I Can See Health

   Chapter 164 Surgeon? (first update)

  Cheng Peng was stunned for a while, but did not act at the moment.

   "Quick, Fatty, hurry up." Xia Gang walked into the office, sat in front of the computer, opened the doctor's order system, and prepared to place a doctor's order.

   "Senior brother, no need." Cheng Peng quickly stepped forward and said, "The blood has been checked urgently, and the emergency consultation has been invited. Now it is left to communicate with the family members about the condition."

   "What? You, you did it all?"

   Opened the doctor's order for the 36-bed, and saw that the doctor's order had already been issued.

   Xia Gang's hands stopped for a moment, then turned to look at Cheng Peng with doubts in his eyes.

  My fat junior brother, when did you become so clever?

   "Did Teacher Wang come to the emergency consultation just now?" Xia Gang asked.

   "Well." Cheng Peng nodded.

   It's no wonder that when he just went upstairs, he ran into Mr. Wang Jun in the elevator.

   "Teacher Wang, what's your opinion?" Xia Gang asked.

"Mr. Wang has written his opinion in the consultation record. Considering contrast agent nephropathy, there is the possibility of acute renal failure. There is no special treatment at present. First, look at the results of the emergency examination of renal function, and then ask you to communicate with the patient's family about the condition. Emergency dialysis may be needed." Cheng Pengdao.

   Xia Gang heard the words, and his expression was stunned.

   "Mr. Wang knows that this is my patient?"

   "Well, I told him."

  Xia Gang was a little confused, why didn't Teacher Wang tell him about it in the elevator just now?

   "Okay, then I'll go talk to my family about my illness first."

   Let go of your doubts.

   Xia Gang walked out of the doctor's office and went to communicate with the patient's family about the condition.

  …

doctor's office.

   "Lu Chen, if it wasn't for your help just now, I really didn't know what to do for a while." Cheng Peng came to Lu Chen's side, "I can only wait for Senior Brother Xia to return to the ward."

   "It's okay, we all belong to the same department." Lu Chen smiled.

   When he first came to the department, Senior Brother Xia Gang also helped him a lot.

   The system pops up a prompt.

   "Congratulations, +1 for receiving thanks from Cheng Peng!"

  The fat man is really nice, and I gave him a little thank you.

   "But why do I think Brother Xia has been performing surgery?" Lu Chen wondered, "either during surgery, or on the way to surgery."

  Cheng Peng shook his head helplessly.

"Director Shao is engaged in coronary intervention, and Senior Brother Xia follows him, naturally he is mainly doing surgery. The ward is in charge of the students below. Senior Brother Xia will check the room once a day. If it is busy, it will be done at night. Come check the room."

   "Oh." Lu Chen nodded.

   Of the four chief physicians in the eight districts in his heart, the least he saw was Director Shao Jun.

   Because Director Shao is almost always in the catheterization room, he occasionally comes to the ward for a big round.

   After chatting with Cheng Peng, Xia Gang also walked back from the ward.

   It's just that his face is not very good-looking.

"Hey, the patient is too young, and the family can't accept the fact of renal failure." Xia Gang continued to Cheng Peng, "Fatty, let's wait for the results of renal function first, let the patient have an emergency urinary system ultrasound, and then Let's see what to do next."

   "Okay, brother."

  Cheng Peng immediately opened the ultrasound application form, and then pushed the patient out for a urinary ultrasound.

  Although renal failure caused by urinary tract obstruction has been ruled out, conventionally, ultrasound should be perfected so as not to miss other diagnoses.

   About twenty minutes passed.

  Cheng Peng came back with 36 patients.

  Urinary ultrasound results showed that the size of both kidneys was normal, and there was no obvious abnormality in the rest. The bladder and ureter were unremarkable.

   Ultrasound results further ruled out the possibility of post-renal renal failure.

   At this time, the renal function results of the patient's urgent examination came out!

   "36 beds of Yangsong, creatinine 540umol/L!"

