Chapter 325: Talking too much will lead to tears

"Broken Heart Syndrome?" This was the first time Su Jie had heard of this disease, and he immediately felt very curious.

Isn't heartbroken an adjective?

Is it possible that if you are too sad, your heart will really break?

The CEO of the cardiac surgery department thought seriously for a while, and the more he thought about it, the more he felt that the diagnosis of broken heart syndrome was very close, so he breathed a sigh of relief and began to explain:

"Sadness to heartbreak is usually an exaggerated description of sadness. However, there are also a small number of clinical cases that prove that patients will develop symptoms of heart disease such as chest tightness, suffocation, and shortness of breath after being extremely sad and angry."

"Of course, this will not cause real organic disease of the heart, and the heart will not really break."

"Clinically, most opinions believe that broken heart syndrome is related to the secretion of catecholamines. This is a hormone that can enhance heart function and promote metabolism when people encounter special circumstances. However, when it is secreted in large amounts in a short period of time, it

It will lead to a decrease in the systolic function of the apex of the heart, causing symptoms similar to myocardial infarction."

"Then how to treat it?"

Compared with the reasons, Su Jie actually cares more about how to deal with it.

"Symptomatic treatment is enough, including oxygen inhalation and blood pressure monitoring. If the condition worsens, consider medication. In the final analysis, this disease is an emotional problem for the patient. Time is the best medicine to heal emotions. The medicine we use is generally effective."

The CEO of the cardiac surgery department said very relaxedly that although the symptoms of this disease are similar to those of myocardial infarction, the severity is far inferior.

As if to confirm the words of the CEO of the cardiac surgery department, the five-minute blood pressure monitoring was started again, but this time the patient's blood pressure rose instead of falling, and the patient who had been fainting gradually began to respond and began to murmur unconsciously. It seemed that the situation was

It's definitely getting better.

As early as when he first came to the emergency department, Jiang Wu had already asked the nurses to give the patient oxygen, monitoring and other symptomatic treatments. Therefore, at this time, everyone seemed to just need to wait for the patient's condition to further stabilize with their hands behind their backs.

"Are you Dr. Su Jie?"

The relaxed CEO of cardiac surgery looked at Su Jie, his eyes full of curiosity: "How did you tell that the patient had broken heart syndrome? This disease is rare in clinical practice, and many doctors who are experts in cardiac surgery have never seen it.

."

"I can't remember which book I read it in. I just saw that the patient's symptoms were very similar to myocardial infarction, but the electrocardiogram showed no abnormalities, so I suddenly remembered it." Su Jie said with a smile.

"You are well-read. Emergency doctors really need to have a wide range of knowledge. Patients often cannot speak for various complex diseases. It is amazing to find the origin of the disease from the subtleties." The CEO of the cardiac surgery department gave a thumbs up.

, said with sincere admiration.

The difficult patient was solved, and his apprentice was once again praised by others. Jiang Wu couldn't help but show a smile on his face and said: "Then should this patient be sent to your department, or should he stay in the observation room of our department temporarily?

"

"Just stay in your department. Our department is very short of beds. Her symptoms should get better soon. Just strengthen the monitoring. It's a waste to go to our department." said the CEO of the cardiac surgery department.

"Okay then, I'd like to ask you to make a trip."

"It should."

Difficult patients are solved, and the solution is to simply continue to observe them. In fact, this kind of thing is not uncommon in emergency departments, but the problem is that until the cause of the patient's illness is understood, no one dares to bet that the patient will slowly get better.

Even if nine out of ten patients can slowly recover like the girl in front of them, what should we do about the remaining one? We can't just watch him get worse.

This is the job of an emergency physician. They are trying to peel off the cocoons in complex situations. They must not take it lightly until they understand the root cause of the disease.

For the sake of safety, cardiac surgeons still recommend that after the patient's condition becomes slightly more stable, he or she can undergo an echocardiogram to determine whether there is a problem with the apex of the heart.

Su Jie looked at the girl who was gradually regaining consciousness lying on the flat car, thinking about the girl's sad cry in the strawberry field before, and said: "I will take her for a checkup later, so I can feel relieved."

The CEO of the cardiac surgery department was about to leave. When he heard that Su Jie was going to take the patient for examination, he took back his steps and said, "Dr. Su, I'll go with you. I'm familiar with several doctors on the ultrasound side.

When the time comes, asking them to check more carefully will save a lot of trouble."

"Thank you then." Su Jie said very politely.

Jiang Wu saw what the CEO of the cardiac surgery department was thinking, but he just smiled and refused to tell the truth.

The emergency department MDT has now become the most popular department in the hospital. General surgery, urology surgery, and orthopedics have all achieved great progress in the department with the help of the emergency department MDT. Even the general surgery department of the high-tech branch has become

The leader in NOTES technology in the industry.

And all of this is inseparable from Su Jie.

So now there is a consensus among all major surgical departments in Southeast Hospital that if you have nothing to do, stay close to Su Jie. Maybe one day the other party will be able to help you and lead you to the top of your life!

Jiang Wu has already turned a blind eye to the behavior of department bosses who come for emergency consultations and then find various excuses to pester Su Jie.

One moment is not the other. Unless someone at the director level takes the initiative to extend an olive branch, Jiang Wu doesn't even bother to moan.

After all, if you are jealous every day, even an Iron Man can't handle it. Jiang Wu is also very old. It is not good to stay up late and have too much kidney. If you drink too much vinegar and cannot metabolize it, you will be very embarrassed if you have high potassium.

…

Su Jie discussed the examination with the patient's family, and then followed the CEO of the cardiac surgery department to push the flat cart to the ultrasound room.

On the way, the CEO of the cardiac surgery department kept taking the initiative to talk to Su Jie. Su Jie was not impatient, and focused more on the patient, chatting casually with the CEO of the cardiac surgery department.

"Dr. Su, you are actually quite suitable for cardiac surgery. Many doctors in our department are from the emergency department. Cardiac surgery has a lot of emergency operations. Without the courage of an emergency doctor, you really can't handle the surgery." The CEO of the cardiac surgery department helped.

The bed rail said.

"I'm really not familiar with cardiac surgery. Not just any doctor can pick off the crown jewel of surgery."

Su Jie said very politely: "By the way, I haven't asked the teacher yet, what is your name?"

"Zhang Mao."

The CEO of the cardiac surgery department grinned. He was actually quite old and already had a lot of gray hair on his temples. When he smiled, the fine lines at the corners of his eyes were clearly visible.

"Teacher Zhang, don't you have any young doctors in your department? You look like you are not young anymore. The boss is working so hard, can you still bear it?"

Boss, boss, is synonymous with always staying in the hospital and always looking for him when something happens.

Generally speaking, the bosses in the department will be assigned to middle-level doctors. They are in their prime, physically strong, and technically mature enough to deal with most clinical problems.

But Zhang Mao's age is clearly past the age of being a boss. In the general surgery department, a doctor like Zhang Mao with white temples is a proper old attending. Apart from the department director, he is the most active person in the department.

A free and happy person.

And considering the different responsibilities and pressures, if the old chief physician was a little more experienced, he might be the most comfortable and happy person in the department.

But as a cardiac surgeon, Zhang Mao became the boss at this age, which is really miserable...
Chapter completed!