When the nurse was free, he pushed the lathe and transported the dead patient in the car accident to the hospital morgue.
Father Liu looked at the dead patient and his breathing became short. But strangely, the heart rate on the monitor did not change much for the time being.
"Is there no bed in the cardiac surgery department?" Xie Wanying asked her senior brother because she was worried about her little friend.
Cardiac surgery? Huang Zhilei and Dr. Jiang were both a little surprised to hear her question.
"He's a patient with angina pectoris. He may have myocardial infarction, so he's on a monitor," said Dr. Jiang. "He's from the internal medicine department. He may need an interventional stent, but there's no bed available in the cardiology department."
When answering, Dr. Jiang estimated that Xie Wanying knew what the patient's illness was from the diagnosis on the bedside card. However, the emergency room was full today, and the emergency nurses did not have time to put the bedside card in the emergency room.
After last night, Huang Zhilei knew the junior sister better, so he looked down at the bedside card and found that she was not there. In fact, he didn't know what kind of patient this was when he first came. It was Dr. Jiang who called him in, not the emergency physician.
"How can I get a bed?" Xie Wanying asked her senior brother.
"It's too difficult to get a bed today. We have to wait." Doctor Jiang said the difficulty, "Look at my female patient with gastric bleeding. She has been lying there since last night and cannot enter our department. This is a patient of our department. It's even more difficult for other departments to get a bed because there are no doctors on duty in the emergency department today."
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The attending physician wanted to admit the patient but couldn't. Xie Wanying immediately thought of Yue Wentong who was in front of the nurse station. The patient that the monitor received was admitted by a professor.
"His condition looks okay. We need to wait a few more days or transfer him directly to the emergency room for observation." Doctor Jiang said as he looked at the heart rate and blood pressure values on Liu's father's monitor.
"But for patients like this, it is more important not to determine how many blood vessels are blocked. It will be too late to wait until large areas of myocardial necrosis occur. The gold standard for diagnosis is coronary angiography. Moreover, the monitor uses analog leads, which are not as accurate as an electrocardiogram machine," said Xie Wanying.
Huang Zhilei was surprised: "Junior sister is really direct, just like last night. The problem is that last night was neurosurgery, and today is cardiology. Did the junior sister review the knowledge of other subjects that are not in the internship plan?
In fact, Xie Wanying was a little anxious about Mr. Liu's condition, so she reported the situation directly to her clinical predecessors like she did last night.
Doctor Jiang thought about what she said and it made sense. Some patients with cardiovascular disease may have a balanced oxygen supply and demand before a heart attack, and their electrocardiograms often show no obvious characteristic changes. But when a heart attack occurs, the disease progresses rapidly and they collapse. Some patients may not have any signs before they die. They only complain of pain, or even chest pain.
"We need to do a coronary angiography first to see if the blood vessels are blocked. If that doesn't work, we'll transfer you from the cardiology department to the cardiac surgery department." Dr. Jiang said, no longer insisting on his original statement, and instead somewhat supporting Xie Wanying's idea. He asked Xie Wanying with a smile, "You have studied diagnostics, which chapter of internal medicine and surgery have you reached now?"
I felt that this female intern could point out the key points of clinical observation of the condition, not like a new clinical rookie. These are not found in medical textbooks at all, and are the doctor's personal clinical experience.
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