I Can See Health

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After Wang Zihao accepted the WeChat transfer, Lu Chen felt a little relieved.

The 3M stethoscope in my hand is no longer so hot.

After changing into a white coat, I came to the doctor's office.

I replaced the Yuyue brand stethoscope around my neck and put on a brand new 3M stethoscope.

Sure enough, expensive things are good.

Lu Chen felt that his whole temperament was different.

"Junior brother, your new stethoscope is good."

Sun Guoguo saw Lu Chen's 3M stethoscope at a glance.

It seems that the junior brother is really not short of money and can use such a high-end stethoscope. She has only seen it at Teacher Li Yao's place.

Lu Chen smiled and said nothing more.

Be low-key...

…

Finished the shift.

The most important thing this morning was Zhang Fengying's ablation surgery for hypertrophic cardiomyopathy.

"Mother-in-law, let me explain again the precautions and risks of ablation surgery."

Lu Chen came to the hospital bedside and took the trouble to discuss the risks of surgery with Zhang Fengying and Yuan Hang.

"The risk of surgery is that it may lead to acute myocardial infarction, malignant arrhythmia, and even the risk of sudden death..."

"Dr. Lu, you have told me many times, and I know how to memorize it." Zhang Fengying smiled, "Everything is at your discretion."

"Okay." Lu Chen nodded, "Mother-in-law, please wait by the bed first. A nurse will come to take you to the cath lab soon."

nine in the morning.

The nurse from the cath lab came to pick up Zhang Fengying on time.

Yuan Hang helped push the bed and went to the CCU cath lab on the fourth floor with Zhang Fengying.

The surgeon is arranged by the cath lab.

Now, Lu Chen is waiting for the final results to come out.

After getting along with each other these days, Yuan Hang's impression of Lu Chen has changed a lot.

The aura of "Professor Lu Chen" has faded, and now it is the young doctor Lu Chen.

The young Lu Chen is more real and full of responsibility.

In addition, since Lu Chen said to Fan Zhiping on WeChat, "The patient came to Jinghua Second Hospital".

Fan Zhiping never contacted Lu Chen again.

Even if a difficult and interesting electrocardiogram appeared in the Jinghua electrophysiology group, Fan Zhiping did not speak.

If we say that Fan Zhiping used to be a talkative person in the group.

But now he is just a squid who loves to dive, and he almost doesn't bubble anymore.

"I guess it would be embarrassing if he discovered my identity." Lu Chen couldn't help but guess.

But he didn't care.

With the original intention of improving his electrocardiogram level and earning gratitude points at the same time, he is still active in the electrophysiology WeChat group every day.

It hasn't been a month since he joined the group chat.

The name "Professor Lu Chen" is already quite famous among the group.

…

Half past eleven in the morning.

Zhang Fengying's ablation surgery was completed and she returned to the eighth zone of her heart.

"My mother-in-law's surgery was a success!"

On the hospital bed, Zhang Fengying was still in a somewhat weak state.

But when she heard Lu Chen's words, she grinned, "Thank you, Doctor Lu."

Lu Chen picked up his 3M stethoscope and auscultated Zhang Fengying's heart valve area.

"The murmur was significantly reduced compared to before the operation."

In patients with hypertrophic cardiomyopathy, pathological murmurs can be heard in the heart valve area.

After the ablation surgery, the obstruction will be reduced and the murmur will be weakened.

"Dr. Lu, thank you so much." Yuan Hang looked excited, "Well, when will my mother be discharged from the hospital?"

This is another timeless topic.

As soon as the operation was completed, I was thinking about being discharged from the hospital.

Lu Chen smiled and said, "Although the operation was successful, I still have to be careful of postoperative complications, such as acute myocardial infarction, high-grade atrioventricular block and other malignant arrhythmias. Generally, I will observe it for a week and there will be no problems. Mother-in-law You’ll be discharged from the hospital.”

This time, Yuan Hang nodded very cooperatively: "Doctor Lu, I will listen to you. If you say I will stay for a week, then I will stay for a week."

Next, the most important thing is to perfect the cardiac ultrasound.

Cardiac ultrasound is the most non-invasive test for understanding the structure of the heart.

The effect of the surgery can be further evaluated after surgery.

Sun Guoguo directly requested a bedside emergency cardiac ultrasound.

Bedside cardiac ultrasound showed that the left ventricular outflow tract pressure gradient dropped significantly to 30 mmHg. Ultrasound examination showed that the contraction of the hypertrophic myocardium of the interventricular septum was weakened and the left ventricular outflow tract was widened.

"Well, the effect of the operation is good." Sun Guoguo read the cardiac ultrasound report, "I will be discharged from the hospital on an elective basis. Let's review it regularly."

