I Can See Health

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Cheng Peng was stunned and didn't make any move at the moment.

"Hurry, fat man, act quickly." Xia Gang walked into the office, sat in front of the computer, opened the medical order system, and prepared to issue medical orders.

"Brother, no need." Cheng Peng hurriedly stepped forward and said, "I've already done an emergency blood test and called for an emergency consultation. Now I just have to communicate with my family about my condition."

"What? You, you did it all?"

When I opened the doctor's orders for bed 36, I saw that all the orders had been issued.

Xia Gang paused in his movements and turned back to look at Cheng Peng, with doubts in his eyes.

When did my fat junior brother become so smart?

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

"Yeah." Cheng Peng nodded.

No wonder he met Teacher Wang Jun in the elevator when he just went upstairs.

"What do you think, Teacher Wang?" Xia Gang asked.

"Teacher Wang has written his opinion in the consultation record. He is considering contrast-induced nephropathy and the possibility of acute renal failure. There is no special treatment at present. First, we will look at the results of the emergency renal function test, and then ask senior brother to communicate with the patient's family about the condition. The patient Emergency dialysis may be needed," Cheng Peng said.

When Xia Gang heard this, his expression was stunned.

"Teacher Wang knows this is my patient?"

"Well, I told him."

Xia Gang was a little confused. Why didn't Teacher Wang tell him about this in the elevator just now?

"Okay, then I will go and communicate with the family about the condition 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 you hadn't helped me just now, I really don't know what would have happened." 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 are all in 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, I received a +1 thank you from Cheng Peng!"

The fat man is really nice, and I gave him some gratitude points.

"But why do I feel that Senior Brother Xia has been undergoing surgery?" Lu Chen asked doubtfully, "Either he is undergoing surgery, or he is on the way to surgery."

Cheng Peng shook his head helplessly.

"Director Shao is engaged in coronary intervention, and Senior Brother Xia follows him, so naturally he mainly performs surgeries. The students below are responsible for everything in the ward. Senior Brother Xia will check the ward once a day. If there is a busy time, he will do the surgery at night. Come for ward rounds.”

"Oh." Lu Chen nodded.

Of the four chief physicians in the eighth district, the one he saw least often was Director Shao Jun.

Because Director Shao spends most of his time in the cath lab, he occasionally comes to the ward for a general round.

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

It's just that his face doesn't look good.

"Hey, the patient is too young, and his family members cannot accept the fact of renal failure." Xia Gang continued to Cheng Peng, "Fat man, we'd better wait for the results of renal function to come out first, and let the patient do an emergency urinary tract ultrasound. Let’s see what to do next.”

"Okay, senior brother."

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

Although renal failure caused by urinary tract obstruction has been ruled out, in general, ultrasound must be improved to avoid missing other diagnoses.

About twenty minutes passed.

Cheng Peng returned with 36 beds of patients.

The urinary tract ultrasound results showed that the size of both kidneys was normal and no obvious abnormalities were found. There were no obvious abnormalities in the bladder and ureters.

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

At this time, the patient’s urgent renal function test results also came out!

"36 beds of Yangsong, creatinine 540umolL!"

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

Kidney function increased directly from 150umolL to 540umolL in such a short period of time!

The system prompts that followed further proved this point.

"Congratulations, the system upgrade completion rate has increased by 7%!"

It’s really not easy. Once again, the diagnosis was correct and the system rewarded completion.

"Fat man, please call the nephrology department for emergency consultation." Xia Gang immediately ordered, "I'll go talk to the family about emergency dialysis."

"good."

The two immediately went their separate ways.

Wang Jun soon came to the eighth district in his heart.

"This patient has a stent inserted due to myocardial infarction. Dialysis in our department is very risky. I suggest that he go to CCU for dialysis. I remember that your CCU also has dialysis machines."

"Okay, Teacher Wang."

Xia Gang has reached an agreement with his family after communicating with them many times.

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

Without emergency dialysis, the patient's condition will deteriorate further at any time.

"I'll leave if it's okay."

Wang Jun didn't talk much to Xia Gang. He said hello to Sun Guoguo and then left.

Cheng Peng quickly contacted the CCU doctors and prepared 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 fourth floor.

…

"Senior sister, why do I feel that Teacher Wang doesn't seem to be too interested in Senior Brother Xia Gang?"

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

She had already noticed that Teacher Wang had a strange attitude towards Senior Brother Xia Gang.

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

"Junior sister, your feeling is right." Sun Guoguo said with a smile. Her gossip is not inferior to Ke Yue's. "Actually, Teacher Wang is also a cardiologist."

"Teacher Wang is a cardiologist?" Ke Yue was shocked.

"Yeah." Sun Guoguo whispered, "There is no conflict between Teacher Wang and Xia Gang, but what he doesn't like are the surgeons in the cardiology department. The general environment at that time was to compete with who had done more surgeries. After that, he left I went to cardiology and kidney surgery.”

Cardiology is different from other internal medicine.

Interventional surgery occupies a large proportion.

If a cardiologist can't intervene, he has almost no future.

Everyone has acquiesced a little bit.

In cardiology, if you want to continue to climb up, you need to learn intervention and stent placement!

Especially in the past few years in China, the annual number of cardiac interventions has increased exponentially.

Many patients with coronary heart disease require 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 an intervention in the cardiology department." Sun Guoguo asked doubtfully, "Why would Teacher Wang be disgusted with this?"

"It's not that he hates surgery, but he hates those who only think about surgery and ignore the most fundamental things in cardiology." Sun Guoguo sighed, "Teacher Wang once said something to me that I will never forget."

"He said that the most basic requirement for an excellent interventional cardiologist is to become an excellent general internist."

"Many cardiologists ignore this and drag patients into surgery every day."

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

"If more than twenty stents need to be placed, would it be better for patients like UU read www.uukanshu.net to undergo coronary artery bypass surgery?"

Sun Guoguo's words made Lu Chen on the side fall silent.

To be honest, a large part of his original intention of choosing cardiology was 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 it has saved many patients."

"But because of the issue of profit, it has definitely been abused."

"What Teacher Wang resents is this group of people who send all the patients for angiography. They forget that he is a cardiovascular physician, not just a surgeon."

For the convenience of reading next time, you can click "Collect" below to record this reading record (Chapter 164 The Surgeon? (First update)), and you can see it next time you open the bookshelf!

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