Sleepless Doctor
Chapter 1192
"Dr. Wu, what you don''t say is irony." a patient asked in surprise.
"Of course not. It''s really difficult to stop taking drugs for most essential hypertension.
Because until now, hypertension is still an incurable disease, which still needs long-term or even lifelong medication control. There are two ways to reduce blood pressure: healthy life + antihypertensive drugs. But if conditions permit, it''s better not to take drugs. "
"Er..." the two old sisters looked at each other, suspicious.
"Some patients with hypertension actively change their bad living habits while taking antihypertensive drugs. They begin to have healthy living habits such as quitting smoking and alcohol, healthy diet, controlling weight, adhering to exercise, regular work and rest, etc.
Through a period of efforts, blood pressure is getting better and better. There is no need to take antihypertensive drugs, so antihypertensive drugs can be stopped naturally.
However, when stopping antihypertensive drugs, we must continue to monitor blood pressure and adhere to a healthy lifestyle. "
Wu Mian began to break his fingers and tell the patient when to stop antihypertensive drugs.
"What''s more, it''s hypotension after taking antihypertensive drugs.
Hypotension caused by any reason should be stopped first, and even dizziness, blackness, syncope, etc. after stopping the drug, the blood pressure should be closely monitored to find the reason for the serious reduction of blood pressure is the key. "
"The third is secondary hypertension, where the primary disease is under control. For example, renal hypertension, with stents, can keep the renal artery unobstructed, maintain stable blood pressure after drug treatment for a period of time, and can be stopped slowly."
"Can''t we do this?" a patient was acutely aware that Wu Mian was in diss. They stopped taking drugs in the wrong way and asked with a little hostility.
"I don''t know. I can''t point. You can consult Master Lu." Wu Mian threw the matter to Lu jiuzhuan lightly.
"Dr. Wu, do you think it''s too urgent for us to stop taking medicine?"
"Being a doctor is always timid." Wu Mian narrowed his eyes, stroked the big rabbit''s ears on his head and said, "I once met a patient who didn''t pay attention to monitoring blood pressure after listening to oral antihypertensive drugs. As a result, he fainted three days later and was sent to the hospital for examination. It was found to be cerebral hemorrhage."
“……”
"High blood pressure leads to the explosion of cerebral blood vessels. It is said that the blood pressure is higher than the height, and the blood will show up."
"Don''t scare me, Dr. Wu," a patient whispered.
"The truth is, 80ml of blood was bleeding. It took me four hours to step down. Microsurgery, put..."
"Is it the one that lifts the skull?" asked a patient next door.
The shelter hospital is lively. Someone will lift your skull when talking about your illness, which is an old piece full of dust.
"It''s not that scary," said Wu Mian, narrowing her eyes. "Just make two holes. Now the operations are minimally invasive. You''re talking about decompression and debridement of bone flap. The operation method is relatively old."
"If you don''t do it, you will be paralyzed slightly. If it is serious, you will..." the patient next door continued to ask.
Wu Mian smiled. The man was a little interesting. He was helping himself scare two patients who stopped taking drugs by themselves.
"It''s almost like this, but don''t be so clear. It''s scary," Wu Mian said.
"I see. Dr. Wu, can you come to me after you are busy? I have something else to ask you."
"Now, if you don''t mind," Wu Mian asked the patient when he saw that the two patients with hypertension looked uncertain and knew they couldn''t say more.
"Wait a minute." the patient came over. Wu Mian knew his data. He had been negative twice in a row. If he was negative again tomorrow morning, he would be discharged from the hospital.
"I wanted to consult you long ago. I may be discharged tomorrow, so today may be the last day to see you and ask you for advice." the patient trotted over and said politely.
"You said."
"I walk outside and can''t squat. When I didn''t sit down before, I was very distressed every time I squatted on a large size. I had to pull the door handle, or I couldn''t squat down." the patient said.
"I see. The eight characters outside are obvious." Wu Mian said, "are there any other symptoms?"
"Once the door handle was loose and I almost didn''t fall into the pit."
"Er... Ha ha, what happened later?"
"Pay attention, it''s very annoying. My hip looks a little narrow, er... Normally men shouldn''t care about this, but I always think I''m a little deformed."
"What else?" Wu Mian continued to ask.
"The tail vertebrae is a little prominent, and it feels like a sharp ass from the back. Moreover, after sitting or sleeping for a long time, sometimes the hip joint and the nearby legs will feel numb and painful, which is different from the feeling of ordinary legs being pressed numb, like pain from bone and hair."
"Your ass is a little cocky from the side. I think you should like your body if you are a girl." Wu Mian smiled.
"Dr. Wu, you can also joke."
"Of course." Wu Mian said, "there''s an empty bed over there. Lie down and I''ll check."
"Thanks," the man said politely, "I heard from other inpatients that you compiled diagnostics?"
"It was compiled by my teacher. I just started with it to see if there were any typos."
Two patients with high blood pressure were stunned. They didn''t expect that the cute inpatients in the shelter hospital were so big.
Does what he said make sense?
After Wu Mian''s simple physical examination, he asked the man to get up. "The diagnosis is gluteal muscle contracture. It''s inconvenient for us to take off our pants for physical examination here. I''ll say something for your reference."
"Uh huh."
"Gluteal muscle contracture syndrome is a clinical syndrome characterized by the degeneration and contracture of gluteal muscle and its fascia fibers caused by various reasons, resulting in the unique gait and signs of limited hip function."
"There are not many literatures on this research at home and abroad. The main reason is mainly caused by intramuscular injection in addition to scar constitution and genetic factors."
The man clenched his right hand and hit his left hand, "Dr. Wu, I knew you could do it!"
"I guessed right."
"I remember when I was a child, my tonsils were often inflamed and suppurated. My mother always took me to have an injection. It seems that the commonly used antibiotic is only penicillin. Every time I finish the injection, my ass hurts for a long time. Later, my ass is hard where I always get an injection, and then it will be like this. It was called gluteal muscle contracture!"
"Yes." Wu Mian stroked the rabbit''s ear. "Like tetracycline teeth, they are specific diseases in a specific period of time."
"How to treat it?"
"Serious need surgery, but the outside of both legs will leave a long scar." Wu Mian gestured on the outside of his legs, and the man was startled.
"What''s the age? Why do you still have such a big operation?"
"I haven''t finished. Your contracture is not light, but it''s not the heaviest. You can do arthroscopic minimally invasive surgery."