"Two 120s"

This is the 3834th article of Da Yi Xiao Hu

one

Pujiang Community is a very good residential community. Although it is not in the city center, it is only 30 to 40 minutes away from the city center by car, and there are also direct bus lines. The community was built at the end of the last century. All the buildings are small high-rise elevator apartments. The environment and greenery are good. There are also many cultural and educational residents. Everyone lives in harmony and it is quite livable. However, the community is poorly managed, security work is lax, and idle people enter without permission; cleaning staff are lazy and garbage is piled up everywhere; maintenance staff are lax and water and electricity failures cannot be solved in time. Residents are very dissatisfied. It was not until the local newspaper disclosed it that the property company sent a deputy manager to serve as the director of property management of the community.

The new director's surname is Yan, with a single character "Wu" in his given name. He is from Anhui Province, is about 50 years old, has a crew cut, often wears a casual suit, has fair skin and is slightly plump. Since being demobilized from the army, he has been doing management work in the real estate department and later moved to the property management system. Due to his conscientious and responsible work, he was promoted to deputy manager of the property management department of this district company years ago.

People say that a new official should start with three things. Director Yan saw that there were indeed many problems when he took office. He thought that three things were not enough. He felt that the key was to start with the service concept. On the third day after taking office, he held a meeting for all employees, saying: You should know that property management is responsible for safety and sanitation, water, electricity, gas, flowers and greenery, and the purpose of managing these things is to serve people and the residents of this community, so we must emphasize service. Director Yan also said:

"My name is just one word, 'Wu', which means 'service'. I serve the people. Even if you are not called Zhang Wu or Li Wu, if you don't want to serve well, don't come!"

Everyone said that this director was amazing and that they should be careful in the future. This trick really worked. In less than two or three months, the property management of Pujiang Community had a new look and residents praised it. Because of the clear rewards and punishments, the property staff also thought that Director Yan was good.

Although Director Yan does not have a high level of education, he has a lot of practical experience, works hard, and is strict with himself. He is a very good grassroots cadre. His wife is a salesperson in a supermarket, and they have a son. After graduating from university, she went to the United States to study and worked in a network technology research company in an American company. She is nearly 30 years old and has not yet married. Director Yan and his wife have urged him to get married, but they are far away from each other and cannot do anything.

Director Yan has been smoking for more than 30 years. Although his wife has some complaints, she cannot force him to stop. People are often a complex of contradictions. Yan Jun is strict with others and himself at work, but he is more casual in life. His wife arranges his food and clothing and is not picky. His wife also makes decisions on family affairs. However, he insists on his own opinion on smoking and does not listen to advice. Usually, people in middle age start to pay attention to their health problems due to physical decline, but Yan Jun does not. In his opinion, if he can eat and sleep well, he is not sick. Even if he is sick, he can see a doctor and he does not need to worry about it.

two

Physical examinations have become popular in recent years. Although Yan Jun also participates in them as usual, he does not mind the results of the examinations. For example, if he is found to have high blood pressure, high blood lipids, and fatty liver, Yan Jun believes that it is normal for people to have high blood pressure when they are older, and it is also normal to have high blood lipids and fatty liver, which means that living conditions have improved.

The medical examination report required him to go to the hospital for reexamination and treatment, but he thought it was unnecessary. The only thing he cared about when he went for the medical examination was that he knew smoking could cause lung cancer.

As long as the physical examination did not reveal lung cancer, he thought everything was fine. When his wife asked about the results of the physical examination, he always said it was fine.

Every year, the results of the annual checkup are high blood pressure, high blood lipids, and fatty liver. Director Yan sometimes gets strict. Once, he compared the physical examination reports of the past three years. The blood pressure was 164/96 (mmHg), 168/100, and 160/94, and the total cholesterol was 6.4 (mmol/L), 6.8, and 6.6. He was very happy, thinking that the blood pressure and blood lipids were very "stable". He did not take any medicine, and these indicators even dropped a little, which showed that there was no problem.

