I Have Unlimited Magic Skills

"Young man, our argument is meaningless. I will do interventional and thrombolytic therapy for the patient first. After that, the patient's heart ejection ability will naturally increase."

Professor Song Bo has rich experience in diagnosis and treatment, and he speaks with great confidence.

Li Quan didn't say anything more.

Professor Song Bo first gave the patient urokinase, which is a commonly used thrombolytic drug. Especially when treating myocardial infarction patients, it is used more often.

Cardiac angiography revealed a white dead plaque near the left coronary artery of the heart.

It is here that blood clots occur.

If you observe carefully, you can find that the artery is atherosclerotic.

After thrombolysis, the situation is still not ideal.

Professor Song Bo's forehead was already sweating.

"It seems that a percutaneous coronary intervention must be performed immediately for the patient." In fact, in this case, it is better to directly perform interventional treatment and implant a stent.

Professor Song may be out of consideration of saving costs for patients, so he tried drug thrombolysis first.

Interventional therapy is actually surgery.

And it belongs to high-precision, minimally invasive surgery.

Its benefits are self-evident, efficient, fast, and far less harmful to patients than major surgery. Patients also recover more quickly.

But it costs more.

...

Professor Song Bo's medical skills are beyond doubt, and the interventional therapy has been very successful.

A stent was implanted at the patient's hardened and weakened coronary artery to restore the flow of the nearly blocked artery.

The bleeding ability has been greatly improved.

At this point, it stands to reason that the treatment is very successful, and the patient's condition will definitely improve quickly and wake up.

It's just that the anesthetist is staring at the screen of the monitor,

His brows were furrowed tightly.

"The patient's pulse has not recovered, his blood pressure is low, and he is still in a deep coma."

The anesthesiologist's words were equivalent to pouring cold water on Professor Song Bo's head in a tactful manner.

All his joy after successfully completing the interventional treatment was drowned out.

Professor Song Bo frowned, concentrating on how to treat the disease next.

After a short thought, he said to the nurse.

"Give the patient a shot of dopamine to raise blood pressure."

Dopamine is the most abundant catecholamine neurotransmitter in the brain. It is produced in abundance when people feel pleasure. It can get people excited.

The dopamine hormone extracted by people is often used to boost the blood pressure of some emergency patients with low blood pressure.

"I don't recommend the use of vasopressors." Li Quan should not have interfered, because Professor Song Bo is now treating patients. But for the safety of the patient, even if he offends Professor Song Bo, he must be the villain.

"Please tell me your reason." Professor Song Bo's face was sullen.

The patient's condition is still not optimistic, and he must be in a bad mood.

Finally, he came up with a way to save the patient, and in theory, giving the patient a booster would not pose any risk at all.

Now Li Quan blatantly vetoed his doctor's order, which made Professor Song Bo very upset.

"First of all, even if a vasopressor is used, the patient's blood pressure is still unlikely to increase too much. The pulse also cannot go up. Secondly, if you have to use it, it is likely to cause poisoning to the patient. Because after the patient is unconscious, the first aid Already pushed two shots of adrenaline."

Li Quan showed the patient's medical records.

"Ah... is this true?" Professor Song Bo couldn't help breaking out in a cold sweat.

"It's true! The doctor in the ambulance who received the treatment at that time gave the patient two epinephrine first aid." The person who spoke was a nurse in her forties.

It could also be the nurse in charge, or even the level of the head nurse.

Those who can enter the operating room are all the elite of the elite.

"Dean Li, thank you for your reminder." Professor Song Bo felt like he was alive after a catastrophe.

The famous name of the first life was almost destroyed in one day.

After adrenaline is used, it will stay in the body for a period of time, and it will take a long time for it to be metabolized by the body.

If vasopressors are used at this time, the patient will suffer drug poisoning.

Epinephrine and vasopressors cannot be used at the same time, which is the knowledge that doctors should master.

Professor Song Bo naturally knew this taboo.

After he gave the patient drug thrombolysis and interventional therapy just now, the patient's condition still did not improve, which made him a little anxious.

When people are in a hurry, it is easy to make mistakes.

He forgot to check which drugs the patient had taken before, and blindly prescribed a booster agent to the patient, which almost caused a big mistake.

Thinking of this, Professor Song Bo felt ashamed.

"President Li Quan, please tell us your medical opinion."

