Young people who work away from home are lonely and helpless. If such young people get a serious illness, they may not be much better off than the elderly.
Doctor Dong and Sister Xu rushed over and asked Xie Wanying: "Did you do an electrocardiogram for her?"
"Not yet. The results of the blood test are not very good, so please come and take a look." Xie Wanying said, holding the result report that had just been released by the laboratory.
Doctor Dong took the test results from her hand and was surprised: "You didn't do an electrocardiogram for her, so how did you suspect that she had a heart problem?"
For patients with common colds and fevers, there is no need to prescribe heart disease-related examinations.
"Her fever is not very high, it doesn't seem like she has tonsillitis. She doesn't seem to be in good spirits, and I found out through auscultation that her heart rate is fast. A fever and a fast heart rate are normal physiological phenomena, but there is a possibility that her apex beat may be moving downward. I made the calculation based on her weight and body shape." Xie Wanying explained her thoughts to the teacher.
Others could tell that she seemed to be highly alert to myocarditis in young patients with colds, like an old cardiovascular doctor who had seen many such patients.
Doctor Dong from the Department of Cardiology and Dr. Li Chengyuan from the Department of Cardiothoracic Surgery could not help but exchange glances. They could tell that she had definitely seen and come into contact with patients like this.
But she had never studied cardiology or cardiothoracic surgery.
...
...
"Have you ever seen a patient like this?" Xin Yanjun asked Xie directly.
Teacher Xin suspected more than anyone else that Student Xie had already accumulated a lot of clinical experience.
Xie Wanying must clarify this point. She does not have clinical experience with all diseases because she was not a clinical doctor before her rebirth.
"We used to have a neighbor who had only one son. When his son caught a cold, he went to the hospital but was not diagnosed with myocarditis. It was not until he developed heart failure that it was discovered, but it was too late," said Xie Wanying. "This situation seems to be latent progressive myocarditis."
While expressing his own ideas, he discussed academic issues with senior cardiologists and cardiac surgeons present.
Dr. Dong did not reject her words and said, "Latent progressive myocarditis is the most troublesome thing. In fact, the prognosis of acute myocarditis is generally good, as long as it is discovered and treated early."
"She described the patient's condition." Li Chengyuan disagreed with their statement and said, "It should be dilated cardiomyopathy. As for whether the dilated cardiomyopathy is caused by a virus, this is a question that needs to be explored. Dilated cardiomyopathy and myocarditis are two different things."
"Some patients with myocarditis will eventually develop dilated cardiomyopathy," Dr. Dong argued with him and said.
The doctor, who was not a cardiologist, could only listen to the two of them arguing.
"Who told you that?" Li Chengyuan shook his head at what Dr. Dong said. "It is said that myocarditis caused by the virus may also cause dilated cardiomyopathy. It does not mean that myocarditis causes dilated cardiomyopathy. Don't confuse them."
"You are confused. Some patients with myocarditis will develop dilated cardiomyopathy in the late stage. How can this phenomenon not come from myocarditis? Dilated cardiomyopathy is naturally caused by viral infection factors, and the latter is undoubtedly related to myocarditis, which is also a viral infection."
Academic debates on medical issues are often about whether the chicken or the egg came first. These two people argued for a long time, but it was obvious that they could not come to a conclusion on which came first.
Myocarditis, which clinicians often call viral myocarditis, does not mean that myocarditis is only caused by viral infection. Myocarditis can be caused by non-infectious immune factors, and there is also toxic myocarditis, such as drug-induced myocarditis caused by taking the wrong medication.
Continue read on readnovelmtl.com
