I Can See Health

ccu shows classroom.

Many doctors came to participate in the discussion.

Most of them are senior attending doctors, as well as some deputy chief doctors and chief doctors.

There are very few doctors like Lu Chen who have just come to the hospital.

Lu Chen knew almost no one except his mentor, chief director Liu Jun, and the doctors in the second district of his heart.

When he was at Jinghua Second Hospital, he participated in many case discussions.

However, they all participate as students and rarely express their own ideas.

This time it was different. He represented Teacher Zhang Shuqing's medical team and had the opportunity to express his opinions.

"Lu Chen, come here!"

In the noisy environment, Lu Chen suddenly heard a voice. He looked for the sound and saw that it was Jiao Jingqiu, the attending doctor in the second district of the heart.

There was a young doctor sitting next to her. Lu Chen looked at him and saw that he was not from the second zone in his heart.

Lu Chen walked forward and sat next to Jiao Jingqiu.

"Lu Chen, are you here to study too?" Jiao Jingqiu smiled.

Lu Chen was stunned, nodded and smiled, "Teacher Zhang asked me to come over and take a look. What is the condition of this patient? Why are there so many people here?"

"I'm not sure." Jiao Jingqiu shook her head and whispered, "But I heard that the patient seems to be a family member of a leader in the city..."

Lu Chen frowned slightly, and most of the anticipation that had just risen in his heart dissipated in an instant.

He thought it was some difficult patient!

At this time, the male doctor next to Jiao Jingqiu said: "I heard from my colleagues in the CCU that he is a patient with sinus bradycardia. The patient's eldest brother is the top leader of a certain unit in the city. What is the purpose of this discussion? , just to see if the pacemaker can be inserted.”

"That's it? Are you going to have a big discussion within the department?"

Jiao Jingqiu blinked her eyes, looking incredulous.

"You're young, you don't have any awareness at all!" The male doctor grinned, "The leaders' matters are all big things! Even if your condition is not serious, you still have to show it to the leaders!"

"But we clinicians are all very busy!" Jiao Jingqiu curled her lips, "Who has time to fool around with them..."

Lu Chen pursed his lips and said nothing.

In his heart, he agreed with Jiao Jingqiu's words.

However, everyone is in this environment, and many things do not go as they wish.

Only by becoming stronger can you have a choice.

…

At this moment, Liu Jun on the podium spoke.

"Everyone returned to their seats, and the case discussion began immediately."

As soon as he finished speaking, the noisy sounds in the classroom slowly disappeared and everyone sat down. Those who couldn't find a seat stood at the back.

At this time, the medical records of the patients under discussion appeared on the projector in front of the podium.

Zhang Shuqing also slowly walked onto the stage.

"This case discussion, I invite everyone to come over, is mainly about the issue of pacemaker implantation..."

As the ppt was shown, Zhang Shuqing introduced the patient's condition and auxiliary examination materials to everyone one by one.

The introduction of the condition is completed.

Liu Jun, director of the University of Cardiology, stepped onto the podium again, looked around at the crowd, and said slowly:

"The topic of this discussion is, does the patient need to have a pacemaker implanted? What treatment problems will he face after the pacemaker is implanted?"

"I won't mention names. Let's brainstorm ideas and speak enthusiastically."

After Liu Jun finished speaking, there was a thorough discussion under the podium.

Lu Chen saw a middle-aged doctor in the front row raising his hand, and Zhang Shuqing immediately handed over the microphone.

"Okay, the first person to speak is Director Qin from the heart area." Liu Jun nodded slightly.

Qin Feng is the deputy chief physician who was just promoted this year and has made great achievements in the field of electrophysiology.

He stood up, took the phone, and said slowly: "I just listened to Director Zhang's introduction to the condition, and I have a certain understanding of this patient."

"The patient's main symptom is fatigue. The electrocardiogram shows sinus bradycardia. The heart rate is only about 37 beats/min. It may be even slower when he falls asleep at night!"

"Other tests, including blood routine, liver and kidney function, thyroid function, and cardiac ultrasound were all normal."

"The initial diagnosis is still sinus bradycardia. If the patient's fatigue symptoms are severe, a pacemaker needs to be implanted!"

Liu Jun nodded slightly when he heard this.

Lu Chen, however, kept frowning and staring closely at the ppt screen.

The interface where the ppt is parked on the podium is the patient's electrocardiogram.

…

"Who will speak next?" Liu Jun continued to ask.

"Let me do it!"

There is a middle-aged female doctor next to Director Qin. She wears glasses and has a serious face. She seems to be a director-level figure.

"Director Zhang, here it is."

Director Qin immediately handed the microphone to her.

Liu Jun on the stage smiled and said, "Okay, then Director Zhang from the Fourth District will express his opinion."

Director Zhang stood up, her voice was a little cold. She did not directly change whether to implant a pacemaker, but asked: "Has the patient taken any drugs that lower the heart rate, such as betaloc, digitalis, etc. What was the patient’s previous heart rate? Was he a manual worker or an athlete?”

Director Zhang has many questions.

Basically it all revolves around the reason why the heart rate slows down.

People who take oral heart rate-lowering drugs for a long time, as well as manual workers and athletes, will have a slower heart rate.

