I raise the uncle so that he can be used for something.
Ring ring ring, the phone rings.
"Hello." Ren Zhelun picked up his cell phone.
"You said you arrived at our hospital?" came Boss Zhang's voice from the other side.
"What's the matter?" The second poisonous tongue didn't talk nonsense when talking to his teacher.
"Show me the person you brought." Boss Zhang said.
It seems that there is some opportunity for Ren Zhelun's students to show off their medical skills.
"Without Wanwan?"
Ouch, Wanwan called out. Boss Zhang coughed twice in succession, feeling frightened and choking.
After suppressing his coughing, Zhang Huayao said, "Isn't she on duty?"
"Do you know what kind of patient it is?" Ren Zhelun simply turned around and asked her.
When asked by Senior Brother Ren, Xie Wanying replied: "It's the silent hypoxemia patient we discussed at the previous meeting."
Ren Zhelun remembered and remembered the further examination she said she needed to do. It seemed that she had predicted it.
"Considering that the patient had already taken antibiotics yesterday, it may be a viral infection." Xie Wanying further added, "Next, the patient may be put on a ventilator and a bronchoscope to aspirate sputum."
These are all internal medicine jobs. What did Boss Zhang ask them to do?
Xie Wanying continued to speculate: "The patient's heart is not very good, maybe there is something wrong with the heart."
One of the rare cardiac complications of respiratory viral infection is the well-known myocarditis. The patient has heart and lung problems. What one can think of is that in addition to the ventilator, other life support methods may be used, that is, the ecmo just mentioned. But since I have talked about ecmo, I know that ecmo has many complications that are too harsh for the elderly, and its use may easily lead to death. Therefore, the successful rescue cases often mentioned in news reports occurred in patients who were not very old. Clinically, doctors also prefer to use it on young people who have a high chance of successful rescue.
For the elderly, the remaining remaining rescue measures include pacemakers. Is this also a job for internal medicine?
As mentioned before, pacemaker installation can be done through interventional catheter technology to install electrodes on the endocardium, or through surgery to install electrodes on the epicardium. Since the advent of vascular intervention, interventional surgery has quickly occupied this market with its unique advantage of less trauma, and has crowded out surgery. However, it cannot be said that surgical techniques are completely unnecessary in clinical practice.
This is the same as the treatment of myocardial infarction. Surgery is the backbone of internal medicine.
There is a failure rate for endocardial electrode installation. It is meaningless to talk about whether this probability is high or not. Once it fails on an individual, it is 100% no matter what.
The reason why Boss Zhang must run back is clear.
The patient's condition requires a temporary pacemaker, but in a rescue situation, the patient cannot go to the interventional room for this surgery. Physicians can only try to perform blind insertion on the patient, inserting wires and electrodes through the blood vessels without relying on instruments to install them on the endocardium. In the end, they may try repeatedly but fail, and it is not clear why they failed. Anyway, No success.
At this moment, a surgeon is urgently needed to remedy the situation.
Zhang Huayao, who was called back to the hospital, happened to hear that his most proud disciple had brought someone back and wanted to ask the disciple to come up for a consultation. The disciple is young and his hands-on ability should be stronger than his. By the way, he can see how much the disciple's abilities have improved after leaving Guozhi.
Thank you for your support! ! ! Good night, dears~
(End of chapter)
