Chapter 346： 【346】Interrogated by the respected seniors of the department

Chapter 346 [346] Examined by the respected seniors of the department

Now the room is quiet, everyone is waiting for her to speak, including the big guys.

The pressure was suddenly as great as Mount Everest.

Her heart was beating a little, Xie Wanying calmly said, "This patient is old, but his cardiopulmonary function is not completely exhausted. It can only be said that it is a little weak due to the relationship with the tumor. So I personally think that the focus should be on the patient. on the tumor."

"Originally, I wanted to call the Cardiology Department for consultation, but she told Dr. Tan that it was no longer necessary." Sun Yubo helped her finish.

There were a few laughs at the table. He glanced at Tan Kelin with the eyes of a colleague: It's rare to think that a deputy senior of you actually listened to an intern. Could it be that what happened to your brain?

Tan Kelin usually has a cold face, doesn't raise his eyes, doesn't refute, doesn't respond, no one knows what he's thinking.

Deputy Director Liu smiled and continued to ask his classmates: "Doctor Xie is quite confident, what's the basis for your confidence?"

"In the three days after the patient was admitted to the hospital, the blood oxygen was not as low as we were afraid. After taking measures such as oxygen inhalation and nasogastric tube drainage, the situation has been greatly improved, and it has remained at ninety-seven-eighth. It controls the blood oxygen level. I will come back at the weekend to check on the patient's condition. This patient has a characteristic, she is very compliant, she listens to the doctor's words, and trusts the doctor. Before the tumor, she did not have any underlying diseases, such as There is no diabetes and high blood pressure. She has always been relatively healthy, so the family members misjudged her and did not send her to the big hospital very soon. Therefore, I personally think that when analyzing a patient's situation, we can't just look at the current situation, and we must analyze her past medical history. ."

The coherence of his speech is very clear, which is rare for an intern in his early twenties who has just started clinical practice.

The eyes of other doctors were on Xie Wanying, as if they were a little interested in her as an intern.

An old man's voice spoke up: "Doctor Xie, the patient is in her 90s, do you think her cardiopulmonary function can really handle the operation?"

At first glance, it was Professor Li, the senior of Corey.

The pressure is even greater now.

Zhao Zhaowei and Li Qi'an were worried and exchanged glances in private. Lin Hao and Yue Wentong, who were sitting behind Gao Zhaocheng, kept silent and glanced at the female classmates opposite, perhaps a little worried in their hearts.

Luo Yanfen, the three veterans, gouged the corners of their mouths, thinking that these people do not know. At first, the three of them looked down on clinical rookies, but they were hammered.

After sorting out her thoughts, Xie Wanying answered the question from the boss: "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 understand Where is her poor cardiopulmonary function? She has had CT scans, and there are no organic problems in her lungs and heart. Her heart rate is fast, the ST segment of the electrocardiogram moves down, and the t wave and u wave change. Combined with her symptoms of intestinal obstruction and blood tests, it is a typical low Serum potassium performance. After potassium supplementation, it has improved significantly. If you want to say that her cardiopulmonary function is very poor, you need to have data to support it. You can't say that it is judged only by her age, and medicine pays attention to evidence. "

"Speaking very sharply." Professor Li decisively raised the tip of her pen and pointed out her sharp mouth.

Seventy- to eighty-year-old bosses see problems very accurately.

The other doctors laughed and laughed: No one would have thought that an intern would have no fear in the face of an academic bigwig, and speak like a tongue-in-cheek.

A group of doctors looked down and reviewed the old lady's case in detail, and then saw if they could find her fault.

"In terms of blood, the coagulation function is OK."

(end of this chapter)