   Turning on the laboratory system, when Lu Chen saw this kidney function report, he knew that his diagnosis should be correct.

   Kidney function has risen from 150umol/L to 540umol/L in such a short period of time!

   The following system prompts prove this point.

   "Congratulations, the system upgrade completion rate has risen to 7%!"

   is really not easy, the diagnosis is correct again, and the system rewards completion.

   "Fatty, please ask the Nephrology Department for emergency consultation again." Xia Gang immediately ordered, "I'll go talk to my family about emergency dialysis."

"it is good."

   The two immediately split up.

  Wang Jun soon came to the eight districts in his heart.

   "This patient has a stent because of myocardial infarction. If he is on dialysis in our department, the risk is high. I suggest going to CCU for dialysis. I remember that your CCU also has dialysis machines."

   "Okay, Mr. Wang."

  Xia Gang has negotiated with the family after many times of communication with the family.

   At this time, the family members do not accept the reality of acute renal failure, so they have to accept it.

   If emergency dialysis is not performed, the patient's condition will deteriorate further at any time.

   "I'll leave if I'm fine."

  Wang Jun and Xia Gang didn't say much, they said hello to Sun Guoguo, and he left.

  Cheng Peng soon contacted the CCU doctor and planned to transfer Yang Song to CCU for dialysis treatment.

   Xia Gang personally pushed the hospital bed and sent Yang Song to the CCU on the 4th floor.

  …

   "Senior sister, why do I feel that Teacher Wang doesn't seem to have a cold heart with Brother Xia Gang?"

  After Xia Gang left, the fire of gossip in Ke Yue's heart began to burn again.

   She had already seen that Teacher Wang's attitude towards Senior Brother Xia Gang was strange.

  Lu Chen also pricked up his ears, he was also very interested in this.

   "Junior sister, your feeling is right." Sun Guoguo laughed, her gossip heart was not inferior to Ke Yue at all, "Actually, Teacher Wang is also a cardiologist."

   "Mr. Wang is a cardiologist?" Ke Yue was astonished.

"Yeah." Sun Guoguo whispered, "Mr. Wang and Xia Gang have no conflict, but what he doesn't like are those surgeons in the Cardiology Department. The general environment at that time was to do more operations than anyone else, and then he left. I went to the cardiology department and went to the kidney."

  Cardiology is different from other internal medicines.

  Interventional surgery occupies a large proportion.

   A cardiologist who doesn't intervene has almost no future.

   Everyone also tacitly agreed.

   In Cardiology, if you want to continue to climb, you need to learn to intervene and put stents!

  Especially in the past few years of Huaxia, the annual cardiac intervention volume has increased exponentially.

  Many patients with coronary heart disease have more than one stent.

   As few as two or three, as many as twenty or thirty!

   "Senior sister, it should be a normal thing to do intervention in the Cardiology Department." Ke Yue wondered, "Why does Teacher Wang dislike this?"

   "He is not disgusted with surgery, but with those who only think about surgery and ignore the most fundamental things in cardiology." Sun Guoguo sighed, "Mr. Wang once said something to me, which I will never forget."

   "He said that the most basic condition for an excellent interventional cardiologist is to become an excellent major physician."

   "Many cardiologists ignore this and pull patients for surgery every day."

   "Do many coronary heart disease patients meet the standard for stent placement? Do they really need stent placement?"

   "If more than 20 stents need to be placed, wouldn't it be better for this kind of patient to have coronary artery bypass surgery?"

   Sun Guoguo's words made Lu Chen beside him silent.

   To be honest, a large part of the reason why he chose Cardiology is also because of cardiac intervention.

   His goal is also to intervene.

  Sun Guoguo's words continued to ring in his ears.

   "There is nothing wrong with cardiac intervention, and many patients have been saved."

   "But because of interest, it was definitely abused."

   "Mr. Wang is disgusted by such a group of people, taking all the patients for angiography. Forgetting that he is a doctor of cardiovascular medicine, not just a surgeon."

   (end of this chapter)