COVID-19のワクチン接種1回目をまだ受けていない方がおり、ぽつぽつと市役所からの紹介で来院される。
受診時に血圧が190だった人。たばこのにおいもぷんぷん。話を聞くと労作時の息切れもある。何年も医者にかかったことがないという。無料で良いから負荷心電図をとって問題なければ接種をしましょう、問題があれば接種を見合わせましょうと話し合い。結果、負荷心電図はボーダー。接種は見合わせた。
本日、心臓CTで左冠動脈前下行枝に中等度狭窄。LDLは177。降圧剤、スタチンでの治療の提案を素直に受け入れてくれて通院するとになった。この時点で介入できて良かった。
前にも書いたが、ワクチン接種を機に病気が見つかる人たちがいる。医師としてその機会を失わないようにと思う。ワクチン接種はただワクチンを接種する機会ではない、医師と病気を持つ人との貴重な出会いの場だと思う。
There are people who have not yet received their first dose of COVID-19 vaccination, and they come to the hospital through referrals from city hall.
One of them had a blood pressure of 190 when he came to the hospital. He smelled like cigarettes. He also had shortness of breath on exertion. He said he had not seen a doctor in years. We discussed the possibility of taking a stress ECG for free, and if there was no problem, we would give him the vaccination, if there was a problem, we would postpone the vaccination. As a result, the EKG was borderline. We decided not to inoculate him.
Today, a cardiac CT scan showed moderate stenosis in the anterior descending branch of the left coronary artery, LDL was 177, and he accepted our suggestion of treatment with antihypertensive drugs and statins and decided to come to the hospital. It was good that we could intervene at this point.
As I have mentioned before, there are people whose diseases are discovered through vaccination. As a doctor, I do not want to lose that opportunity. Vaccination is not only an opportunity to vaccinate, but also a valuable meeting place between doctors and people with diseases.
