[It's the last three days of February!] Don't keep the monthly pass, give it to the old fish! 】

He Xiaokang looked at Qin Chuan very suspiciously. [23]xHe still hadn't figured it out.

Fang Ping saw Qin Chuan coming, and the stone hanging in his heart was finally put down.

I don't know when Qin Chuan has become the backbone of emergency doctors and nurses.

"Doctor Qin." Fang Ping greeted Qin Chuan, with respect and gratitude in his tone.

Qin Chuan nodded to Fang Ping, and then said, "Xiaokang, tell me, what did you think about before?" ”

He Xiaokang thought about it for a while, sorted out his thoughts, and said: "Considering that the patient has large heart failure, left bundle branch block, supraventricular cardia, and multiple anti-arrhythmic drugs have been repeatedly given intravenously for treatment, but the effect is not good, and it still cannot be converted to sinus rhythm. Antiarrhythmic drugs that inhibit myocardial contractility are limited here. Electroconversion is also more dangerous. I don't know what to do now. ”

Qin Chuan lowered his head and thought for a while, then looked up at He Xiaokang: "Actually, you think very thoughtfully. There was no problem with the diagnosis. But we can shift our mindset a little bit. Discontinuation of antiarrhythmics in favor of vasopressors may be considered. ”

"Huh?" He Xiaokang was very surprised, "Now that the patient's heartbeat is over, if vasopressors are used, won't it add to the patient's death?" As soon as the blood pressure increases, the workload of the heart immediately increases, and it is easy to lead to the deterioration of heart failure. It's easy to go wrong. ”

"So I said to think differently. Although the patient's disease is heart failure, the patient's condition is somewhat special, and the use of anti-arrhythmic drugs has limited its effectiveness. At this time, we may wish to increase the excitability of the baroreceptors and excite the vagus nerve. Turning the back chamber on. But it is necessary to strictly control zhì. Qin Chuan explained. [Please note that this is a fictional plot of the novel.] Although real cases are referenced, each case has its own particularity and should not be used as a medical reference. 】

He Xiaokang was able to understand it in a little bit, and his eyes lit up: "You can try it." ”

"What should I do?" Fang Ping set his eyes on Qin Chuan.

Qin Chuan didn't speak, but turned his gaze to He Xiaokang.

Qin Chuan didn't speak, naturally he wasn't afraid of taking responsibility. Instead, I want to give this opportunity to He Xiaokang. If Qin Chuan came over, he would rob the patient of the main treatment, which would be a very heavy blow to He Xiaokang. So Qin Chuan didn't do it.

He Xiaokang did not hesitate and said: "Under strict ECG monitoring, use 5mg of m-hydroxylamine into the pot. ”

At this time, Xu Shubiao's blood pressure began to rise slowly, and half an hour later, his blood pressure rose to 11o/8ommhg, and the room suddenly stopped. A borderline rhythm of 4o-5o beats/min occurs, followed by sinus rhythm.

By this time. He Xiaokang finally let out a long breath. Finally snatched the patient back from the brink of death. If it weren't for Qin Chuan's reminder and He Xiaokang's continued to adhere to the previous treatment plan, I was afraid that Xu Shubiao would not survive.

Of course, there is also an element of luck in this. If the defibrillation was not successful in that rescue, there would naturally be no chance to change the way of thinking later.

Qin Chuan did not put forward the reason for the last such plan before. It's not that he wants to test He Xiaokang. It is impossible for Qin Chuan to risk the lives of patients to exercise the abilities of team members. It's because at that time, Qin Chuan hadn't thought of a practical way yet. Qin Chuan is not a god. It's just a little more luck than the average doctor. Without the [Genius Famous Doctor] system, Qin Chuan might just be an extremely ordinary emergency doctor. Like He Xiaokang, we must also face all kinds of difficult cases.

"Ogawa, thank you." He Xiaokang was sincerely grateful to Qin Chuan in his heart.

"Keep watching. Don't take it lightly. Qin Chuan instructed.

He Xiaokang nodded.

After Qin Chuan left, Fang Ping said, "Xiaokang, you have to come on." How long has it been since Dr. Qin came? Now he has become a hot figure in the central hospital. The level of treatment is even higher than that of the imported returnee doctors. When will you be able to reach the height of Doctor Qin? ”

Fang Ping, this is Wangfu Jackie Chan. on this. He Xiaokang was very helpless: "Fang Ping, I have worked very hard now. But talent is innate, so it is very difficult for me to reach the height of Dr. Qin. But I'll try. Do your best. ”

Fang Ping walked over and incensed He Xiaokang's cheeks: "Xiaokang." I don't have to make you the best doctor. As long as you work hard, I am very satisfied. You have to be self-motivated. ”

"Wife, I'll do my best!" He Xiaokang said very movingly.

"Don't shout! Who's your wife? Fang Ping glanced at He Xiaokang.

