Chapter 496: Fairy Life

Remember [new] in one second! Lu Chen and the nurse safely pushed the bed into the operating room, and their mission was successfully completed.

However, Lu Chen's night shift journey officially began when he returned to the CCU ward.

…

"Junior brother, a patient is here, and it's your turn to accept him again."

As soon as he returned to the CCU ward, Liu Han said to Lu Chen.

Lu Chen was ready to take a short rest. After hearing this, he had no choice but to hold a stethoscope and prepare to go to the doctor.

"Junior brother, do you want me to help you?" Liu Han said with a smile, "You just pushed the patient to the operating room, are you tired?"

"No, thank you, senior sister." Lu Chen refused with a smile, "You have all accepted the patients, I won't bother you anymore."

"Okay, if you need help, just call me."

"good."

Lu Chen came to the CCU gate.

An old man in his seventies was lying on the bed. He was thin, with deep wrinkles on his forehead, and his feet were slightly bent on the bed.

The slightly painful look on his face showed that the old man's current condition was not very good.

"The patient has had chest pain for a month, which worsened by one day." Huang Hanlin had already asked about the medical history. "Since he has a history of acute myocardial infarction and two stents were placed, we are considering an angina pectoris attack this time, and the possibility of another myocardial infarction cannot be ruled out."

Lu Chen examined the patient while recording the patient's past medical information.

The patient suffered from acute myocardial infarction three years ago. Because he was sent to the hospital promptly, he recovered and was discharged soon.

However, Lu Chen noticed a very strange point. After the patient had a stent inserted for myocardial infarction three years ago, he stopped taking all medications one month after he was discharged from the hospital.

Patients with coronary heart disease, especially those with myocardial infarction and stents, need to take lifelong antiplatelet, lipid-lowering, and improved ventricular remodeling drugs.

Including aspirin, clopidogrel or ticagrelor, etc.

However, Lu Chen opened the medicine bag held by the patient's family members. In addition to Panax notoginseng tablets, it contained Salvia miltiorrhiza tablets.

"Hey, stopping the medicine without permission is really a big trouble." Huang Hanlin shook his head slightly.

"Doctor, I can't control my dad at home." The patient's family member is the daughter of an old man. She looked helpless. "The doctors at the hospital have told me many times before that the medicine must not be stopped and that the medicine must be taken for life after discharge. I also told him He told him countless times to take medicine, but he took it for a month and then stopped. No matter what, he just refused to take it!”

At this time, the old man was lying on the bed, still looking like he didn't care.

Unauthorized withdrawal of medication is extremely detrimental to the prognosis of myocardial infarction stent patients. On the other hand, it also shows that such patients have poor compliance and are extremely difficult to manage.

In the hospital, critical illness is not terrible. The most terrible thing is poor compliance. It is difficult for such patients to communicate and treat.

"Push it in first and wait until the examination is completed." Huang Hanlin could only admit the patient to the hospital first. "The family members are waiting outside. If there are any questions, I will communicate with you in time."

…

Lu Chen pushed the hospital bed into the CCU.

Huang Hanlin just asked about the medical history briefly, now Lu Chen wants to ask more carefully.

"Uncle, is your chest pain this time the same as the chest pain you had last time when you had a myocardial infarction?" Lu Chen asked, "For example, is there any difference in the severity and duration of chest pain?"

Inquiring about the degree and nature of chest pain is mainly to initially determine whether the patient has the possibility of another myocardial infarction.

If the chest pain symptoms are similar or worsen, there is a high possibility of another myocardial infarction.

If the chest pain is less severe than before, it may be just an angina attack and has not reached the level of a myocardial infarction.

"This, it's different!" The old man thought for a moment and shook his head slightly, "The myocardial infarction three years ago was so painful that I felt like I was going to die. This time, it was okay. I feel a little bit of pain. If my daughter hadn’t insisted on coming to the hospital, I really wouldn’t have come.”

Three years ago, the 67-year-old man was hospitalized for sudden acute inferior wall myocardial infarction.

At that time, he was sent to Beijing Second Hospital for treatment. Emergency coronary angiography found that the middle and distal right coronary artery was blocked. After balloon dilation, two medical stents were placed, while the remaining arteries of the heart were still 30 to 50% stenotic.

"Uncle, you must have taken aspirin before, right?" Lu Chen asked doubtfully.

"Have eaten." The old man sat up. It seemed that after a short rest and medication, most of his chest pain symptoms had been relieved.

"Then why don't you eat now?"

"I'll stop taking that medicine after a month." The old man said nonchalantly, "Aspirin is all Western medicine. Western medicine cannot be taken for a long time!"

"The side effects are very serious. There is an old lady in the yard of our community who also has a myocardial infarction. She took these medicines for a long time and suffered severe stomach bleeding!"

"Doctor, do you think you can still take this Western medicine?"

Lu Chen was quite helpless when he heard this.

Antiplatelet drugs do have side effects, the most common of which is bleeding, such as stomach bleeding, gum bleeding, etc.

However, the pros far outweigh the cons!

Not taking medicine because of side effects is like swallowing waste food.

Looking at the health value of 62(--) on the old man's head, Lu Chen wanted to continue his advice, but he didn't listen at all. He didn't even give Lu Chen a chance to speak, and just kept talking to himself.

"Doctor, let me tell you, several old friends around me were sitting together and chatting, and they all thought that it is best not to take Western medicine for coronary heart disease. The side effects are too great, and the medicine is easy to accumulate toxicity. I have a comrade who recommended many medicines. The secret recipe to cure coronary heart disease. I am taking these medicines now!”

Lu Chen shook his head helplessly.

Good guy, there are still so many stubborn little old men here!

Perhaps it was because it was hard to find a close friend and the old man who didn't want to take medicine in the first place felt that they were right.

From then on, he simply took Panax notoginseng, Salvia miltiorrhiza, etc., still smoked a pack of cigarettes a day, and lived a comfortable life without taking drugs...

Maybe this is what the old man has in mind, the fairy life?

Lu Chen sighed in his heart and read a book www. uukanshu.net What can we do?

The family members couldn't persuade him, so how could he, a young doctor, persuade him?

…

Back to the doctor's office.

Liu Han saw Lu Chen's helpless expression and asked, "Junior brother, what's wrong with you?"

Lu Chen briefly told what happened to the old man.

"Hey, there are so many patients like this." Liu Han said, "When you are young, you are stubborn, but when you are old, you think you can still do it. In fact, I should not say something, but the disease is not serious enough. The last time I had a myocardial infarction, I didn't let him go. He is afraid. If he could realize the seriousness of his condition, he would probably be able to finish eating."

Lu Chen didn't think so.

The old man himself said that the last time he had a heart attack, he felt like he was on the verge of death.

Lu Chen didn't know what the feeling of near-death was like, but it was definitely a desperate feeling.

In this way, the old man cannot take medicine, let alone other situations.