Of course Qiao Wei knew that the patient had hyperthyroidism and was treated with iodine-131 in the hospital.
This is a common method for treating hyperthyroidism and thyroid cancer nowadays. It mainly uses iodine-containing radioactive substances, which has significant effects and few side effects.
This patient came to the hospital for infusions for many consecutive days precisely because of this treatment.
But the question arises: How did Deputy Director Tao know that the patient had hyperthyroidism and had received such treatment?
Is it possible that she can predict the future?
"Yes, doctor." The patient didn't think much and answered very simply: "I had iodine-131 treatment five days ago. I have been taking nutritional medicine these days, but unexpectedly I suddenly felt severe chest pain."
"Doctor, what do you think happened to me? Why am I suddenly fine again?"
He was nervously carried onto a flat car by a group of people and pushed to the emergency room just now. Thinking about it now, he still has lingering fears.
"It's not a big problem." Tao Le showed a gentle smile and ordered the nurse on the side: "Take another electrocardiogram."
The results of the electrocardiogram were as Tao Le expected, the st segment had dropped back to the baseline.
"Don't worry, nothing will happen." Tao Le comforted the patient and then said to the nurse on the side: "Keep him under observation for half an hour. If there is no problem, let him go home."
This is probably what patients most 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, you were too anxious just now. I didn't explain the patient's condition clearly."
"He used to take medicine to control his hyperthyroidism, but over time his liver was damaged, so he received iodine-131 treatment."
"I know." Tao Le nodded: "So, what do you want to say?"
"My suggestion is, should you ask the endocrinologist to come over for consultation?" Qiao Wei said:
"Moreover, this patient just suffered an ST-segment elevation myocardial infarction. Is it inappropriate to send him back without any treatment?"
Tao Le glanced at her for a few times, and the corners of his mouth slowly curved upward.
"Your suggestions are made from the perspective of being responsible for the patients. I am very pleased."
She is obviously five years younger than Qiao Wei, but she habitually uses the tone of a high-ranking doctor when speaking.
"So, I am also willing to share with you my diagnosis experience." She said:
"Normally speaking, iodine-131 treatment does not take effect immediately, but there will be a certain lag."
"Five days is not a long time. The patient may still be suffering from hyperthyroidism. You should be very clear about the impact of hyperthyroidism on the heart, right?"
Qiao Wei couldn't help being led by her and answered seriously:
"Hyperthyroidism often causes rapid arrhythmias such as tachycardia and rapid atrial fibrillation, and may also cause hyperthyroidism cardiomyopathy."
She frowned, feeling that the following words were on her lips, but she couldn't say them out in a hurry.
"By the way, it's hyperthyroid cardiomyopathy." Tao Le nodded in affirmation, and then said warmly: "It can cause coronary artery spasm, which can lead to acute heartache and myocardial ischemia."
"I understand." Qiao Wei's eyes lit up: "So on the electrocardiogram, when the chest pain worsens, it shows ST segment elevation. When the spasm is relieved, the electrocardiogram returns to normal."
Tao Le patted her on the shoulder: "Very good. Then I don't need to tell you what to do next, right?"
"If coronary artery spasm is confirmed, oral calcium channel blockers can be taken, and the effect should be very good."
"Nothing wrong." Tao Le walked out: "I'll leave the rest to you."
"Thank you, Director Tao!" Qiao Wei said loudly behind her.
This new deputy director has good medical skills, is kind, and is willing to guide me carefully. He is really a good leader.
Qiao Wei unknowingly put aside her previous thoughts of comparison.
In any case, Dr. Shi, who has always been very sensitive to himself, still has a very good vision.
But she didn't know why, but she just felt that Deputy Director Tao was not on the same level as Dr. Shi. If she wanted to eat this mouthful of swan meat, she would have little hope.
Yang Ruixue was a little absent-minded throughout the afternoon. She didn't expect that the atmosphere in Beijing's Third Hospital would be so fresh and refined.
Tao Le was young and occupied a high position, but no one raised any objections or resented him.
It aroused such serious negative public opinion, but the hospital leaders didn't care, and people in the department also spoke for her in various ways.
These people obviously don't know who Tao Le is, so why do they turn to her one-sidedly?
What's more, they went to him specifically to inquire about information.
There is nothing wrong with inquiring about this matter, but shouldn't your target be aimed at what kind of person Tao Le is, what is his reputation in the hospital, and what is his work attitude?
Why is it that no one cares about these key issues, but instead focuses on his own uncle?
Is the new dean incompetent? Not responsible? Don’t have much experience in handling emergencies? Do you not care enough about the doctors in our hospital and love to be official? There are many kinds of them.
Under this situation, Yang Ruixue was embarrassed to talk about her relationship with Chang Qing.
Even so, she did her best to try her best to say good things to her uncle.
But I don’t know why, after everyone listened, they all left with thoughtful expressions and no longer wanted to talk to themselves in depth.
This was the first time that her communication skills, which she had always been proud of, received such a cold reception.
In her opinion, the people in the Third Hospital of Beijing, from top to bottom, were a bit arrogant and not approachable at all.
Yang Ruixue cursed secretly as she followed Huang Liang back and forth.
At this time, she saw Qiao Wei supporting a patient and leaving the emergency room.
She always had a good impression of this resident who had been kind to her and regarded her as the only person with whom Corey could communicate.
"Mr. Qiao." She stepped forward and said sweetly, "Let me help you. As the general resident, you have too many things to do every day."
"It's okay." Qiao Wei was in a good mood: "I felt a lot more relaxed after Director Tao came."
"Tao Le?" Yang Ruixue was a little confused: "Can she help you?"
Qiao Wei was stunned for a moment, then looked at her carefully, and then said: "Director Tao has profound medical skills. Even a few casual words can benefit people a lot."
"Yes." The two nurses who were in the emergency room also came out and said with a smile: "Mr. Qiao, our new deputy director is really awesome!"
Yang Ruixue's expression was a little stiff. "Really?" she said dryly.
"Of course. Aren't you from the same hospital? You should know better than us." Another nurse said briskly.
Qiao Wei called her and said: "By the way, Xiao Yang, come with me now and get a pair of VR glasses."
"This is what Director Tao applied for to our department. It comes with free tutorials on acupuncture, pulse control and hemostasis. I heard that there is also free source energy."
(End of chapter)
