Chapter 4230【319】Head-on confrontation
Xie Wanying knew without thinking that there was a high probability that senior brother and the others would be led in a certain direction of thinking, so she asked: "What treatment strategy does senior brother plan to give the patient next?"
“When the family members come and agree, we will do a coronary angiography on her.” Dr. Jin Tianyu was confident.
“What is the basis for my brother to perform coronary angiography on the patient?”
“You have read the patient’s electrocardiogram and blood test reports.”
“I saw it. Senior brother thinks that the patient is prone to acute myocardial infarction, so he needs to do coronary angiography on the patient?”
Dr. Jin Tianyu's facial expression was extremely serious. Although he had been prepared to encounter an unprecedented medical challenge, when the challenge came to him head-on, his heart beat a little involuntarily.
Others looked at his silence and immediately understood that the other person's rhetorical question hit his weak spot.
Simply put, the existing examination reports do not fully support that the patient has acute myocardial infarction. At best, it can only be called myocardial ischemia.
“Sometimes the blockage of blood vessels in the heart may not necessarily lead to myocardial infarction, but coronary angiography can prevent it in advance and eliminate life-threatening situations in the future.” Dr. Jin Tianyu said.
“Brother, don’t you think the patient may have some kind of congenital disease?”
ah? Hearing her daughter's words, Sun Rongfang just understood what it meant when a group of doctors asked her about her family's early death. She quickly turned around and asked her daughter: Is that so?
Dr. Jin Tianyu is nodding his head. The most damning thing is that not only the people inside the door are staring at him, but also the people coming from the door are staring at him. How many pairs of eyes are waiting for him? Defeated is not defeated, right?
Having no choice but to do anything, he turned to face Teacher Tan again: I am your apprentice, please say a few words first.
Dr. Tan Kelin knew Tuer Xie well. He remembers that the first time we discussed a case, Tuer Xie slapped him in the face until his body was completely bruised.
Dr. Tan's strategy has long since changed, and he said to his apprentice: "If you have anything to say, just say it."
Jin Tianyu wanted to glare at him: Do you want to just lie down?
"Let me first tell my senior brother about a patient I just finished the operation on." Dr. Xie Wanying said slowly, "He has a mitral and tricuspid valve problem, and coronary artery malformation was suspected before the operation. But senior brother, you know the coronary artery It is basically impossible for malformation to cause mitral and tricuspid valve disease like his."
The reason why the two junior sisters were wrong was not that the cardiology department did not understand the ins and outs of all heart diseases in detail.
As mentioned earlier, some congenital abnormalities can only be said to look different from most people and cannot be called diseases. A coronary malformation that does not cause symptoms in the patient's lifetime cannot be called a disease.
The causes of mitral and tricuspid coronary heart disease in patients are not related to coronary artery malformations.
But coronary artery malformations cause the patient's heart shape to be slightly different from that of others, giving doctors the possibility of surgical mitral valve repair.
At the same time, if coronary artery malformation causes coronary heart disease, mild stenosis of blood vessels can lead to severe acute myocardial infarction. Obviously this patient did not have it. This is also why no one has said that this patient has coronary heart disease and needs surgery before.
The same goes back to the case of her aunt.
Jin Tianyu: I think he didn’t say anything. The other person was like a mind-reader, reading all his thoughts.
Dr. Xie Wanying: Is it difficult to guess? It's not hard to guess. If you suspect some kind of congenital heart disease, but there is nothing wrong with the cardiac color Doppler ultrasound, you have to do an imaging. Isn't it clear that you are suspicious of this?
As for the group of surgeons standing at the door, all they were thinking was: Hey, slow down, Dr. Xie, what kind of surgery did you just say you could do? !
Thank you for your support, good night, dear friends~
(End of this chapter)
