I really don't want to be a doctor

Chapter 153 How much is a day
The xiphoid process is a xiphoid cartilage at the front and lower end of the chest wall in the heart area, which protects the heart.

Jing Xiaoran placed the probe under the xiphoid process, the ultrasound probe pointed to the left shoulder, and the ultrasound plane was perpendicular to the standard long-axis view of the left ventricle.

The ultrasound picture is still a bit blurry, but it is much clearer than the slice directly on the heart.

This is the subxiphoid-process four-chamber view, which can observe the inner diameter, volume and wall thickness of each chamber of the heart, as well as the movement state and function of related anatomical structures.

"Xiao Jing, it's not bad." Zhu Zhu stood beside Jing Xiaoran, leaned over and looked at the portable ultrasound screen carefully, "The four-chambered heart under the xiphoid process, the slice you made is very good, each chamber of the heart The room is very clear."

Jing Xiaoran smiled, stood up, moved away from the seat beside the bed, and handed the portable ultrasound back to Zhu Zhu.

"The patient had sudden ventricular fibrillation on the way into the cath lab, and also suffered cardiogenic shock on the emergency intervention table, and the heart function has been seriously affected." Zhu Zhu took over the ultrasound machine and placed the probe on the sword again. To observe the function of each chamber of the heart, "so the patient used IABP directly before stepping down to prevent cardiogenic shock from occurring again."

Jing Xiaoran thought for a while and then asked: "Mr. Zhu, according to the electrocardiogram, the ST-segment elevation of V1-V6 leads is about 0.3mv, which should be acute extensive anterior wall myocardial infarction. Could it be that the patient's left main coronary artery Is there a problem with the blood vessel?"

Coronary arteries are the arteries that supply blood to the heart. They originate in the aortic sinus at the root of the aorta, divide into two branches, and run on the surface of the heart.The left main artery is the starting point of the left coronary artery. Once blocked, it will lead to shock, sudden death and other unpredictable malignant events.

The most interesting thing about medicine is that we can find the basis of diagnosis from the clues of examination and laboratory tests.

A small electrocardiogram, from the subtle changes in it, an excellent cardiologist can judge the changes in the heart blood vessels, and even specifically which blood vessel is blocked.

"Yes, it is true that the left main artery of the patient's coronary artery is occluded. In fact, he can persist until he arrives at the hospital to have symptoms of shock. It is his fate. Because generally, patients with left main artery disease will have a heart attack on the way. decline."

Zhu Zhu glanced at Jing Xiao Ran calmly.

Judging the diseased heart vessels from the electrocardiogram is generally done by experienced cardiologists.

But Jing Xiaoran is still just an "intern", which is no worse than Li Wenlin who is a graduate student, and even better than her to some extent.

"We can only see how the patient's heart recovers." Zhu Zhu said again, "But even if he survives this test, his heart function will not be very good in the future."

Jing Xiaoran nodded.

Heart failure is irreversible, and the only option is to delay the progression of the disease as much as possible or perform a heart transplant.

At this time, Senior Sister Li walked into the No. 1 emergency room.

"Ms. Zhu, the family members of this patient want to come in for a visit, can that be done?"

Family members are not allowed in the intensive care unit.

There will be a fixed 1-minute visit time at 20:[-] noon every day, but if you are a critically ill patient, you can allow them to visit as appropriate.

"Well, Xiao Li, go and bring his family members in." Zhu Zhu wiped off the couplant on the patient's body with a tissue, and then ordered the nurse to tidy the patient's bed.

After a while.

Sister Li led the patient's couple into the intensive care unit. They were wearing blue protective clothing and shoe covers, and their faces were full of nervousness.

Walking into the No. 1 emergency room, the man immediately walked quickly to the patient's bedside.

"Dad, how are you feeling now?" the man leaned over and asked.

The patient's body was connected to various instruments, and there was an IABP tube on his leg, but his consciousness was clear, but he couldn't move his body.

"It's okay..." The patient nodded with difficulty.

"That's good." The man gently held the patient's hand, then looked at Zhu Zhu, "Doctor Zhu, my father's condition..."

"Let's go out and talk."

Zhu Zhu walked out of the emergency room first, followed by the young couple, and then gently closed the glass door of the emergency room.

"Doctor Zhu, my dad's current condition is..." the man asked cautiously.

"The doctor in the operating room has communicated with your family before. The patient underwent two rescues in the intensive care unit, and even went into shock on the operating table." Zhu Zhu said, "You have also seen that the patient was rescued in our emergency room. , and used various instruments. It is currently in an extremely unstable state, and there is still a risk of shock or even heart rupture at any time."

"Hey." The man sighed deeply after hearing the words, and continued after a while, "Then can my dad survive now? Is there a high chance of recovery?"

"How should I put it, let's see in the past few days, if his heart condition can be separated from IABP, then the situation will gradually improve." Zhu Zhu explained.

The man sighed again, and looked back at the emergency room, the sadness between his brows and eyes became more and more intense.

"Doctor Zhu, how much does the intensive care unit cost per day?" The young woman suddenly asked in a low voice.

Zhu Zhu replied fluently: "The cost of medicines and supervision costs more than 1 yuan a day."

"Ah, this..." The young woman glanced at her husband, and then asked Zhu Zhu, "When will I be able to transfer to the general ward?"

Zhu Zhu still said without hesitation: "Depending on the patient's condition, if the transition can be made smoothly, the patient can be transferred to the general ward if the condition is stable."

"Can you give me an approximate time?"

"At least a week." Zhu Zhu hesitated.

"A week..."

The young woman lowered her head, seeming to be thinking about something.

"Thank you, Dr. Zhu." The man said, "Let's go check on my dad's situation."

"Well, you can visit for 20 minutes. When the time is up, I will ask the nurse to take you out."

"Thank you."

……

One morning passed in busy clinical work.

The cardiology intensive care unit will provide lunch, because the intensive care unit uses a large amount of drugs and equipment, so most of the time there will be a drug agent to pay for the lunch.

"Squad leader, I'm so tired!"

When Jing Xiaoran had finished his boxed lunch, Hong Sheng came to the dining room in a hurry.

"Hurry up, the food is getting cold, there is a microwave over there, go and heat it up." Jing Xiaoran left a lunch box for Hong Sheng.

"Forget it, I'm too hungry, so I'll just let it go." Hong Sheng opened the boxed lunch directly, "The food provided by the drug agent is really good, there are fish and meat, I'm afraid it costs 30 yuan a piece outside."

Jing Xiaoran smiled, shook his head and continued to destroy the boxed lunch in front of him.

"Hey, even the city hospital has this takeaway?" Hong Sheng suddenly saw the package of the lunch box, "I thought it was only around our school."

Jing Xiaoran also noticed the packaging bag outside the lunch box, isn't this the delivery platform of Jin Miao?

I really didn't expect that in the past two years, his takeaway business has reached this point.

(End of this chapter)