Chapter 584 Ask the Dean to be an assistant, the pulse is lower than the heart rate
Everyone knows that Ye Ru is Li Quan's top disciple. Because she is beautiful and has a good talent for medicine, she is deeply loved by Li Quan.
There are several thousand people in the hospital participating in the National Medical Skills Competition, but there are only twenty-five spots available.
Li Quan allocated a quota to her, which was enough to show his love and respect for her.
Even Luo Wenhao and Tang Zhengyuan were not brought along.
"Ye Ru, you don't have to underestimate yourself! In fact, with your current abilities, if you encounter a suitable problem, you can bravely give it a try. For example, hemophilia and simpler leukemia, you are fully capable of solving them now."
Li Quan actually gave careful consideration when selecting contestants to participate in the competition.
I like it.
For such an important event as the National Medical Skills Competition, it is naturally impossible to let the female apprentice take up a precious place in the competition just because she is beautiful and pure.
Instead, it is considered comprehensively from all aspects.
Li Quan has been able to cure hemophilia and leukemia for a long time, but for various reasons, except for the initial widespread attention from the media and the public, it has been lukewarm since then.
The outside world has always been skeptical about the ability of Huier Hospital to cure leukemia and hemophilia.
This national medical skills competition is a good opportunity.
Whenever he encounters patients with hemophilia or leukemia, Li Quan will seize the opportunity to prove that traditional Chinese medicine can indeed cure these two diseases.
He could do it himself, but the effect would definitely not be as shocking as when his apprentice healed the patient.
"Dean, this competition has gathered the medical elites from all over the country. Top experts and professors in various fields are all here. Can a young doctor like me do it?"
Ye Ru's eyes lit up, but she was still a little unconfident.
"Don't worry, as long as you are brave and careful and maintain your usual level, you will definitely shine this time. When the time comes, if you have achieved results, you can also help me shut up the gossips of the people. They will prevent them from saying behind my back that I give special treatment to my beautiful female apprentice."
Li Quan brought Ye Ru to participate in the competition this time, and there will definitely be many doctors in the hospital talking about it behind her back.
Some people even say that Ye Ru is Li Quan's lover, etc.
There is no use in explaining since the mouth is on someone else's body.
Only by proving yourself with your own strength can you shut up those who are dissatisfied because they were not selected to participate in the competition.
"Well, if there is a chance, I will try my best! But if I lose and get deducted points, you can't blame me." Ye Ru's eyes became firmer little by little.
Although she doesn't talk much, she is very gentle and quiet.
In fact, like Luo Wenhao and Tang Zhengyuan, she respects and admires Li Quan from the bottom of her heart and maintains Li Quan's positive image.
They would not allow anyone to tarnish Li Quan's reputation.
…
The question-answering continued, and the host asked several questions in a row.
Professor Tang successfully answered a question in the field of internal medicine.
Professor Tang’s medical skills in internal medicine are quite impressive. At least the question he answered was extremely difficult.
Almost all the best physicians in the country were present, but he was able to win, which was enough to prove his ability.
"Dean, if there are suitable surgical questions later, I would also like to try to answer them. Can you be my assistant?" Director Jin Leiming of the General Surgery Department was a little restless.
According to the rules, the competition will last for three to five days.
This year, an accident occurred in the Beijing No. 1 Hospital, which resulted in an untreatable infectious disease. Professor Hawking, who had already been infected, also participated in the competition on site.
For safety reasons, the competition will most likely only be held for three days this year.
Some questions with lower difficulty will be deleted.
There were a total of six doctors from the surgery department this time.
It accounts for more than one-fifth of the 25 places.
However, the competition had been going on for nearly a day and a half, and the surgery department had not yet achieved any outstanding results.
Jin Leiming is proud and arrogant, so he must be feeling very uncomfortable.
I was really anxious.
However, the contestants were all experts, and he wanted to answer the surgical questions first, but he was not sure.
I am worried that after answering the questions quickly, not only will I not get any points, but I will even lose points.
For almost every question, one of the three contestants who answer the question will have points deducted.
There are only a few exceptions.
If he could have the help of Li Quan, a surgical expert, to perform the operation after answering the questions, Director Jin Leiming would feel much more confident.
Li Quan is not only an excellent surgeon, but his Chinese medicine skills are sometimes even better than the life support and interventional treatments of internal medicine.
