Chapter 690: The new deputy director is really good

Of course, Qiao Wei knew that the patient had hyperthyroidism and was also treated with iodine-131 in the hospital.

This is a common method for the treatment of hyperthyroidism and thyroid cancer, which mainly uses iodine-containing radioactive substances to carry out the treatment, with significant effects and few side effects.

It was precisely because of this treatment that this patient came to the hospital for infusions for many days.

But the question arises: how did Deputy Director Tao know that the patient had hyperthyroidism and had received this treatment?

Could it be that she could still be a prophet?

"yes. Doctor. The patient didn't think much about it, and replied very simply: "I did iodine-131 treatment five days ago, and I have been taking nutritional medicine for the past few days, but I didn't expect that I suddenly had chest pain." ”

"Doctor, what do you say is going on with me, why is it suddenly better now?"

He was just nervously lifted onto the flat car by a group of people and pushed to the rescue room, and now he has palpitations when he thinks about it.

"It's not a big problem." Tao Le showed a gentle smile and instructed the nurse on the side, "Pull another ECG." ”

The results of the ECG were the same as Tao Le thought, and the ST segment had fallen back to baseline.

"Don't worry, it's fine." Tao Le comforted the patient, and said to the nurse on the side: "Stay for half an hour, and let him go home if there is no problem." ”

This is probably what patients want to hear. He let out a long breath and relaxed completely.

When Qiao Wei heard this, she couldn't help but interject: "Deputy Director Tao, I was too anxious just now, and I didn't explain the patient's situation clearly." ”

"He used to take medicine to control hyperthyroidism, but after a long time, his liver was damaged, so he was treated with iodine-131."

"I know." Tao Le nodded and said, "So, what do you want to say?" ”

"My suggestion is, should I ask the endocrinology department to come for a consultation?" Qiao Wei says:

"Moreover, this patient just had an ST-segment elevation myocardial infarction, and he was allowed to go back without any treatment, but I am afraid that it will be inappropriate, right?"

Tao Le glanced at her a few times, and the corners of his mouth slowly curved upward.

"I am very pleased that your suggestion is made from the perspective of being responsible for the patient."

She was obviously five years younger than Qiao Wei, but she habitually used the tone of a superior physician when she spoke.

"So, I'm also willing to share with you my experience in diagnosis." She said:

"Normally, the treatment of iodine-131 will not be effective at the first time, but there will be a certain lag."

"Five days is not a long time, and the patient may still be in hyperthyroidism. And the effect of hyperthyroidism on the heart, you should be very clear, right? ”

Qiao Wei couldn't help but be led by her, and replied seriously:

"Hyperthyroidism often causes rapid arrhythmias such as tachycardia, rapid atrial fibrillation, and may also cause hyperthyroid cardiomyopathy"

She frowned, feeling that the following words were on her lips, but she couldn't say them in a hurry.

"That's right, it's hyperthyroid cardiomyopathy." Tao Le nodded in affirmation, and said softly: "It will cause coronary spasm, which will then cause acute heartache with myocardial ischemia." ”

"I see." Qiao Wei's eyes lit up: "So on the ECG, when the chest pain is aggravated, it shows ST segment elevation, and when the spasm is relieved, the ECG returns to normal." ”

Tao Le patted her on the shoulder: "Very good." So what to do next, I don't need to say, right? ”

"If the diagnosis is coronary spasm, you can take oral calcium channel blockers, and the effect should be very good."

"There's nothing wrong with it." Tao Le walked out: "I'll leave it to you next." ”

"Thank you, Director Tao!" Qiao Wei said loudly behind her.

This new deputy director, with high medical skills, is kind, and willing to guide himself carefully, which is really a good leader.

Qiao Wei unconsciously threw aside the previous comparison thoughts.

Anyway, Dr. Shi, who has always felt very well, still has a pretty good eye.

It's just that she doesn't know why, she just thinks that Deputy Director Tao and Dr. Shi are not on the same level at all, and if she wants to eat this swan meat, she is afraid that there is little hope.

Yang Ruixue was a little absent-minded all afternoon. She didn't expect that the atmosphere of the Third Hospital in Beijing would be so fresh and refined.

Tao Le was young and occupied a high position, but no one raised objections, and he was disgusted.

caused such a serious negative public opinion, the leaders of the hospital didn't care, and the people in Corey spoke for her in various ways.

These people obviously don't know who Tao Le is, why do they fall to her on the ground?

What's more, they even ran in front of them and searched for news from side to side.

It's understandable to say that you want to inquire about this matter, but shouldn't you be aiming at what kind of person Tao Le is, how is his reputation in the hospital, and what is his work attitude?

Why is no one asking these key questions, but focusing on his own uncle?

Is the new dean incompetent? Not responsible? Not experienced in dealing with unexpected problems? Do you not care enough about the doctors in this hospital and like to put on an official tone? The list goes on and on.

In this case, Yang Ruixue was embarrassed to say that her relationship with Changqing was gone.

Despite this, she also tried her best to say good things for her uncle's various whitewashing.

But I don't know why, after everyone listened, they all left with thoughtful expressions, and they were no longer willing to talk deeply with themselves.

It was the first time that she had been so proud of her communicative skills that she had received such a cold reception.

The people in the Third Hospital of Beijing from top to bottom seem to her to be a little arrogant and not approachable at all.

Yang Ruixue followed Huang Liang and ran back and forth, while secretly sneering to herself.

At this time, she saw Qiao Wei helping a patient out of the emergency room.

She has a crush on the hospitalist, who has shown kindness to her, and sees her as the only person Corey can communicate with.

"Mr. Qiao." She stepped forward and said sweetly: "I'll help you, as the general hospitalist, you have too many things to do every day." ”

"It's fine." Qiao Wei was in a pretty good mood: "After Director Tao came, I was a lot more relaxed. ”

"Tao Le?" Yang Ruixue was a little confused: "Can she help you?" ”

Qiao Wei was stunned for a moment, looked at her seriously a few more times, and then said: "Director Tao's medical skills are profound, even if you just click a few words, you can also benefit people immensely." ”

"yes." The two nurses in the emergency room also came out and said with a smile: "Mr. Qiao, our new deputy director is really amazing!" ”

Yang Ruixue's face was a little stiff. "Really?" She said dryly.

"Of course. Aren't you from the same hospital, you should know better than we do? The other nurse said briskly.

Qiao Wei called her: "By the way, Xiao Yang, you come with me now and get a VR glasses." ”

"This is what Director Tao applied for to our department, and it is equipped with a free acupuncture and moxibustion pulse control and hemostasis tutorial, and I heard that there is also a gift of source energy."

(End of chapter)