Chapter 2370 Syndrome X (Leader Bang Jingagen 4)

A woman in her forties walked in while scolding with a frosty face.

Behind her was a woman in her fifties, a bit humble, with her head bowed, and the gray hair on her forehead was a bit messy.

"Check, check, how many times have you done this! If it weren't for seeing you raise a child who is still in college, I would have fired you a long time ago."

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

"What are you, you did an inspection of more than a thousand yuan, and nothing happened! What else do you have to say!" The female manager raised the film bag in her hand, rattling, as if speaking for her Adding corroboration is general.

"For you, do you know how much I have been scolded!"

Zheng Ren glanced at it, and the system panel of the woman behind was flushed, not pretending to be sick, a diagnosis was prominently displayed on the system panel - Heart Syndrome X.

After seeing the diagnosis, Zheng Ren thought about the cause and effect clearly.

The female manager ignored the staff behind her and strode towards the emergency medical clinic. The high-heeled shoes clicked on the marble floor, like the sound of Zheng Ren clicking a mouse.

The patient was wearing the clothes of a sanitation worker who cleans the hospital. It seemed that he was a worker from a 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 him, "President Zhou is busy, let me come."

"Boss Zheng, I'm sorry to trouble you." The emergency physician was happy to take a break, and handed over various laboratory tests and film bags to Zheng Ren.

The patient's various examinations were all right, but he complained of chest tightness and shortness of breath, which was caused by activities and accompanied by precordial pain. This kind of chief complaint can be considered other diseases, but seeing the frosty face of the female manager who brought the patient, Zheng Ren knew that if it is not handled well, it will be a dispute.

Naturally, the farther away from this kind of thing, the better, it's not troublesome enough. If more tests were done in the end and nothing was found, the doctor who prescribed the test would have to face the wrath of the female manager.

Zheng Ren held the film and asked gently: "Why are you uncomfortable?"

"I……"

"I feel uncomfortable as soon as I work, and the laziness attack!" The female manager said angrily.

"Let the patient talk, okay?" Zheng Ren smiled, glanced at the female manager and said.

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

Zheng Ren's eyebrows were raised slightly like knives, and the female manager relied on the hospital for food, and she didn't dare to offend any powerful person. Although the logistics and the front clinic are not a system, there are many big figures in the 912 who can reach the sky.

Looking at the doctor in front of him, he is not very old, but who knows what skills he has and what important people he knows. The doctor in the emergency department just looked at him with respect and called him Boss Zheng.

There are many people who can be called the boss, but not many.

The female manager swallowed the rest of the words, not daring to provoke Zheng Ren, but just gave the patient a vicious look.

"I have chest tightness, and occasionally it hurts." The patient said helplessly: "Especially when I work, the symptoms of chest tightness and chest pain are severe."

"Do you feel pain every time?"

"No, once every three to five days. I always think it's a myocardial infarction. A while ago, a friend of mine fell asleep at home and died..." The patient seemed to feel a little strange when he said this, so he paused.

The female manager raised her head with a look of disdain.

In her opinion, this is either the most typical hysteria, and all symptoms are thought up in the heart, and they don't exist at all. Or just being lazy and not wanting to work.

If it weren't for the fact that she still had to support a child who was going to school, she would have been fired a long time ago. Or say that such a good person can't do it, and push his nose on his face.

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

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

"Does anyone in your family have a medical history of high blood pressure or coronary heart disease?" Zheng Ren continued to ask.

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

Zheng Ren scratched his head, and said, "Love doesn't count, it's not related to you by blood. What about your parents and other relatives?"

"My dad has a history of high blood pressure, and others...my second uncle seems to have it too."

"What about coronary heart disease?"

Zheng Ren asked about the medical history patiently, and the impatient expression on the face of the female manager who accompanied the patient became more and more serious.

In her opinion, the patient was just pretending to be sick, and Zheng Ren was just a young doctor. Generally, an old doctor will give a diagnosis directly after looking at the film and asking a few casual questions. How can there be such a detailed reason for asking.

Besides, there are so many patients in the emergency department, who has the time to ask such detailed questions.

A few minutes later, after Zheng Ren asked about the medical history, he took out the film to watch.

In fact, the female manager of the cleaning company is pretty good. Although she is a little impatient, after all, she has done all the checks that should be done. People who can be so responsible are rare.

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

All the tests were fine, and under normal circumstances it was enough to diagnose a neurosis.

Zheng Ren didn't think so, after all, Big Pig's Trotter had given a bright diagnosis—Cardiac Syndrome X.

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

"I've eaten." The female patient also saw that the manager's face was getting worse and worse, so she said in a low voice.

"How is the effect?"

"Basically it doesn't work..." Her voice became weaker and weaker. In fact, she also felt that she was neurotic, or as the manager said, it was a disease that she thought up.

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

Who knows if it hurts, but there is nothing wrong with the examination. The number of visits to the doctor increased, and even the patient himself began to wonder if there was something wrong with his spirit. Could it really be caused by menopause... She began to think wildly.

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

"Isotope inspection? How much?" The female manager immediately became angry. She looked at Zheng Ren with contempt and hatred.

Zheng Ren glanced 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 would be better to do the isotope test or the exercise treadmill test.

In fact, the reliability of these diagnoses is not particularly high. To be able to confirm the diagnosis, invasive coronary angiography is still required.

"Don't waste time. I have done 64 rows. This is my greatest authority." The female manager said coldly: "No problem has been found. If other inspections are needed, I have no authority and need to report it."

"Well, I'm sorry to trouble you." Zheng Ren said.

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