For example, stopping bleeding is something that many Western medicine doctors cannot do, but Li Quan can.
"Okay, as long as Director Jin needs me, I'm always happy to serve."
Li Quan is usually very friendly in front of these hospital veterans.
Give them enough respect.
Becoming the dean is equivalent to being the patriarch of Huier Hospital. If you do not respect talents, it will easily lead to the hospital staff becoming disunited and even some top talents leaving.
"Thank you, Dean!" Jin Leiming and Li Quan can be said to have known each other for a long time.
When Li Quan was just an intern, he was severely punished by Li Quan.
Later, Li Quan performed exceptionally well in the operating room, and Jin Leiming's attitude towards him quietly changed, and he began to appreciate him.
Now, Jin Leiming can only admire Li Quan.
"Please get ready to answer today's eleventh question. Please look at the big screen." The host's voice sounded.
The last two questions are both about surgery.
Therefore, for question eleven, it is very likely that it is still in the field of surgery.
"This is a heart patient, please diagnose."
An old man in his sixties appeared on the screen, with a kind face, delicate features, and silver-white hair, which was sparse but meticulously groomed.
At this moment, he is lying on the hospital bed with his eyes closed and wearing a ventilator.
It looks like he is in a coma.
Jin Leiming glanced at Li Quan.
Li Quan nodded in affirmation.
"I'm Jin Leiming, chief physician of the General Surgery Department of Huier Hospital. According to the patient's examination data, the patient has arrhythmia and is in a state of shock. It should be an acute myocardial infarction. The best way is to take interventional treatment immediately, and other surgical treatments cannot be ruled out."
Jin Leiming's confidence increased after getting Li Quan's support.
He answered the question in a loud and clear voice.
Li Quan looked at the patient's electrocardiogram and frowned slightly.
The patient's electrocardiogram showed obvious arrhythmia.
Considering that the patient has a history of heart disease and is now in a state of shock, the probability of acute myocardial infarction is very high.
Director Jin Leiming has extensive experience in treatment and his diagnosis is very reliable.
However, Li Quan looked at the patient's complexion, body shape, etc., and made an in-depth diagnosis of the patient through visual diagnosis, and he always felt that the patient's condition was not that simple.
"I agree with Director Jin's diagnosis! But I think the patient may have fulminant myocarditis. So I suggest further testing. At present, it is basically certain that the patient is in shock due to myocardial infarction. The key is to find a way to rescue him immediately and minimize the area of infarction."
Another talented contestant stood up and answered the question.
It turned out to be Chi Zhiyin, the chief surgeon of the Magic City Provincial People’s Hospital.
This person is very low-key in his daily behavior and conduct.
However, he is a well-known figure in the field of surgery in Shanghai and even in the whole country.
He saved at least 8,000 lives, if not 10,000.
He is truly the nemesis of the King of Hell.
He is the godfather of human life.
"I support the diagnosis of acute myocardial infarction and disagree with the statement of fulminant myocarditis." Another doctor stood up and answered.
The three places were filled in a very short time.
The last person to answer the question was Professor Song Bo from the Military Hospital, who is known as the God of Surgery and the nemesis of cardiovascular diseases.
His fame is even greater than that of the Red Seal of the Magic City People's Hospital.
He can be said to be an authority in the field of surgery, especially in the cardiovascular field.
Before Professor Bei Ke suffered a cerebral hemorrhage, he was still able to compete with this guy.
But Professor Bei Ke is not such a person.
Because this person is an all-round player in both internal medicine and surgery.
Almost every physician can perform basic surgery, but those with exceptional surgical skills are very rare.
Professor Tang can barely be considered one of them.
Professor Song Bo from this military hospital is even more awesome than Professor Tang.
The internal medicine of cardiovascular medicine is at the top level, and the level of cardiovascular surgery is also at the top level.
It can be said that both internal and external cultivation have been achieved, and all have been accomplished.
There are only two such talents in the whole country, or even in the whole world.
Especially as modern medicine becomes more and more sophisticated, let alone studying both internal and external medicine, even just learning every tiny category is enough to study for a lifetime.
For example, some people specialize in brain nerves, some specialize in motor nerves, or some specialize in treating infertility, etc.
Professor Song Bo has taken the cardiovascular field to extremes.
