I Can See Health

Remember [new] in one second! "Intuition?" Sun Guoguo shook her head helplessly.

This kind of thing is metaphysics.

You can't believe it, but you can't reject it completely either.

"Junior brother, intuition is sometimes very good, but we clinicians can't rely on this!" Sun Guoguo said seriously.

"Don't worry, senior sister, I'm measured." Lu Chen nodded slightly.

This time, if it weren't for the reminder of his health, he probably wouldn't have thought about it.

At this moment, Fan Yujing also came out of the office.

Sun Guoguo had sharp eyes and saw her immediately.

She quickly stepped forward and said, "Teacher Fan, I have already seen the patient you asked for consultation."

"How is it?" Fan Yujing said calmly, "Is aortic dissection likely?"

Sun Guoguo paused and said slowly: "Judging from the existing examinations and clinical evidence, the possibility of dissection is unlikely, but it cannot be completely ruled out. If necessary, aortic CTA can be performed to rule out the possibility."

Sun Guoguo's words leave many possibilities open.

Fan Yujing frowned. She didn't like this "Tai Chi" opinion, so she continued: "Then do you think it is necessary to do this aortic CTA? What Lu Chen means is that it is best to perfect the aortic CTA. "

Clinically, it does not mean that if a certain disease is suspected, corresponding examinations must be performed.

Otherwise, every patient who comes to the hospital will have to undergo all the examinations on his body.

Sun Guoguo did not answer immediately. After thinking for a moment, he said: "I think it is still necessary to make one."

As soon as Sun Guoguo's words came out, not only Fan Yujing was stunned, but even Lu Chen was stunned for a moment.

He didn't expect that his senior sister would trust his own intuition so much.

Fan Yujing also said in a deep voice: "Okay, Dr. Sun, just write down your consultation opinions."

"Okay, I will record the medical records when I go back later." Sun Guoguo glanced at Lu Chen, "Junior brother, I will go back first."

Afterwards, Sun Guoguo said hello to Fan Yujing and left.

…

Fan Yujing frowned. She didn't expect Sun Guoguo to care so much about Lu Chen's opinion.

It seemed that Lu Chen's influence in cardiology far exceeded her imagination.

At this time, Sun Guoguo, who left the respiratory department, was also surprised.

Fan Yujing is notoriously difficult to get along with, but judging from her attitude towards Lu Chen, she doesn't seem to be as cold as the rumors!

…

Back to the respiratory doctor’s office.

At this time, Mei Yejun was guarding the door. When he saw Lu Chen and Fan Yujing coming back, he immediately went to greet them.

"Teacher Fan, Senior Brother Lu, this is one of my uncles."

Next to Mei Yejun, stood a middle-aged uncle about forty years old.

"He is also a doctor and wants to know about my dad's condition."

"Lu Chen, please communicate with him." With that said, Fan Yujing walked back to the office.

The middle-aged uncle frowned and asked the students to communicate with him about his condition. This attitude...

"Hello." Lu Chen said, "What do you want to know?"

The middle-aged uncle endured his temper and said in a deep voice: "I am a doctor from the Department of Cardiology at the Central Hospital, Mei Youjun."

"The Department of Cardiology at the Central Hospital?" Lu Chen thought to himself, "This seems to be the hospital in Boge."

But Mei Yejun has relatives in the central hospital, why did he come to Jinghua Second Hospital for hospitalization?

Just listen to Mei Youjun continue: "I want to know, why do you diagnose my brother as having aortic dissection? Do you know what this disease is?"

Lu Chen frowned, the person coming here is evil!

However, he knew that his diagnosis this time was not particularly tenable.

Lu Chen said patiently: "Dr. Mei, as we said before, aortic dissection cannot be completely ruled out, so we recommend improving the aortic CTA."

Mei Youjun chuckled and said, "Pulmonary embolism can also cause chest pain and coughing up blood. Why don't you suggest a pulmonary artery CTA?"

Lu Chen said seriously: "Because the patient's D-dimer is negative, pulmonary embolism can basically be ruled out."

Mei Youjun raised his eyebrows.

"Not bad, I know this."

At this time, Mei Yejun pulled Mei Youjun's sleeve, "Uncle, Senior Brother Lu said before that he only suggested an examination and did not say that the diagnosis was 100% confirmed."

Mei Youjun turned around and said: "Xiaojun, you haven't gone to clinical practice yet and have little experience. It's unlikely that your dad has aortic dissection. I don't think there's any need to do aortic CTA now. Lower your blood pressure first, and then stabilize it." , do a bronchoscopy first.”

Mei Yejun frowned and said nothing.

Outside the office, the atmosphere was eerily quiet.

Lu Chen was the first to break the silence, "Junior sister, the choice is up to you whether to do aortic CTA or not. As your father's doctor, I'm just giving my advice. If you refuse to do aortic CTA, just sign it. "

After saying that, Lu Chen walked into the doctor's office without looking back.

Outside the office.

Mei Youjun looked at Lu Chen's retreating back, but his brows were deeply furrowed. He turned back to Mei Yejun and said, "Xiaojun, don't do any examinations yet. Lower your blood pressure, and then go for a bronchoscopy."

Mei Yejun previously contacted his mother who was out of town, and her mother asked her to follow her uncle's arrangements.

Seeing the unquestionable look in her uncle's eyes, she could only nod in agreement.

…

Back to the doctor's office.

Lu Chen could only sigh helplessly.

After Mei Yejun refused to go out for aortic CT, Lu Chen asked her to sign the informed consent form.

This diagnosis is not understood by others, which is normal.

"Junior brother, go and measure the patient's blood pressure again." Lu Chen turned around and said to Wang De.

Wang Defa immediately picked up the automatic blood pressure monitor and went to the ward.

Within two minutes, Wang Defa walked back quickly.

"Brother, the blood pressure on the patient's right side is 175/98mmhg, and the blood pressure on the left side is 170/90mmhg."

"The blood pressure hasn't dropped yet!" Lu Chen looked at the doctor's orders on the computer.

Three antihypertensive drugs have been used so far, but the drop in blood pressure is still not obvious.

"Let's take a closer look." Lu Chen thought to himself.

…

The whole morning passed quickly.

But Mei Yejun's father's blood pressure still did not drop to 1hg. UU reading www.uukanshu.net

This made Mei Youjun a little anxious.

He went directly to the doctor's office, found Lu Chen, and said, "How about you just use an intravenous pump. The antihypertensive drugs you are taking now are not very effective!"

Lu Chen frowned, "Have you been using intravenous antihypertensive drugs?"

The blood pressure lowering effect of the intravenous pump is very fast, but the duration is very short. After the antihypertensive drugs are withdrawn, the blood pressure will rise again!

Oral antihypertensive drugs have a slow onset of action, but the blood pressure reduction lasts for a long time.

"Aren't we going to get a bronchoscopy quickly?" Mei Youjun snorted coldly, "Don't you know how to work around it?"

Lu Chen shook his head, "If aortic dissection is diagnosed, then there will be indications for using an intravenous pump. But not yet."

Even though Lu Chen is now using an intravenous pump to lower his blood pressure, his blood pressure will rise again after the medicine is removed.

At this moment, Mei Yejun suddenly hurried into the office.

"Brother, my dad's chest hurts again!"