BXBX NOVEL Chapter 1241: 【1241】The academic dispute between the two seniors
Doctor Dong and Sister Xu rushed over and asked Xie Wanying, "Did you do an electrocardiogram for her?"
"I haven't done it yet. The results of the blood test are not very good, so please come and take a look at the teacher." Xie Wanying said, holding the result report of the laboratory just released in her hand.
Dr. Dong took the results of the examination sheet in her hand and was surprised: "You didn't do an electrocardiogram on her, so how could you suspect that something is wrong with her heart?"
Generally, patients with a cold and fever do not need to issue a checklist related to heart disease.
"She doesn't have a high degree of fever, and it doesn't look like tonsil inflammation. She is not in good spirits. I auscultated her and found that her heart rate was fast. It was a normal physiological phenomenon for her to have a high heart rate. The possibility of moving down. I calculated it based on her weight and body shape." Xie Wanying explained her thoughts to the teacher.
Others heard that she seemed to maintain a high degree of vigilance against young cold patients with myocarditis, like an old cardiovascular doctor, as if she had seen many such patients.
As Dr. Dong from the Cardiology Department, he couldn't help but meet Lee Seung-won, who was outside the heart. They heard it, she had definitely seen contact with such a patient.
But she did not study cardiology or cardiothoracic surgery.
"Have you seen such a patient?" Xin Yanjun asked Xie directly.
Mr. Xin doubts more than anyone that Xie has accumulated a lot of clinical experience.
Xie Wanying must clarify this point, she does not have clinical experience in all diseases, because she was not a clinician before her rebirth.
"There used to be a neighbor in our house. He only had a son. After his son had a cold, he went to the hospital and was not found to be myocarditis. It was too late to find out when he had heart failure." Xie Wanying said, "This situation seems to be hidden. Progressive myocarditis."
While expressing his thoughts, he discussed academics with the seniors of Cardiology and Cardiac Surgery who were present.
Dr. Dong did not reject her words, saying: "Occult progressive myocarditis is the most troublesome thing. In fact, acute myocarditis generally has a good prognosis, as long as it is detected and treated early."
"The condition of the patient she mentioned." Li Chengyuan disagreed with them and said, "It should be dilated cardiomyopathy. As for whether it is virus-induced dilated cardiomyopathy, this is a question that needs to be explored. Dilated cardiomyopathy Myocarditis and myocarditis are two different things."
"Some patients with myocarditis will eventually develop dilated cardiomyopathy." Dr. Dong argued with him, saying.
A doctor who is not a heart specialist can only silently listen to the two of them arguing.
"Who told you what?" Li Chengyuan shook his head at Dr. Dong's words, "It is myocarditis caused by a virus and may also cause dilated cardiomyopathy. It's not dilated cardiomyopathy caused by myocarditis, so don't confuse it."
"You are confused. Some patients with myocarditis will develop dilated cardiomyopathy at the end stage. How does this phenomenon not come from myocarditis? Dilated cardiomyopathy has a natural cause and a viral infection factor. The latter is undoubtedly the same as the virus. Infected myocarditis."
Debates about academic issues in medicine are often chicken-and-egg or chicken-and-egg. The two have been fighting for a long time, obviously they can't argue whether the egg lays the chicken or the chicken lays the egg.
Myocarditis is often called viral myocarditis by clinicians. It does not mean that myocarditis is only caused by viral infection. Myocarditis can be a non-infectious immune factor, and there are also toxic myocarditis such as drug-induced myocarditis caused by taking the wrong medicine.
(end of this chapter)