I Can See Health

Return to Jinghua Second Hospital.

The entire team was treated like a champion.

Luo Binghe, the dean of the graduate school, met with everyone in the school auditorium and reiterated the rewards previously promised by the school.

Won first place in the country in the skills competition and received all scholarships unconditionally. And have priority in all selection activities. At the same time, students will have the opportunity to study and exchange abroad at Jinghua Medical University.

Scholarships include grants and national scholarships.

The annual first-class scholarship is 10,000 yuan, and the national scholarship is also 10,000 yuan.

This is a "huge sum" for students who have just lost their jobs.

In addition, they have high priority in staying in school after graduation and have the opportunity to go out for exchanges.

Lu Chen and other five people gained very much from this national skills examination.

Not only are there financial rewards, they are also very beneficial to their future development.

…

After the skills test was over and they returned to Jinghua Second Hospital, Lu Chen and others returned to the clinical departments.

According to the latest rotation plan, Lu Chen will need to stay in the Department of Cardiology for two more months before he will be rotated to another department.

The day after returning to Jinghua Second Hospital, Lu Chen returned to the ward in the eighth district of the heart and began clinical rotations.

"Junior Brother Lu, the schedule for your graduate students is out. Take a look at your class. Don't forget it."

In the early morning, as soon as Lu Chen arrived at the ward, he received the schedule handed over by Sun Guoguo.

Only then did he remember that after the official rotation started, the hospital began to schedule shifts for them.

Shift scheduling is mainly divided into two types.

One is a class in your own major department, and the other is a class in a rotating department.

For example, Lu Chen was rotating in the Department of Cardiology, and he only had to attend the cardiology shift.

But when Lu Chen is rotated to other departments, such as the Department of Endocrinology, he will need to work in both the Department of Cardiology and the Department of Endocrinology at the same time.

Each department has about three classes a month.

In other words, each graduate student will attend six classes every month.

The subsidy for each shift varies from 60 to 100 yuan depending on the department.

Lu Chen looked at the schedule in his hand.

"There is a night shift this week, the day after tomorrow, and the senior physician is Yin Xinhua."

The senior doctors and graduate students on duty are arranged randomly.

Lu Chen's first night shift was with Yin Xinhua, the attending physician who worked with teacher Lin Cui.

…

After finishing my shift in the morning.

Lu Chen took back the four hospital beds he had managed before.

However, these patients were all ready to be discharged from the hospital, so Lu Chen directly completed the disease course record without spending much time on it.

After following Sun Guoguo for a ward check and returning to the doctor's office, Lu Chen saw a group of people gathered around.

There were interns, regular trainees and graduate students, who seemed to be discussing some issue.

Lu Chen took a glance and saw Director Lin Cui sitting among them, and he probably knew what was going on.

Thinking back to when he first came to District 8, Director Lin Cui liked to give lectures in the department and ask questions to everyone.

Ke Yue was also severely criticized by Lin Cui for not recognizing the electrocardiogram of atrial fibrillation.

It seems that Director Lin Cui started teaching again and has almost finished it.

"Do you have any questions about electrocardiogram? You can raise them and discuss them together." Director Lin Cui said with a smile.

A group of students chatted and started asking questions one after another, including the meaning of P wave, QRS wave, and the identification of premature beats.

Director Lin Cui suppressed her temper and explained to them one by one.

"Director Lin, I am very interested in a question. Electrocardiogram can determine the condition of our heart, whether there is myocardial damage, whether there is cardiac hypertrophy, etc. Since electrocardiogram is so magical, then I want to ask, through electrocardiogram, can we identify people's heart condition? Gender?"

At this time, an intern's question caught Lu Chen's attention.

Lin Cui was also stunned by this sudden question.

"Looking at people's gender?"

"That's right, Director Lin, can't you watch it?" the intern asked doubtfully.

Lin Cui's face darkened, "You kids, please ask more practical questions. Just ask these questions. Can the disease be cured by determining the gender?"

When the intern heard this, his face turned red, he said "Oh" and stopped asking.

Although Lin Cui did not answer, everyone was interested in this question.

"Brother, can electrocardiogram determine the patient's gender?"

Junior sister Yao Jie on the side suddenly came over.

"Do you think it can be done?" Lu Chen asked with a smile.

"No, you can't?" Junior sister Yao Jie shook her head slightly.

"Let's do this." Lu Chen smiled, "Junior sister, go get some electrocardiograms and don't let me see the patient's information."

