Chapter 2372

A woman in her forties came in with a frosty face yelling.

She was followed by a woman in her fifties. She was humble, lowered her head, and her gray hair was a little messy.

"Check, check, how many times! If you hadn't raised a child still in college, I would have dismissed you."

"Manager, i... I..." the patient murmured.

"You have done more than 1000 yuan of examination, nothing! What else do you have to say!" The female manager raised the film bag in her hand and clattered, as if adding corroboration to what she said.

"Do you know how much I've been scolded for you!"

Zheng Ren glanced at the woman's system panel in the back. Instead of pretending to be ill, a diagnosis appeared prominently on the system panel - heart X syndrome.

After seeing the diagnosis, Zheng Ren figured out the causes and consequences.

The female manager ignored the employees behind her and strode to the emergency and internal medicine clinic. High heels click on the marble floor, like the sound of Zheng Ren clicking on the mouse.

The patient wore the clothes of the hospital cleaning staff. It seems that he should be a worker of the cleaning company. The one in front should be the manager in charge of the hospital.

The emergency physician took a look at the film and went to call Zhou Litao. Zheng Ren stopped, "President Zhou is busy. I'll come."

"Boss Zheng, please." The emergency physician was happy to have a rest and handed Zheng Ren various laboratory tests and film bags.

The patient had no problem in all examinations, but he complained of chest tightness and shortness of breath after exercise. This kind of chief complaint can consider other diseases, but we can see that the female manager with the patient has a frosty face, which is a dispute.

This kind of thing is naturally as far away as possible. It's not troublesome enough. If more tests are done in the end but no problems are found, the doctor who opens the examination will face the anger of the female manager.

Zheng Ren took the film and asked gently, "what's wrong with you?"

"I..."

"As soon as I work, I feel uncomfortable and lazy!" The female manager said angrily.

"Let the patient say, okay." Zheng Ren smiled, looked at the female manager and said.

"The examination is all right. I think I'm coronary heart disease all day. I think it's neuropathy."

Zheng Ren's eyebrows were raised slightly like a knife. The female manager leaned against the hospital to eat and dared not offend any powerful figure. Although the logistics and the front clinic are not a set of systems, there are many big people in 912.

The doctor in front of me is not old, but who knows what skills he has and what important tasks he knows. The doctor in the emergency department just looked at him with great respect and called him boss Zheng.

Many people can be called boss, but not many.

The female manager swallowed the rest of the words and dared not provoke Zheng Ren. She just glared at the patient.

"My chest is stuffy." The patient said helplessly: "especially when working, the symptoms of chest tightness and chest pain are serious."

"Every time?"

"No, once every three or five days. I always think it's a myocardial infarction. A while ago, a friend of mine fell asleep at home and disappeared..." when the patient said this, he seemed to feel a little different and stopped.

The female manager held her head up and looked disdainful.

In her opinion, this is either the most typical hysteria. All symptoms are thought out in her heart and do not exist at all. Or you're lazy and don't want to work.

If it hadn't been for her to support a child in school, she would have been expelled. Otherwise, the good man can't do it, kicking his nose and face.

"Do you feel this way when you sleep at night?" Zheng Renwen asked.

"No." The patient shook his head in confusion.

"Does the family have a history of hypertension and coronary heart disease?" Zheng Ren continued.

"My wife had high blood pressure when she was young, and later died of cerebral hemorrhage."

Zheng Ren scratched his head and said, "my lover doesn't count. He has no blood relationship with you. What about your parents and other relatives?"

"My father has a history of hypertension, others... My second uncle seems to have it, too."

"What about coronary heart disease?"

Zheng Ren patiently inquired about the medical history. The female manager who accompanied the patient looked more and more impatient.

In her opinion, the patient is pretending to be ill, and Zheng Ren is just a young doctor. Generally, an old doctor looks at a film and asks two questions directly. How can he ask such a detailed reason.

Besides, there are a lot of patients in the emergency department. Who has the time to ask so carefully.

After a few minutes, Zheng Ren asked about the medical history and took out the film to watch.

In fact, the female manager of P & G company is still good. Although she is a little impatient, she has done all the inspections that should be done after all. There are few people who can be so responsible.

The patient's ECG was ok, because it was suspected to be a transient attack of angina pectoris, and the ECG did not capture abnormal changes, so a 64 row coronary CT was performed as a supplementary examination.

All tests are OK. Generally, it's OK to diagnose a neurosis.

Zheng Ren doesn't think so. After all, big pig hoof gave a bright diagnosis - heart X syndrome.

"Have you ever eaten nitroglycerin?" Zheng Ren asked.

"Yes." The female patient also saw that the manager's face was getting worse and worse, she whispered.

"What's the effect?"

"Basically no effect..." her voice was getting lower and lower. In fact, she also felt that she was a neurosis, or as the manager said, it was all her own disease.

But every time it hurts, the length of time is not certain, and the pain is obvious.

Who knows the pain, but the examination is nothing. Seeing a doctor more often, even the patient himself began to doubt whether there was something wrong with his spirit. Is it really caused by menopause... She began to think about it.

"Uh... Let's do an isotope test." Zheng Ren said in a deep voice.

"Isotope test? How much?" The female manager was immediately angry. She looked at Zheng Ren with disdain and hatred.

Zheng Ren looked at her, but he was not angry when he saw that look. Instead, he smiled and put the film into the film bag, wondering whether it was better to do isotope examination or exercise tablet test.

In fact, the reliability of these diagnoses is not particularly high. If they can be diagnosed, invasive coronary angiography should be done.

"Don't waste time. I made 64 rows. This is my greatest authority." The female manager said coldly, "I haven't found any problems. If I need to do other inspections, I don't have permission and need to report."

"Well, please." Zheng Rendao.

"...." the female manager looked at Zheng Ren in surprise. Didn't he know what he meant?!