A few years later, this year, when Yan Wu was 54 years old, he was promoted to the position of deputy manager of the property company. Needless to say, he received a salary increase and had an independent office. Deputy Manager Yan was very happy. The reason was that there were several young people in the office who were very dissatisfied with Lao Yan smoking in the office. Lao Yan knew that "not smoking in public places" had become a trend, so he had to endure it as much as possible. Occasionally, when he was craving for cigarettes, he could only smoke a few puffs secretly. Now that he was a leader and had his own office, who could stop him from smoking in his office?

Smoking more cigarettes, phlegm and coughing more often. Deputy Manager Yan knew that this was chronic bronchitis, which was the case for all smokers, so it was not a big deal. Gradually, in addition to coughing and spitting, Deputy General Manager Yan felt that he couldn't walk fast. If he walked a little faster, he would feel a little chest tightness. He would take a break and take a deep breath, so he thought it must be a respiratory problem. He wanted to see a doctor, but he thought the doctor would definitely advise him to quit smoking, and might even say: If you don't quit smoking, this problem can't be cured, isn't it a waste of time? Fortunately, these "chronic bronchitis" are not a big problem.

It was probably after the Chinese New Year, and the chest tightness symptom seemed to develop a little bit when I was more active, and it seemed to be a little tight when I was emotional or ate too much. Sometimes I felt a little panic, but it didn't last long, usually it would pass in a few minutes. Manager Yan felt that since this problem would improve on its own, it showed that people have the ability to control it, so it was not a big deal. Of course, he also secretly made up his mind: try to smoke less, but the addiction to smoking became more and more uncontrollable.

three

One weekend, my wife's brother and his family came to visit. My wife prepared wine and food. The two families talked happily, drank some wine and smoked some cigarettes. When the guests left, my wife was cleaning up the tableware. Manager Yan felt chest tightness again. Thinking that it was due to excessive excitement during the meal, he drank a few sips of tea, rinsed his mouth with tea, and lay down on the bed to rest. My wife cleaned up the tableware and sat in the living room to watch TV. Manager Yan lay down on the bed to rest. A quarter of an hour passed, and half an hour passed. The chest tightness did not seem to be significantly relieved. Not only did it not relieve, but he also felt some chest pain. Strangely, his left arm also hurt. Manager Yan thought about it and couldn't figure out what the reason was. He just thought that he should prepare some painkillers and cold medicines at home in the future in case of emergency. After ten o'clock, his wife was preparing to go to bed. She found that Manager Yan was restless. She asked him why. She learned that it was chest tightness and pain in the left arm. She asked him whether he moved heavy things at work during the day, etc., and helped to massage him, but it didn't work. So his wife suggested: Let's go to the hospital to see a doctor tomorrow morning. Manager Yan also agreed, so he turned off the lights and went to bed.

Manager Yan had chest pain, so he couldn't sleep. The pain got worse and worse, and he began to feel anxious. He felt his pulse and it seemed to be beating on and off. Then he realized that there might be something wrong with his heart. He looked at the time and it was already 12:30 in the middle of the night. He looked around and saw that the neighbors had all fallen asleep. He decided to continue to endure. After another hour or so, Manager Yan felt very anxious and broke out in a cold sweat. His wife brought him a cup of hot water, drank two sips, and vomited it out again. It was already 2 o'clock in the middle of the night. It would take another six or seven hours to see the outpatient clinic in the morning. The situation seemed to be serious and it seemed that it could not wait any longer. His wife also felt that he should go to the emergency room, so she called an ambulance. In a panic, she dialed 110. The police officer told her that she should call 120. It was already 2:25 in the morning when she got through to the emergency number. Then she hurriedly found her medical insurance card and medical record card. More than ten minutes later, the ambulance arrived, and it was 3:10 in the morning when she was taken to the emergency room of the Municipal Hospital.

