Now the room is quiet, everyone is waiting for her to speak, including the bosses.
The pressure suddenly became as great as Mount Everest.
Her heart was pounding, Xie Wanying calmed down and said, "This patient is old, but his heart and lung function has not completely failed. It can only be said that he is a little weak because of the tumor. So I personally think that the focus should be on the patient. on the tumor."
"At first, she wanted to call the cardiology department for a consultation, but she told Dr. Tan that she didn't need it." Sun Yubo helped her complete.
There were a few laughs immediately at the meeting table. A colleague glanced at Tan Kelin with meaningful eyes: It's really rare that a vice-senior like you actually listens to an intern. Could it be that something is wrong with your mind
Tan Kelin usually has a cold face, does not raise his eyes, does not refute, does not respond, and no one knows what he is thinking.
Deputy Director Liu smiled, and continued to ask the students: "Dr. Xie is quite confident. Tell me, what is the basis for your confidence?"
"In the three days after the patient was admitted to the hospital, the blood oxygen level was not as low as we feared. After oxygen inhalation, nasogastric tube drainage and other measures, the situation has improved greatly and remained at 97-8. Left and right blood oxygen levels. I will come back on weekends to check on the patient’s condition. This patient has a characteristic, she is very compliant, listens to the doctor’s words, and trusts the doctor. Before suffering from cancer, she did not have any underlying diseases, such as There is no diabetes and high blood pressure. She has always been in good health, so the family members misjudged her and did not send her to a big hospital early. Therefore, I personally think that when analyzing a patient’s situation, you can’t just look at the present, you must analyze her past medical history .”
The order of speech is very clear, which is rare for an intern in his early twenties who has just had a clinical internship.
The other doctors looked at classmate Xie Wanying, as if they were interested in her as an intern.
An old man's voice said, "Doctor Xie, the patient is in her nineties, do you think her heart and lung function can really withstand the operation?"
At first glance, it was Professor Li, Corey's senior.
The pressure is even greater now.
Zhao Zhaowei and Li Qi'an were worried and exchanged glances in private. Sitting behind Gao Zhaocheng, Lin Hao and Yue Wentong, while remaining silent, glanced at the female classmate opposite, perhaps a little worried in their hearts.
Luo Yanfen's three veterans grinned, thinking that these people didn't know. At the beginning, the three of them also looked down on the clinical rookie, but they were hammered.
After sorting out her thoughts, Xie Wanying answered the boss's question thoroughly: "A person's cardiopulmonary function is related to age, but it is not completely related. Some patients have poor cardiopulmonary function at a young age. The most important thing is to figure out What is the difference in her cardiopulmonary function. She has had a CT scan, and there is no organic problem in the lungs and heart. The heart rate is fast, the ST segment of the electrocardiogram is shifted, and the T wave and U wave are changed. Combined with her symptoms of intestinal obstruction and blood tests, it is a typical low Potassium blood performance. It has improved significantly after potassium supplementation. If you want to say that her cardiopulmonary function is poor, you need to have data to support it, and you can’t just judge her by her age. Medicine pays attention to evidence.”
"Speaking very sharply." Professor Li decisively raised the tip of a pen, pointing out her sharp teeth.
The 70-80-year-old boss sees the problem very accurately.
The other doctors laughed: No one would have thought that an intern would have no sense of fear in front of an academic boss, and speak like a glib tongue.
A group of doctors bowed their heads and reviewed the old lady's case in detail to see if they could find anything wrong with her.
"In terms of blood, the coagulation function is fine."