The patient was a 78-year-old Tibetan Mora. He was carried into the hospital by his son and was immediately moved carefully to a flat car.
Mora is the Tibetan term for elderly women, which is equivalent to grandma.
She lay there very weakly, with vomit stains still at the corners of her mouth.
A big problem when working in snowy areas is the language barrier.
The patient's son spoke and gestured eagerly and kept stroking his head with his hands.
But Tao Le only understood one word from beginning to end: "Mamba".
The word "Mamba" means doctor in Tibetan. This was something Xie Baoshu taught her yesterday.
She doesn't understand Tibetan, and neither does Leng Qi. But this is also one of the problems that can be solved by master-training, and Dundup Gyalpa directly acted as the translator.
This Maura woke up early in the morning and suddenly felt dizzy, which didn't get better for a long time.
Not only that, she didn't dare to shake her head, and she would feel nauseated and vomited if she moved.
Her family was very worried and immediately took her to the emergency department for treatment.
"How are you feeling now? Can you speak?" Leng Qi asked.
After this sentence was translated by Dundup Gyalpa, Old Mora opened his mouth and spoke a few words softly.
In the end, it was because of the language barrier. Even if someone translated, Leng Qi could not accurately judge the other party's reaction and speech function.
It is also for this reason that many subtle inquiries and judgments, such as determining what kind of dizziness the other party has through questioning, are also difficult to achieve.
You should know that dizziness is a word with very ambiguous meaning. Patients often refer to uncomfortable symptoms such as weakness, dizziness, lightheadedness, unsteadiness, black eyes, dizziness, and even syncope as "dizziness".
Different dizziness corresponds to different symptoms. If you can accurately identify it, you will get a symptomatic examination as soon as possible and avoid many detours.
"Okay, please stick out your tongue again and let me take a look." Leng Qi said.
The old man did as he was told. Her nasolabial folds are symmetrical, and her tongue is centered with no left or right deviation.
Next, Leng Qi asked her to lift her limbs again, and she could also stretch them freely.
In addition, the old man's bilateral pupils are large and round, but the eyeballs are different from those of ordinary people.
Even without the use of instruments, Tao Le could tell that there was a slight horizontal rotational vibration in Old Maura's eyeballs, which made her think. She roughly guessed the old man's question.
Leng Qi finished the physical examination and ordered blood sugar, blood routine, electrocardiogram and head CT examinations all the time.
Bedside electrocardiograms are performed by nurses in many large hospitals, but now, Leng Qi directly named Tao Le:
"Tao Le, come and do a 12-layer electrocardiogram on the patient."
Tao Le agreed without hesitation, and immediately went to get a portable electrocardiograph and alcohol disinfectant.
The device presented by Miao Technology is very small, about the size of a laptop, and the wires are the same as those commonly seen.
Tao Le first used medical alcohol to clean the patient's wrists, ankles, and chest. The purpose was to remove the cuticle and sweat stains on the human skin and prevent poor contact between the electrode balls and electrode clips.
Immediately afterwards, she quickly put electrode clips on the patient's hands and ankles, and pressed and fixed the six electrode balls on the chest.
"Maura, please relax and don't be nervous." Tao Le said with a smile.
Seeing the old man's breathing slowly calming down, Tao Le pressed the start button. Soon, an electrocardiogram and the results were printed.
Tao Le did the whole process smoothly, quickly and accurately. Leng Qi saw it and didn't say anything. Instead, he directly picked up the report and read it.
The conclusion was very clear, it was a very normal sinus heart rate, but Leng Qi did not stop because of this, but carefully checked the ripples on the electrocardiogram.
Tao Le was busy packing the equipment, but Chang Shengnan said with confusion on his face: "Teacher Leng, I don't understand. The electrocardiograph has obviously given a conclusion that there is no problem, why do you still have to look at it yourself?"
Leng Qi did not raise his head until he carefully reviewed the entire picture from beginning to end. Then he raised his head and said, "Will the conclusion drawn by the machine be correct?"
She glanced at Chang Shengnan and asked Dundup Gyalpa: "What about you, do you think so too?"
"Well, I don't know much about this. Anyway, I don't know how to read an electrocardiogram." The chubby Tibetan man replied.
Leng Qi sighed and asked Tao Le, "What do you think?"
"Rereading is necessary in some cases." Tao Le said carefully, "For example, if the electrode contact is not good, the printed image may be distorted, which directly affects the conclusion."
"So if possible, every doctor should continue to improve his ability to read images. Not only electrocardiograms, but also CT, MRI and other images."
"That's right." Leng Qi nodded, and then said to Chang Shengnan and Dunzup Jiaba: "You should also work more on this aspect in the future. Doctors cannot rely entirely on machines, but also have their own judgment and view."
"Even if only one of a thousand pictures is misread by the machine, then for this patient, our efforts are of great significance."
Chang Shengnan and Dundup Gyalpa nodded in agreement. It's just that the former is sneering secretly deep in his heart.
Fortunately, she had thought that this little girl had a lot of abilities. Not only could she stay in a famous hospital in Beijing at such a young age, but she also got the favor of her own dean.
Unexpectedly, the people who came to help build the emergency center this time were not all famous hospitals in Beijing, but also a little-known No. 1 hospital in Yun City.
The most interesting thing is that this little doctor Tao, who seems to have a lot of background and wants to point out everything, turns out to be just a trained doctor!
That's ridiculous! Even if the medical level in Tibet Province was poor before, Sasa Central Hospital is still one of the best hospitals in Tibet Province, and its status is much better than that of Yunshi No. 1 Hospital.
Why did a small-time doctor come to participate in the construction? You can understand the reason by just thinking about it with your toes.
This must be for gold plating. With this level of work experience in aiding Tibet, promotion and promotion in the future will be a matter of course.
She originally didn't want to pay attention to these things, but who would have thought that this person would just get involved in the mainland alone, but when he arrived in Tibet, he wanted to get involved with local doctors.
But that's okay. Under the current environment, even if she wanted to take the test again, the local doctors would not be able to take the test. Not only that, you may also roll yourself up, slip your waist, and injure your body.
By this time, the nurse had collected blood from the old man, measured his blood sugar, and reported back and forth:
"The patient didn't eat in the morning, and his fasting blood sugar was 5.2."
The pre-meal blood sugar was 5.2, which is a normal level, once again ruling out dizziness caused by hypoglycemia.
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