I Can See Health

,

The understanding and trust of patients can allow doctors to throw away their psychological baggage and do their best to obtain the greatest benefits for patients.

In the face of patients' harshness and doubts, doctors will become cold and sophisticated. They would rather admit their incompetence and give up the optimal treatment plan than take any risks!

In this game, doctors may not be the winners, but patients are definitely the biggest losers.

…

Eight zones in the heart.

11pm.

Most of the patients have fallen asleep.

Lu Chen and the other three also fell asleep.

"Okay, nothing happens, let's go to bed." Yin Xinhua said.

"Okay." Lu Chen nodded.

Yin Xinhua slept in the doctor's duty room.

Lu Chen and Fan Zhiping slept in bunk beds in the graduate student duty room.

After washing up a little, Lu Chen went to bed.

Fan Zhiping finally had a chance to be alone with Lu Chen, so he seized the time and started his own questioning mode.

"Lu Chen, who did you learn that electrocardiogram from?" Fan Zhiping suddenly said.

As a cardiologist, Fan Zhiping especially wants to learn electrophysiology well.

Electrophysiology is also the foundation of an excellent cardiologist.

If you really understand the electrocardiogram graphics and don't understand the principles of electrocardiogram, it is no different from memorizing it by rote.

"This..." Lu Chen paused. He couldn't say that he was cheating.

He relied entirely on the super comprehension ability provided by the system's skill book to make such rapid progress.

But Fan Zhiping didn't.

"When I was studying as an undergraduate, one of my teachers was an expert in electrophysiology, and my dad was also a doctor," Lu Chen said.

It would be right to put the blame on teachers and parents.

Fan Zhiping nodded. It turned out that Lu Chen's fathers also studied medicine.

Presumably Lu Chen's father is also an expert in the medical field!

It is understandable that Lu Chen has been exposed to hearing and vision since he was a child and has reached this point now.

"Brother Fan, if you want information on electrophysiology, I have a lot of it here." Lu Chen said, "You can give me your email address when the time comes, and I will send you a copy."

"That's great." Fan Zhiping smiled.

They, doctors in primary hospitals, have limited access to cutting-edge knowledge.

Many times, Fan Zhiping wants to know about the progress of scientific research in a certain aspect, but suffers from lack of information and methods.

After just a few days of getting along, Fan Zhiping no longer knew what words to use to describe Lu Chen.

At first, what Fan Zhiping admired the most was Lu Chen's electrocardiogram performance.

But now that he has seen Lu Chen's clinical skills, he feels a little ashamed!

As a result, Fan Zhiping threw a lot of compliments at Lu Chen.

However, Lu Chen was extremely calm now.

He knows that he is only a student and has just entered clinical practice. He still has a long way to go in the future.

"Brother Fan, you also know that in the current medical system, you not only need to know how to treat patients, but more importantly, you must know how to do scientific research." Lu Chen said helplessly, "No matter how you know how to see a doctor, you can't be promoted to a professional title. If you think the opposite, as long as you can do scientific research, If you write a thesis, the path to professional title promotion will be much faster. I am also a novice in this field of scientific research.”

Fan Zhiping nodded helplessly.

It was because he didn't like doing scientific research that he returned to the county-level primary hospital.

Promotions in grassroots hospitals are mostly based on seniority, and the requirements for papers are not that high.

Basically, there will be no strange creatures like the "Ten Thousand Years Lord"!

In fact, in Lu Chen's heart, he prefers to be a clinician.

Otherwise, he would not have given up the master's degree in Kyoto and settled for the next best thing, choosing the associate's degree in Jinghua.

However, it is impossible to distinguish too clearly between clinical medicine and scientific research.

In medicine, many important scientific research advances were discovered by clinicians.

In other words, if you want to be a top doctor, it is not enough just to treat and save people. You also need to study how to treat diseases in a better way and become an excellent scientific researcher!

…

Superior doctor's duty room.

