Chapter 4234【323】Be rigorous
Huang Beibei felt like her head was in a mess.
“Isn’t this myocardial ischemia?” said Dr. Fan Yunyun, who is not a cardiologist and is known as a general medical student.
What does the patient do while wearing ECG monitoring? It is precisely to facilitate medical staff to conduct dynamic observation of patients' conditions.
Huang Beibei finally knew where the problem was. A medical device put the medical evidence in front of her colleagues, and so she had her self-defeating moment today.
Don’t mention that fellow doctors are present. If the patient’s family members know something about medicine, they can take a look here and catch your doctor’s clues at any time.
This is also why Dr. Tan Kelin emphasized at the beginning: there is no point in concealing the test results. How can you hide this kind of medical equipment that operates 24 hours a day and displays test results?
Rather than hiding it from anyone, it is better to show your professional and technical abilities effectively.
Inability to perform?
Dr. Song Xuelin gave the man another look and pointed: The wall is over there.
Huang Beibei really wanted to hit the wall, not because she woke up her head, but because she knew that she was so wrong.
It cannot be said that Dr. Huang Beibei has no medical knowledge in this area. Doctors' misdiagnosis is often not caused by lack of knowledge, but by disordered knowledge.
Medicine is famous for having a lot of complicated knowledge in various industries. It has an endless knowledge base that can never be memorized. Too much knowledge will inevitably lead to confusion.
Speaking of the electrocardiographic characteristics of acute myocardial infarction, there is an obvious indicator that medical students will memorize: abnormal st segment is often manifested as elevation.
Does this feature of electrocardiogram indicate myocardial infarction? No, it means myocardial ischemia. However, myocardial ischemia can be a feature of acute myocardial infarction.
Sounds a bit confusing?
To sum up, myocardial ischemia is a manifestation of many heart diseases, and acute myocardial infarction is one of them.
Traced back to the specific cause of the disease, myocardial ischemia may be caused by the fixed blockage of blood vessels, resulting in myocardial infarction, or it may be nothing more than a temporary spasm of the coronary arteries, etc.
It is not a specialist student. He did not chase the roots to trace the origin and ask the ins and outs of the dragon.
Fan Yunyunmisran will not be scolded by Senior Sister Xie, which means that the mistakes they made are not something they need to study in depth, and can be left to a specialist to deal with them.
Huang Beibei was scolded, just as Fan Yunyun was able to point out the mistakes, indicating that they were within the scope of knowledge that she should know.
Don’t think that hematologists don’t have to learn to read electrocardiograms. Hematology patients also have serious illnesses and require ECG monitoring. If you make the mistake of calling cardiologists all day long, and you call too many people, they will think you are crying wolf.
From the observation and analysis of the patient's condition, it can be known that Dr. Jin Tianyu, who wanted to perform an angiography examination on the patient, did not say that the patient must have an acute myocardial infarction. At most, it could only be called electrocardiogram showing signs of myocardial ischemia, which needs to be examined and observed.
Meaning: The patient's disease needs further observation and examination to determine.
Medicine is rigorous. For cases where any disease diagnosis index has not been reached for the time being, we cannot just label the patient with a disease indiscriminately.
Sometimes family members urge doctors: What’s wrong with the patient?
This is what the doctor meant when he said to observe and observe again and wait for other examinations.
If the patient urges the doctor again at this time: In this case, the patient should be examined and confirmed as soon as possible.
Doctor: Do you think I don’t want to?
Let’s look at what Dr. Xie Wanying said to Dr. Jin Tianyu next: “Interventional angiography is currently not necessary. I don’t need to explain the reason. Brother, no matter what, this is still a surgery.”
(End of this chapter)
