When Doctors Have a Simulated Operating Room

Section 126

Early stage of coronary heart disease is also prone to arrhythmia.

On this checklist, the P wave disappears and is replaced by an irregular baseline.

The QRS group wave is widened and deformed.

This is a typical electrocardiogram manifestation of atrial fibrillation among arrhythmias.

Xu Changyuan couldn't understand it either, so he asked:

"Zhang Yi, am I okay?"

Zhang Yi said unhappily:

"Why am I okay? This shows that you have atrial fibrillation and arrhythmia.

Do you still feel palpitations? Does your heartbeat feel irregular?"

Xu Changyuan nodded woodenly: "It seems to be the case..."

Zhang Yi shook his head helplessly:

"Fortunately, I came to the hospital for examination. Early examination, early detection and early treatment, you know?"

Xu Changyuan nodded obediently:

"Alas, Dr. Zhang taught me, I listen to you~"

Then there was the color Doppler ultrasound checklist.

Mild fatty liver, prostate hyperplasia i degree.

All okay, all in the early stage.

Losing weight and eating a light diet can almost solve the problem.

Blood lipids:

Total cholesterol: 9.38 (normal 2

Cholesterol is a must-check item for blood lipids. If it increases, it means that there may be atherosclerosis, coronary heart disease, bile duct obstruction, etc.

Triglycerides: 19.57 (0.5-1.7mmol/l)

If triglycerides increase, it means that there may be hyperlipidemia, coronary heart disease, diabetes, etc.

Apolipoprotein a1: 0.9 (1-1.7g/l)

If it decreases, it means that there may be hyperlipidemia, coronary heart disease, cerebrovascular disease, etc.

Apolipoprotein b: 1.3 (0.5-1.0g/l)

If it increases, it means that there may be hyperlipidemia and coronary heart disease, and if it decreases, it means that there are substantial liver lesions.

In short, after checking the blood, it can basically be diagnosed.

It is indeed related to hyperlipidemia and coronary heart disease.

Back to the clinic.

After reading the examination list for a long time, Dr. Wang asked Said:

"Do you want to do another angiography to see how the cardiovascular system is doing?"

Zhang Yi refused: "No, just prescribe the medicine directly. Simvastatin, rivaroxaban, and Chinese patent medicines such as compound danshen tablets, musk heart pills and Xinkeshu can also be prescribed."

Zhang Yi came to the hospital not for too many tests.

But to prescribe medicine.

Simvastatin and rivaroxaban can lower blood lipids and cholesterol and reduce blood clots.

Other Chinese patent medicines also have a good effect of dilating cardiovascular and cerebrovascular vessels.

After all, he is my own uncle, so I feel more at ease when I prescribe the medicine myself.

The doctor Wang looked up at Zhang Yi again.

He felt a little unhappy.

Please!

But this is my territory!

Do you need me to tell you what medicine I want to prescribe?

You are so young, you must not even have taken the attending physician exam?

Can't you see that I am the attending physician on my badge? !

Chapter 98 Such a young assistant to the chief

While typing away on the computer and prescribing medicine, Dr. Wang asked Zhang Yi:

"Which hospital are you from, young man? You should not have taken the exam for attending physician at your age, right?"

He shook his work badge on his chest.

Zhang Yi took a look and saw that he was an attending physician.

"I have not taken the exam yet."

"That's right. According to my experience, your family's medicine should be..."

"But I am the assistant to the chief."

Dr. Wang: "..."

What? !

Such a young assistant to the chief? !

You are bragging!

Dr. Wang raised his eyebrows and looked at Zhang Yi again, then quickly prescribed the medicine and handed it to them.

After going to the pharmacy to get the medicine, Zhang Yi carefully checked it.

After confirming that there was no problem, he handed the medicine to Xu Changyuan.

"Take the medicine on time, you know, you are now People with three highs. Also, you absolutely cannot drink alcohol! I think I should take the bottle of Moutai at home or give it away. "

Xu Changyuan immediately made a bitter face when he heard it:

"Ah? I... How about I take a bite before you take it away?"

Zhang Yi pretended to be angry and said:

"No! Not even a bite!"

Tang Xiaohe also pinched Xu Changyuan and blamed him:

"Now it's good, there is a doctor at home to take care of you, I wonder if you will still drink alcohol!"

Xu Changyuan had to sigh and said:

"Oh, now it's good, there is one more person who doesn't let me drink."

"Uncle, your blood lipid situation should be checked every year, you know? Otherwise, the blood is too thick and blocks the blood vessels, then it will be dangerous.

I am a medical student, I understand all this, you must do what I say, you know?

And the weight loss must be arranged, you are 1.7 meters tall and weigh more than 170 kilograms.

You are completely horizontally grown, you must lose weight, you know?

Aunt, you must supervise him to exercise in the future, and the fatty liver will be cured if he loses weight. "

Looking at Zhang Yi's serious nagging.

Xu Changyuan said that he was bothered, but in fact, he felt warm in his heart.

The few people talked all the way from the pharmacy to the outpatient hall on the first floor.

Suddenly, Zhang Yi looked up.

I saw an old lady in her sixties being supported by her family members and slowly sitting in front of the outpatient department of gastroenterology.

The family members still had the examination form in their hands.

But Zhang Yi's expression became serious.

My goodness, this old lady has intestinal obstruction and she still registered for the outpatient number?!

She didn't dare to go to the emergency room?!

"Uncle and aunt, wait for me here!"

Before Xu Changyuan and Tang Xiaohe could react, they saw Zhang Yi had already walked to the old lady.

"Aunt, are you feeling uncomfortable in your stomach?" Zhang Yi squatted down and asked.

Two family members nearby were a little displeased when they saw the young man suddenly approaching, and asked:

"Who are you?"

"I'm a doctor. I saw that the old lady was feeling a little uncomfortable, so I came to check on her."

Chapter 126/242
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When Doctors Have a Simulated Operating RoomCh.126/242 [52.07%]