Huang Beibei felt her mind was in a mess.
“Isn’t this myocardial ischemia?” said Dr. Fan Yunyun, who is not a cardiologist and is known as an ordinary medical student.
Why do patients have ECG monitoring? It is to facilitate medical staff to observe the patient's condition.
Huang Beibei finally knew where the problem lay. A medical instrument put medical evidence in front of her colleagues, leading to her self-humiliating moment today.
Not to mention that there are medical colleagues present, even if there are family members of the patient who know something about medicine, they can always find something wrong with you, the doctor, if they take a look.
This is also why Dr. Tan Kelin emphasized at the beginning: There is no point in hiding the test results. How can you hide the test results from people when a medical device is running 24 hours a day?
It is better to demonstrate your professional and technical capabilities firmly than to hide it from others.
No ability to perform?
Doctor Song Xuelin glanced at the man again and pointed: The wall is over there.
...
...
Huang Beibei really wanted to bang her head against the wall, not to wake herself up, but because she knew she was extremely wrong.
It cannot be said that Dr. Huang Beibei has no medical knowledge in this area. Doctors' misdiagnosis is often not caused by lack of knowledge, but disordered knowledge.
Medicine is well-known among all industries for its complexity and vastness of knowledge. It has a knowledge base that can never be fully memorized, and confusion is inevitable when there is too much knowledge.
When it comes to the electrocardiogram characteristics of acute myocardial infarction, there is an obvious indicator that all medical students will recite, called ST segment abnormality, which often manifests as elevation.
Does this ECG feature indicate myocardial infarction? No, it indicates myocardial ischemia. However, myocardial ischemia can be a feature of acute myocardial infarction.
Sounds a bit messy?
To sum up, myocardial ischemia is a manifestation of many heart diseases, acute myocardial infarction being one of them.
Specifically tracing back to the cause of the disease, myocardial ischemia may be caused by fixed blockage of blood vessels, resulting in myocardial infarction, or it may be just a temporary blockage of the coronary artery, and so on.
He is not a specialist student, and he did not trace the root of the matter to get to the bottom of the matter. This was the same mistake that Fan Yunyun and Mi Siran had made before.
The fact that Fan Yunyun and Mi Siran would not be scolded by Senior Sister Xie means that the mistakes they made were not something they needed to study in depth and could be left to specialists.
Huang Beibei was scolded, but just as Fan Yunyun was able to point out her mistakes, it shows that it is within the scope of knowledge that she should understand.
Don't think that hematologists don't need to learn how to read electrocardiograms. Hematologists also have serious illnesses and need electrocardiogram monitoring. If you make a mistake and call the cardiologist all day long, will they treat you as if you are crying wolf?
From the observation and analysis of the patient's condition, we can know that Dr. Jin Tianyu, who wanted to perform angiography on the patient, did not say that the patient must have an acute myocardial infarction. At most, he could only say that the electrocardiogram showed signs of myocardial ischemia, which needed to be examined and observed.
It means: further observation and examination are needed to determine what disease the patient has.
Medicine is rigorous. We cannot arbitrarily diagnose patients with diseases if the patients do not meet any disease diagnostic indicators.
Sometimes family members ask doctors: What’s wrong with the patient?
The doctor said we need to observe further and wait for other tests. That’s what he meant.
If the patient urges the doctor again at this time: In this case, please examine the patient immediately to confirm the diagnosis.
Doctor: You think I don’t want to?
Next, let’s look at what Dr. Xie Wanying said to Dr. Jin Tianyu: “Interventional angiography is not necessary at this time. I don’t need to explain the reason. Brother, this is still an operation after all.”
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