When a doctor opened a plug-in

Department of Cardiac Surgery, First Hospital of Dongda University.

It was nine o'clock in the evening.

Through the window, you can see the prosperity of this city.

Chen Cang followed Ge Huai and Meng Xi just back to the doctor’s office from the operating room. From around six in the afternoon until now, Ge Huai followed Meng Xi to perform two operations. To be precise, Ge Huai helped Meng Xi do two operations. Surgery, as for Chen Cang... Chen Cang's assistance is not counted, at most it counts as an eye assist.

Chen Cang found that the more involved in surgery, the more likely he is to "learn" the skills of the surgeon.

It's not called stealing, it's called learning.

The probability of 5% seems to be very high, but Chen Cang has estimated that this ratio will change after a long period of time.

If you have a high level of participation, and work hard for this operation, you will get a high probability of surgery, such as the original phalanx fracture surgery.

But such eye assists are really annoying, and the percentage of people who want to acquire skills is too low.

Actually, it's not that Chen Cang didn't want to do it, Chen Cang also wanted to...

But in the final analysis, it was mainly because of the distrust of Meng Xi and Ge Huai.

After all, you are a student who wants to get started just a few days after coming here. This is very unlikely. Everything needs a gradual process.

This made Chen Cang feel very helpless. After all, he couldn't learn surgery if he didn't get started. Look...see if he can learn a fart.

Surgery, without hands, how to learn technique!

And there is no way to improve the goodwill!

Favorability stays at 20 and cannot be improved.

Chen Cang is a little confused. This skill has to be acquired by likability. Why is his 20-point likability enough?

Cardiac Surgery is a highly specialized department, starting with second-level surgery, it is basically a third-level surgery, first-level surgery... this is not a bullshit!

Chen Cang felt more and more that life was deceiving him.

...

...

The three of them were sitting in the doctor's office. Ge Huai was talking about the operation just now to Meng Xi with a look of excitement, while Meng Xi listened, rarely spoke, and occasionally nodded or commented.

And... Chen Cang's participation is extremely low, and his presence is meager...

The so-called don't understand BB, Chen Cang implemented this theory very eloquently.

Seeing that the operation was over and it was not too early, Chen Cang guessed that he got up and left.

Just as Chen Cang was about to leave, the phone in the doctor's office rang. Before Ge Huai had time to answer the call, the call had stopped. It should have been answered by the nurse's station.

The doctor's office phone and the nurse's station phone are connected.

A minute later, the nurse walked in, looked around the office, saw Meng Xi and others, curiously said: "Director Meng, who is on duty today?"

Meng Xi shook his head and looked at Ge Huai: "Doctor Ge, who is on duty today?"

Ge Huai quickly walked over to the watch on duty and looked at it: "It's Doctor Yao today. I wonder if I have to change the dressing."

Meng Xi shook his head: "No need."

After speaking, Meng Xi looked at the nurse: "What's wrong? Xiaoli."

Nurse Xiaoli said: "A patient was sent to the emergency department just now, with chest pain, suspected to be a heart problem, let the doctor of our department go for a consultation."

Meng Xi got up and walked directly outside: "Let me go."

Chen Cang nodded, and quickly followed Meng Xi towards the outside.

Ge Huai also followed Chen Cang down.

In the emergency department, after seeing Meng Xi, the nurse quickly said, "Director Meng, you are here, and the patients are in the emergency room now."

Meng Xi nodded and walked inside.

When the doctor on duty saw Meng Xilai, his eyes suddenly brightened. This female doctor can be said to be a man in the First Hospital of Dongda University.

Let's not talk about this halo blessing from a world famous school.

After Meng Xi came to the hospital, his vigorous and resolute working style, his strict self-interested work attitude, precise diagnosis and masterful surgery have impressed most people.

They are not only talented and beautiful, but they work so hard and have strong abilities.

How could such a person be unpopular.

Wu Peng, a doctor in the emergency department, said directly: "Director Meng, you are not off work yet!"

For these nonsense, Meng Xi did not answer, but directly said: "What is the patient's situation?"

Wu Peng was taken aback, and said quickly: "The patient is a 51-year-old male patient with sudden squeezing pain in the chest area three days ago! Behind the breastbone is obvious, with typical pulling pain and radiating pain, radiating to the neck and back, sharp Pain is the main cause, but I didn’t pay attention to it. Today it gets worse...it looks like a heart attack!"

As soon as these symptoms are said, it is obvious that people should be taken in the direction of acute myocardial ischemia, which is very similar to symptoms such as angina pectoris and myocardial infarction in coronary atherosclerotic heart disease.

Meng Xi walked directly to the patient, looked at the ECG monitoring, and then walked to the man's side and saw that the man was conscious.

"Have you done an electrocardiogram?"

Wu Peng hurriedly took the ECG in his hand: "Here, it doesn't look like a heart attack."

"Before coming, the patient had taken nitroglycerin by mouth, but the effect was average and the chest pain was not relieved."

Wu Peng is not a cardiologist. He can recognize and distinguish some emergencies on the ECG, but he cannot accurately distinguish those special abnormal ECGs or relatively ordinary ECGs.

Meng Xi took a look at the ECG, frowned slightly, nothing is typical, but... not right!

Meng Xi suddenly noticed a detail, the deviation of the PR segment.

This is the typical difference from myocardial infarction and early repolarization syndrome!

Could it be... acute myocarditis?

After a closer look, there is no abnormal Q wave, and the ratio of ST to T is about one-fourth.

Onset time is several days...

All clues point to an answer!

It may be acute pericarditis.

Thinking of this, Meng Xi took off the stethoscope from his neck and put it on the patient's heart to listen.

Pericardial fricative...

Sure enough!

Along with the ups and downs of breathing and the continuous progress of heartbeat, Meng Xi heard a slow pericardial friction sound.

Pericarditis is almost always the case.

Thinking of this, Meng Xi looked at Wu Peng: "I suspect that it is pericarditis, but myocardial infarction cannot be ruled out. Did the patient check myocardial enzymes?"

When Wu Peng heard that it was myocarditis, he immediately reacted: "Myocardial enzymes were checked when they came to the hospital, and nothing happened."

At this time, the patient suddenly said: "Doctor, I have chest tightness, and it's a bit hard to exhale."

Meng Xi frowned slightly: "Let the bedside ultrasound come to see if there is any exudate."

When Wu Peng heard this, he nodded quickly, and hurriedly arranged a consultation.

At this time, Meng Xi suddenly turned and stared at Chen Cang: "Did you not be in the emergency department? Can you judge acute myocarditis?"

Chen Cang was taken aback: Who do you look down on!

Ding!Trigger Meng Xi’s test, the first ring, analyze the condition!