The purpose of keeping an uncle is to have him available when something happens.
Ring, ring, the phone is ringing.
"Hello." Ren Zhelun picked up his cell phone.
"You said you came to our hospital?" It was the voice of Boss Zhang on the other end.
"What's the matter?" The second most poisonous tongue didn't waste any words when talking to his teacher.
"Let me see the people you brought with you." said Boss Zhang.
It seems that there is some opportunity for Ren Zhelun's students to show off their medical skills.
"Without Wanwan?"
"Ouch," Wanwan called out. Boss Zhang on the other side coughed twice, choking from the shock.
...
...
After coughing for a while, Zhang Huayao asked, "Isn't she on duty?"
"Do you know who the patient is?" Ren Zhelun simply turned around and asked her.
When asked by Senior Brother Ren, Xie Wanying replied: "It's the silent hypoxemia patient we discussed in our previous meeting."
Ren Zhelun remembered what she said about further examination. It seemed that she had predicted it.
"Considering that the patient had already received antibiotics yesterday, it is possible that the patient had a viral infection," Xie Wanying added. "Next, the patient may be put on a ventilator and have bronchoscope suction performed."
These are all internal medicine jobs. What is the purpose of Zhang Da Lao asking them to go to the surgical department?
Xie Wanying continued to speculate: "The patient's heart is not in good condition. Maybe there is something wrong with his heart."
One of the heart complications of respiratory virus infection is not uncommon, which is the famous myocarditis. The patient's heart and lungs have problems, which makes people think that in addition to the ventilator, other life support methods may be used, that is, ECMO, which we just talked about. But since we have talked about ECMO, we know that ECMO has many complications and is too harsh for the elderly. Using it may easily lead to death. Therefore, the successful rescue examples often mentioned in news reports occur in patients who are not very old. Clinical doctors also prefer to use it on young people who have a high chance of successful rescue.
For the elderly, the only other means of life-saving treatment is a pacemaker. Is this also a job for internal medicine?
As mentioned before, pacemaker installation can be done by installing the electrode on the endocardium through interventional catheter technology, or by installing the electrode on the epicardium through surgery. Since the advent of vascular intervention, interventional surgery has quickly occupied the market with its unique advantage of less trauma, squeezing out surgery. However, it cannot be said that surgical technology is no longer used in clinical practice.
This is the same as the treatment of myocardial infarction. Surgery is the backup for internal medicine.
There is a failure rate in interventional surgery to install electrodes on the endocardium. It is meaningless to discuss whether this rate is high or not. Once it fails in an individual, it is 100% certain no matter what.
The reason why Boss Zhang had to run back was clear.
The patient's condition requires a temporary pacemaker, but in emergency situations, the patient cannot go to the interventional room for this operation. The internist can only try to insert the wire and electrode through the blood vessels without the help of instrument fluoroscopy and intend to install them on the endocardium. In the end, repeated attempts may fail, no matter what the reason is.
At this moment, a surgeon is urgently needed to remedy the situation.
Zhang Huayao, who was called back to the hospital, happened to hear that his most proud disciple had brought someone back, so he thought of asking the disciple to come up for a consultation. The disciple was young and his hands-on ability should be better than his. He could also take a look at the extent to which the disciple's ability had improved since leaving Guozhi.
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