Doctor Started a Plug-in

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Eastern University First Hospital Department of Cardiothoracic Surgery.

9% at 100pm.

Through the window, you can see the prosperity of this city.

Chen Cang followed Ge Huai and Meng Xi just returned to the doctor’s office from the Operation Theatre. From 6 pm to now, Ge Huai followed Meng Xi to perform 2 operations. To be more precise, Ge Huai helped Meng Xi to do 2 Taiwan surgery, as for Chen Cang ……Chen Cang assists are not counted, at most a glance assist.

Chen Cang found that the higher the participation in surgery, the more likely he was to “learn” the skills of Chief Surgeon.

Don’t call stealing, call learning.

The odds of 5% seem to be very high, but Chen Cang estimated this time for a long time, and this ratio will change.

If you have a high degree of participation and make a lot of effort for this surgery, you will have a high probability of surgery, such as the original finger bone fracture surgery.

But assists like this look are really annoying, and the percentage of people who want to acquire skills is too low.

Actually, it wasn’t Chen Cang who didn’t want to do it. Chen Cang also wanted to…

But in the final analysis, it was mainly because of the mistrust of Meng Xi and Ge Huai.

After all, you, a student, want to get started just a few days later. This is unlikely, and everything needs a gradual process.

This made Chen Cang feel very helpless. After all, if he didn’t get started, there would be no way to learn surgery.

Surgery, no hands, how to learn technology!

And there is no way to improve favorite impression!

The favorable impression degree now stays at 20 and cannot be improved.

Chen Cang is a little confused. This skill has to be acquired by favorite impression. What is his 20-point favorite impression?

Department of Cardiothoracic Surgery As a more professional department, the start of Secondary Grade Surgery is basically Tertiary Grade Surgery, Primary Grade Surgery …… This is not a calf!

Chen Cang increasingly feels that life is deceiving him.

……

……

Three people were sitting in the doctor’s office. Ge Huai was excited about Meng Xi’s operation. Meng Xi listened, seldom talked, and occasionally nodded or commented.

And…Chen Cang’s participation is extremely low, the sense of existence is meager…

The so-called do not understand BB, Chen Cang implemented this theory very essence.

Seeing that the operation was over, Chen Cang was about to get up and leave.

Just as Chen Cang was about to leave, the doctor’s office phone rang and Ge Huai hadn’t had time to answer the call. The call sound had stopped. It should be the nurse’s station.

The doctor’s office phone and nurse station phone are connected.

One minute later, the nurse came in, looked around the office, saw Meng Xi and the others, curiously said, “Director Meng, who is on duty today?”

Meng Xi shook his head and looked at Ge Huai: “Doctor Ge, who is on duty today?”

Ge Huai hurried to the front of the watch and looked at it: “Today is Doctor Yao, I think it’s time to change the medicine.”

Meng Xi shook his head: “No more.”

After talking, Meng Xi looked at the nurse: “What’s wrong? Xiaoli.”

The nurse Xiaoli said: “I just sent a patient in the emergency department. The chest pain is suspected to be a heart problem. Let the Doctor of our department go to the consultation.”

Meng Xi got up and moved towards the outside directly: “I’ll go.”

Chen Cang nodded, quickly followed Meng Xi moved towards the outside.

Ge Huai also followed Chen Cang down.

At the emergency department, after seeing Meng Xi, the nurse quickly said, “Director Meng, you are here. The Patient is in the emergency room now.”

Meng Xi nodded, moved towards inside.

The on-duty doctor saw Meng Xi coming, and his eyes lit up. The female Ph.D is now an influential figure at Eastern University First Hospital.

Not to mention the halo blessings of world famous schools.

After Meng Xi came to Hospital, swift and decisive’s work style, as well as strict self-interest work attitude, accurate diagnosis and master’s surgery have already convinced most people.

Not only are they talented, they look so beautiful, but they still work so hard and have strong abilities.

How can such a person be unpopular.

Doctor Wu Peng of the emergency department said directly: “Director Meng, you haven’t got off work yet!”

For these nonsense, Meng Xi did not answer, but directly said: “What about the Patient.”

Suddenly, Wu Peng said quickly: “Patient male, 51 years old. Sudden squeeze pain in the chest area 3 days ago! Obviously behind the sternum, with typical pulling pain and radiation pain, radiating to the neck and back, Sharp pain is the main cause, not taken seriously, and it is getting worse today… a bit like a heart attack!”

When these symptoms are mentioned, it is obvious that people should be taken in the direction of acute myocardial ischemia, like angina pectoris and Myocardial Infarction in coronary atherosclerotic heart disease.

Meng Xi walked directly to the Patient, looked at ECG monitoring, and then walked to the man, seeing the man’s consciousness.

“Has the ECG been done?”

Wu Peng hurriedly took the electrocardiogram in his hand: “Here, it is not like a myocardial infarction.”

“Before coming, Patient had taken nitroglycerin by mouth, but the effect was average, and chest pain did not ease.

Wu Peng is not specialized in cardiology. He can recognize and distinguish some of the electrocardiogram emergencies, but it cannot accurately distinguish those special abnormal electrocardiograms or more common electrocardiograms.

Meng Xi took a look at the electrocardiogram, slightly frowned, nothing is typical, but… wrong!

Meng Xi suddenly noticed a detail, the offset of the PR segment.

This is a typical difference from Myocardial Infarction and early repolarization syndrome!

Is it… acute myocarditis?

After a closer look, there is no abnormal Q wave, and the ratio of ST and T is about 1/4.

A few days after the attack…

All clues point to an answer!

It may be acute pericarditis.

Thinking of this, Meng Xi took off the stethoscope around his neck and put it on, and placed it in the front area of ​​the Patient’s heart to listen.

Pericardial friction sound…

Sure enough, there is!

With the ups and downs of breathing and the continuous heartbeat, Meng Xi heard a slow pericardial friction sound.

Most likely is pericarditis.

Thinking of this, Meng Xi looked at Wu Peng: “I suspect pericarditis now, but myocardial infarction cannot be ruled out. Does the Patient check myocardial enzymes?”

As soon as Wu Peng heard it was myocarditis, he immediately reacted: “Myocardial enzymes came to Hospital and they were checked. Nothing happened.”

At this time, Patient suddenly said: “Doctor, I feel a little chest tight, and I breathe a little harder.”

Meng Xi slightly frowned: “Let the B ultrasound by the bed and see if there is any exudate.”

As soon as Wu Peng heard it, he was nodded and arranged for a consultation in a hurry.

At this time, Meng Xi suddenly turned to stare at Chen Cang: “Aren’t you in the emergency department? Can you judge acute myocarditis?”

Chen Cang stunned: Who do you look down on!

[Ding! Trigger the test of Meng Xi, the first ring, analyze the condition! 】