I really don't want to be a doctor

Chapter 149 How Much Does Intern Jing Xiaoran Cost for Surgery?

Zhu Zhu directly took out the informed consent form for the operation, "If you agree to intervene in the operation, you can sign it, if you don't agree, write down the rejection of the operation, and you will bear the consequences yourself."

The young woman was a little anxious, "Doctor, I didn't say no to surgery! Am I discussing it with you?!"

Zhu Zhu took a deep breath and said in a deep voice: "Then I will tell you directly that the patient's condition is critical now, and there is a risk of heart rupture or even sudden death at any time, and urgent interventional treatment is needed. This is the best way at present! No matter you No matter which hospital you go to, the cardiologist will advise you to undergo interventional surgery!"

The young woman was stunned, and bit her lower lip lightly, "Then wait for my husband to come, and I will discuss it with him."

"When will your husband arrive? Now every minute that passes, the patient's risk will increase by one point!" Zhu Zhu said helplessly.

"It's coming soon, within half an hour." The woman gritted her teeth.

"Who are you from the patient?" Zhu Zhu asked tentatively.

"He, he is my father-in-law." The young woman replied softly.

Zhu Zhu sighed nonchalantly, "Okay, when your husband comes, let him come directly to the interview room to find me. My surname is Zhu, and I am the patient's attending doctor."

After speaking, Zhu Zhu left the interview room without looking back.

"Xiaojing, why are you here?"

Zhu Zhu saw Jing Xiaoran at the door of the interview room at a glance, then smiled, and put the stethoscope in his hand into the pocket of his white coat.

"Mr. Zhu, the senior sister asked me to ask if the patient can be pushed to the catheterization room now." Jing Xiaoran said.

Zhu Zhu shook her head, "Wait a minute, the family members haven't agreed to the operation yet."

Jing Xiaoran nodded silently, and then followed Zhu Zhu to the patient's bedside.

At this time, another teacher Cao in the same group was already seeing the patient.

"Zhu Zhu, the results of the rapid troponin have come out, which are about 10 times higher than the normal value." Teacher Cao said, "I have asked the patient to chew 300mg of aspirin and 600mg of Taijia, and he can be pushed into the catheterization room at any time."

Zhu Zhu waved his hand and said, "The family members haven't agreed to the operation yet, so wait a while."

"Do not agree to the operation?" Teacher Cao was startled, and then smiled wryly, "I read the electrocardiogram, and the area of ​​the patient's myocardial infarction should be very large. Isn't this delaying the matter for their family members?"

"I can't help it. It's the patient's daughter-in-law who came here. She has to wait for the patient's son to come and discuss it." Zhu Zhu shook her head.

At this time, Jing Xiaoran noticed a wide and deformed waveform suddenly popping out from the monitor on the bedside of the patient.

"Premature ventricular contractions?"

Jing Xiaoran stared at the monitor closely, and then three large and deformed waveforms appeared consecutively.

"wrong!"

"This is ventricular tachycardia!" Jing Xiaoran's eyes narrowed.

Three consecutive premature ventricular beats are called ventricular tachycardia, or VT for short.

Ventricular tachycardia is a malignant arrhythmia that can deteriorate the hemodynamic state and may degenerate into ventricular flutter and ventricular fibrillation, leading to sudden cardiac death.

Jing Xiaoran immediately said to Zhu Zhu: "Mr. Zhu, the waveform in the intensive care unit is a bit strange!"

Everyone present looked up at the monitor on the bedside.

"VT!"

Zhu Zhu hurried to the patient's bedside and immediately checked the patient.

The patient was conscious, except for the onset of ventricular tachycardia, all other vital signs were normal.

"Nurse prepare the lidocaine quickly, and then bring the defibrillator." Teacher Cao shouted immediately.

"Received!" The bedside nurse immediately went to prepare lidocaine, and another nurse ran to the central nurse station to get the defibrillator.

"How do you feel now?" Zhu Zhu leaned over and asked the patient.

"Except for the chest pain, everything else is fine." The middle-aged uncle seemed to be in the same condition as when he first arrived in the intensive care unit.

"Nurse, first pump in 50mg of lidocaine, and then maintain 750mg of intravenous lidocaine." Zhu Zhu ordered, "By the way, take a blood gas analysis."

The nurse at the bedside nodded and started dispensing the medicine immediately.Nurses in other beds also came to help, took out blood gas needles, and prepared to collect blood gas from the patient.

"Xiao Li, give the patient another ECG!"

"Mr. Zhu, the younger brother has already gone to get the electrocardiogram machine."

"it is good."

Jing Xiaoran quickly pushed over the electrocardiogram machine, and with the help of Senior Sister Li, the two of them reviewed the electrocardiogram for the patient together.

"This is intermittent ventricular tachycardia." Jing Xiaoran glanced at the electrocardiogram, and already had his own judgment in his mind, "And it's still asymptomatic ventricular tachycardia."

"Junior Brother, your observation skills are very keen." Senior Sister Li said softly, "Even Teacher Zhu and Teacher Cao didn't notice the abnormality of the monitor just now."

This asymptomatic VT is often overlooked because the patient does not have any abnormal symptoms.

Jing Xiaoran smiled, "I was just a little curious. I happened to look up at the monitor and found that the waveform was a bit strange."

"This is called ventricular tachycardia."

Zhu Zhu who was at the side heard Jing Xiaoran's conversation and said.

"The patient has acute anterior wall myocardial infarction, and local myocardial necrosis will lead to arrhythmia. The more common anterior wall myocardial infarction is ventricular premature beats, ventricular tachycardia, and ventricular fibrillation. Once ventricular fibrillation occurs, the patient will soon appear For symptoms such as loss of consciousness and convulsions, emergency treatment must be carried out immediately."

Senior Sister Li immediately asked: "Mr. Zhu, although our patient's electrocardiogram showed ventricular tachycardia, he has no symptoms at present."

"Even if the ventricular tachycardia has no symptoms, we can't relax our vigilance." Zhu Zhu said, "Because ventricular tachycardia can easily turn into ventricular fibrillation after myocardial infarction, we must always pay attention to the patient's condition."

"Yes." Senior Sister Li nodded.

"Teacher, should interventional surgery be performed as soon as possible in this situation?" Jing Xiaoran asked suddenly.

Zhu Zhu nodded, and then said to Teacher Cao: "Brother Cao, look at the patient, and I'll talk to the patient's family about the operation."

"Go quickly. If the family members agree to the operation, please notify us immediately." Teacher Cao said, "That new classmate, follow Teacher Zhu and report immediately if there is any situation."

"Okay." Jing Xiaoran followed Zhu Zhu out of the ward.

……

interview room.

Jing Xiaoran saw the patient's daughter-in-law and the patient's belated son again.

"The patient just had ventricular tachycardia, which is very critical. If it turns into ventricular fibrillation, the patient may die suddenly at any time."

Zhu Zhu spoke very slowly, and she tried her best to explain the patient's condition in an easy-to-understand manner.

"Can my dad's illness be cured?" the man asked nervously.

"I told your wife just now that emergency intervention is needed immediately! Otherwise, the patient's condition will become more and more difficult to control!" Zhu Zhu explained again tirelessly.

"Okay!" The man immediately nodded in agreement, "We agree to the operation!"

"Wait a minute!" The young woman on the side suddenly asked, "Doctor Zhu, I just want to ask, how much is this operation?"

(End of this chapter)