Yun Tian's words almost didn't choke Dr. Huayang Shu to death!

Since you are looking at the patient's face and deducing that he often stays up late, then pretend to take the pulse. Word Pavilion

Is it fun to pretend to be forced?

Dr. Huayang Shu gave Yun Tian a super big white eye to express his dissatisfaction.

"You usually don't eat on time, do you often eat supper?"

Yun Tian ignored Dr. Huayang Shu's overly rich expressions, and forbade asking the patient's mother.

"Yes, I said I wanted to lose weight, I often didn't eat for three days, and I couldn't stay up after work at night, so I came to eat supper again......"

Yun Tian's two sentences directly resonated with the patient's mother.

It seems that the patient's living habits are not good, and the patient's mother has already had opinions, and Yuntian asked the core of the patient's mother's opinion in two questions a year, which aroused a strong resonance with the patient's mother.

"Doctor, his illness is caused by not eating well and sleeping well, right?"

Seeing that Yun Tian was silent, the patient's mother picked up the patient's examination data, looked at it carefully, and couldn't help but continue to ask on the side, obviously wanting to improve the reasonableness of her opinion through Yun Tian's authority as a doctor.

"Well, it matters. Yun Tian replied seriously.

"Look, I tell you every day, you have to eat well, you have to rest well, but you just don't listen, and now you are sick, and the doctors say that what I said is right, and it is caused by your inattention in your usual life......"

Sure enough, all the mothers in the world are similar.

With Yuntian's support, the patient's mother exerted her powerful nagging function and began to count non-stop.

"Auntie, the patient's preoperative preparations are almost done, we have to take him over for surgery, you don't have to nag a few words first. ”

Dr. Huayang Shu obviously couldn't stand the nagging of the patient's mother like this, and hurriedly dissuaded him.

Although the patient's mother's words are very reasonable, I am afraid that most people will not be able to bear such nagging.

Seeing the patient's brows furrowing more and more, Dr. Huayang Shu's heart rose to his throat.

It is important to know that the patient has a myocardial infarction, and the emotional impact on the disease is very large.

The patient's mother is so nagging, if the patient has another breath, and in the case of infarction, there will be a severe coronary artery spasm, it will be beautiful!

At that time, before the person entered the operating room, he fainted with his mother's nagging, tsk......

"Have you taken nitroglycerin?" Yun Tian asked.

"I've used it, but the effect is not too good!" The young doctor from the cardiology department was respectful on the side, and if Yun Tian had any questions, the young doctor could answer them as soon as possible, obviously doing enough homework.

In fact, although the young doctor answered respectfully on the surface, he couldn't help but want to quietly pout in his heart.

Although Dr. Yun did a good job, he was praised by everyone because it was in the sky, and there was absolutely nothing in the ground.

The level is also very average!

A very important factor in the diagnosis of myocardial infarction is that repeated doses of nitroglycerin do not work on patients.

It is an important treatment for myocardial infarction and myocardial ischemia. make

Infarction refers to the blood clot blocking the blood vessel, and only using nitroglycerin to dilate the blood vessel cannot re-unblock the infarct site, so taking nitroglycerin is almost ineffective.

Myocardial ischemia is only vasospasm, after taking nitroglycerin and other vasodilating drugs, vasospasm is quickly relieved, and the patient's myocardial blood supply is restored, so the clinical symptoms disappear quickly.

A slightly experienced doctor will not be able to distinguish between vasospasm and vascular infarction.

After all, if nitroglycerin had helped, no one would have suspected a vascular infarction.

I don't understand such a shallow truth, so it's no wonder that the young doctor in cardiology rolls his eyes in his heart.

"Do you suspect or vasospasm?" The last time Yuntian disagreed with the patient's coronary angiography, insisting that the patient was ischemia caused by generalized vasospasm, and that incident impressed Huayangshu too much, so when Huayangshu heard nitroglycerin, he subconsciously felt that this patient could also be caused by spasm.

...... The young doctor of 913 Cardiology is surnamed Hu and is a top student of Imperial Capital Medical College.

I have just explained very clearly that the effect of the patient after using nitroglycerin is not good, and the clinical symptoms have not been relieved.

It is clearly written in the book that for angina pectoris that nitroglycerin is ineffective, myocardial infarction must be suspected first.

Dr. Hu thought it was strange.

Yuntian has no experience in diagnosis and treatment, and can understand, why is Dr. Huayang Shu so famous, is it also a person who does not live up to his name?

Sure enough, for doctors, reputation is the most important thing, and there will always be blind spots in actual technology.

You should probably think of a way to do something to make you famous.

With fame, who is not the same?

Huayang Shu and Yuntian didn't expect it at all, and Dr. Hu on the side had already thought crookedly.

The two just paid attention to the condition of the patient they were concerned about, and began to discuss enthusiastically.

"It shouldn't be an infarction, it should be acute myocardial ischemia, but the stenosis should also exist, or go to surgery, do imaging first!"

Yuntian actually has a rough estimate of the patient's condition.

The reason why Dr. Hu asked Dr. Hu about the patient's use of nitroglycerin was to confirm and evaluate the patient's sublingual nitroglycerin use.

Judging from the patient's condition reported by Dr. Hu and the patient's current performance, Yuntian felt that the patient should have both spasms and stenosis.

That's why angina persists and the relief is poor.

Yuntian was sure to have surgery, and Huayang Shu naturally had no opinion in his life.

Because until now, the mysterious calculation method of Yuntian has not come out.

To do an assessment of whether to do surgery or not, it can be said that only Yuntian can determine it at the moment.

Therefore, Yuntian said that he would have to do surgery, so there should be no one in this world to prevent the patient from having an angiogram first.

Yun Tian and Dr. Hua Yang Shu went to the operating room to make preoperative preparations, and Dr. Hu pushed the patient to the operating room later.

Everyone works together, and the work efficiency is obviously good.

When Dr. Yuntian and Dr. Huayang appeared in the operating room, the patient had already made preoperative preparations and was lying quietly on the operating table.

"Director Zhang!" After Dr. Hu sent the patient into the operation room, he honestly stayed in the processing room, ready to watch the operation of the two doctors.

There was surgery in the past two days, and Director Zhang, like the young doctors, came to visit the operation for the first time.

So as soon as the two of them were ready, Director Zhang also happened to arrive.

When Dr. Hu saw Director Zhang, he greeted him warmly.

"What's the patient's condition?" asked Director Zhang casually.

"It was supposed to be a myocardial infarction, and the chest pain had been going on for 4 hours, but the two doctors didn't know what to think, saying that it was suspected to be coronary artery spasm, not an infarction. ”

Dr. Hu blinked, and suddenly raised his voice in reply.