At 9:00 p.m. on December 3, 2021, Wei Hongjiang, chief physician of the Department of General Internal Medicine of the Second People's Hospital of Guangdong Province, ended the busy outpatient work during the day and logged on to the "Dingbei Doctor" reception platform. An online consultation caught his attention, the patient was only 18 years old, and he complained that his heart was beating faster after taking two steps, and his breathing could not keep up. Through communication, he guided the doctor and examination in time, and finally successfully saved the patient with thrombocytopenia who was life-threatening at any time.
The heart beat faster as he walked, and the online consultation found signs of serious illness
After logging in to "Dingbei Doctor", Wei Hongjiang received a message from 18-year-old Xiao Li (pseudonym). Xiao Li's disease description column reads: Take two steps to beat faster, breathing can not keep up, you can hear your own heartbeat, sometimes your face and arms will be hot.
Xiao Li initiated a consultation at "Dr. Dingbei"
After Chief Physician Wei Hongjiang clicked on the reception, he opened the real-time conversation box and began to talk with Xiao Li. After a series of detailed consultations, it was learned that Xiao Li used to be in good health, usually played basketball, and now he has a strong heartbeat after walking two more steps, indicating that his body has recently developed a serious illness. Chief Physician Wei Hongjiang suggested that Xiao Li should go to the hospital in time to avoid delaying the condition and leading to serious consequences.
Xiao Li consulted Chief Physician Wei Hongjiang through "Dingbei Doctor"
Xiao Li is still a school student, usually taking leave is more troublesome, he is worried that there is no specialist doctor to work on weekends, and it is inconvenient to seek medical treatment. Chief physician Wei Hongjiang told Xiao Li that the provincial second medical department of general internal medicine will arrange doctors to visit on holidays and weekends throughout the year, and this Saturday happens to be his visit, suggesting that Xiao Li can register in advance on the "Dingbei Doctor" online.
According to Xiao Li's condition, Chief Physician Wei Hongjiang opened the checklist that needed to be done in advance, and Xiao Li could save the time of waiting in line, and he could go directly to the examination after reporting.
In the online consultation, Director Wei Hongjiang gave professional guidance
Offline check the blood platelet is low, and the green channel is urgently sent for treatment
On Saturday, Xiao Li came to the provincial second doctor early, and Wei Hongjiang, chief physician, received him.
Despite being tall, Xiao Li's palms were pale, and his lips and face were barely bloodstained. Chief Physician Wei Hongjiang had a little bottom in his heart: "Xiao Li, you first go to the blood test, after the examination, please do not leave the hospital in a hurry, find a place to sit and rest and wait for the result." ”
Less than half an hour later, Chief Physician Wei Hongjiang received a message from the Provincial Second Medical Laboratory Department, informing him that Xiao Li's blood routine examination results were critical, the hemoglobin was as low as 40g/L, and the platelet count was only 9,000, and if it was not given in a short period of time, it might endanger life safety.
Xiao Li's blood routine test results showed a critical value
Xiao Li took a few steps to find the cause of his heartbeat, he suffered from severe anemia, and the platelet value was far below normal!
Usually, if the skin is scratched, the wound is not too serious, the human body can generally stop the bleeding on its own, and the sufficient number of platelets is one of the most important factors for the human body to stop the bleeding on its own. Chief Physician Wei Hongjiang explained that the number of platelets in normal people is between 100,000 and 300,000, if the platelets are reduced to 50,000-80,000, gum or nasal bleeding may occur; if platelets are less than 50,000, spontaneous bleeding tendencies in the gums, nasal cavity, organ mucosa and other locations are more obvious; if the number of platelets is less than 20,000, intracranial hemorrhage, liver bleeding, gastrointestinal bleeding and other conditions may occur at any time, which is life-threatening.
Xiao Li now has only nine thousand platelets, and the situation is critical! Chief physician Wei Hongjiang immediately informed Xiao Li of the seriousness of his condition, quickly conducted a new crown nucleic acid test for him, and at the same time contacted the Hematology Department of the Second Provincial Medical Hospital to open a green channel for critically ill patients to make room for Xiao Li. After the timely treatment of the Hematology Department of the Second Provincial Medical Department, Xiao Li's current platelet count has risen to a safe range and his condition is stable.
The "warning signs" cannot be ignored, and mild diseases should also be consulted in time
After the diagnosis results came out, Chief Physician Wei Hongjiang asked Xiao Li why he had symptoms for so long and did not go to the hospital. Xiao Li explained that one is that he and his relatives and friends around him lack health awareness in this regard and do not feel that this is a big problem; the second is that he now wears a mask every day, and others generally do not notice the change in his face; the third is that he feels that it is very troublesome to go to the hospital to see a doctor. He accidentally learned that when "Dingbei Doctor" could consult face-to-face with the experts of the provincial second doctor online, he felt that it was a reliable and convenient way to seek medical treatment, which was the first time to consult the condition.
Fortunately, Xiao Li found the "time bomb" on his body in time through the "Dingbei Doctor" online consultation, and was treated in the first time offline, turning the crisis into safety, "I am really grateful to Chief Physician Wei Hongjiang, I did not think that behind the rapid heartbeat is such a serious disease, the provincial second doctor also opened a green channel for me, emergency treatment, 'Dingbei Doctor' saved my life!" ”
Wei Hongjiang reminded that if it is found that there is dizziness, fatigue, rapid heartbeat after activity, pale face, nasal cavity, gum bleeding, skin petechiae, ecchymosis, menorrhagia, blood in the stool, hematuria, etc., is the "distress signal" issued by the body, may be severe anemia, thrombocytopenic purpura, leukemia, myelodysplastic syndrome and other signs of diseases, do not pay attention to because of mild symptoms, small problems, unwell body, should promptly seek a doctor to consult.
The Second People's Hospital of Guangdong Province is committed to the construction of Internet + medical informatization, independently developing the diagnosis and treatment application "Dingbei Doctor", launching Internet diagnosis and treatment services, and receiving more than 600 doctors online in 64 departments and providing high-quality, efficient and convenient Internet medical services for the masses. Recently, "Dingbei Doctor" has been optimized and upgraded, and a "follow-up renewal" module has been added. At present, only a class of mente medical insurance patients in Guangzhou can directly follow up online and renew the prescription and settle the medical insurance. A type of special patient who has been prescribed in the offline outpatient clinic of the second doctor of the province can find an online doctor for follow-up diagnosis and renewal through the "Re-diagnosis renewal" module in "Dingbei Doctor". With the touch of a finger, you can realize the settlement of chronic disease medical insurance without leaving home, and the drugs are distributed to the home by the hospital pharmacy, making the operation more simple.
Written by: Nandu reporter Wang Daobin Correspondent Wang Shuhui