I raised him so that he could be used for something.
Ring ring ring, the phone is ringing.
"Hello." Ren Zhelun picked up his cell phone.
"You said you've arrived at our hospital?" came Boss Zhang's voice from the other side.
"What's the matter?" The poisonous tongue second didn't talk nonsense when talking to his teacher.
"Show me the person you brought." Boss Zhang said.
It seems that there is some opportunity for Ren Zhelun's students to show off their medical skills.
"Without Wanwan?"
Oops, Wanwan called out. Boss Zhang coughed twice in a row from the opposite side, and he choked out of fright.
After suppressing his coughing, Zhang Huayao said, "Isn't she on duty?"
"Do you know what kind of patient this is?" Ren Zhelun simply turned around and asked her.
When asked by Senior Brother Ren, Xie Wanying replied: "It's the silent hypoxemia patient we discussed at the previous meeting."
Ren Zhelun remembered it, and remembered the further examination she said she wanted to do. It seemed that she had predicted it.
"Considering that the patient had already taken antibiotics yesterday, it may be a viral infection." Xie Wanying further added, "Next, the patient may be put on a ventilator and a bronchoscope to aspirate sputum."
These are all internal medicine jobs. What did Mr. Zhang ask them to do in surgery?
Xie Wanying continued to speculate: "The patient's heart is not very good, maybe there is a heart problem."
One of the rare cardiac complications of respiratory virus infection is the well-known myocarditis. The patient has heart and lung problems. What one can think of is that in addition to the ventilator, other life support means may be used, which is what I just mentioned.
ecmo soon. But since I have talked about ecmo, I know that ecmo has many complications that are too harsh for the elderly, and it may easily lead to death. Therefore, the successful rescue cases often mentioned in news reports occurred in patients who are not very old.
Clinically, doctors also prefer to use it on young people who have a higher chance of successful rescue.
For the elderly, the only remaining resuscitation methods are pacemakers. Is this also the job of internal medicine?
As mentioned before, pacemaker installation can be done through interventional catheter technology to install electrodes on the endocardium, or through surgery to install electrodes on the epicardium. Since the advent of vascular intervention, interventional surgery has the unique advantage of being less invasive.
This market was quickly taken over and surgery was squeezed out. However, it cannot be said that surgical techniques will no longer be used clinically.
This is the same as the treatment of myocardial infarction. The surgery provides the internal medicine with all the details.
Interventional surgery to install electrodes on the endocardium has a failure rate. It is meaningless to talk about whether this probability is high. Once it fails in an individual, it is 100% no matter what.
The reason why Boss Zhang must run back is clear.
The patient's condition requires a temporary pacemaker. However, in the case of rescue, the patient cannot go to the interventional room for this surgery. The physician can only try to perform a blind insertion on the patient, inserting the wires and electrodes through the blood vessels without relying on instruments.
If it is installed on the endocardium, it may eventually fail after repeated attempts without success. No matter what the reason is for failure, it is not successful anyway.
At this moment, there is an urgent need for a surgeon to come to the rescue.
Zhang Huayao, who was called back to the hospital, happened to hear that his most proud disciple had brought someone back, and he wanted to ask the disciple to come up for a consultation. The disciple was young and his hands-on ability should be better than him. By the way, he could see the disciple after he left Guozhi.
