"No matter which patient it is, this patient must receive treatment from our cardiovascular medicine department at this stage because he has not met the indications for surgery." Dr. Dong suddenly declared.
Regarding the other party's statement, Li Chengyuan just snorted calmly.
Huang Zhilei and Xin Yanjun thought for a moment, realizing what they were arguing about. It turned out that they were arguing whether this patient should belong to the Department of Cardiology or Cardiac Surgery.
For myocarditis, early medical treatment is quite effective. As long as it is well controlled, there will be no major sequelae.
Dilated cardiomyopathy is a much more frightening disease. There are basically no specific medicines for medical treatment. You can only wait until the condition becomes serious and wait for a heart transplant. It can be said that if you have dilated cardiomyopathy, you are destined to have a cardiothoracic surgery one day.
Had surgery.
In the late stage of myocarditis, some patients will have symptoms similar to dilated cardiomyopathy. However, it is possible to shrink the myocardial expansion with good control. Dr. Dong insists on this because he insists that even medical treatment of dilated cardiomyopathy can be done. Li Chengyuan
As a cardiac surgeon, of course we must refute this view, because it is simply impossible. There is no cure for true dilated cardiomyopathy.
Now, Dr. Dong's declaration is equivalent to - he can't defeat the other party.
Xin Yanjun, who is also a physician, encouraged Dr. Dong in a low voice: "Don't give in easily, Xiao Dong."
Dr. Dong is very self-aware about this. Otherwise, he would not have said that boiling frog in warm water when he first started working.
"Don't you mean we can beat them?" Xin Yanjun was surprised by his subsequent explanation that was completely opposite.
No, no, no, boil the frog in warm water and boil off the frog skin. The prototype of the prince is very arrogant. How could he and Xin Yanjun, two gentle-tempered ones, be able to compete with these two tough-tempered frog princes.
Dr. Dong, who knew how to assess the situation, stopped arguing with others and walked to see the female patient with a stethoscope in his hand.
Huang Zhilei looked at the junior sister who was silent just now. The smart junior sister might have realized this and kept silent.
Besides, what Li Chengyuan said makes sense. The only remaining option for dilated cardiomyopathy is surgery. If this patient is destined to have this disease and does not rule out the need for a heart transplant, it is definitely beneficial to contact the surgeon very early rather than waiting until the internal medicine department.
If treatment fails, it is better to rush to surgery for acute heart failure.
As for cardiac surgery, they also know how to use medication to control the symptoms of myocarditis and dilated cardiomyopathy. However, there are not enough surgical beds on weekdays, leaving it to the internal medicine department. However, Li Chengyuan definitely cannot tolerate Dr. Dong’s statement, which is to grab money.
It's their surgical business.
Going back to the specifics of the patient in front of us, whether it is latent progressive myocarditis or dilated cardiomyopathy requires further examination. Doctors actually hope that the patient's condition is mild. If it is just ordinary acute myocarditis, it is expected to be fine.
The worst fear is that this patient's condition will develop as Li Chengyuan said.
Dr. Dong's admission of defeat was just a recognition of the fact that most cases of myocarditis are just inflammation. If the ventricle is dilated, it means that the structure of the heart has changed, which may be equivalent to the difference between quantitative changes and qualitative changes.
It can only be said that Li Chengyuan, like that robot Fu Xinheng, doesn't like to say anything innocent and beautiful.