Chapter 106: The Rare Graduate Student
"If this continues, he will only become more and more painful. I must take him back for treatment." Seeing the pain on the patient's face, the young man knew that the myocardial ischemia caused by coronary artery occlusion was further aggravating.
This time Wu Xiangdong did not refute him, but nodded in agreement: "You are right, his situation does need to be dealt with."
As soon as these words came out, the young man immediately became energetic. He mistakenly thought that Wu Xiangdong agreed to his suggestion, so he grabbed the bed and walked out the door.
However, his arm was grabbed again, and this time the person who stopped him was Wu Xiangdong himself.
When the young man saw this, he felt a surge of anger from the soles of his feet directly to Tianling Gai. His eyes were red and he said angrily: "You have repeatedly stopped me from saving people. Do you know this is murder?"
At this time, the young man did not care about the gazes of everyone present. He looked around with fire in his eyes and sternly accused: "My postgraduate major is cardiovascular disease. I can even tell you clearly that in this hospital, No one knows this better than me."
The slightly arrogant words came out of the young man's mouth, especially when he emphasized his graduate degree, and everyone present reacted.
As a living fossil of the hospital, Wan Zhihua suddenly realized: "Some time ago, I had been hearing that our hospital had recruited a graduate student. I was quite curious at the time. I didn't expect that this person was actually you."
After Wan Zhihua's reminder, everyone finally understood and suddenly looked at the young man with different eyes.
No wonder he was so confident just now. He turned out to be a graduate student from a medical school. You should know that in this era, their academic qualifications are generally not high.
There are many technical secondary schools and junior colleges. If you graduate with a bachelor's degree, it is something to be proud of in every country.
As for graduate students, they are very rare. Let alone seeing them, they would never dare to think about them.
Because of this, the young man has the confidence to stand in front of a group of people who are senior to him and point here and there, because he knows that he has this ability.
So his unruly words rang out again, "Don't ruin the patient's life because of your own ignorance. I'm here to help you, do you understand?"
He looked down at everyone, his arrogant look making people gnash their teeth in hatred, but just when he thought he had shocked the group of people in front of him, Wu Xiangdong spoke.
"Your academic qualifications seem to be quite good, but how are you going to provide thrombolysis to patients after you return?"
Wu Xiangdong looked at the confident young man in front of him and decided to teach him a lesson.
So Wu Xiangdong said: "You are going to inject 1.5 to 2 million units of urokinase into the patient's body through intravenous injection within 30 minutes to break down the fat and platelets in his blood clot."
"I still want to drip 1.5 million units of streptokinase within 60 minutes, and always pay attention to his chills, fever and other allergic reactions."
“Or is it possible to use recombinant tissue plasminogen activator in combination with oral antiplatelet drugs aspirin and clopidogrel bisulfate to treat clogged blood vessels?”
As soon as this statement came out, the young man was completely shocked.
At first, the young man thought Wu Xiangdong was showing off, but when he accurately stated the dosage, usage, and concentration of the medicine, he began to panic.
"You, how do you know my treatment plan?!" The young man stared in disbelief, but Wu Xiangdong easily told him all the treatment plans he knew.
Even he, a graduate student in cardiology, had never been exposed to the last option, but how could the doctor in front of him, who majored in surgery, know it so well?
For the first time in his life, the young man felt a deep sense of frustration. However, Wu Xiangdong's next words were deeply engraved in his mind and would not go away for a long time.
"The thrombolytic treatment you mentioned is indeed effective for ordinary patients with myocardial infarction, but a large amount of clinical experience has confirmed that there are 10%-20% of patients for whom this method is ineffective."
"Even when you insist on intravenous thrombolytic treatment, the symptoms of myocardial infarction will not only not be relieved, but will also cause bleeding in other parts of his body."
"After all, the biggest risk of intravenous thrombolysis treatment is bleeding. If it really comes to that point, do you think thrombolysis will save or harm patients?"
Wu Xiangdong's words were like a heavy hammer hitting the young man's chest, especially the last question that almost made him suffocate.
"How could this be possible? I treat patients according to the latest guidelines. It is impossible for the situation you mentioned to happen." The young man murmured to himself. At this time, he was already feeling guilty.
Although he verbally refutes Wu Xiangdong's views, he knows better than anyone the contraindications of intravenous thrombolytic treatment.
If what Wu Xiangdong said really happened, the patient might die suddenly due to bleeding from multiple organs at the moment he took the medicine.
And this ending is obviously unacceptable to the young man.
Seeing that the young man remained silent, Wu Xiangdong knew that his words had an effect, so he was ready to add fuel to the fire.
"The guidelines you mentioned may be the latest treatment plan this year, but as far as I know, there is a more advanced method that can not only avoid the occurrence of what I just mentioned, but also more effectively alleviate the symptoms of myocardial infarction in patients."
After Wu Xiangdong said these words, not only the young man, but also everyone present was attracted to him.
"This is impossible. I remember that apart from drug thrombolysis, the only remaining option was coronary artery bypass surgery." Apparently, the young man was hesitant about Wu Xiangdong's remarks.
Because he knew that the advanced method Wu Xiangdong mentioned definitely did not include bypass surgery, because this kind of surgery involving open heart was already the highest level of the fourth category of surgery.
It not only places extremely high demands on the surgeons, but also on the patients. As far as he knows, there is no hospital in Hamada that can perform such complex heart surgeries.
However, at this moment, Dr. Kong from the radiology department, who had been silent, suddenly thought of something. He looked at Wu Xiangdong with an expression of disbelief: "You just kept asking me to open the instrument and get the materials. Could it be that you wanted to do it to the patient?"
Cardiovascular angiography."
As soon as this statement came out, everyone was stunned. Most of the people present here were doctors who had been working for many years. When Dr. Kong raised his doubts, everyone instinctively thought of this method and were immediately shocked.
At this time, Wu Xiangdong seemed very confident.
He nodded and affirmed: "You are right. I came to you just to do cardiovascular angiography for the patient. Not only can it help me understand the blood supply problem of the patient's entire heart more intuitively, but it can also help me find out.
Chapter completed!