The female manager was surprised after receiving her boss' cautious reply. But even though he didn't understand, he still returned to the emergency department and said with a cold face: "Wait a moment, Manager Hui wants to see you in person."
"Manager, I won't do it." The patient said carefully: "I just explained to the doctor, thank you for taking care of me, I can't cause you any more trouble."
There were many jobs, but she was fired after not working for a long time. This was also related to the fact that she always felt uncomfortable in the precardium.
Who wants to keep such a thunder by their side? What if I have a heart attack while I'm working and die immediately? How can I explain this matter
The patient didn't dare to ask for too much. She was just a "temporary worker", so being able to take her to see a doctor was a huge favor, and she understood this.
With a glimmer of hope, I hope that 912 can figure out what the disease is. But this time even a 64-slice coronary CT was done, but there was still no result.
She was also very helpless. Maybe, this was her fate? Life was hard, her husband died early, and she raised a child by herself. However, my body was not strong enough and I kept getting sick.
The patient becomes distressed when he thinks of this.
She lowered her head and whispered. The voice was very low, as if the patient was afraid of annoying someone by making too loud a sound.
"We discussed it, and the situation is a bit special." Zheng Ren smiled and said to the female manager: "The isotope examination takes a bit long and is expensive, so it is the second option for the time being. I have contacted Director Zhang Lin of the Department of Circulation Medicine to do it. An exercise treadmill test should yield results.”
The female manager was stunned for a moment, and she didn't expect enough feedback for her kindness. That's what benefit a poor temporary worker or foreign employee who has to think carefully about even eating a meal of meat can bring to himself.
I just hope it doesn't cause any trouble to myself. That's fine.
She frowned slightly, and her originally aloof expression relaxed a little.
"That's right, not all patients with coronary heart disease have coronary arteries blocked." Zheng Ren said seriously, "Although the exercise treadmill test is a little crude, it has an 80% chance of finding out the situation."
"..." The female manager looked at Zheng Ren's smile and felt an inexplicable feeling in her heart.
"Come into the room and I'll explain it to you." Zheng Ren smiled and let her into Mr. Cui's consulting room.
Mr. Cui has not been at work recently, but the clinic is very clean. Zhou Litao cleans it every day.
Zheng Ren sat on the chair and began to draw a heart pattern, and then drew three coronary arteries on it.
"This is the heart, and the blood supply to the heart is completed by the coronary arteries. Many of the coronary heart diseases we usually talk about are caused by coronary artery stenosis and insufficient blood supply to the myocardium." Zheng Ren explained slowly.
The manager and the patient looked at the pictures on the A4 paper carefully and listened to the honest and deep voice.
"If we use the analogy of a river, the coronary arteries are the main trunk, and then there are some microvessels that nourish the myocardium. In the image just now, the patient's coronary arteries are fine, but the symptoms are obvious, especially when heart disease occurs after work or fatigue. As for the pain in the front area, I still suspect that the branch capillaries are blocked.”
"The dysfunction of coronary microvessels causes myocardial ischemia, which is also clinically known as cardiac syndrome X. Some patients have changes in their electrocardiograms, and some have no changes in their electrocardiograms."
"Cardiac Syndrome X is more common in women, especially postmenopausal women."
"Previously we said to do isotope testing because the accuracy is higher. Or use adenosine and dipyridamole, and after intravenous injection, whether the coronary blood flow reserve is less than 2 is used as the limit to judge microvascular dysfunction."
"But many times acetylcholine provocation testing is required, requiring coronary injection, which is simpler and more direct than the exercise treadmill test."
Zheng Ren began to talk endlessly about possible problems.
Neither the patient nor her manager expected that coronary heart disease could have so many claims, including Cardiac Syndrome X, which had never been mentioned before.
This little doctor looks quite professional.
Zheng Ren explained it and asked the manager to take the patient to Director Zhang Lin for diagnosis.
"Doctor Zheng, I'll wait for our manager Hui to come." The female manager understood what Zheng Ren said, but she was dubious.
At least I have never heard of such a thing before. Is the little doctor in front of me just fooling me
…
Manager Hui hurried over, making countless phone calls on the way, and tried to find out the details of Boss Zheng as quickly as possible.
When I didn’t know, I felt a little aggrieved. But by the time he arrived outside the 912 emergency department, he no longer thought so.
Boss Zheng, a great god! No matter who I ask, the answer I get is that I will do whatever Boss Zheng says, and there is so much nonsense.
Moreover, people close to him also told him that Boss Zheng performed the surgery for Dean Yan’s heart attack a while ago, and they will not extort your money.
Even if we can't get closer to this kind of person, we definitely can't offend him. Maybe it was a blessing in disguise that he got to know this Boss Zheng.
Manager Hui stood outside the emergency department, adjusted his suit, and then walked in.
"Manager Hui, you are here." The female manager who brought the patient to see the doctor finally waited until Manager Hui arrived and greeted her quickly.
"Where's Boss Zheng?"
"Ah? Boss Zheng?" The female manager didn't understand what her manager was talking about for a while.
"Doctor Zheng Renzheng! This is Boss Zheng, where is he?" Manager Hui explained angrily.
"Uh... in the office."
Manager Hui came to Mr. Cui's office door, knocked on the open door, and said respectfully: "Boss Zheng, I am Huimin from our labor service company."
"Mr. Hui, please take a seat." Zheng Ren greeted.
So young, Manager Hui sighed inwardly after looking Zheng Ren up and down. Do you have academic status at a young age? Although he didn't believe it, he still maintained respect.
"Manager Hui, let me tell you something..."
"Boss Zheng, no need." Manager Hui said with a smile: "I'm not a medical professional, so I may not be able to understand what you explain to me."
"Uh..." Zheng Ren frowned and looked at him. Are you leaving the hospital? It would be a pity not to even do a plate test.
If that doesn't work, leave the patient's phone number and wait two days before asking her to do the examination herself. In an instant, Zheng Ren already had a comprehensive plan.
"Just tell me what kind of examination you want, the best one, the one that can make a clear diagnosis!" Manager Hui patted his chest and said, "Our company has always been people-oriented. For employees, even if they are only external hires, we must give them enough Humanity.”
"..." Zheng Ren and Su Yun looked at Manager Hui with some confusion.
How could this set of words sound like what Dean Yan said during the meeting
"You can give me a diagnostic method and do it directly. I definitely agree."