"Okay." Lu Chen nodded.

"Congratulations, I received a +1 thank you from Yuan Hang!"

"Congratulations, I received a +1 thank you from Zhang Fengying!"

The system prompts also made Lu Chen very happy.

Zhang Fengying can be regarded as his first real "fan" on his journey of practicing medicine.

Now the task has been successfully completed.

…

It’s been a busy day in the clinic.

Lu Chen went to the Second Hospital Skills Center again in the afternoon.

This time, Dai Wansong did not continue to block it.

Since the last time the school released the latest rewards, everyone has been working hard to get into the school team and get a good ranking.

Lu Chen's arrival did not attract everyone's attention.

He came to the corner alone and started training on basic skills.

Prompts keep popping up in the system panel:

Skill proficiency increases…

Skill proficiency increases…

…

After his proficiency in some basic skill operations rose to 80%, he ended the successful training and left the skill center.

After dinner, we returned to the dormitory.

At present, Lu Chen still has the last universal card left for virtual training, and he wants to further improve his internal medicine skills.

Thinking of this, his consciousness entered the virtual space training and began targeted internal medicine training.

In the two hours it takes to use this universal card, he should be able to complete the operation of the internal medicine system.

…

Fengmei County People's Hospital, Department of Cardiology.

"Damn it, why did the emergency department treat patients who were poisoned by this kind of drug into our hearts?"

When Fan Zhiping saw the patient in front of him, he couldn't help but curse the emergency department in his heart.

He worked the night shift today, and as soon as he took over, the emergency department sent him a patient who was drinking medicine.

The patient, a 17-year-old female, took 50 propafenone tablets, 1 bottle of atenolol, and some adenosine triphosphate orally an hour ago.

The patient's condition was not very good, she was extremely depressed and complained of persistent palpitation and chest tightness.

After gastric lavage in the emergency department, he was immediately sent to the cardiology department.

"Director Fan, she takes anti-arrhythmic drugs, so I sent them to you." The emergency doctor quickly explained that Fan Zhiping didn't look good.

The patients have been sent here, what else can Fan Zhiping do, he can only bite the bullet and admit them.

"This is an electrocardiogram done in the emergency department." The emergency doctor handed the electrocardiogram to Fan Zhiping. "It looks like atrial fibrillation to me."

Fan Zhiping took the electrocardiogram and frowned.

The electrocardiogram showed fast atrial fibrillation and wide QRS, which was consistent with the electrocardiographic manifestations of propafenone poisoning and atenolol poisoning.

But their cardiology department doesn’t know how to treat this kind of drug overdose!

"Request emergency consultation from the nephrology department and ICU immediately to see if hemoperfusion can be done!" Fan Zhiping immediately ordered.

"Copy that!" the nurse on duty responded and began to contact the relevant departments.

The emergency departments of primary hospitals do not have the ability to diagnose and treat drug poisoning. Most poisoned patients will be sent to the nephrology department, or they will be recommended to go to higher-level hospitals.

Consultants from the nephrology department and ICU came quickly.

Doctors in both departments were hesitant about hemoperfusion.

"The patient's blood pressure cannot be stabilized and the blood perfusion effect is not good!"

"Director Fan, why don't you transfer the patient to a higher-level hospital?"

Fan Zhiping looked anxious.

"You two, stop talking nonsense. If the patient's family is willing to transfer to another hospital, they won't be admitted. And now that the patient's blood pressure is unstable, if something happens on the way to the hospital, what should we do?"

The ICU consultation doctor shook his head helplessly and said: "Director Fan, we have never seen this kind of drug poisoning. Hemoperfusion costs tens of thousands of dollars once it is put on the machine, and it is not reimbursed, and the effect is uncertain. If the family insists, For perfusion, you can come to our ICU.”

Both the ICU and the nephrology department have written consultation opinions, and hemoperfusion will be performed if necessary. UU reading www.uukaｎshu． net

Fan Zhiping was very helpless. Isn't this equivalent to not writing anything?

Outside the doctor's office, the patient's family members were still urging him to understand the condition and the next step of treatment.

"What should we do?" Fan Zhiping didn't know what to do.

He was suddenly startled and thought of the Jinghua Electrophysiology Exchange Group.

Now I can only give it a try.

Fan Zhiping sent all the electrocardiograms and the medicines taken by the patients to the group, and accompanied them with text.

"Will perfusion be effective after taking these medicines?"

Since the last time he communicated with Lu Chen, he has finally started to bubble up in the group again.

For the convenience of reading next time, you can click "Collect" below to record this reading record (Chapter 166 Is Perfusion Effective? (Third update yesterday)), and you can see it next time you open the bookshelf!

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