"We have just finished studying basic subjects." Xie Wanying replied to her senior, "Diagnostic internal medicine and surgery, the instructor said that those who are capable can study on their own first."
"You taught yourself?!" Doctor Jiang was deeply surprised by her words. It is very important for clinical subjects to be taught by clinical teachers, because clinical teachers will tell medical students about their clinical experience which is not available in textbooks.
“You can look up papers and review medical records to learn.”
A good student who works very hard! This big exclamation mark was all that remained in Dr. Jiang's mind.
Being smart should allow one to work less, but what if one is talented and works harder? Huang Zhilei didn't dare to think about it anymore. It would be amazing to see how his junior sister would grow up in the future.
"Okay, keep going." Doctor Jiang couldn't help himself and patted Xie Wanying on the shoulder to encourage her junior. No medical teacher would dislike such a hard-working student.
"Senior." Xie Wanying tried hard to seize the opportunity, hoping to draw the senior's attention to Liu's father's condition. "Although this patient is admitted to the internal medicine department, senior, it is possible that he needs to go to the cardiac surgery department instead of the cardiology department."
"Do you think he needs to go to the cardiac surgery department?" Doctor Jiang remembered what she said at the beginning. It seemed that from the beginning to the end, Xie Wanying only thought that Mr. Liu's condition required him to go to the cardiac surgery department.
"Yes. I personally think that this patient may have the most serious triple-vessel disease." When Xie Wanying said this, her eyes were looking at Father Liu's heart. She could clearly see the condition of the heart and blood vessels inside, which was indeed very worrying.
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Triple coronary artery disease is the most serious form of myocardial infarction. It cannot be cured by stenting in cardiology and requires bypass surgery in cardiac surgery.
Xie Wanying predicted based on her observations with her special powers that Father Liu's three arteries might have reached the 70% threshold of stenosis, which was consistent with the indications she had just mentioned for cardiac surgery. The question was how could she persuade her clinical predecessors to pay attention.
"This cannot be confirmed without coronary angiography," said Dr. Jiang.
"Yes, but if you have this suspicion, shouldn't you send the patient to be treated immediately? You won't let the patient stay here and nothing will be done." Xie Wanying tried her best to convince her senior.
Doctor Jiang and Huang Zhilei next to him exchanged glances. This patient was admitted to the Internal Medicine Department. If they wanted to see the medical records, wouldn't that be an overstep of authority? Moreover, doing so would be tantamount to doubting the professional competence of the Internal Medicine doctor on duty.
As colleagues, we generally don’t do this kind of thing, as it will make us dislike you.
Only interns would dare to say this, as they are not constrained by the environment of being colleagues.
"I'm telling you, you can trust the doctor on duty in our internal medicine department. The doctors in our hospital are all very responsible, I can guarantee that." Dr. Jiang said this more to comfort the intern and avoid discord. "If they really suspected this, their internal medicine department would have sent the patient to the interventional room for arteriography long ago."
"It's not that I don't trust my seniors, but it's undeniable that they might have been very busy and didn't have time to pay attention to all the details, which led to some inadvertent omissions." Xie Wanying said sincerely, "If other colleagues brought it up, it was out of goodwill, for the good of the patients and colleagues, right? We just took out the medical records and took a look to confirm it."
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