Yan Yunkai strictly implemented his steady medical style. After comparing the two, the patient who was preparing to be recommended to orthopedics suddenly became important.

If the myocardial infarction worsens on the way to orthopedics, according to the first-time consultation responsibility system, he will definitely be fully responsible.

Yan Yunkai greeted the wounded in front of him, then threw down the stapler and ran out of the debunk room.

Fortunately, the two injured inside and outside the debunking room are their own brothers, and they don’t complain even if the wound is half stitched. However, the patient is very fragile and has just encountered a car accident, so he is easily affected by others.

Seeing Yan Yunkai so anxious, his younger brother, who had skin trauma, became worried, fearing that his elder brother would have some major problems.

"Doctor, is my brother okay?"

“…”

Yan Yunkai suddenly refused to respond and made him think less and worse.

He looked at the bloody wound that was half sewn on his arm, and didn't care whether it hurts or not. He wanted to take the thread of the stapler that was connected to the flesh and go out to see what was going on.

Fortunately, Li Yuchuan, who came in, stopped him: "You can't move around. The suture area is a sterile area. If you get started, you have to disinfect it again."

Hearing the word disinfection, my brother took a breath of cold air.

The pain in his mind and the pungent smell remaining in his nostrils immediately reminded him of the feeling of rinsing hydrogen peroxide just now.

He retracted his hand: "My brother is okay?"

"It's okay, I need to do two more tests to confirm the heart condition." Li Yuchuan put on surgical instruments and sat in front of him, "Don't worry, Dr. Yan has consulted with orthopedics and cardiology."

"Two departments are consulting together?"

"Well, the bone is broken, which may have had some impact on the heart." Li Yuchuan picked up the stapler naturally and comforted, "But it seems that the impact is not too big now, and we just want to do an assessment."

"oh......"

Although his younger brother was still a little worried, at least he heard about his brother's current specific situation, which was better than guessing alone.

Then Li Yuchuan began to talk about the location where they had the accident, the motorcycle model, and where they worked. He successfully diverted his attention and unknowingly sutured all three wounds of all sizes.

Li Yuchuan didn't expect Yan Yunkai to be so nervous because of Qi Jing's words. He did everything from electrocardiogram to myocardial zymogram to the test of myocardial zymogram, but instead gave the suture.

The result was consistent with Qi Jing's guess, and the patient had problems with the coronary artery.

Although the electrocardiogram changes very little, the myocardial enzyme spectrum report values ​​sent for examination have increased in various ways. After reading it, Yan Yunkai even secretly admired his prudence and decisiveness.

"Xiao Kaizi, it's not bad. You can think of this?"

The person who came to the consultation was the tall and strong Wang Chengdong. He patted Yan Yunkai on the shoulder like a father scolding his son: "I have never seen a heart attack after trauma. Today I'm open to my eyes."

"Haha, I'm just guessing." Yan Yunkai was very clever and modest, but he won all the results.

Wang Chengdong picked up the phone and called Qi Rui who was resting at home: "Teacher Qi, I felt chest pain and chest tightness after an external trauma. The electrocardiogram changes were not obvious, but myocardial enzyme indicators were all high."

"Then let's do an angiography first and go in and see the situation. You don't need to report it to me."

"The patient's chest and ribs were broken. Lao Huang, who was consulting with the orthopedics, was still in the operation. I went to the phone and said it would take more than half an hour. The key point is that this guy has been emphasizing that he will talk about it when he comes. Teacher Qi, it's very difficult for me to do it."

Qi Rui was also a little troubled. Although Lao Huang was a deputy senior, he was just suppressed by the top director. His strong surgical ability made him a signature of orthopedics, and at the same time he could have the worst temper in the hospital willfulness.

Anyone who stole his patient would definitely be annoyed by him.

At that time, if the angiography goes in, it will be troublesome if the coronary stenosis is not serious, there is no stent indication, or there is no myocardial infarction at all.

No one wants a fly around him to keep buzzing there, not to mention that the fly is about the same size as himself...

"Listen to his heart sound, if there is any noise, I'll send it first. If he asks, I'll have an explanation at least."

"Listen to Xinyin? Director, you know I'm auscultation..."

Qi Rui couldn't help but sigh and scratched his forehead: "By the way, who called for consultation?"

"Yan Yunkai is in a hurry."

"Let him listen to the phone."

Wang Chengdong handed over the phone: "Director Qi will ask you something."

Yan Yunkai took the phone and said respectfully: "Hey, Director Qi, I am Yan Yunkai."

"How did you think of myocardial infarction? There is no problem with the electrocardiogram."

“The patient kept saying chest tightness.”

"The chest and ribs are broken and squeezed into the chest cavity, and it is normal to have chest tightness."

"I was afraid something happened, so I did a myocardial enzyme test for him for being cautious."

"Yes, young doctors should have such a cautious work attitude as you." Qi Rui praised repeatedly, but before the other party could thank him, he changed the subject, "Have you heard the patient's heart sound?"

"Heart sound?"

Yan Yunkai felt a little embarrassed, but in order to maintain his image as an excellent young doctor, it is impossible not to say anything but listen. After all, auscultation is an important part of the treatment.

How can I write "Body lung clearance" in the medical record record book if I missed the auscultation?

Although many young surgeons who have just entered the industry have done this in order to save time, there is nothing to be ashamed of in front of their peers. But his ambition in an instant made him nod incredibly: "I heard it when I first came."

"oh?"

Qi Rui was a little surprised. It was rare for young doctors to be so down-to-earth. He asked quickly: "How is the patient's heart sound auscultation? Is there any noise?"

In fact, Yan Yunkai regretted it as soon as he said it. Unexpectedly, before he recovered, he immediately asked the question. He had no choice but to answer: "I just listened to both lungs, but I didn't pay attention to the heart."

"Didn't you listen?"

Qi Rui felt strange. Why did a doctor who was able to listen to the lungs when he was suspicious of myocardial infarction but not listen to the heart sound?

However, no matter how suspicious he was, he still had high hopes for Yan Yunkai.

Who made Wang Chengdong a very serious slut, and after becoming an interventionist, his basic skills were no longer necessary to practice.

If it weren't for the rise of intervention in recent years, this big man who looked like a bear would have been at the bottom of the food chain in his heart for the rest of his life.

"Xiao Yan, don't hang up the phone, go and see if there is any noise."

Yan Yunkai:?

He felt a little confused. He had all been diagnosed, why did he still need to auscultate...

However, how dare he refuse to listen to the request of the director-level boss, so he could only bite the bullet and come to the patient and put down the stethoscope's earpiece.

Dongbang~dongbang~dongbang...

What a normal sound of heartbeat, there is no noise. But Yan Yunkai was still groping seriously on the patient, moving from the sinus node to the bottom of his heart, and he couldn't even hear a p.

"How is it?" Wang Chengdong's mobile phone has been changed to external display.

"It seems, there seems to be a little bit."

"Oh? Where?"

"I can't take it correctly, it seems to be in the right ventricle..."

Unexpectedly, while Yan Yunkai was still working hard to act, the patient lying on the hospital bed could not hold back. He grabbed Yan Yunkai's hand and placed the receiver slightly above his heart.
Chapter completed!