"Okay." Yao Jie quickly ran to the medical record cart and found five electrocardiograms.

Handing the electrocardiogram to Lu Chen, Yao Jie blinked.

"Senior brother, can you really tell the gender?"

Lu Chen smiled and picked up Yao Jie to give him an electrocardiogram.

"First electrocardiogram, male."

"Second EKG, female."

…

"The fifth electrocardiogram, male."

When Lu Chen finished speaking, Yao Jie was shocked.

"Senior brother, you, how do you know?"

These five medical records were randomly selected by her from the medical records.

Is it possible to really determine the gender of the patient?

Lu Chen smiled and said: "Junior sister, the electrocardiogram is a very wonderful thing. Although it is not 100% accurate, it can reflect many things."

Yao Jie didn't believe it, so she immediately found ten electrocardiograms and gave them to Lu Chen for identification.

Lu Chen did not refuse, "Male, male, female, male..."

For the electrocardiogram, Lu Chen got one wrong, but successfully identified all the others.

Although there is one error, the accuracy rate is quite high.

"Senior brother, you can identify men and women, but what about transgender people?"

Lu Chen's face darkened. What was he thinking about in his junior sister's little head all day long?

Lu Chen was about to explain the reason to Yao Jie when the nurse on duty walked into the office.

"Doctors from the director's team, we have a new patient!"

"Okay, come right away." Lu Chen stood up immediately, and then said to Yao Jie, "I will explain to you later. Through electrocardiogram, gender can indeed be determined, even transgender people can tell."

Yao Jie's eyes widened. Is the electrocardiogram so magical?

…

The newly admitted patients are in bed 11.

Lu Chen came to the bedside, and Yao Jie followed behind him pushing the electrocardiograph.

On the hospital bed was a man of about twenty-five years old.

He was lying on the hospital bed with his eyes closed.

"I am your bedside doctor. Are you feeling uncomfortable?"

This is Lu Chen's most typical opening statement.

The man's face looked a little pale. He slowly opened his eyes and said softly: "I feel uncomfortable in my chest."

"Chest pain or tightness?" Lu Chen continued

"It hurts a little. After the pain passes, I still feel a little stuffy."

"When did the chest pain start?"

"At about four o'clock this evening, I woke up in pain from my sleep."

Lu Chen looked at the patient's electrocardiogram taken in the outpatient clinic, which showed that the T wave was slightly high and there were no other abnormalities.

"Junior sister, check the electrocardiogram again." Lu Chen ordered.

An electrocardiogram is the most accessible and cheapest cardiology examination.

Many patients with heart disease will have electrocardiogram changes when their condition changes, so they need to constantly review their electrocardiogram.

"Okay, senior brother." Yao Jie nodded lightly.

…

After the electrocardiogram is done.

As soon as Lu Chen got it in his hand, his heart sank.

The electrocardiogram showed that compared with the admission electrocardiogram, the st segments in leads ii, iii, and avf were elevated!

"There is a possibility of acute myocardial infarction, and it is an inferior wall myocardial infarction." Lu Chen said solemnly, "Junior sister, please inform Senior Sister Guoguo and ask her to take a look at this patient, and then notify the cath lab to prepare."

"Okay." Yao Jie nodded and walked out of the hospital bed.

Leads ii, iii, and avf correspond to the inferior wall of the heart. If there are abnormalities in these leads, it often indicates that the inferior wall of the heart may be ischemic and necrotic.

"Can an electrocardiogram tell you that I have a heart problem?" The man on the bed said calmly, "Can the electrocardiogram clearly see the changes in my body through my skin?"

Lu Chen paused and explained: "When we put the electrocardiogram electrodes on the chest wall, we can feel the electrical conduction, and then record it on the electrocardiogram paper. If there is ischemic and necrotic myocardium, their discharge must be poor. It can be faithfully reflected on the electrocardiogram.”

"Now, based on your symptoms and the results of the electrocardiogram, we determine that the disease you are suffering from is most likely myocardial infarction."

However, the only thing Lu Chen was a little confused about now was the health value on the patient's head.

His health is 68.

According to the previous rules, the life value of acute myocardial infarction is below 60.

Could it be that this patient's condition is still progressing?

"Where are your family members?" Lu Chen continued to ask.

Acute myocardial infarction is a critical illness that carries the risk of sudden death at any time.

Therefore, the patient’s immediate family members should be informed as soon as possible.

"No." The man's face darkened.

