I can see health

Chapter 164 Surgeon? (first update)
Cheng Peng was stunned for a moment, but did not take any action at the moment.

"Hurry up, fat man, act quickly." Xia Gang walked into the office, sat in front of the computer, opened the doctor's order system, and prepared to give a doctor's order.

"Brother, there's no need." Cheng Peng hurried forward and said, "I've already had a blood test urgently, and an emergency consultation has been requested, and now I only need to communicate with the family members about the condition."

"What? You, you did it all?"

I opened the doctor's order for 36 beds, and sure enough, I saw that the doctor's order had already been issued.

The movements in Xia Gang's hands paused, and he turned his head to look at Cheng Peng with doubts in his eyes.

When did my fat junior become so clever?

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

"En." Cheng Peng nodded.

No wonder he ran into Mr. Wang Jun in the elevator when he just went upstairs.

"What's your opinion, Teacher Wang?" Xia Gang said.

"Mr. Wang wrote down his opinion in the consultation record. Considering contrast agent nephropathy, there is a possibility of acute renal failure. There is no special treatment at present. First look at the results of the emergency renal function test, and then ask you to communicate with the patient's family about the condition. The patient Maybe emergency dialysis is needed," Cheng Peng said.

Xia Gang was stunned when he heard this.

"Teacher Wang knows this is my patient?"

"Well, I told him."

Xia Gang was a little confused, why didn't Mr. Wang tell him about this in the elevator just now?
"Okay, then I'll go and communicate with the family 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 it wasn't for your help just now, I really don't know what will happen for a while." Cheng Peng came to Lu Chen's side, "I can only wait for 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, the thank you from Cheng Peng is worth +1!"

The fat man is really nice, and I gave him a little thank you.

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

Cheng Peng shook his head helplessly.

"Director Shao is engaged in coronary intervention. Senior Brother Xia follows him, and naturally he mainly focuses on surgery. The students in the ward are in charge of the affairs of the ward. Senior Brother Xia will check the room every day. If it is busy, he will do it at night. Come check the room."

"Oh." Lu Chen nodded.

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

Because Director Shao is almost always in the cath lab, he occasionally comes to the ward for a big round.

After chatting with Cheng Peng, Xia Gang also came back from the ward.

It's just that his face is not very good-looking.

"Hey, the patient is too young, and the family members can't accept the fact of kidney failure." Xia Gang continued to tell Cheng Peng, "Fatty, we'd better wait for the results of kidney function to come out, and let the patient do an emergency urinary ultrasound, and then Let's see what to do next."

"Okay, brother."

Cheng Peng immediately issued an ultrasound application form, and then pushed the patient out for urinary ultrasound.

Although renal failure caused by urinary tract obstruction has been ruled out, conventionally, ultrasound is still necessary to avoid missing other diagnoses.

About twenty minutes passed.

Cheng Peng came back with 36 patients.

Ultrasound results of the urinary system showed that the size of both kidneys was normal, and no obvious abnormalities were found.Bladder and ureters were unremarkable.

Ultrasound results further ruled out the possibility of postrenal renal failure.

At this time, the results of the patient's urgent renal function test came out!

"36 beds of pine, creatinine 540umol/L!"

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

In such a short period of time, the kidney function has directly increased from 150umol/L to 540umol/L!

The following system prompts proved this point even more.

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

It's really not easy, the diagnosis is correct again, and the system rewards the degree of completion.

"Fatty, please ask the nephrology department for an emergency consultation." Xia Gang immediately ordered, "I'll go talk to the family members about emergency dialysis."

"it is good."

The two immediately parted ways.

Wang Jun soon came to the Eighth District of Heart again.

"This patient had a stent because of a myocardial infarction. If he is undergoing dialysis in our department, the risk is high. I suggest going to the CCU for dialysis. I remember that your CCU also has dialysis machines."

"Okay, Teacher Wang."

After Xia Gang communicated with the family members many times, he has already reached an agreement with the family members.

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.

"It's okay, I'll go."

Wang Jun and Xia Gang didn't talk much, they greeted Sun Guoguo, and he left.

Cheng Peng quickly contacted the CCU doctor and planned to transfer Yang Song to the CCU for dialysis treatment.

And 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 Mr. Wang doesn't seem to be too interested in Senior Brother Xia Gang?"

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

She had already seen that Mr. 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 smiled, her gossiping heart was no less than that of Ke Yue, "Actually, Teacher Wang is also a cardiologist."

"Ms. Wang is from the Department of Cardiology?" Ke Yue was astonished.

"Well." Sun Guoguo whispered, "Ms. Wang and Xia Gang have no conflicts, but he doesn't like those surgeons in the cardiology department. At that time, the general environment was that he performed more operations than anyone else, and then he left. I went to the cardiology department and went to the kidney department."

Cardiology is not the same as other internal medicine.

Interventional surgery occupies a large proportion.

A cardiologist who doesn't know how to intervene has almost no future.

Everyone agrees a bit.

In the Department of Cardiology, if you want to continue to climb up, you need to learn to intervene and put stents!

Especially in the past few years in Huaxia, the annual amount of cardiac interventions has increased exponentially.

Many patients with coronary heart disease have more than one stent placed.

Two or three at least, twenty or thirty at most!

"Senior sister, it should be a normal thing to do intervention in the cardiology department." Ke Yue wondered, "Why does Teacher Wang dislike this?"

"It's not that he hates surgery, but he hates those who only want to do surgery and ignore the most fundamental things in cardiology." Sun Guoguo sighed, "Ms. Wang once said something to me, which is still unforgettable to me."

"He said that the most basic condition for an excellent cardiology interventional doctor is to become an excellent major physician."

"Many doctors in the cardiology department ignore this point and drag patients into surgery every day."

"Have many patients with coronary heart disease met the standard for stents? Do they really need stents?"

"If more than 20 stents need to be placed, would it be better for such patients to undergo coronary artery bypass surgery?"

Sun Guoguo's words made Lu Chen beside him silent.

To be honest, a large part of the reason why he chose the Department of Cardiology was 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, which has saved many patients."

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

"Mr. Wang is disgusted by such a group of people who drag all patients to undergo angiography. They forget that they are a doctor of cardiovascular medicine, not just a surgeon."

(End of this chapter)