"No matter which one it is, this patient must be treated in our cardiovascular department at this stage because he does not meet the indications for surgery." Dr. Dong suddenly announced.
In response to the other party's statement, Li Chengyuan just snorted calmly.
Huang Zhilei and Xin Yanjun were shocked for a moment and realized what the two people were arguing about. It turned out that they were arguing about whether the patient should be admitted to the cardiology department or the cardiac surgery department.
For myocarditis, early medical treatment is quite effective. As long as it is well controlled, there will be no major sequelae.
Dilated cardiomyopathy is a much more terrible disease. There is basically no specific medicine for internal medicine treatment. One can only wait until the disease becomes serious and wait for a heart transplant. It can be said that if it is dilated cardiomyopathy, one is destined to have to undergo cardiothoracic surgery one day.
In the late stage of myocarditis, some patients will have symptoms similar to dilated cardiomyopathy, but it is possible to control the myocardial expansion and shrink it back. Dr. Dong insists on this point, insisting that there is a way to treat dilated cardiomyopathy through internal medicine. As a cardiac surgeon, Li Chengyuan must refute this view because it is impossible. There is no medicine to treat true dilated cardiomyopathy.
Now, Dr. Dong's declaration is equivalent to saying that he can no longer win over the other party.
As a fellow internist, Xin Yanjun encouraged Dr. Dong in a low voice, "Don't give up so easily, Xiao Dong."
Doctor Dong is very self-aware of this. Otherwise, he wouldn't have said the phrase "boiling a frog in warm water" when he first started working.
...
...
"Don't you mean that we can beat them?" Xin Yanjun was surprised by his subsequent explanation, which was 180 degrees completely opposite.
No, no, no, boiling a frog in warm water will boil off the frog skin. The original prince is very arrogant. He and Xin Yanjun, two gentle ones, how could they possibly win over these two hard-tempered frog princes.
Dr. Dong, who knew how to judge the situation, did not argue with the other party. He went to see the female patient with a stethoscope in his hand.
Huang Zhilei looked at the junior sister who had been silent just now. It seemed that the smart junior sister might have realized this and therefore did not speak.
Besides, what Li Chengyuan said makes sense. The only way to treat dilated cardiomyopathy is surgical treatment. If the patient is destined to have this disease and needs a heart transplant, it is definitely beneficial to contact a surgeon as early as possible. It is better not to wait until the internal medicine treatment fails and the patient suffers from acute heart failure and then rush to see a surgeon.
As for the cardiac surgery department, they also know how to use drugs to control the symptoms of myocarditis and dilated cardiomyopathy. It's just that there are not enough surgical beds on weekdays, so they give them to the internal medicine department. However, Li Chengyuan certainly can't tolerate what Dr. Dong said, because that is to take away the business that should belong to their surgery department.
Back to the specific patient in front of us, whether it is latent progressive myocarditis or dilated cardiomyopathy, further examination is needed. In fact, the doctors all hope that the patient's condition is mild. If it is just general acute myocarditis, it is equivalent to good expectations. The most feared thing is that the patient's condition will develop as Li Chengyuan said.
Dr. Dong's admission of defeat is just an acknowledgement of the fact: if it is myocarditis, it is mostly just inflammation, but if there is ventricular dilatation, it means that the structure of the heart has changed, which may be equivalent to the difference between quantitative change and qualitative change.
All I can say is that Li Chengyuan, like that robot Fu Xinheng, doesn't like to say anything naive and beautiful.
Continue read on readnovelmtl.com
