Rebirth in the medical world

Chapter 141 Viral myocarditis?

In the conference room of the Kyoto Hospital on the sixteenth floor, the directors of each department are basically in place. The director of the cardiology department, the head nurse, and the attending doctor have also placed Ayer's medical records and various laboratory tests on the table!
Today is the first meeting of the formal establishment of the consultation team. Everyone knows that the patient this time is the daughter of Su Chun, the president of Kyoto Medical University, so no one dares to take it lightly. I have done my homework, I have checked all the documents that should be checked, and I have done all the checks that should be done!
When Ouyang Chenhui opened the door and came in, everyone was surprised. For this level of consultation, all the elites in the hospital came, not the director but also the deputy director. Therefore, everyone looked familiar, but this student No one has seen what it looks like. It doesn't look like an intern. Judging by its age, it looks like it just went to college. Could it be that this student went to the wrong door?

"Student, there is a very important consultation meeting in the meeting room today, so please avoid it!" Zhang Lin, a clerk in the hospital office, said politely to Ouyang Chenhui!

"I'm sorry, I'm here to attend the consultation, no, I'm an observer, and President Su of the Kyoto University of Medicine asked me to come!" Ouyang Chenhui went straight to find a corner and sat down calmly, but he did not expect to be successful. out of focus!

"Ah?" Zhang Lin's mouth opened into a big "O" shape.

The people who were looking at Ouyang Chenhui like they were looking at a monster, were stunned when they heard his answer, but in a flash, everyone laughed, and even several department directors were drinking tea for a while Just spray it out!
He had seen this kind of gaze too much since he was reborn, so he got used to it, and ignored these weird gazes, Ouyang Chenhui found a seat near the corner and sat down!Take out a notebook from your bag!

It was at this time that Xia Zhijian and Qi Jianshe walked into the conference room.

Xia Zhijian quickly scanned the crowd, and finally fixed his eyes on Ouyang Chenhui!

It's him again!Xia Zhijian stared at Ouyang Chenhui for a long time without moving his eyes.
How could he appear here?He really didn't understand how he would interact with this student over and over again. It had to be said that he was already very disgusted with this student!After several contacts, he lost face very much, so he has been brooding for a while.

It was this student who miscalculated his wishful thinking. Huang Wenwu's vice-principal was Huang, and he was also full of anger!Until now, I have no face to face Huang Wenwu!
It was this student who humiliated him in front of the patient's family last time!
This time, what does he want to do?

Qi Jianshe realized Xia Zhijian's strangeness, followed his line of sight, and found Ouyang Chenhui in the corner.

It's him!

Qi Jianshe met him once during the autopsy last time, so he recognized him at a glance, he smiled at Ouyang Chenhui, and then sat down!

"Ahem!" Qi Jianshe coughed twice, and the chaotic conference room suddenly became quiet!
This is the charm of leadership, a look, a gesture, everyone can understand it!

"Let me say a few words!" Qi Jianshe moved the microphone to his mouth, cleared his throat, and looked at everyone!
"Everyone knows that the patient this time is the daughter of Principal Su, the principal of our Kyoto Medical University. This time, Principal Su trusts our hospital so much. We must live up to our expectations. Everyone is the elite of each department. I believe everyone will Give our Principal Su a satisfactory answer!"

After Qi Jianshe spoke a lot of official words, he began to introduce the members of the consultation team and the division of labor.

Xia Zhijian served as the team leader, and Wang Yi, the director of cardiology, served as the deputy team leader. Others also had their own special division of labor and tasks. At the end, Qi Jianshe only mentioned Ouyang Chenhui.

"There is another person I would like to introduce to you. This is a student of Kyoto University of Medicine and Science. Although he is still an undergraduate, he already has quite insightful medical insights. This time, President Su personally recommended him to be a member of our consultation team. Non-staff personnel, I believe that many people in our Jingdu Hospital have seen or heard of this student. His name is Ouyang Chenhui, everyone welcome!"

Ouyang Chenhui stood up and nodded politely to everyone.Seeing Xia Zhijian's gloomy face, he specially raised the corner of his mouth, making a perfect arc!
Everyone watched Ouyang Chenhui stand up and sit down in surprise, and it took him a long time to realize. Could this be the miraculous anatomical genius that Old Liu from the autopsy department was talking about?It really looks no different from those ordinary students.

Su Aier's attending physician, who was sitting in the middle of the consultation, was even more surprised. When he saw Ouyang Chenhui's true face in Lushan, he frowned. Is there any doctor in Kyoto who is younger and more ambitious than him?It seems that I have to keep my eyes open later.

Qi Jianshe said a few more words of encouragement, as a pre-war mobilization for everyone, and then got up and left the meeting room.

The reporting work of the consultation team has just officially started.

