【346】Interrogated by the respected seniors of the department
The room is now quiet, everyone is waiting for her to speak, including the big bosses.
The pressure suddenly became as huge as Mount Everest.
Her heart was beating a little, but Xie Wanying calmed down and said: "This patient is old, but his cardiopulmonary function has not completely failed. It can only be said that it is a little weak due to the tumor. So I personally think that the focus should be on the patient."
On the tumor.”
"Originally, she wanted to call the cardiology department for consultation, but she told Dr. Tan that she didn't need to." Sun Yubo finished for her.
There was a burst of laughter at the meeting table. A colleague glanced at Tan Kelin with a meaningful look: It is really rare for a deputy senior officer to listen to an intern. Is there something wrong with your brain?
Tan Kelin always had a cold face and never raised his eyes, refuted or responded. No one knew what he was thinking.
Deputy Director Liu smiled and continued to ask the classmate: "Dr. Xie is quite confident. Can you tell me what is the basis for your confidence?"
"Looking at the overall condition of the patient in the past three days since he was admitted to the hospital, the blood oxygen level was not as low as we feared. After taking measures such as oxygen inhalation and nasogastric tube drainage, the situation has improved greatly and has remained at 978.
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 has very good compliance, listens to the doctor, and trusts the doctor. Before she suffered from the tumor, she did not have any underlying diseases, such as
Diabetes and high blood pressure are not common. She has always been relatively healthy, so her family members misjudged her and did not send her to a big hospital early. So I personally think that when analyzing a patient's situation, we cannot just look at the immediate situation, but must analyze her past medical history.
.”
He speaks very clearly, which is rare for an intern in his early twenties who has just started his clinical internship.
The other doctors looked at classmate Xie Wanying and seemed to be somewhat interested in her as an intern.
An old man's voice spoke up: "Dr. Xie, the patient is in her nineties. Do you think her cardiopulmonary function can really withstand the surgery?"
At first glance, it was Professor Li, Corey's senior.
The pressure is even greater now.
Zhao Zhaowei and Li Qian were worried and exchanged glances in private. Lin Hao and Yue Wentong, who were sitting behind Gao Zhaocheng, remained silent while glancing at the female classmates opposite them, perhaps feeling a little worried.
Luo Yanfen and the other three veterans raised their eyebrows, thinking that these people didn't know. At first, all three of them looked down on the clinical rookie, but in the end they were beaten.
After sorting out her thoughts, Xie Wanying answered the boss's questions: "A person's cardiopulmonary function is related to age, but not completely. Some patients have poor cardiopulmonary function at a young age. The most important thing is to understand
What's so bad about her cardiopulmonary function? She had a CT scan, and there were no organic problems with her lungs or heart. Her heart rate was fast, the st segment of the electrocardiogram shifted downward, and the T wave U wave changed. Combined with her symptoms of intestinal obstruction and blood tests, it was typically low.
The symptoms of blood potassium have improved significantly after potassium supplementation. If you want to say that her cardiopulmonary function is very poor, you need to have data to support it. You cannot just judge by looking at her age. Medicine pays attention to evidence."
"She speaks very sharply." Professor Li decisively raised a pen and pointed out her sharp tongue.
A man in his 70s or 80s sees things very accurately.
The other doctors laughed: no one expected that an intern would not feel afraid when facing an academic boss and spoke like a glib.
A group of doctors lowered 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 OK."