Professor Song Bo put down his airs and face, and asked Li Quan humbly.

"I think the patient's weak pulse, lower than heart rate, and low blood pressure are due to heart failure." Li Quan said with a straight face.

"You mean the patient suffers from heart failure?"

Professor Song Bo's eyes lighted up slightly.

Director Pi, who was standing not far away, also showed a thoughtful expression, and when he looked at Li Quan, there was a hint of appreciation in his eyes.

Nurses and anesthesiologists also took a high look at Li Quan's diagnosis and treatment opinions.

Even Professor Chi Zhiyin, the Provincial People's Hospital who was eliminated the first time, looked at Li Quan with admiration.

Insufficient heart ejection, it is easy for everyone to think of the cause of heart failure.

It was only because when the patient was sent, after examination, he was diagnosed with acute myocardial infarction.

So everyone fell into thinking myopia and didn't think in other directions.

It's like we hold an item in our hands, but we are all over the house looking for it.

"If the patient is really accompanied by heart failure, the cause must be found out and treated." After Professor Song Bo finished speaking, he looked at Li Quan.

"The patient should have right heart failure! You can see that the patient's neck veins are distended and filled. Then the patient's feet have slight edema. These symptoms are common phenomena of right heart failure."

Li Quan expressed his further diagnosis opinion with reason and evidence.

From diagnosing the patient's heart failure to further identifying the patient as having right heart failure, Li Quan did not use any equipment, but only by taking the patient's pulse and observing the diagnosis, he made the diagnosis.

This kind of ability is enough to make several experts present feel ashamed.

Although they have rich experience in diagnosis and treatment and are well-known all over the country, their eyesight is much worse than that of Li Quanke.

Before Li Quan said it, none of them thought that the patient's low pulse was caused by heart failure.

"Do a cardiac catheterization for the patient immediately." It was Director Pi who spoke this time.

As an examiner, you must be responsible for the patient's life.

After observing the patient carefully, he found that the symptoms mentioned by Li Quan were more obvious. Basically, it can be determined that the patient is indeed with right heart failure.

However, medicine is a rigorous subject, and a series of examinations must be done before a diagnosis can be made.

A diagnosis cannot be made based on some symptoms alone.

Soon, the cardiac catheterization was completed.

Sure enough, as Li Quan said, the patient had right heart failure.

"Young man, come and treat the patient!" Director Pi should have some friendship with Professor Song Bo, and when he said this, he deliberately glanced at Professor Song Bo.

The two make brief eye contact.

Suggesting that Li Quan should be treated would be tantamount to eliminating Professor Song Bo.

Professor Song Bo's face was somewhat uncomfortable.

"Or let Professor Song treat you! I am not as good as you old experts in terms of experience and skills." Li Quanqian gave way.

Save some face for these two old experts, so we can meet each other in the future.

The real king is one who can win but does not have to win.

Many martial arts masters are clearly able to defeat each other in the competition, but they often just click to the end.

This kind of demeanor that only masters have can also be applied to doctors.

"Dean Li, my old Song has rarely admired others in my life, and you are one of the few." When Professor Song Bo looked at Li Quan, his expression and eyes were full of kindness. "The purpose of our doctors is to cure patients. I think your medical skills are extremely high. Let's consult together."

"Yes, Lao Song's suggestion is very good. It is right for everyone to consult together and cure the patient as soon as possible." Director Pi's name for Professor Song has changed.

Call him Lao Song directly.

Sure enough, as Li Quan observed, the two knew each other and should have a certain friendship.

In fact, to reach their level, there must be some medical exchanges in normal times.

"That's fine, I'll listen to the two seniors. I suggest that the patient be checked for hyperthyroidism first." There is a reason for Li Quan to say this.

There are many causes of right heart failure in patients, such as diabetes, hyperthyroidism and so on.

In fact, these diseases can be cured or controlled as long as they are treated in time.

Will not cause serious harm to the body.

This patient's illness was completely dragged out.

The coronary arteries have hardened into atherosclerosis, and the patient must have palpitations, shortness of breath, and angina. If he could go to the hospital for an examination in time, he would not have almost lost his life.

Acute myocardial infarction, if the rescue is not timely, the probability of death is very high.

"President Li thinks that the patient's right heart failure is related to hyperthyroidism, how did he know it?" Professor Song asked.

