Xie Wanying knew without thinking that it was very likely that the senior brothers had been led astray in some way of thinking, so she asked: "What treatment strategy do you plan to give the patient next?"
"Wait until her family members come and agree, then do coronary angiography on her." Dr. Jin Tianyu said confidently.
"Brother, what is the basis for you to perform coronary angiography on the patient?"
"You have read the patient's electrocardiogram and blood test reports."
"I've seen it. Senior brother thinks the patient is prone to acute myocardial infarction, so he wants to do a coronary angiography on the patient?"
Doctor Jin Tianyu's facial expression was extremely serious. Although he had prepared himself to encounter an unprecedented medical tough guy, when this tough guy really came to him for a confrontation, his heart couldn't help but be a little nervous.
The others looked at his silence and immediately realized that the other party's question had hit his soft spot.
Simply put, the existing examination reports do not fully support that the patient has acute myocardial infarction, and at most it can only be called myocardial ischemia.
"Sometimes blockage of heart vessels may not necessarily lead to myocardial infarction, but coronary angiography can prevent it in advance and eliminate situations that may endanger the patient's life in the future," said Dr. Jin Tianyu.
...
...
"Brother, don't you think the patient might have some congenital disease?"
Ah? After hearing her daughter's words, Sun Rongfang finally understood what the doctors meant when they asked her about her family's early death. She quickly turned around and asked her daughter: Is that so?
Doctor Jin Tianyu was in a dilemma as to whether to nod or not. The most damning thing was that not only were the people inside the door staring at him, but the people coming out of the door were also staring at him. How many pairs of eyes were waiting for him to lose the battle?
There was nothing he could do, so he turned to Teacher Tan and said: He is your apprentice, you say a few words first.
Dr. Tan Kelin knew his disciple Xie well. He remembered that the first time he discussed a case, he was slapped in the face by his disciple Xie and was completely beaten to a pulp.
Dr. Tan’s strategy had already changed in response to this, and he said to his apprentice, “Just say what you want to say.”
Jin Tianyu wanted to glare at him: You want to just lie down, right?
"Let me first tell you about a patient I just operated on." Doctor Xie Wanying said slowly, "He had mitral and tricuspid valve problems, and coronary artery malformation was suspected before the operation. But you know that coronary artery malformation is basically impossible to cause mitral and tricuspid valve disease like his."
This is exactly why the two junior sisters were wrong, not because the cardiology department did not have a detailed understanding of the causes and consequences of all heart diseases.
As mentioned in the previous article, some congenital anomalies can only be said to be different from most people and cannot be called diseases. Coronary artery malformations that do not cause symptoms in patients throughout their lives cannot be called diseases either.
The causes of the patient's mitral valve and tricuspid valve coronary heart disease were not related to coronary artery malformations.
But coronary artery malformations cause the patient's heart shape to be slightly different from that of other people, giving doctors the possibility of performing mitral valve repair.
At the same time, if coronary artery malformation causes coronary heart disease, even a mild stenosis of the blood vessels can lead to severe acute myocardial infarction. Obviously, this patient does not have this condition. This is also why no one has said before that this patient has coronary heart disease and needs surgery.
The same is true of the case of her aunt.
Jin Tianyu: He didn’t say anything, but the other party read all his thoughts like a mind reader.
Dr. Xie Wanying: Is it hard to guess? Not hard to guess. If you suspect a congenital heart disease but the cardiac ultrasound is fine, and you insist on doing angiography, isn't that a clear suspicion?
As for the surgeons standing at the door, all they were thinking was: Hey, slow down, Dr. Xie, what surgery did you just say you could complete? !
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