Chapter 611 It’s Not that I’m Incompetent, It’s that the Other Party Is Cheating

At this time, a woman about forty years old hurriedly walked into the emergency department ward with an anxious look on her face.

"The patient is here."

Before the woman could say anything, Wang Xiaodong pointed towards the drunk man's bed.

"Thank you, doctor." The woman looked at where Wang Xiaodong was pointing, her expression tightened, and she hurried over.

Wang Xiaodong sighed helplessly.

In the emergency department, he has seen this kind of scene too many times.

To be able to lie drunk on the street in such a cold weather must have been a very difficult life.

The woman ran to the hospital bed and shouted softly, but there was no response.

"Doctor, what happened to my husband?"

"He was sent to the hospital by the police..." Wang Xiaodong briefly stated the patient's condition, "He is still in a coma."

The woman's face was already covered with tears.

"It's all my fault. I shouldn't quarrel with him at night."

"He was doing his job smoothly during the day, but he was scolded by his boss. I shouldn't argue with him."

"Doctor, you must save him!"

With that said, the woman was about to kneel down towards Wang Xiaodong.

Wang Xiaodong saw that this kind of thing happened a lot, and with quick eyesight and quick hands, he quickly supported the woman.

"We will try our best, but the patient's condition is unstable now, so you still have to be mentally prepared."

"Thank you, thank you doctor." The woman wiped her tears and returned to the bedside.

…

Because the drunken man's condition was special, Wang Xiaodong promptly reported it to his superior physician and the director of the emergency department, Lu Jianjun.

"Xiaodong, you are the patient's bedside doctor. What do you think?" Lu Jianjun asked after understanding the patient's condition.

"The cause of the coma is still under investigation. It may be caused by hypothermia, but the most important thing now is that his electrocardiogram is abnormal. We have not found any reason yet." Wang Xiaodong said.

"Yes." Director Lu Jianjun nodded slowly, then looked at the other people in the office, "Do you have any other opinions?"

"Could it be cardiomyopathy? Congenital heart disease?" asked an attending doctor in the emergency department.

Wang Xiaodong immediately replied: "The heart ultrasound is normal, there are no abnormal changes, and myocardial enzymes and BNP are normal."

"We also asked the patient's family members, and the patient did not have any history of heart disease."

"Cardiomyopathy and congenital heart disease have been temporarily ruled out."

Wang Xiaodong ruled out several diagnoses one after another, and the doctors also fell into deep thought.

At this time, a voice suddenly sounded from the corner of the office.

"I think we should let the patient do a cardiac magnetic resonance imaging?"

Everyone looked at the sound.

The person who put forward this opinion was a doctor named Xu Yiwen who had just arrived from the emergency department.

He is currently studying for a Ph.D., and his advantage lies in scientific research.

Xu Yiwen continued: "Cardiac ultrasound is not the gold standard for diagnosing cardiomyopathy, cardiac magnetic resonance is."

"Perhaps we might recommend a cardiac MRI before the patient's eyes to further confirm or rule it out."

Hearing this, Lu Jianjun nodded slowly, "But the technology of cardiac magnetic resonance is still relatively new. Has our hospital started it?"

"Yes." Xu Yiwen smiled, "I recently had a topic about cardiac magnetic resonance. I asked the hospital's CT room before. Their director has sent people to higher-level hospitals for further training. Now they can independently complete the diagnosis and treatment of cardiac magnetic resonance. process."

Director of the Emergency Department Lu Jianjun is very satisfied with this new doctor.

You know, it is not easy to recruit a doctor in a department like the emergency department.

Even for provincial leading hospitals like Beijing Second Hospital.

If someone engages in scientific research, then there is a subject.

If there is a topic, there is a fund.

"Okay, then follow your ideas." Lu Jianjun nodded slightly.

"Okay." Xu Yiwen grinned and suddenly saw Lu Chen beside Wang Xiaodong, "By the way, Junior Brother Lu Chen doesn't seem to have expressed his opinion yet."

Lu Chen now enjoys unlimited glory in the Second Hospital of Jinghua University.

