[It’s the last three days of February! Don’t keep your monthly tickets, give them all to Laoyu!]
He Xiaokang looked at Qin Chuan in confusion. [23[w]x He still didn't understand.
When Fang Ping saw Qin Chuan coming, the stone hanging in her heart finally let go.
I don’t know since when, Qin Chuan has become the backbone of emergency doctors and nurses.
"Doctor Qin." Fang Ping greeted Qin Chuan with respect and gratitude in her tone.
Qin Chuan nodded to Fang Ping and then said: "Xiaokang, tell me, what did you think about it before?"
He Xiaokang thought for a moment, organized his thoughts, and said: "Considering that the patient has heart failure with a large heart, left bundle branch block, and supraventricular tachycardia, a variety of antiarrhythmic drugs were given repeatedly intravenously for treatment, but
The effect is not good, and it still cannot be converted to sinus rhythm. Antiarrhythmic drugs that suppress myocardial contractility are limited here. Electrical conversion is also risky. I don’t know what to do now.”
Qin Chuan lowered his head and thought for a while, then looked up at He Xiaokang: "Actually, you are very thoughtful. There is no problem with the diagnosis. But we can change our way of thinking. We can consider stopping antiarrhythmic drugs and switching to
Blood pressure medicine."
"Ah?" He Xiaokang was very surprised, "Now the patient's heartbeat is too fast. If we use vasopressor drugs, wouldn't it accelerate the patient's death? As soon as the blood pressure increases, the load on the heart immediately increases, which can easily lead to worsening of heart failure. This way
It’s easy for things to go wrong.”
"So I said we need to change our way of thinking. Although the patient's disease is heart failure, the patient's situation is somewhat special. The effect of anti-arrhythmic drugs is limited. At this time, we might as well increase the excitation of baroreceptors
Sex, excites the vagus nerve. Conversion ventricular tachycardia. But it must be strictly controlled." Qin Chuan explained. [Please note that this is a fictional plot in a novel. Although it is based on real cases, each case has its own particularities and should not be used as a medical
refer to.】
He Xiaokang made it clear with just a few clicks, and his eyes lit up: "You can give it a try."
"What should I do?" Fang Ping turned her attention to Qin Chuan.
Qin Chuan did not speak, but turned his gaze to He Xiaokang.
Naturally, Qin Chuan didn't speak because he was afraid of taking responsibility. He wanted to give this opportunity to He Xiaokang. If Qin Chuan came over and took away the patient's attending, it would be a heavy blow to He Xiaokang. So Qin Chuan was not so
Do.
He Xiaokang did not hesitate and said: "Under strict ECG monitoring, put 5 mg of metahydroxylamine into the pot."
At this time, Xu Shubiao's blood pressure began to rise slowly. Half an hour later, the blood pressure rose to 110/80mmhg, and the supraventricular tachycardia suddenly stopped. A junctional escape rhythm of 40-50 beats/min appeared, and then it turned into sinus rhythm.
At this time, He Xiaokang finally took a long breath. He finally brought the patient back from the edge of death. This rescue seemed ordinary, but in fact it was extremely thrilling. If Qin Chuan hadn't reminded him, He Xiaokang would have continued to insist on the previous one.
If there is a treatment plan, I am afraid that Xu Shubiao will not survive.
Of course, there is also an element of luck involved. If the rescue and defibrillation were not successful, there would naturally be no chance to think differently later.
The reason why Qin Chuan did not propose this last plan before was not because he wanted to test He Xiaokang. Qin Chuan could not use the patient's life to train the team members' abilities. It was because at that time, Qin Chuan had not thought of the practical possibility.
method. Qin Chuan is not a god. He is just a doctor who has a little more luck than the average doctor. Without the existence of the [Genius Doctor] system, Qin Chuan might just be an extremely ordinary emergency doctor. He also has to face the same situation as He Xiaokang.
Various difficult cases.
"Xiaochuan, thank you." He Xiaokang was sincerely grateful to Qin Chuan.
"Continue to observe carefully. Don't take it lightly." Qin Chuan warned.
He Xiaokang nodded.
After Qin Chuan left, Fang Ping said: "Xiaokang, you have to work hard. How long has it been since Dr. Qin came? Now he has become a hot appointment in the Central Hospital. The salary level is higher than that of the overseas returned doctors.
When will you be able to reach Doctor Qin's level?"
Fang Ping is hoping that her husband will succeed. He Xiaokang is very helpless about this: "Fang Ping, I have worked very hard now. But talent is innate, so it is very difficult for me to reach the height of Dr. Qin.
.But I will work hard to do my best.”
Fang Ping walked over and put a scent on He Xiaokang's cheek: "Xiaokang. I don't necessarily want you to be the most powerful doctor. As long as you work hard, I will be very satisfied. You must be motivated to be a person."
"Honey, I will work hard!" He Xiaokang said with great emotion.
"No shouting! Who is your wife?" Fang Ping rolled her eyes at He Xiaokang.
