I Can See Health

Remember [new] in one second! "Congratulations, I received a thank you value +1 from Hu Shengtao!"

Just when Lu Chen was communicating with the patient's family, he suddenly received a prompt from the system.

This patient's surname is Hu and his name is Hu Lei.

Then Hu Shengtao should be the name of the middle-aged man in front of him.

Did he actually thank himself enough?

Lu Chen glanced at him quite unexpectedly.

"Dr. Lu, can this pleural effusion be eliminated?" the middle-aged man asked again eagerly.

Lu Chen paused and said: "Generally speaking, we use diuretics to remove excess water from the patient's body. In this process, we not only remove water, but also some useful components in the body are also removed. to eliminate, such as sodium ions, chloride ions, potassium ions, etc. "

"If these ions are not replenished in time, the lack of them in the body will most likely lead to coma or even cardiac arrest."

"On the other hand, if there is a lot of pleural effusion and symptoms of severe dyspnea, we need to perform puncture and drainage in time and place a tube in the chest to drain the fluid out."

The middle-aged man nodded.

He probably understood what Lu Chen meant.

The first choice for pleural effusion is definitely diuretics and other drugs. The second option, and the most direct way, is to insert a catheter for drainage.

"Doctor, when will my dad wake up?"

"It's hard to say." Lu Chen shook his head slightly. "When the patient's vital signs are stable, we will try to relieve the sedation and then try to wean him/her off the ventilator. If we can get off the ventilator, it will prove that we can transfer him out of the CCU." Ward.”

"Okay, thank you Dr. Lu." The middle-aged man said, "Can I stay in the ward for a while?"

After the discussion about the condition is over, the normal procedure is that the family members need to leave.

"No more than ten minutes." Lu Chen said, "You must leave after ten minutes!"

"Okay." The middle-aged man nodded slightly.

After saying that, Lu Chen walked out of the ward.

In front of the ward, a young nurse stood guard at the door.

Lu Chen said softly: "We will change the patient's urine bag and drainage tube later, and turn him over to prevent bedsores."

"Doctor Lu, I changed it an hour ago." The nurse asked, "Do I need to change it again?"

"It has been changed..." Lu Chen said, "Then help the patient turn over. The important thing is to involve the family members."

"Oh, okay."

…

Back to the doctor's office.

"Lu Chen, how is that family member?" Fatty Cheng immediately stepped forward and asked, "Do you have any other unreasonable demands?"

"It's okay." Lu Chen smiled, "I brought him to the patient and communicated with him about his condition in person. His mood has calmed down a lot."

"You are so awesome!" Fatty Cheng patted Lu Chen

on his shoulders, "You actually took care of such a difficult family member!"

Although Gu Xinyue pretended to be cold and did not speak, judging from his expression, he also agreed with Fatty Cheng's words.

Lu Chen smiled, "I already told you that this is Tianbian Duozi Syndrome. Since it is a disease, there must be a treatment."

After hearing this, everyone in the doctor's office became interested and quickly joined in. .

Just now when Lu Chen was away, Fatty Cheng told everyone about the "filial son on the horizon" syndrome.

"What kind of treatment?" Fatty Cheng seemed to be admiring now.

Lu Chen said slowly: "They may feel guilty because they didn't have time to visit the patients and help take care of them before. Therefore, the best way is to affirm their previous efforts and talk about what they did well."

"Even when necessary, it can be pointed out that their accusations against doctors and nurses show the level of concern they have for patient care."

Everyone nodded after hearing this.

Lu Chen continued: "Secondly, the patient's family members may hope to gain control over the patient's medical treatment, and constantly say that they want to use the best medicine and the best treatment." Gu

"At this time, do not confront them face to face, but try to cooperate as much as possible within the allowed range. At the same time, encourage them to visit the patients more and help take care of the patients, such as helping to bathe, beat their backs, and squeeze their feet."

The superb clinical surgical skills are certainly admirable.

But in real clinical practice, there are not so many difficult and complicated diseases, not so many thrills, and more about communication with patients and their families.

Empathy and rational communication occupy a large proportion of clinical work.

"Congratulations, I received a +1 thank you from Gu Xinyue!"

"Congratulations, I received a +1 thank you from Cheng Peng!"

"..."

Looking at the prompt that popped up from the system, Lu Chen smiled slightly and pretended... It feels so good to discuss it with everyone!

…

Every patient is only a small part of the working life of the bedside doctor.

After dealing with this patient, Lu Chen started the reception work again this afternoon.

Less than half an hour later, Zhou Bin walked into the doctor's office.

"A patient with chest pain will be transferred from the county hospital later. Whose turn will it be among you three?"

"Me." Fatty Cheng raised his hand.

"Okay, you can come with me later."

"Okay, Teacher Zhou."

After Fatty Cheng compiled the disease history records of other patients, the patient was just pushed to the door of the CCU ward.

So Fatty Cheng followed Zhou Bin to treat the patient.

In the doctor's office, Lu Chen and Gu Xinyue sat side by side.

"Um, where did you learn these things?" Gu Xinyue suddenly said.

"What are you talking about?" Lu Chen looked at Gu Xinyue in confusion.

"It's all these weird knowledge, as well as cardiac ultrasound. Where did you learn it?"

Gu Xinyue feels that everyone’s usual clinical work is tiring enough.

Lu Chen is still so involved!

The skill points for cardiac ultrasound technology are almost full...

We are all students, so why is Lu Chen so different?

Lu Chen smiled and patted Gu Xinyue on the shoulder, "Old Gu, do you want to learn?"

Gu Xinyue was stunned for a moment, then nodded slightly, "Of course I want to learn, but... I don't have as much time as you."

Whether it is clinical skills or cardiac ultrasound technology, these require a lot of time to hone.

Although Gu Xinyue is interested in cardiac ultrasound, if it takes too much time, it would be putting the cart before the horse.

…

At this time, Lu Chen looked in the direction of the CCU gate.

Teacher Zhou Bin and Fatty Cheng went to see patients, why haven't they come back for a long time?

Looking at it, I realized that they had been staying at the gate of the CCU.

"I'm going to see what's going on." Lu Chen frowned, then stood up and walked towards the CCU gate.

Gu Xinyue saw this and followed closely.

As soon as he got closer, Lu Chen heard a young man standing next to the hospital bed. He said to Zhou Bin: "Doctor, we are transferred from the county hospital. The doctor at the county hospital said that their enhanced CT machine is broken, so Let us be transferred directly to the city, but we didn’t say we would be admitted to the intensive care unit!”