This miracle doctor just wants to be fired!
Chapter 12 Vasily's Actions
Zhou Cheng first found Nurse Xiaolin.
"Lin Ling, could you do an electrocardiogram for me later?"
Lin Ling turned around and saw Zhou Cheng, looking somewhat surprised.
"Oh, Dr. Zhou, what brings you here? Aren't you on duty tonight?"
"One of my classmates isn't feeling well and has come to the observation room. I came to check on him." Zhou Cheng explained briefly, then pointed towards Su Yi, "He's over there, he just arrived."
"Oh, it's them. I see them, I'm just about to go over." Lin Ling nodded. "Besides the electrocardiogram, are there any other tests?"
Lin Ling is usually quite diligent and has a pretty face, so she's quite popular in the emergency department.
"Let's have an electrocardiogram done first, thank you."
"It's okay, I'll go over after I've taken my blood pressure."
……
According to the normal medical procedure, Lin Wei would definitely have to go to the emergency room first.
However, there are too many patients waiting there, and most importantly, her condition is not very stable right now. Continuing to wait like this is not a solution.
Since Zhou Cheng himself has come, it wouldn't be appropriate to let other emergency room doctors handle it; it's better for him to handle it himself.
Zhou Cheng arrived at Lin Wei's bedside, where the freckled female classmate had already taken her blood pressure.
"Your blood pressure is very low, only 80/40 mmHg." The freckled girl looked a little nervous.
Among them, Su Yi is a cardiologist, Lin Wei is an oncologist, the freckled girl is an endocrinologist, and the other two girls are rheumatologists and ophthalmologists, respectively.
Apart from Su Yi from the cardiology department, the other students' emergency and first-aid skills were not particularly strong.
Because these departments may not encounter a single patient requiring emergency treatment for many years.
Zhou Cheng comforted him, "With such a fast heart rate, your blood pressure shouldn't be too high. Your blood pressure is usually not too high, right?"
Lin Wei nodded.
A fast heart rate, also known as tachycardia, means the heart beats too fast, resulting in a relatively smaller amount of blood being ejected with each stroke, which in turn lowers blood pressure.
Conversely, many patients with slow heart rates have particularly high blood pressure.
"You don't have a fever, do you?" Zhou Cheng asked again.
The freckled girl quickly replied, "They're taking her temperature, but I just touched Weiwei's forehead, so she should be fine."
Just as the group was talking, Lin Ling pushed an electrocardiogram machine over.
Zhou Cheng also found a screen to block out all four sides of the hospital bed.
Apart from Lin Ling and the freckled female classmate, the others all came out from behind the screen.
……
"What exactly happened?" Zhou Cheng glanced at Su Yi.
Su Yi gave a wry smile. "Lin Wei didn't eat much before she started feeling unwell. She said she had heart palpitations. At first, she was okay, but then it got worse and worse. We saw that she looked pale, so we brought her here immediately."
"Aren't you a cardiologist?" Zhou Cheng asked. "With such a fast heart rate, what do you think is wrong?"
Su Yi scratched his head, a hint of embarrassment on his face. "You know my skill level. If you ask me to play games or go to bars, I can do both. You're talking about professional skills, hehe."
Zhou Cheng shook his head helplessly, "You don't even have patients to manage independently anymore?"
"No." Su Yi shrugged. "I rotated through the electrocardiogram department in my first year, and then through various departments in my second and third years. I just returned to my department this year, and the head of the department asked me to learn from one of the attending physicians for a few months."
"So how is your salary calculated?" Zhou Cheng asked curiously.
"Just the basic salary, two or three thousand yuan," Su Yi said nonchalantly. "The director said performance-based pay will be calculated after I become independent."
His father is the head of a department, and his family is well-off. They don't care about a few thousand yuan at all, so they don't care.
While the two were talking, Lin Ling had already completed her electrocardiogram.
She came out with the electrocardiogram results and handed them to Zhou Cheng. "Dr. Zhou, I'm done. I'm going to take the blood pressure of other patients now. Call me if you need anything."
"Okay, thank you." Zhou Cheng nodded with a smile.
Lin Ling pushed the electrocardiogram machine away.
Su Yi stared at the back of the other person for a long time, "Hey, your emergency department is pretty good, huh?"
Zhou Cheng sighed and rubbed his forehead. "She's still a young girl. Don't go and cause her any trouble."
"Hey, what are you talking about? Do you think I'm that kind of person?" Su Yi glanced at Zhou Cheng. "Back in my day, I was a pure and innocent college boy."
Zhou Cheng's lips twitched. How could someone who claimed to be collecting girlfriends of all twelve zodiac signs during his undergraduate years have the nerve to call himself a pure-hearted college student?
He ignored Su Yi and started looking at the electrocardiogram on his own.
Lin Wei's heart rate was indeed very fast, not just 120 beats per minute, but 154 beats per minute.
"What kind of arrhythmia is this? Sinus tachycardia?" Su Yi leaned closer.
"Damn it, didn't you spend a year on the ECG?" Zhou Cheng said helplessly. "There are no P waves in this ECG, how can it be sinus tachycardia?"
"I don't issue reports in the ECG room, I just do ECGs for others!" Su Yi said righteously. He picked up the ECG, took a picture, and sent it to his supervising physician.
"This ECG reading is likely supraventricular tachycardia," Zhou Cheng said without hesitation. "That explains the sudden onset, the intense discomfort, and the low blood pressure."
At this moment, the screen next to the hospital bed was also removed, and Lin Wei should have finished dressing.
Upon seeing this, Zhou Cheng immediately stepped forward.
"How's the electrocardiogram?" the freckled female classmate asked hurriedly.
Lin Wei also looked up at Zhou Cheng.
None of the other people are cardiology specialists, and electrocardiograms are highly specialized; unless you are a specialist doctor, very few people are proficient in them.
"It should be supraventricular tachycardia," Zhou Cheng said confidently. "Fortunately, I've seen many cases like this in the emergency department, and the prognosis is usually quite good."
Upon hearing this, the freckled female classmate gestured towards the person next to her who was on the phone, "Isn't Su Yi in cardiology? Ask him what to do next."
Zhou Cheng glanced back at Su Yi, who was probably asking his senior physician about the details of the illness.
"He just had an electrocardiogram, probably to ask a senior physician for a clearer diagnosis."
In front of outsiders, Zhou Cheng did not embarrass Su Yi by saying that he could not do it, but only that he had gone to see a senior doctor.
At this moment, Su Yi seemed to have finished making the call and strode to the front of the group.
"I just asked my supervisor, and he said it's supraventricular tachycardia, which can be reversed with medication, such as adenosine or verapamil. As long as it's converted, there are no long-term effects."
Everyone breathed a sigh of relief upon hearing this.
Zhou Cheng frowned slightly, tugged at Su Yi's sleeve, and whispered, "Who is your supervisor? Why did you suggest using medication from the start? Why not try physical methods?"
He asked this question because the preferred treatment for supraventricular tachycardia is not medication, but physical methods to restore normal function!
Su Yi was taken aback, and whispered back, "My teacher said to use the Valsalva maneuver, and if that doesn't work, we can use medication. But I'm not very good at the Valsalva maneuver, and its success rate for cardioversion isn't very high. Shouldn't using medication be the same?"
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