XXIII. Critically ill patients
After calming down, Lin Siyang finally realized that the problem of Chinese medicine treatment for myocardial infarction he raised, Professor Lehman did not have any personal inclination, medicine is also a science, and in a hospital as high as the Royal College of Medicine, it is necessary to pass an extremely strict review to get access to a new treatment technology. Pen @ fun @ pavilion wWw. ļ½ļ½ļ½Uļ½Eć ļ½ļ½ļ½ļ½
"Sooner or later, one day, I will let Chinese medicine treatment technology enter all medical fields in the world," Lin Siyang secretly swore in his heart.
There are still two days to hold the semi-finals of the medical competition, in these days, in addition to working in medical school, Lin Siyang almost put all the time on homework, studying day and night, Lin Siyang's body has become further thinner, and the irregular diet makes him feel stomach pain and discomfort from time to time.
Qi Lier had long noticed the changes in Lin Siyang's body, and persuaded him to go to the hospital for examination several times, but Lin Siyang never took this matter to heart.
participated in the semi-finals again, the results were announced, Lin Siyang won the title with a perfect score, and Parker, who was second, was 20 points lower than Lin Siyang's score.
The actual clinical assessment cases are randomly selected by Professor Lehman and Professor Albert according to the situation of the inpatients, and the subjects are required to conduct a series of examinations on the patients for the selected medical records, and after making a diagnosis, write the diagnosis basis and detailed treatment plan.
It can be seen that the Royal College of Physicians not only pays attention to the level of theory, but also has very strict requirements for practical skills.
Just one day before the clinical skills assessment was about to be held, a critically ill patient suddenly came to the cardiology ward, and according to the order of the shift, Lin Siyang should be taken over, this female patient named Emma, 25 years old, a senior staff member of a software company, the chance of a girl of this age suffering from myocardial infarction is really rare in clinical practice.
Emma's father is a bridge engineer, although he has a high level of cultivation, but his dear daughter suddenly fell seriously ill, and in his eagerness, he completely lost the minimum respect and understanding for clinicians, he asked Lin Siyang, "I doubt your medical level, if you are not sure to cure my daughter's condition, I have the right to advocate for my daughter's attending physician to be replaced."
Lin Siyang can understand Emma's father's mood at this time, besides, patients choose doctors This is also the right that patients and their families should enjoy, he explained Emma's current situation to Emma's father, and then said, "The waiting hall is posted with the resumes of all the doctors in the cardiology ward, you can apply in this regard at any time, and we will try our best to give you the most satisfactory answer."
According to Emma's mother, Emma's grandfather and uncle both suffered from serious heart disease, and Emma's grandfather died of heart disease before he was 50 years old.
According to Emma's ECG, there is not only a curve change of the typical Myocardial Infarction S-T segment 'arch back' elevation, but also complex arrhythmias.
Emma's body temperature gradually increased, and she has been in a coma since she was admitted to the hospital, due to severe ischemia and hypoxia, Emma's face is bruised and her breathing has become unusually weak.
After receiving conventional oxygen and thrombolytic therapy, Emma's condition was still fluctuating, and after an hour, the ECG ambulatory monitoring showed no signs of improvement.
With this in mind, Emma's father approached Winston, the director of the cardiology department, and asked to replace Parker for his daughter's treatment.
After Parker received the consultation, he did not make any changes to Lin's treatment plan, and he contacted Professor Lehman for a consultation.
After reading Emma's condition, Professor Lehman solemnly informed Emma's father that she was critically ill, "Mr. Archibald, your daughter's condition is very complicated, if you decide to continue treatment at the Royal College of Medicine, we will do our best to rescue her, however, according to your daughter's current condition, the success rate of rescue is almost less than 10%, you had better be mentally prepared."
Emma's mother could no longer hold back her grief after listening to Professor Raymond's story, and she ran outside the doctor's office to cry secretly.
Emma's father's mood was also heavy, he was stunned for a moment, his voice was full of endless frustration, "Professor Raymond, I am such a daughter, you should understand my mood at the moment, if even the Royal College of Medicine can't cure my daughter's illness, where else can I go for treatment?" āć
Professor Raymond instructed Pike to get Emma's father to sign the informed consent form, and then organized a rescue team to resuscitate her, and Emma finally woke up by repeatedly administering respiratory stimulants, morphine, and β blockers.
Emma's father was standing outside the emergency room, and he saw through the window on the door that his daughter had woken up, and his tense expression relaxed slightly, and when Professor Raymond walked out, he stepped forward and asked, "Professor Raymond, is my daughter out of danger?" āć
Professor Raymond sighed slightly, and he shook his head, "Mr. Archibald, it's a good thing that your daughter has woken up, but I can tell you unequivocally that Emma is not out of danger at the moment."
Professor Raymond's words made Archibald's mood begin to become heavy again, he took Professor Raymond's hand, and his lips trembled, "Professor Raymond, I ask you to think of a way for my daughter."
Professor Raymond shook his head slightly again, "I have explained what I should explain to you, to tell you the truth, your daughter's illness is really rare, if you can cure your daughter's illness, it should be regarded as a miracle in the history of medicine."
Since Emma was transferred to Parker's treatment group, after work, Lin Siyang came to the Century Library to look through the materials, although Emma is not a patient in charge of his own now, but for this rare case, Lin Siyang wants to find relevant information from the library.
The Century Library's collection contains millions of medical books and dozens of books on rare myocardial infarctions, which provide detailed descriptions of patients' conditions, but there is no better treatment.