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D+2 day

Punching the artery blood and qi is a very painful thing. Prepared adults will yell under the destruction of the artery blood and qi needles, not to mention Bruen, who is not very clear about his consciousness.

Moreover, as a man with thick hair from his chin to his navel, Bruen is indeed much less tolerant of pain than other men.

Tough guys are the kind of people who can't bear the pain the most. Sun Lien has always suspected that the muscles in the movie, with muscles like Belgian blue and white beef, were injured all over, but he could continue to shoot with five hundred strong men without changing his face and his heart was not beating. It must be because they injected some long-acting and powerful painkillers in advance - the kind that is strong but not suppresses breathing.

Men generally have worse pain tolerance than women, and the more muscular the higher the testosterone level, the worse the pain tolerance. Women who have given birth naturally have stronger pain tolerance than women who have not given birth.

The reasons for this difference are not clear, but for clinicians, patients have low tolerance for pain... Actually, it is not necessarily a bad thing.

Of course, the pain is so whimpering that it will definitely affect the doctors' treatment of patients. But "it may not be a bad thing" is indeed not nonsense.

Sun Lien himself had never seen him, but he had heard from Zhou Jun that in a certain year and month when Zhou Jun was still in charge, he treated a patient with a pale face and sweaty face. The patient himself complained of dizziness and fatigue, but there was no problem with the others.

Doctors generally prefer to consider anemia or insufficient perfusion for the combination of dizziness and fatigue, which may be a neurological problem or a circulation problem.

But with the white complexion and sweaty face... this situation makes people nervous. White complexion can be anemia, while sweaty face can be a sympathetic nerve problem. But combined with dizziness and fatigue, every doctor in the emergency room - even if he is just a regular student, will immediately think of the most urgent and serious problem.

Acute coronary syndrome..

But the middle-aged man, who was sweating prone to Zhou Jun's proposal to do an electrocardiogram for him, and repeatedly denied that he had pain in his chest area - it didn't hurt elsewhere.

But Zhou Jun had been working in the emergency department for many years and had rich experience. When the patient firmly refused the electrocardiogram and was only willing to take a blood test, Zhou Jun did not relax his vigilance. He prescribed a full set of myocardial injury markers and also used the excuse of "chest pain may be a sternum problem, so he needs to have a B-ultrasound" to half coax the middle-aged man to undergo a cardiac ultrasound examination.

Heart color ultrasound is not the best way to check acute coronary syndrome. After all, not all patients with acute coronary syndrome have undergone changes after myocardial infarction under heart color ultrasound examination - myocardial movement inconsistency or myocardial movement contradiction after myocardial infarction. But this is the most appropriate method that Zhou Jun can think of.

Soon, with the ultra-high levels of C-reactive protein up to 46.2 mg/l, the ultra-high levels of creatine kinase (ck)891u/l and creatine kinase isozyme (ck-mb)48μg/l, and the report of "post-myocardial infarction" reported by the heart color ultrasound, Zhou Jun announced the diagnosis of this patient who looked "this is impossible", "You have acute myocardial infarction."

"This is impossible, I don't feel pain." The patient seemed to have some knowledge of relevant knowledge. He asked in disbelief, "Mystolic infarction is very painful, right?"

"Most of them hurt, but some of them don't hurt too much or even some of them don't hurt at all." Zhou Jun explained, "There are many reactions to this disease, and there are other places that hurt - toothache, legs and shoulders, arms and heads... In short, you should do an electrocardiogram."

In the face of the typical evidence of st-segment elevation of the electrocardiogram, the middle-aged man finally gradually accepted the fact that he had a heart attack. But he was still not convinced and asked Zhou Jun, "My chest hurts a little, is this considered a heart attack?" I don't know what effect he wanted to get by questioning the symptoms.

"Don't you feel a little bit hurt?" Zhou Jun was confused by this question. The old man had said before that he didn't feel hurt.

"It hurts a little, but I can bear it." The old man said with confidence, "I can bear it, then this must be no heart attack!"

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To sum up, it is often not a bad thing for patients to cry for pain. Although pain is troublesome, it is an important weapon that humans have evolved to protect themselves. Pain can quickly realize that the situation is wrong and stay away from danger. For doctors, pain can quickly lock in the problematic part of the patient.

The part that Bruen has currently had is at the base of his left thigh.

After his blood was over, Bruen's cursing movement became less. After all, even if there were two venous channels, it would take time for him to fully recover to the white version of the past, Samuel Jackson, who was 1.89 meters tall and weighed 189 years old.

