Chapter 1243: 【1243】Not naive
Chapter 1243 [1243] Don't be naive
"No matter which one it is, this patient must be treated by our cardiovascular medicine department at this stage, because he did not meet the indications for surgery." Dr. Dong suddenly declared.
For the other party's statement, Li Chengyuan just snorted calmly.
Huang Zhilei and Xin Yanjun sighed and understood what the two were arguing about. It turned out that they were arguing whether this patient should belong to the Department of Cardiology or Surgery.
In the case of myocarditis, early medical treatment is quite effective. As long as it is well controlled and controlled, there will be no major sequelae.
Dilated cardiomyopathy is a much scarier disease. There is basically no special medicine for medical treatment. It is a step-by-step process that can only wait for a heart transplant when the condition is serious. It can be said that if it is dilated cardiomyopathy, it is destined to have an extracardiac surgery one day.
In the late stage of myocarditis, some patients will have symptoms similar to dilated cardiomyopathy, but it may be well controlled and the myocardium can be dilated and retracted. Dr. Dong insisted that even medical treatment of dilated cardiomyopathy has a solution. Li Chengyuan, as a cardiac surgeon, must of course refute this view, because it is impossible at all. There is no cure for true dilated cardiomyopathy.
Now, Dr. Dong's statement is equivalent to saying that he can't beat the other party.
Also a physician, Xin Yanjun whispered to encourage Dr. Dong: "Don't give up easily, Xiao Dong."
In this regard, Dr. Dong is very self-aware. Otherwise, I wouldn't have said that boiled frog in warm water when I first started working.
"Don't you mean that we can beat them?" Xin Yanjun was surprised by his follow-up explanation that was 180 degrees completely opposite.
No no no, boil the frog in warm water and boil the frog skin, the prince prototype is very arrogant. How could he and Xin Yanjun, two warm-tempered, be able to speak to these two tough-tempered frog princes.
Doctor Dong, who knew how to judge the situation, stopped arguing with others, and went to see the female patient with a stethoscope in his hand.
Huang Zhilei looked at the little junior sister who had been silent just now. The smart little junior sister probably realized this and did not speak.
Besides, what Lee Seung-won said has a certain truth. There is only surgical approach left for dilated cardiomyopathy. If the patient is destined to have this disease, and the need for a heart transplant is not ruled out, it is certainly beneficial to contact the surgeon very early. Instead of waiting until medical treatment fails, acute heart failure will rush to find surgery.
In the case of cardiac surgery, we know the same as how to control the symptoms of myocarditis and dilated cardiomyopathy. It's just that there are not enough surgical beds on weekdays, so I leave it to the internal medicine department for treatment. However, Li Chengyuan would definitely not tolerate Dr. Dong's statement that he was going to rob the surgical business that should belong to them.
Going back to the specific patient in front of him, whether it belongs to insidious progressive myocarditis or dilated cardiomyopathy requires further examination. In fact, doctors all hope that the patient's condition is mild. If it is just a general acute myocarditis, it is equivalent to a good expectation. The most fearful thing is that this patient's condition has developed as Li Chengyuan said.
Dr. Dong’s admission of defeat is just an admission of the fact: myocarditis is mostly inflammation, and if the ventricle is dilated, the structure of the heart has changed, which may be equivalent to the difference between quantitative and qualitative changes.
It can only be said that Li Chengyuan, like the robot Fu Xinheng, does not like to say anything innocent and beautiful.
Thank you for your support! ! ! Good night dears~
(end of this chapter)
