Famous Among Top Surgeons in the 90s Chapter 118: Emergency Room 5 Overcrowded

Chapter 118: Ergency Room 5 Overcrowded

The orderly was free, so he pushed the cart over and transported the deceased car accident victim to the hospital morgue.

Father Liu glanced at the dead patient and his breathing beca rapid. Strangely, however, the heart rate on the monitor showed no significant changes for the ti being.

“No beds in cardiothoracic surgery?” Concerned for the little one, Xie Wanying asked her senior.

Cardiothoracic surgery? Upon hearing her question, both Huang Zhilei and Doctor Jiang were sowhat surprised.

“It’s a patient with angina, suspected of having a myocardial infarction, so they’re on the monitor,” Doctor Jiang explained, “The case was taken by the internal dicine departnt, and they might need to have an interventional stent, but there are no beds available in cardiology.”

While answering, Doctor Jiang guessed that Xie Wanying had learned of the patient’s condition from the diagnosis on the Bedside card. Yet, with the ergency departnt overflowing today, ergency nurses simply didn’t have the ti to place Bedside cards in the resuscitation room.

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Having gotten to know his junior sister better last night, Huang Zhilei looked down at the head of the bed to check for a Bedside card but found none. In fact, upon his arrival, he didn’t even know what was wrong with this patient. It was Doctor Jiang, not the ergency internal dicine physician, who had called him in.

“How can we secure a bed?” Xie Wanying asked her senior.

“Getting a bed today is too difficult; we’ll have to wait,” Doctor Jiang replied, highlighting the predicant, “Look at my female patient with gastrointestinal bleeding, from last night she’s been lying there unable to get into our departnt. She is our departnt’s patient, and it’s even harder to say for patients from other departnts without doctors on duty in the ergency room today.”

The attending physician himself couldn’t manage to get a patient admitted. Xie Wanying imdiately thought of Yue Wentong, who was in front of the nurse’s station. The patient the head nurse had taken was admitted by a professor.

“His condition seems alright, he might need to wait a few more days, or he could be directly transferred to the Observation Room for monitoring,” Doctor Jiang suggested, looking at Father Liu’s heart rate and blood pressure on the monitor.

“But with patients like this, isn’t it more important to determine how many vessels are blocked? Waiting until a large area of the myocardium dies is too late. The gold standard for confirmation of diagnosis is coronary angiography. Moreover, the monitor simulates leads, it’s not as accurate as an ECG machine,” Xie Wanying stated.

Huang Zhilei was taken aback: his junior sister was as blunt as she had been the previous night. Although last night’s issue was neurosurgery, today’s was cardiac disease. Had his junior sister also reviewed knowledge of other departnts that weren’t part of the internship program?

In fact, Xie Wanying was sowhat anxious about Father Liu’s condition, hence she directly addressed the seniors in front of her, just like she had the previous night.

After listening to her, Doctor Jiang thought about it and agreed. So patients with cardiac vascular disease, can maintain a balance of oxygen supply and demand before a heart attack, often showing no significant characteristic changes on the ECG. However, once an attack occurs, their condition can deteriorate rapidly. So patients can show no signs at all before dying. They may not even experience any chest pain despite their complaints of pain.

“We need to first perform a coronary angiography to see how blocked the vessels are. If that’s not possible, transfer from cardiology to cardiothoracic surgery can be considered,” Doctor Jiang said, no longer insisting on his initial statent, and began to sowhat support Xie Wanying’s idea. He then smiled and asked Xie Wanying, “You’ve studied diagnostic dicine, so which chapters of internal dicine and surgery have you reached now?”

It felt like this female intern could pinpoint the crux of clinical observation, indicating an expertise that was unusual for a clinical rookie. These insights were not sothing found in dical textbooks; they belonged to a doctor’s personal clinical experience.