"I just saw that the patient's neck is a bit thick, so I made this suggestion." Li Quan did not say that his inspection skills have reached the level of a master, and he can see potential diseases and lesions that other doctors cannot see.

After Professor Song Bo checked the patient for hyperthyroidism, he miraculously found that Li Quan was diagnosed correctly again.

The patient's hyperthyroidism far exceeds the level of normal people.

Once the cause is identified, it is easy to treat.

Only symptomatic treatment is required.

...

When Li Quan came out of the operating room and returned to the arena with Professor Song Bo and others, he once again enjoyed the much-anticipated treatment.

For this question, he has contributed a lot.

"Principal Li, let's get in touch more in the future when we have time, and exchange more medical questions." People like Professor Song Bo rarely take the initiative to flirt with others.

At this moment, the two were about to return to their respective areas, and he took the initiative to ask Li Quan to communicate more.

"As long as you are not afraid of being disturbed by me, I will be extremely happy to communicate with a top expert like you." Li Quan happily agreed with a smile.

"Haha, then we can make a deal. You leave the phone to me." Professor Song Bo laughed.

Li Quan left the phone to the other party.

Jin Leiming next to him stared hotly.

He also wanted to establish some friendship with Professor Song Bo, and he could also ask Professor Song for advice when encountering difficult and miscellaneous diseases in the future.

It's just that Professor Song didn't even look him straight.

Now if you rush to have sex now, people may not agree to it.

Jin Leiming was also smart, so he hurriedly looked at Li Quan for help. Blinking at Li Quan, a pitiful expression appeared on his face.

Li Quan was slightly taken aback.

Why is Director Jin blinking at me?

Immediately, he caught a glimpse of Jin Leiming looking at Professor Song Bo with flattering eyes, and immediately understood a little.

"Professor Song, when it comes to surgical skills, I'm just a late learner. This director Jin Leiming is the chief physician of the general surgery department of our Huier Hospital. His surgical skills are quite good. Before he came, he I really want to know you..."

Li Quan smiled and said good things for Jin Leiming.

Create opportunities for climbing.

"Oh, that's right!" Professor Song looked at Jin Leiming.

"Professor Song, I wonder if I could have the honor to meet you. In the future, if I have any medical problems that I don't understand, I can ask you for advice?" Jin Leiming's shoulders slumped, and he bent slightly.

A very humble gesture.

"No problem, you can ask Dean Li for a call. If you have any medical problems in the future, let's discuss together." Professor Song did not refuse, and readily agreed.

This is probably because of Li Quan's face.

Jin Leiming was overjoyed and thanked repeatedly.

After they returned to their seats, the host announced the judges' ratings for the three contestants.

Professor Song Bo got two points, Jin Leiming from Huier Hospital got two points, and Professor Chi Zhiyin from the Provincial People's Hospital got only one point.

With Jin Leiming's performance, he definitely won't get two points.

Half of the credit for this belongs to Li Quan.

"Next, please answer the 12th question this morning." Just as the host finished speaking, a patient appeared on the big screen.

It looked like gold paper, very gray, lying on a makeshift flat bed, motionless.

The patient's eyes were closed tightly, as if he were a dead man.

The patient was very young, only twenty-seven or eight years old, and she was a woman.

"Let me answer! The patient has fulminant myocarditis and must be treated immediately."

Jin Leiming was actually the first to answer again.

I have to say that Jin Leiming's skills and abilities are quite good. It's just that sometimes I'm a little arrogant.

"I also support the diagnosis of fulminant myocarditis." The second person to answer was a doctor from Yuanyang Hospital.

Looking at the Huier Hospital, which was not as good as him, he frequently exerted his strength and stole the limelight. Yuanyang Hospital is really in a hurry.

If this trend continues, the reputation of Sino-Ocean Hospital will plummet.

This is not a good thing.

You must seize the few remaining opportunities to answer questions and get more points.

"I think the patient should have died suddenly, and the possibility of explosive myocarditis cannot be ruled out. If it is rescued, ECMO should be used immediately."

The one who stood up to answer this time was the Chief Physician of the Critical Care Medicine Department of Beijing First Hospital.

Undoubtedly, because of its strong medical team, advanced and well-organized high-tech treatment and inspection equipment, the Department of Critical Care Medicine of Beijing First Hospital should treat the most patients with such sudden death.

Because such critically ill patients nearby are usually sent to them for rescue.

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