Gu Chi

Everyone may not know who the department director is, but they all know the name Lu Chen.

Even though Lu Chen is just a graduate student.

Wang Xiaodong and Lu Chen didn't have much grudges, they just simply thought about Lu Chen's thoughts on this patient.

Lu Jianjun also looked at Lu Chen with curiosity.

He had known this student Lu Chen two years ago.

Of course, there was an explosion in Jinghua, and Lu Chen was the first student to come to the emergency department for support.

Various skilled clinical skills operations left a deep impression on Lu Jianjun.

Seeing everyone looking at him, Lu Chen smiled slightly and said, "I think senior brother's idea is very good. It can further diagnose cardiomyopathy. The current gold standard for cardiomyopathy is also the Lake Louise standard of cardiac magnetic resonance. If the patient If conditions permit, this inspection can be improved.”

Cardiac magnetic resonance examination is good, but the cost is still quite expensive, costing several thousand yuan more.

Xu Yiwen was very pleased to hear what Lu Chen said.

"but……"

Lu Chen's next words caught everyone's attention.

"This patient is my first diagnosis. After the emergency rescue in the morning, the patient's vital signs have improved." Lu Chen said, "The patient will most likely wake up tomorrow."

"What main treatment measures did you use?" Xu Yiwen asked curiously.

"That's the point I want to make." Lu Chen smiled, "In addition to raising the temperature and replenishing fluids, we didn't give any other special treatment."

In the office, everyone was still a little bit unconvinced, and they all opened the patient's medical order sheet.

At a glance, there was indeed no other treatment except warming up and rehydration.

"So, I was just thinking that all these abnormal symptoms of the patient might be related to hypothermia."

As soon as the voice fell, everyone below remembered whispering.

Xu Yiwen frowned and said, "Can hypothermia make the patient's electrocardiogram look like a facelift?"

Lu Chen picked up the patient's electrocardiogram from the table and explained, "The principle of the electrocardiogram is cardiac electrical conduction, which is simply the current passing through the heart. If the hypothermia is severe, the flow of cellular ions slows down, which can produce electrocardiogram-like changes similar to hypokalemia, such as prolonged QT interval and obvious U waves."

Lu Chen marked several locations on the electrocardiogram, which just corresponded to the places he said.

"Looking at it this way, it seems to be true." Wang Xiaodong said in surprise.

However, Xu Yiwen frowned, "How can I confirm my idea there? What kind of examination should I do?"

Lu Chen smiled, "It's actually very simple."

Very simple?

Everyone's mouth twitched when they heard this.

They had no idea at all, but Lu Chen said something very simple...

Lu Chen continued, "Just wait until the patient's body temperature completely rises, and then recheck the electrocardiogram and other indicators."

"Compare the results before and after. If the electrocardiogram returns to normal, it can be basically confirmed that the patient's electrocardiogram abnormality is related to low body temperature!"

Before the answer was revealed, everyone was confused.

But once Lu Chen revealed the answer, everyone said "Oh", and then they suddenly realized it.

In fact, this is also a classic laboratory diagnosis method in clinical practice.

For example, some patients with undiagnosed pulmonary nodules often receive experimental anti-tuberculosis treatment without checking any pathogens.

If the patient's symptoms are alleviated, then it can be inferred that the patient is infected with tuberculosis.

"Lu Chen makes sense!" Lu Jianjun smiled with satisfaction.

He really wanted to keep such an excellent student by his side.

But it was just a thought...

Xu Yiwen did not continue to ask questions at this time, and bowed his head in silence.

Obviously, compared with his cardiac MRI, Lu Chen's diagnosis and treatment method may be simpler.

"Actually, Brother Xu's idea is also very good." Lu Chen smiled and added, "Maybe because I am the patient's first doctor, I understand the patient's condition better. Otherwise, I also support the patient to undergo a cardiac MRI examination."

Hearing Lu Chen's words, Xu Yiwen felt better.

It's really not that I can't do it!

It's that Lu Chen is like a cheat...

.