Chapter 4372: 【461】Why not use
Before seeing the patient’s medical records, everyone can only make random guesses.
Mr. Zhang and Dr. Shen did not intend to say clearly that these two people were evil. They definitely wanted to test whether their opponents had the ability to treat patients.
Can’t you see a patient without looking at the medical records?
Have a physical check-up.
Dr. Gu Hongnian once again fell into the bull's-eye. The sweat on his head had no chance to subside under the public gaze. Today's experience should be unprecedented in his life, just because he followed classmate Xie.
There is a price to pay for thanking classmates for giving you a ride. How come no one has said this to him before?
What did Senior Brother Tao say? It was said that it was good luck to come to meet classmate Xie. Is this good luck now?
“Hey—” Boss Zhang shouted.
Are the young doctors of the National Association of National Association of Doctors helpless and unable to move?
Brother 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, Dr. Jin and others will be patient.
Classmate Li Qi'an immediately took two steps away and hid, and would never accompany his classmates to get into this trap. Dr. Gu Hongnian stepped forward to conduct a physical examination on the patient. This was his responsibility as the handover doctor, and no one could replace him.
Speaking of it, he is the only doctor here who heard Dr. Shen talk about the patient's condition. Now the other teachers have to deduce the patient's condition through his physical examination.
Dr. Gu Hongnian hangs a stethoscope in his ear and auscultates the patient.
Other doctors cannot 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 from Guozhi, and the reason for medical treatment must be heart disease.
"What kind of medicine was given? No medicine was given?" Doctor Jin Tianyu asked after observing for a while.
At the same time, other big guys in the office came out one by one. After hearing what Dr. Jin Tianyu said, they followed the patient's ECG monitoring and said, "Oh, it's a patient with arrhythmia."
For non-cardiologists, it is not difficult to identify electrocardiograms with obvious symptoms of arrhythmia. The abnormal electrocardiogram characteristics of such patients are "spurts and contractions", which are very different from normal people.
The difference from Dr. Jin is that doctors from other departments need to recall what Dr. Jin said. Mr. Xiao clicked his tongue and doubts suddenly arose: "Are you saying that they don't need to give medicine to patients?"
You must take medicine when you are sick, why didn’t Guozhi use it?
Dr. Jin didn't need to reply quickly. Brother Xiao and others understood what he meant and said, "Is there a defibrillator in the patient?"
"What defibrillator?" At this moment, Dr. Jin Tianyu turned around and stared.
Please colleagues, please be more professional, don’t embarrass yourself in front of your opponents, and use professional words, even if you are not a cardiologist.
As the saying goes, a defibrillator is so huge that it cannot be placed inside the human body. The professional term should be called ICD, which is translated as internal automatic defibrillator.
ICD is implanted into the patient's body using interventional surgery. Its appearance is similar to that of a pacemaker, but its size is slightly larger. The implantation site is basically the same as that of a pacemaker. The principle is similar to that of a pacemaker. An electrode lead is implanted into the right ventricle for monitoring at any time. The patient's heart rhythm condition and determine whether to perform automatic defibrillation.
These have been introduced previously, so the surgical procedure is almost the same as permanent pacemaker implantation.
It should be noted in particular that patients with arrhythmia are the first choice for drug treatment. If the effect is not good, ICD implantation can be performed.
At present, the patient named by Dr. Jin seems to have not used anti-arrhythmic drugs, indicating that the efficacy of the drugs may be ineffective for this patient. The only way to save life is defibrillation?
What if this is possible?
Once malignant arrhythmia occurs frequently, wouldn’t the patient need to be shocked all the time?
It is not a good thing to have frequent electric shocks to the heart if it continues.
The patient must be given a different treatment plan.
Dr. Fan Yunyun recalled the surgery that her boyfriend, Dr. Wei, was jointly treated by Senior Sister Xie and Dr. Pinghuai: ablation.
Other bosses were reminded and continued to ask: "Are we going to perform ablation on the patient next?"