Yin Xinhua worked hard for most of the night and was finally able to lie down and rest.

"This old Comrade Fan is really popular!"

Let’s take a closer look at what happened tonight.

Not counting those trivial matters, three severe patients have already experienced changes in their condition.

There was even a patient who died after being pushed into the CCU but the resuscitation failed.

"Next time I'm on duty with Lu Chen, I must not let him bring Comrade Lao Fan with him. No one can stand it!"

After washing up, Yin Xinhua lay on the bed and watched short videos for a while.

Sleep sets in.

As soon as Yin Xinhua closed his eyes, he heard a rapid knock on the door.

Her heart rate instantly rose to 120 beats/minute.

"Dr. Yin, bed 52 says it's uncomfortable. Get up and take a look!"

The nurse's voice came from outside the door.

"Okay, here we come!"

Yin Xinhua immediately got out of bed, put on his white coat and walked towards the duty room.

Generally speaking, nurses call the students on duty first.

Only after the students are unable to handle the patient will they call the superior doctor on duty.

In other words, this patient with chest tightness may be more difficult to deal with.

At the same time, Yin Xinhua had already criticized Comrade Lao Fan again in his heart.

…

Came to the 52-bed ward.

Lu Chen and Fan Zhiping were already watching the patient at the bedside.

"Senior sister, this patient just suffered from asthma and chest tightness." When Lu Chen saw Yin Xinhua coming over, he handed over the electrocardiogram he had just taken.

Yin Xinhua took a look at the electrocardiogram.

The electrocardiogram shows: sinus tachycardia, low voltage in the limb leads, and low voltage in the chest leads. The low voltage is not very obvious, although the limb lead voltage is not \u003e0.5mv, and the chest lead voltage is greater than 1.0mv.

"Junior brother, what do you think is causing the chest tightness?" Yin Xinhua said.

Lu Chen paused and then said: "The patient is an elderly male. He has developed chest tightness and difficulty breathing in the past half month. He was just admitted to the hospital today and hasn't had time to do an examination. The physical examination just showed: no edema in both lower limbs, distant heart sounds and distended jugular veins. , blood pressure is about 100/60mmhg.”

"Do you suspect pericardial effusion?" Yin Xinhua put down the electrocardiogram and looked at the patient on the bed.

Lu Chen nodded: "Yes. The symptoms are very typical, and this patient's electrocardiogram shows electrical alternans and electrical staircase phenomena. It is obvious that the qrs wave complex voltage in the chest leads changes with the respiratory cycle. It is a very typical electrocardiogram of pericardial effusion. "

Yin Xinhua checked the patient and also conducted a physical examination, and basically agreed with Lu Chen's judgment.

"Junior brother, considering that there is a large amount of pericardial effusion, it may require emergency puncture. You go and ask for an emergency bedside echocardiography. Dr. Fan will prepare the tools for pericardiocentesis, and I will communicate the condition with the patient's family."

"good."

The three people immediately divided the work and cooperated, and immediately began to diagnose and treat the patient.

The doctor from the ultrasound department came quickly with a cardiac ultrasound machine.

After careful examination by the sonographer, it turned out to be pericardial effusion. UU reading www.uukanshu.net

"A large amount of pericardial effusion, I have already positioned it for you." The sonographer paused, "However, this pericardial effusion is wrapped, has many separations, and requires relatively high puncture requirements."

Hearing this, Yin Xinhua frowned.

If it was ordinary pericardial effusion, she would have done it herself.

But encapsulated pericardial effusion...

She hadn't had a piercing yet, so she didn't feel confident at all.

"The only option is to call the hospital manager," Yin Xinhua said.

She glanced at Lu Chen.

She remembered Lu Chen's blind pericardial puncture in the elevator.

However, this wrapped pericardial effusion is different and requires high proficiency of the operator.

At present, the only thing we can do is call the chief resident of the Department of Cardiology, Li Qinghua, to come over and help.