Text/Figure Yangcheng Evening News all-media reporter Zhang Hua
Correspondent Wang Shuhui
"I take two steps and my heart beats faster, I can't keep up with my breathing, I can still hear my own heartbeat, and sometimes my face and arms get hot. What disease is this? ”
At 9:00 p.m. on December 3, Wei Hongjianggang, chief physician of the Department of General Internal Medicine of the Second People's Hospital of Guangdong Province (hereinafter referred to as the "Second Provincial Doctor"), logged on to the "Dingbei Doctor" Provincial Second Medical Internet Hospital Reception Platform to receive a consultation from a 18-year-old student, Brother Xiaoli.
"It's possible that there is a serious illness." Wei Hongjiang suggested that the student go to the hospital in time to avoid delaying his condition.
The Second People's Hospital of Guangdong Province Internet Hospital
The heart beat faster as he walked, and the online consultation found signs of serious illness
"I used to be in good health and usually went to play basketball. In the past month or so, my health has become worse and worse, and now I am beating hard after taking two more steps. On "Doctor Dingbai", Xiao Li told Wei Hongjiang about his condition through a real-time dialog box. "Sometimes I can't keep up with my breathing, I can hear my heartbeat, sometimes my face and arms are hot."
After a series of detailed consultations, Wei Hongjiang believed that Xiao Li's body may have a serious illness recently. Therefore, it is recommended that they go to the hospital in time to avoid delaying the condition.
"I usually have classes, do I have a specialist on weekends?" Xiao Li expressed his concerns, and Wei Hongjiang told Xiao Li that the hospital's general internal medicine department would arrange doctors to visit on holidays and weekends throughout the year. "I happen to be out this Saturday, and you can make an appointment in advance on the 'Dingbei Doctor' online." Wei Hongjiang said.
In order to save Xiao Li the time to wait in line for treatment at the hospital, Wei Hongjiang also opened the checklist he needed to do in advance, and he could go directly to the nurse's station after reporting.
Xiao Li initiated a consultation at "Dr. Dingbei"
Go to the hospital to check for low bleeding platelets
Green channel emergency treatment
On December 4, Xiao Li came to the provincial second doctor in the morning, and Chief Physician Wei Hongjiang received him. Little Li was tall, pale, with almost no blood on his lips and face, and even his palms were white.
Wei Hongjiang told 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." ”
In less than 30 minutes, Wei Hongjiang received a message from the laboratory department, and learned that Xiao Li's blood routine test results were critical, the hemoglobin was as low as 40g/L, and the platelet count was only 9,000, if not given timely intervention and treatment in a short period of time, it may endanger life safety.
Finally, Xiao Li took a few steps to find the reason for his heartbeat, he suffered from severe anemia, and the platelet value was far below normal!
"Usually, if the skin is scratched and the wound is not too serious, the human body can generally stop the bleeding on its own, and a sufficient number of platelets is one of the most important factors for the human body to stop the bleeding on its own."
Wei Hongjiang said, "The number of platelets in normal people is between 100,000 and 300,000, if the platelets are reduced to 50,000 to 80,000, gum or nasal bleeding may occur; if the 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 situations may occur at any time, which is life-threatening." ”
The doctor immediately informed Xiao Li of the seriousness of his condition, quickly tested him for the new crown nucleic acid test, and contacted the hematology department at the same time to open a green channel for critically ill patients to make room for Xiao Li. After timely treatment by the hematology department, Xiao Li's current platelet count has risen to a safe range and her condition is stable.
Xiao Li consulted Chief Physician Wei Wenjiang through "Dingbei Doctor"
"Warning signs" cannot be ignored
Mild diseases should also be consulted in time
Why do I have symptoms of rapid heartbeat for more than a month without going to the doctor?
Xiao Li explained, "On the one hand, I and my relatives and friends around me lack health awareness in this regard, thinking that they just haven't rested well; secondly, they wear masks every day now, and few people will pay attention to the changes in their faces; third, during the epidemic period, it is very troublesome to go to the hospital to see a doctor, and they generally do not run to the hospital for any serious illness." ”
He accidentally learned that when "Dingbei Doctor" could consult with experts face-to-face online, he went to consult the condition.
Fortunately, Xiao Li found serious problems in time through online consultation, and was treated offline for the first time.
Xiao Li's blood routine test results showed a critical value
Wei Hongjiang reminded the general public 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 the symptoms are mild, the problem is small and not taken seriously, the body is unwell, and it should be timely to seek a doctor.
The Provincial Second Medical Internet Hospital has added a module of "Follow-up Diagnosis and Renewal"
Tips: Internet consultation, convenient and worry-free
In order to facilitate the treatment of the masses, the provincial second doctor independently developed the diagnosis and treatment application "Dingbei Doctor" and launched an Internet diagnosis and treatment service, including 64 departments and more than 600 doctors receiving online treatment.
According to the reporter's understanding, in November this year, "Dingbei Doctor" was optimized and upgraded, and a "follow-up renewal" module was 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 help of fingers, 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, so that the masses can see a doctor and prescribe drugs more worry-free. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Cui Wencan