will face the anger of the female manager.
Zheng Ren held the film and asked gently, "Why are you uncomfortable?"
"I……"
"It's uncomfortable to work, lazyness attacks!" The female manager said angrily.
"Let the patients say, okay." Zheng Ren smiled and looked at the female manager.
"It's okay to check. I think I have coronary heart disease all the time. I think it's neuropathy."
Zheng Ren's eyebrows were raised slightly like a knife, and the female manager leaned on the hospital to eat, and did not dare to offend powerful characters. Although logistics and frontal clinics are not a set of systems, 912 is a big man who can reach the sky.
The doctor in front of me is not old, but who knows what skills and what tasks are important. The doctor in the emergency medical department looked at him with great respect and called him Zheng.
There are many people who can be called bosses, but not many.
The girl manager swallowed the rest of the words and did not dare to provoke Zheng Ren, but just stared at the patient fiercely.
"My chest is tight." The patient said helplessly: "Especially when I work, the symptoms of chest tightness and chest pain are severe."
"Does it appear every time?"
"No, once every three or five days. I always feel it is a myocardial infarction. A while ago, a friend of mine fell asleep at home and fell asleep ..." The patient said here, and seemed to feel a little strange, and then stopped.
The female manager holds her head up and looks disdainful.
In her opinion, this is either the most typical snoring symptom. Any symptom is conceived in her heart and does not exist at all. Either just be lazy and don't want to work.
I would have fired her if she hadn't seen her supporting a child who was going to school. Otherwise, this good guy can't do it, kick his nose on his face.
"Did you feel this way when you sleep at night?" Zheng Renwen asked gently.
"No." The patient shook his head in confusion.
"Does the family have a history of hypertension and coronary heart disease?" Zheng Ren continued to ask.
"My lover had high blood pressure when she was young, and later died of cerebral hemorrhage."
Zheng Ren scratched his head and said, "It doesn't count as a lover. It has nothing to do with you. What about your parents and other relatives?"
"My dad has a history of hypertension, and others ... my uncle seems to have it too."
"What about coronary heart disease?"
Zheng Ren patiently inquired about his medical history, and the expression of impatience on the face of the female manager who accompanied the patient was getting heavier.
她 In her opinion, the patient is pretending to be sick, and Zheng Ren is just a young doctor. Generally, the old doctor looked at the film and asked for a few sentences to give a diagnosis. How can I ask such a detailed truth?
Besides, there are so many patients in the emergency department, who can ask such a detailed question.
After a few minutes, Zheng Ren asked about his medical history and took out a video.
In fact, the female manager of the cleaning company is still quite good. Although it is a little impatient, after all, the inspections that should be done are done. Few people can be so responsible.
The patient's electrocardiogram was okay. Because of a suspected transient angina pectoris, and the electrocardiogram did not capture abnormal changes, a 64-row coronary CT was also performed as a supplementary examination.
All the tests are fine, and a neurosis is usually diagnosed.
Zheng Ren didn't think so, after all, the big pig's hoof gave a bright and clear diagnosis-heart X syndrome ~ EbookFREE.me ~ Have you ever taken nitroglycerin? Zheng asked.
"Have eaten." The female patient also saw the manager's face getting worse and worse, she whispered.
"How is the effect?"
"Basically no effect ..." She was speaking more and more quietly. In fact, she also felt that she was neurosis, or as the manager said, it was all the disease she had come up with.
But every time it hurts, the length of time is not necessarily, and the pain is obvious.
Who knows who hurts, but it's fine to check. There have been more visits to the doctor, and even the patients themselves have begun to wonder if their spirits have gone wrong. Was it really caused by menopause ... she began to think wildly.
"Uh ... do an isotope check." Zheng Ren said in a deep voice.
"Isotopic inspection? How much?" The manager immediately became angry. She looked at Zheng Ren with disdainful eyes, but also with a bit of hatred.
Zheng Ren glanced at her, but she didn't get angry when she saw that kind of look. Instead, she packed the film into a film bag with a smile, and wondered in her heart whether it was better to do an isotope check or a sports flat test.
In fact, the reliability of these diagnoses is not particularly high. Really, if you can confirm the diagnosis, you still need to do invasive coronary angiography.
"Don't delay time, make 64 rows, this is my biggest authority." The female manager said coldly: "No problems were found. If I need to do other checks, I don't have the authority and need to report."
"Well, trouble you," Zheng Ren said.
"..." The manager looked at Zheng Ren in surprise. Didn't he know what he meant? !!