"Not married?" Lu Chen asked, "Where are your wife and children?"

"We divorced a few days ago and have no children."

"Where are the parents?"

"I'm not here in Jinghua. I'm the only one in Jinghua."

Lu Chen's heart sank, this matter would be even more difficult to handle!

Acute myocardial infarction requires emergency coronary intervention.

This kind of invasive surgical treatment must require the signature of the patient's family.

At this time, Sun Guoguo also arrived.

After asking about the patient's medical history, an electrocardiogram was performed.

"It is indeed an acute myocardial infarction, and it is still within the intervention time window. It requires emergency surgery."

Sun Guoguo's opinions were completely consistent with Lu Chen's.

"Senior sister, the patient has no family members in Beijing." Lu Chen whispered from the side.

"Are there none?" Sun Guoguo looked at the man on the hospital bed.

"No." The man shook his head.

Sun Guoguo also felt that this matter was very difficult.

In such a special situation, it would be very troublesome if the patient died on the operating table.

Not to mention who is responsible, there are also questions about who will claim the body and who will pay the expenses.

"Junior brother, take care of the patient first." Sun Guoguo took out her mobile phone, "I will tell Teacher Li about the patient's condition."

Li Yao is the director of the department, and any situation involving potential disputes needs to be reported to him in a timely manner.

Sun Guoguo walked out of the hospital bed and called Li Yao.

Lu Chen stayed and asked the nurse to monitor the patient's heart rate.

On the bedside ECG monitoring, the patient's heart rate was 120 beats/min and his blood pressure was hg, which was low for a 35-year-old young adult.

Looking at the heart rate on the ECG monitor, Lu Chen frowned.

Something seems wrong.

In inferior wall myocardial infarction, the heart rate is generally slow.

This patient is a little abnormal, his heart rate is actually 120 beats/minute.

However, Lu Chen didn't think of anything else unusual for a while.

At this time, on the hospital bed, the patient asked again: "Doctor, what kind of myocardial infarction have you always said I have? Is this serious disease?"

When Lu Chen heard this, he suppressed his doubts about the heart rate and began to organize words to explain the patient's condition.

It is extremely important to explain the condition, which is related to whether the patient can accept the next treatment.

"Have you ever heard of coronary heart disease?" Lu Chen asked.

The man frowned and nodded.

"Acute myocardial infarction is the most serious form of coronary heart disease and can kill someone at any time!"

"Acute myocardial infarction occurs because the blood vessels of the heart are blocked by thrombus, and blood cannot flow through it. The distal myocardial cells are naturally ischemic and hypoxic, and will soon become necrotic."

"Myocardial cells are not ordinary cells. They are innate. If one dies, one will be missing. If a batch dies, the entire heart may fail."

"Once the heart fails and heart failure occurs, the patient may die."

"Therefore, opening the blocked heart blood vessels (coronary arteries) as soon as possible is the only effective treatment. In more advanced hospitals, coronary intervention is the first choice, such as inserting cardiac stents to open up narrowed blood vessels and remove Clogged blood clots.”

After Lu Chen's explanation, the patient also understood his condition.

"In other words, I want to do this interventional surgery?" the patient asked.

"Yes!" Lu Chen nodded without doubt.

"Okay, then I'll listen to you."

"The problem now is that if you don't have any family members, your family members must sign for the surgery."

"Can't I sign it myself?"

"We need to contact the superior doctor about this issue."

…

Sun Guoguo quickly returned to the ward.

"Teacher Li said that we are only responsible for saving lives. We can't deal with so many miscellaneous things. She contacted the medical department, filed a record with the medical department, and let them solve the signature matter. This is what they are supposed to do."

Lu Chen nodded. The best way now is to file a report with the medical department and tell the medical department about such a thing.

They cannot just sit back and ignore patients.

Everything is ready, UU Reading www.uukanshu.net The patient is quickly sent to the cath lab.

…

As the rescue efforts in the intervention room were scrambling for points, Lu Chen and others returned to the doctor's office.

Doctors from other groups also knew about this patient, and everyone sighed.

Myocardial infarction at such a young age is really frightening!

Lu Chen sat in front of the computer and started writing medical records when he realized another problem.

The patient has no history of hypertension or hyperglycemia, only a history of hyperlipidemia, and does not smoke.

To be honest, there are not many high-risk factors.

Who would have thought that this patient, who was similar to him in age, would have such a heart attack? !

But twenty minutes later, news came out from the intervention room that no one expected.

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