doctor magician

Chapter 263 Not What You Worried About
"I think it's probably a heart attack, but his limbs are swollen. It's probably rheumatic heart disease. But I'm not sure yet, and I'll be sure later."

"Well! Good job! I said you have a way, and sure enough, you are worthy of your name as Doctor Xiao!" Ouyang De laughed.

Xiao Ying smiled wryly when he heard the words: "Forget it! But it's still a while before the inspection, I'll find a place to rest for a while, I'm afraid I won't be able to rest after a while!"

"Well! Go to the ward next door and rest for a while! I'll go and tell the doctors in the hospital, and they will agree!"

Xiao Ying nodded. After Ouyang De went to talk to the doctors in the military hospital, the doctors didn't object.After all, he called someone else late at night, and now he is the only one who can see the symptoms, so he will have to rely on him later, and it is good to let others rest for a while, so he can keep a clear head after heals the illness later!
Xiao Ying fell asleep while lying on the hospital bed next to him.After falling asleep, Xiao Ying had a dream.I dreamed that I held silver needles in my hand and gave the old man acupuncture on the vagina, footsteps and other places!Xiao Ying woke up after having this dream a few times!He didn't wake up by himself, but was woken up by Ouyang De.

Xiao Ying came out after washing his face in the bathroom.Then he was invited to a conference room, where there were two rows of doctors at the bottom of the conference room, but there was an old man standing on top of it.

"Doctor Xiao, please sit down!" The old man couldn't help smiling when he saw Xiao Ying.

Xiao Ying nodded and sat down.

"Let's take a look, this is the chief's CT image. Doctor Xiao, this image is a CT image made according to your request. Please take a look! Also, this is the chief's previous case. The blood test report is still available. It hasn't come out yet, but it should be soon!"

Xiao Ying didn't look at the CT images after taking it, but looked at the case first.

Only then did Xiao Ying realize that the chief they were talking about was Zhou Derong, a chief of the Republic. Born in 1910.The previous cases did not show any heart disease, but rheumatism and the like.

Xiao Ying twitched his eyebrows, then put down the case in his hand and picked up the CT image, but he was thinking about the information of this Zhou Derong in his mind.

After a while, Xiao Ying found out that the old man had rheumatic heart disease.Because the incubation period of rheumatic heart disease is very long, and rheumatic heart disease is actually a kind of heart disease in which rheumatic disease infects the heart.

His incubation period is very long, it can reach 10~~15 years.Normally, you don't feel that you have heart disease at all. When you feel it, it is already in the middle and late stages.At that time, there will be coma shock, arrhythmia, palpitation and palpitation.

After a while, Xiao Ying looked up at those people and said, "I've confirmed the cause, it's rheumatic heart disease!"

"What? Impossible! There is nothing wrong with this CT image? And his heart looks fine!" A middle-aged man said in disbelief.

After speaking, he looked at Xiao Ying with disdain and said, "Where did you come from? Who invited you here? You can't even see the CT images clearly, yet you're still bragging here!

Xiao Ying has always been how you treat me, I will treat you!

Since everyone else started fighting, how could Xiao Ying hold his head back?

Xiao Ying looked at the man with contempt and said: "I don't even know how you got into the military hospital, a fool like you will naturally think so!"

"You boy, just wait for me!" The middle-aged man suddenly stood up and pointed at Xiao Ying.

"Wait? Want to bully ordinary people?" Xiao Ying blocked this person's movements with one mouthful.If something happened to him during this period, others would first suspect him, who made him threaten it.

"That's enough! Director Chen, you have such qualities as the director of a department? I invited Dr. Xiao, why? Do you want to doubt my people?" Xiao Ying still has a good impression of this old man, although Xiao Ying knew that he was not invited by the old man, but he knew that the old man was telling him.Let yourself say it boldly, with him standing behind you.

The doctor who was talking to Xiao Ying in the ward just now asked suspiciously: "Doctor Xiao, can you tell us why you confirmed it is rheumatic heart disease?"

Xiao Ying knew that he had to come up with something to say.Otherwise even they will be dissatisfied.

Xiao Ying stood up, holding the CT image in his hand, and said: "The first time I entered the ward, I saw that the chief's lips were blue and purple. Generally, patients in a coma have such a situation, only poisoning or hypoxia, This is usually the case.

But then I saw that the chief's face didn't seem to be poisoned, so I guessed that it was probably hypoxia!Do you still remember when you told me that the chief's heartbeat was so strong that it couldn't be a heart attack?
Immediately afterwards, a doctor next to him heard the news of arrhythmia.From this, I can know that the chief's heartbeat is not strong and powerful, but flustered and palpitations. It's just that you didn't think in the direction of heart disease, so you don't think it's heart disease.

