"Madam, I still recommend that you do an electrocardiogram and a cardiac color Doppler ultrasound. Since cholecystitis can cause biliary heart syndrome, it is possible that you should do a comprehensive examination quickly."

Tanglou continued to comfort him, saying that after all, acute myocardial infarction can be life-threatening if not handled properly.

Hu Jie glanced at Tanglou, then at Ma En, and sneered: "I think you just want to do random inspections and cheat us of our money. You are young and have no ability to diagnose the cause, so you just know how to ask the patient to do various tests."

, I spent a lot of money unjustly, and the result is exactly the same as if I didn’t do it.”

The patient's husband also threatened: "Hurry up, let us check this or that again, and I will report you. My wife has cholecystitis. She has been suffering from it for a long time. How can she do an electrocardiogram or a color Doppler ultrasound?"

Seeing the patient's attitude, Ma En's face turned cold: "Dr. Tang, this is for your own good. Only by doing a comprehensive examination can we give your wife the best treatment. Otherwise, if the examination is not careful, something will be missed.

, if an accident occurs during the treatment, it can only be regarded as your failure to cooperate with the treatment, and we are irresponsible."

Ma En directly took out the case and wrote on it that the patient refused to undergo two examinations.

"Don't scare me. My wife has cholecystitis. She has had gallstones for many years. She still has abdominal pain this time. Could it be as serious as you said?"

The patient's husband despised Tang Lou and Ma En. You two young doctors don't want to trick him into spending money.

This is the first time Tanglou has encountered a patient with such a determined attitude and refusal to cooperate with treatment, and he is very helpless.

Tang Lou thought for a moment and then asked: "Then have you ever suddenly felt uncomfortable in your heart, or suddenly felt dizzy when you got up?"

"I suddenly get up from squatting. Sometimes I feel dizzy. Occasionally, the amount of exercise is strenuous and my heart feels a little uncomfortable. But isn't this normal? Many people are like this. Don't try to fool me."

Hu Jie rolled her eyes. She had been fooled by Du Niang before. Just a small symptom made her look like she was about to die. When she got to the hospital for a checkup, there was nothing wrong with her.

Seeing that the patient was not getting enough food and salt, Tanglou was helpless and looked at Ma En.

"Then let's do this first. Let them treat cholecystitis first. When the time comes when the discomfort is caused by unknown causes, let the patients take responsibility themselves."

After all, Ma En is more experienced and has seen more about patients who have difficulty communicating.

If the patient is polite to the doctor, the doctor will talk more and put more thought into it. If you encounter such a patient who only questions you, the doctor will not bother to say more.

In order to avoid becoming a scapegoat in the future, Ma En clearly stated that the patient refused to undergo the examination and asked the patient to sign his consent.

Hu Jie and her husband signed the contract with disdain and left the clinic cursing.

Less than twenty minutes later, screams came from the infusion room.

"Help, help, my wife has fainted, please come quickly!"

Hu Jie's husband started shouting in the infusion room.

"Help my wife, I don't know why she fainted all of a sudden..."

Tanglou had been waiting aside for a long time, and sure enough, acute myocardial infarction occurred.

After shaking his head, Tanglou quickly ran towards the infusion room.

Two nurses were already hurriedly carrying Hu Jie, who had fainted, onto a flat car.

Ma En also rushed over from the consulting room quickly. When he saw Hu Jie lying on the flat car, he broke out in a cold sweat. Tanglou really guessed it. Fortunately, the patient had signed a refusal to be examined.

"What's going on?"

Ma En ran to Tanglou's side and asked nervously.

"Shock caused by cardiac arrest should be myocardial infarction caused by cholecystitis."

Tanglou said in a deep voice.

"Quickly, send him over and perform cardiopulmonary resuscitation immediately."

Tang Lou and Ma En rushed over, pushed the flat cart, and directed the nurses to rescue him.

After being sent to the emergency room, the nurse had skillfully installed various instruments on the patient, and Ma En immediately started cardiopulmonary resuscitation on the patient.

The treatment principles for dying myocardium are: reduce the infarct area, protect heart function, and deal with various complications.

"Perform perfusion therapy..."

"Low molecular weight heparin, blockers, renin-angiotensin aminotransferase inhibitors (ACEI)..."

Tanglou calmly gave instructions from the side, and the nurse followed them non-stop.

At the same time, Ma En also completed two sets of cardiopulmonary resuscitation, and looked at the patient's heart rate on the instrument and finally fluctuated from a straight line.

"What a risk."

Ma En was already sweating profusely, but he finally breathed a sigh of relief when he saw that the patient's heartbeat had recovered.

After all, the success rate of cardiopulmonary resuscitation in the hospital is very high, which is why Tanglou did not choose to forcefully check the patient. However, even if his life was saved, he still had to suffer some pain.

If the patients had chosen to be discharged from the hospital at that time, the tenement building would certainly not have allowed them to go out. It would have been easy to waste emergency treatment time on the road, and the mortality rate would have been very high.

Wiping the sweat from his head, Ma En leaned towards Tang Lou and said, "Thanks to you this time, otherwise I wouldn't be able to explain clearly."

"Nurse, give the patient an electrocardiogram, a color Doppler ultrasound, and check the cardiac enzymes."

Tanglou first arranged the next treatment, then looked at Ma En and smiled lightly: "Let's go, the next step will be left to the cardiothoracic surgery department."

At this time, the patient's husband chased her aggressively: "Dr. Ma, what's wrong with my wife?"

"Acute myocardial infarction is out of danger."

When Ma En saw the patient's husband, his expression was not very good and his tone was a little indifferent.

"Myocardial infarction? How could my wife have a myocardial infarction at such a young age? Did you misdiagnose my wife and cause a problem with rehydration?"

The patient's husband suddenly became suspicious and looked at Ma En with a very unkind look.

"Myocardial infarction does mostly occur in the elderly, but your wife's long-term cholecystitis inflammatory reaction, long-term hypotension, and hypoxia damaged the myocardium, so she suffered a myocardial infarction."

Ma En explained from the sidelines.

"Nonsense, I think you prescribed the wrong medicine. My wife has cholecystitis. Where did the myocardial infarction come from? I want to sue you! If my wife has a problem, it will be better for you! I want you to be responsible for my wife's medical expenses.

There are also wages for lost work and my mental damages."

The patient's husband immediately acted rogue. After all, in his opinion, Ma En's previous diagnosis was ordinary cholecystitis, and now that he had shock and fainting, there must be something wrong with the hospital's treatment. He immediately held on to it.

"Sir, let me say it again, your wife suffered a myocardial infarction due to repeated cholecystitis. Moreover, Dr. Tang and I have repeatedly told you to do an electrocardiogram and cardiac color Doppler ultrasound first. As long as you do the examination, it will have been found out long ago.

.And don’t forget that you signed your name and refused to be inspected.”

Ma Enhan said that this man was so unreasonable and made him very angry.

"I advise you to go to the cardiothoracic surgery department immediately and stay with your wife. Dr. Tang and I have other surgeries. Please do it yourself."

Ma En's tone was very strong, after all, he had a signature to prove it.

The patient's husband, when he heard that the signature was a certificate, he held it in for a moment, thinking that he was indeed in the wrong, and seeing Ma En's tough attitude, he became a little timid.

"If something happens to my wife, I won't let you go."
Chapter completed!