Now the room is quiet, everyone is waiting for her to speak, including the bosses.
The pressure suddenly became as huge as Mount Everest.
Her heart was pounding, but Xie Wanying calmed down and said, "This patient is old, but his heart and lung functions are not completely exhausted. It can only be said that he is a little weak because of the tumor. So I personally think that the focus should still be on the patient's tumor."
"Originally, she wanted to call the cardiology department for a consultation, but she told Dr. Tan that it was not necessary." Sun Yubo added for her.
There were immediate laughs at the table. A colleague glanced at Tan Kelin meaningfully: It's rare that a deputy senior official like you would listen to an intern. What's wrong with your brain?
Tan Kelin usually had a cold face, never raised his eyes, never refuted, and never responded. No one knew what he was thinking.
Deputy Director Liu smiled and continued to ask the student: "Doctor Xie is quite confident. Can you tell me the basis of your confidence?"
"In the three days since the patient was admitted to the hospital, her blood oxygen level was not as low as we feared. After oxygen inhalation, nasogastric tube drainage and other measures, her condition has improved significantly, and her blood oxygen level has remained at around 97 or 98. I will come back to check on the patient's condition at the weekend. This patient has a characteristic: she is very compliant, listens to the doctor very much, and trusts the doctor very much. Before she developed a tumor, she did not have any underlying diseases, such as diabetes or hypertension, and she had always been in good health. This led to her family's misjudgment and not sending her to a large hospital early. So I personally think that when analyzing a patient's condition, we cannot just look at the present, but must analyze her past medical history."
He spoke very clearly, which was rare for an intern in his early twenties who had just started his clinical internship.
...
...
The other doctors looked at Xie Wanying and seemed to have some interest in her as an intern.
An elderly voice spoke up: "Doctor Xie, the patient is over 90 years old. Do you think her heart and lung function can really withstand the surgery?"
At first glance, it was Professor Li, Corey's senior.
The pressure is even greater now.
Zhao Zhaowei and Li Qian'an were worried and exchanged glances privately. Lin Hao and Yue Wentong, who were sitting behind Gao Zhaocheng, remained silent while glancing at the female classmates opposite them, perhaps feeling a little worried.
The three veterans, Luo Yanfen, curled their lips, thinking that these people didn't know. At first, the three of them looked down on clinical rookies, but in the end they were beaten up.
After organizing her thoughts, Xie Wanying answered the boss's questions one by one: "A person's cardiopulmonary function is related to age, but not completely related. Some patients have poor cardiopulmonary function at a young age. The most important thing is to figure out where her cardiopulmonary function is poor. She has had a CT scan, and there are no organic problems with her lungs and heart. Her heart rate is fast, the ST segment of the electrocardiogram is depressed, and the T and U waves change. Combined with her symptoms of intestinal obstruction and blood tests, it is a typical manifestation of hypokalemia. After potassium supplementation, there is a significant improvement. If you want to say that her cardiopulmonary function is very poor, you need to have data to support it. You can't just judge by her age. Medicine requires evidence."
"You speak very sharply." Professor Li decisively raised his pen and pointed out her sharp tongue.
The big guys in their seventies and eighties have very accurate views on issues.
The other doctors laughed: No one would have thought that an intern would not be afraid when facing an academic bigwig, and would speak like an eloquent speaker.
A group of doctors lowered their heads and reviewed the old lady's case in detail, trying to see if they could find any fault with her.
"As for blood, the coagulation function is OK."
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