Later, when you were preparing to push the chief to have a CT scan, I saw that all the limbs of the chief were swollen.In addition, although it was swollen, but there was no other color, so I guessed it was rheumatic heart disease.

And now you look at this CT image again.The mitral valve in the heart, if you look at it roughly, you will find that the valve is very thick, but if you look at the picture next to it, if you look carefully, you will find it.The long mitral valve and some other valves have varying degrees of small damage.And the mitral valve is not thick, but thickened.It’s just that fibrosis cannot be seen on the CT image, but if you open the head’s chest, you will definitely find that his mitral valve has actually fibrosis!

This is only part of it. If you take a closer look, do you find that the valve is incompetent?This is a significant change in rheumatic heart disease. If you don't look carefully, you won't find these problems at all! "After Xiao Ying finished speaking, he passed on the CT image in his hand.

Those people immediately held it in their hands and looked at it carefully. Those who had seen it all nodded their heads there.They found that all this was indeed as Xiao Ying said.

When Xiao Ying saw that they were all reading about the same, he handed the case to them and said, "Look again, these are all the previous cases of the chief, and the main symptom before this was rheumatism. Judging from the above cases, the chief The rheumatic disease actually started to get worse 11 years ago. At that time, the chief should have suffered from rheumatic heart disease. It’s just that we haven’t noticed it yet.”

"Dean, the blood test report is ready!" Just then a female nurse outside opened the door with a document.

It was only at this time that Xiao Ying knew that this old man would be the dean, but he didn't find it strange after thinking about it.

The dean took the blood test report and looked at it. After a while, he exclaimed: "What is the gap? This is the gap! What a young hero! Let's take a look! According to the blood test report, The chief's blood has hemolytic streptococcus infection, which is a major feature of rheumatic heart disease!"

The dean said as he circulated the blood test report.Those people kept looking and nodding.

In the end, they all set their eyes on Xiao Ying.

Xiao Ying touched his face, did he become handsome again?But even if he becomes handsome, what do you guys look at at the uncle level?If you want to see it, show it to the beauties, what are you looking at?
"Why are you all looking at me?"

"Hehe! Doctor Xiao, since you found out the cause, do you have any opinion on rheumatic heart disease?" The dean looked at Xiao Ying and said with a smile.He wanted to hear Xiao Ying's opinion.

Now he has regarded Xiao Ying as a doctor with excellent medical skills, and he will not have any opinion on his age.Although the profession of doctors is getting better and better, but sometimes age does not represent everything.

"Everyone here is a senior, and I'm just a junior, so let's listen to the opinions of the seniors first!" After all, my age is in control, if I keep sweeping those people's face over and over again.It's their fault if they don't bear a grudge against themselves.

Sometimes it takes a lifetime to befriend someone, and sometimes it only takes a minute to offend someone.Xiao Ying is not a fool.And these people are not ordinary doctors, they are all doctors from military hospitals.

"Hehe! Alright! What do you think?" the dean asked, looking at the people below.

After being silent for a while, one of the doctors stood up and said, "The chief's condition is very dangerous now. I suggest surgery, so that the chief's condition can be stabilized soon!"

"I suggest using stable medication first. With our current medical equipment and technology, the risk of surgery is too high. Conservative treatment first, and then discuss the specific plan!"

"I agree to use surgery. The chief's condition is very critical. If conservative treatment is used, there may be consequences that we cannot afford!"

"I agree with the use of conservative treatment. Although the chief's condition is critical now, conservative treatment is more secure for the later stage!"

Some of the following doctors agreed to use surgery immediately, and some agreed to use conservative treatment!The dean patted his forehead with a headache, and each of them was right.

The dean patted the table and said, "Okay! You all stop talking, let's listen to Dr. Xiao's opinion!" The dean spoke, and they couldn't say anything.

Seeing that they were all looking at him, Xiao Ying finally rationalized and said, "I think conservative treatment is better! Although surgery can stabilize the condition in a short period of time, it does not mean that there is no risk. If surgery is performed, it will A portion of the heart muscle will be removed, which will leave the patient's heart incompetent.

Moreover, long-term anticoagulant therapy is required, and the risk is very high.The suture infection of the surgical valve is also very large.If it is a little worse, it may even require another operation. Everyone knows that the chief is already over 80 years old, and the risk of surgery will increase by one point, so I recommend conservative treatment!However, regarding the current critical condition of the chief, I can temporarily stabilize his condition.Afterwards, conservative treatment will not be what you worry about! "

(End of this chapter)