If it is physiological and there are no symptoms of severe dizziness or syncope, no special treatment is required.

If it is due to certain medications, then stop taking the medication. After removing these factors, the patient's heart rate should be able to increase.

On the stage, Zhang Shuqing explained one by one: "The patient has not taken any heart rate-lowering drugs, and he was not a manual worker in the past, let alone an athlete."

Director Zhang nodded, "I think it's better to be cautious. After completing the dynamic electrocardiogram, we can further evaluate whether to implant a pacemaker."

"Okay, Director Zhang's opinion is good." Liu Jun nodded with a smile.

Next, several directors and senior attending doctors spoke.

However, the opinions of these people are similar to those of Director Qin and Director Zhang at the beginning.

In all cases, a pacemaker is required, or a dynamic electrocardiogram is completed before evaluating whether to implant a pacemaker.

…

Lu Chen remained silent.

He found a copy of the patient's electrocardiogram and read it repeatedly.

Jiao Jingqiu also came over and took a few glances.

"Lu Chen, what's so interesting about this electrocardiogram?" Jiao Jingqiu asked doubtfully, "Isn't it just sinus bradycardia? No matter how you look at it, you can't see anything, right?"

Lu Chen smiled and shook his head, "I just took a look."

The electrocardiogram shown on the ppt just now was not very clear.

Lu Chen has never been one to follow others' opinions.

Rather, you have to go through your own thinking before making a final diagnosis.

His electrocardiogram skills are already advanced, and his proficiency in electrocardiogram interpretation has reached 93%.

In his eyes, most of the problematic electrocardiograms have no clue!

…

at this time.

The male doctor sitting next to Jiao Jingqiu whispered, "Jingqiu, what do you think is the use of this discussion? After discussing it, discussing it in the past, doesn't it all lead to the same result?"

Jiao Jingqiu nodded helplessly, "There is no other way, we still have to discuss it! How about... I also come to speak?"

"Ah? You, you want to speak?" the male doctor said in surprise, "What can you say?"

At this moment, Liu Jun was asking if anyone else was speaking under the podium.

Jiao Jingqiu immediately raised her hand.

"Oh, let's talk about the doctor behind."

The microphone was successfully handed to Jiao Jingqiu's hand.

"Ahem." Jiao Jingqiu cleared her throat, stood up and said, "Isn't this just sinus bradycardia?"

"Severe sinus bradycardia just explains the patient's symptoms of fatigue, especially fatigue after activity. Sinus bradycardia is also one of the manifestations of sick sinus syndrome."

"Severe sinus bradycardia is accompanied by symptoms, and a pacemaker is implanted. From symptoms to ECG and treatment...isn't this perfect?"

"This is a very straightforward question..."

Jiao Jingqiu curled her lips.

Just such a simple question, why do so many people need to sit together and discuss it for so long?

This leader’s family members are really famous!

The male doctor sitting next to Jiao Jingqiu became anxious at this time and quickly lowered his voice, "Jingqiu, please stop saying a few words! Why are you saying these words?!"

On the podium, Liu Jun's expression changed slightly, and then returned to normal.

He could hear the complaints underneath Jiao Jingqiu's words.

This kind of thing is not something a young doctor can complain about.

So many directors had no objections, why did you, the attending doctor, jump out?

"Okay, I will remember Dr. Jiao's opinion."

Liu Jun nodded towards Jiao Jingqiu, his eyes burning brightly.

"Okay, this discussion is over, let's finally summarize our opinions..."

Just when Zhang Shuqing was about to announce the end of the discussion, he suddenly caught a glimpse of Lu Chen raising his hand.

He was slightly startled.

He was just thinking about why his student Lu Chen didn't speak, and showed his face in front of everyone to make his presence known.

Lu Chen actually raised his hand.

However, the discussion is coming to an end now.

Is it necessary to raise your hand to speak now?

It seems that there will be no other different opinions, right?

"Oh? There is another young doctor speaking." Liu Jun also saw Lu Chen raising his hand, "Then you can make the final speech."

Lu Chen stood up slowly and took the microphone from Jiao Jingqiu's hand.

Jiao Jingqiu's face lit up, thinking that Lu Chen was really interesting.

I must be here to help him complain!

The male doctor on the side sighed slightly and thought to himself, he must stay away from these two guys next time...

However, Lu Chen's first words stunned everyone present.

"Dear teachers, UU Reading www.uukanshu.net I would like to ask a question, is this patient's electrocardiogram a bradyarrhythmia or a tachyarrhythmia?"

There were people whispering in the entire demonstration classroom just now, but now it was completely silent.

Everyone looked at Lu Chen with confusion and even a hint of ridicule.

On the side, Jiao Jingqiu opened her mouth so wide that she could even fit a fist into it.

Lu Chen, this is too exaggerated!

On the electrocardiogram, the patient's heart rate clearly reads 37 beats/minute!

A normal heart rate is 60-100 beats/minute.

Less than 60 beats/min means bradycardia.

More than 100 beats/minute is called tachycardia.

"Lu Chen, are you okay? Are you out of your mind?" Jiao Jingqiu said in surprise, "The heart rate of this electrocardiogram is 37 beats/minute!" 16377/10310299