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Remember [new] in one second! Kyoto University First Affiliated Hospital, Department of Cardiology Catheterization Laboratory.

This is Lu Chen's second time here.

He will spend the next month in the cath lab.

As long as Lu Chen has participated in electrophysiology surgeries, all will be recorded in detail, including the completion level, difficulty and number of surgeries.

"Lu Chen, you were actually sent to our cath lab?!"

There happened to be a coronary interventional surgery today. When Fang Ruzhang came to the cath lab, he happened to see Lu Chen.

"Yes." Lu Chen had just changed into surgical clothes and was following his instructor, the surgeon in charge during the first stage of the assessment, Xiao Shikang.

"That's great. If you have any questions from now on, I'll ask you." Fang Ruzhang had seen Lu Chen's skills and admired them very much.

The premature ventricular ablation of the epicardium in that hand is something that most people really can’t learn.

"Are you here for coronary intervention?" Lu Chen watched as Fang Ruzhang pushed the patient to the opposite coronary intervention catheterization laboratory.

"Yes, a patient on my bed." Fang Ruzhang smiled, "But it wasn't me who did it, it was Director Wan who did it. This is a leader in the city, so Director Wan did it himself."

"Director Wan did it himself?" Lu Chen smiled half-heartedly, "I guess Director Wan rarely performs surgeries now."

Fang Ruzhang spread his hands and said, "There is nothing we can do, even if the leader demands it, there is nothing we can do."

In fact, professors at the level of Director Wan rarely perform surgeries in person, and most of their energy is focused on scientific research or administrative aspects.

It is better to let some deputy directors of the department or senior attending doctors do it, and the effect of the operation may be better.

After all, these doctors have been working on the front line for a long time and have developed their skills.

Lu Chen and Fang Ruzhang chatted for a while. When they saw Director Wan Jingshui coming to the cath lab, he said hello and left.

…

Currently, there are eight operating rooms in the cath lab, including six coronary intervention rooms and two electrophysiology intervention rooms.

This was after the price reduction of cardiac stents, and an electrophysiology interventional room was temporarily added (electrophysiology equipment has not yet been reduced in price).

With the price reduction of domestically produced cardiac stents, the popularity of coronary intervention is gradually waning.

Many new cardiology scholars were hesitant between coronary artery disease and electrophysiology. In the past, most would choose coronary intervention.

But now, more and more people are learning about electrophysiological intervention.

This is also caused by the profit-driven effect.

Doctors are also normal people, and they must go where there is more money.

Therefore, high-risk departments, such as emergency departments and pediatrics, have large gaps every year.

Lu Chen's current job is very simple, waiting for electrophysiology surgery.

As long as there is an electrophysiology surgery, he will have the opportunity to be on stage as an assistant.

When not operating, he studies in the cath lab.

Electrophysiology surgeries are mostly outpatient surgeries, except for a small number of surgeries that require the installation of a temporary pacemaker.

"Lu Chen, there are no surgeries today, but two are scheduled for tomorrow. One is a patient in the third cardiac zone, and one of them seems to need a pacemaker. The other is a patient in the fifth cardiac zone, and needs atrial fibrillation radiofrequency ablation. , you will evaluate it later." Xiao Shikang came to Lu Chen and brought him a medical record.

Patients undergoing any surgery require complete preoperative preparation.

The most important point is to determine whether there are indications for surgery. Simply put, it depends on whether the patient needs surgery.

"Oh, okay." Lu Chen nodded, took the medical record folder and flipped through it carefully.

A pacemaker, as the name suggests, is a machine that helps the heart beat.

When the heart is diseased and beats slowly, there is a problem with the heart pumping blood. The blood cannot enter other organs in the body, such as the liver, kidneys, brain, etc., and various organs are ischemic and hypoxic, resulting in multiple organ Failure can even lead to sudden death.

At this time, outside help is needed. A device is placed in the heart to help beat and maintain normal blood supply to various organs. This is called a pacemaker.

There are many causes of bradycardia. Common ones are coronary heart disease, electrical conduction system disorders, endocrine diseases, and intracranial hypertension. In addition, there are some drug-induced bradycardia.

"Teacher Xiao, I'm going to see this patient in the third area of ​​my heart." Lu Chen looked through the medical records, but there wasn't much useful information.

"Okay, you go ahead, you need to see the patient in person." Xiao Shikang nodded slightly.

Lu Chen changed out of his surgical gown, put on a brand new white coat, then put a shoe cover on his Crocs, and took the elevator to the third area of ​​​​the heart.