First, Chen Yang, Ayer's attending physician, briefly reported Ayer's situation to everyone. "Sue Aier, 17 years old, due to an unexpected situation that led to a pause in breathing and heartbeat. After cardiopulmonary resuscitation was ineffective, he underwent electrical defibrillation, and then recovered spontaneous breathing and heartbeat, but he was still unconscious. He was admitted to the emergency department. Physical examination: BP85/50mmHg, R22 beats/min, P102 beats/min, auscultation: light breath sounds in both lungs, scattered wet rales in both lungs, no pleural friction rub. Visual inspection: no precordial bulge, apical beat located in the left fifth intercostal space 0.5cm within the midline of the left clavicle. The diameter of the beating area is about 1cm. Palpation: the position of the apex is the same as above. There is no tremor, friction feeling, and lifting-like pulsation at the apex. Percussion: no expansion of the heart circle. Auscultation: heart rate P102 beats/min, pre-ECG It showed sinus tachycardia, no obvious pathological murmurs were heard in each valve area, and no pericardial friction rub. The 24-hour dynamic electrocardiogram showed transient ventricular tachycardia! Cardiac ultrasound showed mild adhesion and thickening of the heart valve The current preliminary diagnosis is: acute viral myocarditis! The current treatment points are: rest in bed, pay attention to nutrition, apply drugs to nourish the myocardium, promote myocardial metabolism, intravenous infusion of adenosine triphosphate, coenzyme A, cytochrome C, etc.

After the attending physician reported the condition, the head nurse reported the nursing plan.

Everything looks normal, it is just a simple viral myocarditis, and there is no need for a hospital-wide consultation. He couldn't tell what the problem was.

"Is there any laboratory test report of viral myocarditis?"

Wang Yi, director of the Cardiology Department, just came back from a business trip and didn’t know much about Ayer’s condition. After listening to the report from the attending physician, he first questioned that the serological examination of viral myocarditis would have obvious CK, ASTLDH Increased leukocytosis, increased erythrocyte sedimentation rate, and increased C-reactive protein.But none of them were mentioned in the previous report!

By the way, there is a lack of theoretical support for myocarditis.

Ouyang Chenhui gave Wang Yitou admiringly the director of cardiology department.

"Well, it looks like the laboratory report hasn't come out yet!" Ayer's attending physician, Chen Yang, is a young overseas returnee. He just graduated with a doctor of medicine and hired an attending doctor as soon as he entered the hospital.

"How can we make a diagnosis without a laboratory test sheet? What if it is not myocarditis? What if the patient delays treatment because of this?"

Chen Yang has been abroad for a long time, and he feels backward when looking at everything in the country. For example, Al's illness this time is clearly a very simple myocarditis in his opinion, but he still needs to have some kind of consultation, which is clearly bureaucratic. Well!

Chen Yang's father is Chen Jie, the deputy director of the Public Security Bureau, and his uncle, Chen Jian, is a director of the provincial health department. Therefore, in Jingdu Hospital, he never put anyone in his eyes.With a prominent background and a glittering international student's signboard, even though he is an attending doctor and only 28 years old, he is almost unambiguous, and even the dean of business Xia Zhijian wants to sell him some face!

Chen Yang didn't want to participate in this consultation, but because of Xia Zhijian's persuasion, he agreed!Unexpectedly, as soon as the question was opened, the director of the department caught the pigtail!
Originally, Chen Yang didn't care about such a small problem. A simple myocarditis can be diagnosed based on experience. Why do you have to do those checks? No wonder the domestic medical expenses are high. It seems that these are unnecessary After checking, Chen Yang cursed in his heart.

In fact, for the diagnosis of myocarditis, a blood test is required!
Xia Zhijian knew that Wang Yi and Su Chun were college classmates. Although he was the team leader for this consultation, Su Chun probably had already greeted Wang Yi in private. He didn't dare to offend Su Chun, so he forced Chen Yang to Pulled into this consultation group, if there is any disagreement, let Chen Yang bring it up, so that if there is a problem, Su Chun will not blame himself!
When Xia Zhijian saw Ouyang Chenhui for the first time, he was shocked at first, but slowly, he became happy. He couldn't handle Su Chun by himself, and it was more than enough to deal with a student. He provided the opportunity to attend the consultation, so we must let him play a role!
After cutting Ouyang Chenhui's limelight, I believe Su Chun will lose face!
There is also that Chen Yang, who is born to be a cockfighting material, so he doesn't have to do it himself, it is estimated that Chen Yang will take care of that country boy!
Seeing Wang Yiyin's face, none of the directors of other departments spoke, and the problems of the department have not been clarified yet, so how can these auxiliary departments intervene?
"Well, Director Wang, let's not worry about the diagnosis for now. When the test results come out, everything will be clear. Zhang Lin, you can call the laboratory and ask them to issue an urgent report!"

(End of this chapter)