"Okay, thank you three top doctors in the field of surgery for answering this question! The current diagnosis is that the patient has acute myocardial infarction. Now, please go to operating room 7 immediately to rescue the patient. The rules are still the same as before. The most capable ones will go first."
The host doesn't waste words either.
Saving lives is like putting out a fire.
The patient is in a state of shock and must be given emergency treatment immediately.
"Dean, treating this patient is definitely not as easy as we imagined. In addition to asking you to be my assistant, I also want to bring Professor Tang with me." Jin Leiming has worked with Professor Tang many times.
In the field of internal medicine, Professor Tang can provide strong life support.
"No problem for me." Professor Tang stood up and agreed happily.
We all belong to Huier Hospital. In this kind of competition that concerns collective honor, we must all think and work together.
…
In the operating room, the patient lay pale on the operating table.
On the operating table over there, Professor Xue Minqing had already completed the operation. Director Pi looked very tired.
But judging from the joy on his face, the operation must have been successful.
After a period of observation, if Professor Xue Minqing's vital signs are stable and there are no other unexpected conditions, he should be able to be transferred to the ward to recover slowly.
When Li Quan followed Jin Leiming into the operating room, Director Pi's eyes lingered for two extra seconds when he swept over Li Quan.
No matter where you are, strength is respected.
There is no doubt that Li Quan has won the attention of Director Pi with his strength.
Whether it was accurately diagnosing Professor Xue Minqing's illness in a very short time without the help of any instruments, or taking over the operation that Professor Xue Minqing failed to complete and successfully completing the operation on the patient with a huge liver hemangioma.
All of these were enough to make Director Pi look at Li Quan with new eyes.
"As you can see, the patient on the operating table had an acute myocardial infarction half an hour ago. The best time to save him should not be too late. Whoever has the best chance of success will go first."
Director Pi didn't say any unnecessary nonsense.
“Is this the patient’s cardiovascular CT scan?”
Professor Akanoin asked.
"Yes, this is the examination result of this patient. We specially performed a contrast-enhanced CT scan, which can clearly show that the blocked blood vessel is here." Director Pi nodded.
Being an examiner is not easy.
Who would have thought that he could just sit back and give orders easily, but a contestant would suddenly suffer a cerebral hemorrhage.
He then had to perform emergency surgery on the contestant.
I'm so tired.
"I suggest establishing an intravenous access immediately and slowly replenishing fluids. Then find a way to dissolve the clot. If it cannot be dissolved, then find a way to remove the clot." After examining it, Chi Zhiyin gave treatment advice.
There was nothing special about his treatment plan.
It's a standard, panacea-style rescue.
Basically, these methods are used in the treatment of acute myocardial infarction.
"I don't agree with this conventional treatment. From the examination results, the patient's myocardial infarction area is rapidly expanding. The thrombus must be removed immediately to minimize the infarction area."
Professor Song Bo has the tough style of a tough soldier.
He is decisive in everything he says and does.
"I also think the patient's condition is urgent and cannot be delayed." Jin Leiming supports Professor Song Bo's treatment plan.
"Okay, Professor Song Bo will start the treatment first! Professor Chi Zhiyin is out." Director Pi, the examiner in the operating room, still has a lot of power.
In one sentence, the player can be eliminated directly.
Of course, he certainly couldn't make a rash judgment.
There must be a basis for eliminating a player.
"The patient's pulse is lower than his heart rate!" Li Quan has been calmly thinking about the possible hidden illness of the patient.
Now after looking at the detailed inspection data, he made a surprising discovery.
"For patients with myocardial infarction, it is normal for the pulse to be lower than the heart rate. Once the blood clots in the blood vessels are removed and the blood vessels are unblocked, the pulse will naturally return to normal."
Professor Song Bo explained.
"I know that, but I think the patient's pulse is lower than his heart rate. It's probably not just caused by myocardial infarction. It's very likely that there's something wrong with the heart itself."
Li Quan couldn't explain the specific basis for his diagnosis, it was just a hunch.
Just like a good hunter, after gaining a lot of experience, he will have an almost uncanny intuition, and can judge many results that ordinary hunters cannot predict.
In the case of arrhythmia, low blood output, and insufficient blood vessel filling, the pulse and heart rate are different, and a pulse lower than the heart rate is a pathological condition. Simply put, when the heart does not eject enough blood to cause peripheral artery pulsation, the pulse will be lower than the heart rate. This situation is clinically called a short pulse.