…

Three zones in the heart.

Yao Jie is sitting in the office, writing course records for the patients under her care.

"Junior sister, I have already taken care of the patient just now, you don't have to go." Wu Lang walked to Yao Jie's side with a smile, "This is a patient with bradycardia. It seems that he is going to get a permanent pacemaker. I have already contacted the teacher in the cath lab. Then you can talk to the patient and family about the risks of the surgery."

"Okay, thank you, Senior Brother Wu." Yao Jie said.

Ever since Wu Lang found out that Yao Jie had a boyfriend, he had been depressed for a few days, but then he thought about it, he was from Beijing, and long-distance relationships would not last long.

He just stays by Yao Jie's side every day, and one day he will have a chance.

After all, those who are near water and towers get the moon first.

At this time, Lu Chen came to the doctor's office in the third district of Xinnei.

"Excuse me, who is the doctor in charge of the twenty-three patients?"

When Yao Jie heard this familiar voice, she turned around in surprise and saw that it was indeed Lu Chen.

"Senior brother, you...why are you here?"

Wu Lang was stunned. Damn, what happened to Lu Chen?

He quickly moved away from Yao Jie.

Lu Chen smiled and said: "I have been in the cath lab of your hospital recently, the twenty-three bed..."

"Oh, bed 23 is a new patient. I'm in charge of the bed." Yao Jie quickly looked at the inpatient interface.

"Well, this seems to be a permanent pacemaker for the heart. I'll go check on him." Lu Chen said.

"I'll go with you." Yao Jie stood up immediately.

…

Come to bedside No. 23.

Lu Chen looked at the patient, who was a sixty-five-year-old mother-in-law.

Her electrocardiogram showed sinus bradycardia. When she was not active, her heart rate was only 30-40 beats/min.

"Do you usually feel dizzy or faint?" Lu Chen asked.

The old woman paused and said, "I haven't fainted, but I often feel dizzy, and sometimes my eyesight goes black, and I'll be fine in a few seconds."

Lu Chen nodded slightly. This symptom of dizziness is caused by too slow heartbeat, insufficient blood pumping, and insufficient blood supply to the brain.

"There are obvious symptoms. Preliminary inspection shows that a pacemaker is needed." Lu Chen said to Yao Jie.

"Well, senior brother, I will discuss the risks of surgery with the patient later." Yao Jie nodded slightly.

"Don't worry yet." Lu Chen waved his hand, "We need to complete the pre-operative examination first..."

Before Lu Chen finished speaking, the mother-in-law on the hospital bed said, "Doctor, I've already done it at the hospital down there, so there's no need for any more blood tests."

"Did it happen in a tertiary hospital?" Lu Chen asked doubtfully.

"Well, it's a tertiary hospital." The mother-in-law nodded, and then took out a stack of test sheets from the bag she carried with her.

Lu Chen took the test form. The hospital name on it was indeed a tertiary hospital.

At this time, Yao Jie also said from the side: "Brother, the superior teacher said that if it was checked in other hospitals, we don't need to check again here."

Lu Chen nodded and did not reply. Instead, he looked through the patient's test sheets carefully.

A long while.

Lu Chen still shook his head and said to his mother-in-law on the hospital bed: "No, we still need to check the blood! The tests on these test sheets are not perfect enough. We need to check a few more tubes of blood."

Upon hearing this, UU Reading www.uukanshu． net The mother-in-law immediately became unhappy, "I'm here just for surgery, why are you checking my blood? Just wait, my son went out to park the car, I called him to come over."

Lu Chen smiled helplessly, it was useless to ask anyone to come over!

"Okay, your son is here, ask him to come and stand by me in the office." Lu Chen said, and then he and Yao Jie left the ward.

"Brother, didn't you tell me, does this patient have any indication for surgery?" Yao Jie asked in a low voice, "She has already done all these examinations, why do she still need to do it?"

Lu Chen paused and frowned: "What I'm saying is that initially, a pacemaker is needed, but we need to rule out other causes of the disease. Didn't you see the test sheet that the patient brought with him?"

"No..." Yao Jie whispered.

"Not to mention anything else, there is a very important test missing." Lu Chen handed the patient's own test sheet to Yao Jie, "Do you know what it is?"

Yao Jie took the test sheets, looked through a few of them, and wondered, "What's missing?"

Lu Chen's eyes narrowed and he said, "Thyroid function."