"No matter which one it is, this patient must receive treatment from our cardiovascular medicine department at this stage because the indications for surgery have not been met." Dr. Dong suddenly declared.
In response to the other party¡¯s statement, Li Chengyuan just snorted calmly.
Huang Zhilei and Xin Yanjun's hearts trembled, and they understood what the two people were arguing about. It turned out that they were arguing about whether this patient should belong to the Department of Cardiology or Cardiac Surgery.
For myocarditis, early medical treatment is quite effective. As long as it is well controlled, there will be no major sequelae.
Dilated cardiomyopathy is a much more frightening disease. There are basically no specific medicines for medical treatment. You can only wait until the condition becomes serious and wait for a heart transplant. It can be said that if you have dilated cardiomyopathy, you are destined to have cardiothoracic surgery one day.
In the late stage of myocarditis, some patients will have symptoms similar to dilated cardiomyopathy. However, it is possible to control the expansion and contraction of the myocardium well. By insisting on this, Dr. Dong is insisting that there are solutions even for medical treatment of dilated cardiomyopathy. As a cardiac surgeon, Li Chengyuan certainly wanted to refute this view, because it was simply impossible. There is no cure for true dilated cardiomyopathy.
Now, Dr. Dong¡¯s declaration is equivalent to - he can¡¯t defeat the other party.
Being both a physician, Xin Yanjun encouraged Dr. Dong in a low voice: "Don't give up easily, Xiao Dong."
Dr. Dong is very self-aware about this. Otherwise, I wouldn¡¯t have said that boiling frog in warm water when I first started working.
"Don't you mean we can beat them?" Xin Yanjun was surprised by his subsequent explanation that was completely opposite.
No, no, no, boil the frog in warm water and boil off the skin. The prototype of the prince is very arrogant. How could he and Xin Yanjun, two gentle-tempered people, be able to compete with these two tough-tempered frog princes?
Dr. Dong, who knew how to assess the situation, stopped arguing with others and walked to see the female patient with a stethoscope in his hand.
Huang Zhilei looked at the junior sister who was silent just now. The smart junior sister may have realized this and kept silent.
¡°Besides, what Li Chengyuan said makes sense. The only remaining option for dilated cardiomyopathy is surgery. If this patient is destined to have this disease and does not rule out the need for a heart transplant, it will definitely be beneficial to contact the surgeon very early. Instead of waiting until medical treatment fails, it is better to rush to surgery for acute heart failure.
If you are a cardiac surgeon, you also know how to use medication to control the symptoms of myocarditis and dilated cardiomyopathy. It's just that there are not enough surgical beds on weekdays, so the internal medicine department is used to treat the patients. However, Li Chengyuan definitely couldn't tolerate Dr. Dong's statement, which was to take away the business that should belong to their surgery.
Back to the specifics of this patient, whether he has latent progressive myocarditis or dilated cardiomyopathy requires further examination. In fact, doctors all hope that the patient's condition is mild. If it is just acute myocarditis, it is expected to be fine. The worst fear is that this patient's condition will develop as Li Chengyuan said.
Dr. Dong¡¯s admission of defeat is just an admission of the fact: Myocarditis is mostly just inflammation. If the ventricle is dilated, it means the structure of the heart has changed, which may be equivalent to the difference between quantitative change and qualitative change.
¡°It can only be said that Li Chengyuan, like that robot Fu Xinheng, doesn¡¯t like to say anything innocent and beautiful.