Arrhythmia Page #2

I think it's poisoning.

What did you do yesterday?

We went to a friend's party.

There was a lot of food.

Fat stuff.

Did you drink?

I did.

Did you throw up more than once?

Just once, but I'm feeling nauseous.

It must be food poisoning.

Marina, we got a heart attack.

Take her to the Central Hospital, there's

no angiography in her local hospital.

Any drug allergies?

No.

Dima.

Nitrospray under the tongue.

Acetylsalicylic acid, 300.

Clopidogrelum, 300.

And Heparin, 5000, intravenously.

I can't go to hospital, I got

no one to leave the child with.

Open your mouth. Lift the tongue.

Where's your phone?

Got a husband?

Mother? Neighbors?

Here you go.

Can I stay at home though?

Don't take my Mommy away!

Why are you crying? Come on.

Stop that spectacle!

Call a friend or a neighbor.

You'll be back with your kid in no time.

Katya, a heart attack.

Tell the cardiologists to get ready.

Okay, I will.

And?

What do you mean?

You see the line is distorted?

Yeah, there is an abnormality.

You should check the Troponin level.

Stop playing smart, we

are doing it already.

What's bothering you?

I have a stomach ache.

Troponin:
negative.

Well, it's like this

during the first 6 hours.

- Does it hurt?

- It does.

Take her to her local hospital.

It's pancreatitis.

What if you're wrong?

Oleg, you are overdiagnosing again.

You're using old cardiographs.

A heart attack patient every 5 minutes.

She's 30, what are you talking about?

Besides, she drank alcohol. Did you?

I did. It must be poisoning.

Get the documents, take her

to the local hospital.

Our surgery ward is packed,

we can't take new patients.

Now you believe me?

You can't be that stupid.

She's got all the symptoms: EKG, pain.

Katya, you should take her

for an ultrasound scan.

Ultrasound scans are for emergencies only.

Take the patient back to your car.

What is it, then?

A heart attack, but they didn't

believe you because you threw up.

It can't be heart attack.

The doctor said that's

impossible at my age.

Is that true?

I'm feeling better.

Well, let's take a ride, then.

We have plenty of time.

Give her Dopamine, just in case.

Heart attack, that's

what I said right away.

Why the hell did you bring her here, then?

You know we don't do angiography!

Make a note that you rule out pancreatitis.

Wasn't that obvious?!

Write the diagnosis down,

stop yelling at me!

We've been driving her

around town for 2 hours!

Write down the diagnosis,

I'll take her back.

Katya.

Is that lunatic around?

Tatiana whatshername.

Give her the phone.

Come on.

Katya, let me speak to her.

Hello, yeah.

Mironov speaking.

Right.

I have a question for you.

How valuable is the time spent on a heart

attack patient in relation to their recovery?

Get the table ready,

we're taking her back.

There are serious complications.

Try not to kill her.

Magnesia, Mexidol...

3 and 1.

Atropine?

It's all here:
Atropine, Adrenaline...

Right, 2 of Adrenaline.

So, it's not all there.

Why are you still here?

I thought you left.

We came back. It was nearby.

Freeze!

Hello, Gennady Semenovich!

- What did you give her?

- Who?

The old woman. What did you give her?

She filed two complaints.

What happened?

She says you gave her a

banned pill from Holland.

Nearly killed her.

I gave her a toy gun bullet.

To suck on.

I thought she'd get off our backs

for a day. She'd be busy sucking.

You want another fine?

I got plenty.

How about a bonus one?

Please don't!

Guys!

- How are things?

- All good!

Girls!

Is this pillow okay? It's small.

It'll do just great!

You could use the turtle as a pillow.

No, thanks. It stinks.

Wow, it's all covered in dust.

Whatever.

Could you close it?

Check it out.

Is it comfortable?

Look, I can eat lying down.

Would be bad if I stepped

on your face at night.

Need a hand with the sheet?

I'll manage.

Okay, I'm off to bed, then.

Bye.

Yes?

Katya, where do we keep the tomato paste?

What paste?

I need a chaser.

Found it!

Okay, bye.

Oleg, what's your problem?!

Get out!

Katya, I'm late for work.

Don't look at me.

I've seen your tits a million times.

You won't ever see them again.

Katya, your ass is out.

Screw you!

Get her passport, insurance papers,

hospital certificates, if any.

Things that she might need.

We're taking her to a hospital.

Could you explain the situation first?

Intestinal bleeding. We're taking

your mother to intensive care unit.

Why intensive care?

She needs observation...

transfusion...

Blood transfusion?

Please get her ready, we have to go.

No, we can't...

We can't do blood transfusion.

You won't have to do anything.

They'll find you a donor.

Mom, we are not going.

We refuse to go.

What do I have to sign?

Miss, I don't mean to scare you...

But in 2 hours your mother will

be dead unless she gets help.

- Let's go, darling.

- Take it easy, Mom. You're not dying.

We'll call our doctor.

Are you out of your mind?

- You are going to kill her.

- No, I'm not.

We can't do blood transfusion.

Witnesses or something?

Yes, we are.

Witnesses of what?

It goes against their religious beliefs.

Okay, let's not waste time.

Ma'am, listen to me.

Margarita Ivanovna, do you hear me?

I do.

Do you want to be hospitalized

in order to save your life?

I do.

Mom, we can't do that.

Go wait in the corridor.

- Dima, let's use the blanket.

- Sure.

Guys, don't touch her,

she's not going anywhere!

You try that again, I'll

hit you in the face.

Grab her legs.

"Yesterday we called an ambulance

for my mother, Margarita Melikhova.

"I did not remember their names.

"The doctors were being rude, they

did not take their shoes off.

"They were being insolent, they were drunk.

We weren't drunk.

"They ignored our religious

beliefs which deeply insulted us.

"We refused to be hospitalized

on account of having a personal doctor

"whom we were going to call.

"But these so-called

doctors grabbed my mother,

"nearly dropping her on the staircase,

"and dragged her out against

her will, laughing."

"When I made an attempt to retrieve my dear

mother from these so-called doctors,

"I was hit in the face.

"After that, the thuggish

one said he'd break my nose

"if I tried to approach

my dear mother again.

"He was swearing which insulted me as a

religious person for the second time.

"I'm demanding their dismissal

on account of incompetence."

What are we gonna do?

Write an explanatory note.

I did push her hard.

Why would you do that?

That was the right thing to do.

You're telling me it's all true?

No, everything else is not true.

"...grabbed my mother, dragged

her against her will..."

It's not true.

"...didn't take their shoes off..."

Well, yeah, we didn't.

Write it down:

The patient gave her consent

to hospitalization...

in a critical, life threatening condition.

Let's omit the push and

your shoes, okay?

We're ignoring that?

We are.

Do you think it'll help?

I don't know. That's my

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