"How can you kiss me indiscriminately if you are not my wife? Isn't that a hooligan?" He Xiaokang teased.
"Okay. Never let me kiss you again." Fang Ping said angrily.
"Honey, I was wrong!" He Xiaokang almost knelt down. This guy really didn't understand the situation. He didn't even know his horoscope, and he didn't let girls enjoy pre-marital treatment. Which girl would let you enjoy post-marriage treatment so easily?
treatment?
Qin Chuan returned to the emergency department. Since becoming the leader of the medical team, Qin Chuan has felt a lot more pressure on his shoulders. In the past, as an ordinary emergency doctor, he only had to do his own thing. He went to work when he should go to work and when he should get off work.
When I got off work, it was different now, and my responsibilities were completely different. In addition to doing my own thing well, I also had to take good care of my team members. I had to help them make progress so that they could keep up with me.
We should also pay attention to the treatment of the patients in charge of the team. In the past few days, Qin Chuan has gone through all the cases of the patients in charge of the medical team. Only Xu Shubiao had just moved in, and He Xiaokanghai had not had time to convert the paper medical records into electronic versions.
.So Qin Chuan didn’t see it.
Xu Shubiao also shocked Qin Chuan. Although Qin Chuan didn't show it at the time, he was actually very nervous in his heart. Finally, the plan at that time worked. The more capable he is, the more worried he is about making mistakes.
After handling Xu Shubiao's matter, Qin Chuan can finally sleep peacefully. However, Qin Chuan's time is still very tight. Before going to bed, he still has to enter the [Genius Doctor] system to study. Qin Chuan now
The focus of the study was on the basics of medicine. Because Qin Chuan wanted to see what kind of changes the system would have after completing [Task 1].
This future system has given Qin Chuan too many surprises. After completing [Task 1], can it meet the conditions for upgrade? There is no information about system upgrade in the system. Everything can only be explored by Qin Chuan. However,
For Qin Chuan, it doesn't matter whether the system is upgraded or not. What is important is that the system can allow Qin Chuan to learn a lot of useful medical knowledge. This is enough. Of course, this future system is like an endless treasure house, waiting for
With the excavation of Qinchuan.
In addition to [Task 1], there is also [Task 4] to be completed by Qin Chuan. Regarding this [Task 4], Qin Chuan has no clue yet. Huang Junguang has not been to the Central Hospital for a while. He does not know what he is busy with recently.
What? Is he really busy with his famous tea shop? Has his psychological problem improved? These are what Qin Chuan wants to know.
But Qin Chuan knows that Huang Junguang's illness is like tasting tea. You can't rush it. Good tea must be tasted slowly, so that you can taste all the color, fragrance and flavor of the tea, and then you can taste the true taste of the tea. And Huang Junguang's illness
, obviously it also takes time to heal slowly. The real medicine lies in Huang Junguang's own hands. Only when he is truly freed can he really come out of the shadows.
Thinking of Huang Junguang's illness, Qin Chuan turned his attention to the psychology section. Qin Chuan has studied almost every section of medicine, but only the psychology section has not yet started to be involved. The completion rate of task one has reached 82%. After all, is there still a problem?
Qin Chuan didn't know what basic knowledge he lacked.
Psychology is a very interesting subject. In the past, Qin Chuan might have dozed off watching it. He was worried that his understanding would not be the same as before. Looking at the basic knowledge of psychology, he was actually enjoying it.
A very simple picture, but it has profound psychological meanings. Three simple figures of the same size appear to be three different sizes when placed in different positions in the painting. People are easily affected by psychology.
of deception.
In fact, sometimes, the patient's psychology has a great influence on the effect of treatment. Some people always feel that they are sick. They go to various hospitals and have many tests, and the results are normal. But they just feel that they are sick. In fact,
It's not that the hospital's examination was incorrect, it's that the patient went to the wrong doctor.
Qin Chuan was immediately fascinated by this study. When he felt a little tired, he realized that he had been studying in the virtual classroom for dozens of hours. In reality, several hours had also passed. Qin Chuan practiced fitness again.
The first five movements of gymnastics. Although the first five movements have been practiced, and he finally broke through the fifth movement. Qin Chuan performed it and also showed the momentum of the fifth posture. I originally thought that he had the fifth basic
Based on the experience of the movements, the subsequent movements should be easier, but unexpectedly, the latter movements seem to be more difficult.
When Qin Chuan was practicing the sixth movement, he encountered the same difficulty as the fifth movement. The fifth movement was to show momentum. The sixth movement was to show "god". This is another kind of
A higher level. Although the display in the system can show a hint of the prototype of "god", it cannot show the essence of "god". Qin Chuan knows that starting from the fifth basic action, it is no longer possible to rely on imitation to imitate the action.
It takes some opportunities to learn it. Therefore, Qin Chuan is not in a hurry. Being able to learn the first five basic movements has given Qin Chuan great benefits. As for the subsequent movements, whether he can learn them will depend on future opportunities. (Unfinished)
To be continued, please search Piaotian Literature, the novel will be better and updated faster!