Sun Lien's treatment for Bruen has basically come to an end - just wait for two bags of 1,000 ml of normal saline to pour into Lao Bu's blood vessels. The doctors and nurses on the other side asked about Bruen's condition again and again. Even Zhang Zhifu downstairs called and asked about Bruen's condition.

Lao Zhang must have been scared by Qi Jing's previous incident. After calling, he was still worried. As a result, at around 1:00 a.m., he walked to the ward of North Five District ward with his legs and swayed to check the situation on the spot.

"The blood and energy indicators have also come out, with a slight potassium and sodium deficiency." Sun Lien took Bruen's test report to soothe Zhang Zhifu's mood. "You don't have to worry about this level of problem at all. At worst, I'll let him eat two bananas dipped in salt."

"Thanks to him that he is fat and usually eats heavy food." Professor Zhang Zhifu nodded, then looked at Bruen's temperature record of 37.2 degrees Celsius and said, "So, he suddenly fainted because of mild heatstroke? Isn't the heatstroke just a little dizzy and nausea?"

"With Lao Bu's physique, he may not feel anything about this level of heatstroke. At most, he will have some headaches when he wakes up tomorrow morning." Sun Lien nodded and agreed with Zhang Zhifu's opinion. "But the problem is that he has been under too much work these two days, and the way he wears protective clothing is not right."

When he was in the red zone before, Sun Lien had not noticed it. However, in the few seconds when he took Bruen's protective clothing in the locker room in the red zone, Sun Lien keenly discovered a serious problem.

In order to have a better protective effect, the collar is designed to be very high. Bruen... is fat, so his neck is short.

Strictly speaking, Bruen's neck is still a very normal situation in physiological structure. But the drooping chin and thick front chest occupy a large part of the space. In this case, Bruen's neck looks very short.

The high-collar protective clothing has a unique effect on Bruen - it covers almost two-thirds of the n95 masks.

Long-term wearing of n95 masks would have caused mild hypoxia symptoms when worn. The collar of protective clothing that is almost as impermeable as plastic cloth further aggravates this symptom. A large amount of exhaled carbon dioxide accumulates in the protective clothing, and then as Bruen's lung capacity reaches 8400 ml, carbon dioxide is continuously inhaled into his body again.

Bruen, who is huge, has huge muscle mass and works hard, consumes much higher oxygen than ordinary people. The final slight heatstroke became the last straw that overwhelmed the camel - his symptoms were much more serious than other medical staff with mild heatstroke.

After explaining this, Sun Lien felt a little guilty. Because using the status bar for a long period of time and a large-scale use of the status bar will cause severe headaches, he basically will not observe the status bar of his colleagues. Only when entering the ward will Sun Lien go to see the status bar of the patients one by one.

Fortunately, other doctors reacted quickly, and fortunately, there were two positive pressure ventilators in the yellow area. If the measures were slower, Bruen might have a problem with respiratory acidosis. By then, it would not be possible to do two bags of saline.

"It's good if you're okay." Professor Zhang Zhifu gave out a breath of turbid air, and then said to Bruen, "Lao Bu, you'll take a day off tomorrow and continue your shift the day after tomorrow."

"There's no way." Bruen rejected this proposal directly. "I came to Yunhe to fight the epidemic, not to hide in the hotel."

Professor Zhang Zhifu looked at Sun Lien, "You can solve this guy's problem. Let him take a day off tomorrow - you can't bargain." Then he turned around and left with his legs crossed.

"This is also for your health." Sun Lien said seriously to Bruen, "You can have a good rest for a day so that you can work well after you."

"No." Bruen was stubborn as if he was a live donkey, and he pulled him back and said, "I'm already done now, pull out the liquid."

"You..." Sun Lien was also anxious. Before leaving, Secretary Chen gave a death order - no one could be missing. After Bruen made this happen, he was really scared to death just now.

"I am also a Communist Party member." Bruen said seriously, "Although we are not affiliated with the same party organization, we are all communists. Why do you rush forward and pull me back? Are we still good comrades?"

"Don't do this." Sun Lien glared at Lao Bu, "I'm coming to work tomorrow, right? OK! In order to prove that my body has fully recovered, tomorrow morning you will eat a whole thigh in front of me, and I will admit that you are fine!"

Brunn's face changed and he suddenly felt a little tempted to vomit. He held it in a long time before swallowing the sour water that was inverted to his throat, then sighed and tried to bargain again, "We are going to be a small night shift tomorrow. If it really doesn't work, I can be on duty in the yellow area, right?"

"Yellow area? Then half." Sun Lien sneered, "You used to eat two elbows in one breath without frowning. Is it okay to eat half a piece?"

"Fuck!" Bruen twisted his head and said angrily, "You won! goddam!"
Chapter completed!
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