"You're not my wife, why kiss me? Isn't that a hooligan? He Xiaokang joked.

"Okay. You don't want me to kiss you in the future. Fang Ping said angrily.

"Wife, I was wrong!" He Xiaokang almost didn't kneel. This guy really doesn't distinguish the shape, and he hasn't skimmed the eight characters yet, and he doesn't let girls enjoy pre-marital treatment. What girl would make it so easy for you to enjoy post-marital treatment?

Qin Chuan returned to the emergency department, and since becoming the leader of the medical team, Qin Chuan felt a lot more pressure on his shoulders. In the past, as a general emergency doctor, you only need to do your own thing. Go to work when it's time to go to work, and leave work when it's time to get off work. But now it's different, and the responsibilities are completely different. In addition to doing your own thing, you have to be optimistic about the members of your team. Help them improve so that they can keep up with themselves. Also pay attention to the treatment of the patient for whom the team is responsible. In the past few days, Qin Chuan has gone through all the cases of patients in charge of the medical team. Only Xu Shubiao had just moved in, and He Xiaokanghai didn't have time to convert the paper medical records into electronic versions. Therefore, Qin Chuan didn't see it.

Xu Shubiao also made Qin Chuan startled, although Qin Chuan didn't come out at that time, he was actually very nervous in his heart. Finally, the plan worked. The more capable you are, the more worried you are about making mistakes.

After dealing with Xu Shubiao's affairs, Qin Chuan could finally sleep peacefully. However, Qin Chuan's time is still very tight now. Before going to bed, you still have to enter the [Genius Famous Doctor] system to study. Qin Chuan's current study focuses on the foundation of medicine. Because Qin Chuan wanted to take a look, he completed [Task 1]. What exactly will change the system?

This future system has given Qin Chuan too many surprises, and after completing [Task 1], can he meet the conditions for upgrading? There is no information about the system upgrade in the system. Yiqiē can only rely on Qin Chuan to explore. However, for Qin Chuan, it doesn't matter whether the system is upgraded or not, the important thing is that the system can allow Qin Chuan to learn a lot of useful medical knowledge. That's enough. Of course, this future system is like an endless treasure trove, waiting for Qin Chuan to dig up.

In addition to [Task 1], there is also a [Task 4] to be completed by Qin Chuan. For this [Task Four], Qin Chuan doesn't have any clue yet. Huang Junguang hasn't been to the central hospital for a while. I don't know what I've been up to lately. Is he really busy with his famous tea shop? Has his psychological problems improved? These are all things that Qin Chuan wants to know.

But Qin Chuan knew that Huang Junguang's illness was like tasting tea, and he couldn't be in a hurry. Good tea should be tasted slowly, so that the color and aroma of the tea can be tasted, and the true taste of the tea can be tasted. And Huang Junguang's illness obviously needs time to heal slowly. The real medicine lies in Huang Junguang's own hands. Only when he is truly liberated can he really come out of the shadows.

Thinking of Huang Junguang's illness, Qin Chuan set his sights on the psychology section. Qin Chuan has learned almost every section of medicine, but only the psychology section has not yet begun to be involved. Mission 1 has reached 82% completion. Qin Chuan didn't know what kind of basic knowledge was still lacking.

Psychology is a very interesting subject. If it had been placed before, Qin Chuan might have dozed off while watching. I am worried that my ability to understand will not be the same as it was at the beginning. Looking at this basic knowledge of psychology, it is relished.

It's a very simple picture, but it has a profound meaning in psychology. Three simple figure drawings of the same size, placed in different positions in the painting, appear to be three different sizes. People are easily deceived by psychology.

In fact, there is a time when the patient's psychology has a very big impact on the effectiveness of the treatment. Some people always feel that they are sick, go to large and small hospitals, check and check, and the results are normal. But people just feel sick. In fact, it is not that the hospital examination is incorrect, but that the patient has found the wrong doctor.

Qin Chuan's study was immediately fascinated. When I felt a little tired, I realized that I had been studying in the simulation classroom for dozens of hours. In reality, many hours have passed. Qin Chuan practiced the first five movements of aerobics. Although the first five moves have been refined, and it is not easy to break through the fifth move. Qin Chuan showed it, and he also showed the potential of the fifth style. I thought that with the experience of the fifth basic move, the later moves should be easier, but what I didn't expect was that the later moves seemed to be more difficult.

When Qin Chuan was practicing the sixth movement, he encountered the same difficulty as the fifth movement. The fifth movement is to show momentum. And the sixth action is to show "God". This is again a higher level. Although the display in the system can show a trace of the prototype of "God", it cannot show the essence of "God". Qin Chuan knew that from the fifth basic movement, he could no longer rely on imitation to learn the movements. It takes some serendipity. Therefore, Qin Chuan is not in a hurry. Being able to learn the first five basic movements has already given Qin Chuan great benefits. As for the later actions, whether you can learn them or not depends on the opportunities in the future. (To be continued!)

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