The emergency room of the city hospital immediately performed an electrocardiogram, which confirmed a large-area acute myocardial infarction, frequent ventricular premature beats, and a blood pressure of 86/56 mmHg, showing symptoms of cardiogenic shock. They notified him of his critical condition and told him that he needed to undergo coronary angiography and stent placement immediately. Manager Yan was already indifferent at this time, but his wife suddenly remembered that a relative worked at the affiliated hospital of the medical college, which was larger than the city hospital. Since his condition was serious, he must go to the best hospital for treatment, so she asked for a transfer.

The emergency doctor informed the patient that he was in a serious condition and needed emergency treatment. There was a great risk in transferring him to another hospital. Manager Yan’s wife did not listen and kept calling to contact the relative. After more than half an hour, she still could not make contact. The nurse reported that the patient’s blood pressure had dropped to 80/50. The cardiology chief doctor on duty came and said that the patient’s condition was very critical and that if he hesitated any longer, he would lose the chance of treatment. Manager Yan’s wife gave up the request for transfer and signed with tears in her eyes to agree to the hospital’s treatment. It was already 4 a.m., 8 hours after the onset of the disease.

Four

The cardiologist from the "Chest Pain Center" of the Municipal Hospital overcame the cardiogenic shock at great risk, placed three stents, and finally successfully saved Manager Yan's life. After the operation, he was transferred to the cardiology ward for further treatment.

There are patients who have undergone emergency stent surgery in the cardiology ward. They usually recover well and can be discharged three or four days after surgery. But Manager Yan still felt some palpitations and shortness of breath after the surgery, and was unable to get out of bed. The attending doctor said that it was due to a large area of ​​myocardial infarction and some delays in treatment, which caused too much myocardial damage and led to heart failure.

The patients and their families in the cardiology ward were discussing the "two 120s": one is that after the onset of myocardial infarction, the best treatment would be achieved if the stent was placed within 120 minutes to open the blood vessels; the other is that if a heart attack occurs, the 120 number should be called immediately to request an ambulance to send to the hospital for emergency treatment without delay. It is said that the director said during his ward inspection: "Time is myocardium." Manager Yan and his wife were deeply moved when they recalled the process of their emergency treatment.

Another evening, a young doctor came to visit Manager Yan and called himself his uncle. It turned out that he was the son of Yan’s wife’s cousin who worked at the affiliated hospital of the Medical College. When talking about the sudden onset of myocardial infarction, the young doctor said:

"Myocardial infarction is caused by atherosclerosis of the coronary arteries of the heart, and atherosclerosis is related to high blood pressure and increased blood cholesterol. Does your uncle have high blood pressure and high blood lipids? Is he taking medication for treatment?"

"That's true. For many years, my high blood pressure has generally been around 160 to 170. It's very stable. I don't feel any discomfort, so I don't take any medicine."

"That's not true. High blood pressure, high blood lipids, high blood sugar, etc. must all be controlled to the 'standard' level. Uncle's blood pressure has always been so high, and it has caused damage to his heart."

"You said heart damage, but I don't feel any discomfort normally."

"For example, you feel chest tightness when you move around a little bit, but you don't have any?"

"That's true. I thought my lungs were damaged because I smoked too many cigarettes."

"Smoking not only damages the lungs, it is also one of the important causes of arteriosclerosis. My uncle's coronary heart disease is definitely related to smoking."

"So I can't smoke anymore?"

"Of course."

As they were talking, the young doctor suddenly stood up in awe and bowed to the chief physician who came to check the ward: "Hello, Professor Ge."

The chief physician nodded: "Your relatives?"

Then he asked about the patient's condition and he said that he was much better and could be discharged from the hospital and go home to recuperate in a few days and continue taking medication.

"Do you know each other?" The director left, and Manager Yan's wife asked

"He is my teacher. I interned in this hospital when I was a student."

"Ah, I thought this was a small hospital, so I was worried."

Author: Yang Binghui