When doctors have a simulated operating room

The doctor said that the patient was not cured.

Zhang Yi looked at the door and said without turning his head:

"I'm not waiting for anyone, Director Kang, I suspect that the cause of the patient's illness is not fulminant myocarditis, but pheochromocytoma."

Kang Yanming's face became serious: "I know, I've heard about it, so I came to see it. Have you tested the catecholamines?"

"I have tested it, but the results are not out yet."

"Hey, this pheochromocytoma not only has a fast course of disease, but also has symptoms similar to many heart diseases. It is estimated that it will not be easy for the cardiologist to find out the cause in the first time."

Kang Yanming probably guessed what Zhang Yi was thinking.

Zhang Yi is a person who devotes his whole heart to work and patients. Who else can make Zhang Yi show such a complex expression of reluctance, loss, regret and heaviness except for patients?

Therefore, Zhang Yi must be standing here because he was upset that he did not find out the cause of the patient's illness in the first time.

If pheochromocytoma is found in the early stage, it can be surgically removed, because most of them are benign.

It can even be cut through abdominal surgery, and the wound is small, and it will not recur after cutting.

But once it is in the late stage or the acute stage, it will be dangerous.

If it is fast, the patient will die of organ failure within half an hour.

Rescue is not enough.

Even Kang Yanming himself, as the director of a department, did not think of this cause in the first time.

Alas!

Thinking of this, Kang Yanming reached out and patted Zhang Yi's shoulder to comfort him:

"It's okay, we just do our best."

After that, Kang Yanming sighed and turned to enter the emergency room.

Li Mingliang was still doing cardiopulmonary resuscitation inside.

If Zhang Yi hadn't come over to call for a stop, he, as his apprentice, wouldn't have stopped.

And he also knew that Zhang Yi wasn't someone who would give up easily.

He had seen the news before about Zhang Yi saving a young man who had jumped into the river to commit suicide.

At that time, it was Zhang Yi who had saved the young man who had been sentenced to death.

Under the watchful eyes of the crowd, everyone said it was impossible, don't save him, he was already dead.

But Zhang Yi didn't want to give up.

Finally, a miracle happened, the young man really came back to life!

So, as Zhang Yi's apprentice, he had to be the same as Zhang Yi.

Never give up until the last moment!

Creak!

The bed legs kept making friction sounds with the ground.

Not only was it harsh, but it was also worrying.

Kang Yanming came in and took a look. The blood pressure, breathing, and heart rate on the monitor were all a mess.

If there was no rescue and no compression, it would probably all be zero.

But looking at Li Mingliang's persistence...

Hey!

No wonder this guy can become Zhang Yi's apprentice.

In some aspects, they are really similar!

"Add another lidocaine and a norepinephrine intravenous injection." Kang Yanming gave the order.

The nurse hurriedly did it.

A cardiotonic and a pressor are both essential for rescue.

But the effect of the drugs was not very obvious after they were taken.

Often at this time, it means that the possibility of rescue failure has accounted for 80% or even higher.

Organ failure is basically the terminal state of the patient.

The probability of wanting to save is not high.

"How many minutes of rescue?"

"Cardiopulmonary resuscitation started at 05 minutes." Li Pingping looked at her watch: "Cardiopulmonary resuscitation alone has been 17 minutes so far."

Cardiopulmonary resuscitation alone has been 17 minutes, not counting the time when he first entered the emergency room.

Kang Yanming roughly estimated that it has been at least 45 minutes since he entered the emergency room.

After calculating the time, he said to Li Mingliang:

"Hold on for another 15 minutes. If it still doesn't work, declare the patient dead."

Just when Li Mingliang was about to say that Zhang Yi hadn't made a decision, he saw Zhang Yi walking towards him.

Li Mingliang turned his head and looked at Zhang Yi, as if waiting for Zhang Yi's opinion.

"Hold on a little longer. The family members haven't come yet. At least we have to hold on until they arrive at the scene."

Seeing that Zhang Yi said so, Kang Yanming nodded in agreement.

He turned around and began to look through the patient's medical records.

There were various examination reports that had just been issued.

He was also very curious. How did Zhang Yi determine that the patient was a pheochromocytoma?

That thing was so cunning and hidden that even specialists might not be able to find it out. How did Zhang Yi see it all at once?

With curiosity and a desire to learn, Kang Yanming asked Zhang Yi a question.

As the director, he really had no authority in front of Zhang Yi.

But it doesn't matter~

Three people must

I have a teacher.

What's more, this person is Zhang Yi!

Zhang Yi repeated what he had just explained to Li Mingliang and the others.

Kang Yanming suddenly realized it after listening!

"So that's it! These details are indeed too easy to ignore. Not only are they easy to ignore, but our emergency doctors rarely come into contact with the knowledge of this type of disease, resulting in most people not being able to see it even if the disease is right in front of them!"

In the hospital, departments are separated by mountains.

Each department has its own area of ​​expertise, and it only specializes in this area.

Just like the emergency department, when training or studying, it will focus on the subject of critical care medicine.

Cardiology basically only studies knowledge related to heart and cardiovascular diseases.

And gynecology only specializes in knowledge of female diseases.

Because medicine is too complicated and people's abilities are limited.

Everyone can only try their best to learn a subject well in a limited time.

It is already amazing for most doctors to learn a subject well and thoroughly.

Except for great people like Zhang Yi~

So, Kang Yanming was not angry when the emergency doctors did not react immediately.

He just thought that Zhang Yi should train them one day.

At least they should remember this typical and rare disease like pheochromocytoma.

"Zhang Yi, how about this? On Friday night, I will ask the doctors in the department to have an analysis meeting on this patient's case so that everyone can take a look and get familiar with it, so that next time this disease appears, everyone will be as if they have never seen it before."

Zhang Yi nodded after a moment of silence.

This is also good.

It is a rare disease, and this person's condition progresses very quickly.

It is even rarer among the rare ones.

Make a PTT to introduce it to everyone, and it can also allow more doctors to gain experience.

It is also good for future patients in the emergency department.

On the bed, Li Mingliang is still continuing.

Zhang Yi said that he can't stop until the family members come.

So Li Mingliang persisted even if he was tired and began to sweat.

At this moment, a shrew-like shouting and cursing suddenly came from outside the emergency room:

"Where is Zhao Xiaolong? Didn't he call and say he was dying? Where is he?! Wasn't he going to die? Is he dead or not?!"

When Xiao Li, who was standing by, heard this, he immediately knew whose family member this was.

He glanced at Zhang Yi and got a nod from Zhang Yi.

He immediately went out and brought the family member in.

When he just entered the room, he could still hear the woman's noisy voice.

"It's really funny, how could a normal person suddenly die? Are you trying to cheat me for medical expenses?! I tell you, I'm not..."

But as she spoke.

When she saw Zhao Xiaolong, who was pale and almost lifeless on the bed, she immediately became silent.