I Can See Health

Remember [New] in one second! Lu Chen and the nurse pushed the bed into the operating room safely, and their mission was successfully completed. However, Lu Chen's night shift officially began when he returned to the CCU ward. ... "Junior brother, the patient is here, it's your turn to take him in again." Liu Han said to Lu Chen as soon as he returned to the CCU ward. Lu Chen was still preparing to take a short break, but after hearing this, he had no choice but to take the stethoscope and prepare to see the patient. "Junior brother, do you want me to help you?" Liu Han smiled, "You just pushed the patient to the operating room, you must be tired?" "No, thank you, senior sister." Lu Chen smiled and refused, "You all took the patient, I won't bother you." "Okay, if you need help, just call me." "Okay." Lu Chen came to the door of the CCU. 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 was not in a very good condition. "The patient has had chest pain for a month, and it gets worse every day." Huang Hanlin has finished asking about the patient's medical history. "Since he has a history of acute myocardial infarction and two stents have been placed, this time he is considering an attack of angina pectoris, and the possibility of another myocardial infarction cannot be ruled out."

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

The patient had an acute myocardial infarction three years ago. Because he was sent to the hospital in a timely manner, he recovered and was discharged from the hospital soon.

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

Patients with coronary heart disease, especially those with myocardial infarction who have had stents placed, need to take antiplatelet, lipid-regulating, and ventricular remodeling drugs for life.

Including aspirin, clopidogrel or ticagrelor, etc.

However, Lu Chen opened the medicine bag held by the patient's family, and there were only Panax notoginseng tablets and Danshen tablets in it.

"Ah, stopping medication 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 old man's daughter. She looked helpless. "The hospital doctor told him many times before that he must not stop taking the medicine. He must take the medicine for life after being discharged from the hospital. I also told him countless times to take the medicine. He took it for a month and then stopped. No matter what, he just didn't take it!" At this time, the old man was lying on the bed, still looking indifferent. Unauthorized discontinuation of medication is extremely unfavorable to the prognosis of patients with myocardial infarction stents. 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 to communicate and treat such patients. "Push it in first, and talk about it after the examination." Huang Hanlin could only admit the patient first, "The family members are waiting outside. If there are any questions, I will communicate with you in time." ... Lu Chen pushed the bed into the CCU. Huang Hanlin just asked about the medical history briefly, and Lu Chen now wants to ask more carefully. "Grandpa, is your chest pain this time the same as the last time you had a heart attack?" Lu Chen asked, "For example, the severity of the chest pain, and the duration of the chest pain, are there any differences?"

Inquiring about the degree and nature of chest pain is mainly to preliminarily determine whether the patient is likely to have another heart attack.

If the chest pain symptoms are similar, or the symptoms are aggravated, it is very likely that the patient will have another heart attack.

If the chest pain is lighter than before, it may be just an angina attack, and it has not reached the level of a heart attack.

"This is different!" The old man thought about it and shook his head slightly, "The heart attack three years ago was a heart-piercing pain, and I felt like I was about to die. This time it's okay, I just feel a little pain. If my daughter hadn't insisted that I come to the hospital, I really wouldn't have come."

Three years ago, the old man, who was only 67 years old at the time, was hospitalized for acute inferior wall myocardial infarction.

At that time, he was sent to Jinghua Second Hospital for treatment. Emergency coronary angiography found that the middle and distal segments of the right coronary artery were blocked. After balloon dilatation, two drug-eluting stents were placed, and the remaining arteries of the heart were still 30~50% stenotic.

"Uncle, you should have taken aspirin and other medicines before, right?" Lu Chen asked in confusion.

"Yes." The old man sat up. It seemed that after a short rest and taking medicine, his chest pain symptoms had been relieved by more than half.

"Why don't you take it now?"

"I stopped taking that medicine after taking it for a month." The old man said nonchalantly, "What aspirin, they are all Western medicines. Western medicines can't 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 had a heart attack. She took these medicines for a long time and suffered from severe gastric bleeding!"

"Doctor, do you think your Western medicines can still be taken?"

Lu Chen was quite helpless when he heard this.

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

However, the benefits far outweigh the disadvantages!

Not taking medicine because of side effects is tantamount to giving up eating because of swallowing.

Looking at the health value of 62 (--) above the old man's head, Lu Chen wanted to continue to advise him, but he didn't listen at all. He didn't even give Lu Chen a chance to speak, and just talked 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 what they said was too 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 were young, you were stubborn, but when you are old, you think you can still do it. In fact, I should not say something, but the condition 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.

This will not allow the old man to take medicine, let alone other situations.