"Sit down and tell me your plan slowly." Tao Zhijie waved his hand and asked the junior sister to sit down and tell her her thoughts.
Xie Wanying sat across from the child. The child's gaze made her feel a little pressure, and she must have a sense of responsibility as a doctor. She suggested: "I think the probability that her ascites is of cardiac origin is relatively high. Now it seems that she should use hepatic origin."
The treatment method is not effective and is not as good as cardiogenic. Furthermore, her heart rate is fast, I feel that she should have atrial fibrillation. If there is atrial fibrillation, there will be thrombosis. It will interact with the blood vessels of the liver. The worst thing is,
I think if we discharge her like this now, she may eventually die of cardiogenic causes rather than hepatic causes, and it is definitely the responsibility of our doctors."
"What evidence did you base your final judgment on?" Gong Xiangbin was the first to point to her hastily, "Judging from her chest X-ray and electrocardiogram, it's normal."
"I can only say that it seems to be relatively normal. She has pneumonia on the left side but not on the right side, which is very strange. Logically speaking, if it is a liver problem, it should be inflammation on the right side instead of the left side." When it comes to medical problems, Xie Wanying is 100% confident.
Fight with strong arguments, no matter who the other party is.
"Is this the only evidence?" He Guangyou asked her, feeling that she had unfinished words.
Xie Wanying recounted an actual case: "There was a heart specimen in the anatomy room of the medical school. According to Teacher Ren, it was a rare case. After death, the patient's autopsy revealed that it was a patient with ascites who died of sudden cardiac death, but clinically it was judged to be of hepatic origin.
It’s very similar to her situation.”
This time, the office was completely quiet.
A doctor's judgment on a case is a bit like a judge's precedent, and he also needs to refer to past cases.
Tao Zhijie snapped, closing the medical record and concluding the decision: "Do a cardiac color Doppler ultrasound. If necessary, do a cardiopulmonary CT scan. We will not arrange for the patient to be discharged from the hospital for the time being."
The doctor sister is so amazing.
Yangyang looked up at Xie Wanying with his little eyes. The doctor sister's whole body was shining, which made his little mind wonder how her sister could be so powerful.
There's no point in crying or fussing. My sister can take care of it all with just a few words.
Gong Xiangbin pushed the child out of the office and back to the ward. Yangyang's little head turned around and asked his sister: "Sister, can I also be a doctor in the future?"
There are young fans who want to join the doctor team in the future. Gong Xiangbin touched the child’s head and said, “If you want to be a doctor, you must first study hard. Studying medicine is very difficult and hard.”
"I know." Yangyang nodded his little head. Children also understand that it is very important to have a good teacher when studying. If you want to study medicine by yourself in the future, you must come to study with the doctor sister.
After the child left, Tao Zhijie thought of another patient and said to He Guangyou: "Xiao Song will be very busy these days. I asked him to check the information and prepare for the operation. Have you told the head nurse about the 21 beds?"
Li Yaxi seemed to be frightened and fainted on her first day in the hospital, and she behaved silently and without any unusual behavior after that. He Guangyou said: "The head nurse had asked the nurse to pay more attention to her emotional problems after knowing about her condition on the first day."
"Is her family still not here?" Tao Zhijie asked carefully.
"No, I called many times. We called, and so did the head nurse. When the call came through, she agreed, but she didn't come to the hospital. I think she might be afraid of being questioned by her daughter when she came. Someone saw her in the gynecology clinic.
Consultation." Having said this, He Guangyou became a little angry.