Before seeing the patient's medical records, everyone could only make wild guesses.
Boss Zhang and Doctor Shen did not intend to say it out loud. These two people were bad guys and they definitely wanted to test whether their opponents were capable of treating the patient.
Don’t you know how to treat patients without reading their medical records?
Physical examination.
Doctor Gu Hongnian once again became the target of the attack. In public, the sweat on his head didn't even have a chance to subside. Today's experience was probably the best in his life, just because he followed classmate Xie.
There is a price to pay for taking Xie's ride. How come no one has told him this before?
What did Senior Brother Tao say? I said it was good luck to come and meet classmate Xie, but is this good luck now?
"Hey——" Boss Zhang shouted.
Are the young doctors of the National Association without hands and feet and unable to move?
...
...
Boss Zhang kept stopping Dr. Xie with his big hand: Take it easy, you are the leader now, just stand aside.
It is right to let young doctors practice, so Dr. Jin and others should be patient.
Classmate Li Qian'an immediately stepped back and hid, and would never join classmate Gu in getting into this trap. Doctor Gu Hongnian stepped forward to examine the patient. This was his job responsibility as the handover doctor, and no one could replace him.
He was the only doctor here who had heard Dr. Shen talk about the patient's condition. Now other teachers had to infer the patient's condition based on his physical examination.
Doctor Gu Hongnian put a stethoscope on his ear and listened to the patient's heartbeat.
In fact, it is impossible for other doctors to be idle. They are all staring at the ECG monitor screen connected to the patient to observe the patient's heart condition.
The patient was sent here from Guozhi, and the reason for his medical treatment must be heart disease.
"What medicine are you dripping? No medicine?" After observing for a while, Doctor Jin Tianyu asked.
At the same time, other bigwigs in the office came out one by one, and after hearing what Dr. Jin Tianyu said, they followed and watched the patient's ECG monitor and said, "Oh, it's an arrhythmia patient."
For non-cardiologists, an electrocardiogram with obvious arrhythmia symptoms is not difficult to identify. The abnormal electrocardiogram characteristics of such patients are "bumping and shrinking", which is very different from that of normal people.
The difference with Dr. Jin is that doctors in other departments need to think about what Dr. Jin said again.
Xiao Boss smacked his lips and suddenly became suspicious: "Are you saying that they don't need to give the patients medicine?"
If you are sick, you must take medicine. Why doesn’t Guozhi take it?
Doctor Jin didn't need to reply quickly. Xiao Da Lao and others understood what he meant and asked, "Is there a defibrillator placed in the patient's body?"
"What defibrillator?" This time, Doctor Jin Tianyu turned his head and stared.
Colleagues, please be more professional and don't embarrass yourself in front of your competitors. Use professional words, even if you are not a cardiologist.
The so-called defibrillator is so huge that how can it be placed inside the human body? The professional term should be ICD, which means automatic internal defibrillator.
ICD is implanted into the patient's body through interventional surgery. It looks similar to a pacemaker but is slightly larger in size. The implantation site is basically the same as a pacemaker. The principle is similar to that of a pacemaker. An electrode wire is implanted in the right ventricle to monitor the patient's heart rhythm at any time and determine whether automatic defibrillation should be performed.
These have been introduced in the previous article, so the surgical procedure is almost the same as permanent pacemaker implantation.
It is particularly important to point out that the first choice for patients with arrhythmia is drug treatment. If the effect is not good, ICD implantation can be performed.
At present, Dr. Jin mentioned that the patient did not seem to have taken antiarrhythmic drugs, which means that the efficacy of the drugs may not be effective for this patient. Is the only way to save his life defibrillation?
If this is possible?
If malignant arrhythmias occur frequently, won't the patient have to receive electric shocks all the time?
It is obvious that frequent electric shocks to the heart are not a good thing.
The patient's treatment regimen must be changed.
Dr. Fan Yunyun recalled the surgery that her boyfriend, Dr. Wei, underwent when Senior Sister Xie and Dr. Ping Huai jointly treated him: ablation.
After being reminded, other bigwigs continued to ask: "Are you going to perform ablation on the patient next?"
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