153: Sometimes the patient's family members are more nervous than the patient

“Okay, you said she has an irregular heartbeat. Which part of the electrocardiogram shows a problem.”

Zhao Zhaowei tightened his eyebrows to recall the patient’s electrocardiogram he had just seen. “Yes, there was more than one P-wave, and this is -.”

“What is it?”

“Sinus arrhythmia?”

“Do you think she has sinus arrhythmia?”

Zhao Zhaowei wanted to cry again. Even in a diagnostic textbook and an internal medicine textbook, it seemed that it didn’t not explain the electrocardiogram so carefully.

“Teacher, I can’t.” Zhao Zhaowei admitted defeat again.

“You can’t read the problems in the electrocardiogram after saying what’s in there?”

“I really dont know.” Zhao Zhaowei voluntarily surrendered for the third time.

Dr. Lin turned to Xie Wanying and asked, “What do you think?”

“It is very common to have electrocardiogram knowledge but not be able to read the problems in the electrocardiogram, because many heart diseases are occult. If you want to draw a conclusion, you can’t be sure just by an electrocardiogram. Besides, the electrocardiogram itself will be subject to many objective and influence of factors. For example, the patient’s emotion. Like this female patient, it is obvious that respiratory sinus arrhythmia is a very common manifestation in adolescents, and the pp interval is greater than 0.12 seconds. Just now, she was also very nervous during the examination. But it should be noted that the patient’s main complaint was palpitations, dizziness, and fainting, and other diseases cannot be easily ruled out.”

After hearing Xie Wanying’s words, Zhao Zhaowei remembered. “Yes, it’s not more than one P wave, but the PP interval is prolonged.”

Of course, Dr. Lin knew that sinus arrhythmia was right answer, otherwise he would not ask the students. He focused on Xie Wanying’s words. “What other possibilities do you think might cause her to faint?”

“In addition to further heart examinations, blood tests should be done first to rule out abnormal thyroid function, blood potassium problems, and whether she has taken any drugs that have affected her body. Let’s do a comprehensive checkup.”

Saying that, Xie Wanying looked at the patient, and really felt that she couldn’t see that this female student had a particularly big problem. If there was a problem, maybe the parents of the female students standing outside had some health problems because they were getting older.

Dr. Lin knew it when he saw her expression, smiled slightly, and walked away.

For senior high school students, parents had always been more nervous than students. Therefore, what Xie Wanying said was correct, helping the patient to do a comprehensive examination was also responsible for the parents who were too nervous.

Seeing the teacher left, Zhao Zhaowei and Xie Wanying walked to the side, wiping their sweat. “Yingying, from now on you—”

“How about, I will avoid being with you in the future.” Xie Wanying also knew that her rebirth had an advantage over Zhao Zhaowei, which was unfair to Zhao Zhaowei and the others.

When she said this, Zhao Zhaowei grabbed her hand and begged. “No, no, no. Don’t do that. You know, I have no chance to do anything in the Neurology Department these two days, and I don’t know where I was wrong. Because the teacher didn’t make any effort to teach me.”

Clinical teachers were not like lecturers in the classroom. Most of them wete so busy seeing patients on weekdays that they had not received pedagogical training and had no eloquence in lectures.

If a clinical teacher said a few lines and the students didn’t understand, they wouldn’t keep talking about it. If they do, they would be talking nonsense. To make clinical teachers speak up more, one should at least be at the level of Xie Wanying.

Dr. Lin is willing to talk more because Xie Wanying made him feel the same academic atmosphere as his colleagues, which felt good.

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