The patient had woken up now, and Hou Bo and Qin Feng communicated with the patient and family members about his condition.
Communication between doctors and patients is very important, and a lot of important information is obtained from the conversation.
Tao Le listened quietly.
The patient is conscious and has normal calculation and memory abilities.
I have a history of hypertension for five years. My blood pressure reached the highest level of 200/120mm HG. I have been taking medication to keep it at the current level.
Two years ago, I had chest tightness and shortness of breath. I had a coronary angiogram done at Youai Hospital and was diagnosed with coronary atherosclerotic heart disease. No treatment was given.
He has never had diabetes, kidney disease, liver disease, tuberculosis, or any history of drug or food allergies.
My gastrointestinal function has not been affected since I became ill, and my appetite has always been good.
The communication ends here. Seeing that Hou Bo and Qin Feng were about to leave, Tao Le interrupted and asked:
"Has the patient ever had hyperthyroidism before?"
"No." The patient and Xiong Wenfa denied at the same time.
Tao Le nodded, as expected he didn't know.
She followed Hou Bo and Qin Feng out, deliberately staying a step behind and pulling Qin Feng.
"Senior Brother Qin." She said softly: "The patient has been admitted to the hospital. Have you checked the five items of Jia Gong?"
"No, what's wrong?" Qin Feng was a little strange.
Based on the patient's symptoms when he was admitted to the hospital and their judgment of the condition, the examinations he ordered were sufficient and there was no need to do an additional pentathlon.
What's more, the patient and his family members denied the past medical history.
"Let's check it out." Tao Le reminded: "Maybe even the patient himself doesn't know he has hyperthyroidism?"
"This, okay." Although it was an indicator of whether to check or not, since the junior sister thought it was necessary, there was no need for him to insist on it.
Moreover, the patient had common symptoms of hyperthyroidism such as palpitations, shortness of breath, and arrhythmia, but they were similar to symptoms of coronary atherosclerosis, so no one thought about it.
Qin Feng thought of the patient's size again. Although his son is not tall, he is stocky and thick, just like his surname, but his father is lean and lean.
The patient has no gastrointestinal disease. As I said just now, he has a good appetite and can eat two large steamed buns in one meal. There is really no reason to be so thin unless he has hyperthyroidism. He eats a lot but consumes it quickly and cannot eat anything. fat.
Sis~~ Thinking about it this way, Junior Sister’s reminder is quite reasonable!
The patient's condition required carotid endarterectomy, which required general anesthesia.
Before general anesthesia, anesthesia evaluation is normally required, and the five thyroid function tests are not necessary.
Like this patient, if he really has hyperthyroidism and is not treated and controlled in advance, he can easily cause a hyperthyroid crisis during the operation, which can lead to cardiac arrest in severe cases and is life-threatening.
The more Qin Feng thought about it, the more worried he became. He immediately ordered a checklist, and then sincerely thanked Tao Le:
"Thank you, junior sister, for reminding me. If the test is really missed and something goes wrong on stage, it would be too dangerous."
Tao Le felt relieved and waved his hands repeatedly: "I'm just guessing. It may not be accurate. It may cost the patient money in vain. You can't blame me then."
She was in a good mood. Thinking about the past life, the patient did not get off the operating table because he failed to detect and control hyperthyroidism in time.
Now that he has his own reminder, he will be able to find out the problem quickly and prescribe the right medicine. The patient will definitely not continue the fate of his previous life.
Tao Le did not follow Hou Bo and the others back to the office to see the test results that had come out, but directly said goodbye and left.
It was almost ten o'clock now, and Hou Bo and Qin Feng didn't want to keep her.
Tao Le went back to Room 719 first and called Xiong Wenfa out.
"Hello family members, in order to better take care of the patient, I would like to talk to you and learn more about the situation. Is it convenient?" She made an excuse.
"Of course." Xiong Wenfa just noticed that this little girl came with Director Hou and must be a doctor from the first hospital.
"Will you be accompanying me all the time, or will someone else at home replace you?"
"It should always be me." Xiong Wenfa was a little helpless.
"What about your wife and children?" Tao Le asked pretending to be casual.
"My wife is in very poor health and is bedridden all year round, and my child is still studying."
"Oh? I wonder what disease your wife has?" Tao Le had actually always wanted to ask this question.
"Chronic glomerulonephritis, it's been seven or eight years." Xiong Wenfa shook his head, feeling quite heavy.
It turned out to be this disease. This disease is often accompanied by edema, proteinuria, and hematuria, and may slowly progress to renal failure.
According to Western medicine, glomerulonephritis is incurable, and its progression can only be slowed down by hormone and immunosuppressive treatments.
But Chinese medicine can cure it slowly and gently.
In the treatment of chronic kidney disease, TCM treatment has great advantages regardless of past or present life.
Tao Le thought for a while and then said a few more words: "How is your wife's condition under control now?"
"It's not good." Xiong Wenfa's face turned solemn: "The blood pressure started to rise, and the feet became more swollen."
Increased blood pressure and worsening edema? This shows that nephritis is about to enter the terminal stage, and if it continues to progress, hemodialysis will be needed to maintain life.
"Have you ever seen Chinese medicine?" Tao Le asked.
"No. The doctor my wife often sees says it can't be cured by traditional Chinese medicine, so we have never seen her."
A ball of anger arose in Tao Le's heart. Indeed, there are still many Western medicine practitioners who are quite resistant to Chinese medicine.
However, it is not good if personal bias affects the patient's medical treatment.
"This disease has been delayed until now, and it is indeed difficult to cure. But Chinese medicine can still cure it. Do you want to try it?" Tao Le advised.
"Let's think about it." Xiong Wenfa said. It was obvious that he was not interested in this topic.
In fact, people in the company also told him that they were hiring an excellent doctor for his wife, but it would take some time, so Xiong Wenfa would not be fooled by a little girl.
"Okay, then you can contact me if you think about it." Tao Le handed him a piece of paper with his phone number written on it.
"By the way, you came here to take care of the old man. Your wife is not in good health. What will happen to the children at home?" She got to the point.
This was so natural that Tao Le quickly added: "I'm inferring based on your age. At this age, your child should be in middle school, right?"
"Indeed, my daughter is in her third year of junior high school this year." Xiong Wenfa didn't think much about it. Whenever he mentioned his daughter, his heart softened and a smile appeared on his face.
"Excuse me, may I ask, for such a big girl, is there someone to take her to and from school?"
"The school is not far from home. She has not been picked up or dropped off by us since she entered junior high school. She has always walked alone."
"I don't mean anything else, I'm just a little worried. Parents of girls in their blooming years should pay more attention and don't try to save trouble."
Xiong Wenfa could feel that the female doctor in front of him was sincerely worried about his daughter.
"This is indeed an oversight on my part. Thank you for reminding her." He solemnly thanked her, "I will find a way to find someone to pick her up."
When he said this, Poker's face suddenly appeared in his mind.
He has already seen Poker's cooking and organizing abilities, and hopes that his ability to take care of his children will be as strong as President An Hong has shown.
