Chapter 346 - 346 346 Being questioned by a highly respected senior

Chapter 346: [346] Being questioned by a highly respected senior colleague in the department. Chapter 346: [346] Being questioned by a highly respected senior colleague in the department. Now the room was silent, everyone was waiting for her to speak, including the Bosses.

The pressure suddenly became as immense as Mount Everest.

Her heart thumped anxiously, but Xie Wanying stayed calm and continued, “The patient is elderly, but her cardiopulmonary function hasn’t completely failed, it’s only somewhat weakened due to the tumor. Therefore, I personally believe that the focus should still be on the patient’s tumor.”

“Originally, we wanted to call cardiology for a consultation, but she told Dr. Tan it was not necessary,” Sun Yubo added for her.

Laughter arose from the conference table. Colleagues glanced at Tan Kelin with meaningful looks: to think a deputy senior would actually take an intern’s word for it, that was quite unusual. Could there be something wrong with his brain?

Tan Kelin, with his usual aloof demeanor, didn’t look up, didn’t retort, and didn’t respond; no one knew what he was thinking.

Associate Director Liu smiled and continued to question the student, “Dr. Xie seems very confident. Can you explain the basis of your confidence?”

“In the three days since the patient’s admission, her overall condition, from what we’ve seen, the blood oxygen level hasn’t been as low as we feared. After measures like oxygen therapy and nasogastric tube drainage, there’s been significant improvement, maintaining around ninety-seven or ninety-eight percent oxygen saturation. I’ll come back over the weekend to check on the patient’s condition again. This patient has a particular characteristic; she’s very compliant, listens well to doctors, and trusts them. Before having the tumor, she didn’t have any underlying diseases like diabetes or hypertension, she has generally been healthy, which led the family to misjudge and not bring her to a major hospital earlier. So, I believe that to analyze a patient’s condition, we can’t just look at the present; we must analyze her past medical history,” she finished conclusively.

The logic in her speech was very clear, a rare sight in a twenty-something intern who had just started clinical practice.

The eyes of the other doctors were now interestedly fixed on student Xie Wanying, the intern.

An elderly voice spoke up, “Dr. Xie, the patient is in her nineties. Do you really think she can withstand surgery given her cardiopulmonary function?”

It was Professor Li, a respected senior from the department.

The pressure intensified even more.

Zhao Zhaowei and Li Qi’an exchanged worried glances in private. Lin Hao and Yue Wentong, sitting behind Gao Zhaocheng and maintaining their silence, glanced at their female classmate across from them, perhaps also a bit apprehensive.

Luo Yanfen and the other two old-timers curled their lips, thinking these people just didn’t know. They had once looked down on clinical newbies themselves, only to be proven wrong.

Gathering her thoughts, Xie Wanying answered the Boss’s question thoroughly, “A person’s cardiopulmonary function relates to age, but not entirely. Some patients are quite young and yet have poor cardiopulmonary function. What’s important is to understand where her cardiopulmonary function falls short. She’s had a CT scan, and there are no organic issues with her lungs or heart. She has a rapid heart rate, the ST segment has dropped, and there are changes in the T wave and U wave; combined with her symptoms of intestinal obstruction and blood tests, it’s a classic presentation of hypokalemia. After potassium supplementation, she showed significant improvement. If you’re saying her cardiopulmonary function is very poor, it needs to be supported by data; you can’t judge solely by her age, medicine requires evidence.”

“That was quite sharp,” Professor Li decisively noted, raising his pen to point out her quick-wittedness.

The Boss in his seventies or eighties was very precise in his observation.

The other doctors chuckled: nobody expected an intern to speak so fearlessly and eloquently in front of an academic giant.

A group of doctors bowed their heads to review the old lady’s case in detail, looking to see if they could find any fault with it.

“In terms of bloodwork, the Coagulation Function is acceptable.”